The epistemology of ?addictive disease?: Gambling as predicament

Abstract

This research examines the relative perception of “gambling” as a disease in the context of drug use/abuse, and other excessive behavior patterns, for example, workaholism. A sample of 144 adults provided subjective perceptions of disease status of 80 representative items drawn from the literature. A subset of these items represented the class of addictive diseases. These items were subjected to principal components analysis to reveal the presence of clusters or constellations of perceptually similar entities. Gambling was perceived to beless of a predicament (i.e., a potentially dangerous situation; Shaffer, 1987) than substance abuse or substance dependence, particularly if the substance was illicit, such as cocaine or heroin. Gambling was not perceived to be characterized by the underlying construct of dependence, a dimension associated with the abuse of illicit substances. Another analysis revealed that when gambling and substance abuse and dependence were perceived against ause of substances background, licit and illicit, gambling was more likely perceived as a permissible “activity” than a predicament which might lead to abuse and/or dependence. This same result characterizes the perceptions of alcohol use, cocaine use, chemical use, and heroin use. While individuals may recognize the potential danger of drug abuse, illicit drug use per se is not perceived to lead to drug abuse, dependence, or addiction as often portrayed by the government and media. Against a background of excessive behaviors, for example, workaholism, gambling emerged as more similar to these behaviors than abuse or use. The implications of these findings are discussed. The clinical implications of an epistemology of addictive “disease” were also discussed.