November 11, 1998 N.G.I.S.C. Las Vegas Meeting
CHAIRPERSON JAMES: I want to thank each and every
one of our panelists. At this point we will open it up for
discussion, any questions from our commissioners and even an
exchange among yourselves if you would like to do that.
DR. DOBSON: Doctor Nora, yesterday Mitzi Schlichter
made a passing reference to medication for her husband, Art who
has been in the prison, that he can't get the medication that he
needs there and she didn't elaborate and we didn't ask. Was she
referring to lithium or haldol (ph) or what might she have been
DR. NORA: Well, number one, of course, just
listening to the story and not knowing the -- and having a direct
relationship, we do have medications that we are trying right
now. In general, pathological gambling is like one of the
spectrum of obsessive/compulsive disorders and one of the
breakthroughs in psychiatry is we have found medications that do
take care of that. These are what we call your Prozak's, and so
on and so forth. There is one medication that we tried when I
was still in the New York area and actually I could give you the
commercial name is Luvox, which seems to be promising but again,
the weakness is there's only a few of us who actually have done
Again, you need funding. You need staff time and you
need all kinds of resources to do this but this has some
promising effects. There is no magic pill. There is no vaccine
for compulsive gambling. As we go through more of the
developments of the biological explanations, even genetic, maybe
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
at some point in the future we'll have something, but we're
beginning to use it only if they have target symptoms.
DR. DOBSON: There's just no studies to this point to
DR. NORA: We published one on the Luvox and we tried
it clinically. It does not work for everyone. I mean, there are
one or two or three but not enough to get --
DR. DOBSON: And just very quickly, Mr. Wishoff, were
you able to get in the casinos before you were 21?
MR. WISHOFF: No. No, I never had gambled really at
that point but I do recall some instances when I was in there and
I was asked to leave when I was in Las Vegas on the return from
some of those vacations from -- when we would stop by here after.
I remember we had been in there and I was asked to leave, yes.
CHAIRPERSON JAMES: Commissioner Bible.
MR. BIBLE: Just so I understand you would have been
in California then, you were 21 at that time?
CHAIRPERSON JAMES: How young were you, Mr. Wishoff,
MR. WISHOFF: I started gambling four years ago at
CHAIRPERSON JAMES: 21. Commissioner Lanni.
MR. LANNI: Thank you, Chairman. Doctor Nora, I have
a question. One of the comments that you made was I think that
you thought the casino companies should be funding programs. I
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
think you made that comment, did you not, as one of your
DR. NORA: No, I hope I didn't get misunderstood.
The long history is we were initially in a condition where we
were looked at being as adversarial with the casinos. That has
changed quite a bit, not only here in our Las Vegas Nevada
Council of Problem Gambling but I think almost all of the United
States now in their board of directors include gaming officials,
casino representatives and the funding that I'm talking about is
if they cannot directly deal with the treatment or the crisis
intervention, the most important contribution they could make is
in public education and media and again, the sensitivity and
awareness of the impact of a small but growing group of
recommendation. I was only concerned that you were limiting it
to casino companies because I would assume --
MR. LANNI: -- lotteries and parimutuels and states
that are involved in the lotteries as well as Native American
gaming should also be participating in such programs.
DR. NORA: Yes, I would think anyone who benefits
from or directly works with issues relating to problem gambling.
MR. LANNI: Thank you very much, Doctor. I have
another question if I may of Doctor Westphal. In Louisiana, I
always find Louisiana an interesting state in itself and I notice
you must not be from Louisiana or you've lost your accent. NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
DR. WESTPHAL: No, I'm not from Louisiana. I've only
MR. LANNI: Well, I'm not very well regarded in
Louisiana because I've already said we should have some serious
discussions with the French about taking it back. Having said
DR. DOBSON: He said that because I was born there.
MR. LANNI: No, I point out that Doctor Dobson had
the good sense of leaving Louisiana and he pointed out it wasn't
his choice because he was four years old when he left.
MR. LANNI: Ten months, well, 10 months, four years
is pretty close. You could probably gamble in South Carolina.
DR. DOBSON: But I couldn't keep the earnings.
MR. LANNI: Right, exactly. A couple questions;
there's various forms of gaming in Louisiana.
MR. LANNI: One of the areas that just amazes me in
your report, and I found to be very interesting, is that there's
a pervasive aspect of video machines at truck stops and casinos.
MR. LANNI: But there was no reference in categories
where pathological problem gambling might exist in a category
there. You show these card games, you show skill games, you show
casinos. Why wouldn't that have been a -- or why is that not a
major factor? They're all over the state. NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
DR. WESTPHAL: It is a major factor and it just --
it's the comparison I made. Some of this if for academic
reasons. I compared it to this national sample. However, when
we look at both the school sample and the juvenile detention
sample, the highest participation rates in legalized form of
gambling was the lottery. The second highest participation rates
were in video poker and the third and lowest were casino
And it was a significant factor and I actually had --
we broke down the age categories of participation in video
gambling as a separate report and that's available. I just
didn't -- because of time I didn't present it here but it is a
factor and if you have an interest in that, I'll give you the
MR. LANNI: I would suspect all the commissioners
CHAIRPERSON JAMES: As a matter of fact, Doctor
Westphal, if you could send us your complete study, do we have
access to your cross tabs and all of the background information
DR. WESTPHAL: I sent the complete copy of the papers
to -- as background so all the -- both -- the full reports of
both studies are in the background. This is just a summary.
CHAIRPERSON JAMES: And we'll make that available to
DR. WESTPHAL: But the video poker was a separate
report I did for the State of Louisiana and I'll -- that was not
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
included in the background material but I will do that if you're
MR. LANNI: If I may, one last question relative to
that; if I'm not mistaken in the gaming ages in Louisiana differ
from place to place. For example, I think at a racetrack you can
MR. LANNI: And I think the river boats are 21 years
MR. LANNI: Video truck stops probably whatever the
age is. It may not be terribly well enforced.
DR. WESTPHAL: That was increased to 21 a couple of
MR. LANNI: But prior to that and for this study --
DR. WESTPHAL: Prior to that it was 18.
MR. LANNI: Is it not possible that when you took a
look at sixth to twelfth graders, aren't certain twelfth graders
DR. WESTPHAL: Yes, some of them are.
MR. LANNI: Did you discount them in this report or
DR. WESTPHAL: Well, we also have the breakdown by
MR. LANNI: That would be helpful also.
DR. WESTPHAL: And that was included in the reports.
We've got breakdowns by age also. A good proportion of the
under-age gambling both lottery and video poker and casino were
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
under 18. But some of them were 18, but it was a small
percentage. But I can break it down by age also.
MR. LANNI: Can clearly even with these questions,
please understand, I think one person who gambles under-age
DR. WESTPHAL: I would agree with you.
CHAIRPERSON JAMES: Well, Commissioner Leone?
MR. LEONE: I have a question of Doctor Westphal but
anybody else on the panel who has any relevant information from
other states or nationally would be helpful. What I'm trying to
get at is evidence that the -- allowing for population changes,
et cetera, the juvenile delinquency let's call it, detention in
your definition has increased as availability has increased which
is a different question from the percent of those in detention
who have a problem gambling. Is there an increase, is there any
evidence in Louisiana or anywhere else that anyone knows about
that the number of kids who fall into that category is in any
way correlated with accessibility to gambling, legalized
DR. WESTPHAL: This is a very perceptive question.
It's the next question I'm going to ask. As far as I'm aware of,
this is the only study that's been done in the United States
looking at gambling disorders in juvenile detention populations.
And that's the next logical question. And we don't have the data
to look at that yet. I will be able to answer that maybe in six
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
MR. LEONE: Can I ask a related question which I know
is outside the competence we're attempting to tap today but is --
several people on this panel are scholars in this field. What do
we know about the changes in that kind of delinquent behavior
that have been associated with changes in other related
pathologies becoming more accessible? For example, drugs became
more accessible in this country in the last generation than they
ever were before, et cetera and so forth. Do we have other
evidence of an increase or does it just change the character of
-- and I'm allowing again for changes in economic circumstances
and, you know, obviously, in the size of the teenage cohorts, but
I just wonder do we know anything about that?
DR. WESTPHAL: I would like to hear the other panel
members address this also but in my understanding, there has been
a significant increase in cocaine related arrests in that age
group. When cocaine was introduced, especially the crack form
that became more cheap, as it became more accessible, you had
more arrests. I'm, you know, not a scholar on that but basically
That when you introduce a new drug or a new
situation, you do see more criminal arrests, especially in
adolescents which tend to be experimenting and not have the
maturity to handle the consequences, but I'd really like to hear
if anyone else has information on that.
DR. NORA: Well, I'd like to comment that one of the
major, major things we have to make sure, especially with the
other lessons is the propensity for cross-addiction. And I think
it's almost, I would say, negligent if somebody makes a diagnosis
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
of pathological gambling and forgot to check on the other
addictions. That includes over-eating, over-sexed, what have
MR. LEONE: Can I ask just one more question?
CHAIRPERSON JAMES: Certainly, Commissioner Leone.
MR. LEONE: One of the things that I'm trying to come
to terms with and understand about pathological and problem
gambling is that I assume that people get used up in this process
because they run out of money and they become uninteresting to
the marketers of gambling because they've used up their money,
gone bankrupt. We've heard a lot of individual cases where
people who have gone to extraordinary lengths to stay in the game
and to try to get even or to reverse the odds, but again, I
assume many of those examples must be anomalies, since while
credit systems are not far from perfect and economics is far from
In fact, people who don't have money aren't very
interesting as gamblers and can't lose enough to be problems
after a certain point. They become other kinds of problems or
they become burned out. Do we know anything much about the
pipeline? Do people get processed? These snapshots we're able
to get don't, I presume, tell us much about whether there is
another group that's already been burned out in the process or
caught by their parents or something else has happened to them or
used up all their money or just don't have access or have been
denied. I mean, I don't know because I assume the long term
problem group is a little bit like the most hard core group of
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
drug users and alcoholics who can't function and become homeless
There's another tier of people who keep it going and
then yet another tier who rehabilitate. And this one strikes me
and the gambling strikes me as something where the process might
happen relatively quickly because from everything we've heard in
the last year, people really plunge. I mean, this isn't like --
and they hit bottom fairly quickly once they go into this kind of
behavior. They use up everything. There's no bottom, no
stopping them until they hit bottom. And I just wonder if we
know anything about the numbers of people processed, I guess is
DR. STINCHFIELD: We don't know any information about
kids, I don't think, that have hit bottom, just because they
don't show up in the treatment system. We know about adults and
what happens with them because they usually do show up in
treatment systems particularly in -- like in Minnesota. It's
basically a treatment on demand and even if they have run out of
money, they'll still be treated. And in Minnesota they get about
30 new clients per month across the six treatment programs. And
there's at least that many treated by private practitioners, if
not more than that, per month every month in Minnesota.
DR. WESTPHAL: I think that one thing we'll be able
to see -- I think there's also some socioeconomic issues. If you
start with something to lose, you lose it and then you hit
bottom, I think in -- you're right, in the snapshots that I just
took of Louisiana about a year ago. If you have people that
don't have a lot to lose, I think my data shows that you can turn
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
to crime to finance your gambling and I think you get a certain
core group of these people that go on and become in the criminal
justice system. These adult studies show that the average person
that goes into treatment is in their forties.
So there's a career there where a core group of these
people will be involved in crime to get their money and then
maybe in their thirties and forties burn out. Again, we don't
have great data on that but if we track some of these, I think
some of the kids that we're seeing in my study are going to be
The issues that -- to repeat what the other doctor
said, gambling is an addiction. They probably have alcohol and
drug addiction, too and both of the addictions or all three of
the addictions make the situation worse. So you have to treat
all of them if you want to do something about it. But my guess
is that some of these people will progress through at least early
adulthood in sort of a criminal lifestyle before they burn out.
CHAIRPERSON JAMES: Commissioner Wilhelm and then
MR. WILHELM: I very much appreciate this panel's
testimony. I found this panel as well as the panel on sports
betting yesterday to be quite powerful and troubling perhaps
because it in many ways resonates personally for me and my
family. I have two male children who, at least chronologically
have recently escaped adolescence and they were both athletes in
high school and before they were both heavily into sports betting
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
In fact, they went to a relatively prestigious public
high school in California and actually each of their grades had
their own bookie, a fellow student, which was a phenomenon
commented on yesterday with respect to colleges by the NCAA
representative. And as they've gone off to college I've been
particularly concerned about the intersection amongst drinking,
sports gambling on campuses and credit cards because there's not
a week that goes by where they don't get an unsolicited not only
applications for credit cards but they actually get credit cards
even though one of them is not gainfully employed and the other
And they're not credit cards based on their parents
either. They're just credit with their names on them. So all of
that to me is intimidating and I am particularly appreciative of
the suggestions that several of you have made both for further
study and research that needs to be done in this area, as well as
your suggestions for actual steps that need to be taken now even
I would hope that those suggestions, both for
research and for increased treatment opportunities and prevention
activities would be important parts of the report that this
Commission makes, and more than that, I think it's essential that
this Commission try as a part of our report to identify not only
what ought to be done by way of further research and treatment
but how it's going to be paid for because I know that there's
been testimony here about -- and I guess we'll hear more later
today about efforts by the -- at least part of the gambling
industry to generate research funds through the National
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
Foundation for Responsible Gaming and some of the treatment
people who have testified in earlier sessions have applauded
those steps but it would appear that they're not remotely
So I'm very grateful for all of that and I hope that
we include all of those things in our report. I'm struck by a
number of things that you've talked about that we really don't
know. It strikes me that we really don't know particularly on a
national basis much about the kinds of gambling, both legal and
illegal, that are significant in this area. For example, I,
Doctor Westphal had never seen the suggestion which is
provocative but I'm sure you'd be the first to agree is not
determinative that it's possible that more regulated forms of
gambling such as casinos may contribute less to this problem than
less regulated forms of legal gambling such as at least as I
would see it, lotteries. And also, of course, there's the whole
The testimony yesterday was that sports gambling in
this country there's about two and a half billion dollars worth
of legal sports gambling and somewhere between 80 and 400 billion
worth of illegal sports gambling, depending on, you know, whose
“guesstimate” you accept. Several of you have either said or
inferred that there's a tremendous lack of knowledge in the sort
of the relationship amongst these different kinds of abuses.
I know that when I was a serious drinker, I used to
also gamble more and I would assume that phenomena like that need
to be understood. And I also appreciated the comment that
particular from you, Doctor George, that or the suggestions that
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
this problem is not taken serious enough, that resonates in my
family. In that regard, my own view is if the goal is to get our
society to take this problem more seriously that statistics like
90 percent of kids have placed a bet in their lifetime aren't
particularly useful because, you know, because Congressman John
Ensign, who certainly is one of the more morally upright people I
know, testified yesterday he places bets on golf holes.
Well everybody -- I mean, I want to know what -- the
other 10 percent were probably lying. Everybody has placed bets.
So I think that your testimony is tremendously useful and if you
have suggestions beyond the ones that you've made, both about
research and about increased prevention and treatment and about
where the money ought to come from, if you would care to
elaborate on that either now or in writing, I personally would be
And finally, I want to say, and I don't -- I'm
hesitant to even raise this because it might sound like I'm
crying over spilled milk or something but this Commission took an
action in technically public session awhile ago by way of a
conference call that I think was a lost opportunity and I don't
raise it because I want to reconsider it because the money is
being spent but I'm troubled by the fact that this Commission's
national prevalence survey has a smaller sample size for
adolescents than it does for adults.
When we asked our staff, "Well, what would be some of
the implications of a smaller sample size for adolescents rather
than adults," a couple of things that were pointed out that
would be less discernible because of the smaller sample size for
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
adolescents, are things that some of you referred to. As an
example, we were told that we could tell less about the
relationship of problem gambling amongst adolescents to a
person's ethnic group because of the smaller sample size that
We were told the same kind of relative lack of
precision with respect to socioeconomic status. Those were two
things that some of you mentioned. So I hope that at least in
our recommendations, since we didn't see fit to do it in our
research that we really focus very heavily on this problem and
again, I'm extremely grateful for all of your testimonies.
CHAIRPERSON JAMES: Thank you. Commissioner Moore.
MR. MOORE: I would like to comment and I don't want
Doctor Dobson to think that I'm taking over his place on this
Commission but it disturbs me that when Doctor Westphal put his
reports out and found that it started in the sixth grade, well, I
knew that but it comes back to me it appears to the family and
we're talking about education and how we're going to get this and
how we're going to get it out to the people. You know, all the
states and I have sort of followed California, Texas and
Mississippi, in community colleges, we had a lot of community
colleges in Mississippi. We didn't have money to have senior
And the other two states had so many people they had
to do something with them. Why would it not be a good idea to
spend the money and let the states spend the money, why could not
we have adult education programs at the community colleges. We
have them in everything else at the community colleges. You pick
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
up what they're teaching, you'd just be amazed at the number of
subjects that are being taught in adult classes. Maybe for
college credit if someone wants college credit but just for
parents that need to go and learn about what their children are
doing, find the signs and symptoms of pathological gaming.
I believe that you could reach a tremendous number of
people. We have a community college where I live, this doesn't
sound like much of a thing, 3,000 people attending, I mean, all
different types, art appreciation, all of this. This is more
important to me than art appreciation and I have nothing against
art. What would you think of something of that nature? And
states have money. They get federal aid, federal money for adult
education classes, to teach the parents about their children, how
CHAIRPERSON JAMES: Any response from any of our
DR. NORA: Well, I would totally agree with that but
I also will tell you an experience that might elude to that.
The very year that the diagnosis was established, I was the
medical advisor at that time of the New Jersey Council of Problem
Gambling. People did not even have to have a course. We gave it
to them for free but I would have six, 10, 12 people attend. I
think the other states might go through the experience.
Only much later when we had all of this impact of
well, research and demographics did it become more attractive but
I certainly like the idea and, of course we would hope not only
in the community colleges but any other ones that would have
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
contact with -- I mean to say medical schools, nursing schools
and everywhere else but yes, especially the parents.
MR. MOORE: Sure, but I'm talking about reaching
people. You don't reach a million people in medical schools.
There's only 100 of us in a class and that's good. But in a
community college you could have -- you'd reach a lot of people.
CHAIRPERSON JAMES: I would ask Doctor Shosky if he
could brief us on what he found out about South Carolina and then
perhaps we could have our panelists and our commissioners engage
in a little bit of a discussion on that issue.
DR. SHOSKY: Thank you, Madam Chair. Well, we tried
to contact the Attorney General's office but it's a state holiday
in South Carolina, but we were able to reach some well-informed
lawyers who were working today and one of them, Dave Belding was
particularly helpful. I guess the first maxim of law school is
that nothing is easy but this is actually pretty straightforward.
The statement yesterday that you were referring to
was from Doctor Frank Quinn and he said in his testimony that
South Carolina law prohibits payouts to anyone under 21 years of
age but it does not prohibit anyone under 21 from playing video
poker. That statement is accurate. There's really three things
to say about it. The first is that it is legal to play video
poker if you're under 21. Number two, there are three types of
-- three classes really of video games.
There's one class that's just what they call the
flipper type at least in South Carolina. That just means that if
you win, you get another play. There's a second class that pays
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
out tickets. It's like an arcade and you get tickets and if you
get enough tickets by winning you can get a bear or something
like that, you know, some sort of prize. The third type actually
CHAIRPERSON JAMES: Excuse me, John, these are all
DR. SHOSKY: Oh, yes, in South Carolina, right.
These are the full range of classes right, in South Carolina.
A VOICE: And paid on the honor system.
DR. SHOSKY: Yeah. That's what they were told
A VOICE: They should be counting the money on the
DR. SHOSKY: Right. So in the third class, the final
class, money is actually paid out but it would be illegal to pay
the money out to somebody who is under 21, although someone who
is 21 could play the game. We found out one more thing and
that's that there's a state regulation that requires signs in
public places and the wording in conspicuous view that would say
something like this; there are variations on the theme but it
would say something like this. "Persons under 21 not allowed on
And there's an argument that no owner of a machine
would let anyone who is under-age play because of all of the
things that I've just talked about because they can't pay out. NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
Pragmatically it wouldn't be worth it for them to do so.
However, legally someone can play regardless of age.
CHAIRPERSON JAMES: Certainly. Commissioner Bible.
MR. BIBLE: Do they also have a claiming statute that
would make it illegal for somebody to claim a jackpot or a payout
on behalf of another? So for instance if a child was in playing
with an adult, that the adult could then claim the jackpot?
DR. SHOSKY: I honestly don't know but I will find
CHAIRPERSON JAMES: Commissioner Dobson.
DR. DOBSON: Just one clarification of that where the
sign says that it's illegal for them to -- minors to be on the
premises, I assume that those video poker machines are placed in
places where children do frequent; is that right? In other
words, if they're in convenience stores or so on, how can you
have a sign like that when they can be in the convenience store
for other purposes? I'm not sure I understand.
DR. SHOSKY: Well, that is one of the paradoxes. I'm
not sure that it's understandable in the way that you put it. My
understanding is, is that the video games can be placed away from
all other types of games or convenience store activities in some
sort of isolated location or they can actually be in the
convenience store with other arcade games or in any other
licensed location. So you do have situations where it would be
very hard to distinguish based on location alone. NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
DR. DOBSON: That's hypocritical it would seem to me,
that they could be down one aisle but not down another. That's
crazy. We don't even do that in Louisiana.
MR. WILHELM: That's because they haven't thought of
CHAIRPERSON JAMES: Any other questions from
Commissioners or interaction with the panel.
MR. LEONE: I just have a question. I'm struck
listening to this by the extent to which the phenomenon we're
talking about is about people's reaction to risk and is different
from their reactions to other addictive behaviors. And I think
it was somebody from Harvard who testified there was some
evidence of more risk oriented behavior in the last 25 years by
males in this country and I was just sitting here thinking about
the extent to which the culture -- and maybe there's a way the
Commission could get into this and maybe you can point us to some
readings on this, the culture makes so much of risk.
I mean, think of how many movies are about some
nuclear device counting down and about to go off and being
disarmed at the last minute by George Clooney or whomever.
Swartznager (ph) just throws himself over it and smothers the
blast. But we are capable of getting excited about risk even
when we know it's all phony and we almost have a culture that
pretends that there aren't real risks in the movies. There
aren't real risks and you can't even make a good movie about a
historical event. "The Day of the Jackel" was about an attempt
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
to kill DeGaul, which we all know didn't happen, didn't succeed
and yet it was a very exciting movie.
And it seems to me these machines attempt to
reproduce and this activity attempts to reproduce that excitement
for an individual, the kind of excitement that is part of sports
and life and is different. And I don't think we, as a Commission
except maybe probably a couple of people like Terry and John and
others who've read a lot more and may understand it, have thought
enough about how this is different. I think at least I have come
to this with a model in my head that this was like drinking or
like drugs and today is the first day I really, listening to you,
began to realize it was about another kind of behavior that is,
in fact, in my mind, highly associated with adolescent males,
It may even be a survival trait that for the species,
but is there anything we should be looking at or I'd love to get
some reading suggestions from members of this panel.
DR. WESTPHAL: I have one suggestion and I can
provide it, there was a paper in the American Journal of
Psychiatry, I think it was about last year where they took little
boys and they measured their risk taking behavior and they can do
that like on a personality scale and then they measured their
gambling behavior like three or four years later and they showed
that it was correlated almost exactly.
So there is -- I mean, you're on to something that I
think there's minimum research on it but there's some and I'd be
willing to provide the copy of the paper. It was from Canada. I
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
think it was Dirshavesky (ph). I'll find it if you're interested
CHAIRMPERSON JAMES: If you could send it to the
Commission office, we will send -- copy it and send it out to
all the Commissioners and make sure they get a copy of that.
DR. GEORGE: I would also like to say that we did
recently a survey of the research on adolescent gambling and I
have that document in my office and I'd be delighted to forward
that to Commissioner James and for the rest of the Commissioners.
CHAIRPERSON JAMES: That's an interesting question
particularly as we have heard some discussion about habits of
adult gamblers as compared to adolescents and, Dick, that's a
very interesting question you raise because later in life it
seems that there are more women and when does that flip? When
does that happen if in the youth the males tend to be the risk
takers and when does that happen? Any insight in that?
DR. WESTPHAL: I think that in terms of treatment,
you're right, the female gambling tends to occur post-middle age
and at least clinically that's been associated with more like
feeling depressed. So it's a need for stimulation. It's like
when you -- the later onset is associated with like a clinical
disorder and the need for stimulation.
CHAIRPERSON JAMES: So ours is because of clinical
disorders and theirs is because they're risk takers; is that
DR. WESTPHAL: Well, I want to clarify that. I need
to clarify this. I'm not going to take this sitting down. NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
DR. WESTPHAL: What I wanted to say is that's the
classical model. Okay, if you look at my studies, you'll find
that although males outnumber females in terms of gambling
disorders, there's a significant percentage in the adolescent
gamblers that are female. So that the picture is changing as the
culture is changing and as accessibility is changing but there is
that classical picture but in the next generation, this cohort,
CHAIRPERSON JAMES: Well, I do think it's a phenomena
to be understood and I'll be anxious to see that article.
DR. NORA: I'd like to add to that. Most of the
women are enabled by their husbands, their relatives, whoever and
there is a delay in seeking for help. Another thing is men tend
to risk more, large amounts of money. I mean, immediately you'll
know if the rent or the dental fees have not been paid. With
women it could start very subtle, I mean the groceries and so on
and so forth. And also the advent of video poker really
It's women's choice so to speak. They're increasing
in both but it's in your own universe, you're not at a table
where everybody else is heckling you or making a lot of noises.
It's very private, isolated paradise and it's more suited to the
CHAIRPERSON JAMES: Commissioner Wilhelm.
MR. WILHELM: As a former young male I thought the
evidence was already in that we were disordered, but I think
Richard's point is extremely provocative and I hope that we'll
find some way to either look at that or at least in the report
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
point to the direction of the need for understanding that better
and it also reminds me of another area in which I think we need
to make sure as we approach our report that we're not looking at
-- that we're not in a way that is misleading and inaccurate
isolating the subject of our examination too much.
I don't know how much work has been done, if any, you
know, we've had some jocular remarks here about the culture in
Louisiana but more broadly it seems clear to me that the legal
forms of gambling that we're charged to examine clearly have
their roots as well as their levels of receptivity in a culture
about gambling that has nothing to do with legal or illegal. To
me one of the things that's intriguing about the South Carolina
situation that we've learned about a little bit yesterday and
today is that it almost sounds to me sort of -- and I grew up in
Virginia. I know a little bit about the culture of the South.
And contrary to what outsiders sometimes think you
know about the sort of relative moral conservatism of the South,
the fact is that gambling open and technically -- open though
technically illegal has been a part of the culture of the South
as it has been a part of the culture of other areas, particularly
the Midwest and the Northeast for a very long time. And it
almost sounds to me like South Carolina is kind of a halfway
house between illegal gambling and legal gambling because it's
sort of been legalized. But it has a lot of the characteristics
of illegal gambling such as the notion that the take on the
machines is reported by the honor system. Well, that's -- you
know, that's not really legal gambling in the normal sense of the
term and I hope that we're able to take a look at the
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
relationship between the broader culture of gambling or again at
least point for the need for this to be looked at and legal
As an example, I'm not a big fan of lotteries but the
point was made quite some time ago to this Commission that one
things that lotteries have done is to diminish the illegal
numbers racket in a number of urban areas. Now, you can make all
kinds of arguments about, you know, which is better but I think
Richard's point is extremely important and I hope that it reminds
us that we need to look at the overall environment in which we're
examining these forms of legal gambling and not look at them as
though they're isolated, because they're not.
CHAIRPERSON JAMES: Thank you. Commissioner Lanni.
MR. LANNI: Just one last thing, I know Mr. Wishoff,
we didn't ask you a lot of questions but we don't have too many
occasions to ask these learned people with Ph.D.'s at the ends of
their names. Maybe you'll have one one day, but I think your
testimony was very compelling. It was very helpful and I
appreciate the fact that you took the time to do that because I'm
sure it's not a very easy thing to do but hopefully that's part
of your curative process as it goes on. So thank you for making
MR. WISHOFF: I also had one last comment I wanted to
add. I recall back on those vacation times when I was in
adolescence probably about 14, 15 years old, at the hotel we were
staying at there were -- since I'm a slot machine fan, that's
basically my - - what I play. There were some slot machines in
the lobby there and I remember while we were checking out, I kind
NEAL R. GROSS November 11, 1998 N.G.I.S.C. Las Vegas Meeting
of just wandered over on my own and I remember it was probably
I had put a nickel in just out of curiosity and I do
remember I got a payment back of maybe five or six nickels or
something like that, but I think that early exposure may have
CHAIRPERSON JAMES: Thank you. I want to thank each
of our panel members for being here. This has been a very, very
provocative and enlightening discussion. I would dare say that
this is one area where there's a great deal of consensus among
the Commissioners and among those who follow these issues. Our
job is not done in this area yet and we would ask that you would
stay in close contact with the Commission. We're looking for
receiving your information over the next few months as you get it
in. Doctor Westphal, we're most anxious to receive the rest of
the information that you will send to us and we would ask that
you would be on standby to help us as we begin to draft this
particular portion of our report, and I do want to thank you.
And Mr. Wishoff, you said you're 24.
CHAIRPERSON JAMES: Gainfully employed.
CHAIRPERSON JAMES: And you're on television. He'll
be in the back corner. We're going to take a break right now and
we'll get back together at about 10:35. Thank you. NEAL R. GROSS
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