Category Archives: Compulsion

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.

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).

Screen Shot 2019-06-06 at 16.49.45

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

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.

The (not so) beautiful game: A brief look at problematic videogame playing among professional football players

Today’s blog briefly looks at the issue of problematic gaming amongst footballers and whether it is an issue that professional football clubs must take seriously. In a previous article I wrote about gambling (and gambling addiction) among professional footballers which has become a well-known issue over the last couple of decades. The reasons for why professional footballers gamble have similarities to why they play videogames.

It is the night before a big match. Professional football players are confined to staying in a hotel. No sex. No alcohol. No junk food. Basically, no access to all the things they might love. To pass time, footballers may watch television, play cards for money, or play a video game believing these are ‘healthier’ for them. The difficulty in detecting problematic gaming is likely to be one factor in its growth over other forms of potential addiction – especially as many players are more health-conscious and the testing for alcohol and drugs is now more rigorous. However, any of these ‘healthier’ activities when taken to excess can cause problems. Many years ago, England goalkeeper David James once claimed his loss of form was because of his round-the-clock video game playing. In short, the top players are very well paid and inevitably have lots of time on their hands.

During my career, I have been asked a handful of times by the press to comment on why footballers play videogames. For instance, I was recently interviewed by The i newspaper about the medical consequences of excessive gaming after a story emerged that Arsenal’s Mesut Ozil frequent back problems may have been related to the excessive amount of time he spent playing Fortnite (at least according to Professor Ingo Frobose at the Sport University Cologne in Germany).

mesut-ozil

Although the English Football Association has strict rules on gambling by footballers, there are none (as far as I am aware) on the playing of videogames (and to be honest there is no real need to do so). There are many reasons why footballers may gamble or play videogames to excess compared to other less ‘healthy’ behaviours like excessive drinking or drug taking. It is a shame that addictions to drugs and alcohol tend to generate more sympathy among the general public as many people view gambling and gaming as self-inflicted vices. But gambling or gaming to excess can be just as destructive because of the huge consequences on time and/or money.

According to a story earlier this week in The Sun newspaper, an “English football star” (who wanted to remain anonymous so as not to damage his reputation) had allegedly been playing the Fortnite videogame for up to 16 hours a day which he said was threatening his career (and his relationship) and causing him to miss training sessions. He also claimed there are many more in the sport” just like him. By speaking out about the issue, his motive is to “raise awareness about an addiction which has been described as a ‘silent epidemic’ in football”. The Sun claimed that the footballer’s story was “likely to resonate with dozens of his fellow professionals, who also while away their free time on consoles”. Other footballers such as Mesut Ozil and Harry Kane have claimed to big fans of playing Fortnite. The Sun also claimed that the Professional Footballers’ Association had been contacted by football clubs concerned about the amount of gaming habits by players. In the footballer’s interview with The Sun, he said that:

 “[My] gaming has become a massive problem. When I get back from training, the first thing I do is turn the Xbox on to play Fortnite. I play for about eight to ten hours a day, but I once played 16 hours non-stop the day before a match. When we have away matches and we travel by coach, I am gaming from the moment we leave and then I carry on in my hotel room at night. It is quite normal for me to stay up playing until two o’clock or three o’clock in the morning. I get a lot of eye strain, I am tired the next day and I miss training sometimes. When I started missing training, that was when I knew I needed help as I was getting in trouble from my club. This has been going on for about a year now. If I get told to come off the game, I am sometimes quite aggressive. I have mood swings. If I keep gaming, I worry that it could potentially finish my career. It is also affecting my relationship with my girlfriend because I play on the Xbox instead of seeing her…I think some of my team-mates need help as well. About 50 per cent of our squad are into gaming. And I know they play for a lot of hours because I play Fortnite with them – as well as with players from other clubs.”

The Sun also spoke to the footballer’s psychotherapist Steve Pope. He is currently treating five professional footballers who have problematic gaming and he was quoted as saying:

“Over the last few years, we have probably treated more than 20 footballers for this problem alone. But that is just the tip of the iceberg. They are all at it. It is the biggest scourge of our times. It’s a silent epidemic because footballers can’t be tested for it. I don’t think clubs realise what a big problem this is and the debilitating effect excessive gaming has on a player’s psyche. They wouldn’t let a footballer have a bottle of vodka in their hotel room the night before a game, so why would they let him loose with an Xbox?…If it’s a national problem, which gaming is, then why shouldn’t it affect footballers who have hours and hours to kill on planes, trains and coaches, and then sit in hotel rooms by themselves? For footballers, the real appeal about computer games is that, unlike with other addictions, they can’t be tested for it. It is a problem that needs to be outed to save players’ careers”.

Pope then went on to say:

“Footballers have an addictive personality because that’s what makes them good at their job. From an early age at academies, they are conditioned to work for a high, whether that is making a great pass or scoring a great goal. That is the work-for high. The brain likes that feeling, likes that elation, likes that rush. But if they are not getting that high from football, they are getting it from something else – alcohol, drugs, gambling or gaming. That is the lazy high. Footballers are trained to be competitive and with the kind of games they are playing, Fortnite or Fifa, they are continually in a competition. It’s a follow on from playing football. The trouble is they are playing the games all night and use up all their happy chemicals so their brain is imbalanced. So come the match the following day, they are as flat as a pancake. They are a jangled wreck, trying to clear their head. When I worked in-house at Fleetwood, we banned game stations the night before matches. I would walk the hotel corridors at night time nicking PlayStations and Xboxes to stop them using them”.

Whilst I don’t subscribe to the idea of an addictive personality, much of what Pope says I agree with. It’s not hard to see how professional footballers can get hooked into gaming. Consequently, time rich and money rich young footballers need to be educated about the potential downsides of excessive videogame playing.

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

Further reading

Coverdale. D. (2019). Football’s silent addiction: Gaming makes me aggressive and I’m worried it’ll end my career. The Sun, march 28. Located at: https://www.thesun.co.uk/sport/football/8735239/football-silent-addiction-gaming-fortnight-addiction-career/

Griffiths, M.D. (2006). All in the game. Inside Edge: The Gambling Magazine, July (Issue 28), p. 67.

Griffiths, M.D. (2010). Gambling addiction among footballers: causes and consequences. World Sports Law Report, 8(3), 14-16.

Wigmore, T. (2018). If Mesut Ozil really is addicted to Fortnite then Arsenal have a problem. The i, December 14. Located at: https://inews.co.uk/sport/football/mesut-ozil-fortnite-addicted-gaming-arsenal-injury-news/

Totally hooked: Angling, gambling, and ‘fishing addiction’

A few days ago, I published a short paper with Dr. Michael Auer examining the concept of ‘fishing addiction’ and the similarities with gambling addiction in the Archives of Behavioral Addiction. Fishing and gambling are two activities that on the surface do not appear to have much in common with each other. For many people, they are both simply leisure activities and this is where the similarities stop.

So in what ways are fishing and gambling similar? In the broadest of senses, gambling and fishing are not too dissimilar. As Dr. Gary Smith and his colleagues noted in a 2003 report, the word ‘gambling’ in day-to-day language has broad currency and can describe a number of activities such as farming, fishing, searching for oil, marriage or even crossing a busy street”. More specifically, in a 2011 chapter on stress among fisherman, Dr. Richard Pollnac and colleagues noted that “a fisher is basically gambling every time he/she goes out fishing” and that like gambling “production per fishing trip is highly variable and relatively unpredictable”. An earlier 2008 paper by Pollnac and John Poggie highlighted that marine fishing as an occupation is of a relative risky nature and state that it attracts and holds individuals manifesting an active, adventurous, aggressive and courageous personality – attributes that arguably apply to some types of competitive gamblers, such as poker players.

Screen Shot 2019-03-15 at 11.42.50

According to a 2013 online article by Dr. Per Binde (2013), who describes himself as a gambling researcher that enjoys fishing in his spare time, gambling and fishing have many similarities “especially if you consider bait casting (spinning) in relation to repetitive forms of gambling, such as slot machines. A 2013 online article by Whitney James (2013) has also made a similar observation that “pulling a penny slot is like casting your line. It doesn’t take a lot of effort but the payout is sometimes sweet”. In fact, both Binde and James have noted a number of distinct similarities and the list below combines these along with some of our own observations:

  • In both activities, the participant repeats the same behaviour over and over again in the hope that they will attain something of material value.
  • Both activities lead to mood modifying experiences and can be both relaxing and exciting.
  • Both activities can result in the person forgetting about time and engaging in the activity for much longer than the person originally intended (because of the escape-like qualities of engaging in the activity).
  • Both activities involve ‘near misses’ that reinforce the behaviour (or as Dr. Binde says “one reel symbol slightly out of place for a jackpot; bites and nibbles of fish that does not get hooked”).
  • Success in either activity may be a combination of skill and chance, and winning or catching a fish give the individuals concerned a sense of achievement and mastery. Furthermore, the person engaging in these activities may not be able to differentiate between what was skill and what was chance (or as Dr. Binde says: “was my choice of bait successful or was it just luck that I caught a big fish?”).
  • In both activities, the ‘availability bias’ comes into play. More specifically, the few big successes (i.e., catching a really big fish or winning a large amount of money) are highly memorable while all the many other occasions when the person lost all their money or caught nothing are easily forgotten.
  • In both activities, superstitious rituals are commonplace (wearing a ‘lucky’ cap, spitting on the lure, etc.). As I noted in a 2005 paper I co-wrote with Carolyn Bingham in the Journal of Gambling Issues, there are certain groups within society who tend to hold more superstitious beliefs than what may be considered the norm including sportsmen, actors, miners, fishermen, and gamblers.
  • In both activities, when things are not going right (i.e., not winning, not catching any fish), the person then tries the same thing somewhere else (a gambler changes table or slot machines, or goes to a new gaming venue; a fisherman changes his bait or tries another place in the river or a new river entirely).
  • In both activities, one win or one fish caught is never enough.
  • Both activities are potentially addictive (“ask either addict’s wife and they will confirm” said Whitney James).
  • In both activities, families forgive the person if they bring something home with them (i.e., winnings or fresh fish).
  • Finally, (and somewhat tongue-in-cheek) both activities (according to Whitney James) “are better with a drink in hand.

Another similarity is that both activities can prove an expensive pastime. While this could be said comparing any two leisure activities, in a 2004 qualitative interview study of seven male high frequency betting shop gamblers published in the journal Addiction Research and Theory, Dr. Tom Ricketts and Ann Macaskill, the gamblers justified the amount spent on gambling by contrasting the amount they spent on other leisure pursuits like fishing. As one gambler said: “Like some people go fishing…and that costs a lot more than what it does with gambling. So that’s the way I see it, really, you pay for your hobbies”.

Another qualitative interview study of seven male online poker players by myself and Dr. Adrian Parke in a 2012 issue of Addiction Research and Theory highlighted that some of the players use fishing analogies to describe their card play. It emerged clearly from one interview that a player could profit in both offline and online forms of gambling by manipulating various forms of information technology. As the authors noted:

“The significance of this belief was moderated in the sense that although participants professed that such profitable control was indeed possible, they indicated that there were also negative consequences of gambling in a controlled and profitable manner. This profitable, yet restricted form of gambling was described by one participant as ‘trawling’, highlighting the demanding and onerous nature of the activity… The use of the term ‘trawling’ for such forms of controlled gambling conveys an impression that is similar to commercial sea fishing (i.e. not only is it an arduous task but also several external factors influence profitability such as luck)”.

Dr. Binde also claimed that it is unsurprising that individuals that want to cease their excessive gambling often find sport fishing a suitable ‘substitution’ leisure activity. He then goes on to argue that fisherman only risk losing time rather than money but then adds:

“Sport fishing gear may cost a bit and fishermen may get the idea that better gear would make fishing more successful. There are people, however, who have problems controlling the extent of their sport fishing and who perceive it as a kind of addiction.

A 2009 online article by R. Pendleton draws similarities between fishing tournaments in Hawaii and poker tournaments. He cites Dr. Marc Miller, a cultural anthropologist and professor at the University of Washington, who theorized that there are four phases of tournament fishing that correspond to those found in gambling.

The first phase is ‘squaring off’, which begins when the anglers board their boat, choose their tackle and the area they intend to fish, and go steaming off to the grounds. It is rather like the gambler with a handful of chips checking out the gaming tables, he noted, but it abruptly ends when the lines hit the water. The second is the determination phase, Miller said. Like the gambler’s blackjack table, this is where the action is. The angler is fishing and fate is in charge. It only ends when the ‘stop fishing’ signal is given. The angler enters the third phase – ‘the disclosure’ – when the fishing is over. Again like the gambler’s hand of cards, it is time for the fisherman to put his catch up for weighing and judging – to finally show what he’s got. Finally comes the ‘settlement phase’ of tournament fishing when the angler’s score is posted and the results are compared with the other fishermen in the contest, rather like when the gambler must settle up with the dealer”.

As far as I am aware, there has never been a study of ‘fishing addiction’ in the psychological literature although there are a few references to it and/or compulsive fishing. Similar to Whitney James’ observation above about wives knowing if their husbands are addicted to fishing or gambling, the 2008 paper by Pollnac and Poggie noted that:

“A commercial crabber from Alaska said, ‘As any fisherman’s wife will tell you, fishing is an addiction. And for commercial fishermen, consider it a gambling addiction’ (Arnold 2006). This is an insightful observation, fishing is like an addiction, and most fishermen would do anything to avoid the potentially painful withdrawal symptoms”.

Bill Glasser, author of the 1976 book Positive Addiction, noted that fishing was one of many ‘positive addictions’ in a later (2012) paper on the topic (in the Canadian Journal of Counselling and Psychotherapy). More specifically, he claimed that he had heard numerous stories from many different individuals claiming they were ‘positively addicted “to a variety of activities such as swimming, hiking, bike riding, yoga, Zen, knitting, crocheting, hunting, fishing, skiing, rowing, playing a musical instrument, singing, dancing, and many more”. Glasser argued that activities such as jogging and transcendental meditation were positive addictions and were the kinds of activity that could be deliberately cultivated to wean addicts away from more harmful and sinister preoccupations. He also asserted that positive addictions must be new rewarding activities that produce increased feelings of self-efficacy.

Glasser’s (1976) own criteria for positive addictions are that the activities must (i) be non-competitive and needing about an hour a day, (ii) be easy, so no mental effort is required, (iii) be easy to be done alone, not dependent on 
people, (iv) be believed to be having some value (physical, 
mental, spiritual), (v) be believed that if persisted in, some improvement will result, and (iv) involve no self-criticism. Although ‘fishing addiction’ arguably meets these criteria, I argued in a 1996 paper in the Journal of Workplace Learning that Glasser’s criteria have little to with accepted criteria for addictive behaviour such as salience, mood modification, tolerance, conflict, withdrawal, loss of control, and relapse. Therefore, although Glasser believes that addiction to fishing is a positive addiction, I would argue that ‘fishing addiction’ using Glasser’s criteria is not really an addiction.

In an online article on ‘The psychology of fishing addiction’ (In The Bite, 2014), addiction psychotherapist Alexandria Stark asserted that although fishing addiction was not recognized in the psychiatric community, the American Psychiatric Association’s criteria of Gambling Disorder in the DSM-5 could be adapted to screen for whether someone is a fishing addict. Additionally, a 2007 paper in the journal Parkinsonism and Related Disorders by Dr. Andrew McKeon and colleagues reported seven case studies of “unusual compulsive behaviors following treatment for Parkinson’s disease with dopamine agonist therapy. One of the seven cases was a 48-year-old man who had been diagnosed with Parkinson’s disease at the age of 43 years and was taking daily doses of levodopa [300mg], ropinirole [24mg] and selegeline [5mg]. It was reported that the man suddenly “developed an intense interest and fascination with fishing” even though he had little prior interest in the activity. His wife reported that her husband was fishing incessantly for day after day, and that even though he caught nothing his interest in fishing did not diminish.

Pollnac and Poggie who have carried out lots of research into professional fisherman have speculated that professional fisherman and gamblers may have similar personality types and similar biological pre-dispositions. They speculated that if professional fisherman had not had gone into the fishing profession, they may have ended up as drug addicts or gambling addicts. More specifically, they noted that:

The possible existence of a genetic component related to an active, adventurous, aggressive, and courageous personality type should not be surprising. Fishermen manifesting this personality type are more successful as would be the hunters and gatherers who provided sustenance for human populations through most of the time humans have been on earth. This genetic component, which would have been advantageous for early humans, served us well, but when it was no longer needed, its frequency in human populations probably started a slow decline. It still exists, however, and those lucky (or unfortunate) to have it have to find other outlets for their need for novelty and adventure – risky sports and high stakes gambling, recreational hunting, marine sport fishing, and risky jobs like firefighting, policing, futures trading in the stock market, etc. Those who do not find other outlets or who may be misguided turn to self destructive behavior such as addictive gambling, crime (high risk) and substance abuse (LeGrand et al. 2005). Fortunately for fishermen, the occupation of fishing, a risky occupation, can provide a certain level of adventure accompanied by various risks and hence, serve as a socially acceptable outlet for their need for action and adventure while increasing their levels of satisfaction and happiness”.

In our just published paper, we visited various online discussion forums dedicated to fishing (e.g., Big Fish Tackle [www.bigfishtackle.com] and Angling Addicts [http://www.anglingaddicts.co.uk]) and located a number of fishermen that claimed their fishing was an addiction and/or had addiction-like properties (a selection of self-reports that we found are published in the paper). We argued that these self-reports have existential value and provide informal data that could be more formally investigated in future studies. In one of our cases, the individual was totally preoccupied by fishing even though he was not fishing every day (in fact, twice a week maximum). He thought about fishing all the time and it appeared to be the single most important thing in his life. If he couldn’t actually fish he was watching online fishing videos, watching fishing television programmes, playing fishing videogames, or on online fishing forums. Here, the individual appeared to display cross-tolerance (i.e., when unable to fish he engaged in other fish-related activities such as playing a fishing videogame). The only activity that made him want to get out of bed was fishing. The description of his behaviour is arguably one of the best working definitions of salience that you could find. For want of a better word, he was totally obsessed with fishing.

In another case, fishing was actually described by the individual as an addiction and that his wife made him cut back on his fishing. The way he overcame his urge to fish was to get a job that involved fishing which not only met his fishing needs but resolved the conflict in his relationship as his wife no longer cared that he was fishing every day when it became his full-time job. In another case, the individual described withdrawal symptoms if he was unable to fish and that he got “the shakes” if he was unable to fish, similar to an alcoholic who gets the shakes (i.e., delirium tremens) when unable to drink. Another case specifically described fishing in extreme cases as an addiction and something that has been with him (and will be with him) for life.

A further case described fishing as an addiction and how he first got involved with fishing (i.e., being in Florida near water meant that fishing excursions were readily and easily available). He provided an example of relapse in that he had been able to give up fishing for a period in his life (because there was no opportunity for his to fish), only for it to return at a later point. Another case likened fishing to drug use and that once someone had tried fishing they have to go back for more. For want of a better word they become ‘hooked’ (no pun intended but another linguistic example of the association between fishing and addiction).

One individual described how he was given an ultimatum by his wife, and as a consequence, he chose fishing over the relationship. Obviously his fishing was causing relationship problems and when it came to make a decision, he decided he loved fishing more than his wife and can now fish whenever he wants without his ex-wife interfering or passing negative comment on his desire to fish. By removing his wife from his day-to-day activity, the fishing presumably became a non-problematic behaviour. Another individual described fishing as an activity that has become constant in his life and was not just a phase that they are going through.

In a nutshell, our paper attempted to examine whether – in extreme cases – fishing could be characterised as an addiction, and also attempted to argue that there are many commonalities between excessive fishing and another behavioural addiction (i.e., gambling addiction). It does appear to have addiction-like properties and that some fishers describe their fixation on fishing as an addiction akin to problematic drug use and/or gambling. However, our paper didn’t argue that fishing addiction exists, just that some people (including fishers themselves) conceptualise their excessive behaviour as an addiction and that a few scholars have asserted that in extreme cases, fishing may be a behaviour that can be potentially addictive.

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

Arnold, C. 2006. A crabbers’ life. National Fisherman 87, 6, 22-25.

Binde, P. (2013). Fishing and gambling. The Anthropology of Gambling, August 31. Retrieved August 1, 2016, from: http://ongambling.org/fishing-and-gambling (last accessed May 15, 2015)

Glasser, W. (1976), Positive Addictions. New York, NY: Harper & Row.

Glasser, W. (2012). Promoting client strength through positive addiction. Canadian Journal of Counselling and Psychotherapy, 11(4), 173-175.

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. & Auer, M. (2019). Becoming hooked? Angling, gambling, and ‘fishing addiction’. Archives of Behavioral Addiction, 1(1), .

Griffiths, M.D. & Bingham, C. (2005). A study of superstitious beliefs among bingo players. Journal of Gambling Issues, 13. Retrieved August 1, 2016, from http://jgi.camh.net/doi/full/10.4309/jgi.2005.13.7 (last accessed May 15, 2015)

In The Bite (2014). The psychology of fishing addiction. July 15. Retrieved August 1, 2016, from: http://www.inthebite.com/2014/07/the-psychology-of-fishing-addiction/ (last accessed May 15, 2015)

James, W. (2013). 8 reasons fishing is like gambling. Handwritten [Personal Blog]. Retrieved August 1, 2016, from http://whitneyljames.tumblr.com/post/52146316443/8-reasons-fishing-is-like-gambling (last accessed May 15, 2015)

McKeon, A., Josephs, K. A., Klos, K. J., Hecksel, K., Bower, J. H., Michael Bostwick, J., & Eric Ahlskog, J. (2007). Unusual compulsive behaviors primarily related to dopamine agonist therapy in Parkinson’s disease and multiple system atrophy. Parkinsonism and Related Disorders, 13(8), 516-519.

Parke, A., & Griffiths, M. (2012). Beyond illusion of control: An interpretative phenomenological analysis of gambling in the context of information technology. Addiction Research and Theory, 20(3), 250-260

Pendleton, R. (2009). Fishing is Hawaii’s legalized gambling. The Examiner, April 29. Retrieved August 1, 2016, from http://www.examiner.com/article/fishing-is-hawaii-s-legalized-gambling

Pollnac, R. B., Monnereau, I., Poggie, J. J., Ruiz, V., & Westwood, A. D. (2011). Stress and the occupation of fishing. In Langan-Fox, J. & Cooper, C.L. Handbook of Stress in the Occupations, 309-321. Cheltenham: Edward Elgar Publishing Ltd.

Pollnac, R. B., & Poggie, J. J. (2008). Happiness, well-being, and psychocultural adaptation to the stresses associated with marine fishing. Human Ecology Review, 15(2), 194

Prattis, J. I. (1973). Gambling, fishing and innovation – a cross situational study of decision making. International Journal of Comparative Sociology, 14(1-2), 76-88.

Ricketts, T., & Macaskill, A. (2004). Differentiating normal and problem gambling: A grounded theory approach. Addiction Research & Theory, 12(1), 77-87.

Smith, G. J., Wynne, H. J., & Hartnagel, T. F. (2003). Examining police records to assess gambling impacts: A study of gambling-related crime in the City of Edmonton. Edmonton: Alberta Gaming Research Institute

Snap chat: The psychology of selfies

“Barefoot Wine is an advocate of self-expression and as such have introduced the House of Sole, a pop up event space in the heart of Soho [in London] that will encourage people to truly express themselves by taking part in a variety of activities including mind and soul reading, a self-customisation bar, and blindfold wine tasting. Barefoot encourages self-expression and celebrates individualism, from campaigns including ‘Bare Your Sole’ where we encourage individuals to shout about a passion point they have to the ‘House of Sole’ which is the ultimate destination for self-expression”.

This opening quote is from a press release by Barefoot Wine (BW) who a few months ago involved me in a press campaign concerning the psychology of selfies. Today’s blog uses material that I provided to BW about the rise of the selfie on social media and which was featured at length in the press release. The reason I was approached was a result of the massive worldwide press coverage that Dr. Janarthanan Balakrishnan and I received in relation to our research on obsessive selfie-taking (‘selfitis’) that I’ve written about in previous blogs (here, here, and here).

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I have come to the view that the selfie is much more than a way to show your friends and family what you’ve been up to, or your new haircut or a celebrity that you’ve meant, and it’s also the most efficient form of self-expression. In research I published last year with Dr. Balakrishnan in the International Journal of Mental Health and Addiction, we identified the reasons behind the ‘selfie’ phenomenon and what it means to an increasingly digitally connected, culturally aware and proud generation.

Our research suggested there were six main motivations for taking selfies. The six motivations are:

  • Self-confidence (e.g. taking selfies to feel more positive about oneself)
  • Environmental enhancement (e.g. taking selfies in specific locations to feel good and show off to others)
  • Social competition (e.g. taking selfies to get more ‘likes’ on social media)
  • Attention seeking (e.g. taking selfies to gain attention from others)
  • Mood modification (e.g. taking selfies to feel better)
  • Subjective conformity (e.g. taking selfies to fit in with one’s social group and peers)

The motivations for taking selfies may be different. However, the selfie in general enables an individual to create a genuine identity or a perceived identity. Either way, this can be a positive source of boosted self-confidence, allowing the individual to express themselves in a way in which adds to their identity or character and showcase who they truly are (or who they believe they are and/or want to be).

The rise in selfie popularity has also allowed to us to be more connected on a personal level. Before the invention of modern day smartphones, sharing personal experiences were restricted to physical social interactions or one-to-one conversations. This trend has seen us being a lot more open and talking about our experiences to an extent where we wouldn’t have before. This has allowed people to celebrate their hobbies, interests, and the aspects that make individuals who they are.

However, as selfies have become a popular form of self-expression, issues around vanity can kick in, the findings of our research showed that excessive selfie-takers were more likely to be motivated to take selfies for attention seeking, environmental enhancement, and social competition (and which emphasises perceived identity).

In recent years, selfies have become a key source of personal expression and are a quick and convenient way for people to instantly satisfy lots of their own personal needs as well as present themselves in a way that they want other individuals to see them. For many people, selfies help create their identity for how they wish others to see them and can be a source of boosting self-esteem. The rise of social media has meant that such self-expressions can be displayed instantly to their followers and the wider world more generally.

The rise of the selfie has put individuals more in control of how they are represented in their wider social community. If a person is not happy with the picture they have taken they can either delete it or use photo editing apps/software to change an image to the way that suits them the best. It has subsequently made the individual more self-aware which for many is a good thing but for a smaller minority it may make them feel worse about how they feel if they are insecure and compare their own selfies with others.

Ten years ago, it was very hard to share personal experiences except on a one-to-one basis or within a person’s immediate social circle. However, social media has allowed social networks to expand in ways never thought possible a decade ago. A selfie can say more about a person than the written word and it’s one of the reasons they have become so popular.

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

 Further reading

 Balakrishnan, J. & Griffiths, M.D. (2018). An exploratory study of ‘selfitis’ and the development of the Selfitis Behavior Scale. International Journal of Mental Health and Addiction, 16, 722-736.

Gaddala, A., Hari Kumar, K. J., & Pusphalatha, C. (2017). A study on various effects of internet and selfie dependence among undergraduate medical students. Journal of Contemporary Medicine and Dentistry, 5(2), 29-32.

Griffiths, M.D. (2018). ‘Behavioural addiction’ and ‘selfitis’ as constructs – The truth is out there! Australian and New Zealand Journal of Psychiatry, 52, 730-731.

Griffiths, M.D. & Balakrishnan, J. (2018). The psychosocial impact of excessive selfie-taking in youth: A brief overview. Education and Health, 36(1), 3-5.

Kaur, S., & Vig, D. (2016). Selfie and mental health issues: An overview. Indian Journal of Health and Wellbeing, 7(12), 1149

Khan, N., Saraswat, R., & Amin, B. (2017). Selfie: Enjoyment or addiction? Journal of Medical Science and Clinical Research, 5, 15836-15840.

Kuss, D.J. & Griffiths, M.D. (2017). Social networking sites and addiction: Ten lessons learned. International Journal of Environmental Research and Public Health, 14, 311; doi:10.3390/ijerph14030311

Lee, R. L. (2016). Diagnosing the selfie: Pathology or parody? Networking the spectacle in late capitalism. Third Text, 30(3-4), 264-27

Senft, T. M., & Baym, N. K. (2015). Selfies introduction – What does the selfie say? Investigating a global phenomenon. International Journal of Communication, 9, 19

Singh, D., & Lippmann, S. (2017). Selfie addiction. Internet and Psychiatry, April 2. Located at: https://www.internetandpsychiatry.com/wp/editorials/selfie-addiction/

Singh, S. & Tripathi, K.M. (2017). Selfie: A new obsession. SSRN, Located at: http://dx.doi.org/10.2139/ssrn.2920945

Click and collect: A brief personal look at Bowie obsession and completism

The great thing about having your own blog is that you can write what you want when you want without any outside interference or editorial control. I’m in total charge. The last article I published on my blog was about David Bowie and so is this one. The main reason I’ve come back to Bowie is that since Christmas I have been playing nothing but Bowie (or Bowie-related albums) on repeat for hours a day. Thankfully, there are so many albums that I’ve not played any of his studio albums more than three or four times in this latest Bowie-obsessed period in my life.

There are also so many compilations that I have been playing although there are three or four that are played significantly more than most. The first is my all-time favourite Bowie LP, All Saints, a collection of his career-spanning instrumentals. The songs are heavily biased to the wordless masterpieces on his Low and “Heroes” albums (as well as the underrated but brilliant Buddha of Suburbia album) but it’s the perfect album to play in bed with my headphones on. Similarly, another album that I love playing is Christiane F. which is nominally the soundtrack to the German film of the same name (in which Bowie appears briefly as himself in a concert scene). It only features songs from Bowie’s ‘Berlin Trilogy’ period (i.e., Low, “Heroes” and Lodger) and its predecessor Station to Station. I simply love the songs in this period of Bowie’s career (i.e., 1976-1979).

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Another compilation that I have played a lot is the second disc in the 2-CD greatest hits collection Legacy, released shortly after Bowie’s death. Yes, it was a cash-in, but I still love it. This is because it features the many gems from his later catalogue all in one place – the singles that appeared on his last four studio LPs (Heathen, Reality, The Next Day, and Blackstar). The final compilation I have been playing a lot is the third disc from the triple-CD The Platinum Collection which covers Bowie’s most maligned years (1980-1987). My least favourite Bowie albums are Tonight, Let’s Dance, and Never Let Me Down (although I do like the newly re-recorded version in the latest Loving The Alien boxset) but the singles released during this period are generally great including many standalone singles not on any of these albums (and primarily written and recorded for film soundtracks) such as This Is Not America, When The Wind Blows, Cat People (Putting Out Fire), Underground, Absolute Beginners, and The Alabama Song. These singles along with good songs on mediocre records (Let’s Dance, Modern Love, China Girl, Blue Jean, Loving The Alien, Time Will Crawl, etc.).

The reason that I actually decided to write this particular blog was to once again give my readers some insight into the mind of an obsessive ‘completist’. I did this in two previous blogs (here and here) but this one goes a little wider in scope because it goes beyond Bowie’s recorded outputs. It shouldn’t come as a surprise that I have every single album that Bowie has ever released (including every studio LP, every live LP, and every compilation across all stages of Bowie’s 50-year career). I also have dozens and dozens of Bowie bootlegs (mostly unreleased concerts but also various CDs that include outtakes and demos that any serious Bowie collector has in their possession). In addition, I also collect Bowie music DVDs (e.g., documentaries, recorded concerts, promo videos, etc.). I also have hundreds of books and Bowie magazine specials (yes I’m a hoarder).

However, this Christmas I made the decision that I am now going to collect all the films in which Bowie has acted in on DVD. This is easier said than done because I have to devise inclusion and exclusion criteria as to where I will draw a line as to what to buy. Thankfully, being a Bowie-obsessive I already had a lot of his non-musical acting appearances in my DVD collection already. For instance, I have many different versions of his best film (The Man Who Fell To Earth, 1976) on DVD including the 4-disc 40th Anniversary Collector’s Edition. I also have DVDs of other films in my collection that I like but which I bought because I liked the film rather than bought it because Bowie starred in it (i.e., Merry Christmas Mr. Lawrence [1983], The Hunger [1983], Basquiat [1996], The Prestige [2006]). I also have DVD films that I bought for my children (when they were younger) but did so because Bowie was in it (Labyrinth [1986], The Snowman [1982]). Also, back in 2016, I treated myself to a boxset of films and television programmes (Dissent and Disruption)  directed by Alan Clarke. One of the reasons I bought it (but not the only reason) was that it featured Bowie’s lead role performance in the BBC drama Baal. I also got a Bowie film boxset from my partner for Christmas that featured three Bowie films that weren’t in my collection already (i.e., Absolute Beginners [1986], Just A Gigolo [1978], and Into The Night [1985]). The other notable acting performance by Bowie that I already had in DVD was his brilliant cameo appearance in Ricky Gervais’ comedy Extras (2006).

So what to buy next? I know I’m going to end up buying films that I will watch but won’t particularly or necessarily enjoy (unfortunately one of the real downsides of being an obsessive completist but something that we completists take in our stride). One of my rules is that I will only buy the DVDs if I can get them cheaply (i.e., under £10 and preferably less). So in the past week or so I have ordered the following films via Amazon (all pre-owned): The Last Temptation of Christ (1988), Gunfighters Revenge (1998; aka Gunslingers Revenge), Everyone Love’s Sunshine (1999; aka B.U.S.T.E.D.), The Linguini Incident (1991), August (2008; aka Landshark), and Mr. Rice’s Secret (2000). I got all of these really inexpensively from the cheapest at £1.24 to £7.91. I also picked up the complete TV boxset of Series 2 of The Hunger (1999-2000) which features one episode with Bowie in it as well as other episodes of him as narrator (£3.49).

So what remains to buy? Surprisingly, one film I should have in my collection is the film Twin Peaks: Fire Walk With Me (1992) but I don’t (as yet). I say “should” because I am a Twin Peaks fan (I love David Lynch films) and already have the Twin Peaks (Definitive Gold Box Edition) but have yet to get the associated film starring Bowie. I’m just waiting to try and get a cheap copy. No-brainer. After that it gets a bit more difficult as to what I should buy to complete my collection. Do I buy those films or TV programmes in which Bowie has voiced a character rather than actually acted in? The two cases in question are his appearance in an episode of SpongeBob SquarePants (2007; he voiced the character Lord Royal Highness) and the film Arthur and the Invisibles (2007; he voiced the character Emperor Maltazard). I then have to decide if I want to buy films that Bowie had uncredited and/or ‘blink and you’ll miss him’ appearances (the most obvious examples are Bowie’s appearances in The Virgin Soldiers [1969] and Yellowbeard [1983]). There are also a few films where Bowie has cameo appearances as himself (most notably Zoolander [2001] and Bandslam [2009]).

So there you have it. More insight into the mind of an obsessive Bowie completist. Individuals like myself are a dream for those that sell Bowie merchandise. We buy things without worrying about the quality. It’s almost an inner compulsion to do so. Sometimes I wish I wasn’t a completist but like any serious collector, there is nothing better than knowing you have the complete collection of whatever is collectable.

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

Further reading

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.

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

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

Jones, D. (2017). David Bowie: A Life. New York: Penguin Random House

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

Pegg, N. (2016). The Complete David Bowie (Revised and Updated 2016 Edition). London: Titan Books.

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.

World of the Weird: The A-Z of strange and bizarre addictions

Today’s blog takes a brief look at some of the stranger addictions that have been written about in the academic literature (or academics that have tried to argue these behaviours can be addictive). Some of these ‘addictions’ listed are not addictions by my own criteria but others have argued they are. The papers or books that have argued the case for the cited behaviour being a type of addiction are found in the ‘Further reading’ section.

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  • Argentine tango addiction: A French study published in a 2013 issue of the Journal of Behavioral Addictions by Remi Targhetta and colleagues argued that a minority of 1129 Argentine tango dancers they surveyed may be addicted to dancing. In 2015, I and some of my Hungarian colleagues developed the Dance Addiction Inventory (published in PLoS ONE) and also argued that a minority of dancers (more generally) might be addicted to dance and conceptualized the behaviour as a form of exercise addiction.
  • Badminton addiction: While there are many behaviours I could have chosen here including addictions to box set television watching (aka ‘box set bingeing), bargain hunting, bungee jumping, blogging, and bodybuilding, a recent 2018 paper published in NeuroQuantology by Minji Kwon and colleagues carried out a neuroimaging study on a sample 45 badminton players. Using the Korean Exercise Addiction Scale, 20% of the sample were defined as being addicted to badminton.
  • Carrot eating addiction: Again, there are many behaviours I could have chosen here including alleged addictions to crypto-trading, chaos, collecting, crosswords, and cycling, there are a number of published case studies in the psychological literature highlighting individuals addicted to eating carrots including papers by Ludek Černý and Karel Černý, K. (British Journal of Addiction, 1992), and Robert Kaplan (Australian and New Zealand Journal of Psychiatry, 1996).
  • Death addiction: A recent paper by Dr. Marc Reisinger entitled ‘Addiction to death’ in the journal CNS Spectrums attempted to argue that attraction to death be considered an addiction similar to gambling addiction. Reisinger related the concept to individuals who have left Europe to join the jihad in Syria, and outlined the case of 24-year-old French-Algerian Mohamed Merah who committed several attacks in Toulouse in 2012 and who ‘glorified’ death. Te paper claimed that this “addiction to death is taught by Salafist preachers, whose videos, readily accessible on the internet, are kind of advertisements for death, complete with depictions of soothing fountains and beautiful young girls”.
  • Entrepreneurship addiction: There are a couple of papers by April Spivack and Alexander McKelvie (a 2014 paper in the Journal of Business Venturing, and a 2018 paper Academy of Management) arguing that entrepreneurship can be addictive. They define ‘entrepreneurship addiction’ as “the excessive or compulsive engagement in entrepreneurial activities that results in a variety of social, emotional, and/or physiological problems and that despite the development of these problems, the entrepreneur is unable to resist the compulsion to engage in entrepreneurial activities”. They also make the case that that entrepreneurship addiction is different from workaholism.
  • Fortune telling addiction: Although I could have included addictions to financial trading or fame, a 2015 paper in the Journal of Behavioral Addictions by Marie Grall-Bronnec and her colleagues reported the case study of a woman (Helen) that was ‘addicted’ to fortune tellers. They used my addiction criteria to assess whether Helen was addicted to fortune telling, and argued that she was.
  • Google Glass addiction: In previous blogs I have written on addictions to gossip and gardening (although these were based more on non-academic literature). However, a 2015 paper published by Kathryn Yung and her colleagues in the journal Addictive Behaviors, published the first (and to my knowledge) only case of addiction to Google Glass (wearable computer-aided glasses with Bluetooth connectivity to internet-ready devices. The authors claimed that their paper, (i) showed that excessive and problematic uses of Google Glasscan be associated with involuntary movements to the temple area and short-term memory problems, and (ii) highlighted that the man in their case study displayed frustration and irritability that were related to withdrawal symptoms from excessive use of Google Glass.
  • Hacking addiction: Back in the late 1990s and early 2000s I wrote a number of papers on internet addiction and included ‘hacking addiction’ as a type of internet addiction. Given the criminal element of this type of internet addiction I wrote about it in criminological-based journals such as The Probation Journal (1997) and The Police Journal (2000). One of the most infamous cases that I have written about took place in London in 1993, where Paul Bedworth was accused of hacking-related crime causing over £500,000 worth of damage. On the basis of expert witness testimony, he was acquitted on the basis that he was addicted to hacking. Since then, various papers have been published arguing that hacking can be an addiction. For instance, in an in-depth interview study of 62 hackers, Siew Chan and Lee Yao used addiction as a framework to explain their participants’ behaviour (see their paper in the Review of Business Information Systems, 2005).
  • Internet search addiction: Although I was tempted to go for IVF addiction, I thought I would go for ‘internet search addiction’ which basically refers to constant ‘googling’ where individuals spend hours and hours every day using online databases to go searching for things. This behaviour was first alluded to by Kimberley Young in her 1999 classification of different types of internet addiction which she called ‘information overload’ and was defined as compulsive web surfing or database searches. More recently, Yifan Wang and her colleagues developed the Questionnaire on Internet Search Dependence (QISD) published in Frontiers in Public Health (FiPH). I criticized the QISD in a response paper published in FiPH, not because I didn’t think internet search addiction didn’t exist (because theoretically it might do, even though I’ve never come across a genuine case) but because the items in the instrument had very little to do with addiction.
  • Joyriding addiction: There have been a number of academic papers published on joyriding addiction. Arguably the most well-known study was published by Sue Kellett and Harriet Gross in a 2006 issue of Psychology, Crime and Law. The study comprised semi-structured interviews with 54 joyriders (aged 15 to 21 years of age) all of whom were convicted car thieves (“mainly in custodial care”). The results of the study indicated that all addiction criteria occurred within the joyriders’ accounts of their behaviour particularly ‘‘persistence despite knowledge and concern about the harmful consequences’’, ‘‘tolerance’’, ‘‘persistent desire and/or unsuccessful attempts to stop’’, “large amounts of time being spent thinking about and/or recovering from the behaviour’’ and “loss of control”. The paper also cited examples of ‘withdrawal’ symptoms when not joyriding, the giving up of other important activities so that they could go joyriding instead, and spending more time participating in joyriding than they had originally intended.
  • Killing addiction: The idea of serial killing being conceptualized as an addiction in popular culture is not new. For instance, Brian Masters book about British serial killer Dennis Nilsen (who killed at least 12 young men) was entitled Killing for Company: The Story of a Man Addicted to Murder, and Mikaela Sitford’s book about Harold Shipman, the British GP who killed over 200 people, was entitled Addicted to Murder: The True Story of Dr. Harold Shipman. In Eric Hickey’s 2010 book Serial Murderers and Their Victims, Hickey makes reference to an unpublished 1990 monograph by Dr. Victor Cline who outlined a four-factor addiction syndrome in relation to sexual serial killers who (so-called ‘lust murderers’ that I examined in a previous blog). One of the things that I have always argued throughout my career, is that someone cannot become addicted to an activity or a substance unless they are constantly being rewarded (either by continual positive and/or negative reinforcement). Given that serial killing is a discontinuous activity (i.e., it happens relatively infrequently rather than every hour or day) how could killing be an addiction? One answer is that the act of killing is part of the wider behaviour in that the preoccupation with killing can also include the re-enacting of past kills and the keeping of ‘trophies’ from the victims (which I overviewed in a previous blog).
  • Love addiction: In the psychological literature, the concept of love addiction has been around for some time dating back to works by Sigmund Freud. Arguably the most cited work in this area is the 1975 book Love and Addiction by Stanton Peele and Archie Brodsky. Their book suggested that some forms of love are actually forms of addiction, and tried to make the case that some forms of love addiction may be potentially more destructive and prevalent than widely recognized opiate drugs. There have also been a number of instruments developed assessing love addiction including the Love Addiction Scale (developed by Hunter, Nitschke, and Hogan, 1981), and the Passionate Love Scale (developed by Hatfield, and Sprecher, 1986).
  • Muscle dysmporphia as an addiction: In a paper I published with Andrew Foster and Gillian Shorter in a 2015 issue of the Journal of Behavioral Addictions, we argued that muscle dysmorphia (MD) could be classed as an addiction. MD is a condition characterised by a misconstrued body image in individuals who interpret their body size as both small or weak even though they may look normal or highly muscular. MD has been conceptualized as a body dysmorphic disorder, an eating disorder, and/or part of the obsessive-compulsive disorder symptomatology. Reviewing the most salient literature on MD, we proposed an alternative classification of MD that we termed the ‘Addiction to Body Image’ (ABI) model. We argued the addictive activity in MD is the maintaining of body image via a number of different activities such as bodybuilding, exercise, eating specific foods, taking specific drugs (e.g., anabolic steroids), shopping for specific foods, food supplements, and/or physical exercise accessories, etc.. In the ABI model, the perception of the positive effects on the self-body image is accounted for as a critical aspect of the MD condition (rather than addiction to exercise or certain types of eating disorder). Based on empirical evidence, we proposed that MD could be re-classed as an addiction due to the individual continuing to engage in maintenance behaviours that may cause long-term harm.
  • News addiction: Although I could have chosen nasal spray addiction or near death addiction, a recent 2017 paper on ‘news addiction’ was published in the Journal of the Dow University of Health Sciences Karachi by Ghulam Ishaq and colleagues. The authors used some of my papers on behavioural addiction to argue for the construct of ‘news addiction’ as a construct to be empirically investigated. The authors also developed their own 19-item News Addiction Scale (NAS) although the paper didn’t give any examples of any of the items in the NAS. In relation to personality types (and like other addictions), they found news addiction was positively correlated with neuroticism and negatively correlated with conscientiousness. Given that this is the only study on news addiction that I am aware of, I’ll need a lot more research evidence before I am convinced that it really exists.
  • Online auction addiction: A number of academics have made the claim that some individuals can become addicted to participating in online auctions. In a 2004 paper on internet addiction published in American Behavioral Scientist, Kimberley Young mentioned online auction [eBay] addiction in passing. The same observation was also made in a later 2009 paper by Tonino Cantelmi and Massimo Talls in the Journal of CyberTherapy and Rehabilitation. Other researchers have carried out empirical studies including a (i) 2007 paper by Cara Peters and Charles Bodkin in the Journal of Retailing and Consumer Services, (ii) 2008 paper by Chih-Chien Wang in the Proceedings of the Asia-Pacific Services Computing Conference, and (iii) 2011 study carried out by Dr. Ofir Turel and colleagues published in the MIS Quarerly. These papers indicated that those with problematic online auction use experienced (i) psychological distress, (ii) habitual usage, (iii) compulsive behaviour, (iv) negative consequences, and/or (v) dependence, withdrawal and self-regulation.
  • Pinball addiction: Although I could have listed alleged addictions to plastic surgery and poetry, as far as I am aware, I am the only academic to have published a paper on pinball addiction. Back in 1992, I published a case study in Psychological Reports. My paper featured the case of a young man (aged 25 years) who (based on classic addiction criteria) was totally hooked on pinball. It was the most important thing in his life, used the behaviour to modify his moods, got withdrawal symptoms if he was unable to play pinball, had engaged in repeated efforts to cut down or stop playing pinball, and compromised all other activities in his life (education, occupation and relationships). To me, this individual had a gaming addiction but it was pinball rather than videogame addiction.
  • Qat addiction: Qat (sometimes known as khat, kat, cat, and ghat) is a flowering plant traditionally used as a mild stimulant in African and Middle East countries (Somalia, Yemen, Ethiopia). Heavy qat users can experience many side effects including insomnia, anxiety, increased aggression, high blood pressure, and heart problems. There are numerous reports in the medical literature of qat addiction (see papers by Rita Manghi and colleagues in the Journal of Psychoactive Drugs, and Nezar Al-Hebshi and Nils Skuag in Addiction Biology).
  • Rock climbing addiction: Over the past two years, a couple of papers by Robert Heirene, David Shearer, and Gareth Roderique-Davies have looked at the addictive properties of rock climbing specifically concentrating on withdrawal symptoms and craving. In the first paper on withdrawal symptoms published in 2016 in the Journal of Behavioral Addictions, the authors highlighted some previous research suggesting that there are similarities in the phenomenology of substance-related addictions and extreme sports (in this case rock climbing). The study concluded that based on self-report, rock climbers experienced genuine withdrawal symptoms during abstinence from climbing and that these were comparable to individuals with substance and other behavioural addictions. In a second investigation just published in Frontiers in Psychology, the same team reported the development of the Rock Climbing Craving Questionnaire comprising three factors (‘positive reinforcement’, ‘negative reinforcement’ and ‘urge to climb’).
  • Study addiction: I was spoilt for choice on the letter ‘S’ and could have mentioned addictions to speeding, selfie-taking, shoplifting, Sudoko, and stock market speculation. However, there are now a number of published papers on ‘study addiction’ (individuals addicted to their academic study), three of which I have co-authored (all in the Journal of Behavioral Addictions and led by my colleague Pawel Atroszko). We have conceptualised study addiction as a type of work addiction (or a pre-cursor to work addiction) and in a series of studies (including longitudinal research) we have found empirical evidence of ‘study addiction’. Italian researchers (Yura Loscalzo and Marco Giannini) have also published research on ‘overstudying’ and ‘studyholism’ too (in the journals ARC Journal of Psychiatry, 2017; Social Indicators Research, 2018).
  • Tanning addiction: There is now lots of empirical research examining ‘tanorexia’ (individuals who crave tanning and spend every day on sunbeds). However, I along with my colleagues in Norway recently reconceptualised tanorexia as a ‘tanning addiction’ and developed a scale to assess it (which was recently published in a 2018 issue of the British Journal of Dermatology). Our study was the largest over study on tanning (over 23,000 participants) and our newly developed scale (the Bergen Tanning Addiction Scale) had good psychometric properties.
  • Upskirting addiction: Upskirting refers to taking a photograph (typically with a smartphone) up someone’s skirt without their permission. In the UK there have been a number of high profile court cases including Paul Appleby who managed to take 9000 upskirting photos in the space of just five weeks (suggesting that he was doing it all day every day to have taken so many photos), and Andrew MacRae who had amassed 49,000 upskirt photos and videos using hidden cameras at his workplace, on trains, and at the beach. Both men avoided a custodial sentence because their lawyers argued they were addicted and/or had a compulsion to upskirting. In a 2017 issue of the Law Gazette, forensic psychologist Julia Lam made countless references to upskirting in an overview of voyeuristic disorder. Dr. Lam also talked about her treatment of upskirting voyeurs and recounted one case which she claimed was a compulsion (and who was successfully treated). The case involved a male university student who was very sport active but who masturbated excessively whenever major sporting events or important exams were imminent as a coping strategy to relieve stress.
  • Virtual reality addiction: Back in 1995, in a paper I entitled ‘Technological addictions’ in the journal Clinical Psychology Forum, I asserted that addiction to virtual reality would be something that psychologists would be seeing more of in the future. Although I wrote the paper over 20 years ago, there is still little empirical evidence (as yet) that individuals have become addicted to virtual reality (VR). However, that is probably more to do with the fact that – until very recently – there had been little in the way of affordable VR headsets. (I ought to just add that when I use the term ‘VR addiction’ what I am really talking about is addiction to the applications that can be utilized via VR hardware rather than the VR hardware itself). Of all the behaviours on this list, this is the one where there is less good evidence for its existence. Perhaps of most psychological concern is the use of VR in video gaming. There is a small minority of players out there who are already experiencing genuine addictions to online gaming. VR takes immersive gaming to the next level, and for those that use games as a method of coping and escape from the problems they have in the real world it’s not hard to see how a minority of individuals will prefer to spend a significant amount of their waking time in VR environments rather than their real life.
  • Water addiction: In a blog I wrote back in 2015, I recounted some press stories on individuals who claimed they were ‘addicted’ to drinking water. My research into the topic led to a case study of ‘water dependence’ published a 1973 issue of the British Journal of Addiction by E.L. Edelstein. This paper reported that the excessive drinking of water can dilute electrolytes in an individual’s brain and cause intoxication. This led me to a condition called polydipsia (which in practical terms means drinking more than three litres of water a day) which often goes hand-in-hand with hyponatraemia (i.e., low sodium concentration in the blood) and in extreme cases can lead to excessive water drinkers slipping into a coma. There are also dozens and dozens of academic papers on psychogenic polydipsia (PPD). A paper by Dr. Brian Dundas and colleagues in a 2007 issue of Current Psychiatry Reports noted that PPD is a clinical syndrome characterized by polyuria (constantly going to the toilet) and polydipsia (constantly drinking too much water), and is common among individuals with psychiatric disorders. A 2000 study in European Psychiatry by E. Mercier-Guidez and G. Loas examined water intoxication in 353 French psychiatric inpatients. They reported that water intoxication can lead to irreversible brain damage and that around one-fifth of deaths among schizophrenics below the age of 53 years are caused this way. Whether ‘water intoxication’ is a symptom of being ‘addicted’ to water depends upon the definition of addiction being used.
  • X-ray addiction: OK, this one’s a little bit of a cheat but what I really wanted to concentrate on what has been unofficially termed factitious disorder (FD). According to Kamil Jaghab and colleagues in a 2006 issue of the Psychiatry journal FD is sometimes referred to as hospital addiction, pathomimia, or polysurgical addiction”. The primary characteristic of people suffering from FD is that they deliberately pretend to be ill in the absence of external incentives (such as criminal prosecution or financial gain). It is called a factitious because sufferers feign illness, pretend to have a disease, and/or fake psychological trauma typically to gain attention and/or sympathy from other people. Again, whether such behaviours can be viewed as an addiction depends upon the definition of addiction being used.
  • YouTube addiction: I unexpectedly found my research on internet addiction being cited in a news article by Paula Gaita on compulsive viewing of YouTube videos (‘Does compulsive YouTube viewing qualify as addiction?‘). The article was actually reporting a case study from a different news article published by PBS NewsHour by science correspondent Lesley McClurg (‘After compulsively watching YouTube, teenage girl lands in rehab for digital addiction’). The story profiled a student whose obsessive viewing of YouTube content led to extreme behaviour changes and eventually, depression and a suicide attempt. Not long after this, I and my colleague Janarthanan Balakrishnan published what we believe is the only ever study on YouTube addiction in the Journal of Behavioral Addictions. In a study of over 400 YouTube users we found that YouTube addiction was more associated with content creation than watching content
  • ‘Zedding’ addiction: OK, I’m using the Urban Dictionary’s synonym here as a way of including ‘sleep addiction’. The term ‘sleep addiction’ is sometimes used to describe the behavior 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.

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

Further reading

Al‐Hebshi, N., & Skaug, N. (2005). Khat (Catha edulis) – An updated review. Addiction Biology, 10(4), 299-307.

Andreassen, C.S., Pallesen, S. Torsheim, T., Demetrovics, Z. & Griffiths, M.D. (2018). Tanning addiction: Conceptualization, assessment, and correlates. British Journal of Dermatology. doi: 10.1111/bjd.16480

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

Atroszko, P.A., Andreassen, C.S., Griffiths, M.D. & Pallesen, S. (2015). Study addiction – A new area of psychological study: Conceptualization, assessment, and preliminary empirical findings. Journal of Behavioral Addictions, 4, 75–84.

Atroszko, P.A., Andreassen, C.S., Griffiths, M.D. & Pallesen, S. (2016). Study addiction: A cross-cultural longitudinal study examining temporal stability and predictors of its changes. Journal of Behavioral Addictions, 5, 357–362.

Atroszko, P.A., Andreassen, C.S., Griffiths, M.D., Pallesen, S. (2016). The relationship between study addiction and work addiction: A cross-cultural longitudinal study. Journal of Behavioral Addiction, 5, 708–714.

Balakrishnan, J. & Griffiths, M.D. (2017). Social media addiction: What is the role of content in YouTube? Journal of Behavioral Addictions, 6, 364-377.

Black, D., Belsare, G., & Schlosser, S. (1999). Clinical features, psychiatric comorbidity, and health-related quality of life in persons reporting compulsive computer use behavior. Journal of Clinical Psychiatry, 60, 839-843.

Burn, C. (2016). Poesegraphilia – Addiction to the act of writing poetry. Poetry Changes Lives, May 27. Located at: http://www.poetrychangeslives.com/addiction-to-the-act-of-writing-poetry/

Cantelmi, T & Talls, M. (2009). Trapped in the web: The psychopathology of cyberspace. Journal of CyberTherapy and Rehabilitation, 2, 337-350.

Černý, L. & Černý, K. (1992). Can carrots be addictive? An extraordinary form of drug dependence. British Journal of Addiction, 87, 1195-1197.

Chan, S. H., & Yao, L. J. (2005). An empirical investigation of hacking behavior. The Review of Business Information Systems, 9(4), 42-58.

Daily Mail (2005). Aquaholics: Addicted to drinking water. May 16. Located at: http://www.dailymail.co.uk/health/article-348917/Aquaholics-Addicted-drinking-water.html

de Leon, J., Verghese, C., Tracy, J. I., Josiassen, R. C., & Simpson, G. M. (1994). Polydipsia and water intoxication in psychiatric patients: A review of the epidemiological literature. Biological Psychiatry, 35(6), 408-419.

Dundas, B., Harris, M., & Narasimhan, M. (2007). Psychogenic polydipsia review: etiology, differential, and treatment. Current Psychiatry Reports, 9(3), 236-241.

Edelstein, E.L. (1973). A case of water dependence. British Journal of Addiction to Alcohol and Other Drugs, 68, 365–367.

Foster, A.C., Shorter, G.W. & Griffiths, M.D. (2015). Muscle Dysmorphia: Could it be classified as an Addiction to Body Image? Journal of Behavioral Addictions, 4, 1-5.

Gaita, P. (2017). Does compulsive YouTube viewing qualify as addiction? The Fix, May 19. Located at: https://www.thefix.com/does-compulsive-youtube-viewing-qualify-addiction

Grall-Bronnec, M. Bulteau, S., Victorri-Vigneau, C., Bouju, G. & Sauvaget, A. (2015). Fortune telling addiction: Unfortunately a serious topic about a case report. Journal of Behavioral Addiction, 4, 27-31.

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

Griffiths, M.D. (2000). Computer crime and hacking: A serious issue for the police. Police Journal, 73, 18-24.

Griffiths, M.D. (2017). Commentary: Development and validation of a self-reported Questionnaire for Measuring Internet Search Dependence. Frontiers in Public Health, 5, 95. doi: 10.3389/fpubh.2017.00095

Griffiths, M.D., Foster, A.C. & Shorter, G.W. (2015). Muscle dysmorphia as an addiction: A response to Nieuwoudt (2015) and Grant (2015). Journal of Behavioral Addictions, 4, 11-13.

Hatfield, E., & Sprecher, S. (1998). The passionate love scale. In Fisher, T.D., Davis, C.M., Yarber, W.L. & Davis, S. (Eds.). Handbook of sexuality-related measures (pp. 449-451). London: Sage.

Heirene, R. M., Shearer, D., Roderique-Davies, G., & Mellalieu, S. D. (2016). Addiction in extreme sports: An exploration of withdrawal states in rock climbers. Journal of Behavioral Addictions, 5(2), 332-341.

Hickey, E.W. (2010). Serial Murderers and Their Victims (Fifth Edition). Pacific Grove, CA: Brooks/Cole.

Hunter, M. S., Nitschke, C., & Hogan, L. 1981. A scale to measure love addiction. Psychological Reports, 48, 582-582.

Ishaq, G., Rafique, R., & Asif, M. (2017). Personality traits and news addiction: Mediating role of self-control. Journal of Dow University of Health Sciences, 11(2), 31-53.

Jaghab, K., Skodnek, K. B., & Padder, T. A. (2006). Munchausen’s syndrome and other factitious disorders in children: Case series and literature review. Psychiatry (Edgmont), 3(3), 46-55.

Kaplan, R. (1996), Carrot addiction. Australian and New Zealand Journal of Psychiatry, 30, 698-700.

Kellett, S.  & Gross, H. (2006). Addicted to joyriding? An exploration of young offenders’ accounts of their car crime. Psychology, Crime & Law, 12, 39-59.

Kennedy, J. G., Teague, J., & Fairbanks, L. (1980). Qat use in North Yemen and the problem of addiction: a study in medical anthropology. Culture, medicine and psychiatry, 4(4), 311-344.

Kwon, M., Kim, Y., Kim, H., & Kim, J. (2018). Does sport addiction enhance frontal executive function? The case of badminton. NeuroQuantology, 16(6), 13-21.

Lam, J. (2017). Fifty shades of sexual offending – Part 1. The Law Gazette, July. Located at: http://v1.lawgazette.com.sg/2017-07/1910.htm

Loscalzo, Y, & Giannini, M. (2017).  Evaluating the overstudy climate at school and in the family: The Overstudy Climate Scale (OCS). ARC Journal of Psychiatry, 2(3), 5-10.

Loscalzo, Y., & Giannini, M. (2018). Study engagement in Italian university students: A Confirmatory Factor Analysis of the Utrecht Work Engagement Scale—Student Version. Social Indicators Research, Epub ahead of print. https://doi.org/10.1007/s11205-018-1943-y

Manghi, R. A., Broers, B., Khan, R., Benguettat, D., Khazaal, Y., & Zullino, D. F. (2009). Khat use: lifestyle or addiction? Journal of Psychoactive Drugs, 41(1), 1-10.

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McClurg, L. (2017). After compulsively watching YouTube, teenage girl lands in rehab for ‘digital addiction’. PBS Newshour, May 16. Located at: http://www.pbs.org/newshour/rundown/compulsively-watching-youtube-teenage-girl-lands-rehab-digital-addiction/

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Relangi, K. (2012). Gossip, the ugly addiction. Purple Room Healing, June 12. Located at: https://deadmanswill.wordpress.com/2012/06/02/gossip-the-ugly-addiction/

Roderique-Davies, G. R. D., Heirene, R. M., Mellalieu, S., & Shearer, D. A. (2018). Development and initial validation of a rock climbing craving questionnaire (RCCQ). Frontiers in Psychology, 9, 204. doi: 10.3389/fpsyg.2018.00204

Sitford, M. (2000). Addicted to Murder: The True Story of Dr. Harold Shipman. London: Virgin Publishing.

Sparrow, P. & Griffiths, M.D. (1997). Crime and IT: Hacking and pornography on the internet. Probation Journal, 44, 144-147.

Spivack, A., & McKelvie, A. (2018). Entrepreneurship addiction: Shedding light on the manifestation of the ‘dark side’ in work behavior patterns. The Academy of Management Perspectives. https://doi.org/10.5465/amp.2016.0185

Spivack, A. J., McKelvie, A., & Haynie, J. M. (2014). Habitual entrepreneurs: Possible cases of entrepreneurship addiction? Journal of Business Venturing, 29(5), 651-667.

Targhetta, R., Nalpas, B. & Perney, P. (2013). Argentine tango: Another behavioral addiction? Journal of Behavioral Addictions, 2, 179-186.

Turel, O., Serenko, A. & Giles, P. (2011). Integrating technology addiction and use: An empirical investigation of online auction users. MIS Quarterly, 35, 1043-1061.

Walton-Pattison, E., Dombrowski, S.U. & Presseau, J. (2017). ‘Just one more episode’: Frequency and theoretical correlates of television binge watching. Journal of Health Psychology, doi:1359105316643379

Wang, C-C. (2008). The influence of passion and compulsive buying on online auction addiction. Proceedings of the Asia-Pacific Services Computing Conference (pp. 1187 – 1192). IEEE.

Wang, Y., Wu, L., Zhou, H., Xu, J. & Dong, G. (2016). Development and validation of a self-reported Questionnaire for Measuring Internet Search Dependence. Frontiers in Public Health, 4, 274. doi: 10.3389/fpubh.2016.00274

Wright, M. R. (1986). Surgical addiction: A complication of modern surgery? Archives of Otolaryngology–Head & Neck Surgery, 112(8), 870-872.

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