Loyal ascent: Player retention and social responsibility in the online gambling industry

Although I have spent nearly 30 years researching problem gambling, I am not (and have never been) anti-gambling. My research colleagues who work in the field of alcoholism are never considered anti-drinking so I don’t think I am in any way hypocritical. I also help various gaming companies in terms of harm minimization, social responsibility, and player protection – particularly those in the online gambling sector. In today’s blog I briefly outline five important factors that I believe are critical to online player acquisition and retention based on a combination of my own psychological research and my many years of researching the psychology of gambling. These are (i) branding, (ii) trust, (iii) reputation management and enhancement, (iv) company identification with the player, and (v) social responsibility.

Branding – Every great brand has an outstanding feature at its heart. A product also needs time and to be promoted and communicated consistently to become a brand. Repetition appears to be one of the keys to establishing brand success. Online gambling sites often get bad press and are often viewed as unsafe and risky places. Negative press and enough negative feedback from customers can bring the brand into disrepute.

Trust – What really determines a brand – and this is especially important in the online gambling arena – is trust. Trust is of paramount importance in e-commerce generally, and in getting people to gamble online more specifically. Without trust, the spending of money online is unlikely. Players will be more likely to gamble online with those companies that are well established than a little known company operating out of the Caribbean. It has been claimed that successful brands have a ‘trustmark’ rather than a trademark. With the embedding of regulatory and problem gambling regimes, a ‘trustmark’ is an apt gauge for social acceptability and social responsibility. However, getting transferability and connections across brands in the ‘mainstream’ is probably the key issue.

For many Internet gambling operators, the mechanism to establish trust has been to pursue a ‘clicks and mortar’ approach of combining an offline presence (and brand recognition) with online presence. ‘Trustmarks’ are thought to be one of the major reasons why consumers prefer one particular product to other non-familiar ones. They communicate that customers have not been let down by the product and they can reduce anxiety by using it. At the heart of gambling there will always be the underlying fact that in the long run, most players lose. Whichever way the gaming industry plays out this truism, the general situation of players mostly losing represents an underlying negativity that competes with the wit and innovation of demonstrating that the minority of real long-term winners are the central focus and purpose of participating. This is one of the main reasons why trust becomes so important.

Reputation management and enhancement – It was once argued that the Internet would provide a level playing field for small and large retailer alike. However, given the need to establish trust, it would seem that organisations with a good existing offline reputation are at an advantage. Research into online purchasing of books and flight bookings show that the perceived size and reputation of the company determines consumers’ likelihood of purchasing from it. The reason for this is that increased size and reputation led to higher trust, which in turn influences the perception of risk and the willingness to buy.

Recent psychological thinking proposes a three stage model for understanding how people assess the trustworthiness of a website. The first stage assumes that people are faced with a large number of potential websites and thus engage in rapid, heuristic-based analysis based on the design of the site, rather than the content. During the second stage, people engage in a more systematic analysis of the content of the site, and it is during this stage that people are influenced by apparent integrity, benevolence and expertise. The third stage is a relationship development and integration stage, that is, people’s continued use of a site, personalization and the integration of experience.

Trust is an historical concept because customers need repeated interactions coupled with good feelings to build it. Branding experts claim it takes at least three years to establish the feeling of goodwill among consumers. The good news for companies – including the gaming industry – is that customers do not have to have experienced the product. Customers might engage in things because others have used or engaged in the product for years. Although little studied in empirical gambling investigations, trust is thought to be an important variable in both the initial decision to gamble and the maintenance of the behaviour. In a study of nearly 11,000 carried out by our gaming research unit, four-fifths of Internet gamblers (79%) considered the Internet a trustworthy medium of gambling. However, most Internet gamblers (90%) preferred to gamble on websites of well-known and trusted ‘high street’ bookmakers.

Company identification with the player – One of the most important things about brands for the gaming industry is that they help consumers define their self-image and who they are – at least on some psychological level. For some people, this ‘personal branding’ may be more important than their social identities within a community. For example, the car they drive or the newspaper they read, are particularly strong cultural indicators of what sort of person they are. Where they gamble and on what games can be an extension of this. However, total trust acceptance may also lead to an uncritical assessment of acceptability by the punter. For instance, some trusted non-gambling websites now provide links and endorsements to either their own gambling sites, or those of affiliates. Our gaming research unit  highlighted a case of an online problem gambler who had been led to an online gambling site by watching a popular (and trusted) daytime television programme that promoted its own online gaming site.

Social responsibility – As mentioned above, ‘trustmarks’ are likely to be important in relation to social responsibility and the perception of it by players. In studies conducted by our gaming research unit with online gamblers around the world, we found that many of them felt that responsible gaming practises demonstrate that a gaming operator has integrity, and that they care about their players’ wellbeing. For instance, many online poker players did not want their winnings to come from players who could not afford to lose it. They reported that responsible gaming practises allowed them to feel comfortable that their winnings had not come from people with gambling problems. Given that one of the biggest obstacles that prevent people playing online is a lack of trust of operators, this is a significant and important finding that gaming operators should take not of. 

For me, all of these five factors are highly inter-linked. However, I believe that those who end up being the most successful online gaming companies will be the ones with the best social responsibility protocols and infrastructure, and that this will engender trust among its clientele.

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

Further reading

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

Auer, M., Littler, A. & Griffiths, M.D. (2015). Legal aspects of responsible gaming pre-commitment and personal feedback initiatives. Gaming Law Review and Economics, 6, 444-456.

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

Griffiths, M.D. (2008). Online trust and Internet gambling. World Online Gambling Law Report, 8(4), 14-16.

Griffiths, M.D. (2010). Social responsibility and trust in online gambling: Six steps to success. i-Gaming Business, 61, 36-37.

Griffiths, M.D. (2012). Internet gambling, player protection and social responsibility. In R. Williams, R. Wood & J. Parke (Ed.), Routledge Handbook of Internet Gambling (pp.227-249). London: Routledge.

Griffiths, M.D. & Wood, R.T.A. (2008). Responsible gaming and best practice: How can academics help? Casino and Gaming International, 4(1), 107-112.

Griffiths, M.D. & Wood, R.T.A. (2009). Centralised gaming models and social responsibility. Casino and Gaming International., 5(2), 65-69.

Griffiths, M.D., Wood, R.T.A., Parke, J. & Parke, A. (2007). Gaming research and best practice: Gaming industry, social responsibility and academia. Casino and Gaming International, 3(3), 97-103.

Griffiths, M.D. & Wood, R.T.A. (2009). Centralised gaming models and social responsibility. Casino and Gaming International., 5(2), 65-69.

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

Fat’s life: Another look inside the world of feederism

Online letter from Jill to ‘Dr. Feeder’: “I am a feedee from Boston in desperate need of a feeder. I have tried dieting and I know my mission is to be fat. I feel I can’t do it alone. I fantasize about meeting a dominant man who is a Feeder…How do I get fat on my own? What foods? Can you give me a sample daily diet?”

Response to Jill’s letter from ‘Dr. Feeder’: “See my article ‘How To Get Fat‘. The kinds of foods don’t matter so much. Eat what you enjoy the most, especially if it’s fattening. The more you enjoy overeating, the more you will overeat. A lot of variety is also important”.

In a previous blog on fat fetishism, I noted that the fetish also included ‘feederism’ and ‘gaining’ in which sexual arousal and gratification is stimulated through the person (referred to as the ‘feedee’) gaining body fat. Feederism is a practice carried out by many fat admirers within the context of their sexual relationships and is where the individuals concerned obtain sexual gratification from the encouraging and gaining of body fat through excessive food eating. Sexual gratification may also be facilitated and/or enhanced the eating behaviour itself, and/or from the feedee becoming fatter – known as ‘gaining’ – where either one or both individuals in the sexual relationship participate in activities that result in the gaining of excess body fat.

Since writing my previous article on the topic, I have briefly written about feederism in two of my academic papers on sexual paraphilias (one in the Archives of Sexual Behavior in relation to a case study I wrote on fart fetishism, and the other in the Journal of Behavioral Addictions on how the internet has facilitated scientific research into paraphilias – see ‘Further reading’ below). However, I was also interviewed for the Discovery Channel’s television programme Forbidden about American Gabi Jones from Colorado (aka ‘Gaining Gabi’) who appeared in the episode ‘Pleasure and Pain’.

At the time when the television programme was being recorded, Gabi weighed 490 pounds and her sole aim was to get even fatter and heavier (before she became a feedee she was 250 pounds). It is also her career and her thousands of online fans pay money who pay $20 a month to watch her eat as well as sending her food to eat (you can check out her online website here, but pleased be warned that it contains explicit sexual content). She also claims that she becomes sexually aroused when eating excessively.

“When I indulge, I never rush. I take my time and treat all meals as very sexual experiences. I love being fat and the idea of getting large excites me…For as long as I remember, I always loved the idea of getting softer and being this piece of art that I am creating…My body is a work of art”.

She claims she does it to show that women can be empowered and that fat can be sexy. She’s also a campaigner for ‘fat acceptance’. However, the (US) National Association for the Advancement of Fat Acceptance (NAAFA) is anti-feederism. The NAAFA exists “to help build a society in which people of every size are accepted with dignity and equality in all aspects of life” but has specifically noted in its manifesto that:

“NAAFA supports an individual’s right to control all choices concerning his or her own body. NAAFA opposes the practice of feeders, in which one partner in a sexual relationship expects and encourages another partner to gain weight…That all bodies, of all sizes, are joyous and that individuals of all sizes can and should expect and demand respect from sexual partners for their bodies just as they are. That people of all sizes become empowered to demand respect for their bodies in the context of sexual relationships, without attempting to lose or gain weight in order to win a partner’s approval or attract or retain that partner’s desire”.

At the time she was interviewed, Gabi had two ‘feeders’ – one male (Kenyon, from Kansas, US) and one female (nicknamed ‘Hearts’, from Colorado). As the show’s production notes reported:

“Kenyon lives in a small town in Kansas…Gabi says that Kenyon has actually been a fan of hers since he was 12 or 13 [years old], he discovered her online. Gabi says that she wouldn’t have anything to do with him because he was not of age, but after [Kenyon’s 18th birthday she] accepted him into her life as her food slave. Kenyon says that he had fantasized for years about feeding her live in person…He is now totally devoted to Gabi and she is happy to have him as part of her ‘chosen family’ and hopes to move him out from Kansas to Colorado to live with her fulltime someday soon…Hearts makes sure that Gabi has all the food she could want and need. Gabi also feeds her. It’s not a sexual thing or anything – ‘we’re not lesbians, we’re just really close friends’ – but when they feed each other it’s ‘sexy and fun’. They met in college at the start of this year and haven’t left each other’s side since…Hearts is also gaining. Gabi got her into it one day when they were lying on her bed and Hearts noticed how soft Gabi’s tummy was. This made her decide she wanted to get fat too. Hearts is currently 201 pounds and her goal weight is 400 pounds…Gabi says there are two types of gainers – ‘feedees’ who’ll eat anything and ‘foodees’ who’ll eat only quality food, not junk. Gabi says she identifies more with a foodie”.

Academically, there have been an increasing number of papers published over the last few years. For instance, Dr. Lesley Terry and her colleagues have also published papers on feederism in the Archives of Sexual Behavior. The first was a case study (which I outlined in my previous blog), and more recently an interesting experiment that assessed individuals’ arousal to feederism compared to ‘normal’ sexual activity and neutral activity. A total of 30 volunteers (15 men and 15 women) were assessed using penile plethysmography (for the males) and vaginal photoplethysmography (for the females) – none of who were feeders or feedees. The paper reported that:

“The volunteers were all shown sexual, neutral, and feeding still images while listening to audio recordings of sexual, neutral, and feeding stories. Participants did not genitally respond to feeding stimuli. However, both men and women subjectively rated feeding stimuli as more sexually arousing than neutral stimuli…the results of this study provide limited, but suggestive, evidence that feederism may be an exaggeration of a more normative pattern of subjective sexual arousal in response to feeding stimuli that exists in the general population.

Dr. Ariane Prohaska has published papers on feederism in such journals as the International Journal of Social Science Studies and Deviant Behavior. In one of her studies, she carried out a content analysis of feederism-related websites and examining feederism within heterosexual relationships. She concluded that feederism websites can take many forms “such as groups, advice sites, personal ads, and pornography. The content analysis also revealed that the internet is a place where fat women can find a community of similar others to support them”. She also noted that although feedersim has been classified as a transgressive sexual behaviour, it “usually mimics patriarchal sex in the process”. She also claimed that at its extreme “feederism is an abusive behavior dangerous to the partner (usually the woman) who desires to gain weight as quickly as possible”. As highlighted in the case of Gabi above, Dr. Prohaska concludes that feederism is a communal behavior, but she also notes:

“[W]hen it comes to feederism, men are still in control of the behavior and of how women are portrayed and treated as feedees. Although some of the websites discussed here may be advancing transgressive ideas about fat women as sexual beings, the objectification of women as sex objects is further perpetuated by these same websites. Bodies matter; normative ideas about fat women and heterosexual sex offline are perpetuated online. The internet is patriarchal as offline society. At its extreme, ideas about control over women involve manipulating their bodies using dangerous means, and the lines between consent and sexual assault are blurred. Consent is a difficult term to define in a culture where patriarchal values about sex have been internalized by members of society. Still, the internet has the potential to create loving, supportive communities for people of size rather than exploitative communities that mimic the offline world”.

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

Further reading

Charles, K., & Palkowski, M. (2015). Feederism: Eating, Weight Gain, and Sexual Pleasure. Palgrave Macmillan.

Griffiths, M.D. (2012). The use of online methodologies in studying paraphilia: 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.

Haslam, D.W. (2014). Obesity and Sexuality. In Controversies in Obesity (pp. 45-51). London: Springer.

Kyrölä, K. (2011). Adults growing sideways: Feederist pornography and fantasies of infantilism. Lambda Nordica: Tidskrift om homosexualitet, 16(2-3), 128-158.

Monaghan, L. (2005). Big handsome men, bears, and others: Virtual constructions of ‘fat male embodiment’. Body and Society, 11, 81-111.

Murray, S. (2004). Locating aesthetics: Sexing the fat woman. Social Semiotics, 14, 237-247.

Prohaska, A. (2013). Feederism: Transgressive behavior or same old patriarchal sex? International Journal of Social Science Studies, 1(2), 104-112.

Prohaska, A. (2014). Help me get fat! Feederism as communal deviance on the internet. Deviant Behavior, 35(4), 263-274.

Swami, V. & Furnham, A. (2009). Big and beautiful: Attractiveness and health ratings of the female body by male ‘‘fat admirers’’. Archives of Sexual Behavior, 38, 201-208.

Swami, V., & Tovee, M.J. (2006). The influence of body weight on the physical attractiveness preferences of feminist and non-feminist heterosexual women and lesbians. Psychology of Women Quarterly, 30, 252-257.

Swami, V. & Tovee, M.J. (2009). Big beautiful women: the body size preferences of male fat admirers. Journal of Sex Research, 46, 89-96.

Terry, L. L., Suschinsky, K. D., Lalumiere, M. L., & Vasey, P. L. (2012). Feederism: an exaggeration of a normative mate selection preference? Archives of Sexual Behavior, 41(1), 249-260

Terry, L.L. & Vasey, P.L. (2011). Feederism in a woman. Archives of Sexial Behavior, 40, 639-645.

Occult figure: David Bowie and living life at the extremes

Since David Bowie’s death earlier this year, I’ve already written two articles on the psychology of Bowie (which you can read here and here) but this article takes a look at the more extreme aspects of Bowie’s life (excluding his various addictions which I briefly examined in my previous pieces). As a long-time David Bowie fan I’ve been meaning to write this particular blog for a long time but just never got around to it. I had made lots of notes taken from various Bowie biographies (see ‘Further reading’ below) but Dr. Dean Ballinger (University of Waikato) recently beat me to the punch by publishing a similar article to the one I had planned in the March 2016 issue of the Fortean Times.

During Bowie’s five decades in music he has been interviewed on almost every conceivable topic but it’s always the interviews about his most extreme and esoteric subjects that have caught my eye whether it concerned his religious and spiritual beliefs, his political views, or his moral philosophy. I’ve always looked for hidden meanings in his lyrics and taken the view that his lyrics provide an insight into his personality as much as anything else that I have seen or read about him in the print and broadcast media. Like most other hardcore Bowie fans, I have been poring over the lyrics of his final studio album Blackstar now knowing that he wrote and recorded it while suffering from an aggressive form of cancer. The album is arguably his most cryptic and mysterious since the classics of the mid- to late-1970s (Station To Station, Low and “Heroes”) – although I also love 1.Outside and Heathen both lyrically and musically.

Looking back, it was probably the Station To Station title track that really made me wonder what was going on in Bowie’s head. Although Bowie says he was “out of his gourd” on cocaine at the time (and has little recollection of recording the album), the lyrics (as a teenager) made no sense to me at all (“Here are we/One magical movement/From Kether to Malkuth/There are you/You drive like a demon/From station to station”). I had no idea that Kether (“the crown” – divine will or pure light) and Malkuth (“the kingship” – the nurturing receptacle of the light) originated from Kabbalah (an esoteric school of thought rooted in Judaism) representing two of 10 sephirots (sometimes spelled ‘sefirots’ and meaning ’emanations’ or ‘attributes’) in the Tree of Life.

During his cocaine-fuelled days, Bowie rarely slept and filled his time reading books. Not only books about Kabbalah but also books on the occult (a number of books by Aleister Crowley; Louis Pauwels and Jacques Bergier’s The Morning of the Magicians; Israel Regardie’s books on the Hermetic Order of the Golden Dawn), on the symbolic obsessions of Nazism (most notably Trevor Ravenscroft’s The Spear of Destiny), and defensive magic and tarot cards (Dion Fortune’s Psychic Self-Defense) as well as more general books on the secret history of Christianity, UFOs, political conspiracies, and numerology. It’s also worth noting that Bowie’s 1976 persona (‘The thin white duke’ in his ‘Station To Station’ lyric) is almost certainly taken from Crowley’s erotic poetry (“The return of the thin white duke making sure white stains” from the 1898 book White Stains).

It’s been claimed by Chris O’Leary (author of the excellent Rebel Rebel and founder of the Pushing Ahead of The Dame website) that “Bowie’s immersion in Kabbalah was part of an overarching spiritual quest that took him from Tibetan Buddhism (he almost joined a monastery in the late 1960s, until his teacher told him that he’d make a better musician than monk) to Christian mysticism, occult worship and a flirtation with neo-Nazi imagery that nearly derailed his career when it was discovered that he collected Nazi memorabilia”. I hadn’t realised that Bowie had made reference to the occult in earlier songs such as ‘Quicksand’ (The Order of the Golden Dawn – a late 19th/early 20th century organisation devoted to the practice of occult, metaphysical, and paranormal phenomena, and the root of more traditional modern day occult practices such as Thelema and Wicca) as well as Tibetan Buddhism (more specifically his use of the word ‘Bardo’ in the song – the state of existence intermediate between two lives on earth).

Bowie’s interest in Buddhism and Tibet dates back to the 1960s as evidenced by songs such as ‘Silly Boy Blue’ (first demoed in 1965). In an interview by Bowie with the Melody Maker (24 February, 1966) notes:

“I want to go to Tibet. It’s a fascinating place, y’know. I’d like to take a holiday and have a look inside the monasteries. The Tibetan monks, Lamas, bury themselves inside mountains for weeks, and only eat every three days. They’re ridiculous—and it’s said they live for centuries…As far as I’m concerned the whole idea of Western life – that’s the life we live now – is wrong. These are hard convictions to put into songs, though”.

Chris O’Leary also noted that:

“Bowie’s interest in Tibetan Buddhism wasn’t a sudden trendy affectation—he had begun exploring the religion when he was in his mid-teens, first inspired by reading Heinrich Harrer’s 1952 book Seven Years in Tibet, and he eventually met and befriended the Tibetan lama Chimi Youngdong Rimpoche, who was exiled in London. Bowie even fantasized about becoming a Buddhist monk – cropping his hair and dyeing it black, wearing saffron robes and even changing his skin color (he’d have to settle for becoming Ziggy). Buddhism was an early influence in his songs: he had meant for the backing chorus of his single ‘Baby Loves That Way’ to sound like chanting monks.”

Bowie didn’t appear to have strong religious beliefs. In an interview in 1997 he noted that there was an “abiding need in me to vacillate between atheism or a kind of Gnosticism…what I need is to find a balance, spiritually, with 
the way I live and my demise” but in relation to thoughts on his own mortality he said “I believe in a continuation, kind of a dream-state without the dreams. Oh, I don’t know. I’ll come back and tell you”. In addition to his spiritual leanings, Dr. Ballinger in his 2016 Fortean Times article goes as far to say that occult and paranormal themes constituted an “integral dimension” of Bowie’s career. Bowie clearly had an interest in aliens, science fiction, and the paranormal as reflected in many of his singles dating back to ‘Space Oddity’ (1969) through to ‘Loving The Alien’ (1985) and ‘Hallo Spaceboy’ (1996) (as well as many album tracks and his acting breakthrough as an alien in Nic Roeg’s film The Man Who Fell To Earth). Dr. Ballinger also argued that:

“Bowie was also reading upon esoteric subjects and alternative ideas in a relatively in-depth way beyond fashionable name dropping is made clear by the songs 
on his fourth album, Hunky Dory (1971).
 The jaunty pop of ‘Oh You Pretty Things!’ is belied by lyrics that evoke a rather sinister picture of spiritual evolution, in which the listener is asked to ‘make way’ for ‘the coming race’ of ‘homo superior’ Nietszchean super children…The ‘coming race’ is also a probable nod to the Bulwer-Lytton novel of the same name that became a staple of the ‘Vril’ mythos associated with occult-minded Nazis, a subject that would have a rather negative influence on Bowie in the near future. More overt is the ballad ‘Quicksand’, in which Bowie expounds a New Age manifesto – ‘I’m not a prophet or a Stone Age man/Just a mortal with potential of a superman’ – with reference to the Western magical tradition (‘I’m closer to the Golden Dawn/Immersed in Crowley’s uniform/of imagery), [and] The Tibetan Book of the Dead (‘You can tell me all about it on the next Bardo’)”.

Bowie wasn’t the first musician to use The Tibetan Book of the Dead as inspiration for lyrics. More famously, John Lennon used it for The Beatles classic ‘Tomorrow Never Knows’, the final track on the 1966 Revolver album (something I forgot to mention in my previous article on Bowie and The Beatles). However, John Lennon based his lyrics after reading The Psychedelic Experience: A Manual Based on The Tibetan Book of the Dead written by Timothy Leary, Ralph Metzner and Richard Alpert. (And while I’m going off on tangents, I just wanted to mention that Alpert’s most well known book Be Here Now just happens to be the title of (Beatle-loving) Oasis’ third album).

Dr. Ballinger also makes the argument that in Bowie’s 1972 breakthrough LP The Rise and Fall of Ziggy Stardust and the Spiders From Mars there were “evident resonances between occultism and his musical career” and that he drew inspiration from a wide range of esoteric cultural influences to source “stimulating ideas and imagery to explore in lyrics, costumes and videos”. Ballinger also claims that Bowie’s work at this point of his career had a more integral relationship with the theory and practice of magic and occultism:

“Parsing Crowley’s legacy, one of the key aspects of magic is the transformation of the self (and, possibly, the wider social reality) through acts that focus the imagination/will towards such change, such acts including sex, drug consumption, meditation, and creative performance (i.e., rituals). In this vein Bowie can be considered a distinctly magical musician whose whole career revolved around the transformation of the self and the wider culture through the ‘ritual performances’
of rock music, such as concerts, recordings, and videos. In his most influential period
 of the 1970s, Bowie created personae (such 
as Ziggy, Aladdin Sane, and the Thin White Duke) and undertook musical experiments (the ‘plastic soul’ of Young Americans and the avant-garde/krautrock/funk synthesis of the ‘Berlin trilogy’) that in turn transformed rock culture by inspiring scores of other artists. The gender-bending that was a notable aspect of Bowie’s personae in this period (for example, the androgynous cover photo for The Man Who Sold The World (1970) or the 1979 video for ‘Boys Keep Swinging’), and the cultivation of bisexual overtones in his lyrics and performance (‘John, I’m Only Dancing’ as an account of bisexual angst), are also interesting to consider in relation to Crowley’s emphasis on sexuality as a core component of magical transformation”.

Like some of the best music by The Beatles, some of the best music made by Bowie was while he was using drugs excessively (often described by his biographers as a ‘cocaine-induced psychosis’). Bowie himself claims that in 1975 he was in poor mental and physical health but ironically he was producing some of the best music (and acting) of his career. However, Bowie’s cocaine addiction has also been used as an excuse for his behaviour during the 1976 period where he flirted with Nazi occultism and made the claim that the UK would benefit from a fascist leader (“I think I might have been a bloody good Hitler. I’d be an excellent dictator. Very eccentric and quite mad”). Many musicians have said they are interested in Nazi imagery and fashion (e.g., Bryan Ferry) and others have collected Nazi memorabilia (e.g., Lemmy) but these interests do not mean such people are Nazi-loving or fascists.

Bowie’s esoteric and occultist interests appear to subside as his career progressed and it wasn’t until his final album that Bowie appeared to be using music (and the accompanying promo videos) in a symbolic way for people to re-interpret his music as a cryptic death note to all his hardcore acolytes (of which I would include myself). Unless Bowie left any explanation for his final seven songs, we can only speculate. However, I’ll leave you with the thoughts of Dr. Ballinger who has done a better job than I could ever do:

“The Blackstar album has seen Bowie go out with a distinctly occult bang…As every prior Bowie album cover has featured a portrait, the five-pointed ‘black star’ of 
this one is presumably meant to represent Bowie too – perhaps in his ultimate persona as spirit (the five-pointed star being a classic Hermetic/Gnostic symbol of ‘man as microcosm’, with the contradictory image of a ‘black star’ also evoking a koan or the alchemical union of opposites). The creepy atmosphere conjured up by the lyrics of the title track – “In the villa of Ormen/Stands a solitary candle/On the day of execution/Only women stand and smile” – is successfully evoked in the video for the song. Bowie 
is depicted as preacher of some dark 21st century faith, brandishing a Blackstar bible among acolytes whose spasmodic ‘dancing’ suggests a state of possession. A reading of the imagery here as analogous to Crowley and his Book of the Law is perhaps apt; director Johan Renck, who designed the videos with Bowie, has mentioned Crowley as a reference point. Some kind of Hermetic/Gnostic subtext about eternity, spirit and the flesh is further implied in the imagery of the video’s other ‘storyline’, in which the shade of a dead astronaut – Bowie himself, in his formative Major Tom persona? – floats up into a ‘black star’ of eternity, before, in a possibly Orphic reference, leaving behind his bejewelled skull for ritual veneration by a sect of mutant women. Where the esoteric overtones of the ‘Blackstar’ video are eerie, those of the video for ‘Lazarus’ are poignant. Bowie plays himself as a patient in a hospital bed, whose closet is a portal from which appears a double who is seemingly meant to signify his essential spirit. This figure is not garbed as Ziggy, the Thin White Duke
 or any of Bowie’s most famous personae, but in the striped black jumpsuit in which he undertook the famous occult photo shoot for Station to Station, in which he is depicted drawing Kabbalistic symbols on the wall. That Bowie chose this costume for his valedictory performance suggests he was giving a subtle nod to the deep, lasting metaphysical significance that this period had upon the rest of his life”.

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

Further reading

Ballinger, D. (2016). The mage who sold the world. Fortean Times, 338, 28-33.

Buckley, D. (2005). Strange Fascination: David Bowie – The Definitive Story. London: Virgin Books.

Cann, K. (2010). Any Day Now: David Bowie The London Years (1947-1974). Adelita.

Doggett, P. (2012). The Man Who Sold The World: David Bowie and the 1970s. London: Vintage.

Goddard, S. (2015). Ziggyology. London: Ebury Press.

Hewitt, P. (2013). David Bowie Album By Album. London: Carlton Books Ltd.

Leigh, W. (2014). Bowie: The Biography. London: Gallery.

O’Leary, C. (2016). Rebel Rebel. Alresford: Zero Books.

Pegg, N. (2011). The Complete David Bowie. London: Titan Books.

Rogovoy, S. (2013). The secret Jewish history of David Bowie. Forward.com, April 16. Located at: http://forward.com/culture/174551/the-secret-jewish-history-of-david-bowie/

Seabrook, T.J. (2008). Bowie In Berlin: A New Career In A New Town. London: Jawbone.

Spitz, M. (2009). Bowie: A Biography. Crown Archetype.

Trynka, P. (2011). Starman: David Bowie – The Definitive Biography. London: Little Brown & Company.

Can you feel the force? The psychopathology of ‘Star Wars’

A few days ago, my friend and colleague Dr. Andrew Dunn sent all the psychology staff members a paper published in the December 2015 issue of Australasian Psychiatry by Susan Friedman and Ryan Hall entitled ‘Using Star Wars’ supporting characters to teach about psychopathology’. As a fan of Star Wars and science fiction more generally, I immediately read the paper and thought it would be a good topic to write a blog about.

It turns out that Friedman and Ryan have written a series of papers in psychiatric journals over the last year arguing that many of the characters in the Star Wars movies have underlying psychopathologies and that because of the films’ popularity, the films could be used to teach students about various psychiatric disorders. The authors asserted that “supporting characters in Star Wars can be used to teach about a wide variety of psychiatric conditions which are not commonly so accessible in one story, including [attention deficit hyperactivity disorder] ADHD, anxiety, kleptomania, and paedophilia”. I have to admit that in my own teaching I often use characters and/or storylines from film and television to explain psychological phenomena to my own students (and have also published articles and papers demonstrating the utility of using such sources in both teaching and research contexts – see ‘Further reading’ below). Therefore, I was intrigued to read what psychiatric disorders had been attributed to which Star Wars characters.

In the Australasian Psychiatry paper, it is argued that Jar Jar Binks has attention deficit hyperactivity disorder (ADHD):

“Jar Jar frequently overlooks details and makes careless mistakes…His difficulty in sustaining his attention is evident…His difficulty in following instructions almost results in him being put to death…trainees can determine whether [the examples provided] are related to inattention, hyperactivity or impulsivity”.

More controversially, Friedman and Ryan make the case for Qui-Gon Jinn showing paedophilic grooming behaviour.

“In Phantom Menace, Qui-Gon engages in many behaviours with young Anakin Skywalker the same way a paedophile would with a child victim. Anakin seems to fit a pattern which Qui-Gon has of cultivating prepubescent, fair-complexioned boys with no strong male family ties…Anakin’s mother has no power or relations with authority, which decreases the likelihood that either she or Anakin would report the paedophile, or potentially be believed by others…Qui-Gon develops a relationship with Anakin, noting his special features and abilities: he often gives compliments to the child…He fosters a relationship where secrets are kept…and the child is slowly isolated from others…After trust is gained, there is a gradual increase in physical intimacy. In the movies this was symbolised by Qui-Gon drawing blood samples from Anakin. A paedophile may incorporate other children or older victims into the grooming process to further lower the child’s inhibitions”.

I’m not overly convinced by the argument but it does at least lead to discussions on the topic of grooming that I could see having a place in the classroom. Friedman and Ryan also examine a whole species (the Jawas) and claim that they are by nature kleptomaniacs:

“Jawas can introduce the concepts of kleptomania and hoarding, since they ‘have a tendency to pick up anything that’s not tied down’. It is important from a diagnostic point of view to recognise that kleptomania is more than just stealing or shoplifting…To meet criteria for kleptomania, one must recurrently fail to resist the impulse to steal unneeded or non-valuable objects. Tension before committing the theft is followed by gratification or release afterwards. These characteristics of kleptomania can be inferred from the Jawas’ capture of R2D2…The gratification of stealing R2D2 is clear from the Jawas’ excited scream…As for the need or value of the stolen items and the repetitive nature of the theft, the Jawas’ sandcrawler is filled with droids in various states of dysfunction…Although on a desert planet almost anything might have value, the Jawas seem to take this to extremes given the number of broken droids in their possession which do not even appear to be in good enough shape to use as spare parts”.

Elsewhere in the paper is a table listing many Star Wars characters along with “potential concept discussions” related to the characters’ behaviours in the films. This includes (amongst others) Darth Vader (borderline personality disorder, post-traumatic stress disorder), Jabba the Hutt (psychopathy and antisocial personality disorder), Boba Fett (Oedipal issues – Hamlet type), Yoda (dyslexia, malingering), Luke Skywalker (prodromal schizophrenia), Princess Leia (histrionic personality disorder), Padme Amidala (postnatal delirium, postnatal depression), Obi-Wan Kenobi (major depression in old age, pseudo-dementia), and C3PO (obsessive-compulsive personality disorder).

However, given my own research interests, the character that most interested me in Friedman and Ryan’s list was the claim that Lando Calrissian might be a pathological gambler. According to one of the Wiki entries:

“Lando Calrissian was a human male smuggler, gambler, and card player who became Baron Administrator of Cloud City, and, later, a general in the Rebel Alliance. [He] was born on the planet Socorro…During his youth, he became a smuggler and a gambler, playing a card game known as sabbacc. Calrissian was able to make a living by illegally acquiring and redistributing rare or valuable goods. However, due to Calrissian’s penchant for gambling, he and his business partner Lobot were in deep with the wrong people”.

Gambling does make the occasional appearance in Star Wars films – particularly in bar scenes. In describing Calrissian to Han Solo, Princess Leia notes “he’s a card player, gambler, scoundrel. You’d like him“. Qui-Gon Jinn notes in The Phantom Menace that “Whenever you gamble my friend, eventually you’ll lose”. The Star Wars Wiki on gambling notes that it involves “the betting of credits or possessions in wagers or games like sabbacc. For example, Lando Calrissian bet the Millennium Falcon in a game of sabacc with Han Solo, and lost. Gambling was rampant on Tatooine [the home planet of Luke Skywalker]”. The Star Wars Wiki on sabacc also notes that there are several variants of the game and that Calrissian lost the Millenium Falcon to Han Solo while playing ‘Corellian Spike’ and that Solo kept the two golden dice that were used while gambling. A profile article on Calrissian in the Washington Post describes him as a “suave gambler” rather than a pathological gambler.

There is no doubt that Calrissian liked to gamble but there is little evidence from the film that it was pathological. However, other articles (as well as older and newer fiction) about him claim that he is. For instance, in an online article by Shane Cowlishaw discussing the personality disorders of Star Wars characters, the following is claimed: 

“He may have ended up leading the final assault on the Death Star, but Lando perhaps was only successful due to being a pathological gambler. Having lost the Millennium Falcon to Han Solo in a bet, conned the Bespin Gas Mine out of somebody and gambling on a deal to betray Han and Chewbacca to the Empire, it is clear he can’t help himself. Lando gambles with the lives of other rebels, albeit successfully, be demanding that the spaceship not abort their mission when Admiral Ackbar orders everyone to retreat from the unexpectedly operational Death Star. A perfect character to debate whether pathological gambling is an addiction or an impulse-control disorder, apparently”

It’s also worth mentioning that Calrissian will also be making an appearance in upcoming Marvel comics. In an interview with writer Charles Soule (who will be scripting the new stories), it is evident that the crux of his character will focus on the gambling part of his personality – but more on the problem side:

“I focused on the whole gambler archetype for Lando; more specifically, the sort of lifelong card player who never really knows when to walk away from the table. He’s always chasing his losses, hoping that if he makes a big enough bet, he can get ahead with just one good hand. It’s tweaked a bit here—the idea is that Lando had something happen to him in his past that put him way behind, and now he’s just trying to get back to even. This isn’t really a financial thing, although that’s part of it – it’s more like a moral thing. Like a life debt. I don’t hit it too hard in this story—it’s all background—but the shading is there…Lando gets into crazy, extreme situations because they’re his version of making big bets at the card table. If he can make it through his next adventure, maybe he can just retire and live a quiet life. It never really works out, though. One step forward, two steps back. That’s Lando Calrissian…It’s a story about a hyper-charismatic, ultra-smooth guy who gets into huge jams constantly, and tends to get out of them through a combination of luck and charm. He’d never punch his way out of a fight; he’d rather buy everyone a few drinks and leave on good terms. Assuming he hasn’t gambled away all his money, that is”.

However, there is also the 2013 novel Scoundrels written by Timothy Zahn featuring Calrissian, Han Solo, and Chewbacca and includes the short story Winner Lose All based on Calrissian’s love of gambling but here, there is nothing to suggest the behaviour is pathological. There is also a fictional online interview with Calrissian that puts forward the idea that he was a professional gambler rather than a pathological gambler:

“Basically I was born to a normal middle class family and found I had a talent for gambling. I traipsed across the universe as a professional gambler, but occasionally need more money so I hired out as mercenary and treasure hunter. Eventually I won the Millennium Falcon, but didn’t know how to fly it. So I paid Han Solo to teach me, he won the ship from me in a game of Sabbac. I won it back but, it like taking your best friend’s girl so I gave it back to him. When I wound up on Cloud City I won my title of Barron Administrator in a card game. The rest is they sat history”.

Finally, on a more academic note, Calrissian also makes an appearance as one of the ‘Gambler’ archetypes the book Archetypes in Branding: A Toolkit for Creatives and Strategists by Margaret Hartwell and Joshua Chen. The book is a novel approach to brand development and includes a deck of 60 archetype cards with the aim of revealing a brand’s motivation and why it attracts certain customers. The authors hope that the book will be used repeatedly to inform and enliven brand strategy. This again suggests that Calrissian’s gambling is not seen as pathological (otherwise he wouldn’t have been included in the book as a brand to be modelled upon).

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

Further reading

Cowlishaw, S. (2015). Star Wars characters and their personality disorders. Stuff, July 8. Located at: http://www.stuff.co.nz/entertainment/film/70017741/Star-Wars-characters-and-their-personality-disorders

Friedman, S. H., & Hall, R. C. (2015). Using Star Wars’ supporting characters to teach about psychopathology. Australasian Psychiatry, 23(4), 432-434.

Friedman, S. H., & Hall, R. C. (2015). Teaching psychopathology in a galaxy far, far away: The light side of the force. Academic Psychiatry, 39(6), 719-725.

Griffiths, M.D. (1996). Media literature as a teaching aid for psychology: Some comments. Psychology Teaching Review, 5(2), 90.

Griffiths, M. (2004). An empirical analysis of the film ‘The Gambler’. International Journal of Mental Health and Addiction, 1(2), 39-43.

Griffiths, M.D. (2010). Media and advertising influences on adolescent risk behaviour. Education and Health, 28(1), 2-5.

Hall, R. C., & Friedman, S. H. (2015). Psychopathology in a galaxy far, far away: The use of Star Wars’ dark side in teaching. Academic Psychiatry, 39(6), 726-732.

Hartwell, M. & Chen, J.C. (2012). Archetypes in Branding: A Toolkit for Creatives and Strategists. How Design Books.

Myth world: Addictive personality does not exist

(Please note: This article is a slightly expanded and original version of an article that was first published in The Conversation).

“Life is a series of addictions and without them we die”. This is my favourite quote in the academic addiction literature and was made back in 1990 in the British Journal of Addiction by Professor Isaac Marks. This deliberately provocative and controversial statement was made to stimulate debate about whether excessive and potentially problematic activities such as gambling, sex and work can really be classed as genuine addictive behaviours. Many of us might say to ourselves that we are ‘addicted’ to tea or coffee, our work, or know others who we might describe as having addictions watching the television or using pornography. But is this really true?

The issue all comes down to how addiction is defined in the first place as many of us in the field disagree on what the core components of addiction are. Many would argue that the word ‘addiction’ or ‘addictive’ is used so much in everyday circumstances that word has become meaningless. For instance, saying that a book is an ‘addictive read’ or that a specific television series is ‘addictive viewing’ renders the word useless in a clinical setting. Here the word ‘addictive’ is arguably used in a positive way and as such it devalues the real meaning of the word.

The question I get asked most – particularly by the broadcast media – is what is the difference between a healthy excessive enthusiasm and an addiction and my response is simple – a healthy excessive enthusiasm adds to life whereas an addiction takes away from it. I also believe that to be classed as an addiction, any such behaviour should comprise a number of key components including overriding preoccupation with the behaviour, conflict with other activities and relationships, withdrawal symptoms when unable to engage in the activity, an increase in the behaviour over time (tolerance), and use of the behaviour to alter mood state. Other consequences such as feeling out of control with the behaviour and cravings for the behaviour are often present. If all these signs and symptoms are present I would call the behaviour a true addiction. However, that hasn’t stopped others accusing me of ‘watering down’ the concept of addiction.

A few years ago, Dr. Steve Sussman, Nadra Lisha and I published a large and comprehensive review in the journal Evaluation and the Health Professions examining the co-relationship between eleven different potentially addictive behaviours reported in the academic literature (smoking tobacco, drinking alcohol, taking illicit drugs, eating, gambling, internet use, love, sex, exercise, work, and shopping). We examined the data from 83 large-scale studies and reported an overall 12-month prevalence of an addiction among U.S. adults varies from 15% to 61%. We also reported it plausible that 47% of the U.S. adult population suffers from maladaptive signs of an addictive disorder over a 12-month period, and that it may be useful to think of addictions as due to problems of lifestyle as well as to person-level factors. In short – and with many caveats – our paper argued that at any one time almost half the US population are addicted to one or more behaviours.

There is a lot of scientific literature showing that having one addiction increases the propensity to have other co-occurring addictions. For instance, in my own research I have come across alcoholic pathological gamblers and we can all probably think of individuals that we might describe as caffeine-addicted workaholics. It is also very common for individuals that give up one addiction to replace it with another (which we psychologists call ‘reciprocity’). This is easily understandable as when an individual gives up one addiction it leaves a large hole in the waking lives (often referred to as the ‘void’) and often the only activities that can fill the void and give similar experiences are other potentially addictive behaviours. This has led many people to describe such people as having an ‘addictive personality’.

While there are many pre-disposing factors for addictive behaviour including genetic factors and psychological personality traits such as high neuroticism (anxious, unhappy, prone to negative emotions) and low conscientiousness (impulsive, careless, disorganised), I would argue that ‘addictive personality’ is a complete myth. Even though there is good scientific evidence that most people with addictions are highly neurotic, neuroticism in itself is not predictive of addiction (for instance, there are individuals who are highly neurotic but are not addicted to anything so neuroticism is not predictive of addiction). In short, there is no good evidence that there is a specific personality trait (or set of traits) that is predictive of addiction and addiction alone.

Doing something habitually or excessively does not necessarily make it problematic. While there are many behaviours such as drinking too much caffeine or watching too much television that could theoretically be described as addictive behaviours, they are more likely to be habitual behaviours that are important in an individual’s life but actually cause little or no problems. As such, these behaviours should not be described as an addiction unless the behaviour causes significant psychological and/or physiological effects in their day-to-day lives.

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

Further reading

Andreassen, C.S., Griffiths, M.D., Gjertsen, S.R., Krossbakken, E., Kvan, S., & Ståle Pallesen, S. (2013). The relationships between behavioral addictions and the five-factor model of personality. Journal of Behavioral Addictions, 2, 90-99.

Goodman, A. (2008). Neurobiology of addiction: An integrative review. Biochemical Pharmacology, 75(1), 266-322.

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

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

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. & Larkin, M. (2004). Conceptualizing addiction: The case for a ‘complex systems’ account. Addiction Research and Theory, 12, 99-102.

Kerr, J. S. (1996). Two myths of addiction: the addictive personality and the issue of free choice. Human Psychopharmacology: Clinical and Experimental, 11(S1), S9-S13.

Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking “big” personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin, 136(5), 768-821.

Larkin, M., Wood, R.T.A. & Griffiths, M.D. (2006). Towards addiction as relationship. Addiction Research and Theory, 14, 207-215.

Marks, I. (1990). Behaviour (non-chemical) addictions. British Journal of Addiction, 85, 1389-1394.

Nakken, C. (2009). The addictive personality: Understanding the addictive process and compulsive behavior. Hazelden, Minnesota: Hazelden Publishing.

Nathan, P. E. (1988). The addictive personality is the behavior of the addict. Journal of Consulting and Clinical Psychology, 56(2), 183-188.

Totally bananas for an apple source: A brief look at fruit fetishism

In a previous blog I briefly examined sitophilia, a sexual paraphilia in which the individual has an erotic attraction to (and derives sexual arousal from) food. In that blog I noted that there has long been an association between eating and sexual behaviour on many different levels. More specifically, I noted:

“Eating and sex are both basic human needs and sometimes interact more directly. Many would also agree that eating (in and of itself) can be a sensual activity. There are also some foods that are considered to be aphrodisiacs. For example, foodstuffs such as oysters and chocolate are considered to have aphrodisiac properties (even if there is a lack of empirical evidence). The important factor is that if people believe the food in question has such arousing properties then there is likely to be some kind of a placebo effect”.

One (arguable) sub-type of sitophilia relates to those individuals that have fruit fetishes and/or specifically use fruit as part of their day-to-day sexual activity. Fruit fetishism also has overlapping behavioural and psychological characteristics with other fetishes that I have written about previously including ‘wet and messy’ fetishism and Nyotaimori (i.e., eating a variety of foods or a whole meal off somebody’s naked body). Almost every article about fruit fetishes on the Internet mentions the fact that some types of fruit (most noticeably bananas) can be used as a dildo substitute for both men and women (and used both anally and vaginally). For instance, the Wikipedia entry on ‘food play’ notes:

“Certain fruits (e.g., bananas), vegetables (e.g., cucumbers and zucchinis) and processed meat (e.g., sausages and hot dogs), if used safely, may be fetish objects because they have a phallic shape, and can be substitutes for dildos, useful for vaginal or anal penetration. Other foods are so constituted that they can be sexually penetrated by a male…Francesco Morackini, an Austrian designer and artist, designed and created the first home Dildo Maker. It allows phallic food to be sculpted into an even more phallic shape for easier insertion…Other fruits are so constituted that they can be sexually penetrated by a male, if an appropriate hole is drilled in them. In the novel Portnoy’s Complaint by Philip Roth, the main character, Alexander Portnoy, masturbates using a cored-out apple”.

There are numerous references to sexual experiences involving fruit in popular culture. The most infamous is the scene in 9½ Weeks where John Gray (played by Mickey Rourke) feeds food erotically to his blindfolded lover Elizabeth McGraw (played by Kim Basinger) during foreplay. Sex with fruit is discussed in the 1991 Jim Jarmusch film Night On Earth. In the scene set in Rome, the taxicab driver Gino (played by Roberto Benigni) confesses to his passenger who happens to be a priest (played by Paolo Bonacelli) of having had sex with a pumpkin as a child (and before you all email me at once, pumpkins are fruits not vegetables). In the film, Gino confesses:

“I lived in the country, where there weren’t many women, and though you’re still a kid, inside you feel a man’s feeling, and there was no way to relieve this feeling. So the idea, not mine but a real intelligent friend of mine’s, of relieving ourselves with, to make love with…how do I say this? With pumpkins. Pumpkins. Warm, soft, damp, with seeds inside, so round – and we would – toom ta toom – help me find the words, Father – we relieved ourselves with these pumpkins”.

As you can probably guess, there is almost nothing in the academic literature on fruit fetishism. In a small article on ‘phallic fruit fetish’ in the online Urban Dictionary by Daniel Gonzales, he wrote that:

“[Phallic fruit fetish is a ‘disorder’ popularized by gay Quaker performing artist Peterson Toscano in his play ‘Time In The Homo No Mo Halfway House’ about his time spent as a patient in a Christian residential program to ‘cure’ gay people. Another resident in the program suffered from Phallic Fruit Fetish (or PFF) and had a persistent desire to commit sexual acts with phallic shaped fruits. The problem was alleviated when all phallic shaped fruits were removed from the facility. Rev. Smid ordered all bananas removed from the house upon learning of a patient’s phallic fruit fetish”.

Academically there are well over 100 papers and chapters on the topic of rectal foreign bodies and the list of objects and items that have been removed by doctors is almost as long as the number of papers. Many of these report the removal of fruit stuck in rectums (bananas and apples). Other papers report cucumbers as rectal foreign bodies (but reported as vegetables, but like pumpkins are actually fruits). My previous blog on rectal foreign bodies also provided a long list of items that had been medically removed from the rectum including drink containers (e.g., glass bottles, plastic bottles, peanut butter jars, glass tumblers), sporting items (e.g., baseballs, tennis balls), household and kitchen objects (e.g., candles, light bulbs, broomstick handle, spatulas, mortar pestle), sex toys (e.g., vibrators, dildos), and improvised objects (e.g., a sand-filled bicycle inner tubing, plastic fist and forearm, shoehorn, axe handles, aluminium money tube, whip handles, soldering irons, glass tubes, and frozen pigs tails). In a 2010 review by Dr. Joel Goldberg and Dr. Scott Steele published in Surgical Clinics of North America, the authors noted:

“Smooth objects, such as bottles, fruits and vegetables, dildos, and vibrators, cannot always be grasped, and caution should be taken to ensure that they are not broken inside the patient. In the cases of fruits and vegetables, however, either grasping or breaking apart the object is a well-described technique that aids in the removal of the foreign body”.

Breaking up the fruit appears to be an obvious method for retrieving rectal foreign bodies but a 2014 paper by Dr. Abbas Aras and colleagues in the journal Surgical Techniques Development claimed they had a new method outlined on their paper ‘A new and simple extraction technique for rectal foreign bodies: removing by cutting into small pieces’. They wrote about the case of a radish being stuck inside the rectum of a 53-year old male. They reported:

“The purposes of insertion and types of foreign bodies in rectum show great variation. Rectal foreign bodies need to be removed without giving damage to intestinal wall and this should be done in the easiest possible way. We have reported a new and a simple technique. It is easy to apply and safe. A patient was admitted to our clinic with a rectal foreign body (radish) which was successfully removed by cutting it into small pieces. We conclude that different kinds of rectal foreign bodies, especially fruit and vegetables, can be removed by this technique”.

Fruit fetishism and/or engaging in sexual practices with fruit are probably more widespread than might be initially imagined and there appears to be few problems from a psychological perspective. However, as the medical literature has frequently reported, help is sought when fruit is used in sexual practices (most commonly masturbation) and gets stuck inside a person’s rectal passage.

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

Further reading

Aras, A., Karabulut, M., Kones, O., Temizgonul, K. B., & Alis, H. (2014). A new and simple extraction technique for rectal foreign bodies: removing by cutting into small pieces. Surgical Techniques Development, 4(1), 6-7.

Barone, J. E., Sohn, N., & Nealon Jr, T. F. (1976). Perforations and foreign bodies of the rectum: report of 28 cases. Annals of Surgery, 184(5), 601-604.

Goldberg, J. E., & Steele, S. R. (2010). Rectal foreign bodies. Surgical Clinics of North America, 90(1), 173-184.

Memon, J. M., Memon, N. A., Solangi, R. A., & Khatri, M. K. (2004). Rectal foreign bodies. Gomal Journal of Medical Sciences, 6(1), 1-3.

Wikipedia (2015). Food play. Located at: http://en.wikipedia.org/wiki/Food_play