|
Most Americans are
social gamblers who participate in gaming activity without harmful effects.
Some gamblers cannot, however, and are referred to as problem or
pathological (compulsive) gamblers.
The American
Psychiatric Association first recognized pathological gambling as a mental
disorder by its inclusion in the Diagnostic and Statistical Manual in 1980.
According to the clinical description, the basic features of the disorder
are a continuous or periodic loss of control over gambling; a progression,
in frequency and in the amounts wagered; a preoccupation with gambling and
in obtaining monies with which to gamble; and a continuation of the behavior
despite adverse consequences.
In simple terms,
problem gambling can be defined broadly as patterns of gambling behavior
that compromise, disrupt or damage personal, family or vocational pursuits.
Pathological gambling is the most extreme form of problem gambling. It is
characterized by the loss of control over gambling, chasing of losses, lies
and deception, family and job disruption, financial bailouts and illegal
acts.
Many problem gamblers
suffer a higher rate of other addictive disorders, in particular alcohol and
substance abuse. Furthermore, problem gamblers have high rates of
cardiovascular and gastrointestinal disease, and suffer very high suicide
rates.
Many societal costs
result from problem gambling. These include the breakdown of families,
decreased productivity, increased criminal activity, and financial
insolvencies. These problems place increased demands on social services. |