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Term warfare: ‘Problem gambling’ and ‘gambling addiction’ are not the same
Throughout my career, I have constantly pointed out that I met very few people that are genuinely addicted to playing weekly or bi-weekly Lotto games. When stating this, some people counter my assertion that they know people who spend far too much money on buying Lotto tickets and that it is areal problem in their life. However, this is a classic instance of confusing ‘problem gambling’ with ‘gambling addiction’. These two terms are not inter-changeable. When I give lectures on gambling addiction I always point out that “all gambling addicts are problem gamblers but not all problem gamblers are gambling addicts”.
Nowhere is this more relevant than in the print and broadcast media. For instance, I have been one of the co-authors on the last two British Gambling Prevalence Surveys (published in 2007 and 2011). In these surveys we assessed the rate of problem gambling using two different problem gambling screens. Neither of these screens assesses ‘gambling addiction’ and problem gambling is operationally defined according to the number of criteria endorsed on each screen. For instance, in both studies we used the criteria of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) to estimate the prevalence of problem gambling. Anyone that endorsed three or more items (out of ten) was classed as a problem gambler. Anyone that endorsed five or more items was classed as a pathological gambler. Pathological gambling is more akin to gambling addiction but we found only a tiny percentage of our national participants could be classed as such. What we did report was that 0.9% of our sample were problem gamblers (i.e., they scored three or more on the DSM-IV criteria).
What we didn’t say (and never have said) was that 0.9% of British adults (approximately 500,000 people) are addicted to gambling. However, many stories in the British media when they talk about problem gambling will claim ‘half a million adults in Great Britain are gambling addicts’ (or words to that effect). I am not trying to downplay the issue of gambling addiction. I know only too well the pain and suffering it can bring to individuals and their families. Also, just because I may not define a problem gambler as being genuinely addicted (by my own criteria as outlined in a previous blog), that doesn’t mean that their problem gambling might not be impacting in major negatively detrimental ways on their life (e.g., relationship problems, financial problems, work problems, etc.).
However, returning to the issue of being ‘addicted’ to Lotto games I have always stated in many of my published papers on both addiction and (more specifically) gambling addiction, that addictions rely on constant rewards. A person cannot be genuinely addicted unless they are receiving constant rewards (i.e., their behaviour being reinforced). Playing a Lotto game in which the result of the gamble is only given once or twice a week is not something that can provide constant rewards. A person can only be rewarded (i.e., reinforced) once or twice a week. Basically, Lotto games are discontinuous and have a very low event frequency (once or twice a week). Continuous gambling activities (like the playing of a slot machine) have very high event frequencies (e.g., a typical pub slot machine in the UK has an event frequency of 10-12 times a minute). Gambling activities with high event frequencies tend to have higher associations with problem gambling, and are more likely to be associated with genuine gambling addictions.
That doesn’t mean people can’t spend too much money buying lottery tickets. Buying ticket after ticket can indeed lead people to have a gambling problem with Lotto. However, I know of no addiction criterion that relates to the amount of money spent engaging in an activity. Obviously the lack of money can lead to some signs of problematic and/or addictive behaviour (such as committing criminal activity in order to get money the person hasn’t got to gamble) but this is a consequence of the behaviour not a criterion in itself. In most of the behavioural addictions that I carry out research into (exercise addiction, sex addiction, video game addiction, etc.), there is little money spent but some of these behaviours for a small minority of people are genuinely addictions.
One of the reasons I felt the need to write this article was a press release I saw the other day from the Salvation Army in New Zealand. The story basically said that for some people, playing Lotto was an addictive activity. Here are some of the things the press release said:
“The Salvation Army Problem Gambling service is seeing an increase in the number of clients for whom Lotto products has become a problem for them and their families. ‘When it becomes an addiction, gambling creates havoc in people’s lives’, says Commissioner Alistair Herring, National Director of Addiction Services. ‘The gambling of some of our clients has led to criminal offending, domestic violence, loss of the family home, and – most commonly – children going without food and other basic needs. Regrettably, some people are unable to buy a simple product like a Lotto ticket without it leading to harm for themselves and others. A Lotto ticket can seem harmless but once their purchase becomes an addiction the results can be devastating’…In the past year, The Salvation Army problem gambling programme assisted over 1400 clients most of whom used Lotto. Fifty-seven clients said Lotto was the most significant aspect of their gambling problem. ‘This sort of sales promotion without fully understanding the damage the product can have on an individual and their family is irresponsible. New Zealand is moving toward food labelling that identifies additives dangerous to health. Yet Lotto tickets are sold without any warning that they can lead to health dangers through addiction’. One of the results of Lotteries Commission activity is that Countdown supermarkets recently started selling Lotto tickets at the checkout”.
Many of you reading this may think I am being a little pedantic but while I don’t doubt that buying too many Lotto tickets can be problematic if the person buying them simply can’t afford it, the resulting behaviour is ‘problem gambling’ not ‘gambling addiction’. In relation to my own criteria for addiction, the only way someone could be addicted to Lotto was if they were actually addicted to the buying of the tickets rather than the outcome of the gamble itself. This is not as bizarre as it sounds as some research that I carried out in the late 1990s and early 2000s with Dr. Richard Wood appeared to show that a small proportion of adolescents (aged 11 to 15 years) were addicted to playing both Lotto and scratchcard lottery games.
While it is theoretically possible for kids to be hooked on lottery scratchcards (as you can play again and again and again if you have the time, money, and opportunity), we found it strange that adolescents should have ‘addiction’ problems with Lotto. However, in follow-up qualitative focus groups, some adolescents reported that they actually got a buzz from the buying of Lotto tickets and scratchcards because it was an illegal activity for them (i.e., only those aged 16 years or older can play lottery games in the UK so the buying of tickets below this age is a criminal offence). Basically, there was a small minority of kids that were getting a buzz or high from the illegality of buying a lottery ticket rather than the gambling itself.
Along with Michael Auer, I published a paper in the journal Frontiers in Psychology where we argued game type was actually irrelevant in the development of gambling problems. We provided two examples that demonstrate that it is the structural characteristics rather than the game type that is critical in the acquisition, development and maintenance of problem and pathological gambling for those who are vulnerable and/or susceptible. A ‘safe’ slot machine could be designed in which no-one would ever develop a gambling problem. The simplest way to do this would be to ensure that whoever was playing the machine could not press the ‘play button’ or pull the lever more than once a week. An enforced structural characteristic of an event frequency of once a week would almost guarantee that players could not develop a gambling problem. Alternatively, a risky form of lottery game could be designed where instead of the draw taking place weekly, bi-weekly or daily, it would be designed to take place once every few minutes. Such an example is not hypothetical and resembles lottery games that already exist in the form of rapid-draw lottery games like keno.
Although many people (including those that work in the print media) may still use the terms ‘problem gambling’ and ‘gambling addiction’ interchangeably, hopefully I have demonstrated in this article that there is a need to think of these terms as being on a continuum in which ‘gambling addiction’ is at the extreme end of the scale and that ‘problem gambling’ (while still of major concern) doesn’t necessarily lead to problems in every area of a person’s life.
Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Further reading
Griffiths, M.D. & Auer, M. (2013). The irrelevancy of game-type in the acquisition, development and maintenance of problem gambling. Frontiers in Psychology, 3, 621. doi: 10.3389/fpsyg.2012.00621.
Griffiths, M.D. & Wood, R.T.A. (2001). The psychology of lottery gambling. International Gambling Studies, 1, 27-44.
Leino, T., Torsheim, T., Blaszczynski, A., Griffiths, M.D., Mentzoni, R., Pallesen, S. & Molde, H. (2014). The relationship between structural characteristics and gambling behavior: A population based study. Journal of Gambling Studies, in press.
McCormack, A. & Griffiths, M.D. (2013). A scoping study of the structural and situational characteristics of internet gambling. International Journal of Cyber Behavior, Psychology and Learning, 3(1), 29-49.
Parke, J. & Griffiths, M.D. (2006). The psychology of the fruit machine: The role of structural characteristics (revisited). International Journal of Mental Health and Addiction, 4, 151-179.
Parke, J. & Griffiths, M.D. (2007). The role of structural characteristics in gambling. In G. Smith, D. Hodgins & R. Williams (Eds.), Research and Measurement Issues in Gambling Studies (pp.211-243). New York: Elsevier.
Salvation Army (2014). Buying Lotto…Winning a gambling addiction. July 2. Located at: http://www.scoop.co.nz/stories/CU1407/S00032/buying-lotto-winning-a-gambling-addiction.htm
Wardle, H., Moody. A., Spence, S., Orford, J., Volberg, R., Jotangia, D., Griffiths, M.D., Hussey, D. & Dobbie, F. (2011). British Gambling Prevalence Survey 2010. London: The Stationery Office.
Wardle, H., Sproston, K., Orford, J., Erens, B., Griffiths, M.D., Constantine, R. & Pigott, S. (2007). The British Gambling Prevalence Survey 2007. London: The Stationery Office.
Wood, R.T.A. & Griffiths, M.D. (1998). The acquisition, development and maintenance of lottery and scratchcard gambling in adolescence. Journal of Adolescence, 21, 265-273.
Wood, R.T.A. & Griffiths, M.D. (2002). Adolescent perceptions of the National Lottery and scratchcards: A qualitative study using group interviews. Journal of Adolescence, 25/6, 655 – 668.
Wood, R.T.A. & Griffiths, M.D. (2004). Adolescent lottery and scratchcard players: Do their attitudes influence their gambling behaviour? Journal of Adolescence, 27, 467-475.
Punter gatherer: What is the role of competitiveness in gambling and problem gambling?
Over the last decade, I have been asked by the mass media on countless occasions about the increasing popularity of online gambling. The two biggest successes appear to be the use of betting exchanges and online poker. Gamblers clearly feel these types of gambling provide value and an opportunity to exercise their skill. This is coupled with increasingly sophisticated gaming software, integrated e-cash systems, increased realism (in the shape of “real” gambling via webcams, or player and dealer avatars) are all inter-linked facilitating factors. However, another factor that I feel is really important in the rise of online gambling is the inter-gambler competition. Obviously there is an overlap between competitiveness and skill but they are certainly not the same. What’s more recent research has suggested that being highly competitive may not necessarily be good for the gambler.
I’m sure many people’s view of psychology is that it is little more than common sense (and to be honest, some of it is). For instance, psychologists claim that male gamblers are attracted to sports betting because they love competitiveness. There has also been North American research examining the high participation in US college basketball. The researchers found that above anything else, males were attracted to the competitiveness of betting on teams and games. Professor Howard Shaffer, a psychologist at Harvard University, claims that men are more likely to develop problematic gambling behaviour because of their conventionally high levels of aggression, impulsivity and competitiveness. Clearly, the idea of the competitiveness of the activity being one of the primary motivations to gamble is well supported.
Based on the fact that so little research has systematically examined the links between gambling and competitiveness, my own research unit published some research into this area in the journal Addiction Research and Theory. Dr. Adrian Parke and myself speculated that a gambler who is highly competitive would experience more arousal and stimulation, and be drawn to gambling as an outlet to release competitive instincts and drives. We also speculated that competitiveness may be linked to problem gambling. For instance, being highly competitive may help in explaining why in the face of negative and damaging consequences, problem gamblers persist in their potentially self-destructive habit. Psychological research in other areas has consistently shown that highly competitive individuals are more sensitive to social comparison with peers regarding their task performance. Applying this to a gambling situation, it is reasonable to suggest that competitive gamblers may be reluctant to stop gambling until they are in a positive state in relation to opposing gamblers, perhaps explaining why excessive gambling can sometimes occur.
Psychology is not the only discipline to suggest that competitiveness levels can be associated with problem gambling. Sociologists have speculated that factors of the human instinctual expressive needs, such as competition, can be temporarily satisfied when engaging in gambling activities. Evidence exists supporting gambling as an instrumental outlet for expressing competitive instinctual urges. The US sociologist Erving Goffman developed what he called the ‘deprivation-compensation’ theory to explain the relationship between gambling and competitiveness. He suggested that the stability of modern society no longer creates situations where competitive instincts are tested. Therefore, gambling is an artificial, self-imposed situation of instability that can be instrumental in creating an opportunity to test competitive capabilities.
In the published research study that we carried out, we hypothesised that problem gamblers would possess higher levels of competitiveness than non-problem gamblers. Using a competitiveness scale, gamblers were asked to rate statements about competitive reasons for gambling (such as ‘I like to gamble to show others how good I am at it’, ‘I like to gamble to beat the system’, ‘I like to gamble to see how good I am at it’) and general competitive tendencies (such as ‘I am competitive’, ‘I enjoy taking risks’, ‘I am abitious’). We found that problem gamblers scored significantly higher on the competitiveness scale. Put simply, we concluded that having a highly competitive streak may in fact be a potential risk factor for problem gambling.
It is not hard to see how a highly competitive person would be attracted to gambling by the competitive and challenging nature of the behaviour. However, why are competitive people at particular risk of developing pathological gambling behaviour? It could be the case that highly competitive gamblers are less inclined to ‘throw the towel in’ or accept a loss, and, as a result are more prone to chasing behaviour. Chasing behaviour – that is, increasing frequency and stake of bets in an attempt to recoup losses – is self-perpetuating. When gamblers chase losses it is highly probable they will lose more and the need to recoup losses increases as time passes. What’s more, chasing losses has been shown to be a major risk factor in the development of gambling problems. At the other end of spectrum, winning is potentially more rewarding for a competitive gambler as they are more inclined to perceive gambling as an internal and external challenge than a non-competitive gambler. In addition, winning will be much more rewarding after incurring losses. Put very simply, the competitive person feels greater triumph by defeating unlikely odds and emerging from what appeared a hopeless situation.
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Further reading
Goffman, I. (1972). Where the action is. In: Interaction Ritual (pp.149–270). Allen Lane, London.
Griffiths, M.D. (2010). Gambling addiction on the Internet. In K. Young & C. Nabuco de Abreu (Eds.), Internet Addiction: A Handbook for Evaluation and Treatment (pp. 91-111). New York: Wiley.
Kuss, D.J. & Griffiths, M.D. (2012). Internet gambling behavior. In Z. Yan (Ed.), Encyclopedia of Cyber Behavior (pp.735-753). Pennsylvania: IGI Global.
McCormack. A. & Griffiths, M.D. (2012). What differentiates professional poker players from recreational poker players? A qualitative interview study. International Journal of Mental Health and Addiction, 10, 243-257.
Parke, A. & Griffiths, M.D. (2011). Poker gambling virtual communities: The use of Computer-Mediated Communication to develop cognitive poker gambling skills. International Journal of Cyber Behavior, Psychology and Learning, 1(2), 31-44.
Parke, A., Griffiths, M.D. & Irwing, P. (2004). Personality traits in pathological gambling: Sensation seeking, deferment of gratification and competitiveness as risk factors, Addiction Research and Theory, 12, 201-212.
Parke, A., Griffiths, M., & Parke, J. (2005) Can playing poker be good for you? Poker as a transferable skill. Journal of Gambling Issues, 14.
Recher, J. & Griffiths, M.D. (2012). An exploratory qualitative study of online poker professional players. Social Psychological Review, 14(2), 13-25.
Wood, R.T.A. & Griffiths. M.D. (2008).Why Swedish people play online poker and factors that can increase or decrease trust in poker websites: A qualitative investigation. Journal of Gambling Issues, 21, 80-97.
Child at heart: A brief look at ‘IVF addiction’
“The quest to have children can become a vortex that gets faster and faster and sucks people in. Women will sell everything and anything to have the treatment if they are short of funds. They will risk their lives, there’s no doubt about it. I have treated young women with cancer who have refused to have treatment for their illness until they have got pregnant and given birth, knowing they are risking their lives. Some of these women do, indeed, go on to die [from cancer], but they die happy, feeling that they have achieved something greater than their own continued existence. Everyone involved in these scenarios is trying to do the right thing, but the extraordinary energy of a couple’s determination creates a vicious circle. [Some couples are driven by] an urge stronger than addiction and more powerful than obsession” (Professor Sammy Lee, Chief Scientist of the IVF [in-vitro fertilization] programme at Wellington Hospital, London; The Guardian, 2009).
Today’s blog started as an email from one of my PhD students, Manpreet Dhuffar, who sent me an interesting article in the New York Times entitled ‘Addicted to IVF, or addicted to hope?’ The opening quote by one of the UK’s pioneers in IVF egg donation certainly believes that the urge for childless couples to have children is stronger than the urges addicts feel for their drugs or behaviours of choice and that their pursuit is obsessive. In the UK, the maximum number of IVF cycles is three but Professor Lee admitted that some couples had gone through 12 cycles and that he knew of clinicians that had continued providing IVF treatment even when they knew there was little chance of pregnancy success.
On one level, I obviously don’t believe that undergoing IVF can be a genuine addiction. To me, undergoing IVF treatment appears to be similar to those people who claim to be addicted to plastic surgery or having more and more tattoos. These are activities that are salient and preoccupying but are not activities that are engaged in day-in, day-out. Although there are no papers on ‘IVF addiction’ a 2002 paper in the journal Nursing Inquiry by Dr. Sheryl de Lacey analysed the discourse of women with infertility problems and that had undergone IVF and discontinued. Dr. de Lacey reported:
“[IVF treatment was described as] a metaphor of lottery in discourses of infertility…showing how when women are situated as gamblers, the metaphor is instrumental in polarising them into ‘winners’ or ‘losers’ in relation to the subjectivity of motherhood. I further deconstruct these subjectivities, showing how ‘winners’ are valorised and ‘losers’ are pathologised. But importantly, I show how infertile women who are not mothers resisted locating themselves as ‘losers’ in a metaphor of lottery and instead situated themselves in a contesting metaphor of investment as diligent ‘workers’ and as active agents in choosing the best employment of their bodily and monetary resources”.
I found these types of discourse myself in various online parenting and infertility forums. For instance, at websites such as babycenter.com and the Pursuit of Motherhood blog, women wrote:
- Extract 1: “I once read/heard a storyline that started with ‘Addicted to IVF’. I never thought that I might be one of them. The hope that comes with each cycle erases all the negativity, pain, injections, miscarriages, etc. that has already happened. The hope makes you think that it’s possible, even when no one really knows why my babies are sticking around long enough to grow. Each time, I say that I’ve had enough, yet I find myself going back. Even now, I’m ‘taking a break’ to lose the 30 pounds I’ve gained and lower my now raised blood pressure. Now that I’m 4 months off and halfway to my goals, I’m ready to jump in to IVF again. But, really, what’s different? There are no answers to why I can’t seem to hold on to a healthy pregnancy, yet my prognosis is ‘favorable’ since I have always responded ‘textbook’. Am I doing this out of vain, or is there, sometime in my future, a baby waiting to be mine? Thank goodness my insurance limits my tries to 6 fresh cycles because I don’t know if I’ll ever lose hope or stop trying
- Extract 2: “I’ve been thinking about New Year’s resolutions. I know it’s only the 29th of December but there’s nothing I like more than a resolution. I want to be brave enough to make Number 1 on the list: Give up IVF. And if that sounds like IVF is an addiction as much as drugs and alcohol that’s because it is. In fact, it’s definitely more expensive than a Class A habit. Even as I think and write it, my heart starts to palpitate because where IVF is concerned maybe I have become an addict. Just like an alcoholic who is convinced that happiness lies in that next drink, I’ve become convinced that happiness lies in our next round of IVF. I should start a support group. IVF Anonymous”
Some have even gone as far to write a whole book on their ‘addiction’ to IVF (for instance, check out Tertia Albertyn’s (funny, yet moving) book So Close: Infertile and Addicted to Hope). In researching this article, I also came across a good article (‘Are you addicted to IVF?) on the Fertility Lab Insider website written by ‘Carole’. She made reference to the research of Dr. Janet Blenner who developed a stage theory relating to those passing through infertility treatment (in the Journal of Nursing Scholarship). Using grounded theory, Blenner explored the perceptions of 25 couples as they underwent infertility assessment and treatment. Her theory consists of three concepts – engagement, immersion, and disengagement. To me this sounds like something that successfully treated addicts also go through. Blenner also describes eight stages that individuals pass through: (i) experiencing a dawning of awareness, (ii) facing a new reality, (iii) having hope and determination, (iv) intensifying treatment, (v) spiralling down, (vi) letting go, (vii) quitting and moving out, and (viii) shifting the focus. As Carole notes in relation to these eight stages:
“They seem similar to stages of grief or stages of finding sobriety after addiction. Some patients get stuck at Step 5, ‘spiralling down’. They are the patients who are confronted with repeated failures and evidence of new hurdles to their fertility, patients for whom even Herculean efforts in terms of effort and expense can be expected to be successful less than 5% of the time. If someone told you that you should bet $12,000, $15,000, even $20,000 on a horse that has a 5% or less chance of winning the race, you’d tell them to get lost, that’s crazy…Yet, IVF patients that go in for multiple rounds of IVF, beyond two or three are doing exactly that. Most clinics have pulled out all the stops, applied all the tricks they know by the third IVF cycle. If it still isn’t working, either the clinic is incompetent or IVF is not the right solution for that patient”.
Here, there is yet another gambling analogy which – given my ‘day job’ as a Professor of Gambling Studies – didn’t pass me by. Another online article by Mia Freedman also talked of infertility treatment as a form of gambling addiction and echoes the preceding quote. Freedman asserted:
“I am writing to express my extreme distress at what appears to be the most expensive lottery ticket in town for over 40s these days – IVF. I know of four women who have undergoing the process – one for the ninth time – and it appears they are constantly being told the next time they will be lucky. At around $10k a cycle, that is a lot of money on a chance that is less than one in 10. I am seeing marriages crumble, hearts break, hormones go wild and mental and physical devastation as a result of every cycle that doesn’t produced much longed for babies. I am seeing women almost lose their minds and empty their bank accounts to feed their obsession to be pregnant. Don’t get me wrong, I think IVF is a wonderful gift and I don’t deny anyone wanting a baby – no matter what their age – to give it a go. But surely, when chances are so low there should be comprehensive counselling where financial, marital, mental and physical heath issues are discussed before a 40 plus woman buys yet another expensive lottery ticket in hope of a baby?”
Although I personally wouldn’t conceptualize persistent IVF treatment as an addiction, there are certainly addiction-like elements in most of the stories I have read. Furthermore, and irrespective of whether such behaviour can be classed as addictive, there is no doubt that the need and want for a child appears to be the single most important thing in the lives of such individuals and that based on some of the accounts that I have come across, the need for children could perhaps be classed as an obsession – at least at the time of undergoing IVF.
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Further reading
Albertyn, T.L. (2009). So Close: Infertile and Addicted to Hope. Gauteng: Porcupine Press.
Blenner, J. L. (1990). Passage through infertility treatment: A stage theory. Journal of Nursing Scholarship, 22(3), 153-158.
De Lacey, S. (2002). IVF as lottery or investment: Contesting metaphors in discourses of infertility. Nursing Inquiry, 9(1), 43-51.
Fertility Lab Insider (2013). Are you addicted to IVF? June 5. Located at: http://fertilitylabinsider.com/2013/06/are-you-addicted-to-ivf/
Freedman, M. (2010). When does IVF become an addiction? Mama Mia, January 18. Located at: http://www.mamamia.com.au/parenting/when-does-ivf-become-a-form-of-gambling-addiction/
Hill, A. (2009). Women are risking their lives to have IVF babies. The Guardian, September 13. Located at: http://www.theguardian.com/lifeandstyle/2009/sep/13/motherhood-fertility-treatment-cancer-ivf
Klein, A. (2014). Addicted to IVF, or addicted to hope? New York Times, January 27. Located at: http://parenting.blogs.nytimes.com/2014/01/27/addicted-to-i-v-f-or-addicted-to-hope/
Winslow, A. (2014). Addicted to IVF. Laughter Through Tears, January 29. Located at: http://laughterthroughtearsblog.com/2014/01/29/addicted-to-ivf/
Zoll, M. (2013). Generation IVF. Making a Baby in the Lab: 10 Things I Wish Someone Had Told Me. Lilith. Located at: http://lilith.org/articles/generation-i-v-f/
Common markets: Has gambling advertising increased problem gambling in the UK?
Arguably the most noticeable change in the British gambling landscape since the 2005 Gambling Act came into force on September 1, 2007 is the large increase of gambling advertising on television. Prior to September 2007, the only gambling adverts allowed on television were those for National Lottery products, bingo, and the football pools. Back in January 2012, Liberal Democrat MP Tessa Munt told Parliament that there were almost 36 hours a week of gambling adverts on television. She called for a review of the situation by Ofcom (the independent regulator and competition authority for the UK communications industries). She asked Prime Minister David Cameron to “please protect consumers, children and the vulnerable from this kind of activity [especially] at a time when we are encouraging people to be moderate in their expectations and behaviour”. The PM acknowledged Munt’s plea and described the issue as “a question of responsibility by the companies concerned. Anyone who enjoys watching a football match will see quite aggressive advertisements on the television, and I think companies have to ask themselves whether they are behaving responsibly when they do that”.
The day-to-day responsibility for enforcing rules about advertising content (and its scheduling) rests with the Advertising Standards Authority. However, for radio and television, the 2005 Gambling Act requires Ofcom to set, review, and revise standards for gambling advertisements in these media. In short, Ofcom is the regulating watchdog for all communications and retains overall responsibility for the advertising rules that gaming operators have to adhere to. Earlier this year, Ofcom commissioned some research to examine the volume, scheduling, frequency and exposure of gambling advertising on British television.
In November 2013, Ofcom finally published their findings research and showed that there had been a 600% increase in gambling advertising in the UK in 2012 compared to 2006 (more specifically there were 1.39 million adverts on television in 2012 compared to 152,000 adverts in 2006). In 2005, the number of televised gambling adverts was 90,000 and rose to 234,000 by 2007, and 537,000 in 2008. The research findings were based on analysis of the Broadcasting Audience Research Board (BARB) viewing data by Zinc Research & Analytics that categorized gambling adverts into one of four types (i.e., online casino and poker services; sports betting; bingo; and lotteries and scratch cards).
The bingo sector had the largest proportion of adverts with bingo adverts accounting for 38.3% of all British gambling adverts (approximately 532,000). Online casino and poker adverts comprised 29.6% of all television gambling advertising (approximately 411,000) with lotteries and scratchcards in third place with 25.6% (approximately 355,000), and sports betting in fourth place with 6.6% (approximately 91,000). The report also reported that gambling adverts accounted for 4.1% of all advertising seen by viewers in 2012 (up from 0.5% in 2006; 1.7% in 2008).
As someone who has written two books on adolescent gambling (see ‘Further reading’ below), one of the more worrying statistics reported was that children under 16 years of age were exposed to an average of 211 gambling adverts a year each (compared to adults who saw an average of 630). I am a firm believer that gambling is an adult activity and that gambling adverts should be shown after the 9pm watershed.
In addition to the relaxation of the laws relating to television advertising, another reason for the large increase in the number of adverts is the increase in the number of digital television channels. Over the time period, he total amount of television advertising airtime doubled from 17.4m to 34.2m spots. The report also highlighted that the 1.39m television adverts for gambling produced 30.9bn ‘impacts’ in 2012 (i.e., the number of times a commercial was seen by viewers) – up from 8 billion in 2006.
So is the large increase in gambling advertising having any effect on gambling and problem gambling? Well, the most recent British Gambling Prevalence Survey (BGPS) published in 2011 showed that 73% of the British adult population (aged 16 years and over) participated in some form of gambling in the past year (equating to around 35.5 million adults). The most popular British gambling activity was playing the National Lottery (59%), a slight increase from the previous BGPS in 2007 (57%). There was an increase in betting on events other than horse races or dog races with a bookmaker (6% in 2007, 9% in 2010), buying scratchcards (20% in 2007, 24% in 2010), gambling online on poker, bingo, casino and slot machine style games (3% in 2007, 5% in 2010) and gambling on fixed odds betting terminals (3% in 2007, 4% in 2010), football pools (3% in 2007, 4% in 2010, 9% in 1999). There were some small but significant decreases in the popularity of slot machines (13% in 2010, 14% in 2007) and online betting (4% in 2007, 3% in 2010). For all other gambling activities, there was either no significant change between survey years or estimates varied with no clear pattern.
Men were more likely to gamble than women overall (75% men; 71% women). Among women, past year gambling increased from 65% in 2007 to 71% in 2010. Among men, past year gambling estimates were higher in 2010 than 2007 (75% and 71% respectively). Perhaps the most noteworthy statistic (particularly in relation to the substantial increase in televised gambling advertising) was that the prevalence of problem gambling was higher in 2010 (0.9%) than in 2007 (0.6%) equating to a 50% increase in problem gambling. One of the possible reasons for this statistically significant increase in problem gambling could well have been the increased exposure to gambling adverts on television.
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Further reading
Banham, M. (2013). Gambling TV ads up nine-fold since laws relaxed. Brand Republic, November 19. Located at: http://www.brandrepublic.com/news/1221494/Gambling-TV-ads-nine-fold-laws-relaxed/
Griffiths, M.D. (1995). Adolescent Gambling. London: Routledge.
Griffiths, M.D. (2002). Gambling and Gaming Addictions in Adolescence. Leicester: British Psychological Society/Blackwells.
Press Association (2012). Gambling adverts soar. November 19. Located at: http://uk.news.yahoo.com/gambling-ads-tv-soar-152721196.html#IPrymtu
Stradbrooke, S. (2011). UK puts TV gambling ads on notice; Ireland blames gambling for suicides. CalvinAyre.com, January 19. Located at: http://calvinayre.com/2012/01/19/business/uk-puts-gambling-tv-ads-on-notice/
Sweney, M. (2013). TV gambling ads have risen 600% since law change. The Guardian, November 19. Located at: http://www.theguardian.com/media/2013/nov/19/tv-gambling-ads
Wardle, H., Moody. A., Spence, S., Orford, J., Volberg, R., Jotangia, D., Griffiths, M.D., Hussey, D. and Dobbie, F. (2011). British Gambling Prevalence Survey 2010. London: The Stationery Office.
Wardle, H., Sproston, K., Orford, J., Erens, B., Griffiths, M.D., Constantine, R. and Pigott, S. (2007). The British Gambling Prevalence Survey 2007. London: The Stationery Office.
Excess in success: Are celebrities more prone to addiction?
One of the recurring questions I am often asked to comment on by the media is whether celebrities are more prone to addiction than other groups of people. One of the problems in trying to answer what looks like an easy question is that the definition of ‘celebrity’ is different to different people. Most people would argue that celebrities are famous people, but are all famous people celebrities? Are well-known sportspeople and politicians ‘celebrities’? Are high profile criminals celebrities? While all of us would say that Hollywood A-Listers such as Tom Cruise, Johnny Depp, Angelina Jolie, Brad Pitt and Julia Roberts are ‘celebrities’, many of the people that end up on ‘celebrity’ reality shows are far from what I would call a celebrity. Being the girlfriend or relative of someone famous does not necessarily famous.
Another problem in trying to answer this question is what kinds of addiction are the media actually referring to? Implicitly, the question might be referring to alcohol and/or illicit drug addictions but why should other addictions such as nicotine addiction or addiction to prescription drugs not be included? In addition to this, I have often been asked to comment on celebrities that are addicted to sex or gambling. However, if we include behavioural addictions in this definition of addiction, then why not include addictions to shopping, eating, or exercise? If we take this to an extreme, how many celebrities are addicted to work?
Now that I’ve aired these problematic definitional issues (without necessarily trying to answer them), I will return to the question of whether celebrities are more prone to addiction. To me, when I think about what a celebrity is, I think of someone who is widely known by most people, is usually in the world of entertainment (actor, singer, musician, television presenter), and may have more financial income than most other people I know. When I think about these types of people, I’ve always said to the media that it doesn’t surprise me when such people develop addictions. Given these situations, I would argue that high profile celebrities may have greater access to some kinds of addictive substances.
Given that there is a general relationship between accessibility and addiction, it shouldn’t be a surprise if a higher proportion of celebrities succumbs to addictive behaviours compared with a member of the general public. The ‘availability hypothesis’ may also hold true for various behavioural addictions that celebrities have admitted having – most notably addictions to gambling and/or sex. It could perhaps be argued that high profile celebrities are richer than most of us (and could therefore afford to gamble more than you or I) or they have greater access to sexual partners because they are seen as more desirable (because of their perceived wealth and/or notoriety).
Firstly, when I think about celebrities that have ‘gone off the rails’ and admitted to having addiction problems (Charlie Sheen, Robert Downey Jr, Alec Baldwin) and those that have died from their addiction (Whitney Houston, Jim Morrison, Amy Winehouse) I would argue that these types of high profile celebrity have the financial means to afford a drug habit like cocaine or heroin. For many in the entertainment business such as being the lead singer in a famous rock band, taking drugs may also be viewed as one of the defining behaviours of the stereotypical ‘rock ‘n’ roll’ lifestyle. In short, it’s almost expected. In an interview with an online magazine The Fix, Dr. Scott Teitelbaum, an American psychiatrist based at the University of Florida:
“Some people who become famous and get put on a pedestal begin to think of themselves differently and lose their sense of humility. And this is something you can see with addicts, too. Famous or not, people in the midst of their addiction will behave in a narcissistic, selfish way: they’ll be anti-social and have a disregard for rules and regulations. But that is part of who they as an addict – not necessarily who they would be as a sober person. Then there are some people who are narcissists outside of their disease, who don’t need a drug or alcohol addiction to make them feel like the rules don’t apply to them – and yes, I have seen in this in many athletes and actors. Of course, you also have non-famous people who struggle with both…People with addiction and people with narcissism share a similar emptiness inside. Those who are famous might fill it with achievement or with drugs and alcohol. That’s certainly not the case for everyone. But when you see people who are both famous and narcisstic – people who struggle with staying right-sized or they don’t have a real sense of who they are without the fame – you know that they’re in trouble… People with addiction and people with narcissism both seek outside sources for inside happiness. And ultimately neither the fame nor the drugs nor the drinking will work”.
The same article also pointed out that there is an increase in the number of people who (usually through reality television) are becoming (in)famous but have no discernable talent whatsoever. In my own writings on the psychology of fame, I have made the point that (historically) fame was a by-product of a particular role (e.g., country president, news anchorman) or talent (e.g., captain of the national sports team, a great actor). While the Andy Warhol maxim that everyone will be famous for 15 minutes will never be truly fulfilled, the large increase in the number of media outlets and number of reality television shows suggests that more people than ever are getting their 15 minutes of fame. In short, the intersection between fame and addiction is on the increase. US psychiatrist Dr. Dale Archer was also interviewed for The Fix article and was quoted as saying:
“Fame and addiction are definitely related. Those who are prone to addiction get a much higher high from things – whether it’s food, shopping, gambling or fame – which means it [the behavior or situation] will trigger cravings. When we get an addictive rush, we are getting a dopamine spike. If you talk to anyone who performs at all, they will talk about the ‘high’ of performing. And many people who experience that high report that when they’re not performing, they don’t feel as well. All of which is a good setup for addiction. People also get high from all the trappings that come with fame. The special treatment, the publicity, the ego. Fame has the potential to be incredibly addicting”.
I argued some of these same points in a previous blog on whether fame can be addictive in and of itself. Another related factor I am asked about is the effect of having fame from an early age and whether this can be a pre-cursor or risk factor for later addiction. Dr. Archer was also asked about this and claimed:
“The younger you are when you get famous, the greater the likelihood that you’re going to suffer consequences down the road. If you grow up as a child star, you realize that you can get away with things other people can’t. There is a loss of self and a loss of emotional growth and a loss of thinking that you need to work in relationship with other people”.
I’m broadly in agreement with this although my guess is that this only applies to a minority of child stars rather than being a general truism. However, trying to carry out scientific research examining early childhood experiences of fame amongst people that are now adult is difficult (to say the least). There also seems to be a lot of children and teenagers who’s only desire when young is “to be famous” when they are older. As most who have this aim will ultimately fail, there is always the concern that to cope with this failure, they will turn to addictive substances and/or behaviours.
Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
Further reading
Griffiths, M.D. & Joinson, A. (1998). Max-imum impact: The psychology of fame. Psychology Post, 6, 8-9.
Halpern, J. (2007). Fame Junkies. New York: Houghton Mifflin Harcourt
McGuinness, K. (2012). Are Celebrities More Prone to Addiction? The Fix, January, 18. Located at: http://www.thefix.com/content/fame-and-drug-addiction-celebrity-addicts100001
Rockwell, D. & Giles, D.C. (2009). Being a celebrity: A phenomenology of fame. Journal of Phenomenological Psychology, 40, 178-210.
