An Introduction to Compulsive Gambling
Although gambling does not produce the cognitive or physical impairment associated with alcohol or drug abuse, an obsession with gambling can be just as devastating. Compulsive gambling can destroy social, personal and occupational or educational performance.
Compulsive gambling is considered a form of addiction. The term addiction is usually reserved to explain a compulsive attraction or pathological attachment to a substance, normally a drug. However, we now recognize that some behaviors can be addicting, such as eating, sex and gambling. All addiction is characterized by loss of control, preoccupation, compulsivity, narrowing of interests, dishonesty, guilt and chronic relapse.
Addictions to behavioral processes are called process addictions. The process of engaging in these behaviors leads to typical addiction symptoms (withdrawal, tolerance, heightened excitement or euphoria).
Process addictions are more common among children of alcoholics or addicts, recovering alcoholics or addicts, or current alcoholics or addicts. Like other addictions, in many cases there are no correlations with high-risk situations or history—it just happens.
When people describe their subjective experience related to gambling or other process addictions, their stories are qualitatively similar to users’ descriptions of their drug addictions. Compulsive gamblers indicate that they seek being in action, referring to the “high” or euphoric state associated with the act of gambling. Gamblers also describe the anticipated high or “rush” prior to being in action.
The description of these aroused states is remarkably similar to that described by cocaine addicts. A study involving 298 cocaine abusers found that a diagnosis of compulsive gambling could be made in 15 percent of the population—19 percent of the males and 5 percent of the females. This is about five to seven times the rate expected in the general population.
Course of Gambling Addiction
The course of the gambling and process addictions is remarkably similar to that of drug addiction or alcoholism. Some divide pathological gambling into four phases: winning, losing, desperation and helplessness.
The early or winning phase is similar to the learning phase of a substance addict where the high is fun and the consequences minimal or nonexistent. As the disease progresses, there is a marked narrowing of interests as the gambler becomes preoccupied with gambling and obtaining money to gamble.