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.

Online casinos, also known as virtual casinos or Internet casinos are online versions of traditional brick and mortar casinos. Online casinos enable gamblers to play and wager on casino games through the Internet.

Online casinos generally offer odds and payback percentages that are comparable to land-based casinos. Some online casinos claim higher payback percentages for slot machine games, and some publish payout percentage audits on their websites. Assuming that the online casino is using an appropriately programmed random number generator, table games like blackjack have an established house edge. The payout percentage for these games is established by the rules of the game.

Online casinos can be divided into two groups based on their interface: web-based and download-only casinos. Some casinos offer both interfaces.

Some casinos offer 'Live gaming', either exclusively, or as part of a wider online casino offering. In live online casinos, popular casino games such as roulette and blackjack are dealt by real dealers in casino studios, in an attempt to convey more of the atmosphere of a physical casino. Player actions including chat such as 'hit' in the game of blackjack may be transmitted to the dealer; in some online casinos more than one player may 'sit' at a particular 'seat' on the table, and in this case there is no interactivity between player and dealer. The question of which player s requested the extra card that the dealer dealt and which chose to 'stand' will be handled by the software. It is usual for players to be able to observe a video feed of the action, and equally common for players to opt to turn it off, if they lack the bandwidth - as the cards are read by OCR and other technology, the video feed is only ever a visual cue.

Web-based online casinos

Web-based online casinos are websites where users may play casino games without downloading software to the local computer. Games are mainly represented in the browser plug-ins Macromedia Flash, Macromedia Shockwave, or Java and require browser support for these plug-in. In addition, bandwidth is needed since all graphics, sounds and animations are loaded through the web via the plug-in. Some online casinos also allow game play through a plain HTML interface. Apple devices such as IPod, IPad and IPhone cannot play Flash games as the technology is not supported.

Download-based online casinos

Download-based online casinos require the download of the software client in order to play and wager on the casino games offered. The online casino software connects to the casino service provider and handles contact without browser support. Download-based online casinos generally run faster than web-based online casinos since the graphics and sound programs are located within the software client, rather than having to be loaded from the Internet. On the other hand, the initial download and installation of a download-based online casino client does take time. As with any download from the Internet, the risk of the program containing malware does exist. Still the graphics and sounds at download-based online casinos are most of the time much better than those at web-based online casinos.

Red Dog Poker

Red dog, also known as red dog poker or yablon, is a game of chance played with cards. It is a variation of acey-deucey or in-between. While found in some land casinos, its popularity has declined, although it is featured at many casinos online. Confusingly, there are other card-based games of chance by the same name that are unrelated to the rules described here.

The deck used to play red dog is the standard, fifty-two-card variety. The game may be played with anywhere from one to eight decks, with an increasing number of decks decreasing the house edge — the house's advantage begins at 3.155% with one deck, but falls to 2.751% when eight decks are used. This is in contrast with some other casino card games, such as blackjack, where a higher number of decks used will increase the house edge.

The game only uses three cards at a time, which are ranked as in poker, with aces high. Suit is irrelevant. A wager is placed, and two cards are placed face up on the table, with three possible outcomes:

If the cards are consecutive in number for example, a four and a five, or a jack and a queen, the hand is a push and the player's wager is returned.

If the two cards are of equal value, a third card is dealt. If the third card is of the same value, then the payout for the player is 11:1, otherwise the hand is a push.

If neither of the above is the case for example, a three and an eight, then a spread is announced which determines the payoff a 4-card spread, in this example, and a third card will be dealt. Before dealing the third card, the player has the option to double his bet. If the third card's value falls between the first two, the player will receive a payoff according to the spread; otherwise the bet is lost.