Category Archives: Case Studies

Arcade fire: A brief look at pinball addiction

“I guess what started my pinball addiction was how it has become the perfect distraction. I like to drink beer. And go out. And recreate. Pinball is often found in bars here in the San Francisco Bay Area, so grabbing a beer and dropping a few quarters and playing a game with a friend is a great way to kick it. That’s kind of how it started, as something I might do here and there, but it’s grown into a full blown addiction as I’ve discovered more about pinball. It’s a hobby, a sport, and a pastime, but for me, it’s all consuming” (Gene X, December 18, 2013).

PinballJunky.com is a periodic hobby-blog operated by one guy with over 20 years of unbridled collector’s obsession over anything having to do with the Art, Science, History and Culture of Pinball. Armed with an arsenal of over 30 Pins, our Moderator has built, rebuilt, repaired, restored, demolished and labored with an OCD level of passion over 100’s of pinball machines from the 70’s, 80’s and 90’s era. While he has experimented with various EM pins over the years, The Junky is particularly passionate about the SS games of the 90s and present” (from the Pinball Junky website).

As far as I am aware, only one academic paper has ever been published on pinball addiction, and that was a case study that I published in 1992 issue of Psychological Reports. My paper featured the case of a young man (aged 25 years) that I interviewed as part of another study on slot machine gambling (that I published in a 1994 issue of the British Journal of Psychology about the role of cognitive bias and skill in slot machine gambling). During the post-experimental interview, I asked all my participants to complete a questionnaire that included the (1987 revised third edition) Diagnostic and Statistical Manual of Mental Disorders criteria for pathological gambling. None of the nine items was endorsed but after completing my questionnaire, my participant spontaneously added that if he’d been asked the same questions about his pinball playing and videogame playing he would have answered ‘yes’ to a majority of the questions. On the spur of the moment I changed the word ‘gamble’ in the DSM-III-R criteria to the word ‘play’ and asked him to take that part of the survey again. In short, I asked him if he endorsed any of the following

  • Frequent preoccupation with playing or obtaining money to play
  • Often plays with larger amounts of money or over a longer period than intended
  • Need to play more to achieve the desired excitement
  • Restlessness or irritability if unable to play
  • Repeatedly returns to win back losses
  • Repeated efforts to cut down or stop playing
  • Often plays when expected to fulfill social, educational or occupational obligations.
  • Has given up some important social, occupational or recreational activity in order to play
  • Continues to play despite inability to pay mounting debts, or despite other significant social, occupational, or legal problems that the individual knows to be exacerbated by playing

If a person answers ‘yes’ to four of the above questions, the person was deemed to be an amusement machine ‘addict’. This time, my participant answered ‘yes’ to six out the nine questions, that I interpreted as showing signs of pinball pathology. It was at this point he was interviewed further.

The participant began playing pinball machines (and arcade videogame machines) at school when he was around 14 or 15 years of age. This he did with many of his male peers at the start of the ‘videogame explosion’ (as he put it) in around 1979 to 1980. He became “very good” at pinball playing and felt particularly good when lots of people, both male and female, were watching him and he was playing well. This implied he played mainly for social reasons. However, he also enjoyed playing on his own and, at the time of my study, he predominantly played alone. While playing, he reported that he experienced a ‘high’ – a continuous high (as opposed to an immediate high or ‘rush’ reported by some addicted slot machine gamblers (that I had reported throughout my published studies on adolescent slot machine players in 1990 and 1991) which was especially notable when he “started off with a good ball”, got free replay”, or experienced something intrinsically motivating to him (e.g., someone watching him play).

Back in 1983, Dr. Sidney Kaplan and Dr. Shirley Kaplan reported in the Journal of Popular Culture, that male pinball players may be attracted by the machine’s sexual graphics. However, my participant reported that he was more attracted by the features within the game and liked the idea that he could master a game, something that attracted him to videogames as well. He went on to say that both pinball machines and videogame machines were very similar because they both (i) score through points, (ii) have no financial reward – unlike a fruit machine, (iii) give the players pleasure from gaining a high score, i.e., an intrinsic reward, (iv) have the chance to gain free replays, and (v) require skill to play well. The reasons he didn’t play slot machines were because (i) its financial rewards were too infrequent, (ii) they are mostly chance-oriented, (iii) there are no points to score, and (iv) there is no free replay feature (except of course if the player won and decided to play again).

At the time I published the paper, it had been argued at various gambling conferences that I attended that “videogames are not as bad as slot machines because the better the player gets, the less money the player spends”. At face value this was correct as some adolescents could make 10 pence last over an hour on a videogame. However, the participant explained to me that he (and others) used to spend “hundreds of pounds” learning to play videogames and pinball machines, and then, when they were proficient at them, they would get bored with the game and spend their money learning how to play a new game on another machine. For this participant, pinball machines were different from videogame playing. Although he had played many different pinball machines, he had a personal favourite which he always returned to because it was the one on which he had his first “major success” (i.e., a very high score).

Back in 1992 I argued that it would be beneficial to adapt the criteria for pathological gambling for use in the monitoring of gaming machine addictions. By using such checklists (which can be administered quickly and easily), I argued it would be possible to record objective measures of incidence of probable amusement-machine addicts (including pinball addiction) and possibly show whether these types of addictions are implicated or act as precursors to more established addictions (e.g., pathological gambling). In 2013, criteria for Internet Gaming Disorder were included in Section 3 of the latest DSM-5 (using many of the criteria outlined above). However, given the complete lack of any other academic paper on pinball addiction, it doesn’t look as though pinball addiction will be appearing in any psychiatric diagnostic manual anytime soon. However, this case and other papers that I wrote on slot machine and video game addiction at the time led to my 1995 paper on technological addictions (that has now become one of my most highly cited papers).

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd Edition -Revised). Washington D.C. : Author

Griffiths, M.D. (1990). Addiction to fruit machines: A preliminary study among males. Journal of Gambling Studies, 6, 113-126.

Griffiths, M.D. (1991). Fruit machine addiction: Two brief case studies. British Journal of Addiction, 85, 465.

Griffiths, M.D. (1991). Amusement machine playing in childhood and adolescence: A comparative analysis of video games and fruit machines. Journal of Adolescence, 14, 53-73.

Griffiths, M.D. (1991). The psychobiology of the near miss in fruit machine gambling. Journal of Psychology, 125, 347-357.

Griffiths, M.D. (1991). The observational study of adolescent gambling in UK amusement arcades. Journal of Community and Applied Social Psychology, 1, 309-320.

Griffiths, M.D. (1992). Pinball wizard: A case study of a pinball addict. Psychological Reports, 71, 160-162.

Griffiths, M.D. (1993). Tolerance in gambling: An objective measure using the psychophysiological analysis of male fruit machine gamblers. Addictive Behaviors, 18, 365-372.

Griffiths, M.D. (1993). Fruit machine addiction in adolescence: A case study. Journal of Gambling Studies, 9, 387-399.

Griffiths, M.D. (1994). The role of cognitive bias and skill in fruit machine gambling. British Journal of Psychology, 85, 351-369.

Griffiths, M.D. (1995). Technological addictions. Clinical Psychology Forum, 76, 14-19.

Kaplan, S. J. (1983). The image of amusement arcades and differences in male and female video game playing. Journal of Popular Culture, 17(1), 93-98.

Kaplan, S., & Kaplan, S. (1981). A research note: Video games, sex, and sex differences. Social Science, 208-212

Kaplan, S., & Kaplan, S. (1983). Video games, sex and sex differences. The Journal of Popular Culture, 17(2), 61-66.

Trance-sexuality: A brief look at sex and stage hypnosis

Regular readers of my blog may remember that my first academically published papers were on hypnosis (as I recounted in a previous blog I did on hypnofetishism). Consequently, I’ve always had a passing interest in stage hypnotism although some of those that I’ve seen sail close to the wind in terms of their ethics. In fact the following online query raised some of the sort of questions I have often asked myself when watching such shows:

“My in-laws recently attended an ‘adults only’ hypnotist show in Las Vegas. The hypnotist selected audience members to be hypnotized. I’m sure you all know the drill here. The selected individuals did all sorts of sexual (or inferred sexual acts) from masturbating a teddy bear to having an orgasm when another sneezes…Is it ethical? Is it a form of abuse if these people were not in full control of their capacities? I would think in this day of lawsuit happy lawyers a participant could easily sue a hypnotist for ‘suggesting’ this type of behavior”

Over the last few years there have been a number of high profile stories about ‘X-rated’ stage hypnotists. For instance, in 2012, Colin Adamson’s “raunchy hypnosis show” was banned for being “too rude” by the University of Kent’s student union after the hypnotist got his participants to simulate sex acts and lap dances on stage. Some of those on stage were made to believe they were having orgasms while others simulated masturbation. One of the women that was hypnotized into believing she had been touched indecently by someone watching the show and was left ”too upset to speak”. Sadaeva president of the University of Kent Feminist Society was “disgusted” and was quoted as saying: “[Adamson] shows a lack of empathy towards rape victims and all women, and a lack of basic human decency – he has no place at a student union”.

One infamous case of problems with someone that participated in stage hypnotism was recounted by Dr. Michael Heap in a 2000 issue of the journal Contemporary Hypnosis (as well as on his own website). Heap was an expert witness for the defendant in a case he calls ‘Norman versus Byrnes’ (Mr. Byrnes was the defendant, the stage hypnotist; Mr. Norman, the plaintiff was the person on stage under hypnosis). Dr. Heap began by briefly reviewing the main issues:

“Mr. Norman’s story is that on Wednesday June 30th 1993, he took part in Mr. Byrnes’s stage hypnosis show at a hotel.  At some point in the show Mr. Byrnes offered to help Mr. Norman give up smoking.  Amongst other things, he gave him a post-hypnotic suggestion that from now on cigarettes would taste foul.  Towards the end of the performance Mr. Byrnes suggested to his volunteers that as they were sitting in their chairs they would feel more and more sexy.  He then hit his microphone repeatedly calling out ’10 times more sexy’, ’20 times more sexy’…..and so on.  Mr. Norman seemed to become carried away; he stood up and made thrusting movements at the chair.  Mr. Byrnes then suggested to the participants that when they went to bed that night they would feel even 50 times more sexy than they did then. Mr. and Mrs. Norman both confirmed that when they went to bed that night, as soon as Mr. Norman laid down on the mattress he started shaking violently and bouncing up and down.  Mr. Norman claimed that he was having sexual intercourse with the mattress and that indeed he did find the mattress sexually attractive.  Thus he continued simulating intercourse with the mattress and the other contents of his bed, with the exception of his wife”.

Mr. Norman had sex with his hotel bedroom furniture for about four hours (1am to 5am). When Mr. Norman stopped at one point to smoke a cigarette he became violently sick. On resuming his furniture sex, Mrs. Norman managed to stop the activity by blowing cigarette smoke into her husband’s face. Over the following days, Mr. Norman’s sexual urges diminished during the day but the uncontrollable urge to have sex with the furniture and other domestic appliances came back each night in the hotel room. Mr. Norman and his wife reported that the objects that became sexually attractive included all the bed’s contents, the hotel ceiling, a variety of ornaments in the hotel room, the room’s armchair, the hotel bath, and a tumble dryer. Dr. Heap then reported:

“On Monday, five days after her husband’s stage hypnosis experience, Mrs. Norman went to see a lawyer; on Wednesday Mr. Norman went to see his doctor.  He was prescribed antidepressants and several days later his doctor ‘performed hypnotherapy on him to remove the post-hypnotic suggestion’ and this appeared to be successful.  However, about three weeks later he was referred to a psychiatrist, Dr. Thomas, with ‘depression and delusions’ and violent behaviour. Dr. Thomas saw Mr. Norman on October 18th…Dr. Thomas ascribed Mr. Norman’s problems to Mr. Byrnes’s failure to take him ‘out of the hypnotic trance’…Things appeared to go quiet, and Mr. Norman did not receive any medication or treatment for these problems until four months later…Mr. Norman continued to present with a bewildering array of mental symptoms variously diagnosed as dissociative state, hypomania, hysteria, Ganser’s syndrome, major depression, post-traumatic stress disorder, paranoid psychosis and schizo-affective disorder”.

Mr. Norman’s legal team then secured the services of a consultant psychiatrist Dr. James, who was former official of the British Society of Medical and Dental Hypnosis. Dr. James then made a number of allegations of negligence against Byrnes (e.g., Byrnes didn’t establish what the exact counter-suggestion should have been to dispel the post-hypnotic suggestion). Dr. Heap then claimed:

“When I consider these serious allegations against Mr. Byrnes, I cannot help hearing in my mind the music ‘The Sorcerer’s Apprentice’.  Dr. James casts Mr. Byrnes in the role of an inept would-be wizard whose task, under the stern eye of a properly qualified master wizard, is to discover the best counter-spell or incantation that would lift the evil curse with which he had previously inadvertently bewitched Mr. Norman…This case came to trial in September 1997.  I sat in Court every day…but on the fifth day, long before the defence had opened its case, the trial collapsed.  Mr. Norman’s financial backer withdrew, his legal aid having already been rescinded.  The reason for the latter was as follows: had Mr. Norman won his case, the compensation that he would have received would have been claimed back by the state to offset the considerable welfare and sickness benefits he had received while indisposed.  Thus he would have been financially no better off and legal aid is not granted when such is the case”.

Dr. Heap was under the view that Mr. Norman was “clearly malingering in his claims to have been afflicted with his unusual sexual compulsions”. Heap claimed that there were grounds for considering Norman’s symptoms as a factitious disorder (like Munchausen’s Syndrome).

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Heap, M. (2000). A legal case of a man complaining of an extraordinary sexual disorder following stage hypnosis. Contemporary Hypnosis, 17(3), 143-149.

Heap, M. (2001). Some stories about hypnosis. The Skeptical Intelligencer, 3(4), 29-35

Heap, M. (2014). Some stories about hypnosis. Located at: http://www.mheap.com/hypnosis.html

Pop psychology: A peek inside the mind of Iggy Pop

I have just come back from a two-week holiday in Portugal and managed to catch up with reading a lot of non-academic books. Two of the books I took with me were Paul Trynka’s biography of Iggy Pop (Open Up and Bleed [2007]) and Brett Callwood’s biography of The Stooges, the band in which Iggy Pop first made his name (The Stooges: A Journey Through the Michigan Underworld [2008]). Just before I left to go on holiday I also read Dave Thompson’s book Your Pretty Face is Going to Hell: The Dangerous Glitter of David Bowie, Iggy Pop, and Lou Reed (2009). This engrossing reading has been accompanied by me listening to The Stooges almost non-stop for the last month – not just their five studio albums (The Stooges [1969], Fun House [1979], Raw Power [1973], The Weirdness [2007], and Ready To Die [2013]) but loads of official and non-official bootlegs from the 1970-1974 period. In short, it’s my latest music obsession.

Although I say it myself, I have been a bit of an Iggy Pop aficionado for many years. It was through my musical appreciation of both David Bowie and Lou Reed that I found myself enthralled by the music of Iggy Pop. Back in my early 20s, I bought three Iggy Pop albums purely because they were produced by David Bowie (The Idiot [1977], Lust For Life [1977], and Blah Blah Blah [1986]). Thankfully, the albums were great and over time I acquired every studio LP that Iggy has released as a solo artist (and a lot more aside – I hate to think how much money I have spent on the three artists and their respective bands over the years). Unusually, I didn’t get into The Stooges until around 2007 after reading an in-depth article about them in Mojo magazine. Since then I’ve added them to my list of musical obsessions where I have to own every last note they have ever recorded (official and unofficial). When it comes to music I am all-or-nothing. Maybe I’m not that far removed from my musical heroes in that sense. I’m sure my partner would disagree. She says I’m no different to a trainspotter who ticks off lists of numbers.

One thing that connects Pop, Reed and Bowie (in addition to the fact they are all talented egotistical songwriters and performers who got to know each other well in the early 1970s) is their addictions to various drugs (heroin in the case of Pop and Reed, and cocaine in the case of Bowie – although they’ve all had other addictions such as Iggy’s dependence on Quaaludes). This is perhaps not altogether unexpected. As I noted in one of my previous blogs on whether celebrities are more prone to addiction than the general public, I wrote:

“Firstly, when I think about celebrities that have ‘gone off the rails’ and admitted to having addiction problems (Charlie Sheen, Robert Downey Jr, Alec Baldwin) and those that have died from their addiction (Whitney Houston, Jim Morrison, Amy Winehouse) I would argue that these types of high profile celebrity have the financial means to afford a drug habit like cocaine or heroin. For many in the entertainment business such as being the lead singer in a famous rock band, taking drugs may also be viewed as one of the defining behaviours of the stereotypical ‘rock ‘n’ roll’ lifestyle. In short, it’s almost expected”.

Nowhere is this more exemplified than by Iggy Pop. Not only would Iggy take almost every known drug to excess, it seemed to carry over into every part of his lifestyle. For instance, reading about Iggy’s sexual exploits, there appears to be a lot of evidence that he may have also been addicted to sex (although that’s speculation on my part with the only evidence I have is all the alleged stories in the various biographies of him). Another thing that amazes me about Iggy Pop was that he decided to give up taking drugs in the autumn of 1983 and pretty much stuck to it (again mirroring Lou Reed who also decided to clean up his act and go cold turkey on willpower alone). Spontaneous remission after very heavy drug addictions is rare but Iggy appears to have done it. Maybe Iggy gave up his negative addictions for a more positive addiction – in his case playing live. David Bowie went as far as to say that playing live was an obsessive for Iggy. As noted in Paul Trynka’s biography:

“[His touring] was simultaneously impressive and inexplicable. David Bowie used the word’ obsessive’ about Iggy’s compulsion to tour – but there was an internal logic. Jim knew he’d made his best music in the first ten years of his career, and he also believed he’d blown it…but he knew his own excesses or simple lack of psychic stamina were a key reason why the Stooges crashed and burned. Now he had to still prove his stamina, to make up for those weaknesses of three decades ago”.

Iggy Pop is (of course) a stage name. Iggy was born James Newell Osterberg (April 21, 1947). The ‘Iggy’ moniker came from one of the early bands he drummed in (The Iguanas). I mention this because another facet of Iggy Pop’s life that I find psychologically interesting is the many references to ‘Iggy Pop’ being a character created by Jim Osterberg (in much the same way that Bowie created the persona ‘Ziggy Stardust’ – ironically a character that many say is at least partly modeled on Iggy Pop!). Many people that have got to know Jim Osterberg describe him as intelligent, witty, talkative, well read, and excellent social company. Many people that have been in the company of Iggy Pop describe him as sex-crazed, hedonistic, outrageous, a party animal, and a junkie (at least from the late 1960s to the early to mid-1990s). It’s almost as if a real living character was created in which Jim Osterberg could live out an alternative life that he could never do as the person he had become growing up. Iggy Pop became a persona that Jim Osterberg could escape into. When things went horribly wrong (and they often did), it was Iggy’s doing not Osterberg’s. It’s almost as if Osterberg had a kind of multiple personality disorder (now called ‘dissociative identity disorder’ [DID]). One definition notes:

“[Dissociative identity disorder] is a mental disorder on the dissociative spectrum characterized by at least two distinct and relatively enduring identities or dissociated personality states that alternately control a person’s behavior, and is accompanied by memory impairment for important information not explained by ordinary forgetfulness…Diagnosis is often difficult as there is considerable comorbidity with other mental disorders”.

I don’t for one minute believe ‘Jim/Iggy’ suffers from DID but a case could possibly made based on the definition above. Some of the things he did on stage in the name of ‘entertainment’ included gross acts of self-mutilation such as stubbing cigarettes out on his naked body, flagellating himself, cutting his chest open with knives and broken glass bottles. He was a sexual exhibitionist and appeared to love showing his penis to the watching audience. On one infamous occasion, he even dry-humped a large teddy bear live on a British children’s television show. (Maybe Iggy is a secret plushophile? Check out the clip on here on YouTube).

In 1975, Iggy was admitted to the Los Angeles Neuropsychiatric Institute (NPI) and underwent treatment (including psychoanalysis) under the care of American psychiatrist Dr. Murray Zucker. After he had completely detoxed all the drugs in his body, Iggy was diagnosed with hypomania (a mental affliction also affecting another of my musical heroes, Adam Ant). This condition was described by Iggy’s biographer Paul Trynka:

“Bipolar disorder [is] characterised by episodes of euphoric or overexcited and irrational behaviour, succeeded by depression. Hypomanics are often described as euphoric, charismatic, energetic, prone to grandiosity, hypersexual, and unrealistic in their ambitions – all of which sounded like a checklist of Iggy’s character traits”.

Dr. Zucker later told Paul Trynka that hypomania tends to get worse with age and it hadn’t with Iggy and therefore the diagnosis of a bipolar disorder may have been wrong. Dr. Zucker now wonders whether “the talent, intensity, perceptiveness, and behavioural extremes” of Iggy were who he truly was “and not a disease…that Jim’s behaviour was simply him enjoying the range of his brain, playing with it, exploring different personae, until it got to the point of not knowing what was up and what was down’. In short, Dr. Zucker (who maintained professional contact with Iggy during the 1980s) claimed Iggy was perhaps “someone who went to the brink of madness just to see what it was like”. Dr. Zucker also claimed that Iggy (like many in the entertainment industry) was a narcissist (“excessive for the average individual” but “unsurprising in a singer…this unending emotional neediness for attention, that’s never enough”). In fact, Iggy went on to write the song ‘I Need More‘ (and was also the title of his autobiography) which pretty much sums him up many of his pychological motivations (at least when he was younger).

It’s clear that Iggy has been drug-free and fit for many years now although many would say that all of his best musical work came about when he was jumping from one addiction to another – particularly during the decade from 1968 to 1978. This raises the question as to whether musicians and songwriters are more creative under the influences of psychoactive substances (but I will leave that for another blog – I’ve just begun some research on creativity and substance abuse with some of my Hungarian research colleagues). I’ll leave the last word with Dr. Zucker (who unlike me) had Iggy as a patient:

“I always got the feeling [Iggy] enjoyed his brain so much he would play with it to the point of himself not knowing what was up and what was down. At times, he seemed to have complete control of turning this on and that on, playing with different personas, out-Bowie-ing David Bowie, as a display of the range of his brain. But then at other times you get the feeling he wasn’t in control – he was just bouncing around with it. It wasn’t just lack of discipline, it wasn’t necessarily bipolar, it was God knows what”.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Ambrose, J. (2008). Gimme Danger: The Story of Iggy Pop. London: Omnibus Press.

Callwood, B. (2008). The Stooges: A Journey Through the Michigan Underworld. London: Independent Music Press.

Pop, I. & Wehrer, A, (1982). I Need More. New York: Karz-Cohl Publishing.

Thompson, D. (2009). Your Pretty Face is Going to Hell: The Dangerous Glitter of David Bowie, Iggy Pop, and Lou Reed. London: Backbeat Books.

Trynka, P. (2007). Open Up and Bleed. London: Sphere.

Wikipedia (2014). Iggy Pop. Located at: http://en.wikipedia.org/wiki/Iggy_Pop

Bog standard: A brief look at toilet tissue eating

In previous blogs I have looked at pica (i.e., the eating of non-nutritive items or substances) and subtypes of pica such as geophagia (eating of soil, mud, clay, etc.), pagophagia (eating of ice), acuphagia (eating of metal), and coprophagia (eating of faeces). It wasn’t until I started to research on specific sub-types of pica, that I discovered how many different types of non-food substances had been identified in the academic and clinical literature. For instance, Dr. V.J. Louw and colleagues provided a long list in a 2007 issue of the South African Medical Journal including cravings for the heads of burnt matches (cautopyreiophagia), cigarettes and cigarette ashes, paper, starch (amylophagia), crayons, cardboard, stones (lithophagia), mothballs, hair (trichophagia), egg shells, foam rubber, aspirin, coins, vinyl gloves, popcorn (arabositophagia), and baking powder. Most of these are generally thought to be harmless but as Louw and colleagues note, a wide range of medical problems have been documented:

“These include abdominal problems (sometimes necessitating surgery), hypokalaemia, hyperkalaemia, dental injury, napthalene poisoning (in pica for toilet air-freshener blocks), phosphorus poisoning (in pica for burnt matches), peritoneal mesothelioma (geophagia of asbestos-rich soil), mercury poisoning (in paper pica), lead poisoning (in dried paint pica and geophagia), and a pre-eclampsia-like syndrome (baking powder pica)”.

In the clinical literature, the eating of paper has been occasionally documented (although anecdotal evidence suggests this is fairly common and I remember doing it myself as a child). A recent review paper on pica by Dr. Silvestre Frenk and colleagues in the Mexican journal Boletín Médico del Hospital Infantil de México highlighted dozens of pica-subtypes and created many new names for various pica sub-types. They proposed that people who eat paper display ‘papirophagia’ (in fact if you type ‘papirphagia’ into Google, you only get one hit – the paper by Silvestre and colleagues – although this blog may make it two!). Eating paper is not thought to be particularly harmful although I did find a case of mercury poisoning because of ‘paper pica’ (as the authors – Dr. F. Olynk and Dr. D. Sharpe – called it) in a 1982 issue of the New England Journal of Medicine.

One sub-type of papirophagia is the eating of toilet paper. As far as I am aware, there is only one case study in the literature and this was published back in 1981, Dr. J. Chisholm Jr. and Dr. H. Martín in the Journal of the National Medical Association. They described the case of a 37-year old black woman with an “unusually bizarre craving” for toilet tissue paper. The authors reported that:

“[The] woman was referred for evaluation of disturbed smell and loss of taste for over one year. These were associated with chronic fatigue and listlessness. During this same period of time, she rather embarrassedly admitted to an overwhelming desire to eat toilet tissue. Frequently, she would awaken at night and dash to her bathroom to eat toilet tissue. No other type(s) of pica were admitted. In addition, she gave a long history of menorrhagia and frequently passed vaginal blood clots during her menses. Her libido was normal and there was no history of poor wound healing, skin or mucous membrane lesions, or intestinal symptoms. Her dietary history suggested a high carbohydrate diet, and due to a mild exogenous obesity she intermittently resorted to a vegan-like diet that included beans and various seeds”

A variety of medical tests were carried out and she was diagnosed with combined iron and zinc deficiency. She was treated with iron and zinc tablets and within a week, both her taste and smell had returned, and her energy levels greatly improved. Zinc deficiencies can lead to a wide variety of clinical disorders including loss of small and taste, anorexia, dwarfism (i.e., growth retardation), impaired wound healing, and geophagia. The woman’s (sometimes) vegan diet may have been to blame for her zinc deficiency as the authors noted that:

Although vegetables contain zinc, vegans should be made aware that zinc from plant sources is not readily absorbed because naturally occurring phytates, particularly high in beans and seeds, reduce zinc gastrointestinal absorption. Carbohydrates are very poor sources of zinc. Chronic iron deficiency secondary to chronic menorrhagia accounts well for the anemia, fatigue, and unusual pica for toilet tissue noted in this patient”.

Paper pica has occasionally been mentioned in other academic papers although details have typically been limited. For instance, a 1995 paper in the journal Birth by Dr. N.R. Cooksey on three cases of pica in pregnancy reported that one of the women chewed non-perfumed blue toilet paper during the first trimester of her pregnancy (and was forced by her mother to stop). There was also a 2003 paper published by Dr. Dumaguing in the Journal of Geriatric Psychiatry and Neurology examining pica in mentally ill geriatrics. One of the cases mentioned was a 76-year old patient that not only ingested their medication (an emollient cream for arthritis) but was also recorded eating toilet paper, napkins, Styrofoam cups, crayons, and other patients’ medications.

A more recent 2008 paper by Dr. Sera Young and her colleagues in the journal PLoS ONE, critically reviewed procedures and guidelines for interviews and sample collection in relation to pica substances. In describing the protocols involved, they referred to paper pica in the questions that should be asked:

“What is the local name, brand name, or type of pica substance desired or consumed? This will help others to know if this substance has already been studied and assist interested researchers in obtaining subsequent samples at a later date. Furthermore, different manufactured products may contain different materials, e.g. Crayola chalkboard chalk contains slightly different ingredients from other brands. Similarly, the consequences of toilet tissue paper consumption are different from those of eating pages of a novel; information would be lost if the substance was simply described as paper. For these reasons, the substance consumed should be described in as much detail and as accurately as possible”.

Personally (and based on anecdotal evidence), I think that papirophagia is not overly rare (especially among children – although I admit this may be more out of curiosity that craving) but the clinical literature suggests that it is a fairly rare disorder found amongst distinct sub-groups (pregnant women, the mentally ill). Given the fact that for most people eating paper would not cause any problems, this would provide the main reason why so few cases end up seeking medical, clinical, and/or psychological help.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Chisholm Jr, J. C., & Martín, H. I. (1981). Hypozincemia, ageusia, dysosmia, and toilet tissue pica. Journal of the National Medical Association, 73(2), 163-164.

Cooksey, N.R. (1995). Pica and olfactory craving of pregnancy: How deep are the secrets? Birth, 22, 129-137.

Dumaguing, N.I., Singh, I., Sethi, M., & Devanand, D.P. (2003). Pica in the geriatric mentally ill: unrelenting and potentially fatal. Journal of Geriatric Psychiatry and Neurology, 16, 189-191.

Frenk, S., Faure, M.A., Nieto, S. & Olivares, Z. (2013). Pica. Boletín Médico del Hospital Infantil de México, 70(1), 55-61

Louw, V.J., Du Preez, P., Malan, A., Van Deventer, L., Van Wyk, D., & Joubert, G. (2007). Pica and food craving in adults with iron deficiency in Bloemfontein, South Africa. South African Medical Journal, 97, 1069-1071.

Olynyk, F., & Sharpe, D. H. (1982). Mercury poisoning in paper pica. The New England Journal of Medicine, 306, 1056 -1057.

Young, S.L., Wilson, M.J., Miller, D., Hillier, S. (2008). Toward a comprehensive approach to the collection and analysis of pica substances, with emphasis on geophagic materials. PLoS ONE, 3(9), e3147. doi:10.1371/journal.pone.0003147

Urine for a treat: A brief overview of catheterophilia

In a previous blog, I examined medical fetishism (i.e., those individuals that derive sexual pleasure and arousal from medical procedures and/or something medically related). Maddy’s Mansion features a small article on medical fetishism and is a little more wide ranging in scope:

“Medical fetishism refers to a collection of sexual fetishes for objects, practices, environments, and situations of a medical or clinical nature. This may include the sexual attraction to medical practitioners, medical uniforms, surgery, anaesthesia or intimate examinations such as rectal examination, gynecological examination, urological examination, andrological examination, rectal temperature taking, catheterization, diapering, enemas, injections, the insertion of suppositories, menstrual cups and prostatic massage; or medical devices such as orthopedic casts and orthopedic braces. Also, the field of dentistry and objects such as dental braces, retainers or headgear, and medical gags. Within BDSM [bondage, domination, submission, sadomasochism] culture, a medical scene is a term used to describe the form of role-play in which specific or general medical fetishes are pandered to in an individual or acted out between partners”.

As is obvious from the description above, one very specific sub-type of medical fetishism is catheterophilia. Both Dr. Anil Aggrawal (in his book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices) and Dr. Brenda Love (in her Encyclopedia of Unusual Sex Practices) define catheterophilia as sexual arousal from use of catheters. The Right Diagnosis website goes a little further and reports that catheterophilia can include one or more of the following: (i) sexual interest in using a catheter, (ii) abnormal amount of time spent thinking about using a catheter, (iii) recurring intense sexual fantasies involving using a catheter, (iv) recurring intense sexual urges involving using a catheter, and (v) sexual preference for using a catheter.

Not only is catheterophilia a sub-type of medical fetishism but is also a sub-type of urethralism (that I also covered in a previous blog). Catheterophilia may also share some overlaps with other sexual paraphilias such as paraphilic infantilism (i.e., deriving sexual pleasure and arousal from pretending to be an adult baby). Dr. G. Pranzarone in his Dictionary of Sexology (and relying heavily on Professor John Money’s seminal 1986 book Lovemaps) defines urethralism as:

“The condition or activity of achieving sexuoerotic arousal through stimulation of the urinary urethra by means of insertions of rubber cathethers, rods, objects, fluids, ballbearings, and even long flexible cathether-like electrodes (“sparklers”). This activity may be part of a paraphilic rubber catheter fetish, a sadomasochistic repertory, sexuoerotic experimentation and variety, or activity the result of anatomic ignorance as urethral intercourse has been described wherein a case of infertility was due to the insertion of the husband’s penis into the wife’s urethra rather than the vagina”.

Pranzarone also provides a little information on catheterophilia, and notes that it is a sexual paraphilia of the “fetishistic and talismanic type in which the sexual arousal and facilitation or attainment of orgasm are responsive to and contingent on having a catheter inserted up into the urethra”. Catheterization is nothing new and according to Dr. Brenda Love has been practiced for at least 4000 years. She also provided a lengthy entry in her sexual encyclopedia although most of it is devoted to describing different types of catheters. However, her perspective on catheter use is related more to sexual masochism and sexual sadism. More specifically, she claims that:

“Catheters are used in sex play as a symbol of total control over a partner. This type of sex play is similar to the catheterization found in health care facilities. The sterilized catheter is inserted up through the urethra and into the bladder which allows the flow of urine to be controlled by the dominant partner. The stimulation seems to trigger the brain’s pleasure center that ordinarily responds to urination or ejaculation…the urethra is often sore and burns for half an hour afterward”

Apart from definitions of catheterophilia, and short summaries that the condition exists, there has been little in the way of academic or clinical research. I couldn’t even find a single case study. A Finnish study led by Dr Laurence Alison reported in a 2001 issue of the Archives of Sexual Behavior reported that enduring the insertion of a catheter was one of the activities engaged in by sadomasochists, particularly those involved in ‘hyper-masculine pain administration’. Other associated activities by this group of practitioners included rimming, dildo use, cock binding, being urinated upon, being given an enema, fisting, and being defecated upon. Gay men were more likely than heterosexuals to engage in these types of activity.

In 2002, the same team, this time led by Dr. Kenneth Sandnabba examined the sexual behaviour of sadomasochists in the journal Sexual and Relationship Therapy. The paper summarized the results from five empirical studies of a sample of 184 Finnish sadomasochists (22 women and 162 men). More specifically, the examined the frequency with which the respondents engaged in different sexual practices, behaviours and role-plays during the preceding 12 months and reported that 9.2% had used catheters as part of the sexual activities.

In a previous blog on fetishism, I wrote at length about a study led by Dr G. Scorolli (University of Bologna, Italy) on the relative prevalence of different fetishes using online fetish forum data. It was estimated (very conservatively in the authors’ opinion), that their sample size comprised at least 5000 fetishists (but was likely to be a lot more). Their results showed that there were 28 fetishists (less than 1% of all fetishists) with a sexual interest in catheters.

When I published my previous blog on urethralism, one reader wrote to me with an example of urethral stimulation via catheter use. Obviously, I have no idea to the extent of such practices and how typical this experience is, but I thought I would share it with you nonetheless:

“I have read a patient’s experiences of catheter insertions. He said his first one was excruciating and subsequent insertions became less and less bothersome. Nurses state that some men [say] the Foley catheter does not bother them at all. From common sense I see that there is callousing happening from urethra trauma (especially the first insertion. [This is a] compelling reason why patients should always have a condom catheter, and the Foley catheter used only when necessary. I am most concerned with the permanent nerve damage the very nerves that are also needed for optimum orgasmic intensity”.

The Right Diagnosis website claims that treatment for catheterophilia is generally not sought unless the condition becomes problematic for the person in some way and they feel compelled to address their condition. The site also claims that the majority of catheterophiles learn to accept their fetish and manage to achieve gratification in an appropriate manner.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Alison, L., Santtila, P., Sandnabba, N. K., & Nordling, N. (2001). Sadomasochistically oriented behavior: Diversity in practice and meaning. Archives of Sexual Behavior, 30, 1–12.

Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.

Love, B. (2001). Encyclopedia of Unusual Sex Practices. London: Greenwich Editions.

Maddy’s Mansion (2010). Catheterophilia. October 4. Located at: http://maddysmansion.blogspot.co.uk/2010/10/catheterophilia.html?zx=b5754ebdc388557b

Money, J. (1986). Lovemaps: Clinical Concepts of Sexual/Erotic Health and Pathology, Paraphilia, and Gender Transposition of Childhood, Adolescence, and Maturity. New York: Irvington Publishers.

Pranzarone, G.F. (2000). The Dictionary of Sexology. Located at: http://ebookee.org/Dictionary-of-Sexology-EN_997360.html

Right Diagnosis (2012). Catheterophilia. February 1. Located at: http://www.rightdiagnosis.com/c/catheterophilia/intro.htm

Sandnabba, N.K., Santtila, P., Alison, L., & Nordling, N. (2002). Demographics, sexual behaviour, family background and abuse experiences of practitioners of sadomasochistic sex: A review of recent research. Sexual and Relationship Therapy, 17, 39–55.

Scorolli, C., Ghirlanda, S., Enquist, M., Zattoni, S. & Jannini, E.A. (2007). Relative prevalence of different fetishes. International Journal of Impotence Research, 19, 432-437.

Inter-bet gambling: The psychology of online sports betting

Until the early 2000s, there appeared to be a commonly held perception that consumers viewed the Internet as an information gathering tool rather than a place to spend money. The explosive growth in online gambling and betting shows this is no longer true. For me, one of the interesting questions is how gaming companies use the psychology of people who like to gamble on sports events to get them to access sports betting sites (especially if it is done in a socially responsible way that enhances the punter’s experience rather than exploits them).

Trust and reliability: Let’s look at sports betting from an individual level. A sports fan has logged on to the Internet and is in the process of deciding which online sports betting website to make a beeline for. What kinds of things influence their decision? A recommendation from one of their friends? Advice from a gambling portal? An advert they saw in a magazine? From a psychological perspective, research on how and why people access particular commercial websites indicates that one of the most important factors is trust. If people know and trust the name, they are more likely to use that service. Reliability is also a related key factor. Research shows that many people (including sports bettors) still have concerns about Internet security and may not be happy about putting their personal details online. But if there is a reliable offline branch nearby, it gives them an added sense of security (i.e., a psychological safety net). For some people, trust and security issues will continue to be important inhibitors of online gambling. Punters need assurance and compelling value propositions from trusted gaming operators and operators to overcome these concerns.

Personalization: One of the growth areas in e-commerce has been personalization and most online commercial organisations now have a personalization strategy as part of its business plan. However, this practice is a double-edged sword that can prove to be a large logistical problem for companies who use such a strategy. Tracking every move for marketing purposes is one thing. Using these data for personalization purposes can sometimes prove troublesome. The amount of data is potentially enormous. Producing personalized pages for everyone is also logistically difficult and may even turn potential punters away. The key is knowing what to ask the punter. Those in the gaming industry have to think intelligently and creatively about what to ask their customers in a way that the information gained can be used effectively. Attracting customers and providing recommendations relies on the those in the gaming industry putting punters first. Integration can also be a factor here. The industry has to think of creative ways to make the website experience more personal.

Imprinting: One of the most important marketing strategies that companies engage in is “imprinting” new customers. Online punters quickly adopt predictable Internet usage patterns and evidence suggests that they don’t switch online allegiances easily. Smart gaming operators will work at becoming a starting point for the novice gambler and capitalize on this opportunity for capturing player loyalty. The emerging post-teenage market is a key consideration although from a social responsibility perspective thought needs to be given so that teenagers are not exploited. There is a whole Internet generation of people coming through who have a positive outlook on online commercial activities. They may be happier to enter credit card details online and/or meet others online. This has the potential to lead to major clientele changes as the profiles of these people may be radically different from previous punters. The problem is that the young don’t tend to have much disposable income and are less likely to own credit cards. Therefore, another market segment that operators need to target to are the over-50s who are starting to use the Internet for shopping and entertainment use. Early retirees have both time and money. This is why gaming operators need to strategically target the ‘grey pound.’

Contextual commerce: So what can operators do next? Contextual commerce may be one avenue that gaming operators will need to go down. In most retail outlets, shoppers notice what other people are buying and this may influence the purchaser’s choice. Companies are now using software that allows customers to do this online including interacting with other like-minded people. Seeing what everyone else is betting on may influence the decision process. There is also the potential to bring in techniques used on home television shopping channels. Presenters tell viewers how much of a product has been sold with viewers to instil a sense of urgency into the buying process, along with an element of peer review. This could be applied by gaming operators if people are gambling as part of a sports betting community.

Getting the balance right on the chance-skill dimension: All forms of gambling lie on a chance-skill dimension. Neither games of pure skill nor games of pure chance are particularly attractive to sports gamblers. Games of chance (like lotteries) offer no significant edge to sports gamblers and are unlikely to be gambled upon. While games of skill provide a significant edge for the gambler, serious gamblers need more than an edge – they often need an opponent who can be exploited (which helps explain the popularity of online poker). Serious gamblers gravitate towards types of gambling that provide an appropriate mix of chance and skill. This is one of the reasons why sports betting – and in particular activities like horse race betting – is so popular for gamblers. The edge available in horse race gambling can be sufficient to fully support professional gamblers as they bring their wide range of knowledge to the activity. There is the complex interplay of factors that contributes to the final outcome of the race.

Inter-gambler competition and the exercise of skill: Over the last few years I have often been asked by the media about the increasing popularity of online sports betting, particularly in relation to betting exchanges. Psychologists claim that male gamblers are attracted to sports betting because they love competitiveness. Sports bettors clearly feel that gambling via betting exchanges provides value for money and an opportunity to exercise their skill. Another important factor that I feel is really important in the rise of sports betting is not just the inherent competiveness but also the inter-gambler competition. Obviously there is an overlap between competitiveness and skill but they are certainly not the same and operators need to show how the sites they recommend feed into the psychological needs and desires of the sports bettor.

I’m sure many people’s view of psychology is that it is little more than common sense (and to be honest, some of it is). However, I hope that some of what I had to offer in the rest of this blog was more than just common sense.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Auer, M. & Griffiths, M.D. (2013). Behavioral tracking tools, regulation and corporate social responsibility in online gambling. Gaming Law Review and Economics, 17, 579-583.

Griffiths, M.D. (2005). Online betting exchanges: A brief overview. Youth Gambling International, 5(2), 1-2.

Griffiths, M.D. (2007). Brand psychology: Social acceptability and familiarity that breeds trust and loyalty. Casino and Gaming International, 3(3), 69-72.

Griffiths, M.D. (2009). Social responsibility in gambling: The implications of real-time behavioural tracking. Casino and Gaming International, 5(3), 99-104.

Griffiths, M.D. & Whitty, M.W. (2010). Online behavioural tracking in Internet gambling research: Ethical and methodological issues. International Journal of Internet Research Ethics, 3, 104-117.

McCormack. A. & Griffiths, M.D. (2012). What differentiates professional poker players from recreational poker players? A qualitative interview study. International Journal of Mental Health and Addiction, 10, 243-257.

Parke, A., Griffiths, M.D. & Irwing, P. (2004). Personality traits in pathological gambling: Sensation seeking, deferment of gratification and competitiveness as risk factors, Addiction Research and Theory, 12, 201-212.

Recher, J. & Griffiths, M.D. (2012). An exploratory qualitative study of online poker professional players. Social Psychological Review, 14(2), 13-25.

Wood, R.T.A. & Griffiths. M.D. (2008). Why Swedish people play online poker and factors that can increase or decrease trust in poker websites: A qualitative investigation. Journal of Gambling Issues, 21, 80-97.

Jealous high: A brief look at zelophilia

According to Dr. Aggrawal’s 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices, zelophilia is a sexual paraphilia and refers to individuals who derive sexual pleasure and arousal from jealousy. This is the only academic definition I have come across and as academic definitions go, it is not the most helpful as it doesn’t say what kind of jealousy sexual arousal is linked to. Anecdotally, I am assuming that at the heart of zelophilia is a person being turned on by their sexual partner having a sexual and/or romantic relationship with another person. For instance, here are a few online posts to the Is It Normal? website:

  • Extract 1: “Is it normal to get horny over being jealous? When my boyfriend gets hit on by other girls it really turns me on and I’ve even fantasized about walking in on him having sex with another girl even though I know it’d make me angry and upset and I’d probably dump him”.
  • Extract 2: “I have the same turn on. I always picture me being tied down and having to watch someone else f**k my girlfriend. I don’t want them too, but she does. I think it’s part of the whole humiliation/submissive fetish I have”.
  • Extract 3: “I can relate to the idea of being turned on by jealousy. My [boyfriend] has been on at me to have a [threesome] for about 18 months now finally I’m thinking about it. When I asked him why he wants me to do this he said he’d like to see another man giving me a good time an that he’d be jealous as hell, but as long as I was safe and having a good time then he’d be okay with that. He wants me to try a [foursome] but I can’t cope with girl on girl action, but the thought of another girl sucking him is a turn on even though I’m secretly jealous that he might prefer her to me”.

If zelophilia genuinely exists, then these online posts suggest that some people have indicative signs of what I would expect zelophiles to experience. They would also seem to psychologically and behaviourally overlap with cuckold fetishes (which I covered in a previous blog). A short article on zelophilia at the Kinkly website (like Dr. Aggrawal) says that the primary source of the sexual arousal is jealousy but also makes other (unsubstantiated) claims. More specifically it noted that:

Zelophilia is a condition in which a person becomes sexually aroused by feelings of jealousy. This is a diagnosed medical condition that can be managed if the sufferer is able to learn to deal with and accommodate the fetish in some way. However, if zelophilia becomes an issue, it can be treated with psychoanalysis, hypnosis and therapy…While jealousy most often leads to harsh words, angry feelings, tears and sometimes break-ups, those with the zelophilia fetish get sexually aroused by jealous feelings. Managing this fetish within a healthy sexual relationship can be a real challenge”.

The information that was in the Kinkly article may have been based on the zelophilia entry at the Right Diagnosis online medical website as the wording and claims are very similar. The Right Diagnosis website claims that:

“Treatment [for zelophilia] is generally not sought unless the condition becomes problematic for the person in some way, or they come under scrutiny of the legal system, and become compelled to address their condition. Many people simply learn to accept their fetish and manage to achieve gratification in an appropriate manner”.

There are quite a few online articles on zelophilia but most of these are just personal opinion pieces with almost zero academic content (such as the one written by ‘Kinky Kelly’). However, another interesting online article I came across was one by Drew Albright who examined the (sometimes) paradoxical relationship between jealousy, envy and the BDSM scene. She made the following observation:

“In many ways envy and jealousy in relation to sex is a paradox. On the one hand, envy and jealousy is at the core of eroticism – I want that, ‘I want to do that’, ‘That body is mine!’ are all examples of lust, a.k.a envy. Fetish and BDSM play and behaviors are ways that many find fun to explore and safely let their inner piggy out! On the other hand, when we are unaware of our own propensity for envy on the grand scale and in our everyday lives, we can act them out in sexualized power struggles, which ultimately have nothing to do with sex or sex interest itself”.

While researching this blog I also came across the following post at the Answers Yahoo website.

“I thought I’d ask this in the dating section but I figured I would get better answers here. It is not out of insecurity because truthfully (call me whatever you want) I am considered extremely attractive and I can say myself that I get plenty of attention whenever I am out. For some reason I have this sick and disgusting addiction to making guys jealous. Especially the confident type. If I can tell a guy is sweet and genuine I do it still but less. However, when the guy seems shady to me and is approaching and pursuing me, I for some reason LOVE for him to see me hit on my other guys, etc. I see their reactions and it turns me on like none other. It is an addiction and a sick one. Not sure what to do what is wrong with me? Maybe I am insecure and don’t know it?”

This online self-admission appeared to fit Dr. Aggrawal’s definition of zelophilia but is different from the self-confessions at the beginning of this article because the person gets aroused from making her sexual partners jealous rather than the sexual arousal being caused by the sexual partner being with another person. My own observation that zelophilia shares similarities with cuckold fetish, has also been made by others. For instance, the article on zelophilia by the (admittedly non-academic) ‘Fetish University’ run by female dominatrix ‘Empress Ivy’ on her Masturbation Fascination website noted:

“I see this particular fetish most frequently with cuckold and coerced [fellatio] or bisexual fantasies. Most start out with the admission of their wife’s infidelity and they go into great detail about how jealous they felt that their wife was with another man. A man that is stronger, more masculine, has a bigger [penis], and can sexually satisfy her in ways the husband could not. Obviously the initial admission of this would spark jealousy, or perhaps resentment, but at the same time – when these events are recalled the callers clearly become aroused by it”.

Zelophilia appears to be yet another sexual paraphilia of which we know next to nothing about, and although there appears to be some anecdotal evidence that it exists, the “evidence” (such that it is) is far from conclusive.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Aggrawal A. (2009). Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Boca Raton: CRC Press.

Albright, D. (2005). Fetish & BDSM: Fantasy Fun or Envy & Jealousy Taken to the Extreme, World of Jimmy Star. Located at: http://worldofjimmystar.com/Issue10/fetish_bdsm_fantasy_fun_or_jealousy_to_extreme_drew_albright.htm

Harris, C. R. (2002) Sexual and romantic jealousy in heterosexual and homosexual adults. Psychological Science, 13, 7–12.

Kinky Kelley (2011). Fetish: Zelophilia, January 26. Located at: http://kinkykelleykicksthekurse.wordpress.com/2011/01/26/fetish-zelophilia/

Simons, I. (2009). On fetishes and clean pencil tips. Psychology Today, March 8. Located at: http://www.psychologytoday.com/blog/the-literary-mind/200903/fetishes-and-clean-pencil-tips

Wikipedia (2013). Cuckold. Located at: http://en.wikipedia.org/wiki/Cuckold

Artifical dissemination? Aca-media and psychological research

Over the past decade, academics have been increasingly pushed by their research funders to disseminate their work outside of academic circles. One way in which this can be done is for academics to use the print and broadcast media (something that I termed as ‘aca-media’ back in 1995). Ever since I was a PhD student I have been happy to talk to the media about my research. Occasionally things go wrong and my work is misquoted and/or taken out of context but I have written many articles outlining the many advantages of academics interacting with the media.

I passionately believe that psychological research should be communicated to the public. However, I have also argued in some of my writings about ‘pop’ psychology and aca-media that psychologists who communicate their work to the public (e.g., non-academic books, magazine and newspaper articles, radio and television programmes) are sometimes ridiculed by their peers and/or told that such activities are of little use for progression in their career.

Many academic psychologists may not want a relationship with the media because of the perception that the media will somehow trivialize and/or misrepresent serious research. However, psychology is media-friendly and very popular. This is evidenced by the fact that:

  • Popular psychology books are often found in the best selling book lists;
  • Magazines like Psychology Today and Psychologies sell in large quantities;
  • Many magazines reveal a high percentage of articles dealing with some aspect of psychological concern;
  • Radio and television programmes appear to be featuring more and more psychologists.

The media can play a beneficial role in psychological research, and that a lot of good things can come out of it. Back in the late 1990s, I argued in an issue of The Psychologist that the media performs a useful service for psychologists who carry out primary research. More specifically I argued that the media can (i) stimulate research into cutting edge topics. (ii) provide publicity for the psychologist, the research, the discipline and the psychologist’s institution, (iii) provide immediate rewards, and (iv) help feed back into the academic process.

In his book Psychology Observed or The Emperor’s New Clothes, Professor Paul Kline argued that the content of print media provides a useful indicant of human behaviour. Newspapers and magazines indicate what people actually do, and they indicate what editors believe people like to read about (and is one of the reasons I try to feature topics in my blog that I think the general public would be interested in reading). On these criteria, Professor Kline argued that murder, sex, the Royal Family, wars, disasters, rape, crime, astrology, parapsychology, the occult, drugs, and violence are all of psychological significance. In fact, Kline went as far as to argue that much of scientific psychology ignores the real world setting in which we live and barely seems to touch on the subjects outlined above. Kline explained why this might be the case by outlining a number of propositions relating to the scientific method:

  • Psychology studies trivial topics because of its reliance on the scientific method
  • The scientific method is unsuited to some important problems in psychology
  • The scientific method is adhered to because of the (i) high prestige of science which is funded better than the arts, (ii) emphasis on intellect rather than feelings, and (iii) better promotion prospects (i.e. the scientific method allows rapid publication on currently fashionable topics)
  • Much of psychology is pure hermeneutics, (i.e., the study of tasks invented and elaborated by those who study them).

If Kline is right, then those psychologists who do not adhere to the scientific method will actually be left behind in the system. I have also argued in some of my articles that if psychology does not provide the information on the topics that people want to know about, then ‘pop’ psychologists will step in – people who may not even be eligible for chartered psychologist status.

Therefore, it would appear that some (maybe even most) psychologists want their research to be communicated to the general public but they appear to want someone else, preferably a non-psychologist, to do it. But what happens when someone else does do it? The main problem is that many people, both those reporting and those reading the original research, fail to interpret research findings of psychologists accurately or use the findings in a biased and/or selective manner. Such observations may provide reasons why there appears to be an increasing number of psychologists (like myself) who are popularizing their own work themselves (i.e., they do not want their work misunderstood, distorted and trivialized). However, if disseminating to the public is not valued by peers, there is little incentive for the psychologist to do so.

Many of my own research ideas have come from newspapers, magazines and other media. Quite often, these outlets will come up with an idea that has no empirical support but looks true and/or is psychologically interesting. This can provide a spur for me to some research on that topic or area. The fact that it has reached media outlets before empirical research has been done suggests that it is newsworthy. One activity I try to do is read one publication each week that I would not normally read. The idea is that such an activity might not lead immediately to a new research idea or avenue, but it could change a view of the world in some way and impact on future research. I am fortunate in the fact that every week I get numerous calls from the media asking me to comment on something. Occasionally they come up with something that stirs my imagination and which gets me thinking that their story is about a really interesting topic. Occasionally whole new lines of research have emerged on the basis of a media enquiry. The most notable examples in my own research include my work on scratchcard gambling and internet addiction.

There is no doubt that some research is more likely to be noted, reported and commented upon by the mass media than is other equally sound or important work. Research into problem solving and learning will almost always be given less media coverage, than say astrology or parapsychology, because experimental psychologists (i) deem these areas as trivial or unimportant, (ii) its subject matter not appropriate for study using the scientific method, and/or (iii) unhelpful for career progression. Professor Kline argued that research that adheres to the scientific method carries a lot of weight in the academic community and enables academics to quickly progress up the career ladder. This is not the case with dissemination of psychological research to non-specialist audiences. Many may consider the education and dissemination of psychological knowledge is important yet popularizing psychology appears to have no distinct advantages inside the academic system (although I would like to think this is changing a little).

However, one thing that is highly irritating to academics is how slow the research dissemination process is. Sometimes waiting over a year or two for a paper to be published is not a psychologist’s idea of a quick reward. At least in the media, the rewards can come quickly. If a psychologist publishes something in a newspaper or a magazine (or even on their own blog), it can be out within days and sometimes even hours. If a psychologist records something for the radio or television, again the result is often quite quick – and if it is live then at least it goes out there and then.

Many psychologists may take the line that it is not their job to generate publicity. However, media exposure can provide publicity for the psychologist, their research, the discipline, and the psychologist’s organization. Furthermore, media publicity can help an individual’s research in particular ways. Media coverage can aid a psychologist’s own self-standing and it can also help in getting a psychologist’s research known to various funding agencies. Media publicity can also be used for direct research purposes – most noticeably in participant recruitment. Although there are ethical questions to consider, news items and features in all forms of the media can help in either the recruitment of participants both in general calls for help in research and in terms of unsolicited responses. I have found this particularly useful in obtaining case studies for various behavioural addictions that I have been researching into (e.g. exercise addiction, gambling addiction, internet addiction, etc.). (For instance, my case study on eproctophilia published last year in the Archives of Sexual Behavior came about because of one of the blogs I published on the topic).

Many researchers spend a lot of time and money handing out recruitment brochures in appropriate places promising small remunerations. However, these typically attract very few people into participating and generate low response rates. Therefore, the media can be used as a creative recruitment tactic that works effectively to attract research participants. Advertisements for participants to “tell us your story” in newspapers can be a successful way of obtaining participants. However, there are likely to be some biases in terms of the background, but it is possible to get a good cross section.

Use of contacts in the media is an option but will be very selective. Talk shows and the local news are the most two obvious areas of television or radio that can be harnessed by psychologists. Telephoning popular local (and sometimes national) radio talk shows to ask for people to come forward is one possible idea. Radio shows can be very good for this. From my own personal experience, a good response can be had from being on late at night or even early Sunday morning.

Another way to generate participants is to turn a research recruitment drive into a news story. Newspapers are in the business of telling stories. To get the media’s attention, a press release must respond to that priority. Unless a psychologist is making news, by being the first to do something, they will not see your material as ‘news’.  Psychologists need to tell the media a story that their readership will be interested in. In 2005, I was at a British Association for the Advancement of Science conference, where Tim Radford, the former science correspondent of The Guardian claimed that “the media is inherently lazy…they are likely pick up a story if you do the work”. That means providing the media with background facts and figures, creating context, simple key messages, lining up experts, and most importantly giving them a story. Psychologists can then tie their need (i.e., finding participants for further research) into that story. It is important to lead with a human-interest story and then add the need for research.

The key is to devise a short one-page media release (long ones will simply be passed over). The media release should have a ‘hook’ so that a journalist, when reading a release, asks “What’s new?” There are other strategies that can work for catching the attention of the media. Psychologists can tie their media releases into a news event that is already happening. For example, on Mother’s Day, a psychologist could lead with a story that links their research area to mothers.

Building ongoing relationships with the media is important and it takes time. If academic psychologists wants to get media attention, they need to support the media as well.  This can be helped by making responding to media requests a high priority. If a reporter calls, help them with their story. Unfortunately their deadlines are always short so this can be a challenge. Reporters will remember the psychologist and add you to their roster of available experts. Writing ‘Letters to the Editor’ also help in getting psychologists onto media radar screens (something that I used to the point of excess and – some might say – overkill).

My guess is that many psychologists shy away from aca-media due to fears about trivialisation, misinterpretation and misrepresentation. However, if they realised what the average media journalist has to go through to get their story, perhaps they would not be so dismissive. Psychologists would perhaps appreciate the high degree of professionalism that is involved. It could be argued that the most common source of misinterpretation by the media is the psychologist communicating their research or ideas poorly to the journalist. Journalists cannot and should not be blamed for the poor communication skills of the psychologist. What I have tried to argue here is that the aca-media can be good for psychologist, and that the media can be used to help the psychologist’s research and career – something that (I hope) my own career is good evidence of.

References

Griffiths, M.D. (1995). ‘Pop’ psychology. The Psychologist: Bulletin of the British Psychological Society, 8, 455-457.

Griffiths, M.D. (1995). Pop psychology and “aca-media”: A reply to Mitchell. The Psychologist: Bulletin of the British Psychological Society, 8, 537-538.

Griffiths, M.D. (1998). Psychology and the media. The Psychologist: Bulletin of the British Psychological Society, 11, 4-5.

Griffiths, M.D. (2001). A moral obligation in aca-media? The Psychologist: Bulletin of the British Psychological Society, 14, 460.

Griffiths, M.D. (2001). Why I believe letter writing can improve your career prospects. Times Higher Education Supplement, January 5, p.14.

Griffiths, M.D. (1999). Other publication outlets: Is there life after refereed journals? In P. Hills (Ed.), Publish or Perish (pp.117-130). Dereham: Peter Francis Publishing.

Kline, P. (1988). Psychology Observed or The Emperor’s New Clothes. London: Routledge.

Radford, T. (2005, September). Comments made in a panel discussion by science journalists at the British Association for the Advancement of Science, University College, Dublin.

Thriller killer: A brief look at BASE jumping

According to (the perhaps appropriately named Dr. Matt Pain and his colleague Matthew Pain in a 2005 issue of The Lancet), extreme sports are continuing to grow in popularity. I recounted my own experiences of bungee jumping in a previous blog but even that is tame compared to BASE jumping. A fairly recent 2012 paper by Erik Monasterio, Roger Mulder, Christopher Frampton and Omer Mei-Dan examined the personality characteristics of BASE Jumpers in the Journal of Applied Sport Psychology (and on which my blog today is based).

According to Monasterio and colleagues, BASE jumping developed from skydiving (using specially adapted parachutes to jump from fixed objects). The acronym ‘B.A.S.E.’ was coined in the late 1970s by filmmaker Carl Boenish, his wife Jean Boenish, Phil Smith, and Phil Mayfield, and comprises the fixed objects that such individuals can jump off (i.e., Building, Antenna, Span [arch, bridge, or dome], and Earth (a natural formation such as a cliff). According to the Zero P website, there are only about 1,000-1,500 active BASE jumpers and less than 10,000 people have ever even made a BASE jump.  Currently there are just over 1,000 people worldwide that have a BASE number. According to the Wikipedia entry, death rates from BASE jumping are high:

“BASE jumping as of 2006 has an overall fatality rate estimated at about one fatality per sixty participants. A study of 20,850 BASE jumps from the same site (the Kjerag Massif in Norway) reported 9 fatalities over the 11-year period from 1995 to 2005, or 1 in every 2,317 jumps. However, at that site, 1 in every 254 jumps over that period resulted in a nonfatal accident. BASE jumping is one of the most dangerous recreational activities in the world, with a fatality and injury rate 43 times higher than parachuting from a plane. As of 29 March 2014 the ‘BASE Fatality List’ maintained by ‘Blincmagazine.com’ records 228 deaths for BASE jumping since April 1981”.

Erk Monasterio and Omer Mei-Dan published a previous paper in the New Zealand Medical Journal and noted that BASE jumping was associated with a five- to 16-fold risk for death or injury when compared with skydiving. Monasterio and colleagues also reported that 72% of experienced BASE jumpers “had witnessed the death or serious injury of other participants in the sport in which 76% had at least one-near miss incident and only 6% had not sustained an injury, near-miss or witnessed a fatality from BASE jumping”. Consequently they argued that it was unsurprising widespread belief that “BASE jumpers are in some way unusual”.

Given how dangerous the sport is, Monasterio and his colleagues carried out the first ever research study into the personalities of BASE jumpers, and whether such personality factors play any contributing role in why BASE jumpers do what they do. Previous research into personality and extreme sports was summarized. Below is Monasterio et al’s summary with all but two of the academic papers cited removed:

“A number of studies have investigated the relationship between personality traits and participation in high-risk physical sports; sensation-seeking is by far the most consistently studied personality factor in the literature. Most of these studies have found that participants in high-risk sports tend to score higher on Zuckerman’s Sensation Seeking (SS) Scale compared to low risk sports participants and control groups. Zuckerman (1983) defines sensation seeking as ‘the need for varied, novel and complex sensations and experiences and the willingness to take physical and social risks for the sake of such experience’. In addition, a smaller number of studies have also considered other personality variables such as neuroticism, extraversion and conscientiousness. Castanier et al. (2010) investigated 302 men involved in high-risk sports (downhill skiing, mountaineering, rock climbing, paragliding, and skydiving) and found that personality types with a configuration of low conscientiousness combined with high extraversion and/or high neuroticism were greater risk-takers”.

What the majority of research studies examining relationships between extreme risk-taking sports and personality have done is investigate the role of sensation seeking. In Monasterio and colleagues’ view, the research carried out to date is “far too narrow as it only provides information about one aspect of personality and ignores other important personality factors that may contribute to participation in risk-taking sports and help to understand the motivation for sports risk-taking behavior in general”. Therefore, the aim of their study was to explore the possible psychobiological contribution to BASE jumping using the temperament and character inventory (TCI) developed by Dr. Robert Cloninger and colleagues in 1994.

For those of you that don’t know, the TCI is a self-report personality questionnaire that assesses both normal and abnormal variation in temperament and character. Monasterio and colleagues assessed their sample of BASE jumpers using the TCI-235 (a self-report questionnaire with 235 items assessing seven basic dimensions of temperament and character). The following text about the seven dimensions and definitions of temperament and character are taken verbatim from the paper:

“Temperament refers to the automatic emotional responses that are thought to be moderately heritable, independent, genetically homogenous and stable over time. There are four temperament dimensions:

  • Novelty seeking (a tendency to activate or initiate new behaviors with a propensity to seek out new or novel experiences, impulsive decision-making, extravagance, quick loss of temper, and active avoidance of frustration).
  • Harm avoidance (a tendency to inhibit behaviors with a propensity to worry in anticipation of future problems, fear of uncertainty, rapid fatigability, and shyness in the company of strangers).
  • Reward dependence (a tendency to maintain behaviors manifested by dependency on the approval of others, social attachments, and sentimentality).
  • Persistence (a tendency to be hard-working, industrious, and persistent despite frustration and fatigue

Character refers to self-concepts and individual differences in goals and values that can be influenced by social factors, learning, and the process of maturation. The character dimensions are as follows:

  • Self-directedness (which refers to self-determination, personal integrity, self-integrity, and willpower).
  • Cooperativeness (which refers to individual differences in identification with and acceptance of other people).
  • Self-transcendence (which refers to feelings of religious faith, or viewing oneself as an integral part of the universe in other ways.”

Monasterio and colleagues hypothesized that BASE jumpers would score high on Novelty Seeking and score low on Harm Avoidance (compared to control data). To be included in the study sample, BASE jumpers had to have made at least ten BASE jumps, and been BASE jumping for over six months. The sample participants were recruited from international BASE jump group meetings, adventure website forums, and from personal communication among the international BASE jumping community. The final sample comprised 68 BASE jumpers (59 male; 39 single; mean age 34 years; 28 having sustained a significant injury from BASE jumping).

The results obtained were “partially in line” with the authors’ hypotheses. BASE jumpers did indeed have higher Novelty Seeking scores and lower Harm Avoidance scores. They also scored high on the Self Directedness dimension. However, the mean differences compared to normative data were “modest” and their findings suggested there was no “tightly defined personality profile” among their sample of BASE jumpers. The exception was that a 40% of the BASE jumpers had an extremely low Harm Avoidance score (compared to 5% of the control group). The authors concluded that the eight-fold increase in BASE jumpers suggests that: 

“A large proportion have a temperament profile characterized by low [Harm Avoidance]. The finding of low [Harm Avoidance] is not surprising or counterintuitive, as individuals with low scores on this dimension are described as carefree, relaxed, daring, courageous, composed, and optimistic even in situations that worry most people. These individuals are described as outgoing, bold, and confident. Their energy levels tend to be high, and they impress others as dynamic, lively, and vigorous. The advantages of low [Harm Avoidance] are confidence in the face of danger and uncertainty, leading to optimistic and energetic efforts with little or no distress. The disadvantages are related to unresponsiveness to danger, which can lead to foolhardy optimism…In order to participate in extreme sports such as BASE jumping, participants require highly developed skills that can only be acquired by repeated and consistent practice over time, and after undergoing a fairly rigorous apprenticeship. As [Self Directedness] refers to self-determination and maturity, or the ability of an individual to control, regulate and adapt behavior to fit the situation in accord with individually chosen goals and values, it is unsurprising that BASE jumpers scored high on this measure. High [Self Directedness] with an emphasis on discipline and skill acquisition may also help to explain why BASE jumpers engage in risk taking behaviors by normative rather than impulsive/disorganized antisocial means (such as drug use and criminal behavior). Previous research has shown that a combination of high [Novelty Seeking] and low [Harm Avoidance] increases the risk of drug use”.

Despite the interesting findings, there were lots of methodological limitations in the study. The sample was very small (although the authors argued that it was relatively large given the small number of worldwide BASE jumpers – in fact they claimed it included 5-10% of all the world’s BASE jumpers), self-selected (i.e., not random), and relied on self-report (which is not always the most reliable testimony). The authors also pointed out that:

“All participants who volunteered were included. This may have led to selection bias and the sample may represent a population of particularly high-risk-taking BASE jumpers as 42% had suffered serious injury and 72% had witnessed fatality or serious accident, yet persisted in the sport. BASE jumpers who had experienced prior accidents may have been more motivated to share their experience and therefore more likely to participate in the study. As the study included only active jumpers, cautious BASE jumpers, who had given up the sport following an injury or a near-miss experience, may have been excluded. Alternatively, the sampling process may have excluded particularly high-risk groups as less experienced, more impulsive and higher risk taking jumpers may have been involved in fatal accidents at earlier stages of their BASE jumping careers and therefore were unavailable for inclusion in the study…An added limitation may be the forced-choice nature of the TCI questionnaire in which participants score either true or false for each question, whereas the answer may lie somewhere in the middle”.

Despite the limitations, the study is the first of its kind and provides a benchmark on which other studies can build. Engagement in extreme sports is likely to continue despite the high risk of injury or death. Knowing as much as we can about why people engage in such risky behaviour is clearly of great value psychologically.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Castanier, C., Le Scanff, C., & Woodman, T. (2010). Who takes risks in high-risk sports? A typological personality approach. Research Quarterly for Exercise and Sport, 81, 478–484.

Cloninger, C. R., Przybeck, T. R., Svrakic, D. M., & Wetzel, R. D. (1994a). Basic description of the personality scales. In C. R. Cloninger (Ed.), The Temperament and Character Inventory (TCI): A guide to its development and use (pp. 19–27). St Louis, MO: Center for Psychobiology of Personality, Washington University.

Monasterio, E., & Mei-Dan, O. (2008). Risk and severity of injury in a population of BASE jumpers. New Zealand Medical Journal, 121, 70–75.

Monasterio, E., Mulder, R., Frampton, C., & Mei-Dan, O. (2012). Personality characteristics of BASE jumpers. Journal of Applied Sport Psychology, 24, 391-400

Pain, M.T., & Pain, M.A. (2005). Essay: Risk taking in sport. Lancet, 366, Suppl 1, S33–34.

Zuckerman, M. (1983). Sensation seeking and sports. Personality and Individual Differences, 4, 285–294.

Zuckerman, M., & Cloninger, C. R. (1996). Relationship between Cloninger’s, Zuckerman’s and Eysenck’s dimensions of personality. Personality and Individual Differences, 21, 283–285.

No lady luck: A case study of adolescent female slot machine addiction

Based on research into adolescent slot machine playing, all British research has found that most adolescent slot machine players are male and that very few female adolescent slot machine addicts have ever been identified in the literature. The main findings relating to adolescent female slot machine players were published in papers by Dr. Sue Fisher and myself (mostly in the 1990s). In 1993, Dr. Fisher reported the existence of teenage females with no playing skills and little interest in acquiring them, and who gamble on slot machines primarily to gain access to the arcade venue where they can socialize with their friends (calling them ‘Rent-a-Spacers’). Their preferred role is one of ‘spectator’. In an earlier published (1991) study in the Journal of Applied and Community Psychology, I observed that arcades were a meeting place for adolescent social groups in which playing activity was predominantly male-oriented with girls looking on in ‘cheerleader’ roles. In 2003, I published a rare case study of an adolescent female slot machine addict (who I called ‘Jo’) and thought I would share some of the things I found from that study in today’s blog

During a nine-month period, I interviewed Jo three times formally and also maintained regular contact with her on an informal basis. She was confirmed as a probable pathological gambler using the American Psychiatric Association’s DSM-IV criteria for pathological gambling.

Jo was brought up as an only child in a seaside town in the South West of England. She described her parents as “comfortable, middle class and loving”. However, she also made reference to the fact that there were reasonably strict rules in the house. Her father was an insurance salesman and her mother was a schoolteacher. She went to a mixed school, and up to the age of 13 years she had good school reports and was in the top 10% of her class academically. She was also very good at sports (and was an active member of the school athletics club) and described herself as “physically stronger” than most of her peers. Jo claims she did not really relate to the other girls in her school and often got into playground fights with them. During her early adolescence she made a few good friends although these were mostly boys of her own age or a little older. She herself described her adolescent years as a “tomboy”. Educationally, she left school when she was 16 years old and got an office job working as an administrative assistant.

Jo started playing slot machines at a young age because they were so abundant in the town where she lived. She described them as “being part of the wallpaper”. To some extent, her parents encouraged her gambling. Like a lot of “seaside parents”, they often took Jo to the amusement arcades as a child for “a weekend treat”. Like many families, they did not see anything wrong with going to the seaside arcade because they felt it was “harmless fun and didn’t cost much.” However, these early experiences coupled with exposure to slot machines in her peer group were instrumental factors in Jo’s acquisition of slot machine playing. Living in a seaside town, access to the machines was widespread, and the main place for “hanging out” was at the local arcades. There were four or five of them because the town was a popular tourist attraction. Arcades provided a meeting point for her friends. She was part of a gang in which hanging around the arcades was one of the few activities that the group could engage in.

At 13 years old, she mainly used to just watch her male friends play on the slot machines and video games. However, within a year, she was playing on slot machines as much as her peers. The arcade was where Jo “felt safe and protected”. She liked it that everyone who worked there knew who she was. In the arcade she was a ‘somebody’ rather than a ‘nobody’. In essence, the arcade provided a medium where Jo’s self-esteem was raised.

Jo gave a number of insights into her motivations for slot machine playing. Skill did not appear to be a motivating factor for continued play. She played to win money (to further her playing rather than fuel any winning fantasies) and did not see the machines as particularly skilful. Although most of Jo’s (male) friends claimed that slot machine playing was very skillful if you were good at it, Jo always believed that slot machines were not like video games and that “winning big” had a lot of luck to it. Knowing her way round a slot machine while helpful, didn’t make her feel as though she was especially skilful except when complete novices would play. Also, being female, the older age women who played on the simple machines would talk to her (unlike the adolescent males who would be shunned by this clientele). This made her feel wanted and needed. However, between the ages of 14 and 15 years, Jo’s slot machine playing became all encompassing. As she explains:

“There was a period in my life between the ages of 15 and 17 where the machines became the most important thing in my life. I didn’t worry about money. I just believed I would win it back or that money would come from somewhere because it always had. I was forever chasing my losses. I would always tell myself that after a bad loss, the arcade was only ‘borrowing’ my money and that they would have to ‘pay it back’ next time I was in there. Of course, that rarely happened but once I was playing again, money worries and losses went out of the window. Gambling became my primary means of escape. On the positive side, at least it helped me to give up smoking and drinking. I simply couldn’t afford to buy nicotine or alcohol – or anything else for that matter. I never believed that gambling would make me rich – I just thought it would help me clear my debts.”

Jo didn’t acknowledge that she had a problem – even when she started to go down to the arcade on her own and using all her disposable income to fund her slot machine playing. However, in retrospect, she realized a problem was developing.

“I used to spend every penny I had on the (slot) machines. It was a good job I wasn’t into clothes like the other girls at school. I couldn’t have afforded to buy anything as I lost everything I had in the long run. I used to wear the same pair of jeans for months. I don’t even think I washed them”.

When Jo was 15 years old, a telephone call from the school headmaster alerted Jo’s mother that her daughter might be having some problems in her life. The headmaster phoned to say that Jo’s attendance had been very poor during the previous three months and that she had stopped attending athletics practice. When confronted, Jo admitted that she had not been attending school but said that all the girls in her class hated her. To some extent this was true (she didn’t get on with any of the girls at her school) but was not the reason she was truanting. Instead of going to school she had been spending her time in the local arcades. For a few weeks she tried to stop her gambling. Now that her parents knew there were problems, she thought this would be the ideal time to give up. However, after 17 days without gambling, her boyfriend split up with her and she relapsed by gambling again. This then carried on for almost two years.

Jo’s parents were very understanding and looked for alternatives to help their daughter. They considered moving classes within the school and moving schools completely. Jo simply said she would try to integrate more. At no stage did Jo’s parents ever suspect that her erratic behaviour was linked to anything other than the problems of adolescent mixing. Jo managed to successfully hide her problem for a further two years before everything came out into the open.

As an only child it was difficult for Jo’s parents to know whether their experience was normal. They hardly saw Jo. At the age of 16 years, Jo upset her parents not only by leaving school but also by leaving home. They knew there was little that they could do. When Jo left home, she assumed that all her problems would disappear. However, she got into more and more trouble and was unable to make ends meet. She lived from hand to mouth. She began to steal from friends, from work and from anyone she met. On two occasions she met males she had never met before that moment, went back to their houses, and then stole their money and/or valuables.

Over this period of nearly two years Jo became more and more withdrawn, lost her friends and ended up resorting to stealing from her place of work. Eventually she was sacked (for taking the petty cash) although her employers were unaware that her problem was gambling (or that she even had a problem). They assumed she wanted more money to supplement her very modest wages. Although she lost her job, the company did not instigate criminal charges.

The first major turning point was being sacked from her first job for theft of the petty cash. She had nowhere else to go but back home. Her parents were a tremendous support although were surprised that slot machines were the heart of the problem. Jo claimed her mother didn’t believe her at first. They wondered how someone could get addicted to a machine. Jo claimed it would have been easier for her mother to accept if she had a drug or alcohol problem rather than a gambling problem.

The cessation of her gambling began when Jo (with her parents’ help) got another job in a remote village in Cornwall (in South West England). There was no arcade, no slot machines in the local pub, and no slot machine within a four-mile radius. She did not drive a car and it was too far to walk to the nearest town. In essence, the lack of access to a slot machine forced her to stop playing. She still got the cravings but there was nothing she could do. She also claimed to have a number of serious self-reported withdrawal symptoms. At work she was short-tempered, irritable with colleagues, and constantly moody. Physically, she had trouble sleeping, and occasionally had stomach cramps, and felt nauseous through lack of play.

Jo eventually joined a local Gamblers Anonymous (GA) that her parents drove her to every week. She only attended a handful of times and stopped attending because she was the only female in the group, the only slot machine player, and also the youngest. Despite the opportunity to share her experiences with eleven or twelve people in a similar position to herself, she felt psychologically isolated. Being able to talk about the problem with people she could trust (i.e., her parents) was a great help. In addition, with her desire to stop and with no access to slot machines, Jo managed to curtail her gambling. She claims she “wasted four years of her adolescence” due to slot machine playing – and she doesn’t want to waste any more of her life. However, there is no certainty that Jo is ‘cured’ – Jo feels a number of triggers could set her off again (like rejection of someone close to her). Talking to people has been Jo’s “salvation” as she calls it. She had always thought that slot machine playing couldn’t be a problem and therefore found it hard that people would accept the “addiction” she had. Other people’s acceptance that she suffered something akin to alcoholism or drug addiction has helped her recovery.

From my own personal research experience, Jo’ account is fairly typical of slot machine addicts. This is an individual who began playing slot machines socially, steadily gambled more and more over time, spent every last penny on gambling and resorted to the cycle of using their own money, borrowing money, and then finally stealing money, just to fund their gambling habit. Criminal proceedings could have occurred but fortunately (for Jo), she was punished by losing her job. The one major difference between this and all other accounts is that Jo happens to be female.

The major limitation of a study such as this is that it relied totally on retrospective self-report. Not only do I have to take Jo’s account as true but it is also subject to the fallibility of human memory. There is also the major limitation that the findings here are based on one person only and there is little that can be said about generalizability.

Dr. Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Fisher, S. E. (1992). Measuring pathological gambling in children: The case of fruit machines in the U.K. Journal of Gambling Studies, 8, 263-285.

Fisher, S. (1993). The pull of the fruit machine: A sociological typology of young players. Sociological Review, 41, 446-474.

Griffiths, M.D. (1991). The observational analysis of adolescent gambling in UK amusement arcades. Journal of Community and Applied Social Psychology, 1, 309-320.

Griffiths, M.D. (1995). Adolescent Gambling. London : Routledge.

Griffiths, M.D. (2002). Gambling and Gaming Addictions in Adolescence. Leicester: British Psychological Society/Blackwells.

Griffiths, M.D. (2003). Fruit machine addiction in females: A case study. Journal of Gambling Issues, 8. Located at: http://jgi.camh.net/doi/full/10.4309/jgi.2003.8.6

Griffiths, M.D. (2011). Adolescent gambling. In B. Bradford Brown & Mitch Prinstein(Eds.), Encyclopedia of Adolescence (Volume 3) (pp.11-20). San Diego: Academic Press.

Griffiths, M.D. (2011).A typology of UK slot machine gamblers: A longitudinal observational and interview study. International Journal of Mental Health and Addiction, 9, 606-626.

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