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 poker is the game of poker played over the Internet. It has been partly responsible for a dramatic increase in the number of poker players worldwide.

Traditional or brick and mortar, live venues for playing poker, such as casinos and poker rooms, may be intimidating for novice players and are often located in geographically disparate locations. In addition, brick and mortar casinos are reluctant to promote poker because it is difficult for them to profit from it. Though the rake, or time charge, of traditional casinos is often high, the opportunity costs of running a poker room are even higher. Brick and mortar casinos often make much more money by removing poker rooms and adding more slot machines.

Online venues, by contrast, are dramatically cheaper because they have much smaller overhead costs. For example, adding another table does not take up valuable space like it would for a brick and mortar casino. Online poker rooms also allow the players to play for low stakes as low as 1¢/2¢ and often offer poker free roll tournaments where there is no entry fee, attracting beginners and/or less wealthy clientele.

Online venues may be more vulnerable to certain types of fraud, especially collusion between players. However, they have collusion detection abilities that do not exist in brick and mortar casinos. For example, online poker room security employees can look at the hand history of the cards previously played by any player on the site, making patterns of behavior easier to detect than in a casino where colluding players can simply fold their hands without anyone ever knowing the strength of their holding. Online poker rooms also check players' IP addresses in order to prevent players at the same household or at known open proxy servers from playing on the same tables

Typically, online poker rooms generate the bulk of their revenue via four methods. First, there is the rake. Rake is collected from most real money ring game pots. The rake is normally calculated as a percentage of the pot based on a sliding scale and capped at some maximum fee. Each online poker room determines its own rake structure. Since the expenses for running an online poker table are smaller than those for running a live poker table, rake in most online poker rooms is much smaller than its brick and mortar counterpart.

Second, hands played in pre-scheduled multi-table and impromptu sit-and-go tournaments are not raked, but rather an entry fee around five to ten percent of the tournament buy-in is added to the entry cost of the tournament. These two are usually specified in the tournament details as, e.g., $20+$2 $20 represents the buy-in that goes into the prize pool and $2 represents the entry fee, de facto rake. Unlike real casino tournaments, online tournaments do not deduct dealer tips and other expenses from the prize pool.

Third, some online poker sites also offer games like blackjack or side bets on poker hands where the player plays against the house for real money. The odds are in the house's favor in these games, thus producing a profit for the house. Some sites go as far as getting affiliated with online casinos, or even integrating them into the poker room software.

Fourth, like almost all institutions that hold money, online poker sites invest the money that players deposit. Regulations in most jurisdictions exist in an effort to limit the sort of risks sites can take with their clients' money. However, since the sites do not have to pay interest on players' bankrolls even low-risk investments can be a significant source of revenue.

Differences compared with conventional poker

There are substantial differences between online poker gaming and conventional, in-person gaming.

One obvious difference is that players do not sit right across from each other, removing any ability to observe others' reactions and body language. Instead, online poker players learn to focus more keenly on betting patterns, reaction time, speed of play, use of check boxes/auto plays, opponents' fold/flop percentages, chat box, waiting for the big blind, beginners' tells, and other behavior tells that are not physical in nature. Since poker is a game that requires adaptability, successful online players learn to master the new frontiers of their surroundings.

Another less obvious difference is the rate of play. In brick and mortar casinos, the dealer has to collect the cards, shuffle, and deal them after every hand. Due to this and other delays common in offline casinos, the average rate of play is around thirty hands per hour. However, online casinos do not have these delays. The dealing and shuffling are instantaneous, there are no delays relating to counting chips for a split pot, and on average, the play is faster due to auto-action buttons where the player selects his action before his turn. It is not uncommon for an online poker table to average ninety to one hundred hands per hour.

Online poker is considerably cheaper to play than conventional poker in many ways. While the rake structures of online poker sites might not differ fundamentally from those in brick and mortar operations, most of the other incidental expenses that are entailed by playing poker in a live room do not exist in online poker. An online poker player can play at home and thus incur no transportation costs to get to and from the poker room. Provided the player already has a somewhat modern computer and an Internet connection, there are no further up-front equipment costs to get started. There are also considerable incidental expenses once on a live poker table. In addition to the rake, tipping the dealers, chip runners, servers and other casino employees is almost universally expected, putting a further drain on a player's profits. Also, whereas an online player can enter and leave tables almost as he pleases, once seated at a live table a player must remain there until he wishes to stop playing, or else go back to the bottom of the waiting list. Food and beverages at casinos are generally expensive even compared to other hospitality establishments in the same city let alone compared to at home and casino managers feel little incentive to comp poker players.

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Online bingo is the game of bingo played on the Internet.

Unlike balls used in regular bingo halls, online bingo sites use a random number generator. Most bingo halls also offer links to online poker and casino offerings as the patrons are often in the target market. One notable feature of online bingo is the chat functionality. Bingo sites strive to foster a sense of community and interaction between players as this helps customer retention.

Playing bingo online, players can make use of optional features, which make playing the game easier, such as auto-daub. Auto-daub automatically marks off the numbers on cards as they are called, so players don't have to. Most software providers support other gaming features as Best Card Sorting and Best Card Highlighting where players cards are sorted and highlighted by closest to bingo. Some of these features are designed to free players to enjoy the communal pleasantries of the chat features.

There is variety among the different kinds of bingo games that can be played. For example, some inexpensive game rooms appeal to the player who may want to play for just a 10 cents or 10 pence; some bingo games only allow players to purchase the same amount of cards so they are not competing against the high rollers out there who buy many cards for the same game.