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February 15, 2008

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THIS IS FROM A GUY WHO CALLS EVERYONE A LIAR, FRAUD, AND GANGSTER. HE TOTALLY BELIEVES EVERY GOVERNMENT SPONSORED STUDY HE CITES. JAS LET THE PEOPLE VOTE. CAN I CUT YOUR STATE RETIREMENT? CAN I TAX YOUR STATE RETIREMENT MORE? RENDER UNTO CAESAR WHAT IS CAESAR'S, INCLUDING HIS CASINO. NEVER WORKED IN THE FREE MARKET DID YOU JAS?

I worked under four Governors in Kentucky and I can say with certainty, what the government reports MANY TIMES is not a true and clear message to the people. It is perception, created to sell an idea that the public may not buy in to. Or perception used to clean the spotlight so it will shine favorably on a politician.

So, for you that feel this is all a bunch of crap, continue to post and raise hell. If it gets loud enough, who knows, maybe someone will listen.

"I JUST WANA SAY!

Jim Anderson Stivers
Frankfort, KY.

THANKS S. THE PEOPLE SHOULD SEE THIS. WARNING ON SLOT MACHINES: GAMBLING CAUSES SOCIAL CANCER, DO NOT GAMBLE IF PREGNANT, DO NOT DRINK AND GAMBLE, DO NOT DRIVE AND GAMBLE, IF YOU CAN READ THIS WARNING YOU ARE SAFE TO GAMBLE, CAUTION DO NOT GAMBLE ON BORROWED FUNDS.

As defined by the American Psychiatric Association. Pathological Gambling is an Impulse Control Disorder (Obsessive-Compulsive Disorder) that is both chronic and progressive mental illness due to bio-chemical imbalance.

In most cases pathological gamblers have lower levels of Norepinephrine than normal individuals. Norepinephrine is secreted under stress, arousal, thrill, fight or flight confrontation, so pathological gamblers gamble to make up for their under-dosage. People suffering from Obsessive Compulsive Disorders will do what it takes to get the “rush”. Abuse is also common in homes where pathological gambling is present. Growing up in such a situation may lead to improper emotional development and an increased risk of falling prey to problem gambling behaviors.

The treatment of Pathological Gambling is simple. Dopamine Agonists, in particular Pramipexole (Mirapex) have cured many individuals from compulsive gambling and other Obsessive-Compulsive Disorders. Paroxetine is very efficient in the treatment of pathological gambling. Additionally, for patients suffering from both pathological gambling and a comorbid bipolar spectrum condition, the sustained release lithium has shown excellent results. The Opiate Antagonist drug Nalmefene has also successfully cured compulsive gambling behaviors. The US FDA has yet to approve any of these medications for the treatment of pathological gambling.
Posted by: S. SMITH | February 14, 2008 at 02:23 PM

Dr. Rick,

IN one statement you chastise me for wanting to tell bloggers about the dangers that are inherent with compulsive gambling.

Your post,explaining the drugs that could,
if the FDA, would approve for treating compulsive gamblers should make them well again.

Don't think so. . . . just like Bi Polar disorder a mental imbalances of chemistry needs maintenance drugs on a daily basis.

You mention Lithium . . .which is the number one drug for treating Bi Polar disorder.
That is a very powerful drug and does have limitations, on the individual that must take a daily pill, to establish the proper brain chemistry. If they do not, their personality changes, dramatically.

The reports I have made on this blog are TRUE AND ACCURATE and many have taken the tip and found out for themselves about the dangers of compulsive gambling.

It is unfair, socially discriminating, and leads to our children, that live in Casino towns, to have two times the suicide rate as children that are not from compulsive gamblers.

I guess Dr. Rich these children should have been on LITHIUM.

Again, this issue is on life support and has not been handled in an open manner that will give the citizens confidence that it can be handled properly.

Jim Anderson Stivers

Yes, I made this statement.

I worked under four Governors in Kentucky and I can say with certainty, what the government reports MANY TIMES is not a true and clear message to the people. It is perception, created to sell an idea that the public may not buy into. Or perception, used to clean the spotlight, so it will shine favorably on a politician.

So, for you that feel this is all a bunch of crap, continue to post and raise hell. If it gets loud enough, who knows, maybe someone will listen.

JAS your use of scientific reasoning is embarrassing. You pick and choose your science and that is not science, that is sorting for a result that suits you.

Take the bulk of the analysis and then do some simple math and determine the percentages. When you pick one particular study and run with it, you are a nothing but a hack and you do not have a basic understanding of scientific procedures. Give it up JAS

I can see that I have become a target here so in order to keep the focus on the ISSUE I will not reply to post that make statements about my stand on this issue.

It would not be advisable now, to dilute the presentation, with personal attacks.

As for surveys and scientific reports . . .

You know, Dr. Rick, these remarks are accurate, and you can't find enough support of other reports that inform about the positive side of this issue.

It's all about money and special interest and people already know that Dr. Rick.

"THE NEW ENGLAND JOURNAL OF MEDICINE REPORTS THAT GAMBLING IS THE NUMBER ONE MENTAL HEALTH PROBLEM IN THE UNITED STATES."

"CHILDREN THAT COME FROM COMPULSIVE GAMBLING FAMILIES, HAVE TWO TIMES THE SUICIDE RATE AS CHILDREN THAT ARE NOT FROM COMPULSIVE GAMBLING FAMILIES."


You sad little man. You are no target, you are being challenged and you know youre wrong. So when youre wrong you tuck tail and run. You love to trash people when you get a dose of the same, youre being attacked and are preparing to run. Go on and set up shop over on Pol Watchers where you can trash everyone that does not agree with you.

NEW ENGLAND JOURNAL OF MEDICINE

One study does not prove an epedemic or even a problem. It is one study. Gosh man come up with something, just a little something.

Fact number 4:
Any form of legal gambling levels off over time. Players lose enthusiasm for the same old thing. States try to drum up more business by promoting new games or by glamorizing existing ones. More money goes into attracting players rather than to the treasury.

Horse-racing is a prime example of how a gamin industry falls on hard times. On-track betting peaked in the mid-1970s, but has declined for years at most sites. Minnesota introduced the "King of Sports" in 1985, with a first year handle of over $84 million. In 1986, the figure grew to $133 million; but, since the, the take has fallen to less than that of the opening year.18

ARE THE HORSE PEOPLE, THE ONES THAT BELONG TO KEEP, SHOOTING THEMSELVES IN THE FOOT WITH THIS ISSUE?

That is, if one believes the above FACTS.

Jim Anderson Stivers


Add this to your list 12:45.

From: The Columbia Encyclopedia, Sixth Edition | Date: 2007

Compulsive gambling or pathological gambling, a psychological disorder characterized by a persistent inability to resist the impulse to gamble.

The disorder is progressive and typically results in difficulties in one's personal, social, and work life; it may lead to bankruptcy or criminal activity to obtain money.

The prevalence of compulsive gambling in the United States has increased with that of gambling itself, and it has been estimated that up to 3% of the adult population may gamble pathologically.

Most gamblers are able to stay within reasonable limits in the amounts they gamble. Compulsive gamblers tend to lose control of the amounts they risk and cannot stop gambling even when they continue to lose.
Although money is important to them, they often say they are looking for "action," an excited or euphoric state comparable to the "high" of drug abuse. They often use gambling as a way of escaping from problems in daily life or from feelings of depression or anxiety.

Eventually, compulsive gamblers may engage in forgery, theft, or other crimes to provide money for continued gambling or to alleviate a desperate financial situation resulting from gambling losses.

Compulsive gambling is a highly treatable disorder. For many, psychotherapy and active participation in Gamblers Anonymous, a support group with local chapters patterned on Alcoholics Anonymous , have proven effective.

Bibliography: See F. Barthelme and S. Barthelme, Double Down: Reflections on Gambling and Loss (1999).

Jim Anderson Stivers

There are many factors which contribute to the vulnerability and eventual development of pathological gambling. These factors typically start in the home, others are encouraged in the culture or community, reinforced by the individual's personality characteristics and critical life experiences. Gambling initially is a pleasurable event, but in the depth of the addiction "it becomes a life of torture. You go into the O-zone."

Family Dysfunction
In these families typically one parent is an active addict, most often an alcoholic, and the other parent may be suffering a physical or mental illness. Verbal, psychological, physical and/or sexual abuse are common and parenting is ineffective and inconsistent.

Parental emphasis on MONEY is an essential contributing factor in becoming a compulsive gambler. Money, after all, is the substance of abuse in gambling addiction.

Community Emphasis on Gambling
Gambling in local cultures and rites of passage historically have been commonplace. The vast expansion of legal gambling in recent decades has made gambling available virtually everywhere - at nearby casinos or OTBs, over the phone, or by mail and readily accessible with today's means of transportation and technological advances.

Gambling, at least initially, is affordable. Easy access to ATMs, ready access to personal and bank loans, casino markers, and credit cards simplifies the efforts to obtain money for gambling.

Personal Determinants
Compulsive gamblers can generally be described as competitive and motivated to achieve, intelligent, and having exceptional skills in mathematics and numbers. In contrast, they also tend to feel insecure, are easily bored and impulsive, have poor coping skills and frustration tolerance, and suffer from exceptionally low self-esteem.

Critical Life Incidents
Without exception, compulsive gamblers have experienced a number of critical life incidents in early life without receiving emotional support or resolving the psychological pain. This emotional rejection leads to vulnerability and childhood isolation. Critical life experiences in later years, such as parental divorce or dramatic loss of a loved one, or financial crises lead to further isolation, stress and sense of inadequacy.

Affective and Personality Disorders
Childhood experiences and emotional injuries can result in a dysthymic depression, often lasting a lifetime. Major depression tends to occur in later years, either before the onset of compulsive gambling or as a result of the impact of compulsive gambling. Generalized anxiety and panic attacks are also seen in compulsive gamblers with greater frequency than in the community at large.

Personality Disorders
Early research suggested that most compulsive gamblers could be diagnosed with a Narcissistic Personality Disorder; however, today's compulsive gamblers may suffer from a spectrum of personality disorders or traits or features of these disorders, such as Dependent, Avoidant, or Borderline Personality Disorders.

Lack of Awareness, Support, Treatment
The general community is beginning to recognize compulsive gambling and understand it to be a severe and costly addiction. Some state lotteries and state health departments are funding gambling research, crisis lines, training of health professionals and outpatient therapy. More is needed.


REPORT NUMBER THREE.

JAS in Frankfort

Some of you folks are attacking Stivers for his lack of facts when all he does is keep producing more and more of them. When I was in graduate school one of my professors said that slot machines, specifically, the irregular payout, was the single most addictive "thing" there was. This was in a human behavior graduate class, and the subject of legalized gambling wasn't the issue at hand. His point was that if every fourth pull resulted in a payout, that's boring and no one gives a flip. The slot payout "schedule," or lack thereof, is simply an addictive behavior, or participating in it is, and no amount of arguing is going to make that less so. Likewise, some people--the vast majority-- can drink a few and never have a problem and others lives are ruined by it. It is simply a known fact. So will be the case with legalized gambling. So should the state knowingly insert something which will be ruinous to a few into society and sanction it? That is the question. And it deserves careful debate, because what Stivers writes is inarguable, whether people want to lampoon it or not, just as is the case with alcohol and other things which are known to bring pleasure to some and horrific consequences to others. And yes, there are drugs which work on neurotransmitters which have shown to be of some benefit in the treatment of OCD, but of exceedingly limited benefits. There are other drugs, such as topiramate, which have been postulated to show a common basis for all addictions, and there is promise in the treatment of all of them from a pharmacological standpoint. But it is simply too simplistic to say that the time is now. And in the case of topiramate, which works well in some, it has side effects that are intolerable for others, such as reduced cognitive function.

EXACTLY BULLETBOB. There has yet to be a drug that repairs bad DNA. Mental Illness will always be there regardless. We can go back 100 years and put them all in prison. You can not fix stupid with flawed one time studies. What works in the long run? Pseudo-science will always be published for those trying to hang on to tenure. We have Quantity and zero Quality. Regardless of the metal illness, the individual suffering will do what it takes to get the "RUSH". Gambling at least provides a safe "Temporary" outlet. I just would hate to run into MR. BROOKS.

And "bad" DNA is but part of the equation, because there is heredity and there is choice, because no one is doomed to genetics. All my ancestors might have succumbed to premature heart attacks, but I might choose to exercise, watch my diet and control my blood pressure and cholesterol. In doing so I can mitigate my genetic predispositions. And then there are the issues of intelligence and wisdom, which are unfortunately not tethered. But Rick, I suppose the issue you raise that is at issue is to whether gambling is a safe, "temporary" outlet. For the vast majority it will be temporary, to be sure. If I might, let me shift gears completely to something I want to plant on some other threads and suggest that we all disagree agreeably when we do. There is absolutely no reason why we shouldn't see things through different lenses, and things would be most boring if we didn't. However, we would benefit from each other's collective experiences all the more if we saw if that way and refrained from vitriol, and let me say that I should be looking in a full-length mirror as I type this because I haven't always done so. It just seems that in many of the recent threads we have stood in a circle and fired, when really we all want the same things, which is to say the best things for ourselves and our posterity, to borrow from one of our forebears.

Bulletbob,

Thanks to both you and Dr. Rick for engaging the subject in a collective manner for discussion. However,I am afraid that some of the proven LOGIC of this mental disorder, gets too technical, and readers freeze up after the first paragraph or so.

Too technical was my concern during this debate and I thought about it and decided just post it all and let the blog readers sort it out.

It may seem, to some, that I am for "blocking" the issue which we are discussing.

I am not!

I have no problem with citizens voting on the issue, if the citizenry is properly informed. If there existed a planned open discussion with each argument getting equal time, then it would be a "fair" exchange.
But if you follow the pattern of the General Assembly, that will not happen.

Example:

Some months back the Peabody Coal Issue was blogged pretty heavy all across the blog community. Numerous facts, about the lack of technology for Carbon capture were posted.

Personally, I sent at last six or more science reports\via email\ to Jody Richards and other members of the General Assembly.
To which there was not a single reply.

Why is that these people are reluctant to discuss issues by email with the public?
It would be informative and just may present members of our General Assembly, with considerations, they were not aware, existed.

Around two weeks ago, the Federal Government pulled the plug on the CARBON CAPTURE research. Reason being, too expensive so far with not proven results.

This same information about the disappointing technology of Carbon capture was sent to Speaker Richards, again with no reply.

Now we see Governor Beshear has withdrawn the $400,000 grant from Peabody. The conditions were: NO PROGRESS BY PEABODY on where they want to build or additional engineering studies.

Speaker Jody Richards and his pals were full steam ahead for big energy, regardless of the scientific facts that were published on blogs, newspapers and some TV.

The final results here is that nobody paid any attention to THE FACTS.

FACTS.

Now we see, even the most generous money machine in the world, our Congress, has pulled the plug on Carbon capture.

The same thing is happening with the Casino Issue. FACTS are too binding for our members of the General Assembly.

The PEABODY DEAL PROVES THAT. IMO!

"I just wanna say!"

Jim Anderson Stivers
Frankfort, KY.


JAS--Nothing really proved to the masses our elected official are than the steroid hearings on Wasington Capitol Hill. There was discussed something in detail that Joe Sixpack understood in detail, and he got to see just how underprepared these geniuses are who are making major decision who decide things a heck of a lot more imprtant that who shot what in whose ass.

Dear JAS and Dear Bulletbob, you can both bash me on this but what about state owned Casinos? The guys in Louisville put this out there for debate. With state owned Casinos the state would get all the profits and could easily identify compulsive gamblers before tragedy lands home. I know this approaches the "big brother issue'' and it would without doubt give the state the monopoly with gambling, leaving only bingo parlors and internet media. Still state owned casinos would be fewer and the Chicago Guys can stay at home. I am sure the REPUBLICANS would not want this.

If you want to see and hear what the public has to say and what some well educated others have to say, please take time to view this video.

Thanks to John Mark Hack, GOOD JOB!


http://www.saynotocasinos.com/video/

Dr. Rick,

Thank you. I proposed this to my Senator and Representative with little attention to the idea ABOUT THREE MONTHS AGO.

To further support your idea.

If Kentucky owns the license, then our state is in control of the selling of Casino License by the original owners.

If someone wants to get out or to sell, following a few years of good profits, it would prevent that reward going to OUT OF STATE INTEREST. The state gets the first option.

Plus,I firmly believe that portion of the money, that is paid to the government, is not the true gross receipts of Casinos.

With State owned maybe, just maybe, the count would be much better.

And the P R O F I T S would go solely to the state, with not splits for THE VEGAS FOKES.

I do think those in the administration that are pro casino know nothing about marketing.
This kind of gambling, on the coast and other states, is reaching a saturation point.

Now, if a VEGAS OR JERSY owner has to close an operation, that is not making the projected return on investment, the states like Kentucky would be the first to loose the Casinos, then Dr. Rick, what do we do.
Where is all that cash to support the issues Beshear says will benefit from Casinos?

Sinkerville, that is where it is gone.

I have spent my entire career working in marketing, for some Fortune 500 Companies and I can tell you with certainty, no big money, huge profit business, maintains an advantage forever. Sooner or later, THE BUBBLE POPS.

And who will have to pick up the broken pieces....THE TAXPAYERS.

JAS IN FRANKFORT

There is a limit to the publics acceptance level and these legislators are pushing the line.

Jim Anderson Stivers
Frankfort, KY.


Bulletbob,

It is difficult for me to understand how the Congress can be involved in the baseball steroid thing with such intensive questioning. Misguided. Maybe, but it takes the political pressure off a Congress that has accomplished absolutely nothing.

The guy that ought to be answering questions is George Bush and SOS, Rice. While we have rules for impeachment our Congress, regardless of the occasion, would not impeach a President. Bill Clinton, and George Bush are proof of that.

Jim Anderson Stivers

I supported the lottery, and I probably buy a ticket once a month. I like the horse races, and probably go twice a year. I can place bets on the internet, but I choose not to. I can go to Church and play bingo, but I don't like bingo. I do like my church.
I would buy more stock, if I had more money, and that is definitely gambling, even though people say you get something in return, but really you either win or loose on the stocks. The experts will say that you should learn how to deal, like when to buy, and when to sell, but you still risk your investment, no matter what Hally Burton wants to say.Hally Burton is the root of all evil any way, so be careful with
them. The gaming issue is no big problem. It is like bootleg whiskey, most dry counties are already drowning in a alcohol, just like the flagrant gambling already going on. Let's just make it legal so we can get some tax help out of it. We might even alleviate some of the problem gamblers,
who at this point, can not get help for their problem, because there is no money for government help at this time.

Your endorsements above will not help. Bruce Hendrickson had 60 % of the Ky Legislature behind him, and the poor people of Kentucky only would listen to lies from the news media, editorials and tv commercials. You see, no one cares about the truth, what matters is how well you trick the poor unfortunates who can not research or think for themselves.

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