MRI and watch a slot machine spin around and around. [277] Half of the participants were “pathological gamblers”-people who had lied to their families about their gambling, missed work to gamble, or had bounced checks at a casino-while the other half were people who gambled socially but didn’t exhibit any problematic behaviors. [278] Everyone was placed on their backs inside a narrow tube and told to watch wheels of lucky 7s, apples, and gold bars spin across a video screen. The slot machine was programmed to deliver three outcomes: a win, a loss, and a “near miss,” in which the slots almost matched up but, at the last moment, failed to align. None of the participants won or lost any money. All they had to do was watch the screen as the MRI recorded their neurological activity.

“We were particularly interested in looking at the brain systems involved in habits and addictions,” Habib told me. “What we found was that, neurologically speaking, pathological gamblers got more excited about winning. When the symbols lined up, even though they didn’t actually win any money, the areas in their brains related to emotion and reward were much more active than in non-pathological gamblers.

“But what was really interesting were the near misses. To pathological gamblers, near misses looked like wins. Their brains reacted almost the same way. But to a nonpathological gambler, a near miss was like a loss. People without a gambling problem were better at recognizing that a near miss means you still lose.”

Two groups saw the exact same event, but from a neurological perspective, they viewed it differently. People with gambling problems got a mental high from the near misses-which, Habib hypothesizes, is probably why they gamble for so much longer than everyone else: because the near miss triggers those habits that prompt them to put down another bet. The nonproblem gamblers, when they saw a near miss, got a dose of apprehension that triggered a different habit, the one that says I should quit before it gets worse.

It’s unclear if problem gamblers’ brains are different because they are born that way or if sustained exposure to slot machines, online poker, and casinos can change how the brain functions. What is clear is that real neurological differences impact how pathological gamblers process information-which helps explain why Angie Bachmann lost control every time she walked into a casino. Gaming companies are well aware of this tendency, of course, which is why in the past decades, slot machines have been reprogrammed to deliver a more constant supply of near wins.3 Gamblers who keep betting after near wins are what make casinos, racetracks, and state lotteries so profitable. “Adding a near miss to a lottery is like pouring jet fuel on a fire,” said a state lottery consultant who spoke to me on the condition of anonymity. “You want to know why sales have exploded? Every other scratch-off ticket is designed to make you feel like you almost won.”

The areas of the brain that Habib scrutinized in his experiment-the basal ganglia and the brain stem-are the same regions where habits reside (as well as where behaviors related to sleep terrors start). In the past decade, as new classes of pharmaceuticals have emerged that target that region-such as medications for Parkinson’s disease-we’ve learned a great deal about how sensitive some habits can be to outside stimulation. Class action lawsuits in the United States, Australia, and Canada have been filed against drug manufacturers, alleging that pharmaceuticals caused patients to compulsively bet, eat, shop, and masturbate by targeting the circuitry involved in the habit loop. [279] In 2008, a federal jury in Minnesota awarded a patient $8.2 million in a lawsuit against a drug company after the man claimed that his medication had caused him to gamble away more than $250,000. Hundreds of similar cases are pending. [280]

“In those cases, we can definitively say that patients have no control over their obsessions, because we can point to a drug that impacts their neurochemistry,” said Habib. “But when we look at the brains of people who are obsessive gamblers, they look very similar-except they can’t blame it on a medication. They tell researchers they don’t want to gamble, but they can’t resist the cravings. So why do we say that those gamblers are in control of their actions and the Parkinson’s patients aren’t?” [281]

On March 18, 2006, Angie Bachmann flew to a casino at Harrah’s invitation. By then, her bank account was almost empty. When she tried to calculate how much she had lost over her lifetime, she put the figure at about $900,000. She had told Harrah’s that she was almost broke, but the man on the phone said to come anyway. They would give her a line of credit, he said.

“It felt like I couldn’t say no, like whenever they dangled the smallest temptation in front of me, my brain would shut off. I know that sounds like an excuse, but they always promised it would be different this time, and I knew no matter how much I fought against it, I was eventually going to give in.”

She brought the last of her money with her. She started playing $400 a hand, two hands at a time. If she could get up a little bit, she told herself, just $100,000, she could quit and have something to give her kids. Her husband joined her for a while, but at midnight he went to bed. Around 2 A.M., the money she had come with was gone. A Harrah’s employee gave her a promissory note to sign. Six times she signed for more cash, for a total of $125,000.

At about six in the morning, she hit a hot streak and her piles of chips began to grow. A crowd gathered. She did a quick tally: not quite enough to pay off the notes she had signed, but if she kept playing smart, she would come out on top, and then quit for good. She won five times in a row. She only needed to win $20,000 more to pull ahead. Then the dealer hit 21. Then he hit it again. A few hands later, he hit it a third time. By ten in the morning, all her chips were gone. She asked for more credit, but the casino said no.

Bachmann left the table dazed and walked to her suite. It felt like the floor was shaking. She trailed a hand along the wall so that if she fell, she’d know which way to lean. When she got to the room, her husband was waiting for her.

“It’s all gone,” she told him.

“Why don’t you take a shower and go to bed?” he said. “It’s okay. You’ve lost before.”

“It’s all gone,” she said.

“What do you mean?”

“The money is gone,” she said. “All of it.”

“At least we still have the house,” he said.

She didn’t tell him that she’d taken out a line of credit on their home months earlier and had gambled it away.

IV.

Brian Thomas murdered his wife. Angie Bachmann squandered her inheritance. Is there a difference in how society should assign responsibility?

Thomas’s lawyer argued that his client wasn’t culpable for his wife’s death because he acted unconsciously, automatically, his reaction cued by the belief that an intruder was attacking. He never chose to kill, his lawyer said, and so he shouldn’t be held responsible for her death. By the same logic, Bachmann-as we know from Reza Habib’s research on the brains of problem gamblers-was also driven by powerful cravings. She may have made a choice that first day when she got dressed up and decided to spend the afternoon in a casino, and perhaps in the weeks or months that followed. But years later, by the time she was losing $250,000 in a single night, after she was so desperate to fight the urges that she moved to a state where gambling wasn’t legal, she was no longer making conscious decisions. “Historically, in neuroscience, we’ve said that people with brain damage lose some of their free will,” said Habib. “But when a pathological gambler sees a casino, it seems very similar. It seems like they’re acting without choice.” [282]

Thomas’s lawyer argued, in a manner that everyone believed, that his client had made a terrible mistake and would carry the guilt of it for life. However, isn’t it clear that Bachmann feels much the same way? “I feel so guilty, so ashamed of what I’ve done,” she told me. “I feel like I’ve let everyone down. I know that I’ll never be able to make up for this, no matter what I do.”

That said, there is one critical distinction between the cases of Thomas and Bachmann: Thomas murdered an

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