Imitate modern: Why do people commit copycat killings?

The nine people murdered in Munich a couple of days ago by 18-year-old German-Iranian gunman David Ali Sonboly made headlines around the world. It has been claimed that Sonboly (who subsequently killed himself) was “obsessed with mass shootings” and that the police found lots of material in his room about mass killings including the massacre by Norway’s Anders Behring Breivik. Whether the murders by Sonboly are ‘copycat’ killings remains to be determined but there are dozens of other cases where copycat killings have been proven.

Back in 2014, the gruesome killing of two prostitutes in Hong King by British banking trader Rurik Jutting drew comparisons with the fictional character Patrick Bateman, the Wall Street investment banker and serial killer in the film American Psycho (based on the Bret Easton Ellis book of the same name).

As you might expect, a copycat murder is defined as a murder that has been modelled, motivated and/or inspired either by a real life murderer that has been reported by the print or broadcast media, or is based on a murderer portrayed in books, television or film. The term ‘copycat killer’ has been in use for almost 100 years and was first used in relation to murders that mimicked those of Jack the Ripper. Early research by criminologists began to speculate that the sensationalist publicity in the print media about the Ripper murders was the inspiration for Ripper-like copycat killings.

In addition to murder, copycat crimes have been shown to occur in many other equally destructive acts including suicides, murder-suicides, familicides, and rampage killings. Arguably the most well known writing on the topic was Loren Coleman’s 2004 book The Copycat Effect. Coleman believes that because shocking crimes receive widespread media publicity it makes the perpetrators infamous. He argues that the notoriety and ‘fame’ that serial killers receive is one of the main reasons why copycats commit similar crimes. Put more simply, copycats may believe that by committing heinous crimes, they may end up being the subject of a book or film themselves. The Copycat Effect is so well known that it was even the subject of a Hollywood film – the 1995 psychological thriller Copycat starring Sigourney Weaver as a criminal psychologist involved in a case where each murder in the film is made by a serial killer meticulously copying previous high profile murderers such as Ted Bundy, Jeffrey Dahmer (the ‘Milwaukie Cannibal’), David Berkowitz (the ‘Son of Sam’), and the Hillside Strangler (actually two men, Kenneth Bianchi and Angelo Buono).

But is the media to blame for copycat murders? Well, partly – but not totally. Research has shown that although most people convicted of copycat murders admit to being motivated by something they had seen on the news or in a film, they already had a criminal record (often violent crime) and/or were mentally ill before they began killing. What this suggests is that media coverage and fictionalized accounts of serial killers tend to affect those that already have a criminal predisposition and/or mental health issues rather than have a more widespread effect on people more generally. In such extreme and minority cases, it does appear that watching or reading about high profile murderers (e.g., Jeffrey Dahmer, Ed Gein) or infamous fictionalised killers (e.g., Dexter Morgan in Dexter or Patrick Batemen in American Psycho) does at the very least give emotionally undeveloped people ideas on how they could kill someone.

Copycat murderers do appear to realise that the more shocking and heinous the killing, the more newsworthy it will be. This also appears to have had an impact on films too. It appears some cinema-going audience want to see more depraved, deranged and twisted ways in which people can be killed (as evidenced by the so-called ‘torture porn’ franchises of Saw and Hostel). The more blood and pain, the better. Methods to kill in such films may be the inspiration of copycat killers to come.

Although there is a relationship between copycat killers and what they have seen or read about in the media, there are many other risk factors that have been associated with (and have an interplay with) copycat killings. Men are more likely to be copycat killers than females, and many copycat killers are young adults (below the age of 30 years). Copycat killers are more likely to suffer from personality (and other mental health) disorders, come from socially dysfunctional and alienating family backgrounds, be emotionally vulnerable, be trusting of the media, and – as noted above – a previous criminal history (as well as self-identifying with criminals they have watched or seen in fact and/or fiction).

Psychologists have also noted there appears to be a natural human inhibition against killing (even in acts of lawful killing such as fighting in a war). However, if individuals adopt some kind of a persona, such inhibitions can be reduced (often referred to by psychologists as ‘depersonalization’). If copycat killers temporarily take on the persona of the person they are copying in addition to the act of killing, this may also play a contributory role in some of their actions. American evolutionary psychologist Dr.Nigel Barber has also noted in relation to rampage killing that: “Most copycats have their private agenda in a rampage killing but seek to tie it in to other events that received a lot of publicity. In this way, they bask in the reflected publicity, so to speak. In many cases, the rampage killer wants to commit suicide but opts to take others with him”.

Although there are many reasons as to how and why an individual becomes a copycat killer, the evidence does seem to suggest that the media perhaps need to take a more cautionary approach when reporting the details of murders, and also suggests that the police and other criminal agencies should not go into every detail about how the murders were committed. Such actions alone will not stop copycat killings, but it may help reduce the overall number occurring in the first place.

(Material in this blog first appeared in an article I wrote for The Independent in November 2014 – see ‘Further reading’ below)

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

Further reading

Barber, N. (2012). Copycat killings: Making sense of the senseless. Psychology Today, July 27. Located at: https://www.psychologytoday.com/blog/the-human-beast/201207/copycat-killings

Boyle, K. (2001). What’s natural about killing? Gender, copycat violence and Natural Born Killers. Journal of Gender Studies, 10(3), 311-321.

Coleman, L. (2004). The copycat effect: How the media and popular culture trigger the mayhem in tomorrow’s headlines. New York: Simon and Schuster.

Fox, J.A., & Levin, J. (2014). Extreme killing: Understanding serial and mass murder. London: Sage.

Griffiths, M.D. (2014). Hong Kong murder: Why do people commit copycat killings? The Independent, November 4. Located at: http://www.independent.co.uk/life-style/health-and-families/features/hong-kong-murder-why-do-people-commit-copycat-killings-9838892.html

Kunich, J.C. (2000). Natural born copycat killers and the law of shock torts. Washington University Law Quarterly, 78(4), 1157-1270.

Surette, R. (2002). Self-reported copycat crime among a population of serious and violent juvenile offenders. Crime and Delinquency, 48(1), 46-69.

Wikipedia (2016). Copycat crime. Located at: https://en.wikipedia.org/wiki/Copycat_crime

Tales of the unexpected: 10 bad habits that sometimes do us good (Part 1)

All of us have bad habits, and all of us from time to time feel guilty about these habits. But there are some bad habits – at least when carried out in moderation – that might actually have benefits for psychological and/or physical wellbeing. Most bad habits help change our mood state and reduce stress (at least in the very short-term) but tend to become less helpful the more they are engaged in. Some of these bad habits turn into addictions where the short-term benefits are outweighed by the long-term costs. However, there are many activities that can sometimes have unexpected benefits and five of these are outlined in this blog. The next five bad habits will be in my next blog.

(1) Fidgeting helps burn calories

While fidgeting might be annoying for individuals and those around them, it is an activity that expends energy and burns calories. Fidgeting is one of a number of activities (along with walking, gardening, typing, tidying up, etc.) that are known as non-exercise activity thermogenesis (NEAT). In basic terms, NEAT is any activity that is not eating, sleeping, or sporting exercise. A number of studies carried out by obesity expert Dr. James Levine at the US Mayo Clinic (Arizona, US) have shown that individuals who fidget burn up about 350kcal a day. This is because fidgeting speeds up an individual’s metabolism by stimulating neurochemicals in the body thus increasing the ability to convert body fat into energy. So, if you are a compulsive foot tapper, an excessive thumb twiddler, or a restless doodler, just remember that all of these activities burn calories.

(2) Chewing gum helps boost thinking and alertness

Watching people chew gum is not a pretty site but if English football managers are anything to go by, chewing gum appears to be a stress relieving activity. In fact, there appear to appear to be many cognitive benefits of chewing gum. Dr. Kin-ya Kubo and colleagues in the book Senescence and Senescence-Related Disorders noted that chewing gum immediately before performing a cognitive task increases blood oxygen levels in the prefrontal cortex and hippocampus (important brain structures involved in learning and memory), thereby improving task performance. Dr. Kubo argues that chewing gum may therefore be a drug-free and simple method of helping those with senile dementia and stress-related disorders that are often associated with cognitive dysfunction. Another study by Dr. Yoshiyuki Hirano and colleagues showed that chewing gum boosts thinking and alertness, and that reaction times among chewers were 10% faster than non-chewers. The research team also reported that up to eight areas of the brain are affected by chewing (most notably the areas concerning attention and movement). As Professor Andy Smith (Cardiff University, UK) neatly summed up: “The effects of chewing on reaction time are profound. Perhaps football managers arrived at the idea of chewing gum by accident, but they seem to be on the right track”. 

(3) Playing video games helps relieve pain

Many individuals that do not play video games view the activity as a complete waste of time and potentially addictive. While excessive video game playing may cause problems in a minority of individuals, there is lots of scientific evidence that playing video games can have many beneficial effects. For instance, a number of studies have shown that children with cancer who play video games after chemotherapy take less pain killing medication. Video games have also been used as pain relieving therapy for other medical conditions such as burns victims and those with back pain. This is because playing video games is an engaging and engrossing activity that means the player cannot think about anything else but playing the game (and is what psychologists refer to as a ‘cognitive distractor task’). Pain has a large psychological component and individuals experience less pain if the person is engaged in an activity that takes up all their cognitive mind space. As well as being a pain reliever, there are also many studies showing that playing video games increase hand-eye co-ordination, increase reaction times, and have educational learning benefits.

(4) Eating snot helps strengthen the immune system (maybe)

How does it make you feel when you see someone picking their nose and then eating what they have found? Disgust? Contempt? Amused? In 2008, Dr Friedrich Bischinger, an Austrian lung specialist, claimed that picking your nose and eating it was good for you. He claimed that people who pick their noses with their fingers were healthy, happier and probably better in tune with their bodies than those who didn’t. Dr. Bischinger believes that eating the dry remains of what you pull out of your nose is a great way of strengthening the body’s immune system. He explained that in terms of the immune system, the nose is a filter in which a great deal of bacteria are collected, and when this mixture arrives in the intestines it works just like a medicine. He said that “people who pick their nose and eat it get a natural boost to their immune system for free. I would recommend a new approach where children are encouraged to pick their nose. It is a completely natural response and medically a good idea as well”. He went on to suggest that if anyone was worried about what other people think, they should pick their noses privately if they want to get the benefits.  This view is also shared by Dr. Scott Napper, a biochemist at the University of Saskatchewan. He theorises that hygiene improvement has led to the increase in allergies and auto-immune disorders and that eating snot may boost the immune system by ingesting small and harmless amounts of germs into the body. The same theory has also been applied to another bad habit – biting fingernails – because again, the act of biting nails introduces germs directly into a person’s orifices.

(5) Daydreaming helps problem solving

Daydreaming is something that can occupy up to one-third of our waking lives and is often viewed as a sign of laziness, inattentiveness and/or procrastination. However, scientific research has shown that the ‘executive network’ in our brain is highly active when we daydream. A study carried out by Professor Kalina Christoff and colleagues and published in the Proceedings of the National Academy of Sciences found activity in numerous brain regions while daydreaming including areas associated with complex problem solving. These brain regions were more active while daydreaming compared to routine tasks. It is believed that when an individual uses conscious thought they can become too rigid and limited in their thinking. The findings suggest that daydreaming is an important cognitive state where individuals turn their attention from immediate tasks to unconsciously think about problems in their lives. Christoff says that “when you daydream, you may not be achieving your immediate goal – say reading a book or paying attention in class – but your mind may be taking that time to address more important questions in your life, such as advancing your career or personal relationships”. In addition to this, Dr. Eric Klinger of the University of Minnesota has argued that daydreaming also serves an evolutionary purpose. When individuals are engaged on one task, daydreaming can trigger reminders of other, concurrent goals so that they do not lose sight of them.

Part 2 of this article will be in the next blog.

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

Further reading

Christoff, K., Gordon, A.M., Smallwood, J., Smith, R., & Schooler, J.W. (2009). Experience sampling during fMRI reveals default network and executive system contributions to mind wandering. Proceedings of the National Academy of Sciences, 106, 8719-872

Fox, K.C., Nijeboer, S., Solomonova, E., Domhoff, G.W., & Christoff, K. (2013). Dreaming as mind wandering: evidence from functional neuroimaging and first-person content reports. Frontiers in Human Neuroscience, 7, 42. doi: 10.3389/fnhum.2013.00412.

Griffiths, M.D. (2005). The therapeutic value of videogames. In J. Goldstein & J. Raessens (Eds.), Handbook of Computer Game Studies (pp. 161-171). Boston: MIT Press.

Griffiths, M.D., Kuss, D.J., & Ortiz de Gortari, A. (2013). Videogames as therapy: A review of the medical and psychological literature. In I. M. Miranda & M. M. Cruz-Cunha (Eds.), Handbook of research on ICTs for healthcare and social services: Developments and applications (pp.43-68). Pennsylvania: IGI Global.

Hirano, Y., Obata, T., Takahashi, H., Tachibana, A., Kuroiwa, D., Takahashi, T., … & Onozuka, M. (2013). Effects of chewing on cognitive processing speed. Brain and Cognition, 81, 376-381.

Kato, P. M., Cole, S. W., Bradlyn, A. S., & Pollock, B. H. (2008). A video game improves behavioral outcomes in adolescents and young adults with cancer: A randomized trial. Pediatrics, 122, E305-E317.

Klinger, E. (2009). Daydreaming and fantasizing: Thought flow and motivation. In Markman, K. D., Klein, W.P., & Suhr, J.A. (Eds.), Handbook of Imagination and Mental Simulation (pp. 225-239). New York: Psychology Press.

Klinger, E., Henning, V. R., & Janssen, J. M. (2009). Fantasy-proneness dimensionalized: Dissociative component is related to psychopathology, daydreaming as such is not. Journal of Research in Personality, 43, 506-510.

Kubo, K. Y., Chen, H., & Onozuka, M. (2013). The relationship between mastication and cognition. In Wang, Z. & Inuzuka (Eds.), Senescence and Senescence-Related Disorders. InTech. Located at: http://www.intechopen.com/books/senescence-and-senescence-related-disorders

Levine, J.A. (2004). Nonexercise activity thermogenesis (NEAT): environment and biology. American Journal of Physiology-Endocrinology And Metabolism, 286, E675-E685.

Levine, J.A., Melanson, E. L., Westerterp, K. R., & Hill, J.O. (2001). Measurement of the components of nonexercise activity thermogenesis. American Journal of Physiology-Endocrinology and Metabolism, 281, E670-E675.

Levine, J.A., Schleusner, S. J., & Jensen, M.D. (2000). Energy expenditure of nonexercise activity. American Journal of Clinical Nutrition, 72, 1451-1454.

Redd, W.H., Jacobsen, P.B., DieTrill, M., Dermatis, H., McEvoy, M., & Holland, J.C. (1987). Cognitive-attentional distraction in the control of conditioned nausea in pediatric cancer patients receiving chemotherapy. Journal of Consulting and Clinical Psychology, 55, 391-395.

Reichlin, L., Mani, N., McArthur, K., Harris, A.M., Rajan, N., & Dacso, C.C. (2011). Assessing the acceptability and usability of an interactive serious game in aiding treatment decisions for patients with localized prostate cancer. Journal of Medical Internet Research, 13, 188-201.

Vasterling, J., Jenkins, R.A., Tope, D.M., & Burish, T.G. (1993). Cognitive distraction and relaxation training for the control of side effects due to cancer chemotherapy. Journal of Behavioral Medicine, 16, 65-80.

Wighton, K. (2013). From biting your nails to burping and even eating in bed: The bad habits that can be GOOD for you! Daily Mail, April 8. Located at: http://www.dailymail.co.uk/health/article-2305953/Bad-habits-From-biting-nails-burping-eating-bed-The-bad-habits-GOOD-you.html

Occult figure: David Bowie and living life at the extremes

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

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

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

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

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

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

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

Chris O’Leary also noted that:

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

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

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

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

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

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

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

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

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

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

Further reading

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

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

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

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

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

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

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

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

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

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

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

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

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

Cynical psychology: The psychology of hoaxing

Earlier this week, I appeared on BBC radio talking about the psychology of hoaxing after someone had made hoax calls to the police about a bomb being on Nottingham school premises. I have to admit that I’m no expert on the psychology of hoaxing but I’ve always had a personal interest in hoaxes especially those in science (such a the Piltdown Man ‘missing link’ hoax), cryptozoology (such as Bigfoot, the Abominable Snowman, the Loch Ness Monster), parapsychology (alien abductions, flying saucers, etc.), art hoaxes (such as the Nat Tate scandal, a fake biography written by William Boyd and given credence by US writer Gore Vidal, Picasso’s biographer John Richardson, and David Bowie), and literary hoaxes (such as the German magazine Stern publishing Hitler’s diaries before they realised they were fake).

I also grew up in the late 1970s and 1980s enjoying television shows like Candid Camera and Game For A Laugh where hoaxing was the shows’ main ingredient in the name of entertainment. This has carried on into today’s light entertainment strand such as the hoaxes with celebrities on Ant and Dec’s Saturday Night Takeaway. I’m not claiming that such shows make hoaxing socially acceptable or socially condoned but they probably help in softening individuals’ attitudes towards hoaxing.

The radio show I was interviewed on wanted to know about why people hoax and the underlying psychology of a hoaxer. Before looking at any articles on what motivates a hoaxer I made a list of all the reasons I could think of what might cause people to hoax. My preliminary list included hoaxing (i) for amusement purposes, (ii) out of boredom, (iii) as an act of revenge, (iv) as a way to gain fame and/or notoriety in some way, (iv) to gain attention, such as faking illness [Munchausen’s Syndrome], (v) to demonstrate cleverness (or a perception of cleverness) to others around them, (vi) to disrupt the status quo (including terrorist and non-terrorist activity), and for political causes (such as claiming to be a victim of a racist hate crime).

After this (and in preparation for my radio interview) I went on Google Scholar and was surprised how little research had been done on the psychology of hoaxes (although there is plenty of research on more general areas such as the psychology of deception). One online article on hoaxes gave a different list of reasons as to why individuals would carry out hoaxes that was very different from my own speculations. The five reasons listed were to: (i) draw attention to their fraudulent skills, (ii) gain financial benefits through their deceit, (iii) “put their bait out and see who falls victim or target specific individuals to vilify or discredit, especially those who pose a threat (paranoia)”, (iv) feed people’s secret prejudices and beliefs, and (v) fool people “because it’s fun”.

Although there are many similar definitions as to what constitutes a hoax, I decided to use the Wikipedia definition as the basis for this article as it was more detailed than others that I read:

“A hoax is a deliberately fabricated falsehood made to masquerade as truth. It is distinguishable from errors in observation or judgment, or rumors, urban legends, pseudosciences, or April Fool’s Day events that are passed along in good faith by believers or as jokes”.

In his cunningly (or should that be ‘punningly’) titled recent book Hoax Springs Eternal: The Psychology of Cognitive Deception, the psychologist Peter Hancock highlighted six steps that characterise a truly successful hoax:

• “Identify a constituency – a person or group of people who, for reasons such as piety or patriotism, or greed, will truly care about your creation.
• Identify a particular dream which will make your hoax appeal to your constituency.
• Create an appealing but ‘under-specified’ hoax, with ambiguities.
• Have your creation discovered.
• Find at least one champion who will actively support your hoax.
• Make people care, either positively or negatively – the ambiguities encourage interest and debate.”

In a short (but interesting) online presentation, Chris Jones noted that hoaxers exploit human psychology in order to persuade us to do foolish things. More specifically, Jones asserted that hoaxes prey upon a number of human traits including good will, naivety, greed, fear and anxiety, and a deference to authority (such as your doctor, lawyer, your bank, etc.). This is supported by the computer hacker Kevin Mitnick who in his 2002 book The Art of Deception claims that human beings are the biggest threat to security and that human emotions such as willingness to help others, personal gain, trust, fear of getting reprimanded, and conformity are the primary reasons social engineering techniques (which include hoaxes) can be so successful.

In an article in The Independent, Rose Shepherd interviewed a police inspector (Glen Chalk) and a psychologist (Dr. Glenn Wilson) about individuals’ motives for hoaxes concerning information about crimes that had been committed. Chalk noted:

“People have various motives…Some people might be overly helpful. They could have some information, and then embellish it. Others might be outright malicious…[These] are probably fantasists, anxious to help or to associate themselves with events…A lot of callers are attention-seekers”.

Dr. Wilson added that hoax callers enjoy “a sense of potency” and:

“They may be people who feel they make no impact on the world, and this is one way they can do that, rather as fire-setters start fires then stand back to admire their handiwork. They see people running around and think `I did that!’ For people who feel they have no power, it is the capacity to influence events. There may be an element of exhibitionism, of getting into the public eye. For the time on the phone, at least, everybody is terribly interested in what they’ve got to say. Anonymity spoils things, but they might deliberately then get caught, and might even become famous as a result, in a rather lesser way than those who kill a celebrity: they get fame in a very backhanded way. [Not all nuisance callers are knowing hoaxers: some probably, genuinely believe they have something to offer]. I suppose they may think they are being helpful…perhaps telling police where a body might be found. They might really think they are psychic. They’re not trying to be obstructive; they just want to get in on the act.”

The article also made reference to one of the most notorious hoax calls of all time, the infamous “Jack” who pretended to by the Yorkshire Ripper and ended up subverting the police hunt for the real female serial killer. Although many believed that “Jack” should have been pursued, Inspector Chalk concluded that there was “not a lot of point in prosecuting the sad fantasists”.

The Wikipedia entry on hoaxes provided an interesting ‘typology’ of hoaxes that could certainly be used in further academic research. The list included:

• Socially appropriate hoaxes (with April Fools’ Day being the most noteworthy example)
• Religious hoaxes (such as Maria Monk’s 1836 best-selling book Awful Disclosures of Maria Monk, or, The Hidden Secrets of a Nun’s Life in a Convent Exposed that claimed there was systematic sexual abuse of nuns by Catholic priests and that the priests murdered the resulting babies).
• Anthropological hoaxes (such as the fossilized skull and jaw remains of the Piltdown Man collected in 1912 and exposed as a forgery in 1953 as the lower jawbone of an orangutan with the skull of modern man).
• Hoaxes as scare tactics (such as those that appeal to individuals’ subjectively rational belief that the expected cost of not believing the hoax outweighs the expected cost of believing the hoax).
• Academic hoaxes (such as when Polish psychologist Tomasz Witkowski published a fake article in the psychology journal Charaktery)
• ‘Sting operation’ hoaxes that are used by law enforcement to catch criminals.
• Art hoaxes such as art done by chimpanzees and elephants that fooled many art critics.
• Internet hoaxes (such as the online videos claiming that iPods could be charged up with an onion and Gatorade).
• Computer virus hoaxes

Dr. Ross Anderson notes in his 2008 book Security Engineering that frauds and hoaxes have always happened, but that the Internet makes some hoaxes easier, “and lets others be repackaged in ways that may bypass our existing controls (be they personal intuitions, company procedures or even laws)”.

As a self-confessed music obsessive, my all-time favourite hoax was music magazine Rolling Stone’s 1969 invention of the debut album by the Masked Marauders, a ‘supergroup’ featuring Paul McCartney, John Lennon, Bob Dylan and Mick Jagger. As a 2014 article in Mental Floss recalled:

“Due to legal issues with their respective labels, the stars’ names wouldn’t appear on the album cover, but the review extolled the virtues of Dylan’s new ‘deep bass voice’ and the record’s 18-minute cover songs…The writer earnestly concluded, ‘It can truly be said that this album is more than a way of life; it is life.’ For anyone paying attention, the absurd details added up to a clear hoax. The man behind the gag, editor Greil Marcus, was fed up with the supergroup trend and figured that if he peppered his piece with enough fabrication, readers would pick up on the joke. They didn’t. After reading the review, fans were desperate to get their hands on the Masked Marauders album. Rather than fess up, Marcus dug in his heels and took his prank to the next level. He recruited an obscure San Francisco band to record a spoof album, then scored a distribution deal with Warner Bros. After a little radio promotion, the Masked Marauders’ self-titled debut sold 100,000 copies. For its part, Warner Bros. decided to let fans in on the joke after they bought the album. Each sleeve included the Rolling Stone review along with liner notes that read, ‘In a world of sham, the Masked Marauders, bless their hearts, are the genuine article’.”

It all goes to show that people will believe what they want to believe. I probably would have fallen for this hoax as well but I was only three years old at the time.

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

Further reading

Anderson, R. (2008). Security engineering (2^nd edition). Chichester: Wiley.

Caterson, S. (2010). Towards a general theory of hoaxes [online]. Quadrant, 54, 70-74.

Daly, K. C. (2000). Internet hoaxes: Public regulation and private remedies. Located at: http://dash.harvard.edu/bitstream/handle/1/8965617/Daly,_Karen.html?sequence=2

Dunn, H. B., & Allen, C. A. (2005, March). Rumors, urban legends and Internet hoaxes. In Proceedings of the Annual Meeting of the Association of Collegiate Marketing Educators (p. 85)

Edward, G. (2010). Profiling hoaxers: The psychology of fame. Bigfoot Lunch Club, January 27. Located at: http://www.bigfootlunchclub.com/2010/01/profiling-hoaxers-psychology-of-fame.html

Hancock, Peter (2015). Hoax Springs Eternal: The Psychology of Cognitive Deception. (pp.182-195). Cambridge: Cambridge University Press.

Heyd, T. (2008). Email hoaxes: form, function, genre ecology (Vol. 174). John Benjamins Publishing

Hobart, M. (2013). My best friend’s brother’s cousin new this guy who…: Hoaxes, legends, warnings, and fisher’s narrative paradigm. Communication Teacher, 27(2), 90-93.

Hyman, R. (1989). The psychology of deception. Annual Review of Psychology, 40(1), 133-154.

Mitnick, K.D. (2002). The Art of Deception: Controlling the Human Element of Security. Indianapolis: Wiley.

Podhradsky, A., D’Ovidio, R., Engebretson, P., & Casey, C. (2013). Xbox 360 hoaxes, social engineering, and gamertag exploits. In System Sciences (HICSS), 2013 46th Hawaii International Conference (pp. 3239-3250). IEEE.

Raymond, A. K. (2014). The 14 greatest hoaxes of all time. Mental Floss, March 31. Located at: http://mentalfloss.com/article/49674/14-greatest-hoaxes-all-time

Shepherd, R. (1996). It starts with a hoax…It ends with havoc. The Independent, July 31. Located at: http://www.independent.co.uk/life-style/it-starts-with-a-hoax-it-ends-in-havoc-1307603.html

The dirty smack brigade: A beginner’s guide to erotic spanking

According to Dr. Anil Aggrawal in his 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices, “erotic spanking” (i.e., so called ‘spankophilia’) is the practice of spanking another person for the sexual gratification of either or both parties. He also reported that notable ‘spankophiles’ include poet Algernon Swinburne (as repeatedly implied in his poetry) and the philosopher Jean-Jacques Rousseau (as detailed in his autobiography Confessions).

Arguably the most well known (non-academic) spanking guide is Jules Markham’s 2005 book Consensual Spanking that examines (i) why people enjoy playing spanking games, (ii) how to conduct a spanking, (iii) how to receive a spanking, (iv) spanking safely, (v) organising a typical spanking session (vi) positions, postures and presentation of spanking, (vii) the use of spanking implements, (viii) aspects of spanking in role-play, (ix) basic control techniques, (x) sensual and erotic forms of spanking, (xi) spanking as foreplay, and (xii) domestic discipline. The Wikipedia entry on erotic spanking features reference to Markham’s book and Dr. Rebecca Plante’s paper on sexual spanking in a 2006 issue of the Journal of Homosexuality and notes:

‘[Spanking] activities range from a spontaneous smack on bare buttocks during a sexual activity, to occasional sexual roleplay to domestic discipline and may involve the use of a hand or the use of a variety of spanking implements…Erotic spanking may be administered to bare buttocks or normally dressed. Spanking can involve the use of bondage…The most common type of erotic spanking is administered on the bare buttocks but can also be combined with bondage in order to heighten sexual arousal and feelings of helplessness…A spanking may be carried out with the use of a bare hand, or with any of a variety of implements, including a paddle, strap, hairbrush, or belt. Other popular tools are canes, riding crops, whips, switiches, birches, sneakers, rolled-up newspapers, rulers or martinet”

Dr. Aggrawal reports that many spankophiles make use of a ‘spanking bench’ (and sometimes referred to as a ‘spanking horse’), a piece of furniture that is used to position the person who receives the spanking (i.e., a spankee), that may or may not have restraints. Aggrawal also makes reference to the nineteenth century British dominatrix Mrs. Theresa Berkley, someone that Aggrawal claims became famous for her invention of the Berkley Horse (a multi-functional device that combined spanking bench with several other sadomasochistic functions). The Wikipedia entry claims that:

“In some cultures, the spanking of women, by the male head of the family or by the husband (sometimes called domestic discipline) has been and sometimes continues to be a common and approved custom. In those cultures and in those times, it was the belief that the husband, as head of the family, had a right and even the duty to discipline his wife and children when he saw fit, and manuals were available to instruct the husband how to discipline his household. In most western countries, this practice has come to be regarded as unlawful and socially unacceptable wife-beating, domestic violence, or abuse. Today, spanking of an adult tends to be confined to erotic spanking or to BDSM contexts. The domestic discipline scenario is commonly invoked in erotic spanking, but with a bare bottom or totally nude, with bondage and less direct physical contact being a feature of BDSM”.

Most academic research papers (such as one on sexual paraphilias and fetishism by Dr. Michael Wiederman in a 2003 issue of The Family Journal) report that spanking is part of a much wider range of sadomasochistic activities including binding, gagging, blindfolding, whipping, choking, cutting, and piercing. For instance, a 1985 study by Dr. N. Breslow and colleagues and published in the Archives of Sexual Behavior examined the sexual activities of 182 sadomasochists (130 men, 52 women). The study found that the most preferred sexual activities for both sexes were spanking and involvement in master–slave relationships. A similar finding was reported by Dr. Charles Moser and Dr. E. Levitt in a 1987 study published in the Journal of Sex Research. They surveyed 225 sadomasochists recruited from a specialist SM magazine (178 men and 47 women), The most common SM behaviours were flagellation (spanking and whipping) and bondage (rope, chains, handcuffs, gags) of which 50% to 80% of participants engaged in.

A more recent 2001 Finnish study headed by Dr. Laurence Alison and published in the Archives if Sexual Behavior reported fairly similar findings. Again, flagellation (including spanking) and bondage were among the most popular activities. Most interestingly (and as I noted in a previous blog on sexual masochism), Alison and colleagues identified four sadomasochistic sub-groups based on the type of pain given and received. Spanking formed part of the first sub-group of sadomasochists. More specifically, these were:

• Typical pain administration: This involved practices such as spanking, caning, whipping, skin branding, electric shocks, etc.
• Humiliation: This involved verbal humiliation, gagging, face slapping, flagellation, etc. Heterosexuals were more likely than gay men to engage in these types of activity.
• Physical restriction: This included bondage, use of handcuffs, use of chains, wrestling, use of ice, wearing straight jackets, hypoxyphilia, and mummifying.
• Hyper-masculine pain administration: This involved rimming, dildo use, cock binding, being urinated upon, being given an enema, fisting, being defecated upon, and catheter insertion. Gay men were more likely than heterosexuals to engage in these types of activity.

In 2007, psychotherapist Brett Kahr published his book Sex and the Psyche and reported the results of a survey on adult sexual fantasies of 13,500 British men and women of all sexual orientations. Kahr reported that 18% of man and 7% of women had specific spanking fantasies. Spanking may also be associated with other sexual paraphilias. For instance, Dr. W. Arndt reported in his 1991 book Gender Disorders and the Paraphilias that among a small sample of 21 (of which 20 were male) klismaphilacs (i.e., individuals that derive sexual pleasure and arousal from enemas), 40% of the participants reported accompanying paraphilic interests that included mild spanking and other punishments (and suggesting sexually masochistic behaviour).

Although empirical evidence suggests that erotic spanking is not particularly prevalent among the general population (at least in terms of engaging in such behaviour regularly), most academic research appears to indicate that erotic spanking is towards the ‘softer’ end of sadomasochistic activities, and that almost all instances of erotic spanking are consensual, enjoyable, and non-problematic. Consequently, treatment for the behaviour is rarely sought.

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

Further reading

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

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

Arndt, W. B., Jr. (1991). Gender Disorders and the Paraphilias. Madison, CT: International Universities Press.

Breslow, N., Evans, L., & Langley, J. (1985). On the prevalence of roles of females in the sadomasochistic subculture: Report of an empirical study. Archives of Sexual Behavior, 14, 303–317.

Kahr, B. (2007). Sex and the Psyche. London: Allen Lane (Penguin Books).

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

Markham, J. (2005). Consensual Spanking. London: Adlibbed Ltd

Moser, C., & Levitt, E. E. (1987). An exploratory descriptive study of a sadomasochistically oriented sample. Journal of Sex Research, 23, 322–337.

Rebecca F. Plante (2006). Sexual spanking, the self, and the construction of deviance. Journal of Homosexuality, 50 (2–3), 59-79.

Wiederman, M. W. (2003). Paraphilia and fetishism. The Family Journal: Counseling and Therapy for Couples and Families, 11, 315-321.

The highs of cries: Another look at dacryphilia

In a previous blog I examined the sexual paraphilia dacryphilia. Dr. Anil Aggrawal in his book Forensic and Medico-legal Aspects of Sexual Crimes and Unususal Sexual Practices defines as “arousal from seeing tears in the eyes of a partner”. In my previous article I widened the definition of dacryphilia to include (i) sexual arousal from someone displaying strong emotion and/or (ii) sexual arousal from the emotional release that accompanies crying (i.e., an ‘emotional catharsis’). Dr. Aggrawal’s definition implies that sadism may form an inherent part of dacryphilia and implicitly indicates the potential presence of dacryphilic masochism in the recipient of sadistic dacryphilic activity. My widened definition suggested that dacryphilia could represent an extension of normative human behaviour towards crying (i.e., an extension of the desire to give attention to and comfort a crier).

Based on anecdotal data collected from online dacryphilia forums, my previous blog speculated that two distinct types may exist within the dacryphilic community: those with sadistic dacryphilic interests and those with voyeuristic dacryphilic interests. As such, dacryphilia creates a number of potential dichotomies: (i) sadomasochistic dacryphilic interests versus emotional dacryphilic interests; (ii) sadistic dacryphilic interests versus masochistic dacryphilic interests; and (iii) individuals who actively engage in dacryphilia versus individuals who passively engage in dacryphilia.

The potential contrast between sadomasochistic and emotional dacryphilic interests is of particular interest, as both of these interests occupy differing and almost opposing aspects of human sexual experience. Likewise, the potential existence of sadistic vs. masochistic, and active vs. passive interests within dacryphilia suggest that it is a non-normative sexual interest with enough variety for an interesting dataset and analysis. Furthermore, the possibility that dacryphilia represents an extension of normative human behaviour towards crying and tears raises the question of why some individuals might find sexual arousal in crying and tears. Thus, on the whole, there are a number of prospective research avenues that are implied within the limited literature on dacryphilia, but as I mentioned in my previous article there had been no empirical research into the area.

However, my research colleague Richard Greenhill and I recently published a qualitative paper on dacryphilia in the International Journal of Sexual Health. Our study comprised online interviews with eight dacryphiles (six females and two males; aged 20 to 50 years; five from the US with the others from the UK, Romania, and Belgium) and proposed a new typology of dacryphilia based on the interviews (and as far as we are aware is the first ever published study of the topic). Our participants were recruited via recruitment posts on one specific dacryphilia forum (i.e., CryingLovers), one general fetish forum (i.e., FetLife) and one BDSM forum (i.e., collarchat.com). The data were analysed using thematic analysis.

The three main thematic areas of dacryphilia we identified were: (i) compassion; (ii) dominance/submission; and (iii) curled-lips. Half of the participants (n = 4, all female) expressed their dacryphilia primarily through compassion, meaning that they enjoyed or were aroused by the compassion of comforting a crier. Four sub-themes were identified as characteristic of compassionate interests within dacryphilia: (i) dacryphilia as comforting; (ii) negative feelings towards sadomasochistic dacryphilia; (iii) dacryphilia as a natural role and/or duty; and (iv) subversion of societal and/or gender norms. For many of these participants (n = 3), the idea of dacryphilia as a comforting action from themselves to the crier forms an important part of their dacryphilic identity.

Three of the other participants (two submissive females and one dominant male) expressed their dacryphilia primarily through dominance/submission, meaning that they were aroused by either causing tears in a consenting submissive individual or being made to cry by a consenting dominant individual. Although this type of dacryphilia is often characterized as sadomasochistic by those with compassionate interests, dominant/submissive was deemed a more appropriate description, as participants in this group identified more with dominance/submission than sadomasochism. Two sub-themes were identified as characteristic of dominant/submissive interests within dacryphilia: (i) emotional and physical pain; and (ii) tears and crying as a secondary component of dominance/submission. All of those with dominant/submissive interests (n = 3) enjoyed both emotional and physical pain. 

The remaining participant (male) did not express an interest consistent with either compassion or dominance/submission. Instead, he expressed his dacryphilia primarily through an interest in curled-lips, meaning that he was aroused specifically by the curling of the lip during crying. Two sub-themes were identified as characteristic of this individual’s interest in curled-lips: (i) attraction to lips during crying; and (ii) rarity of this dacryphilic interest.

Our study not only suggested three initial areas of interest within dacryphilia, but the data we collected implied that dacryphilia may comprise a continuum of interests that can differ from each other, but which are all connected by an overarching enjoyment or arousal from tears and crying. Our study aimed to discover the different interests within dacryphilia and explore the range of dacryphilic experience. This was successfully achieved through the implementation of a set of online interviews that focussed attention on three initial possible interests within dacryphilia and assisted in reaching a sensitive and predominantly American population. Without the use of online recruitment and data collection, it is unlikely that we would have been able to carry out our study.

However, our sample size was small and may not reflect the experiences of other individuals with dacryphilic preferences and may display gender and cultural bias. A larger sample size may have led to the construction of further interests, as the interests outlined in the present study only relate to the eight participants who were interviewed. However, the fact we identified three different types of dacryphile in a sample of only eight people suggests that there are definite sub-types of dacryphilia. In particular, there appears to be a distinct difference between those who experience sexual arousal from compassionate interests and those who experience sexual arousal from dominant/submissive interests. Based on the sample in the present study, there appears to be a gender bias towards women and a cultural bias towards Americans. However, this may be a result of the limited nature of the small sample size and, as such, any extrapolation should be treated with caution.

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

Additional input: Richard Greenhill

Further reading

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

Greenhill, R. & Griffiths, M.D. (2014). The use of online asynchronous interviews in the study of paraphilias. SAGE Research Methods Cases. Located at: http://dx.doi.org/10.4135/978144627305013508526

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

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

Holmes, S.T. & Holmes, R.M. (2002). Sex Crimes: Patterns and Behavior. Thousand Oaks: Sage.

Milner, J. S. Dopke, C. A. & Crouch, J.L. (2008). Paraphilia not otherwise specified: Psychopathology and Theory. In Laws, D.R. & O’Donohue, W.T. (Eds.), Sexual Deviance: Theory, Assessment and Treatment (pp. 384-418). New York: Guildford Press.

Monroe, W. (2012). Fetish of the week: Dacryphilia. February 23. Located at: http://www.zzinsider.com/blogs/view/fetish_of_the_week_dacryphilia

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.

Wikipedia (2012). Dacryphilia. Located at: http://en.wikipedia.org/wiki/Dacryphilia

Williams, D. J. (2006). Different (painful!) strokes for different folks: A general overview of sexual sadomasochism (SM) and its diversity. Sexual Addiction and Compulsivity, 13, 333-346.

Beating the habit: A brief look at ‘cane therapy’ as a treatment for addiction

In 2014, I was the resident psychologist on 12-episode television series called Forbidden made for the Discovery Channel. One of the strangest stories that the series reported on was ‘cane therapy’ for the ‘Twisted Treatments’ episode. Before I was interviewed for the story, I had to research the story and was also given some production notes as background material. According to the material I was provided with: 

“Caning treatment was pioneered in Siberia by Dr Sergei Speransky a biologist from the Novosibirsk Institute of Medicine who together with Dr Marina Chuhrova released a research report in 2005 on whipping as a therapy. Dr Speransky and Dr Chukhrova developed the medical theory behind caning. Importantly Dr Chukhrova notes that, ‘It is not some warped sado-masochistic activity,’ but has a clear medical purpose. Apparently, there are some sound scientific principles behind these beatings. Namely the theory that pain activates the body’s immune system, causing it to perform much more effectively than under ‘normal circumstances.’ Dr Chukhrova taught [Dr. German Pilipenko] the theory as a student at university and controversially he has taken her theory and put it into practice, combining it with his own unique psychology treatment. 50-year old German Pilipenko has been caning people for nine years. In his spare time German enjoys the blissful serenity of mountain skiing in his local town. But in his professional life German has to bear the yelps, tears and groans of his patients – German canes and whips people for a living. German started to practice cane therapy in a medical clinic in 2004. Though the clinic no longer exists he’s continued the controversial practice as a private psychologist in a rented 14 square meter room in Novosibirsk’s Business Centre”.

Dr. Pilipenko is a psychotherapist and a hypnotist and claims that cane therapy can cure addictions (both chemical addictions such as alcohol and other drug addictions, and behavioural addictions such as sex addiction and work addiction), depression, phobias and neuroses. Along with Dr. Chukhrova, they have successfully treated over 1000 individuals (aged between 17 and 70 years) of their problems. The therapy appears to be arguably similar to primal therapy (which I briefly examined in a previous blog) and according to Pilipenko “can be used as a kind of anti-stress injection”. Via intense caning sessions Pilipenko not only draws physical pain from his clients but also their emotional reactions. It is the release of these emotions (as with primal therapy) is what he believes cures his patients of their addictions, stresses, depression, and anxieties. (If you are a journalist or an artist he offers the therapy free as a way of promoting his therapeutic practice). For the television programme, one of Dr. Pilipenko’s female clients (Anzhelika Alexeyev, a 22-year old, fifth-year medical student) was interviewed. The production notes I was given noted:

“Anzhelika is only at the beginning of her life, but she’s already experienced hardship and emotional difficulties. Receiving a beating from Dr Pilipenko has been her solution. She’s already visited him once but German believes there is more work to be done. [The programme will] follow Anzhelika through pain and tears as she returns for more caning. She also introduces her father to the treatment and we see her bring him for a session…Her first caning experience was at the start of [the] year…Anzhelika had been suffering stress after miraculously surviving a car crash. German’s advice was that ‘she really needed a lashing.’ She agreed. Initially at the start of the session Anzhelika wanted to leave. She suffered through the first beating in tears, though she persisted, knowing the pain was temporary. She believes the treatment has been successful in curing her trauma and stress related to the accident. In fact she is a big supporter of German’s caning and believes it helps to get rid of emotions that are deeply hidden, unacknowledged and out of control”.

Many newspaper reports have covered the ‘therapy’ over the last few years but nothing has been published on it in peer-reviewed scientific journals. According to one report on the Alternet news site:

“Practitioners Dr. German Pilipenko and Professor Marina Chukhrova say that their treatment is grounded in science: ‘We cane the patients on the buttocks with a clear and definite medical purpose’…The pair say that addicts suffer from a lack of endorphins, and that pain can stimulate the brain to release the feel-good chemicals, ‘making patients feel happier in their own skins.’ Mainstream doctors dismiss the practice, saying that exercise, acupuncture, massage, chocolate or sex are all better at stimulating endorphin secretion. Dr. Pilipenko admits, ‘we get a lot of skepticism…but so do all pioneers.’ The Siberian Times reports that ‘the reaction of most people is predictable: to snigger, scoff or make jokes loaded with sexual innuendo.’ And one recipient of the treatment, 41-year-old recovering alcoholic Yuri, says his girlfriend accused him of simply visiting a dominatrix. But he adds that although ‘the first strike was sickening…Somehow I got through all 30 lashes. The next day I got up with a stinging backside but no desire at all to touch the vodka in the fridge. The bottle has stayed there now for a year’.”

The Alternet story also interviewed another patient (Natasha, a 22-year-old recovering heroin addict with several months clean) who had been paying $100 for a two-hour session and claimed:

“I am the proof that this controversial treatment works, and I recommend it to anyone suffering from an addiction or depression. It hurts like crazy – but it’s given me back my life…With each lash, I scream and grip tight to the end of the surgical table. It’s a stinging pain, real agony, and my whole body jolts…I’m not a masochist. My parents never beat me or even slapped me, so this was my first real physical pain and it was truly shocking. If people think there’s anything sexual about it, then it’s nonsense.”

The article reported that Natasha had received 60 strokes of the cane per session (noting that drug addicts get double the number of lashes than alcoholics). Professor Chukhrova was then quoted as saying that extreme care is taken to ensure patient safety, and that:

“The beating is really the end of the treatment. We do a lot of psychological counseling first, and also use detox. It is only after all the counseling, and heart and pain resistance checks, that we start with the beating. [We use willow branches because they] are flexible and can’t be broken nor cause bleeding…If any patients get sexual pleasure from the beatings, we stop immediately…This is not what our treatment is about. If they’re looking for that, there are plenty of other places to go.” 

According to Dr Pilipenko, the unusual combination of psychology and corporal-style punishment is designed to train patients in endurance, tolerance and resistance as ways of coping with stress. Pilipenko believes he provides his clients with the tools to deal with stress and problems in their lives. More specifically he claims that:

“Psychological stimulation is aimed to convince a patient that aggression, idleness and depression will cause problems in life…Usually a patient is prescribed three separate visits, before they can be cured but it might be necessary for anything up to 10 sessions, depending on the severity of the individual case”.

Dr. Pilipenko also claims that cane therapy that was practiced by monks in the Middle Ages. However, I also noted that following each caning, his clients receive both psychotherapy and hypnotherapy. This begs the question as to whether it is these additional forms of intervention that are key to therapeutic success rather than the caning in and of itself.

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

Further reading

Alternet (2013). Weird science: Siberian psychologists caning patients “on the buttocks” in new addiction treatment. January 7. Located at: http://www.alternet.org/weird-science-siberian-psychologists-caning-patients-buttocks-new-addiction-treatment

Daily News (2014). Russian patients pay therapists to cane them in bizarre treatment. October 2. Located at: http://www.nydailynews.com/life-style/russian-patients-pay-therapists-cane-article-1.1960979

Siberian Times (2013). Beating the addiction out of you – literally. January 7. Located at: http://siberiantimes.com/other/others/features/beating-addiction-out-of-you-literally/

Stewart, W. (2013). How to beat your demons, literally: Siberian psychologists thrash patients with sticks to help them kick their addictions. Daily Mail, January 7. Located at: http://www.dailymail.co.uk/news/article-2258395/How-beat-addictions-literally-Siberian-psychologists-thrash-patients-sticks-help-kick-habits.html

Step toe and fun: Another look at trampling fetishism

“I’m a guy and I LOVE being walked on by women wearing high heels. It doesn’t hurt. Is this normal to have women step on my guy parts with high heels?” (Question posted on a Yahoo! website).

In a previous blog I briefly looked at ‘trampling fetishism’. According to a relatively new Wikipedia entry on the behaviour:

“Trampling refers to the sexual activity that involves being trampled underfoot by another person or persons. Trampling is common enough to support a sub-genre of trampling pornography. Because trampling can be used to produce pain, the trampling fetish for some adherents is closely linked to sadomasochistic fetishism. A similar fetish is to imagine themselves as being tiny under another’s feet, or being normal size, but being trampled by a giant person. This is known as ‘giant/giantess fetishism’ or macrophilia. It is not the same as trampling. The most common form of trampling is done by a male or female walking on a male or female submissive and is usually done barefooted, in socks, nylons, or shoes. The trampler will predominantly walk, jump and stomp on the person’s back, chest, stomach, genitalia, face and in some rare instances, the neck”.

If you type ‘trampling fetish’ into Google, lots of YouTube video clips appear instantly. Video clips of trampling have been present on the internet since 1997 courtesy of an number of infamous American tramples such as ‘Daddo’ ‘Kingfish’ and ‘LAF’. If you’re not into the visual side, you can read various forms of trampling fan fiction such as the stories at the Trample and Crushing website.

Since writing my previous blog on this topic, I filmed an interview about a trampling fetishist as part of the television program Forbidden (on which I was the resident psychologist). The television program that I participated in followed the story of a man called Frank O’Brien. Frank recalls his fetish developing during early to mid- adolescence. As a 15-year old teenager, he would trick the girls he knew into stepping on him by inventing games that resulted in him being trampled upon. As the show’s production notes reported:

“[Frank would] invent games to race girls to the door of his cubby house and have them wrestle or sit on him in the process. In the backyard pool he’d encourage them to step on him underwater. Ever since he can remember Frank has wanted to get under a girl’s foot…You could say Frank gets a ‘kick’ out of it. And among friends Frank is known simply as ‘Step on Me.’ For Frank, there’s nothing finer than having a woman walk all over him”.

By his early thirties Frank’s trampling fetish began to take up more and more of his time. In his social life he started attending as many sadomasochistic shows that he could and he longed and desired dominant mistresses that would help cater for his trampling fetish. The back-story I received about Frank noted that:

“The mistresses he saw early in life largely turned Frank away from the idea of trampling. They were more prostitutes than professional mistresses with an idea of what he really wanted. Back in those days there was no training for mistresses in trampling and this really has only taken off in Australia since the early 2000s. Now there are mistresses who train specifically in trampling”.

According to Frank, Melbourne is the centre of Australia’s BDSM culture and he introduced the Forbidden film crew to the niche trampling community that exists there. Frank’s favourite club is ‘Provocation’ that hosts a monthly fetish social event.

“But his idea of getting down on the dance floor is a little different to most. When Frank gets down, he literally gets down. He has a special mat that he lies on to make the experience slightly more bearable but comfort is not exactly what Frank is looking for. He’ll bring with him a platform that he’ll set up beside his mat; written across it are the words ‘step up here – girls only’. And that’s exactly what Frank wants. He’ll lie there for hours in the club, enjoying the feeling of women trampling him. Some wear stilettos, some are in platform shoes and others go barefooted – he doesn’t discriminate about what kind of footwear is permitted, but generally sharper and more pointy shoes offer greater satisfaction for [him]”.

Frank describes himself naturally submissive and he now has weekly trampling sessions with ‘Mistress Spanklet’ who is Frank’s long-term friend and a Dom-sub ‘play partner’. Frank describes these weekly sessions as his “drug fix” and something he “couldn’t live without”. Despite having some of his bowel removed (and it being dangerous for him for someone to trample on his stomach), he cannot stop it. He now tries to avoid ‘tummy trampling’ but notes that:

“Trampling can be on any part of the body, including the more sensitive regions of the face, throat and genitalia. [He] enjoys cock and ball trampling on a weekly basis with Spanklet. His face, arms and legs are also prime trampling ground in private and in public”.

In fact, Frank claims that he was responsible for the first ever penis trampling photograph on the internet. In 1999, Frank claimed he took the full weight of a woman in sharp red stilettos twisting as hard as she could on his penis. Frank claims the photograph (taken by the woman’s sexual partner) kick-started “the worldwide cock trampling trend”.

There appears to be little academic research on the topic but anecdotal evidence suggests there is (unsurprisingly) an overlap between trampling fetishes and foot fetishes (podophilia) – on which there is quote a lot of academic research given it appears to be the most prevalent type of fetishism. Obviously Frank’s case is extreme and is heavily interwoven into his life. While there appear to be addictive elements to his behaviour, I don’t believe that Frank’s trampling fetish is an addiction. Bizarre and extreme – yes. Addictive – no. But I’m happy to be proved wrong.

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

Further reading

Semple, K. (2009). Bartender, make it a stiletto. New York Times, June 10. Located at:

http://www.nytimes.com/2009/06/14/fashion/14carpet.html?_r=2&sq=carpet%20man&st=cse&adxnnl=1&scp=1&adxnnlx=1347984561-aHeCVlJANdIr6KwsZQrfvw

Sexy Tofu (2012). National Fetish Day: Interview with a trampler. January 20. Located at: http://sexytofu.com/tag/trampling/

Wikipedia (2012). Talk: Crush fetish. Located at: http://en.wikipedia.org/wiki/Talk%3ACrush_fetish

Wikipedia (2012). Trampling. Located at: http://en.wikipedia.org/wiki/Trampling

Hoovers and shakers: Another look at vacuum cleaner sex

In a previous blog I briefly looked at the medical literature relating to penile injuries arising from autoerotic interactions from vacuum cleaners. While researching that blog I also came across other literature that had examined vacuum cleaners being used for sexual purposes that I thought I would make another interesting blog. A number of references in the psychological literature make reference to particular types of people using vacuum cleaners as a source of sexual stimulation for masturbatory purposes. For instance, in a 2005 chapter by Lynne Moxon about sexuality and Asperger Syndrome (i.e., an autism spectrum disorder typically characterized by major difficulties in social interaction and non-verbal communication) noted that among Asperger’s sufferers:

“Lack of awareness of the use of the imagination for sexual fantasy can lead to the use of more physical forms of stimulation, such as the vibration of washing machines or public transport, or the use of vacuum cleaner pipes, holes in chair backs, socks, bottles and more unusual items, such as TV remote controls and golf clubs. Females unaware of the use of sex toys have used deodorant cans, scissors, keys and candles”.

In a 2013 study by Dr. Remigiusz Kijak published in the journal Sexuality and Disability, 133 people (mainly older age teenagers with ages ranging from 17 to 25 years) with mild intellectual disability were surveyed about their sexuality and sexual practices. Dr. Kijak reported that:

“During the studies it has also been determined that 7 % of the studied teenagers stimulate themselves in an untypical manner. The teenagers studied admitted to masturbating with tools, certain objects or to masturbating in a way other than a natural one. The study subjects masturbate using grease, food, furniture and even vacuum cleaners. Such masturbation can be determined as dangerous, mainly due to the fact that it fixes a certain, repeatable chain of strange rituals, often impossible to use in a partner relationship, and may result in a pleasure decrease”. 

As noted in my previous blog on the use of vacuum cleaners as a masturbatory aid, most writings on the topic concern penile injuries that have come to the attention of medics when things go wrong. However, there are a couple of case studies in the forensic literature that have featured vacuum cleaners in autoerotic deaths. In 1988, Dr. R.H. Imami and Dr. M. Kemal published a paper in the American Journal of Forensic Medicine and Pathology about a 57-year old white American male with a history of heart disease and chronic pancreatitis. The man was found naked slumped over his vacuum cleaner after a neighbour wondered why the vacuum cleaner had been on continuously for a long time. The man was found leaning against the dining table with his testicles, buttocks and thighs tightly bound with women’s tights. Near the table was a jar of urine, jars of lubricant and a wooden table leg covered in faecal excrement. The man was covered in burns from the vacuum cleaner. No defect was found in the vacuum cleaner. The autopsy revealed that the man had a heart attack while engaged in the autoerotic activity. The wooden table leg had been used in an attempt to stimulate orgasm via anal penetration. His wife had caught him masturbating with the vacuum cleaner before (and they hadn’t had sex for five years). The death was classes as natural rather than accidental.

In 1994, Dr. Clive Cooke, Dr. Gerard Cadden and Dr. Karin Margolius published a paper concerning four “unusual fatalities where death occurred during autoerotic practice”. Three of the four accidental deaths (electrocution, hanging, and courgette inhalation) involved young to middle-aged men. However, it is the fourth case that is of interest here. This involved an elderly man that (like the previous case) had heart disease. The authors reported that:

“The naked body of this 77[-year] old widower was found in the bathroom of his home…Adjacent to the body, and switched on and working, were a vacuum cleaner and a hair dryer. A pair of men’s underpants was impacted in the hose of the vacuum cleaner. Autopsy examination showed the body of an elderly man of normal build. There was no evident injury; in particular there were no apparent marks of electrical injury. Internal examination showed enlargement of the heart with extensive ischemic fibrous scarring of the thickened left ventricular myocardium. Extensive calcified coronary arteriosclerosis was present, with no thrombosis. There was no significant valvular disease. The lungs were mildly congested and there was benign hypertensive nephrosclerosis. Toxicological analysis was unremarkable. The vacuum cleaner and hair dryer, together with the electric circuitry of the house, were assessed by an electrical inspector and cleared of malfunction. The cause of death was therefore believed to be combined arteriosclerotic and hypertensive heart disease. The scene examination suggested the likelihood that the electrical appliances were being used autoerotically”.

In their discussion of this particular case, Cooke and colleagues noted that sudden autoerotic deaths due to a natural disease process (e.g., heart disease) have seldom been reported in the forensic literature. To their knowledge, only two previous case reports had been published prior to their own study – both males who after autopsy:

“…showed significant arteriosclerotic cardiovascular disease. One was the case of a 61 [-year] old man who died whilst bound with chain restraints; a vibrator was nearby [Hazelwood, Dietz & Burgess, 1981]. The second case was of a 57 [-year] old man whose body was found naked alongside a running vacuum cleaner; the testicles, thighs and buttocks were tightly bound with pantyhose [Imami & Kemal, 1988]. Such deaths are probably less frequent than sudden natural death associated with heterosexual or homosexual activity, particularly if with a novel partner [Malik, 1979]”.

Finally, the only other vacuum cleaner-related autoerotic death I located in the forensic literature was a 2005 case study report by Dr. Andrew Hitchcock and Dr. Roger Start in the Journal of Clinical Forensic Medicine. This was actually a case of hypoxyphilia where the device built to cut off the oxygen supply involved a vacuum cleaner. More specifically, the paper reported:

“A case is reported of a 36-year-old man who died following occlusive entrapment within a device for the purpose of hypoxyphilic gratification. The device was constructed in his own home using instructions found on his home computer down-loaded from the Internet. The device comprised a tough plastic cocoon large enough to accommodate an adult human and incorporating a system of plastic piping connected to a household vacuum cleaner for the evacuation of air within the cocoon. The mechanism of death was thought to be traumatic asphyxia after examination of the deceased and re-construction of the apparatus with the body in situ”.

The prevalence of autoerotic acts involving the use of vacuum cleaners is unknown as only those cases that result in serious genital injury and/or death come to the attention of medics and/or forensic scientists. As noted in my previous blog, the number of cases that are being reported is on the decrease but this may be because the topic is less novel than it used to be and may not be seen by journal editors as worthy of publication.

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

Further reading

Benson, R. (1985). Vacuum cleaner injury to penis: A common urologic problem? Urology, 25(1), 41-44.

Citron, N.D., & Wade, P.J. (1980). Penile injuries from vacuum cleaners. British Medical Journal, 281(6232), 26.

Cooke, C.T., Cadden, G.A., & Margolius, K.A. (1994). Autoerotic deaths: Four cases. Pathology, 26(3), 276-280.

Hazelwood, R.R., Dietz, P. E., & Burgess, A.W. (1981). The investigation of autoerotic fatalities. Journal of Police Science & Administration, 9, 404-411.

Hitchcock, A., & Start, R.D. (2005). Fatal traumatic asphyxia in a middle-aged man in association with entrapment associated hypoxyphilia. Journal of Clinical Forensic Medicine, 12, 320-325.

Imami, R. H., & Kemal, M. (1988). Vacuum cleaner use in autoerotic death. American Journal of Forensic Medicine and Pathology, 9, 246-248.

Kijak, R. (2013). The sexuality of adults with intellectual disability in Poland. Sexuality and Disability, 31(2), 109-123.

Klintschar, M., Grabuschnigg, P., & Beham, A. (1998). Death from electrocution during autoerotic practice: Case report and review of the literature. American Journal of Forensic Medicine and Pathology, 19, 190-193.

Malik, M. O. (1979). Sudden coronary deaths associated with sexual activity. Journal of Forensic Sciences, 24, 216-220.

Moxon, L. (2005). Diagnosis, disclosure and self-confidence in sexuality and relationships. In D. Murray (Ed.), Coming out Asperger: Diagnosis, Disclosure and Self-Confidence (pp. 214-229). London: Jessica Kingsley Publishers.

Rossi, M., Cascini, F., & Torcigliani, S. (1991). [Penile injuries caused by masturbation with a vacuum cleaner. Description of a case and review of the literature]. Minerva Urologica e Nefrologica, 44(1), 43-45.

Slow pain coming: A brief look at benign masturbatory cephalalgia

In a previous blog, I examined the medical research on individuals that suffer severe headaches as a result of having sex (known in the clinical and medical literature as ‘coital cephalalgia’ and ‘benign coital headache’). In such circumstances, the headache typically occurs at the brink of orgasm. While researching that particular blog, I also came across a number of papers (mainly case studies) that reported that these types of headache could also occur during masturbation (known as ‘benign masturbatory cephalalgia’ (BMC). (Here, the term ‘benign’ defines a primary headache syndrome not caused by any intracranial disorder).

The first paper that I read on BMC was a case account by Dr. Frederick Vincent in a 1982 issue the Archives of Neurology. Although benign orgasmic cephalgia had already been well described in the medical literature (particularly among males), Dr. Vincent reported the case of a 28-year old woman with orgasmic cephalalgia that developed during masturbation. This was reported by Dr. Vincent as the first ever case of BMC. The young woman “suffered a sudden throbbing occipital headache as she became orgasmic by masturbation”. The headache lasted an hour accompanied by mild nausea, but no other neurologic symptoms. As a result of this case, Dr. Vincent argued that the term ‘coital cephalagia’ should be dropped and simply called ‘orgasmic cephalagia’ irrespective of whether the headache was self-induced (i.e., masturbatory) or caused by having sexual intercourse.

Following the publication of Vincent’s case study, Dr. James Lance immediately responded in the same journal saying that he had reported the cases of three of his patients whose headaches were brought on by masturbation. Lance also agreed that the term coital cephalalgia was too restrictive, but then argued that:

“Orgasmic cephalalgia ignores the premonitory headache that may build up as sexual excitement mounts before orgasm. Benign sex headache (using ‘sex’ in the popular sense) is an all-embracing, albeit unpoetic, term and is comparable with benign cough headache. It is worth emphasizing that neither condition is always benign”.

A 2004 case study published by Dr. Marcelo Valenca and colleagues in the journal Headache: The Journal of Head and Face Pain noted that only five cases of patients with thunderclap headache precipitated by sexual activity had been identified in the medical literature. In their paper, they reported the case of a 44-year-old woman that suffered both coital and masturbatory headaches during orgasm. After carrying out a number of medical tests they concluded that the women had experienced cerebral arterial narrowing shortly after her orgasmic headache attacks and that this “supported the hypothesis that segmental vasospasm may exert a role in the pathogenesis of this uncommon type of headache”.

A number of papers on orgasmic cephalagia have been published by Dr. Achim Frese and his colleagues. In a 2004 issue of the journal Neurology, Frese led a study examining the demography, clinical features, and comorbidity of headache associated with sexual activity (HSA) in interviews of 51 participants. They reported that HSA was not dependent on specific sexual habits and most often occurred during sexual activity with the usual partner (94%) and during masturbation (35%).

A 1998 paper by Dr. Daniel Jacome in Headache: The Journal of Head and Face Pain reported something slightly different but related to BMC. More specifically, Dr. Jacome reported the cases of two single men described as having masturbatory-orgasmic extracephalic pain (i.e., an ice-pick like pain that occurred in the neck of one of the men, and in the groin and genitalia of the other). Both men had pre-existing medical conditions (i.e., compressive spondylitic cervical myelopathy in the first case, and a tethered cord and intraspinal lipoma in the second case). These two unusual cases represent examples of extracephalic ice picklike pain triggered by sexual activity, in the absence of orgasmic cephalgia.

A more recent 2012 paper by Dr. Amy Gelfand and Dr. Peter Goadsby in the journal Pediatrics examined primary sexual headaches in two male adolescents. One of the two cases (a 16-year-old boy) developed headaches at the moment of orgasm, building up in intensity over 5 to 10 seconds, and then continuing for between 10 seconds to 2 minutes before stopping. The authors also reported that headaches occurred irrespective of whether orgasm was achieved through intercourse or masturbation. He was not formally treated because after several months, the patient no longer experienced the headaches with orgasm.

Finally, a 2006 paper by Dr. Ambar Chakravarty in the journal Cephalalgia examined data from 24 Indian patients (18 males and 6 females) over a 20-year period (1985–2004) that suffered preorgasmic headaches. Dr. Ambar reported that three of the youngest male patients (aged 19–23 years) had experienced masturbatory headache. One of the female patients (aged 30 years) only experienced orgasmic headache during masturbation (i.e., she never experienced headaches during sexual intercourse).

Summarizing the medical literature on orgasmic cephalagia as a whole (i.e., on coital and masturbatory cephalagia), the 2012 paper by Gelfand and Goadsby concluded that:

“The orgasmic subtype of primary sex headache is more common than the gradual onset pre-orgasm type and has received more attention in the medical literature…In the orgasmic subtype, headache onset is explosive and severe. Orgasms achieved through either sexual intercourse or masturbation can trigger the headache. The headache location is variable, although most often bilateral. The quality is typically pounding or throbbing. Duration of headache ranges from minutes to several hours. Age at onset is classically in the late thirties or early forties, and there is a male predominance. The natural history of the disorder is that after several months it typically remits, although some patients will have a chronic course lasting over a year, and recurrences are possible”.

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

Further reading

Chakravarty, A. (2006). Primary headaches associated with sexual activity—some observations in Indian patients. Cephalalgia, 26(2), 202-207.

Frese, A., Eikermann, A., Frese, K., Schwaag, S., Husstedt, I. W., & Evers, S. (2003). Headache associated with sexual activity: Demography, clinical features, and comorbidity. Neurology, 61(6), 796-800.

Gelfand, A.A., & Goadsby, P.J. (2012). Primary sex headache in adolescents. Pediatrics, 130(2), e439-e441.

Jacome, D.E. (1998). Masturbatory-orgasmic extracephalic pain. Headache: Journal of Head and Face Pain, 38(2), 138-141.

Lance, J. W. (1976). Headaches related to sexual activity. Journal of Neurology, Neurosurgery & Psychiatry, 39(12), 1226-1230.

Lance, J. W. (1983). Benign masturbatory cephalalgia. Archives of Neurology, 40(6), 393.

Østergaard, J. R., & Kraft, M. (1992). Benign coital headache. Cephalalgia, 12(6), 353-355.

Redelman, M. (2010). What if the ‘sexual headache’ is not a joke. British Journal of Medical Practitioners, 3(1), 40-44.

Valenca, M. M., Valenca, L. P., Bordini, C. A., Da Silva, W. F., Leite, J. P., Antunes‐Rodrigues, J., & Speciali, J. G. (2004). Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms. Headache: The Journal of Head and Face Pain, 44(3), 244-248.

Vincent, F. M. (1982). Benign masturbatory cephalalgia. Archives of Neurology, 39(10), 673.