Something really fishy: A brief look at the coelacanth, the ‘living fossil’

In one of my more previous frivolous blogs (‘The beast inside: What does your favourite animal say about you?’) I wrote that my favourite animal is the coelacanth. It’s been my favourite animal ever since I did a junior school project on it when I was nine-years old. At that age I was fascinated by dinosaurs, fossils, and paleontology. Like many boys in my class, I devoured books on dinosaurs. One of the ‘dino-books’ I read talked about a fish called the coelacanth, a prehistoric fish that lived on earth during the late-Devonian period (known as the ‘age of fishes’) dating back 360 million years. What grabbed my attention was mention that a living coelacanth had been caught in the Chalumna River off the east coast of South Africa in 1938. According to fossil records, coelacanths had died out and become extinct 65 million years ago (having lived 200 million years before dinosaurs had even come into existence). I found the idea of a real life coelacanth unbelievable. Although my passion for psychology overtook paleontology in my late teens I still love all things coelacanth. It’s probably one of the subjects I would pick if I ever appeared on the Mastermind television show. I rarely read academic papers outside of psychology but for ones on coelacanths I make exceptions. I must have watched every documentary and video clip on YouTube (and in my opinion, the 2001 Equinoxe documentary ‘The Fish That Time Forgot’ is an excellent primer on the coelacanth. You should also check out the more recent ‘Diving With Dinosaur Fish‘).

The coelacanth has often been dubbed a ‘living fossil’ (in simple terms referring to an organism that closely resembles another organism that is only known from fossil records) and the name ‘coelacanth’ derives from both Greek and modern Latin and means ‘hollow spine’ (one of the fish’s interesting anatomical features). According to Wikipedia, there are two key characteristics of something defined as a living fossil (and some scholars have added a third):

“The first two are required for recognition as a living fossil stasis but some authors include the third. They (i) are members of taxa [a group of one of more organisms] that exhibit notable longevity in the sense that they have remained recognisable in the fossil record over unusually long periods; (ii) show little morphological divergence, whether from early members of the lineage, or among extant species, and (iii) tend to have little taxonomic diversity”.

Based on such characteristics, there are dozens of ‘living fossils’ on the planet including reptiles (e.g., crocodiles, various turtles), birds (e.g., pelicans, magpie geese), many types of shark, and mammals (e.g., aardvarks, red pandas, okapis), as well as bony fish such as the coelacanths and African lungfish. Just as an aside, in 2018, I co-authored a paper (published in the journal Social Sciences, see ‘Further reading’ below) with Dr. Mike Sutton debunking the assertion that Charles Darwin coined the phrase ‘living fossil’. The Oxford English Dictionary claims Charles Darwin (1859) coined the term ‘living fossil’. Using the ‘internet date detection’ method, we highlighted that the term ‘living fossil’ first appeared in the literature at least 147 years earlier in the work of a Welsh Botanist Lhwyd (1712). He used it in Philosophical Transactions, the journal of the Royal Society of London (which was also thefirst ever peer-reviewed scientific journal).

It could be argued that the twentieth century history concerning the coelacanth was due to one man’s obsession, namely Professor James Leonard Brierley Smith (but known to all in the field as ‘J.L.B.’ Smith and who was an ichthyologist at Rhodes University). For those who don’t know, ichthyology is the branch of zoology that concern itself with the scientific study of fish. (And as another aside, when I worked in the University of Plymouth’s psychology department [1990-1995], one of my colleagues [Dr. Phil Gee] described himself – at least at the time – as an ‘ichthyopsychologist’ and published a paper in 1994 from his PhD entitled ‘Temporal discrimination learning of operant feeding in goldfish’ in the Journal of the Experimental Analysis of Behavior). Smith is credited with formally identifying the coelacanth that was caught in 1938 but the story actually began with Marjorie Courtenay-Latimer, the curator at the East London Natural History Museum, who spotted a strange looking blue-finned fish among the catch of a local fisherman (Hendrick Goosen) on December 23, 1938. She made a sketch of the 1.5-metre fish and contacted her friend Smith who instantly knew he was looking at something history-changing. It actually took nearly two months before Smith actually saw the fish in the flesh (he lived over 500 miles away and finally visited Courtenay-Latimer on February 16, 1939).

Courtenay-Latimer had tried to preserve it as best as she could but all the internal organs were disposed of (she had sent it to a taxidermist) before Smith was able to examine the specimen (the refrigeration facilities were poor in the 1930s so she had the fish skinned and mounted). The specimen was eventually named after Courtenay-Latimer and the river where it was found (genus name Latimeria chalumnae). Coelacanths were actually known to the local fishermen who called them ‘gombessa’ or ‘mame’.

Smith knew the importance of the find and spent years trying to find a second West Indian Ocean coelacanth. He distributed leaflets for thousands of miles all along the East African coast and offered a large financial reward to any fisherman who caught one. Fourteen years later, a second coelacanth turned up in the Comoro Islands (followed by over 80 other specimens up to 1975 including catches off the coasts of Tanzania, Kenya, Madagascar and Mozambique). Smith managed to persuade the South African Prime Minister (Daniel Malan) to get the military to fly him to the Comoros (islands that were actually owned by France). Smith subsequently began the first ever dissection of a coelacanth and concluded it was different in many ways from all modern fish (see bullet point on ‘Body characteristics’ below).

One of the most interesting features of coelacanths are its fins. They are almost limb-like and because of this anatomical feature, Smith (wrongly) believed that the coelacanth was evidence of the evolutionary ‘missing link’ between fish and land-walking mammals (in fact on December 30, 1952, the New York Times front-page article was headlined ‘14-Year Hunt Yields ‘Missing Link’ Fish’). Much of Smith’s post-1952 career was spent writing about and researching the coelacanth (most notably his 1956 book The Search Beneath the Sea – The Story of the Coelacanth also known as Old Fourlegs: The Story of the Coelacanth).

Remarkably, the story of the coelacanth didn’t end in the east coast of Africa. In September 1997, a different species of coelacanth was identified at a local market in Sulawesi (Indonesia) by Dr. Mark Erdmann (a coral reef ecologist) who was on honeymoon with his wife. Erdmann took photographs but someone bought the fish so was unable to carry out any research on the specimen. Erdmann subsequently returned to Indonesia and in July 1998, local fisherman caught a second Indonesian coelacanth (and was subsequently given the genus name Latimeria menadoensis). The fish was known to local Indonesian fisherman as ‘raja laut’ (king of the sea). So what else do we know about present-day coelacanths? Here’s my brief bluffer’s guide to coelacanths.

  • Maximum size and weight: Coelacanths can be as long as six feet and weigh up to 200 pounds, and females are bigger than males.
  • Life expectancy: It is estimated coelacanths can live up to 80 to 100 years based on the growth rings in the ear bones (called otoliths).
  • Body characteristics: Coelacanths have thick (almost armour-like) scales and a tiny brain (comprising 1.5% of the cranial cavity). They have hinge in their skull (i.e., an intracranial joint) that allows them to open their mouths wide to consume their prey, and instead of a spine they have an oil-filled hollow pressurized tube called a notocord. They also have very primitive hearts described as the most primitive in the vertebrate world. In their nose they have an electro-sensory system (a rostral organ comprising a jelly-filled cavity) that has been speculated to help sense its prey (similar to that found in some sharks – in fact coelacanths and sharks have almost identical blood chemistry). The East African species is blue in colour whereas the Indonesian species is brown in colour.
  • Body metabolism and diet: Coelacanths are carnivorous and also have the lowest metabolism of any fish its size. It is speculated that it is this feature that may have allowed them to survive on earth for so long. They feed on small fish and occasionally squid, eels and small sharks. The low metabolism means they don’t need much food to survive and they live in relatively low-food environments.
  • Number of species: Historically there were over 120 species of coelacanth identified by fossil records but only two extant species have been verified.
  • Movement: J.L.B. Smith speculated that coelacanths ‘walked’ on the sea bed but the four (almost limb-like) facilitate a form of locomotion that is similar to tetrapods (four-legged animals) but ‘walk’ in the water not on the sea bed (Smith described their fins as “paddles”).
  • Habitat: During the daytime they tend to be relatively stationary (inside underground caves and crevices up to 700 metres below the water’s surface although some coelacanths live in shallower depths of 90-150 metres such as those found in Sodwana Bay off the South African coast) and are nocturnal and move around (up to 8 km) during the night. The fact they live so deep underwater means they cannot live in captivity so almost everything known about coelacanths comes from dead specimens or study in-situ.
  • Reproduction and giving birth: Very little was known about how coelacanths until a pregnant coelacanth was dissected in 1975 (at the American Museum of Natural History in New York) and five fully-formed coelacanth ‘pups’ were found inside the female. The gestation period has been estimated to be around 13 to 15 months (the longest among any living fish and some papers claim a gestation period of up to three years) and they give birth to live offspring (i.e., ovoviviparous – producing offspring via eggs which are hatched within the body of their mother). Coelacanth eggs are larger than any other fish (around the size of tennis balls) and are full of nutrients to help the growing embryos. It is thought that coelacanths can give birth to between five and 25 pups. Coelacanths become sexually active at around 20 years of age. However, as far as I am aware, no-one has ever seen coelacanths mate. However, a paper published in a 2013 issue of Nature Communications carried out analysis on pregnant coelacanths and concluded that coelacanths appear to be monogamous and that offspring do not appear to mate with each other.
  • Edibility: Because of the excessive amounts of oil and wax esters within their bodies, they are slimy, ooze a mucus-type substance, coelacanths have a foul flavour (and because of the high urea content in their body they can also smell and taste of urine). In fact, people can become sick after eating coelacanth.
  • World population – It is estimated that there are approximately 350 coelacanths living on the planet and it is now classed as an endangered species which although better than extinct, could still mean they become extinct within a few generations. A genetic study of the two different extant species estimated that they had diverged 30-40 million years ago.

In my research for this article, I did come across a 1997 paper by Hans Fricke (in the Marine Ecology Progress Series) that had a whole section on the psychology of coelacanths. He noted:

“The long evolutionary existence and unchanged appearance of coelacanths since the Devonian provides spiritual insight into our own comparatively short human existence on earth. Furthermore, coelacanths are of interest not only because of their long evolutionary history but also because they remain for the public – and also for many scientists – the nearest living relatives close to our own tetrapod roots. This makes the coelacanth unique among living fossils. We appreciate the timeless existence of this ‘old cousin’ which provides a window into the past. This existence value was nicely expressed in a German youth magazine. Youngsters selected a hit list of reasons ‘Why it is worthwhile living this week’. One entry contained the statement ‘…that coelacanths still exist’.”

The paper also talked about how humans can become emotionally and strongly affected after seeing films about coelacanths. I can attest to this. I was gripped as an adult in my thirties when I first saw a coelacanth on film (and I have never lost that feeling). Their existence is quite simply life-affirming and life-enhancing.

Dr Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Amemiya, C. T., Alföldi, J., Lee, A. P., Fan, S., Philippe, H., MacCallum, I., … & Organ, C. (2013). The African coelacanth genome provides insights into tetrapod evolution. Nature, 496(7445), 311-316.

Bates, M. (2015). The feature creature: 10 fun facts about the coelacanth. Wired, February 3. Located at: https://www.wired.com/2015/03/creature-feature-10-fun-facts-coelacanth/

Fricke, H. (1997). Living coelacanths: values, eco-ethics and human responsibility. Marine Ecology Progress Series, 161, 1-15.

Gee, P., Stephenson, D., & Wright, D.E. (1994). Temporal discrimination learning of operant feeding in goldfish (Carassius auratus). Journal of the Experimental Analysis of Behavior, 62(1), 1-13.

Holder, M.T., Erdmann, M.V., Wilcox, T.P., Caldwell, R. L., & Hillis, D.M. (1999). Two living species of coelacanths? Proceedings of the National Academy of Sciences, 96(22), 12616-12620.

Inoue J. G., Miya, M., Venkatesh, B., & Nishida, M. (2005). The mitochondrial genome of Indonesian coelacanth Latimeria menadoensis (Sarcopterygii: Coelacanthiformes) and divergence time estimation between the two coelacanths. Gene, 349, 227–235.

Johanson, Z., Long, J. A., Talent, J. A., Janvier, P., and Warren, J. W (2006). Oldest coelacanth, from the early Devonian of Australia. Biology Letters, 2(3), 443–446.

Lampert, K. P., Blassmann, K., Hissmann, K., Schauer, J., Shunula, P., El Kharousy, Z., … & Schartl, M. (2013). Single-male paternity in coelacanths. Nature communications, 4, 2488.

Lavett Smith, C., Rand, C. S., Schaeffer, B., and Atz, J. W. (1975). Latimeria, the living coelacanth, is ovoviviparous. Science 190(4219), 1105–1106.

Pouyaud, L., Wirjoatmodjo, S., Rachmatika, I., Tjakrawidjaja, A., Hadiaty, R., & Hadie, W. (1999). A new species of coelacanth. Genetic and morphologic proof. Comptes Rendus de l’Academie des Sciences. Serie III, Sciences de la Vie, 322(4), 261-267.

Smith, J.L.B. (1956). The Search Beneath the Sea – The Story of the Coelacanth. New York: Holt.

Sutton, M. & Griffiths, M.D. (2018). Using date specific searches on Google Books to disconfirm prior origination knowledge claims for particular terms, words, and names. Social Sciences, 7, 66. doi:10.3390/socsci7040066.

From the university of perversity: An A to Z of non-researched sexual paraphilias (Part 5)

Today’s blog is the fifth part in my review of little researched (and in most cases non-researched) sexual paraphilias and strange sexual behaviours. (You can read Part 1 here, Part 2 here, Part 3 here, and Part 4 here). I’ve tried to locate information on all of these alleged sexual behaviours listed below and in some cases have found nothing more than a definition (some of which were in Dr. Anil Aggrawal’s book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices and/or Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices).

  • Antholagnia: This refers to deriving sexual arousal from smelling flowers (and the arousal may depend on the sight and/or smell of the flowers), and is a specific form of olfactophilia (sexual arousal from smell which I looked at in a previous blog). The Kinkly website notes (without empirical evidence to back up any of the claims made) that: “People with antholagnia typically have a preference for certain flowers, just as most people are sexually aroused by certain body types. They are likely to become aroused while visiting a florist shop, a floral nursery, or a botanical garden. They may also seek out images of flowers online for sexual gratification”.
  • Blennophilia: This refers to deriving sexual arousal towards slime. It is also known as myxophilia and appears to be a specific form of salirophilia (sexual arousal from mess and dirt), a paraphilia that I recently published a case study about in the Journal of Concurrent Disorders.
  • Chezolagnia:  This refers to deriving sexual arousal from masturbating while defecating. However, some definitions refer to it being a condition in which an individual derives sexual excitation and/or gratification from the act of defecation but this wider definition refers to coprophilia (which I looked at in a previous blog).
  • Dermatophilia: A few websites refer to this as deriving sexual arousal from skin lesions and/or skin diseases although it appears this this is just the lexical opposite of dermatophobia. I did write a previous blog on acnephilia which could arguably be a specific type of dermatophilia.
  • Epistaxiophilia: This refers to deriving sexual pleasure from nosebleeds (presumably seeing others have nosebleeds rather than the individuals themselves). I did write a previous blog on the relationships between sex and nosebleeds but did not mention epistaxiophilia.
  • Febriphilia: This refers to deriving of sexual arousal from fever. I’ve only ever seen this listed on a few websites such as the Alpha Dictionary. I did find one person claiming to have this paraphilia: “I have a very, um, unusual fetish. It’s known as febriphilia. So far, I’ve heard of no one that shares this attraction, and I’m starting to wonder if there are any closet febriphiles out there. I’ve always liked weakness, helplessness, and illnesses in general, but fevers are the biggest thing. Someone being warmer than usual is, for some reason, something I find very attractive”. Someone did eventually respond over four years later and said: “I have to say you are not alone…There are not many febriphiles out there, it’s very hard to find people who share our attraction, but take solace in the fact that you are not alone and you are not a freak”.
  • Geniophilia: Over the years I’ve written blogs on fetishes for almost every body part but I’ve never written one on geniophilia (which refers to deriving sexual arousal from chins). This was listed in the JMAC Times as being among the “19 strangest turn-ons ever”.
  • Hexakosioihexekontahexaphilia: This refers to deriving sexual pleasure from the number ‘666’. This appears to be a hypothetical paraphilia although the band Vulgarizer did have a track of this name on their album Adonyne.
  • Idrophrodisia: This refers to deriving sexual arousal from the odour of perspiration, especially from the genitals. This appears to be a sub-type of osmophilia (deriving sexual pleasure and arousal caused by bodily odours, such as sweat, urine or menses, and which I looked at in a previous blog).
  • Japanophilia: This refers to deriving sexual arousal from Japanese people. However, most people use the word ‘Japanophile’ in a non-sexual context as referring to the love of all things Japanese (in fact, one reader of my blog emailed me to ask if I was a Japanophile given the many blogs I had written on various aspects of Japanese sexual behaviour including Oshouji, Tamakeri, Shokushu Goukan, Nyotaimori, Omorashi, and Burusera).
  • Kymophilia: Sometimes spelt ‘cymophilia’, this refers to deriving sexual arousal towards waves or wave-like motions. I’ve not some across any evidence that this actually exists but it appears on many other online lists of paraphilias.
  • Lutraphilia: This is a very specific type of zoophilia and refers to deriving sexual arousal from otters. I would like to think this is totally hypothetical but there are otter videos on various zoophile online forums. I didn’t click on the videos as you can’t un-see what you have seen. There are also sex toys in the shape of otters. You have been warned.
  • Metrophilia: This refers to deriving sexual arousal from poetry (presumably erotic poetry although definitions never mention this) and could arguably be a sub-type of narratophilia (sexual arousal from sexual story telling).
  • Nosocomephilia: This refers to deriving sexual arousal from hospitals. This may be a sub-aspect of medical fetishism which I have written about at length in a number of different previous blogs).
  • Ochophilia: This refers to deriving sexual arousal from vehicles and is presumably the more generic name for various sub-types of objectum sexuality including individuals who have had sexual relationships with their cars (such as those I have looked at in previous blogs here and here).
  • Porphyrophilia: We all know that the musician Prince appeared to love all things sexual and maybe he had porphyrophilia which refers to deriving sexual pleasure from the colour purple.
  • ‘Queer women’ fetishism: This type of fetishism was outlined in an article in Mel magazine about heterosexual men whose preferred sexual partner is a lesbian.
  • Rheophilia: This refers to deriving sexual arousal from spending time in running water. This may be a sub-type of aquaphilia (sexual arousal from water and/or watery environments including bathtubs or swimming pools) and ablutophilia (sexual arousal from baths or showers) which I looked at in a previous blog.
  • Staurophilia: This refers to deriving sexual arousal from crosses or crucifixes. I haven’t seen any evidence that this is a genuine paraphilia although the band Fetish Altar had a track entitled ‘The Latex Crucifix’ (the b-side of ‘Sodomize Angelic Figures’).
  • Thlipsosis: This refers to deriving sexual arousal from being pinched or pinching others and is a sadomasochistic behaviour. This is not a plug for the Medical Toys website but they have a lot of products on their ‘Thlipsosis’ page.
  • Urethral fetishism: In previous blogs I have examined urethral sex play in its many forms and with its own lexicon (so if you want to read about it in more detail, read more here).
  • Venustraphilia: I’m a little unclear how this is a paraphilia because this refers to deriving sexual arousal from beautiful women.
  • Wiccaphilia: This refers to deriving sexual arousal from witches and witchcraft and I wrote an article on this paraphilia previously.
  • Xyrophilia: This behaviour refers to those individuals who derive sexual arousal from razors (and its name is derived from its opposite condition – xyrophobia). However, there are online forums for razor fetishists and there may be crossover with those that have blood fetishes (which I’ve looked at in various previous blogs).
  • ‘Yellow Fever’ fetish: I don’t want to be accused of being racist or passive racism so I will leave this definition to Yuan Ren writing in the Daily Telegraph: “Ever heard of yellow fever?No, not the disease you can pick up when travelling to certain countries. I’m talking about when Caucasian men develop an acute sexual preference for East Asian women – even becoming a fetish, for some”.
  • Zip fetishism: Recent news stories have highlighted men who have zip fetishes. On the ‘Is It Normal?’ website, a whole thread was devoted to the topic with various individuals claiming they had such a fetish.

Dr. Mark Griffiths, Distinguished Professor of Behavioural Addiction, 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.

Bering, J. (2014). Perv: The Sexual Deviant In All Of Us. London: Doubleday.

Downing, L. (2010). John Money’s ‘Normophilia’: diagnosing sexual normality in late-twentieth-century Anglo-American sexology. Psychology and Sexuality, 1(3), 275-287.

Gates, K. (2000). Deviant Desires: Incredibly Strange Sex. New York: RE/Search Publications.

Griffiths, M.D. (2019). Salirophilia and other co-occurring paraphilias in a middle-aged male: A case study. Journal of Concurrent Disorders, 1(2), 1-8.

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

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.

Serrano, R.H. (2004). Parafilias. Revista Venezolana de Urologia, 50, 64-69.

Shaffer, L. & Penn, J. (2006). A comprehensive paraphilia classification system. In E.W. Hickey (Ed.), Sex crimes and paraphilia. New Jersey: Pearson Prentice Hall.

Write World (2013). Philias. Located at: http://writeworld.tumblr.com/philiaquirks

Bed-ly serious: A brief look at ‘sleeping addiction’

As a life-long insomniac, I’ve always been interest in sleep at a personal level. In 1984, when I was studying for my psychology degree, the first ever research seminar I attended was one on the psychology of sleep by Dr. Jim Horne (who was, and I think still is, at Loughborough University). I found the lecture really interesting and although I never pursued a career in sleep research it was at that point that I started to take an interest more professionally. In my blog I’ve written a number of articles on various aspects of sleep including sexsomnia (engaging in sexual acts while sleeping, for instance, while sleepwalking), somnophilia (engaging in sexual acts while individuals are sleeping), Sleeping Beauty paraphilia (a sub-type of somnophilia in which individuals are sexually aroused by watching other people sleep), and lucid dreaming (where individuals are aware they are dreaming and exert some kind of control over the content of the dream),

More recently, I’ve been a co-author on a number of research papers in journals such as Sleep Medicine Reviews, Journal of Sleep Research, and Sleep and Biological Rhythms (see ‘Further reading below) but these have all involved either the effects of internet addiction on sleep or the psychometric evaluation of insomnia screening instruments rather than being about the psychology of sleep.

In a previous A-Z article on “strange and bizarre addictions” I included ‘sleep addiction’ as one of the entries. Obviously I don’t believe that sleeping can be an addiction (at least not by my own criteria) but the term ‘sleep addiction’ is sometimes used to describe the behaviour of individuals who sleep too much. Conditions such as hypersomnia (the opposite of insomnia) has been referred to ‘sleeping addiction’ (in the populist literature at least). In a 2010 issue of the Rhode Island Medical Journal, Stanley Aronson wrote a short article entitled ‘Those esoteric, exoteric and fantabulous diagnoses’ and listed clinomania as the compulsion to stay in bed. Given the use of the word ‘compulsive’ in this definition, there is an argument to consider clinomania as an addiction or at least a behaviour with addictive type elements.

In an online article entitled ‘Sleep addiction’, Amber Merton also mentioned clinomania in relation to an addiction to sleep:

“If you are obsessed with sleeping or have an intense desire to stay in bed, you could be suffering from a condition called clinomania. That doesn’t mean that there aren’t people who can experience symptoms similar to addiction and even withdrawal in association with sleep, or lack thereof”.

The reference to ‘addiction-like’ symptoms appears to have some validity based on these self-report accounts I found online. All of these individuals mention various similarities between their constant need for sleep and addiction. I have highlighted these to emphasize my assertions that some of the consequences are at the very least addiction-like:

  • Extract 1: “I believe someone can become psychologically dependent on sleep. I am 47 and have used sleep for 40 years to escape from life…I typically sleep 4-6 hours too much each day. Sleep feels like an addiction to me because I crave it several times a day and am looking forward to how I can sneak it in. I don’t seem to be able to control it with will power for very long…I only have short periods when this isn’t a problem. When I am under stress it is at its worse. If I have any free or unstructured time, I can’t control how much I sleep excessively. When my time is heavily scheduled, I really struggle with keeping a full schedule and crave the time off when I can sleep for hours. If I know I’ll have a few hours in between activities free, I will find ways to sneak in some sleep. I am embarrassed about this, don’t tell the people around me the extent of the problems and devise ways to sneak in sleep without people knowing”.
  • Extract 2: “I love sleeping. It feels so good I think I could even become addicted if I didn’t HAVE to wake up. I sleep about 12 hours every day and could sleep more if I didn’t have to do daily necessities. I am aware of the fact that people who generally sleep more than they are supposed to, die sooner and have other various health problems. To be honest I would rather sleep than do most things. I even choose sleep over sex a lot”.
  • Extract 3: “I often sleep for 12-20 hours at a time. I have depression and am on anti-depressants. I just love sleeping. It’s so safe and comfy. I don’t know how else to explain it. It’s just amazing”.
  • Extract 4: “I sleep AT LEAST 12 hours a day. But on days off I’ve been known to sleep for about 15-20 hours. [I am] addicted to sleep. I’ve cancelled social outings with friends pretending to be sick when really I just wanted to sleep in. I love sleep and I can’t get enough of it. I’ve slept through the entire weekend multiple times before, only waking up Monday morning when my alarm rang. And even after that much wonderful sleep I was still tired. The second I come home from work every day I eat, shower, and then crawl into bed and sleep the entire evening and night away. My alarm’s the only thing that can wake me up anymore…As for why I love sleep so much, I see a lot of people saying it’s an escape for them. For me it’s more, I don’t like people or going out or socializing, so sleep is my drug of choice. Is it bad? Maybe. Do I care? Not really…I more than love it, and it’s not hurting anyone if we’re being honest”.
  • Extract 5: “I feel like I’m addicted to sleep. Here’s why I think though. I suffered for 13 years with depression and while I know I am still getting over it I don’t feel that’s the reason I’m addicted. During those 13 years I would have serious bouts of chronic insomnia. The doctors tried to many different sleeping medications, meditation, clinics to help me find a routine for natural sleep without meds. Nothing worked. Now I live in Thailand and my doctor here recommended melatonin tablets, all natural as your brain is supposed to produce it anyway to tell you when it’s dark it’s time to sleep and when it’s like light it’s time to wake up. She thinks my brain fails to produce certain chemicals as such with serotonin and now figured melatonin. Since I have been taking a melatonin supplement, I sleep so well, I fall asleep within 20 minutes and I sleep for AT LEAST 8 hours. When I wake up I just want to go back to sleep again because it feels amazing. I don’t feel like it’s part of my anxiety or my depression, I just think it’s because I had insomnia for so long its addictive!
  • Extract 6: “To be honest if I could I would sleep my life away. My so called normal sleeping pattern: I am awake all night. Fall asleep around 4am-8am. Sleep 12 hours. Repeat. My mind is a broken record, constantly repeating the trauma. I do suffer from depression and anxiety. Sleep is my addiction. When I sleep I feel SAFE regardless?”
  • Extract 7: “I’ve been addicted to sleep (the escape from an abusive childhood, depression, and PTSD) since I was ten years old! I want to change though because my body is a mess. I’ve slept for 4 days and sometimes more with short awake periods to eat a little and use the potty. Not enough though, because now my body doesn’t work properly…Oversleeping has its consequences”.
  • Extract 8: “I’m so pleased that I have found this site and other people who are addicted to sleep as this problem has plagued my adult life and I would like it to stop. Take today for instance, I woke at 5.30am and was quite awake feeling a little anxious but I could not wait to get to sleep again, so I did and stayed in bed till around 2.20 pm. I have many days like this and as the lady above the sleep state is quite lucid and I do seem to enjoy it rather than getting up and living life for real”.

Again, I reiterate that none of these individuals are addicted to sleep but in addition to the addiction-like descriptions, there is also crossover in the motivations for excessive sleep and motivations underlying addictions (most noticeably the association with depression, anxiety, psychological trauma, and using the activity as an escape). In relation to addiction, these extracts include references to salience (engaging in sleep to the neglect of everything else in their life), cravings (for sleep), the sleep being excessive, repetitive and habitual, sleep leading to negative consequences (conflict), and loss of control. The fact that many of these individuals describe their behaviour as an addiction or addictive doesn’t mean that it is.

While there is no academic paper that I know of that has ever claimed sleep can be a genuine addiction there are countless clinical and empirical papers examining excessive sleep (i.e., hypersomnia) and the different etiological pathways that can lead to hypersomnia. Although hypersomnia is not an addiction, those with the condition (like addicts) can suffer many negative side-effects from the relatively minor (e.g., low energy, fatigue, headaches, loss of appetite, restlessness, hallucinations) to the more severe (e.g., diabetes, obesity, heart disease, clinical depression, memory loss, suicidal ideation, and in extreme cases, death). In one online article I came across, the similarity between hypersomnia and addiction in relation to depression was evident:

It’s important to note that in some cases separating cause from effect here can be muddled. For instance, does over sleeping contribute to depression or does depression contribute to oversleeping? Or are both oversleeping and depression the effect of a larger underlying cause? Furthermore, once a person is experiencing both, could they act to reinforce the other as a feedback loop?”

This observation could just as easily be made about most addictions (substance or behavioural). Finally, it’s worth noting that there are many sub-types of hypersomnia and excessive sleep. In a good review of hypersomnia [HS] in Current Neurology and Neuroscience Reports, Dr. Yves Dauvilliers notes the following hypersomnia sub-types (including narcolepsy which can include excessive sleep but isn’t usually classed as a type of hypersomnia; also note that ‘idiopathic’ means of unknown cause) which I have paraphrased below:

  • Narcolepsy: This is a disabling neurologic disorder characterized by excessive daytime sleep (EDS) and cataplexy (i.e., a sudden loss of voluntary muscular tone without any alteration of consciousness in relation with strong emotive reactions such as laughter, joking).
  • Narcolepsy without cataplexy: This is simply a variant of narcolepsy with cataplexy (but without the cataplexy).
  • Idiopathic hypersomnia: Idiopathic HS is rare and remains a relatively poorly defined condition due to the absence of specific symptoms such as cataplexy or sleep apneas (i.e., loss of breathing while sleeping).
  • Recurrent hypersomnia: This HS is characterized by repeated episodes of excessive sleep (at least 16 hours a day) lasting from a few days up to several weeks. The most well-known recurrent HS is Kleine-Levin syndrome which comprises both cognitive disturbances (feelings of confusion and unreality) and behavioural disturbances (such as overeating and hypersexual behaviour during symptomatic episodes).
  • Hypersomnia associated with neurologic disorders: This type of HS causes EDS and can be a result of brain tumours, dysfunction in the thalamus, hypothalamus, or brainstem that may mimic idiopathic HS or narcolepsy.
  • Hypersomnia associated with infectious disorders: This type of HS can be a result of viral infection such as HIV pneumonia, Whipple’s disease (a systemic disease most likely caused by a gram-positive bacterium), or Guillain-Barré syndrome (a rapid-onset muscle weakness caused by the immune system damaging the peripheral nervous system).
  • Hypersomnia associated with metabolic or endocrine disorders: This type of HS can be a result of conditions such as hyperthyroidism, diabetes, hepatic encephalopathy (a liver dysfunction among individuals with cirrhosis), and acromegaly (a hormonal disorder that develops when the pituitary gland produces too much growth hormone).
  • Hypersomnia caused by drugs: This type of HS is secondary to many different types of drug medication including hypnotics, anxiolytics, antidepressants, neuroleptics, anti-histamines, and anti-epileptics.
  • Hypersomnia not caused by drugs or known physiologic conditions: This type of HS can be caused by a range of disorders such as depressive disorder, seasonal affective disorder, and abnormal personality traits.

None of these types of HS is an addiction but clearly the negative consequences can be just as serious for the individual.

Dr. Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Alimoradi, Z., Lin, C-Y., Broström, A., Bülow, P.H., Bajalan, Z., Griffiths, M.D., Ohayon, M.M. & Pakpour, A.H. (2019). Internet addiction and sleep problems: A systematic review and meta-analysis. Sleep Medicine Review, 47, 51-61.

Aronson, S. M. (2010). Those esoteric, exoteric and fantabulous diagnoses. Rhode Island Medical Journal, 93(5), 163.

Bener, A., Yildirim, E., Torun, P., Çatan, F., Bolat, E., Alıç, S., Akyel, S., & Griffiths, M.D. (2019). Internet addiction, fatigue, and sleep problems among students: A largescale survey study. International Journal of Mental Health and Addiction. doi: 10.1007/s11469-018-9937-1

Billiard, M., & Dauvilliers, Y. (2001). Idiopathic hypersomnia. Sleep Medicine Reviews, 5(5), 349-358.

Dauvilliers, Y. (2006). Differential diagnosis in hypersomnia. Current Neurology and Neuroscience Reports, 6(2), 156-162.

Domenighini, A. (2016). Can you be addicted to sleep? Vice, January 24. Located at: https://www.vice.com/en_us/article/mg7e33/can-you-be-addicted-to-sleep

Hawi, N.S., Samaha, M., & Griffiths, M.D. (2018). Internet gaming disorder in Lebanon: Relationships with age, sleep habits, and academic achievement. Journal of Behavioral Addiction, 7, 70-78.

Mamun, M.A. & Griffiths, M.D. (2019). Internet addiction and sleep quality: A response to Jahan et al. (2019). Sleep and Biological Rhythms. doi: 10.1007/s41105-019-00233-0

Merton, A. (2008). Sleep addiction. Located at: https://www.plushbeds.com/blog/sleep-disorders/sleep-addiction/

Mignot, E. J. (2012). A practical guide to the therapy of narcolepsy and hypersomnia syndromes. Neurotherapeutics, 9(4), 739-752.

Pakpour, A., Lin, C-Y., Cheng, A.S., Imani, V., Ulander, M., Browall, M. Griffiths, M.D., Broström, A. (2019). A thorough psychometric comparison between Athens Insomnia Scale and Insomnia Severity Index among patients with advanced cancer. Journal of Sleep Research. doi: 10.1111/jsr.12891.

Risky business: Organisations should have a ‘gambling at work’ policy

Earlier this week, I was interviewed by the BBC about whether organisations should help individuals who have gambling problems and whether they should have a ‘gambling at work’ policy. Most of us work in organisations that have policies on behaviours such as drinking alcohol and cigarette smoking. However, very few companies have a ‘gambling at work’ policy. One problem gambler in a position of financial trust can bring down a whole organisation – Nick Leeson being a case in point when he single-handedly brought down Barings Bank). Leeson’s (albeit somewhat extreme) antics demonstrate that organisations need to acknowledge that gambling with company money can be disastrous for the company if things go horribly wrong. While no company expects an employee gambling to bring about their collapse, Leeson’s case does at least highlight gambling as an issue that companies ought to think about in terms of risk assessment.

Gambling is a popular leisure activity and national UK surveys into gambling participation show that around two-thirds of adults’ gamble annually and that problem gambling affects approximately 0.5% of the British population (although the prevalence rates for adolescents can be three to four rimes higher). There are a number of socio-demographic factors associated with problem gambling. These included being male, having a parent who was or who has been a problem gambler, being single, and having a low income. Other research shows that those who experience unemployment, poor health, housing, and low educational qualifications have significantly higher rates of problem gambling than the general population.

It is clear that the social and health costs of problem gambling can be large on both an individual and societal level. Personal costs can include irritability, extreme moodiness, problems with personal relationships (including divorce), absenteeism from work, family neglect, and bankruptcy. There can also be adverse health consequences for both the problem gambler and their partner including depression, insomnia, intestinal disorders, migraines, and other stress-related disorders.

For most people, gambling is not a serious problem and in some cases may even be of benefit in team building and/or creating a collegiate atmosphere in the workplace (e.g., National Lottery syndicates, office sweepstakes). However, for those whose gambling starts to become more of a problem, it can affect both the organisation and other work colleagues. Typically problem gambling at work can lead to many negative “warning signs” such as misuse of time, mysterious disappearances, long lunches, late to work, leaving early from work, unusual vacation patterns, unexplained sick leave, internet and telephone misuse, etc. However, new forms of gambling, such as gambling via the internet or smartphones at work, means that many of these warning signs are unlikely to be picked up. However, just because problem gambling is difficult to spot does not mean that managers should not include it in risk assessments and/or planning procedures. Listed below are some practical steps that can be taken to help minimise the potential problem.

  • Take the issue of gambling seriously. Gambling (in all its many forms) has not been viewed as an occupational issue at any serious level. Managers, in conjunction with Human Resources Departments need to ensure they are aware of the issue and the potential risks it can bring to both their employees and the whole organisation. They also need to be aware that for employees who deal with finances, the consequences for the company should that person be a problem gambler can be very great.
  • Raise awareness of gambling issues at work. This can be done through e-mail circulation, leaflets, and posters on general notice boards. Most countries (including the UK) have national and /or local gambling agencies that can supply useful educational literature (including posters). Telephone numbers for these organisations can usually be found in most telephone directories.
  • Ask employees to be vigilant. Problem gambling at work can have serious repercussions not only for the individual but also for those employees who befriend a problem gambler, and the organisation itself. Fellow staff members need to know the signs and symptoms of problem gambling. Employee behaviours such as asking to borrow money all the time might be indicative of a gambling problem.
  • Give employees access to diagnostic gambling checklists. Make sure that any literature or poster within the workplace includes a self-diagnostic checklist so that employees can check themselves to see if they might have (or be developing) a gambling problem.
  • Check internet “bookmarks” of staff. In some jurisdictions across the world, employers can legally access the e-mails and internet content of their employees. One of the easiest checks is to simply look at an employee’s list of “bookmarked” websites. If they are gambling on the internet regularly, internet gambling sites are almost certainly likely to be bookmarked.
  • Develop a “Gambling at Work” policy. As mentioned at the start of this blog, many organisations have policies for behaviours such as smoking or drinking alcohol in the workplace. Employers should develop their own gambling policies by liaison between Human Resource Services and local gambling agencies. A risk assessment policy in relation to gambling would also be helpful.
  • Give support to identified problem gamblers.  Most large organisations have counselling services and other forms of support for employees who find themselves in difficulties. Problem gambling needs to be treated sympathetically (like other more bona fide addictions such as alcoholism). Employee support services must also be educated about the potential problems of workplace gambling.

Problem gambling can clearly be a hidden activity and the growing availability of internet gambling and gambling via smartphone or tablets is making it easier to gamble from the workplace. Thankfully, it would appear that for most people, gambling is not a serious problem. For those whose gambling starts to become more of a problem, it can affect both the organisation and other work colleagues (and in extreme cases cause major problems for the company as a whole). Managers clearly need to have their awareness of this issue raised, and once this has happened, they need to raise awareness of the issue among the work force. Gambling is a social issue, a health issue and an occupational issue. Although not high on the list for most employers, the issues highlighted here suggest that it should at least be on the list somewhere.

Dr. Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Calado, F., Alexandre, J. & Griffiths, M.D. (2017). Prevalence of adolescent problem gambling: A systematic review of recent research. Journal of Gambling Studies, 33, 397-424.

Calado, F. & Griffiths, M.D. (2016). Problem gambling worldwide: An update of empirical research (2000-2015). Journal of Behavioral Addictions, 5, 592–613.

Griffiths, M.D. (2002). Internet gambling in the workplace. In M. Anandarajan & C. Simmers (Eds.). Managing Web Usage in the Workplace: A Social, Ethical and Legal Perspective. pp. 148-167. Hershey, Pennsylvania: Idea Publishing.

Griffiths, M.D.  (2002).  Occupational health issues concerning Internet use in the workplace. Work and Stress, 16, 283-287.

Griffiths, M.D. (2004). Betting your life on it: Problem gambling has clear health related consequences. British Medical Journal, 329, 1055-1056.

Griffiths, M.D. (2009). Internet gambling in the workplace. Journal of Workplace Learning, 21, 658-670.

Griffiths, M.D. (2010). Internet abuse and internet addiction in the workplace. Journal of Worplace Learning, 7, 463-472.

Griffiths, M.D. (2010). The hidden addiction: Gambling in the workplace. Counselling at Work, 70, 20-23.

Can you stomach it? Another look at ‘bellypunching’ for sexual arousal

In a previous blog, I briefly looked at gastergastrizophilia (a sadomasochistic sexual paraphilia in which individuals derive sexual pleasure and arousal from bellypunching). I also noted that I had never seen it listed in any reputable academic source (and that it did not appear in either Dr. Anil Aggrawal’s Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices or Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices). I also wondered whether it really existed. Since writing that blog I’ve had a few people write to me saying that it definitely exists (see the comment section of my previous blog). I also described it as “one of the weirdest sounding sexual paraphilias that I have come across”. Last week I received some feedback from a man who criticized my article on the topic. I always welcome feedback (however critical) so I thought I would use today’s blog to respond to the criticism I received. I have included all the feedback I received along with my responses. Although I have the name and email address of the man who contacted me, I have decided not to use them in this article as he did not give me permission to do so (although if he does, I will update this accordingly).

Gutpuncher: I must admit – coming from a phycologist [sic] – I find that opening statement (“one of the weirdest sounding sexual paraphilias that I have come across”) to be an exceedingly derogatory and leading comment, immediately stamping all that is to follow with a big, bold stigma… That statement is as perverted as it is pejorative. It erroneously throws all who enjoy and practice this fetish into the fringe of lawlessness and make them sexual deviants without ethics or conscience. It’s the insane equivalent of saying, “we have no idea how many people actually engage in sex, because the participants themselves aren’t really sure of what is consent and what is rape.” REALLY?! EVERYONE with whom I have EVER participated in this fetish, myself very much included, has ALWAYS done so with complete and total CONSENT. The only reason we might not so quickly stand up to be counted –– is we’re not so keen on pointed fingers labeling us as “weird.

My response: Obviously I am a psychologist not a ‘phycologist’. But more seriously, what I actually wrote was that it one of the “weirdest sounding” paraphilias. To me, ‘gastergastrizophilia’ does sound weird compared to hundreds of other paraphilias that I have written about. I used the word ‘weird’ as a synonym for ‘strange’ or ‘unusual’. I think ‘Gutpuncher’ interpreted “one of the weirdest sounding paraphilias” as being “one of the weirdest paraphilias” which is somewhat different. Having said that, even if I had written what ‘Gutpuncher’ appears to think I have written, I would still argue that the use of ‘weird’ is a legitimate word to use (and I think most individuals would agree). Also, ‘Gutpuncher’ appears to think that calling an activity “weird” means that the person doing it is ‘weird’ but this is simply not true. I have a number of self-acknowledged weird hobbies (some of which I’ve written about such as being a record collecting completist who will happily pay lots of money for something that I may not even like) but this does not make me (as an individual) weird. The activity and the individual are two distinct things. But I’d just like to reiterate, what I actually wrote was that ‘gastergastrizophilia’ is weird-sounding.

Gutpuncher: Having just come across your article, though, I honestly don’t even know if the true purpose of your blog is to actually “help” anyone with real questions, concerns, or confusion about their own lives or sexuality. After a quick check and realizing that your expertise lies in gaming and gambling addictions, quite possibly your dealing with matters of sexuality here may just be a fun outlet, a way of creating a relaxed, man-of-the-people presence here on the internet, without any real offerings of advice or council – well, other than proclaiming certain things as “weird.”

My response: My blog page clearly states on every article that I have ever published: “Welcome to my blog! If you are interested in addictive, obsessional, compulsive and/or extreme behaviours, you’ve come to the right place”. The primary purpose of my blog is to write about things that I think people might want to read. My aim is not to help people, but if it does, that’s great, but it’s not the primary purpose. ‘Gutpuncher’ says my “expertise lies in gaming and gambling addictions” and that “dealing with matters of sexuality here may just be a fun outlet”. I do indeed have expertise in gambling and gaming addictions as well as in many other behavioural addictions. While gambling and gaming are among my main areas of expertise, I’ve also published over 50 academic papers (as well as many populist articles) on human sexual behaviour including papers on paraphilias (a small selection of which I list in the ‘Further reading’ section below). I think this more than qualifies me to write about human sexual behaviour. Even if I didn’t have expertise in researching sexual behaviour, it still wouldn’t invalidate me from writing about things that interest me (which sex does).

Gutpuncher: I also take great offense at the included quote (though not your own, but presented nonetheless to be considered) that “nobody has any real numbers, in part because the participants themselves don’t know where the line actually divides consent and abuse.”

My response: Any quotes that I use in blogs are fully referenced and are the views of the person writing it. Quotes used may or may not match my own views. This doesn’t mean I can’t use them. The quote came from the Wikipedia entry on ‘bellypunching’ and it’s the only article on the topic that I found when I wrote the article at the time.

Gutpuncher: But still, as a male who (purely from a homoerotic perspective) finds great pleasure in this fetish (known in male form as “Gutpunching” or “ab punching”), and as one who has personally connected with 60+ other males in the flesh who – most definitely – also find arousal in this sexual proclivity, and as someone who has personally witnessed hundreds and hundreds of other males online (through profile-posting websites and video uploads) who also claim this fetish as their own, I wonder why the male perspective has been entirely ignored here? Since this blog post was to give a look, however “brief,” at the subject, that seems to me a rather large omission. Again, quite possibly, this blog may playfully lean toward titillation instead of factual inclusivity, and “gay” stuff may add a whole other unappealing level of “weird.” But, this fetish IS most assuredly both a female and a MALE subject, to be correct.

My response: This is useful anecdotal information from someone who has first-hand experience of the gutpunching community. I wrote my article on gastergastrizophilia in August 2015 (i.e., four years ago). As with all my blogs, I researched the area and referenced everything I was able to locate scientifically and empirically (I found nothing published on any academic database) and anecdotally (i.e., searching online). I referenced everything that I found and only located one article (on Wikipedia) and also found some first-person accounts on the Dark Fetish website, as well as reference to hundreds of bellypunching videos. I didn’t ignore (or deliberately omit) anything and I wrote about what I found. I look forward to you sending me more information so that I can do a follow-up article.

Dr. Mark Griffiths, Distinguished Professor of Behavioural Addiction, 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.

Bőthe, B., Bartók, R., Tóth-Király, I., Reid, R.C., Griffiths, M.D., Demetrovics, Z., Orosz, G. (2018). Hypersexuality, gender, and sexual orientation: A largescale psychometric survey study. Archives of Sexual Behavior, 47, 2265-2276.

Bőthe, B., Kovács, M., Tóth-Király, I., Reid, R.C., Griffiths, M.D., Orosz, G., Demetrovics, Z. (2019). The psychometric properties Hypersexual Behavior Inventory using a large-scale nonclinical sample. Journal of Sex Research, 56, 180-190.

Bőthe, B., Tóth-Király, I., Zsila, Á., Griffiths, M.D., Demetrovics, Z., Orosz, G. (2018). The development of the Problematic Pornography Consumption Scale (PPCS). Journal of Sex Research, 55, 395-406.

Dhuffar, M. & Griffiths, M.D. (2015). A systematic review of online sex addiction and clinical treatments using CONSORT evaluation. Current Addiction Reports, 2, 163-174.

Dhuffar, M. & Griffiths, M.D. (2014). Understanding the role of shame and its consequences in female hypersexual behaviours: A pilot study. Journal of Behavioural Addictions, 3, 231–237.

Dhuffar, M.K. & Griffiths, M.D. (2015). Understanding conceptualisations of female sex addiction and recovery using Interpretative Phenomenological Analysis. Psychology Research, 5, 585-603.

Dhuffar, M., Pontes, H.M. & Griffiths, M.D. (2015). The role of negative mood states and consequences of hypersexual behaviours in predicting hypersexuality among university students. Journal of Behavioural Addictions, 4, 181–188.

Dhuffar, M. & Griffiths, M.D. (2016). Barriers to female sex addiction treatment in the UK. Journal of Behavioural Addictions, 5, 562–567.

Fernandez, D. & Griffiths, M.D. (2019). Psychometric instruments for problematic pornography use: A systematic review. Evaluation and the Health Professions. Epub ahead of print, doi: 10.1177/0163278719861688

Greenhill, R. & Griffiths, M.D. (2015). Compassion, dominance/submission, and curled lips: A thematic analysis of dacryphilic experience. International Journal of Sexual Health, 27, 337-350.

Greenhill, R. & Griffiths, M.D. (2016). Sexual interest as performance, intellect and pathological dilemma: A critical discursive case study of dacryphilia. Psychology and Sexuality, 7, 265-278.

Griffiths, M.D. (1999). Dying for it: Autoerotic deaths. Bizarre, 24, 62-65.

Griffiths, M.D. (2000).  Excessive internet use: Implications for sexual behavior. CyberPsychology and Behavior, 3, 537-552.

Griffiths, M.D.  (2001).  Sex on the internet: Observations and implications for sex addiction. Journal of Sex Research, 38, 333-342.

Griffiths, M.D. (2001). Stumped! Amputee fetishes. Bizarre, 44, 70-74.

Griffiths, M.D. (2010). Addicted to sex? Psychology Review, 16(1), 27-29.

Griffiths, M.D. (2012). The use of online methodologies in studying paraphilias: A review. Journal of Behavioral Addictions, 1, 143-150.

Griffiths, M.D. (2013). Eproctophilia in a young adult male: A case study. Archives of Sexual Behavior, 42, 1383-1386.

Griffiths, M.D. (2019). Paraphilias and the press – Don’t always believe what you read. Medical Journal Armed Forces India, 75, 232-233.

Griffiths, M.D. (2019). Salirophilia and other co-occurring paraphilias in a middle-aged male: A case study. Journal of Concurrent Disorders, 1(2), 1-8.

Griffiths, M.D. & Dhuffar, M. (2014). Treatment of sexual addiction within the British National Health Service. International Journal of Mental Health and Addiction, 12, 561-571.

The Full Wiki (2013). Bellypunching. Located at: http://www.thefullwiki.org/Bellypunching

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

Van Gordon, W., Shonin, E., & Griffiths, M.D. (2016). Meditation Awareness Training for the treatment of sex addiction: A case study. Journal of Behavioral Addictions, 5, 363–372.

Stars in their highs: The psychology of ‘addiction to fame’ (revisited)

A couple of weeks ago, I was contacted by The Face magazine who wanted to know if fame can be addictive. I looked at this issue in one of my first articles published on this website as well as a number of other articles related to fame (such as ones on Celebrity Worship Syndrome, the psychology of being starstruck, celebriphilia [the pathological desire to have sex with a celebrity], celebrity endorsements in gambling advertising, and whether famous people are more susceptible to addictive behaviour). I ended up doing the interview via email and given that when The Face eventually publish their article I am unlikely to get more than a few soundbites, I thought I would publish my responses to the questions I was asked here.

The Face: Why do we desire fame?

Obviously not everyone wants to be famous but for those that desire it there are many reasons why they would want it. On a pragmatic level it is because fame might lead to benefits such as having more money, power, being pampered, living a life of luxury and/or greater sexual success, etc. On a psychological level it may lead to something that overcomes feelings of insecurity or feeds a need to be adored by others. Many people are famous as a by-product of what they do (e.g., being a professional sportsman, politician, etc.). Here, the desire is to do well in the chosen profession and fame is not usually the primary motivating factor. However, it is also worth noting that once someone has become famous and then are unable to maintain their public profile (e.g., a footballer retiring from the sport), those who desire fame will often do other things (e.g., reality TV) as a way of keeping themselves in the public eye.

The Face: Is fame an addiction?

Addiction to anything relies on constant rewards (what we psychologists call ‘reinforcement’). You cannot become addicted to something that doesn’t have constant rewards – and being famous can obviously bring constant rewards. I would class something as being an addiction if it fulfils six criteria. All of these have to be present to be a genuine addiction.

  • Salience –This occurs when fame becomes the single most important activity in the person’s life and dominates their thinking (preoccupations and cognitive distortions), feelings (cravings) and behaviour (deterioration of socialised behaviour).
  • Mood modification – This refers to the subjective experiences that people report as a consequence of being famous (e.g. the euphoric feelings that accompany the activities that they engage in).
  • Tolerance – This is the process whereby increasing amounts of time spent trying to achieve and/or maintain fame.
  • Withdrawal symptoms – These are the unpleasant feeling states and/or physical effects (e.g., the shakes, moodiness, irritability, etc.), that occur when the person feels they are no longer famous and/or in the public eye.
  • Conflict – This is when the desire to be famous results in conflicts between the person and those around them (interpersonal conflict), conflicts with other activities (social life, hobbies and interests) or from within the individual themselves (intra-psychic conflict and/or subjective feelings of loss of control about achieving and/or maintaining fame).
  • Relapse – This is the tendency for repeated reversions to earlier patterns of excessive time spent trying to achieve and/or maintain fame.

My own view is that it is theoretically possible for individuals to be addicted to fame but the number that would fulfil all my criteria would be few and far between.

The Face: You have asked the question of what substance the people addicted to fame are actually addicted to. Couldn’t it just be validation? 

The ‘object’ of fame addiction is likely to be highly idiosyncratic and individualistic (just like those individuals who are addicted to work). The rewards and reinforcements will be different for different people. Validation is a plausible generic factor as is feeling of wanting to be adored.

The Face: Is there any biological similarity between what an addictive substance like cocaine does to the brain and what fame does? 

There is no empirical evidence to answer such a question but on a biological level, anything that we do that makes us feel good leads to increases in serotonin (which at a basic level leads to feelings of positive wellbeing and happiness) which leads to an increase in the body’s own drug-like chemicals (endorphins – opioid neuropeptides), and ultimately leading to increases of the neurotransmitter dopamine (often characterised as the body’s own chemical ‘pleasure’ producer)

The Face: Does the behaviour of people ‘addicted’ to fame mirror that of other addicts?

If we are going to call fame an ‘addiction’ it has to mirror the signs, symptoms, and consequences of other addictions. Consequently, very few people would be classed as addicted using my criteria above. For many individuals, fame might have addictive elements rather than being an addiction per se.

Dr Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Griffiths, M.D. & Joinson, A. (1998). Max-imum impact: The psychology of fame. Psychology Post, 6, 8-9.

Halpern, J. (2007). Fame Junkies. New York: Houghton Mifflin Harcourt

McGuinness, K. (2012). Are Celebrities More Prone to Addiction? The Fix, January, 18. Located at: http://www.thefix.com/content/fame-and-drug-addiction-celebrity-addicts100001

Rockwell, D. & Giles, D.C. (2009). Being a celebrity: A phenomenology of fame. Journal of Phenomenological Psychology, 40, 178-210.

Streeter, L.G. (2011), Doctor helps people beat their fame addiction. Palm Beach Post, October 3. Located at:  http://www.palmbeachpost.com/health/doctor-helps-people-beat-their-fame-addiction-1892781.html

Turner, M. (2007). Addicted to fame: Stars and fans share affliction. MSNBC Entertainment News, August 9. Located at: http://today.msnbc.msn.com/id/20199608/ns/today-entertainment/t/addicted-fame-stars-fans-share-affliction/

Carry on pampering: A brief look at “comfort addiction”

“Comfort addiction is everywhere in 2019. There are TED Talks, rehab treatments and academic articles devoted to this new-age compulsion – just ask Keith Richards or King Salman of Saudi Arabia” (The Tatler, 2019).

This opening quote is from a recent article by Helen Kirwan-Taylor in The Tatler sent to me by psychotherapist Christopher Burn (whose book Poetry Changes Lives I mentioned in a previous article on ‘poetry addiction‘). He thought I might be interested in writing an article on it (and he was right). Anything with the word ‘addiction’ attached to something I have not come across before I always going to arouse my curiosity. I typed in “comfort addiction” to Google and was surprised to find quite a few articles such as ‘Overcome your comfort addiction’ (in The Huffington Post), ‘Are you ready to start conquering your dangerous addiction to comfort?’ (in The Entrepreneur), ‘Are you addicted to comfort?’ (in The New Man), ‘Living in the age of comfort addiction‘ (Patheos.com), and ‘Our crippling addiction to comfort’ (in The Inspirational Lifestyle). I even came across a television news item on Good Morning San Diego (pictured below).

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The thrust of Kirwan-Taylor’s article is that some individuals are addicted to “indulgence” and recounts anecdotes of celebrities (both living and dead such as Queen Victoria, Hillary Clinton and Kate Moss) and a few non-celebrities who apparently suffer or suffered from such an ‘addiction’. A few examples of alleged ‘comfort addiction’ from the article included the following:

Pink Floyd toured with an ‘Ambience Director’ to ensure their every whim was catered for in distant lands. Keith Richards has a shepherd’s pie made for him before every Stones gig…Lionel Richie takes his own scented candle to ward off unsavoury smells and make places ‘feel like home’; and the late AA Gill, a former Tatler writer, used to always request the same table at The Wolseley for breakfast”.

Kirwan-Taylor then goes on to assert that ‘comfort addiction’ is a “vice about which few are willing to go on the record”. The first thing to say is that the examples cited have absolutely nothing to do with any operational definition of addiction that I can think of, and the word ‘addiction’ is being used in a light-hearted or throwaway manner (as well as an arguably sensationalist tactic to get people like myself to read it). One of Kirwan-Taylor’s interviewees was a private banker named only as ‘Simon’ (born with a silver ladle in his mouth):

“Comfort addiction is little talked about because sufferers know that it’s a pretty unattractive condition. I’ve started to decline shooting invitations because you can never be sure whether the mattress will be firm enough, the sheets clean enough or the bathroom en suite. Statelies [stately homes] are particularly uncomfortable”.

The article’s apparent rationale for calling such behaviour an ‘addiction’ is that there are addictive elements such as mood modification, withdrawal symptoms, and interpersonal conflict. More specifically, (i) comfort is similar to addictive substances (such as cocaine, alcohol and sugar) and makes individuals “feel temporarily better [and] soothes away life’s irritants” [mood modification] (ii) any sudden withdrawal of comfort leads the individuals “into a combination of acute anxiety, helplessness and rage” [withdrawal symptoms], and (iii) there are individuals are prepared to forego social events with friends because they are afraid to undergo any type of discomfort (presumably both psychological and physical although the article doesn’t explicitly say) [interpersonal conflict]. To overcome the lack of creature comforts, such individuals will bring their own bedding, food, drink, and eating and drinking utensils when staying at hotels or at friends’ houses. As one (unnamed) hotelier claimed:

“[Such individuals] don’t like the idea of sleeping on the same bed linen a thousand other people have slept on before. They prefer snuggling up in something that feels like home”.

To be honest, I can understand some of the thought processes behind this. I never ever (and I really do mean never) try on clothes or shoes in a shop before buying them because all I can think about is the number of sweaty and/or unclean people who might have tried on the clothing before me. Kirwan-Taylor also makes the claim that:

“There are, of course, varying levels of creature comfort. The late Karl Lagerfeld not only travelled by private jet with his own bookcase, he also went to extraordinary lengths to cosset his guests, too [such as building] a tennis court on his property at Biarritz as an enticement for [Anna Wintour] to visit…It is [also] rumoured that when King Salman of Saudi Arabia was due to stay at the One & Only Reethi Rah in the Maldives in 2017, he asked for exclusive hire of the hotel and that it be repainted and fitted with gold handrails. At his request, a hospital was apparently built on-site, and nannies, personal trainers, security and chefs were flown in by private jet. In the end, the King never turned up”.

According to Kirwan-Taylor, there are other factors that facilitate ‘comfort addiction’ of which age is one. To support this proposition, the article featured quotes from Dr Robert Biswas-Diener (co-author of self-help book The Upside of Your Dark Side as well as a TED Talk on ‘comfort addiction’) who described the phenomenon of ‘comfort inflation’ which turns into an “expectation”. He claimed (and I agree with such claims) that:

“Standards inflate over time. When you’re a student, a futon seems fine. By the time you’re 40, you can only sleep in a super king. It’s a natural progression. Business class gets you off and on the plane first. You sit by yourself. If you’re flying economy and you’re upgraded, you’re elated. If you’re flying business and are downgraded, you’re fuming. It’s easier to adjust upwards than downwards… Comfort is about convenience, privacy and safety. It is all about control. When you’re lumped in economy you have no idea who you will be sitting next to”.

When it comes to flying business class, I can only concur. Because of a degenerative medical condition, I can no longer fly long distances in economy class. If my clients want my services, flying business class is a minimum. I’m not bothered about the service received by the airline staff or boarding the plane first (although that’s admittedly nice), I just want comfort on the plane (and access to the comfortable seating or showers in the business lounge). I could argue (based on my own research) that there is an analogy to the concept of ‘tolerance’ here (the needing of more and more of a particular substance or behaviour to get the same initial mood-modifying effects). Whereas I was once happy to be flying on a plane to get from A to B, now I want the ultimate in comfort. I now discuss which airline’s business class I prefer or which business lounges are best. One of my colleagues once called me a “comfort junkie” (which again plays on the addiction analogy) but all this really means I like my five-star hotels and creature comforts (you will never see me go camping again in my life).

As Kirwan-Taylor’s article points out, “[individuals] quickly adjust to our new standards and [they] want more”. The article also includes a quote from George Harrison who once said “Do you remember when we were so poor we had to fly first class?”. Other signs that individuals have a ‘comfort addiction’ is individuals who “install home gyms, cinemas and hair salons [in their homes] as standard”. And too much comfort may not be a good thing for us. Kirwan-Taylor also interviewed Norman Doidge (author of The Brain That Changes Itself) who asserted:

“Too much comfort lowers resilience and with it the ability to deal with challenges. It is the willingness to leave the comfort zone that is key to keeping the brain new”

Obviously I don’t think ‘comfort addiction’ exists but I don’t deny some people’s experiences relating to comfort (including my own personal experiences) and I could certainly make an argument that there are some addiction-like elements.

Dr. Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK 

Further reading

Doidge, N. (2008). The Brain That Changes Itself. London: Penguin.

Haisha, L. (2011). Overcome your ‘comfort addiction’. Huffington Post, November 17. Located at: https://www.huffpost.com/entry/overcome-your-comfort-add_n_637327

Kashdan, T. & Biswas-Diener, R. (2014). The Upside of Your Dark Side. London: Penguin.

Kirwan-Taylor, H. (2019). Are you a comfort addict and utterly addicted to indulgence? The Tatler, May 14. Located at: https://www.tatler.com/article/are-you-a-comfort-addict

Lanier, T. (2015). Are you addicted to comfort? The New Man, June 1. Located at: https://www.thenewmanpodcast.com/2015/06/are-you-addicted-to-comfort/

Munro, D. (2017). Our crippling addiction to comfort. The Inspirational Lifestyle, May 22. Located at: http://www.theinspirationallifestyle.com/our-crippling-addiction-to-comfort/

Schmidt, M. (2017). Living in the age of comfort addiction. Patheos.com, February 28. Located at: https://www.patheos.com/blogs/takeandread/2017/02/living-age-comfort-addiction-qa-erin-straza/

Shore, J. (2015). Are you ready to start conquering your dangerous addiction to comfort? The Entrepreneur, April 2. Located at: https://www.entrepreneur.com/article/244480

Life of Brian: The wit and wisdom of Nottingham’s greatest football legend

As a football fan I’m really looking forward to tonight’s European Champions League final between Liverpool and Tottenham Hotspur. For football fans, the premier European club competition is always a ‘must see’ event and with two English Premiership clubs in the final, it’s an even better prospect. The two semi-final matches (with Liverpool and Spurs both defying the odds to reach the final) were probably two of the best games I’ve ever seen. Living in Nottingham for the past 24 years, many residents still talk about Nottingham Forest winning back-to-back European cups in 1979 and 1980 (games I still remember watching as a kid) as well as the manager Brian Clough. His statue (pictured below) is now a popular tourist attraction in Nottingham.

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In a previous blog (I’ll get my quote”: Managing their reputation“), I recounted some of my favourite quotes from football managers around the world. I also mentioned that some football managers could have a whole column to themselves and top of the list would be the best manager England never had – Brian Clough, OBE (“old big ‘ead” to the masses). Cloughie was arrogant as typified in his most famous quote when reflecting on his management career (“I wouldn’t say I was the best manager in the business. But I was in the top one”). In honour of today’s Champions League final, here are my other golden Cloughie moments starting with some more arrogant claims:

  • “The River Trent is lovely, I know because I have walked on it for 18 years”
  • “When I go, God’s going to have to give up his favourite chair”
  • “We talk about it for twenty minutes and then we decide I was right”
  • I’ve decided to pick my moment to retire very carefully – in about 200 years time”
  • Telling the entire world and his dog how good a manager I was. I knew I was the best but I should have said nowt and kept the pressure off ‘cos they’d have worked it out for themselves”
  • “I’m sure the England selectors thought if they took me on and gave me the job [as England Manager), I’d want to run the show. They were shrewd, because that’s exactly what I would have done”
  • “Rome wasn’t built in a day. But I wasn’t on that particular job”

On England’s exit from the 2000 European Football Championship:

  • “Players lose you games, not tactics. There’s so much crap talked about tactics by people who barely know how to win at dominoes” 

On his alcoholism:

  • “Walk on water? I know most people out there will be saying that instead of walking on it, I should have taken more of it with my drinks. They are absolutely right”
  • “I’m dealing with my drinking problem and I have a reputation for getting things done”

On Sir Alec Ferguson only winning one European Cup:

  • “For all his horses, knighthoods and championships, he hasn’t got two of what I’ve got. And I don’t mean balls!”

On women’s football:

  • “I like my women to be feminine, not sliding into tackles and covered in mud”

On Sven Goran Eriksson, former England manager:

  • “At last they’ve got a manager who speaks better English than they do”
  • “I might be an old codger now and slightly past my best as a gaffer, but the FA would know they’re safe with me. At least I’d keep my trousers on”

On managing Roy Keane:

  • “I only ever hit Roy the once. He got up so I couldn’t have hit him very hard”

On football hooliganism:

“Football hooligans? Well, there are 92 club chairmen for a start”

Classic Clough. Enough said.

(Please note, this article is an updated version of an article I previously published here)

Dr Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Clough, B. (2009). Clough The Autobiography. London: Random House.

Hamilton, D. (2008). Provided you don’t kiss me: 20 years with Brian Clough. London: HarperCollins UK.

Hamilton, D. (2009). Old Big’Ead: The Wit & Wisdom of Brian Clough. Aurum Press Limited.

Hermiston, R. (2011). Clough and Revie: The Rivals Who Changed the Face of English Football. London: Random House.

Murphy, P. (2009). His Way: The Brian Clough Story. London: Anova Books.

Wilson, J. (2011). Brian Clough: Nobody Ever Says Thank You: The Biography. London: Hachette UK.

Needers of the pack: A brief look at addiction to Solitaire

A few days ago I was interviewed by Business Insider about the addictiveness of the card game Solitaire (also known as Klondike and Patience). The ‘hook’ for the Business Insider article (no pun intended) was that May 22 is National Solitaire Day (NSD). A quick look on the online National Day Calendar confirmed that NSD does indeed exist (a celebration day that only began for the first time last year) and the website also pointed out that the game is over 200 years’ old and that Solitaire “truly went viral” in 1990 when Microsoft included the Microsoft Solitaire game in Windows 3.0 (as a way to teach people how to use the mouse on their computers). The NSD webpage notes that:

“Over the past 28 years, Microsoft Solitaire has been providing great entertainment to hundreds of millions of players in every corner of the world…In 2012, Microsoft evolved Solitaire into the Microsoft Solitaire Collection, which features five of the top Solitaire games in one app. Since then, the game has been played by over 242 million people and has become so popular that each year 33 billion games are played with over 3.2 trillion cards dealt!”

Back in 2000, a short article on internet addiction in The Lancet by Peter Mitchell noted that one of the pioneers in internet addiction research, the clinical psychologist Maressa Hecht Orzack claimed to have a problem (a “near addiction”) playing Solitaire. Orzack was quoted in Mitchell’s article as saying: “So now I don’t have a computer at work. [My playing Solitaire] was getting that serious”. Orzack was also quoted in the Business Insider article. Her Solitaire playing was a “growing obsession” and she neglected her work and lost sleep because of her Solitaire playing. She said: “I kept playing solitaire more and more – my late husband would find me asleep at the computer. I was missing deadlines. I knew something had to be done”.

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As far as I am aware, there is no empirical research about addiction to Solitaire, and I’ve never come across a published case study. However, I have mentioned Solitaire in a number of my papers over the years but all of them were in my critique of Dr. Kimberley Young’s taxonomy of the different types of internet addiction. Young claimed there were five different types of internet addiction (‘cyber-sexual addiction’, cyber-relationship addiction, ‘net compulsions’, ‘information overload’ and ‘computer addiction’). In a number of my publications in journals such as the Student British Medical Journal (1999), Addiction Research (2000), and the International Journal of Mental Health and Addiction (2006), I argued that the typology was flawed and that most of the examples Young provided were addictions on the internet, not addictions to the internet (and echoing my assertion that individuals are no more addicted to the internet than alcoholics are addicted to bottles).

The reference to Solitaire was in relation to Young’s final type of internet addiction – ‘computer addiction’. One of her examples of ‘computer addiction’ as the playing of Solitaire on computers. (I found this strange particularly because the example didn’t even rely on being on the internet – it was merely about individuals being addicted to playing Solitaire on computers and laptops). Young never provided any empirical evidence that she had ever met or treated anyone with an addiction to Solitaire, just that being addicted to Solitaire would be classed as a ‘computer addiction’ in her typology.

Young is not the only social scientist to use Solitaire as an example in an addiction typology. In a 2008 paper published in the Journal of Applied Social Science, Jawad Fatayer outlined what he believes are the four types of addiction – alpha addictions (addictions that impact the body and physical health such as nicotine addiction and food addiction), beta addictions (addictions that impact the mind and the body such as alcohol and other drug addictions), gamma addictions (all behavioural addictions), and delta addictions (two or more addictions experiences simultaneously). Addiction to Solitaire was listed as a gamma addiction (but again, there was no empirical evidence to support the claim that Solitaire addiction actually exists).

Business Insider spoke to two other psychologists in addition to myself. Dr. Chris Ferguson (with whom I have co-authored a few papers) said:

“It’s important to recognize the difference between really liking something and having a clinical addiction. People (say) ‘I’m addicted to cupcakes’, ‘I’m addicted to chocolate’ meaning ‘This is a really fun thing that I like to do a lot’. There’s a huge debate that goes on in the field right now about whether video games can be compared to things like substance abuse, or if video games are more similar to hobby-like activities that many people enjoy — and some people might overdo…a fixation with Solitaire is more of a behavioral addiction – an obsessive behavioral pattern that can be a sign of underlying mental distress or illness. People who have mental health issues, or are simply under stress, tend to be drawn to things that are fun and distracting. And that’s mostly good, actually. It’s just that sometimes, for some individuals, they may begin to really overdo those activities as a form of escapism…It’s not about technology. It’s about mental health”.

A clinical psychologist, Anthony Bean said:

“There are some clear signs that Solitaire might be playing too big a role in your life. (If you’re) noticing you’re putting more time than other areas into the game and, let’s say, not paying attention to your family, not paying attention to work, not paying attention to school”.

My contribution to the Business Insider was taken from an email I sent the journalist. Very little of what I sent was used. I was asked two specific questions: (i) what characteristics of the game Solitaire might make it addicting? and (ii) what should people be aware of as signs of a disruptive addiction to Solitaire (or gaming in general)?

In answer to the first question, I wrote that addictions rely on constant rewards (what psychologists refer to as reinforcement) and each game of Solitaire can be played quickly and individuals can be quickly rewarded if they win (positive reinforcement) but when they lose, the feeling of disappointment or cognitive regret can be eliminated by playing again straight away (negative reinforcement – playing as way to relive a dysphoric mood state). I also stated that addictions typically result as a coping mechanism to other things in a person’s life. They use such behaviours as a way of escape and the repetitive playing of games can help in such circumstances. For the overwhelming majority of people, such playing behaviour will be an adaptive coping mechanism but if the game takes over all other aspects of the person’s life and compromises their relationships and their education/occupation (depending upon their age), this becomes a poor coping strategy because the short-term benefits are heavily outweighed by the long-term costs.

In relation to the second question, I outlined what I believe to be the six core criteria of addictive behaviour and outlined them with what I believed a genuine Solitaire addiction would constitute. My response was purely hypothetical because I have never met or even heard of anyone being genuinely addicted to Solitaire. So, hypothetically, Solitaire addiction would comprise anyone that fulfilled all of the following six criteria:

  • Salience –This occurs when Solitaire becomes the single most important activity in the person’s life and dominates their thinking (preoccupations and cognitive distortions), feelings (cravings) and behaviour (deterioration of socialised behaviour). For instance, even if the person is not actually playing Solitaire they will be constantly thinking about the next time that they will be (i.e., a total preoccupation with Solitaire).
  • Mood modification –This refers to the subjective experiences that people report as a consequence of playing Solitaire and can be seen as a coping strategy (i.e., they experience an arousing ‘buzz’ or a ‘high’ or paradoxically a tranquilizing feel of ‘escape’ or ‘numbing’).
  • Tolerance –This is the process whereby increasing amounts of time spent playing Solitaire are required to achieve the former mood modifying effects. This basically means that for someone engaged in Solitaire, they gradually build up the amount of the time they spend playing Solitaire every day.
  • Withdrawal symptoms– These are the unpleasant feeling states and/or physical effects (e.g., the shakes, moodiness, irritability, etc.), that occur when the person is unable to play Solitaire because they are ill, have no computer connection, etc.
  • Conflict – This refers to the conflicts between the person and those around them (interpersonal conflict), conflicts with other activities (social life, hobbies and interests) or from within the individual themselves (intra-psychic conflict and/or subjective feelings of loss of control) that are concerned with spending too much time playing Solitaire
  • Relapse– This is the tendency for repeated reversions to earlier patterns of excessive Solitaire playing to recur and for even the most extreme patterns typical at the height of excessive Solitaire playing to be quickly restored after periods of control.

Finally, I just want to reiterate that I know of no evidence to support the contention that there are individuals genuinely addicted to Solitaire. However, I do think it’s theoretically possible even though I’ve yet to meet or hear about such individuals.

Dr Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Fatayer, J. (2008). Addiction types: A clinical sociology perspective. Journal of Applied Social Science, 2(1), 88-93.

Griffiths, M.D. (1996). Behavioural addictions: An issue for everybody? Journal of Workplace Learning, 8(3), 19-25.

Griffiths, M.D. (1999). Internet addiction: Internet fuels other addictions. Student British Medical Journal, 7, 428-429.

Griffiths, M.D. (2000). Internet addiction – Time to be taken seriously? Addiction Research, 8, 413-418.

Griffiths, M.D.  (2005). A ‘components’ model of addiction within a biopsychosocial framework. Journal of Substance Use, 10, 191-197.

Mitchell, P. (2000). Internet addiction: genuine diagnosis or not? The Lancet, 355(9204), 632.

National Day Calendar (2018). National Solitaire Day. Located at: https://nationaldaycalendar.com/national-solitaire-day-may-22/

Widyanto, L. & Griffiths, M.D. (2006). Internet addiction: A critical review. International Journal of Mental Health and Addiction, 4, 31-51.

Young K. (1999). Internet addiction: Evaluation and treatment. Student British Medical Journal, 7, 351-352.

Profess on excess in the press: Problematic gaming as a behavioural addiction

As a Professor of Behavioural Addiction, one of duties is to profess. Consequently, today’s blog contains content from an interview that I did on problematic gaming as a behavioural addiction for a Spanish magazine. Because the published version was in Spanish I thought my blog readers might be interested in what I had to profess about behavioural addiction in its simplest terms (plus I never like to see things to be left unused or go to waste!).

The focus of your work is mainly behavioural addiction, could you start by giving a brief overview of what behavoural addiction is?

Behavioural addictions are those addictions that do not involve the ingestion of a psychoactive substance such as alcohol, nicotine or heroin. Some people believe that a person cannot become addicted to something in the absence of a psychoactive agent, but it is my passionate belief that people can become addicted to non-chemical behaviours. I have written a number of papers over the past 30 years that have tried to show that some behaviours when taken to excess (e.g., gambling, video gaming) are no different from (say) alcoholism or heroin addiction in terms of the core components of addiction (e.g. salience, tolerance, withdrawal, mood modification, conflict, relapse etc.). If it can be shown that a behaviour like pathological gambling can be a bona fide addiction (and I believe that it can), then there is a precedent that any behaviour that provides continuous rewards (in the absence of a psychoactive substance) can be potentially addictive. Such a precedent ‘opens the floodgates’ for other excessive behaviours to be considered theoretically as potential addictions (e.g. exercise, sex, eating, computer games, the internet) which is what I’ve been examining in some of my research.

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Whilst a lot of work is around gambling addictions, you also do work on videogame addiction. What drew you to this area of research?

I suppose the ‘classic’ behavioural addiction is gambling, and it was this type of behavioural addiction that fuelled my interest in other forms of non-chemical addiction such as videogame addiction. Many people might think it’s obvious why a psychologist would be interested in studying behavioural addictions such as videogame addiction. It’s a ‘sexy’ subject, it’s media-friendly, the general public find it interesting, and almost everybody from all walks of life has some kind of view on it, whether it’s rooted in personal experience or in a finely argued theoretical perspective.

Do you feel that online gaming poses more of an issue than offline?

Yes, but in most cases only to those that have a vulnerability or susceptibility in the first place. The key difference is that in offline gaming a player can typically pause and/or save the game and come back to it a point of their choosing. Online games continue even when the player has logged off and that can lead to some people playing excessively because they ‘don’t want to miss anything’ in a 24/7 playing environment (the so-called ‘FOMO’ phenomenon – ‘fear of missing out’). I’ve argued in a lot of my work that the internet can enhance and/or facilitate the acquisition, development and maintenance of online addictions – but the crucial factor is that somebody would have to have some kind of addiction predisposition in the first place.

Are there any potential problems, in your field or otherwise, that could arise from the rapidly expanding user base of video games?

Obviously this depends on the types of game played and their content. Any activity that has the potential to enhance or facilitate excessive play can lead to potential problems. Depending on the types of game played, this could be in the form of medical effects (repetitive strain injuries, headaches, eye-strains, etc.), chronic health conditions (e.g., obesity), psychobiological effects (e.g., addiction), or alleged behavioural effects (e.g., increased aggression). The good news is that most of these potential effects occur in a very small minority of players and that reducing the time spent playing will almost always alleviate or eliminate such problems. 

Can a person could spend a great deal of times playing games without being an addict?

For some people, definitely. Any behaviour that is done to excess – even if it is not an addiction – can potentially take away time from other important things such as job, relationships, and other hobbies. This will depend on the duties, constraints and context of the person in question. A 21-year old man with no partner, no children and no job may have time to play 8-10 hours a day without any negative detriment on their life. However, a married man with three children and a full-time job would find it very hard to play 8-10 hours a day without it seriously compromising some other aspect of their life. 

Dr. Mark Griffiths, Distinguished Professor of Behavioural Addiction, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Gentile, D.A., Bailey, K., Bavelier, D., Funk Brockmeyer, J., … Griffiths, M.D., … & Young, K. (2017). The state of the science about Internet Gaming Disorder as defined by DSM-5: Implications and perspectives, Pediatrics, 140, S81-S85. doi: 10.1542/peds.2016-1758H

Griffiths, M.D. (2010). Online video gaming: What should educational psychologists know? Educational Psychology in Practice, 26(1), 35-40.

Griffiths, M.D. (2010). The role of context in online gaming excess and addiction: Some case study evidence. International Journal of Mental Health and Addiction, 8, 119-125.

Griffiths, M.D. (2013). An overview of online gaming addiction. In Quandt, T. & Kröger, S. (Eds.), Multi.player – Social Aspects of Digital Gaming (pp.197-203). London: Routledge.

Kuss, D.J. & Griffiths, M.D. (2012). Online gaming addiction in adolescence: A literature review of empirical research. Journal of Behavioral Addictions, 1, 3-22.

Kuss, D.J. & Griffiths, M.D. (2012). Internet gaming addiction: A systematic review. International Journal of Mental Health and Addiction, 10, 278-296.

Griffiths, M.D., Kuss, D.J. & King, D.L. (2012). Video game addiction: Past, present and future. Current Psychiatry Reviews, 8, 308-318.

Griffiths, M.D., Kuss, D.J. & Pontes, H.M. (2016). A brief overview of Internet Gaming Disorder and its treatment. Australian Clinical Psychologist, 2(1), 20108.

Király, O., Nagygyörgy, K., Griffiths, M.D. & Demetrovics, Z. (2014). Problematic online gaming. In K. Rosenberg & L. Feder (Eds.), Behavioral Addictions: Criteria, Evidence and Treatment (pp.61-95). New York: Elsevier.

Pontes, H.M., Kuss, D.J. & Griffiths, M.D. (2017). Psychometric assessment of Internet Gaming Disorder in neuroimaging studies: A systematic review. In Montag, C. & Reuter, M. (Eds.), Internet Addiction Neuroscientific Approaches and Therapeutical Implications (pp.181-208). New York: Springer.

Pontes, H.M. & Griffiths, M.D. (2017). New concepts, old known issues: The DSM-5 and Internet Gaming Disorder and its assessment. In Gaming and Technology Addiction (pp. 893-898). Hershey, PA: IGI Global.

Torres-Rodriguez, A., Griffiths, M.D., Carbonell, X. Farriols-Hernando, N. & Torres-Jimenez, E. (2019). Internet gaming disorder treatment: A case study evaluation of four adolescent problematic gamers. International Journal of Mental Health and Addiction, 17, 1-12.

Torres-Rodriguez, A., Griffiths, M.D., Carbonell, X. & Oberst, U. (2018). Psychological characteristics of an adolescent clinical sample with Internet Gaming Disorder. Journal of Behavioral Addictions, 7, 707-718.