Vulnerability and Gambling Addiction: Psychosocial Benchmarks and Avenues for Intervention

  • Amnon Jacob Suissa


Defined by researchers as “a silent epidemic” the gambling phenomenon is a social problem that has a negative impact on individuals, families and communities. Among these effects, there is exasperating evidence of comprised community networks, a deterioration of family and social ties, psychiatric co-morbidity, suicides and more recently, homelessness. In this context, individual, structural and social vulnerabilities become important markers in understanding the dynamics involved. From a social critical perspective of the literature review, we will highlight some of the major psychosocial stakes underlining the social construction of gambling as pathology. Following a brief definition of the concept of vulnerability, the focus of this paper will be placed on the following issues: 1- the discourse on individual pathology as a marker for vulnerability, 2- the social and ethical contradictions of governments when managing gambling, 3- the heated debate about youth gambling, suicide and Internet gambling, 4- a cultural vulnerability among Asian communities as a demonstration that addiction is a multi factorial phenomenon versus the disease model. Finally, we propose markers for empowerment that can contribute to transferring some power to individuals and their social networks and advance the debate on the complex issues that gambling represents in our society.


Gambling Vulnerability Culture Youth 


  1. Azmier, J., Kelley, R., & Todosichuk, P. (2001). Triumph, tragedy or trade-off? Considering the impact of gambling. Gambling in Canada Research Report No. 14. Calgary: The Canada West Foundation.Google Scholar
  2. Bailey, S. (2003, May 30). Suicides, gambling link probed. Coroners and medical examiners will look at ways to track suicides tied to gambling. Newscan, accessed on Newscan.cmf.Google Scholar
  3. Becona, E., Lorenzo, M., & Fuentes, M. J. (1996). Pathological gambling and depression. Psychological Reports, 78, 635–640.PubMedGoogle Scholar
  4. Benston, L. (2002). Suicide studies find no link with gambling. Las Vegas Sun. Google Scholar
  5. Blackwell, T. (2003). Gambling blamed in 85 suicides annually. National Post. Google Scholar
  6. Blanco, C., Orensanz-Munoz, L., Blanco-Kerez, C., & Saiz-Ruiz, J. (1996). Pathological gambling and platelet MAO activity: a psychobiological study. American Journal of Psychiatry, 153, 119–121.PubMedGoogle Scholar
  7. Blaszczynski, A., & Farrell, E. (1998). A case series of 44 completed gambling-related suicides. Journal of Gambling Studies, 14, 93–109.CrossRefPubMedGoogle Scholar
  8. Blaszczynski, A., Huynh, S., Dumlao, V. J., & Farrell, E. (1998). Problem gambling within a Chinese speaking community. Journal of Gambling Studies, 14, 359–380.CrossRefPubMedGoogle Scholar
  9. Bureau du coroner du Québec. (2004). Relevé des suicides de joueurs compulsifs. Quebec City: Bureau du coroner du Québec.Google Scholar
  10. Campbell, F., Simons, C., & Lester, D. (1998). The impact of gambling on suicidal behavior in Louisiana. Omega Journal of Death and Dying, 38, 235–239.CrossRefGoogle Scholar
  11. Carlton, P. L., Manowitz, P., McBride, H., Nora, R., Swartzburg, M., & Goldstein, L. (1987). Attention deficit disorder and pathological gambling. Journal of Clinical Psychiatry, 48, 487–488.PubMedGoogle Scholar
  12. Castel, R. (1992). De l’exclusion comme état à la vulnérabilité comme processus. In J. Affichard & J. B. de Foucauld (Eds.), Justice sociale et inégalités (pp. 135–148). Paris: Le Seuil.Google Scholar
  13. Castellani, B. (2000). Pathological gambling: The making of a medical problem. Albany: State University of New York Press.Google Scholar
  14. Châtel, V. (2003). Agir en situation de vulnérabilité: un essai de problématisation. In V. Châtel & M. H. Soulet (Eds.), Agir en situation de vulnérabilité (pp. 1–28). Sainte-Foy: Presses de l’Université Laval.Google Scholar
  15. Chew, K., McLeary, R., Merrill, V., & Napolitano, C. (2000). Visitor suicide risk in casino areas. Population Research and Policy Review, 19, 551–570.CrossRefGoogle Scholar
  16. Chossudovsky, M. (1998). La mondialisation de la pauvreté. Montreal: Les Éditions Écosociété.Google Scholar
  17. Clément, M., & Bolduc, N. (2004). Regard croisés sur la vulnérabilité: le politique, le scientifique et l’identitaire. In F. Saillant, M. Clément & C. Gaucher (Eds.), Identités, vulnérabilités et communautés (pp. 61–84). Quebec: Éditions Nota Bene.Google Scholar
  18. Coventry, K. R. (1999). Physiological arousal and sensation-seeking in female fruit machine gamblers. Addiction, 94, 425–430.CrossRefPubMedGoogle Scholar
  19. Crockford, D. N., & El-Guebaly, N. (1998). Naltrexone in the treatment of pathological gambling and alcohol dependence. Canadian Journal of Psychiatry, 43, 86.Google Scholar
  20. Cyrulnik, B. (2002). Un merveilleux malheur. Paris: Éditions Odile Jacob.Google Scholar
  21. Dufour, M. (2003). La dépendance à Internet: mythe ou nouvelle réalité. Paper presented at the 25th annual conference of the AITQ on excessive gambling and other dependencies, Trois-Rivières, QC.Google Scholar
  22. Elliott, L., & Bailey, S. (2003). Governments protecting profits, fail to expose gambling-related suicide. Canadian Press. Google Scholar
  23. Felouzis, G. (2001). La condition étudiante: sociologie des étudiants et de l’université. Paris: Presses Universitaires de France.Google Scholar
  24. Fortin, J. M., Ladouceur, R., Pelletier, A., & Ferland, F. (2001). Les jeux de hasard et d’argent chez les adolescents et adolescentes en difficulté. Canadian Journal of Community Mental Health, 20, 135–151.PubMedGoogle Scholar
  25. Foucault, M. (1975). Surveiller et punir: naissance de la prison. Paris: Éditions Gallimard.Google Scholar
  26. Gardaz, M. (1997). La dépense excessive et son envers inconscient. Informations Sociales, 64, 74–83.Google Scholar
  27. Goldman, A. (2004). Every month, they come to Las Vegas not to gamble but to commit suicide. Associated Press. February 16.Google Scholar
  28. Goodman, R. (1995). The luck business: The devastating consequences and broken promises of America’s gambling explosion. New York: The free press, Springer New York.Google Scholar
  29. Griffiths, M. D. (1999). Does Internet and computer “addiction” exist? Some case study evidence. CyberPsychology and Behavior, 3, 211–218.CrossRefGoogle Scholar
  30. Griffiths, M. D. (2000a). Internet gambling and crime. Police Journal, 73, 25–30.Google Scholar
  31. Griffiths, M. D. (2000b). Excessive Internet use: implications for sexual behavior. CyberPsychology and Behavior, 3, 537–552.CrossRefGoogle Scholar
  32. Griffiths, M. D. (2000c). Internet addiction—Time to be taken seriously? Addiction Research, 8, 413–418.CrossRefGoogle Scholar
  33. Griffiths, M. D. (2001). Sex on the Internet: observations and implications for sex addiction. Journal of Sex Research, 38, 333–342.CrossRefGoogle Scholar
  34. Griffiths, M. D. (2002). The social impact of Internet gambling. Social Science Computer Review, 20, 312–320.Google Scholar
  35. Gupta, R., & Derevensky, J. (1998). Adolescent gambling behavior: a prevalence study and examination of the correlates associated with problem gambling. Journal of Gambling Studies, 14, 319–345.CrossRefPubMedGoogle Scholar
  36. Gupta, R., & Derevensky, J. (2001). Le problème de jeu touche aussi les jeunes. Psychologie Québec, November, 23–27.Google Scholar
  37. Hollander, E., DeCaria, C. M., Mari, E., Wong, S., Mosovich, S., Grossman, R., et al. (1998). Short-term single-blind fluvoxamine treatment of pathological gambling. American Journal of Psychiatry, 155, 1781–1783.PubMedGoogle Scholar
  38. Hong, Y., & Chiu, C. (1988). Sex, locus of control and illusion of control in Hong Kong as correlates of gambling involvement. Journal of Social Psychology, 128, 667–674.CrossRefPubMedGoogle Scholar
  39. Jacobs, D. F., Marston, A., Singer, R., Widaman, K., Little, T., & Veizades, J. (1989). Children of problem gamblers. Journal of Gambling Behavior, 5, 261–268.CrossRefGoogle Scholar
  40. Kim, S. W. (2001). Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biological Psychiatry, 49(11), 914–921.CrossRefPubMedGoogle Scholar
  41. Laurent, A. (1993). Histoire de l’individualisme. Paris: Presses Universitaires de France.Google Scholar
  42. National Council of Welfare. (1996). Gambling in Canada. Ottawa: National Council of Welfare.Google Scholar
  43. Newscan. (2002). Internet gambling. Newscan.cfm. June 21.Google Scholar
  44. Papineau, E. (2000). Le jeu dans la Chine contemporaine: Mah-jong, jeu de go et autres loisirs. Paris: L’Harmattan.Google Scholar
  45. Papineau, E. (2001). Le jeu pathologique dans la culture Chinoise: une vision anthropologique. Loisir et Société, 24, 557–582.Google Scholar
  46. Pazarelli, M. (2004). Le renouvellement démocratique des pratiques d’intervention sociale. Unpublished working paper, School of social work, Université du Québec à Montréal.Google Scholar
  47. Peacock, R., Day, P., & Peacock, T. (1999). Adolescent gambling on a Great Lakes Indian reservation. In H. Weaver (Ed.), Voices of first nations people (pp. 5–17). New York: Haworth.Google Scholar
  48. Pfohl, S. (1985). Images of deviance and social control. New York: McGraw Hill.Google Scholar
  49. Phillips, D. P., Welty, W. R., & Smith, M. (1997). Evaluated suicide levels associated with legalized gambling. Suicide and life-threatening behavior, 27, 373–378.PubMedGoogle Scholar
  50. Prégent, J. (2002). Un jeu d’enfants [Motion picture]. Montreal: Films en vue. Director.Google Scholar
  51. Rugle, L. J. (1993). Initial thoughts on viewing pathological gambling from a physiological and intrapsychic structure perspective. Journal of Gambling Studies, 9, 3–15.CrossRefGoogle Scholar
  52. Saul, J. R. (2006). Mort de la globalisation. Paris: Éditions Payot.Google Scholar
  53. Séguin, M., Boyer, R., & Suissa, A. J. (2006). Liens entre suicide et jeu excessif: les problèmes associés au jeu excessif contribuent-ils au passage à l’acte suicidaire? Report submitted in November 2006.Google Scholar
  54. Soulet, M. H. (2004). Faire face et s’en sortir vers une théorie de l’agir faible. In F. Saillant, M. Clément & C. Gaucher (Eds.), Identités, vulnérabilités et communautés (pp. 167–214). Quebec: Éditions Nota Bene.Google Scholar
  55. Strow, D. (2000). Casino gambling’s effect on communities mixed. Las Vegas Sun. Google Scholar
  56. Suissa, A. J. (2005a). Le jeu compulsif; vérités et mensonges. Montreal: Les Éditions Fidès.Google Scholar
  57. Suissa, A. J. (2005b). Social practitioners and families: a systemic perspective. Journal of Family Social Work, 8(4), 1–28.CrossRefGoogle Scholar
  58. Suissa, A. J. (2007). Pourquoi l’alcoolisme n’est pas une maladie (revisedth ed.). Montreal: Les Éditions Fidès.Google Scholar
  59. Tepperman, L. (2002). At home with gambling. Paper presented at the annual conference of the Responsible Gambling Council (Ontario), Niagara Falls, April.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.School of Social WorkUniversity of Quebec in MontréalMontréalCanada

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