Responsible Gambling

Responsible Gambling

 

Seeking to reduce problems from pathological gambling, the Bureau of Gambling Control is working with cardrooms and others to encourage Responsible Gambling Programs.

California also operates a state Office of Problem Gambling to promote public awareness and assist victims and their families. The Bureau of Gambling Control is coordinating with the Office of Problem Gambling to ensure that state programs take into account, as much as practicable, problem and pathological gamblers as required by state law Welfare and Institutions Code section 4369 et. seq.

If identified, pathological gambling is a treatable mental disorder. By fostering responsible gambling policies and programs within gambling establishments/facilities and developing government-industry initiatives, the impact of problem gambling could be greatly reduced in California.

Ace-to-Six

Ace-to-six low is not as commonly used as the ace-to-five low method, but it is common among home games in the eastern region of the United States, and also common in the United Kingdom it is the traditional ranking of London lowball, a stud poker variant.

As in all lowball games, pairs and trips are bad: that is, any hand with no pair defeats any hand with a pair; one pair hands defeat two pair or trips, etc. No-pair hands are compared starting with the highest ranking card, just as in high poker, except that the high hand loses. In ace-to-six low, straights and flushes count for high and are therefore bad, and aces play as the lowest card.

For example, the hand 8-5-4-3-2 defeats 9-7-6-4-3, because eight-high is lower than nine-high. The hand 7-6-5-4-2 defeats both, because seven-high is lower still. The hand 7-6-5-4-3 would lose, because it is a straight. Aces are low, so 8-5-4-3-A defeats 8-5-4-3-2. Also, A-A-9-5-3 a pair of aces defeats 2-2-5-4-3 a pair of deuces, but both of those would lose to any no-pair hand such as K-J-8-6-4. In the rare event that hands with pairs tie, kickers are used just as in high poker but reversed: 3-3-6-4-2 defeats 3-3-6-5-A.

It is called ace-to-six low because the best possible hand is 6-4-3-2-A, followed by 6-5-3-2-A, 6-5-4-2-A, 6-5-4-3-A, 7-4-3-2-A, 7-5-3-2-A, etc.

When speaking, low hands are referred to by their highest ranking card or cards. Any nine-high hand can be called a nine, and is defeated by any eight. Two cards are frequently used: the hand 8-6-5-4-2 can be called an eight-six and will defeat an eight-seven such as 8-7-5-4-A.

A wild card plays as whatever rank would make the lowest hand. Thus, in 6-5-Joker-2-A, the joker plays as a 3, while in Joker-5-4-3-2 it would play as a 7 an ace or six would make a straight.

High-low split games with ace-to-six low are usually played with a declaration.

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When the Stakes Turn Toxic

Anyone who’s bought a lottery ticket or played bingo has gambled. Gambling is any game of chance in which money changes hands. It’s common in most cultures around the world. Many people enjoy gambling as recreation without causing harm to themselves or others. Yet some people can’t control their impulse to gamble, even when it takes a terrible toll on their lives.         

For these gamblers and their families, researchers have been making progress in several areas. Scientists are learning why people have problems with gambling: how common it is, what goes on inside the gambler’s brain, which is at risk and what kinds of treatment can help.

Problem gambling is defined by some researchers as gambling that causes harm to the gambler or someone else, in spite of a desire to stop. Between 2% and 4% of Americans struggle with this condition. Problem gambling can progress to a recognized psychiatric diagnosis called pathological gambling.

Pathological gambling may affect from 0.4% to 2% of Americans. “Pathological gambling comes with a constellation of problems that contribute to chaos,” says Dr. Donald Black of the University of Iowa. “It’s associated with worse physical health, excessive smoking, excessive drinking, not exercising, not seeing primary care doctors and worse dental care. It also fuels depression, family dysfunction, crime, bankruptcy and suicide.”

Together, pathological and problem gambling may affect up to 5% of Americans. That number may rise, though. Laws in many states are creating more options for legal gambling, and internet gambling is becoming more common.

Still, gambling is often done in family settings, condoned or encouraged by parents. And the younger you start, the more likely you are to get into trouble later on. From 3% to 8% of adolescents have a problem with gambling.

Dr. John Welte of the University of Buffalo has found that, across the lifespan, gambling problems are even more common than alcohol dependence. They are also much more common in males, in young people, and in people who live in relatively poor neighborhoods. “That’s not true of the prevalence of alcoholism,” says Welte. “Alcoholism is much more democratic. So think about motives for gambling. People are hoping that winning will improve their lot. That makes them more vulnerable to developing a gambling problem.”

In a study of mostly African-American inner-city youth, Dr. Silvia Martins of Johns Hopkins University has found that about 15% have some form of problem gambling. Most at-risk were adolescents and young adults who began showing symptoms of depression at age 12. They were highly impulsive, although not hyperactive or aggressive. As the African-American boys developed into their teens and early adulthood, gambling appeared to be a separate risk factor for early fatherhood and criminal arrest.

“We are following up with these inner-city kids every single year as they enter adulthood,” says Martins.

But why is gambling irresistible to some folks and not others? Using advanced imaging techniques, Dr. Alexander Neumeister of Mount Sinai School of Medicine looked at the brains of people with gambling problems and alcohol problems. He measured the number of special receptors involved in regulating impulse control and other factors.          

“A key feature of addiction is impaired impulse control,” says Neumeister. “Abnormal function of the forebrain leads to reduced tolerance to waiting.” The resulting impatience may cause people to act without considering the consequences. “Our imaging clearly points toward the importance of impaired forebrain function in addiction.”

Pinpointing areas in the brain’s reward center, Neumeister’s team found that people with alcohol addiction and gambling problems show different functioning of these special receptors compared to healthy people. The differences were related to the severity of addiction. Other researchers are trying to develop drugs that could treat the affected areas.

Talk therapy can also help. Dr. Nancy Petry at the University of Connecticut Health Center works with pathological gamblers and people seeking treatment for drug use disorders. Gambling problems arise in about 10% to 20% of substance abusers. Petry compared the use of different types of talk therapy, including very brief interventions and cognitive-behavioral therapy CBT. CBT teaches people how to think differently about problems and then act on that knowledge.

“We found very brief interventions and CBT were effective in reducing gambling and gambling-related problems,” Petry says. “There was a significant improvement relative to usual care or standard forms of treatment like Gamblers Anonymous [a 12-step program].”

Anybody can have a gambling problem, and no one should feel ashamed or be afraid to seek treatment. “Pathological gambling is a medical disorder, not a sin or a vice,” says Dr. Carlos Blanco of Columbia University and the New York State Psychiatric Institute. “There is no stereotype. The main predictor of outcome is really motivation.”

In other words, what counts most is a strong drive or desire to take action. Blanco offers gamblers motivational interviewing, which helps them explore their mixed feelings about trying to quit gambling. This primes them to be ready and willing to begin CBT. Using both therapies together can be very effective.

If you have concerns about your gambling, ask for help. Your health provider can work with you to find the treatment that’s best for you.