When the Stakes Turn Toxic

When the Stakes Turn Toxic

Anyone who’s bought a lottery ticket or played bingo has gambled. Gambling is any game of chance in which money changes hands. It’s common in most cultures around the world. Many people enjoy gambling as recreation without causing harm to themselves or others. Yet some people can’t control their impulse to gamble, even when it takes a terrible toll on their lives.         

For these gamblers and their families, researchers have been making progress in several areas. Scientists are learning why people have problems with gambling: how common it is, what goes on inside the gambler’s brain, which is at risk and what kinds of treatment can help.

Problem gambling is defined by some researchers as gambling that causes harm to the gambler or someone else, in spite of a desire to stop. Between 2% and 4% of Americans struggle with this condition. Problem gambling can progress to a recognized psychiatric diagnosis called pathological gambling.

Pathological gambling may affect from 0.4% to 2% of Americans. “Pathological gambling comes with a constellation of problems that contribute to chaos,” says Dr. Donald Black of the University of Iowa. “It’s associated with worse physical health, excessive smoking, excessive drinking, not exercising, not seeing primary care doctors and worse dental care. It also fuels depression, family dysfunction, crime, bankruptcy and suicide.”

Together, pathological and problem gambling may affect up to 5% of Americans. That number may rise, though. Laws in many states are creating more options for legal gambling, and internet gambling is becoming more common.

Still, gambling is often done in family settings, condoned or encouraged by parents. And the younger you start, the more likely you are to get into trouble later on. From 3% to 8% of adolescents have a problem with gambling.

Dr. John Welte of the University of Buffalo has found that, across the lifespan, gambling problems are even more common than alcohol dependence. They are also much more common in males, in young people, and in people who live in relatively poor neighborhoods. “That’s not true of the prevalence of alcoholism,” says Welte. “Alcoholism is much more democratic. So think about motives for gambling. People are hoping that winning will improve their lot. That makes them more vulnerable to developing a gambling problem.”

In a study of mostly African-American inner-city youth, Dr. Silvia Martins of Johns Hopkins University has found that about 15% have some form of problem gambling. Most at-risk were adolescents and young adults who began showing symptoms of depression at age 12. They were highly impulsive, although not hyperactive or aggressive. As the African-American boys developed into their teens and early adulthood, gambling appeared to be a separate risk factor for early fatherhood and criminal arrest.

“We are following up with these inner-city kids every single year as they enter adulthood,” says Martins.

But why is gambling irresistible to some folks and not others? Using advanced imaging techniques, Dr. Alexander Neumeister of Mount Sinai School of Medicine looked at the brains of people with gambling problems and alcohol problems. He measured the number of special receptors involved in regulating impulse control and other factors.          

“A key feature of addiction is impaired impulse control,” says Neumeister. “Abnormal function of the forebrain leads to reduced tolerance to waiting.” The resulting impatience may cause people to act without considering the consequences. “Our imaging clearly points toward the importance of impaired forebrain function in addiction.”

Pinpointing areas in the brain’s reward center, Neumeister’s team found that people with alcohol addiction and gambling problems show different functioning of these special receptors compared to healthy people. The differences were related to the severity of addiction. Other researchers are trying to develop drugs that could treat the affected areas.

Talk therapy can also help. Dr. Nancy Petry at the University of Connecticut Health Center works with pathological gamblers and people seeking treatment for drug use disorders. Gambling problems arise in about 10% to 20% of substance abusers. Petry compared the use of different types of talk therapy, including very brief interventions and cognitive-behavioral therapy CBT. CBT teaches people how to think differently about problems and then act on that knowledge.

“We found very brief interventions and CBT were effective in reducing gambling and gambling-related problems,” Petry says. “There was a significant improvement relative to usual care or standard forms of treatment like Gamblers Anonymous [a 12-step program].”

Anybody can have a gambling problem, and no one should feel ashamed or be afraid to seek treatment. “Pathological gambling is a medical disorder, not a sin or a vice,” says Dr. Carlos Blanco of Columbia University and the New York State Psychiatric Institute. “There is no stereotype. The main predictor of outcome is really motivation.”

In other words, what counts most is a strong drive or desire to take action. Blanco offers gamblers motivational interviewing, which helps them explore their mixed feelings about trying to quit gambling. This primes them to be ready and willing to begin CBT. Using both therapies together can be very effective.

If you have concerns about your gambling, ask for help. Your health provider can work with you to find the treatment that’s best for you.

Slahal

Slahal Lahal is the Indigenous peoples of the Pacific Northwest Coast gambling game known as stickgame, bonegame, bloodless war game, handgame, or a name specific to each language. It is played throughout the western United States and Canada by indigenous peoples. The name of the game is a Chinook Jargon word. The name bone game comes from the fact that the bone sets historically used were the shin bones from the foreleg of a deer or other animal.

The game is played with two opposing teams. There are two sets of bones, and two sets of sticks 10 sticks per team during aboriginal times, but in modern times usually played with 5 sticks per team and a kick or king stick -- an extra stick won by the team who gets to start the game in some areas a kick stick is not used. When a game is in play, one of the two teams will have two sets of bones, shown above. When your team is guessing, your objective is to get the right bone, the one without the stripe. When you have the bones, your objective is to make sure the other team guesses wrong on the bones set. When the other team guesses wrong, you gain a point. When a team has the two sets of bones, two separate individuals will hide the bones and swap them around from hand to hand each person has a striped and non-striped bone. Eventually the bones are brought forward, but are concealed as to not show the other team what one has a stripe on it. The game is usually accompanied by drumming and singing used to boost the morale of the team. The side that has the bones sings, while the other tries to guess. The musical accompaniment is also sometimes used to taunt the other team. Gambling could be done by players, or spectators of a match, placing bets on teams, or individual matches within the game between one guess and the other team's bone hiders.

Oral histories indicate that slahal is an ancient game, dating to before the last ice age.citation needed In the Coast Salish tradition, the Creator gave stickgame to humanity as an alternative to war at the beginning of time. Thus the game straddles multiple roles in Native culture -- it is at once entertainment, a family pastime, a sacred ritual and a means of economic gain through gambling. These juxtapositions are sometimes difficult to comprehend for the Western mind, but to many members of the Native community they are woven together effortlessly as a harmonic whole.

Slot Machines are Slots

Slot Machines

Slot machines were introduced around the turn of the century, and their popularity increases daily. For many players, playing slots is still the most enjoyable and relaxing form of gambling.

These so called 'one-armed bandits' can be found in every casino, with a variety of models and coin denominations to please every player, including mechanical, electromechanical video, and the new touch-screen versions. With one touch of the screen, you can change from poker to slots. There are three to nine reels, criss-crosses, multiples, progressives, and specialty machines such as 21, Keno, Video Poker, Poker Bingo, and Video Horse Racing and Dog Racing. My favorite is the $.25 wheel of fortune slot machine with reels.

There are many different slot machine games. Jackpot size, combinations, symbols, size and number of coins allowed in each play vary as well. Included in these games are the popular Video Poker games. Modern slot machines are completely electronic. Symbol combinations come up randomly and machines are pre-programmed to return a certain percentage to the players.

Slots account for a good portion of a casino's action and winnings. They are simple to use, inexpensive to maintain, and require little or no skill to play.

To the player, a slot machine returns on average between 85% and 98%. The average casino advantage is calculated to be around 9%.

Slot Machines in California

In California, most of the slot machines print tickets and take paper money.