Nailed it: A brief look at onychophilia

In a previous blog, I looked at fingernail fetishism. Since writing that article, I’ve had a few individuals get in touch with me to say that they had very specific fingernail fetishes (such as a keen interest in very long nails). As the Kinkly website notes:

“A fingernail fetish can hinge on the nail color, texture, or length. If the fetish hinges on long nails, the fetish is sometimes referred to as onychophilia. For the fingernail fetishist the excitement is in the details, so nail art is given special attention”.

However, a really short article on ‘Lady Zombie’s World of Pain, Pleasure and Sin’ website also notes that onychophilia as a fingernail fetish but says it only refers to long nails (rather than nails more generally):

“Onychophilia is a fetish for extremely long nails (either real or fake) and/or painted fingernails. As with all fetishes, preferences vary! While some fetishists say, ‘The longer, the better,’ many others find them to be repulsive after a certain length”.

In my previous article I mentioned the the only specific case of fingernail fetishism that I found in the academic literature was a 1972 paper in the American Journal of Clinical Hypnosis, by Dr. Austin McSweeny who successfully treated a young male fingernail fetishist using hypnosis (although other sexologists such as Willem Stekel and Martin Kafka had mentioned such a fetish in passing). The same case study was cited by Dr. Jesse Baring in a blog on fingernail fetishism for Scientific American. He noted:

“He could [only] become sexually aroused and experience penile erection by seeing or fantasizing the fingernails of a woman as they were being bitten by her. Occasionally, the mere sight of a woman’s severely bitten fingernails would cause the patient to experience a spontaneous erection … When the patient experienced the proper fetish situation, he could masturbate to the point of ejaculation and experience gratification. This was his only means of expressing his sex drive…The psychotherapist’s request for the man to picture heterosexual intercourse or a vagina in his mind’s eye was enough to make him vomit”.

A 2019 article by Stephen Alexander (‘Onychophilia: Two types of nail fetish’) notes that fingernail fetishes are subsumed within ‘hand partialism’ (which can arguably include other fetishes I have examined including ‘handwear fetishism’ and ‘hands on hips fetishism’). Alexander asserts:

“I think that [fingernail fetishism] deserves critical attention in its own right. For the nails are not like any other part of the hand in that they are not composed of living material; they are made, rather, of a tough protective protein called alpha-keratin. D. H. Lawrence [in his 1963 essay ‘Why the novel matters’] describes his fingernails as ‘ten little weapons between me and an inanimate universe, they cross the mysterious Rubicon between me alive and things […] which are not alive, in my own sense’. Thus, I think there’s something in the claim that what nail (and hair) fetishists are ultimately aroused by is death; that they are, essentially, soft-core necrophiles. Having said that, the human nail as a keratin structure (known as an unguis) is closely related to the claws and hooves of other animals, so I suppose one could just as legitimately suggest a zoosexual origin to the love of fingernails”.

To support his claim that fingernail fetishists are “soft-core necrophiles”, Alexander noted that there had been a recorded case in the 1963 book Perverse Crimes in History: Evolving concepts of sadism, lust-murder, and necrophilia – from ancient to modern times (by R.E.L. Masters and Eduard Lee) where “an illicit lover derived pleasure from eating the nail trimmings of corpses (necro-onychophagia), thereby lending support to the theory that nail fetishism has a far darker and more ghoulish undercurrent”.

I also learned in Alexander’s article that there is another related paraphilia – amychophilia – which refers to sexual arousal from being scratched (or as Alexander puts it: “a love of the pain [fingernails] can inflict, when grown long and sharp”). I went and checked if amychophilia was in my ‘go to’ book on paraphilias (i.e., Dr. Anil Aggrawal’s Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices) – and it was. Dr. Aggrawal defines amychophilia as “deriving sexual pleasure from being scratched” which technically could mean sexual arousal from being scratched by things other than fingernails (e.g., toenails, back-scratcher) although scratching for most people will be synonymous with fingernail scratching. Given these definitions, I would argue that amychophilia is more akin to masochism than onychophilia because the root of amychophilia is in the feeling provided rather than what is doing the scratching. Alexander also quotes at length from Daphne du Maurier’s short story ‘The Little Photographer’ (from The Birds and Other Stories) and says that one scene in the book describes onychophilia in “fetishistic detail”. (I won’t reproduce it here but you can check it out in Alexander’s online article here).

Which brings me to the final article I came across on onychophilia by Liz Lapont on The Naked Advice website. She was writing in response to an email she had received:

“I’m a guy with a sexual fetish for long fingernails (not too long, usually the length that people get when they get their nails done). I beat off to pictures of nails and I have conversations with female friends about their nails. I wanted to know if you can make a video about this type of fetish. Seeing as not a lot of people talk about or show interest in this fetish, am I weird?”

Lapont replies that the fetish is both atypical and uncommon but not weird (“as in creepy and in need of psychiatric help”). My own take is that this is a non-normative sexual behaviour but agree with Lapont that there is nothing to worry about if the behaviour causes no problems in the individuals’ lives. She concludes by saying:

“Consult any list of the most common sexual fetishes and nails don’t crack the top 10. However it’s not unheard of, and toenails are often an associated turn-on for men with a fetish for feet. The clinical term for a fingernail fetish is onychophilia. For some, it’s the act of biting the fingernails that turn them on. For others, it might be their extreme length that is most erotic. Hands and nails play a big role even during the most vanilla sex in the world…So it’s not a stretch to see how for some men, fixating on fingernails would be IT for them”.

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

Further reading

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

Alexander, S. (2019). Onychophilia: Notes on two types of nail fetish. Torpedo The Ark. March 18. Located at: http://torpedotheark.blogspot.com/2019/03/onychophilia-notes-on-two-types-of-nail.html

Baring, J. (2013). Bite those nails, baby: A “quick” tale of fingernail Fetishism. Scientific American, August 14. Located at: https://blogs.scientificamerican.com/bering-in-mind/bite-those-nails-baby-a-e2809cquicke2809d-tale-of-fingernail-fetishism/

Baring, J. (2013). Perv: The Sexual Deviant In All Of Us. New York: Scientific American/Farrar, Strauss & Giroux.

Kafka, M. (2010). The DSM diagnostic criteria for fetishism. Archives of Sexual Behavior, 39, 357-362.

Kinkly (2020). Fingernails fetish. Located at: https://www.kinkly.com/definition/6664/fingernails-fetish

Lady Zombie (2011). Onychophilia – Long nail fetish. February 4. Located at: http://ladyzombienyc.blogspot.com/2011/02/onychophilia-long-nail-fetish.html

Lapont, L. (2017). Fingernails aren’t just great for back scratching. The Naked Advice, August 21. Located at: https://thenakedadvice.wordpress.com/2017/08/21/fingernails-arent-just-for-great-back-scratching/

Lawrence, D.H. (1985). Why the novel matters. In Steele, B. (Ed.), Study of Thomas Hardy and Other Essays. Cambridge: Cambridge University Press.

Masters, R.E., & Lea, E. (1963). Perverse crimes in history: Evolving concepts of sadism, lust-murder, and necrophilia, from ancient to modern times. New York: Julian Press.

McSweeny, A.J. (1972). Fetishism: Report of a case treated with hypnosis. American Journal of Clinical Hypnosis, 15, 139-143.

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

Stekel, W. (1952). Sexual Aberrations: The Phenomena of Fetishism in Relation to Sex (Vol. 1) (Trans., S. Parker). New York: Liveright Publishing Corporation.

Stekel, W. (1952). Sexual Aberrations: The Phenomena of Fetishism in Relation to Sex (Vol. 1) (Trans., S. Parker). New York: Liveright Publishing Corporation.

Reading by example: The books that inspired my career

This Christmas I managed to do a lot of book reading (most of it being David Bowie-related) and my favourite read was John O’Connell’s Bowie’s Books: The Hundred Literary Heroes Who Changed His Life (which If I’m nit-picking should actually be the 98 heroes because George Orwell and Anthony Burgess make two appearances each on the list), followed by Will Brooker’s Why Bowie Matters (a book I wish I had wrote because it was written by a Professor of Film and Cultural Studies and is a loose account of an academic spending a whole year trying to live like David Bowie as a piece of research). I also love lists so I thought I’d kick off the New Year with a list of the books that have shaped my academic life. This list was first published by The Psychologist (in 2018) but this blog may give my list a wider readership.

Excessive Appetites: A Psychological View of the Addictions (by Jim Orford)

One of the most influential books on my whole career is Jim Orford’s seminal book Excessive Appetites that explored many different behavioural addictions including gambling, sex, and eating (i.e., addictions that don’t involve the ingestion of psychoactive substances). Jim Orford’s books are always worth a read and he writes in an engaging style that I have always admired. It was by chance that I did my PhD at the University of Exeter (1987-1990) where Orford was working at the time and since 2005 we have published many co-authored papers together. While we can agree to disagree on some aspects of how and why people become addicted, Jim will continue to be remembered as a pioneer in the field of behavioural addiction.

The Psychology of Gambling (by Michael Walker)

If there’s one book I’d wish I had written myself, it is this one. I did my PhD on slot machine addiction in adolescence but this book was published shortly after I’d finished and beautifully summarises all the main theories and perspectives on gambling psychology. My PhD would have been a whole lot easier if this book had been published when I first started my research career! I got to know Michael quite well before his untimely death in December 2009 (and he was external PhD examiner to some of my PhD students), and one of my enduring images of him was walking around at gambling conferences with his book clutched in his hand. Some of my colleagues found that a little strange but if I’d have written a book that good I’d have it with me at such events all the time!

Motivational Interviewing: Preparing People for Change (by William R. Miller and Stephen Rollnick)

I reviewed this book for the British Journal of Clinical Psychology (BJCP) back in the early 1990s and concluded by saying that it is a book that should be read by all therapists because its content can be applied to nearly all clinical situations and not just to those individuals with addictive behaviour problems. Motivational interviewing (MI) borrows strategies from cognitive therapy, client-centred counselling, systems theory, and the social psychology of persuasion, and the underlying theme of the book is the issue of ambivalence, and how the therapist can use MI to resolve it and allow the client to build commitment and reach a decision to change. In my most recent research I’ve used the basic tenets of MI in designing personalised messages to give to gamblers while they are gambling online in real time. I’ve now come to the conclusion 25 years after writing my BJCP review that anyone interested in enabling behavioural change should apply the tenets in this book to their work.

The Myth of Addiction (by John B. Davies)

Even though this book was published back in 1992, I still tell my current students that this is a ‘must read’ book. Davies takes a much researched area of social psychology (i.e., attribution theory) and applies it to addiction. The basic message of the book is that people take drugs because they want to and not because they are physiologically addicted. The whole book is written in a non-technical manner and is highly readable and thought provoking. I often use Davies’ term ‘functional attribution’ from this book in my teaching and writings on sex addiction, and apply it to celebrities who use the excuse of ‘sex addiction’ to justify their infidelities.

Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices (by Anil Aggrawal)

Anyone that reads my blog will know that when it comes to the more bizarre side of sexual activity, my ‘go to’ book is Dr. Aggrawal’s book on unusual sexual practices. Others in the sexology field often look down their noses at this book but it is both enjoyable and informative and the kind of book that once you start reading you find it hard to put down again. A lot of academic books on sexual behaviour can be boring and/or impenetrable but this one is the polar opposite. The book also kick-started some of my own recently published research on sexual fetishes and paraphilias.

Small World (by David Lodge)

During my PhD, I remember watching the 1988 adaptation of David Lodge’s novel Small World. At the time, I had never heard of David Lodge but I went out and bought the book and was totally hooked. I then discovered that Small World was the second part of a ‘campus trilogy’ (preceded by Changing Places and followed by Nice Work). Since then I have bought every novel Lodge has ever published and he’s my favourite fiction writer (and I’ve bought and read some of his academic books on literary criticism). I love campus novels and through Lodge and devoured other university-based novels (including Malcolm Bradbury’s The History Man, Howard Jacobson’s Coming from Behind, and Ann Oakley’s The Men’s Room among my favourites).

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

Further reading

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

Brooker, W. (2019) Why Bowie Matters. London: William Collins.

Davies J. B. (1992). The Myth of Addiction. Reading: Harwood Academic Publishers.

Griffiths, M.D. (2018). My shelfie. The Psychologist: Bulletin of the British Psychological Society, 31, 70.

Lodge, D. (1984). Small World. London: Secker & Warburg.

Miller, W. R., & Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. New York: Guilford Press.

O’Connell, J. (2019). Bowie’s Books: The Hundred Literary Heroes Who Changed His Life. London: Bloomsbury.

Orford, J. (2001). Excessive Appetites: A Psychological View of the Addictions. Chichester: Wiley.

“I ink, therefore I am”: A brief look at ‘tattoo addiction’

“When I first told people back in 2016 that I was getting my first tattoo, the most common response I got from those who were already inked themselves was ‘You’re going to get addicted to getting tattoos’. I found this notion a little ridiculous – I was nervous enough just getting a small one on my ankle. I couldn’t imagine getting hooked on something that was not only expensive, but painful and permanent. Fast forward to 2019, and I’ve since gotten two more tattoos, each one progressively larger and more detailed, and I’m already planning my fourth, fifth, sixth, etc. As I was warned, I have indeed gotten hooked. For me, it’s both because I love how it makes me feel about my body, and because I’ve gotten to discover a new form of expression in my mid-30s. According to a 2018 report from Statista, roughly 46 percent of Americans have at least one tattoo, and 30 percent of these people have two or three –19 percent have up to four or five. Clearly, other people love getting inked just as much as I do. But while tattoos can be fun to have, are they actually addictive?

This opening quote is by Amy Semigran, a journalist who interviewed me earlier this year for an article she was writing on addictions to tattoos for the online magazine Mic (‘Are tattoos really addictive? There’s a reason you keep coming back for more’). Regular readers of my blog will be aware that I’ve written various articles on the psychology of tattoos over the years including articles on stigmatophilia (sexual arousal from a partner who is marked or scarred in some way, which can also include body tattoos), the use of extreme tattooing in films, a look at the TV programme ‘My Tattoo Addiction’, and an article on whether having tattoos makes women more sexually attractive.

In my interview, I told Semigran that in order for a person’s behaviour to be deemed an addiction, it needs to meet my six specific criteria: salience (where tattooing becomes the most important thing in a person’s life), mood modification (e.g., the euphoric feelings that accompany tattooing), tolerance (the gradual build-up of tattooing with the individual spending more and more time engaged in tattooing), withdrawal symptoms (negative psychological and/or physical consequences as a result of not being able to get tattooed such as extreme moodiness or irritability), conflict (tattooing compromising other areas of the individual’s life such as personal relationships and education/occupation), and relapse (returning to tattooing after a period of abstinence). Therefore, I told Semigran that tattooing does not meet my criteria for addiction. I also added that while many behaviours can become impulsive, addiction relies on constant rewards or reinforcement. Alcoholics, gambling addicts, or drug addicts feed their habits with frequent rewarding experiences (at least in the short-term) but even the most heavily tattooed people are not engaging in the behaviour regularly.

However, it is feasible that tattooing could be a behaviour that results in constant preoccupation (e.g., constantly thinking about getting the next tattoo, looking at tattoo designs, reading tattooing magazines, talking with other heavily tattooed individuals and sharing experiences, working as a tattooist, etc.). However, constantly being preoccupied by tattooing is (in itself) not a problem, unless of course it starts to cause serious conflict with other day-to-day activities. Semigran also interviewed Dr. Daniel Selling (a psychologist at Williamsburg Therapy Group in New York) for her article. He was quoted as saying:

“The word addiction in the context of tattoos is misused…while you can’t have a tattoo addiction, per se, it can be a dependence where you feel some elements of need and withdrawal…and perhaps spend too much time or money getting work…Being tattooed can also lead to an adrenaline rush of sorts. It’s the body tolerating annoyance and pain coupled with excitement and change”.

I agree that some people can spend too much time or money or spend money they don’t have on getting tattoos, but this is not addiction (and I would also argue that it is not dependence either). For many people, getting tattoos might be more of a passion than a problem, and there is nothing wrong with being passionate about what you do. I am passionate about work and some people describe me as being addicted to work or of being a ‘workaholic’ but given there are almost no negative consequences of me working hard and loving my job, it certainly can’t be viewed as an addiction.

As Semigran pointed out in her article, for many people, their passion and interest in tattooing is something that enhances their lives rather than interferes with it (this is exactly the same as my assertion – published in a 2005 issue of the Journal of Substance Use) that healthy excessive enthusiasms add to life whereas addictions take away from it. Semigran interviewed Lisa Orth, a Los Angeles-based tattoo artist Lisa Orth who has around 100 tattoos). She said:

“It’s an incredible feeling to be able to permanently customize yourself with artwork. [The] feeling of self-expression can be an empowering experience…It’s one of the main reasons [my] clients come back again and again. Tattooing can be a way of engaging with, and taking possession of, one’s body in an active way…[It] can allow people to define themselves visually in a way that forces the observer to see a person as they most authentically see themselves. That’s a big draw (so to speak) for those who repeatedly get inked…Getting tattooed is one of the remaining rituals in our culture that are physical, mental and emotional challenges, where you come out transformed on the other side”.

Again, this explanation has nothing to do with addiction and everything to do with self-identity and passion. Many addiction psychologists, would also add that if he behaviour causes harm or injury to the individual, it may also be a sign or symptom of possible addiction. However, Semigran quoted American psychologist, Dr. Tracy Alderman from an article she wrote for Psychology Today examining the extent to which tattooing and body piercings can be classed as self-harm.

“[E]njoying a rush is different than participating in self-harm. Since tattooing is a needle penetrating skin, that can potentially feed someone’s desire to feel pain or change their appearance due to unhappiness with themselves…Once in a while there will be cases in which piercing and/or tattoos do fit the definition of self-injury. But overwhelmingly,self-injury is a distinct behavior, in definition, method and purpose, from tattooing and piercing”.

I read Dr. Alderman’s article and her views mirror my own when it comes to the psychology of tattooing:

“[A] main issue separating self-injurious acts from tattoos and piercings is that of pride. Most people who get tattooed and/or pierced are proud of their new decorations. They want to show others their ink, their studs, their plugs. They want to tell the story of the pain, the fear, the experience. In contrast, those who hurt themselves generally don’t tell anyone about it. Self-injurers go to great lengths to cover and disguise their wounds and scars. Self-injurers are not proud of their new decorations”.

Semigran also quoted Dr. Suzanne Phillips who recently wrote an article for PsychCentral entitled ‘Tattoos after trauma-do they have healing potential’. Dr. Phillips notes:

“[A tattoo being used] to register a traumatic event is a powerful re-doing…It starts at the body’s barrier of protection, the skin, and uses it as a canvas to bear witness, express, release and unlock the viscerally felt impact of trauma”.

There’s no doubt that tattooing has become part of mainstream culture over the past two decades and there are a number of scholars who claim in the scientific literature that getting tattoos can be potentially addictive (such as Dr. Ivan Sosin; Dr. Allyna Murray and Dr. Tanya Tompkins; see ‘Further Reading’ below) but based on my own addiction criteria I remain to be convinced. However, whenever I think about the psychology of tattooing, I am always reminded of the saying: “Tattoos are like potato chips … you can’t have just one”.

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

Further reading

Alderman, T. (2009). Tattoos and piercings: Self-injury? Psychology Today, December 10. Located at: https://www.psychologytoday.com/nz/blog/the-scarred-soul/200912/tattoos-and-piercings-self-injury?amp

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.

Kovacsik, R., Griffiths, M.D., Pontes, H., Soós, I., de la Vega, R., Ruíz-Barquín, R., Demetrovics, Z., & Szabo, A. (2019). The role of passion in exercise addiction, exercise volume, and exercise intensity in long-term exercisers. International Journal of Mental Health and Addiction, https://doi.org/10.1007/s11469-018-9880-1

Murray, A. M., & Tompkins, T. L. (2013). Tattoos as a behavioral addiction. Science and Social Sciences, Submission 26. Located at: https://digitalcommons.linfield.edu/studsymp_sci/2013/all/26

Phillips, S. (2019). Tattoos after trauma-do they have healing potential? PsychCentral, March 27. Located at: https://blogs.psychcentral.com/healing-together/2012/12/tattoos-after-trauma-do-they-have-healing-potential/

Semigran, A. (2019). Are tattoos really addictive? There’s a reason you keep coming back for more. Mic, July 3. Located at: https://www.mic.com/p/are-tattoos-really-addictive-theres-a-reason-you-keep-coming-back-for-more-18166085

Sosin, I. (2014). EPA-0786-Tattoo as a subculture and new form of substantional addiction: The problem identification. European Psychiatry, 29, Supplement 1, 1.

Szabo, A., Griffiths, M.D., Demetrovics, Z., de la Vega, R., Ruíz-Barquín, R., Soós, I. &Kovacsik, R. (2019). Obsessive and harmonious passion in physically active Spanish and Hungarian men and women: A brief report on cultural and gender differences. International Journal of Psychology, 54, 598-603.

The sciences of reliances on appliances: Have we become reliant on digital technologies and what can we do about it?

Readers of my blog will know that I hate to waste anything that I have put time and effort into and today’s blog contain the written transcripts of partly unpublished interviews on smartphone and social media use that I did a number of months ago with the Daily Express and the Nottingham Post. I have no idea which parts of my responses were used or in what context, but here my complete responses to the questions I was asked.

Q: Are we too reliant on tech and gadgets when it comes to family life both in the home, and also social media?

Mark Griffiths: In most walks of life including work, education, and leisure, reliance on tech and gadgets has become the norm. It’s almost impossible to function without relying on tech. However, individuals often spend too much time on things that distract them from what they should be doing. I use social media every day but for no more than about 10-15 minutes so it doesn’t interfere with work productivity or time spent with my family. Most individuals are habitual smartphone and/or social media users. Even though very few people are genuinely addicted to the applications on their smartphones, a few hours use each day can reduce the amount of time they should be spending on their occupation or education (depending upon age) and can reduce the amount of quality time spent with family members. I have three screenagers all who spend a disproportionate amount of time in front of their smartphones. However, I have no problem if it doesn’t impact on their education, chores around the house, social friendships with their peers, or their physical education. However, some parents use tech heavily themselves (which is not good in terms of being a role model to their children) and others use tech as electronic ‘babysitters’ for their children.

Q: What problems can this cause?

MG: Thankfully, serious side effects and genuine addiction to smartphone applications is minimal. However, habitual smartphone use simply leads to less time spent on things that people should be doing including their (i) job or school/ college/ university work, (ii) physical exercise (because smartphone use tends to be a sedentary for most people), and (iii) quality time with friends and family (less face-to-face interaction). For those at risk of genuine addiction, excessive smartphone use leads to a complete deterioration and compromising of everything in that person’s life and can lead to mental health issues (e.g., depression, social anxiety, etc.) but as I said the number of individuals genuinely affected in this way is minimal.

Q: What are the benefits of a more simple life, less gadgets, less tech?

MG: I gave up using my smartphone a couple of years ago and am highly productive in my job. I still actively use social media and am online a lot of the time but doing it via my laptop or work computer means that I’m not constantly bombarded with notifications, pings by the minute, or constant phone vibrations. The benefits of technology far outweigh the negatives but that doesn’t mean that we should be living our whole lives online.

Q: What are your top tips for switching off as a family 

MG: I’ve written a lot about the benefits of digital detox and how to so it (see: https://drmarkgriffiths.wordpress.com/2016/04/26/tech-your-time-12-top-tips-for-a-digital-detox/ ). As a father of three screenagers we have some general rules:

• No smartphones at the dinner table.
• No smartphone use late at night (can’t do that now as my children are now al over 18 years of age) but parents have every right to control their younger children’s tech use.
• No smartphones for children under 11 years of age.
• Remember that what you do with tech will be mimicked by your children so set a good example of responsible tech use.
• Having family events where smartphone use is difficult (e.g., going swimming, going for outdoor walks where reception is poor, going on holiday in places where there is no Wi-Fi access). These types of event are more about showing children that life can still live life without being online 24/7. All my children are very sporty and play competitive sport so that’s great for restricting smartphone use.

Q: How young is too young to own a mobile phone?

MG: Making a decision on when is the right time depends on each child and their parents. It is about responsible parenting and limiting screen time. There is no scientific evidence about what the right age is to give a phone. I have three screenagers and none of them got a phone before the age of 11 years of age. We live in a very technologically advances society and there is no harm in letting children learn early on how to use an i-Pad or tablet. It stops them becoming technophobes when they grow older. The majority of children know more about it than adults now. Obviously you need to monitor what they are using the phone for. We wouldn’t want our children using gambling apps for instance but they mostly just want to keep in touch with their friends. However, parents know their children better than anyone else and there is a reason to give a child a phone when it concerns safety and knowing where your child is, especially if they are walking to and from school. One reason to give a child a phone at the start of secondary school is so that they don’t feel ostracized when they realise everyone else in their class has one. Ironically the majority of kids that have a phone rarely use it to make calls but knowing where they are and being able to talk to them almost instantly is a huge relief for parents.

Q: Anything else you’d like to add?

MG: There’s no scientific evidence that moderate tech use has a negative impact (psychologically or physically on people’s lives). The old cliché is true – everything in moderation. Excessive use of almost anything even when it’s something socially approved and socially sanctioned (e.g., work, exercise, education, etc.) can be problematic if it’s done to the neglect of everything else.

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

Further reading

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

Balakrishnan, J. & Griffiths, M.D. (2019). Perceived addictiveness of smartphone games: A content analysis of game reviews by players. International Journal of Mental Health and Addictions, 17, 922-934.

Balta, S., Jonason, P., Denes, A., Emirtekin, E., Tosuntaş, S.B., Kircaburun, K., Griffiths, M.D. (2019). Dark personality traits and problematic smartphone use: The mediating role of fearful attachment. Personality and Individual Differences, 149, 214-219.

Griffiths, M.D. (2013) Social networking addiction: Emerging themes and issues. Journal of Addiction Research and Therapy, 4: e118. doi: 10.4172/2155-6105.1000e118.

Griffiths, M.D. & Kuss, D.J. (2011). Adolescent social networking: Should parents and teachers be worried? Education and Health, 29, 23-25.

Griffiths, M.D., Kuss, D.J. & Demetrovics, Z. (2014). Social networking addiction: An overview of preliminary findings. In K. Rosenberg & L. Feder (Eds.), Behavioral Addictions: Criteria, Evidence and Treatment (pp.119-141). New York: Elsevier.

Hussain, Z., Griffiths, M.D. & Sheffield, D. (2017). An investigation in to problematic smartphone use: The role of narcissism, anxiety, and personality factors. Journal of Behavioral Addictions, 6, 378–386.

Kırcaburun, K. & Griffiths, M.D. (2018). Instagram addiction and the big five of personality: The mediating role of self-liking. Journal of Behavioral Addictions, 7, 158-170.

Kuss, D.J. & Griffiths, M.D. (2011). Online social networking and addiction: A literature review of empirical research. International Journal of Environmental Research and Public Health, 8, 3528-3552.

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

Richardson, M., Hussain, Z. & Griffiths, M.D. (2018). Problematic smartphone use, nature connectedness, and anxiety. Journal of Behavioral Addictions, 7, 109-116.

Yang, Z., Asbury, K., & Griffiths, M. D. (2019). Do Chinese and British university students use smartphones differently? A cross-cultural mixed methods study. International Journal of Mental Health and Addiction, 17(3), 644-657.

Sound affects: Another look at ‘music addiction’

In a previous blog that I wrote seven years ago, I looked at the concept of ‘music addiction’. As Philip Dorrell pointed out in his 2005 book What is Music? Solving a Scientific Mystery, music (like drugs) acts on our emotions and feelings. Regular readers of my blog will know that I describe myself as a ‘music obsessive’ and have written many articles about my own passion for listening to and collecting music (a few examples here, here, and here). One of the proudest moments of my life was getting a populist article on ‘music addiction’ published in Record Collector, my favourite magazine (see screenshot below and ‘Further reading’ for the full reference).

A 2011 study published by Dr. Valorie Salimpoor and her colleagues in Nature Neuroscience reported that on a neurochemical level, the pleasurable experience of listening to music releases the neurotransmitter dopamine that is important for the pleasures associated with rewards such as food, psychoactive drugs and money. This led to many headlines in newspapers along the lines of ‘people who say that they are addicted to music are not lying’. The team also reported that just the anticipation of pleasurable music led to increased dopamine release. Therefore, this helps explain why individuals (like myself) continually repeat songs or albums all the time as we want to re-experience those sensations repeatedly.

My previous article examined the concept of ‘musomania’ (i.e., an obsession with music). I noted that there had been very little in the way of academic or clinical literature on the topic although since writing my original article I have come across a couple of more recently published studies looking at the concept (one which published shortly after my original blog on the topic).

Dr. Nicolas Schmuziger and his colleagues published a paper in a 2012 issue of Audiology Research entitled ‘Is there addiction to loud music? Findings in a group of non-professional pop/rock musicians’. They hypothesized that listening to loud music may be an addictive behavior and that it could result in hearing damage (which is one of the reasons they published their findings in an audiology journal – also, they probably would have found it harder to publish their study in an addiction journal). They hypothesized that individuals who were members of non-professional pop/rock bands who had regular exposure to loud music would be more likely to show an addictive-like behavior for loud music compared to individuals who were not.

In their study, the researchers recruited 50 non-professional musicians and matched them with 50 control participants. Both groups completed a questionnaire called the Northeastern Music Listening Survey (NEMLS) comprising two basic scales. The first scale was an adaptation of the Michigan Alcohol Screening Test (MAST) to study the addictive-like behavior towards loud music. The NEMLS was developed by Dr. Mary Florentine and her colleagues to assess Maladaptive Music Listening (MML). It is a 24 item scale that (in relation to listening to music) examining five distinct areas: “(i) recognition and admission of the problem by self and others; (ii) legal, work and social problems; (iii) seeking involvement with treatment programs; (iv) marital-family difficulties; and (v) medical pathology”. In addition to socio-demographic questions (on age, gender, and level of education), a second component of the NEMLS included “four items assessing three out of seven clinical diagnostic criteria for substance dependence as outlined by the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) of the American Psychiatric Association…The other four criteria were already embedded within the MAST”.

Findings showed that nine (out of 50) met the DSM-IV criteria for ‘music dependence’ compared to just one individual in the control group. Seven of the nine musicians endorsing DSM criteria also had a positive score on the NEMLS. The researchers concluded that traits of addictive-like behavior to loud music were detected more often in members of nonprofessional pop/rock bands than in matched controls. The authors themselves pointed out that they did not explore the reasons why their participants “with repeated exposure to high-sound levels of electro-amplified music may be more likely to show traits of maladaptive behavior to loud music than the control subjects, and whether they develop such behavior before or after joining a pop/rock band”. They also concluded that only a few participants in their sample may have maladaptive music listening.

A more recent paper by Dr. Christine Ahrends entitled ‘Does excessive music practicing have addiction potential?’ was published in the journal Psychomusicology: Music, Mind, and Brain. She noted that:

“A theory that has previously been put forward but has not yet been empirically examined is the idea of “musical addictivity” (Panksepp, 1995)… Panksepp assumes an involvement of the opioid system for the emergence of “chills” when listening to music and concludes from there that listening to emotionally arousing music can be addictive through the release of opioids. On those grounds, Panksepp compares the phenomenon of music-induced chills (defining the main bodily response as a feeling of coldness) with that of drug addiction and its related withdrawal symptoms (like the so-called “cold turkey”). Although this comparison has major limitations, the general hypothesis might provide a new perspective on certain types of music-related behavior”.

Put simply, it has been argued that music has the capacity to activate the reward centres in the human brain and this can lead to behavioural addiction. Dr. Ahrends noted that recent studies supported the idea of addictive music consumption (citing the studies by Schmuziger and colleagues, and the study by Florentine and colleagues, both mentioned above) but not for music practicing. She wrote that:

“Anecdotal evidence has shown that some musicians either continue to practice through practice-induced pain or have psychosomatic disorders at deprivation, thus transforming a former goal-directed behavior into a maladaptive one”.

Based on the small empirical literature and anecdotal evidence, Dr. Ahrends hypothesized that music practice has the potential to be addictive and carried out an exploratory empirical study. To assess music practice addiction, she adapted the Exercise Dependence Scale Revised (EDS-R) (very similar to my own Exercise Addiction Inventory) and investigated the extent to whether musicians fulfilled the criteria to be classified as being “at risk for dependence” in relation to their music practice. A total of 25 musicians were recruited from German conservatories. Based on the scale scores three of the participants were classified as “at risk for dependence,” 20 of the participants were classified as “nondependent-symptomatic,” and two were classified as “nondependent-asymptomatic.” Based on these results, Dr. Ahrends claimed the findings provided tentative support for music practice addiction. She went on to argue that the concept of music practice addiction is a promising concept for further research and “may have implications for the understanding of mental health problems in musicians”.

In relation to this latter study, I would argue that this isn’t a case of ‘music practice addiction’ (if it exists at all) but if it exists, it is actually akin to ‘study addiction’ (a pre-cursor to ‘workaholism’) that I and my colleagues have published a number of papers on over the past few years (see ‘Further reading). The notion of ‘study addiction’ is highly controversial so it’s unsurprising that ‘music practice addiction’ would similarly be seen as controversial by most scholars working in the behavioural addiction field.

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

Further reading

Ahrends, C. (2017). Does excessive music practicing have addiction potential? Psychomusicology: Music, Mind, and Brain, 27(3), 191-202.

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.

Dorrell, P. (2005). Is music a drug? 1729.com, July 3. Located at: http://www.1729.com/blog/IsMusicADrug.html

Dorrell, P. (2005).What is Music? Solving a Scientific Mystery. Located at: http://whatismusic.info/.

Florentine, M., Hunter, W., Robinson, M., Ballou, M., & Buus, S. (1998). On the behavioral characteristics of loud-music listening. Ear and Hearing, 19(6), 420-428.

Griffiths, M.D. (2012). Music addiction. Record Collector, 406 (October), p.20.

The Local (2007). Man gets sick benefits for heavy metal addiction. June 19. Located at: http://www.thelocal.se/7650/20070619/

Morrison, E. (2011). Researchers show why music is so addictive. Medhill Reports, January 21. Located at: http://news.medill.northwestern.edu/chicago/news.aspx?id=176870

Panksepp, J. (1995). The emotional sources of “chills” induced by music. Music Perception, 13, 171–207.

Salimpoor, V.N., Benovoy, M., Larcher, K. Dagher, A. & Zatorre, R.J. (2011). Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nature Neuroscience 14, 257–262.

Schmuziger, N., Patscheke, J., Stieglitz, R., & Probst, R. (2012). Is there addiction to loud music? Findings in a group of non-professional pop/rock musicians. Audiology Research, 2(e1), 57-63.

Smith, J. (1989). Senses and Sensibilities. New York: Wiley.

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/

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”.

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.

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).

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).

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 40^th 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.

• 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

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