Abstract

In this chapter, we offer a brief history of gambling and then discuss the intersection of pathological gambling with technology, religion, and science. While technological innovations, assisted by the development of probability theory helped to make gambling a more profitable industry, other historical currents were at work. Substance use and abuse, the temperance movement, and moral panics in general—all of these had key roles to play in the evolution of pathological gambling as an idea. Chronic drunkenness was our first widely recognized (and medicalized) addiction, followed by addictions to opiates and other substances—all of which set the stage for the recognition of behavioral addictions such as pathological gambling. We end with a discussion of metaphor, shedding light on questions concerning the literal veracity of psychobehavioral disease constructs. We argue that metaphor is endemic to all human conceptualization and that this on its own need not invalidate disease conceptions of behavior such as pathological gambling.

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