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1 Consultant Psychiatrist, North Middlesex Hospital, London, N.18 and Claybury Hospital, Woodford Bridge, Essex
The characteristics of gambling as a form of behaviour are described.
Excessive gambling resulting in social, economic and/or psychological problems for the individual who indulged in it or his family, is defined as pathological gambling. The term compulsive gambling is shown to be unsatisfactory.
Pathological gambling was found to be a heterogeneous syndrome and a clinical classification is proposed based on a survey of 50 male patients with this condition. In this sample only one-fifth showed loss of control and this group is referred to as the impulsive variety. The rest are classified into subcultural, neurotic, psychopathic and symptomatic varieties. The largest was the neurotic group, comprising one third of the whole sample. Symptomatic gambling accounted for one-tenth, and was most usually due to depression. One-quarter of the sample were psychopaths.
The significance of these findings is discussed.
Submitted on June 9, 1969
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