Category Archives: Psychology

Snap chat: The psychology of selfies

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

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

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

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

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

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

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

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

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

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

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

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

 Further reading

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

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

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

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

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

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

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

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

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

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

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

Eight days a week: Survival in the age of the ‘always on’ culture

Recently, I did some work with a PR agency as part of a campaign to get individuals to use their smartphones more responsibly. Today’s blog comprises the some of the text that fed into their press release based on an interview I did with them. The same campaign also publicised my tips to help reduce reliance on technology which you can find here. The following text comes from a transcription of the interview.

“The first thing to bear in mind is that people are no more addicted to smartphones than alcoholics are addicted to bottles. It the applications on smartphones that are potentially addictive not the phones themselves. It is important to understand too that the number of people who actually suffer to the extent that they have a real addiction is likely to be no more than a handful. However, there are certainly a growing number of people who perhaps wish they didn’t use their apps as much as they do. Obviously as phones have become more advanced and more capable, and the issue of both habitual use and problematic use of smartphones has grown.

We live in the ‘always on’ era and I think many people feel obliged to participate in that culture, and ensure that they are constantly available to interact and respond 24/7. I gave up my smart phone several years ago and, though I am not encouraging everybody else to do the same, you will find that after you get over the initial ‘shock’, you are able to cope just fine without it. Usually after the third or fourth day you’ll find that that you have adjusted to not having it. There are natural circumstances where you will find yourself without your phone by necessity, such as when you go swimming or visit the gym. People tend to manage just fine during these scenarios, but many people often experience anxiety if they find themselves on the bus to work and then realise they’ve left their smartphone at home.

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I’d encourage people wishing to use their phone or apps less to consider going without their phone for a few hours, or allocating one day each week when you don’t use it at all. And whilst I have given up my smartphone, I haven’t given up social media, using the internet and sending emails. I simply access these functions through my laptop. Obviously one of the big factors with mobile phones is that they are with you constantly. You can’t put a laptop in a pocket or a handbag, like you can with a mobile phone, and that is obviously quite a significant distinction. 

Many apps and phones themselves now have features that record the amount of time spent using each one, and often the time for many people will escalate into a number of hours over the course of the day or week. For many people this won’t be a concern, because they may be really enjoying using particular apps, but to others it might be a bit of a wake-up call. If you discover that you regularly spend ten hours in a week using a specific app you may begin to consider what else you could have done with that time.

There are also features on phones that allow you to dictate the frequency of notifications you receive as well as limit setting features so that you can control how much time you want to spend on your smartphone. Many apps send notifications very frequently, on the basis that the users will anticipate something good in the message they receive. Like in many spheres of our life, there are specific activities that trigger chemical reactions that manifest themselves as happy feelings, and apps are no different in this respect.

But there are often options to disable these notifications, or to limit them to appear only once an hour. This is one way we can limit the time we spend looking at our phones. The world of social media in particular can be very competitive, and we often crave things like ‘likes’ from our friends and colleagues. Many individuals not only feel good when they get ‘likes’ on the things they have posted on social media but also feel good when they get more ‘likes’ than their friends.

FOMO’ – fear of missing out – is also an increasing factor in why people spend so much time on their smartphone, constantly checking their social media and messages. Individuals should rationally and objectively consider just what exactly it is that they think they’re missing out on. We are very eager to take selfies and share them, purely for the purpose of attracting ‘like’s and reactions from others. Are we really missing out by not doing that? Over the past few years there has been increasing use of the term ‘digital detox’. A digital detox refers to the period of time during which a person refrains from using electronic devices such as smartphones or computers, regarded as an opportunity to reduce stress or focus on social interaction in the physical world”.

My tips for a successful digital detox can be found here.

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

Further reading

Andreassen, C.S., Pallesen, S., & Griffiths, M.D. (2017). The relationship between excessive online social networking, narcissism, and self-esteem: Findings from a large national survey. Addictive Behaviors, 64, 287-293.

Billieux, J., Maurage, P., Lopez-Fernandez, O., Kuss, D.J. & Griffiths, M.D. (2015). Can disordered mobile phone use be considered a behavioral addiction? An update on current evidence and a comprehensive model for future research. Current Addiction Reports, 2, 154-162.

Csibi, S., Griffiths, M.D., Cook, B., Demetrovics, Z., & Szabo, A. (2018). The psychometric properties of the Smartphone: Applications-Based Addiction Scale (SABAS). International Journal of Mental Health and Addiction, 16, 393-403.

Emirtekin, E., Balta, S., Sural, I., Kircaburun, K., Griffiths, M.D. & Billieux, J. (2019). The role of childhood emotional maltreatment and body image dissatisfaction in problematic smartphone use among adolescents. Psychiatry Research, 271, 634–639.

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

Griffiths, M.D. (2013). Adolescent mobile phone addiction: A cause for concern? Education and Health, 31, 76-78.

Griffiths, M.D. (2018). Adolescent social networking: How do social media operators facilitate habitual use? Education and Health, 36, 66-69.

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

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

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

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

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

Lopez-Fernandez, O., Kuss, D.J., Griffiths, M.D., & Billieux, J. (2015). The conceptualization and assessment of problematic mobile phone use. In Z. Yan (Ed.), Encyclopedia of Mobile Phone Behavior (Volumes 1, 2, & 3) (pp. 591-606). Hershey, PA: IGI Global.

Lopez-Fernandez, O., Männikkö, N., Kääriäinen, M., Griffiths, M.D., & Kuss, D.J. (2018). Mobile gaming does not predict smartphone dependence: A cross-cultural study between Belgium and Finland. Journal of Behavioral Addictions, 7, 88-99.

Monacis, L., de Palo, V., Griffiths, M.D. & Sinatra, M. (2017). Social networking addiction, attachment style, and validation of the Italian version of the Bergen Social Media Addiction Scale. Journal of Behavioral Addictions, 6, 178-186.

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

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

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

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

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

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

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

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

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

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

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

Further reading

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Further reading

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Maraz, A., Urbán, R., Griffiths, M.D. & Demetrovics Z. (2015). An empirical investigation of dance addiction. PLoS ONE, 10(5): e0125988. doi:10.1371/journal.pone.0125988.

Masters, B. (1986). Killing for Company: The Story of a Man Addicted to Murder. New York: Stein and Day.

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

Menninger, K. A. (1934). Polysurgery and polysurgical addiction. The Psychoanalytic Quarterly, 3(2), 173-199.

Mercier-Guidez, E., & Loas, G. (2000). Polydipsia and water intoxication in 353 psychiatric inpatients: an epidemiological and psychopathological study. European Psychiatry, 15(5), 306-311.

Orosz, G., Bőthe, B., & Tóth-Király, I. (2016). The development of the Problematic Series WatchingScale (PSWS). Journal of Behavioral Addictions, 5(1), 144-150.

Peele, S. & Brodsky, A. (1975), Love and addiction. New York: Taplinger.

Peters, C.  & Bodkin, C.D. (2007). An exploratory investigation of problematic online auction behaviors: Experiences of eBay users. Journal of Retailing and Consumer Services, 14(1), 1-16.

Reisinger, M. (2018). Addiction to death. CNS Spectrums, 23(2), 166-169.

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

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

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

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

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

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

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

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

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

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

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

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

Wulfsohn, I. (2013). A dangerous addiction: Qat and its draining of Yemen’s water, economy, and people. Middle East Economy, 3(10), 1-5.

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

Young, K. S. (2004). Internet addiction: A new clinical phenomenon and its consequences. American Behavioral Scientist, 48, 402–415.

Yung, K., Eickhoff, E., Davis, D. L., Klam, W. P., & Doan, A. P. (2014). Internet Addiction Disorder and problematic use of Google Glass™ in patient treated at a residential substance abuse treatment program. Addictive Behaviors, 41, 58-60.

Goal keeping: The psychology of New Year’s resolutions and how to keep them

(Please note: This blog is a slightly extended and fully referenced version of an article that was first published in The Conversation).

Academic research by Dr. John Norcross and his colleagues has shown that up to 50% of adults make New Year’s resolutions (NYRs) and the most common resolutions are wanting to lose weight, doing more exercise, quitting smoking, and saving money. It’s a time that individuals want to re-invent themselves but less than 10% actually manage to keep the NYRs after a few months.

We’ve all made NYRs that we begin with the best of intentions but within a few weeks are back to our old ways. As a Professor of Behavioural Addiction I know how easy people can fall into bad habits, and why on trying to give up those habits is easy to relapse. NYRs usually come in the form of lifestyle changes and changing behaviour that has become routine and habitual (even if they are not problematic) can be very hard to break.

The main reason that people don’t stick to their NYRs is that they set too many and/or they are unrealistic to achieve. There has also been some research by Dr. Janet Polivy and Dr. Peter Herman into ‘false hope syndrome’ (FHS) that is applicable to NYRs. FHS is characterized by an individual’s unrealistic expectations about the likely speed, amount, ease, and consequences of changing their behaviour.

n-NEW-YEARS-RESOLUTION-628x314

For some people, it takes something radical for them to change their ways. It took a medical diagnosis to make me give up alcohol and caffeine, and it took pregnancy for my partner to give up cigarette smoking. To change your day-to-day behaviour you also have to change your thinking. But there are tried and tested ways that can help individuals stick to their NYRs and here are my personal favourites:

Be realistic You need to begin by making NYRs that you can keep and that are practical. If you want to reduce your alcohol intake because you tend to drink alcohol every day, don’t immediately go teetotal. Try to cut out alcohol every other day or have a drink once every three days. Also, breaking up the longer-term goal into more manageable short-term goals can also be beneficial and more rewarding. The same principle can be applied to exercise or eating more healthily.

Do one thing at a time One of the easiest ways routes to failure is to have too many NYRs. If you want to be fitter and healthier, do just one thing at a time. Give up drinking. Give up smoking. Join a gym. Eat more healthily. But don’t do them all at once. Chose just one and do your best to stick to it. Once you have got one thing under your control, you can begin a second resolution.

Be SMART Anyone working in a jobs that includes objective-setting will know that any goal should be SMART (i.e., specific, measurable, achievable, realist and time-bound). NYRs should be no different. Cutting down alcohol drinking is an admirable goal but it’s not SMART. Drinking no more than two units of alcohol every other day for one month is a SMART resolution. Connecting the NYR to a specific aspirational goal can also be motivating (e.g., dropping a dress size or losing two inches off your waistline in time for the next summer holiday).

Tell someone your resolution(s) Letting family and friends around you know that you have a NYR that you really want to keep will act as both a safety barrier and a face-saver. If you really want to cut down smoking or drinking, real friends will not put temptation in your way and can help you in monitoring your day-to-day behaviour. Never be afraid to ask for help and support from those around you.

Change your behaviour with others – Trying to change habitual behaviour on your own can be difficult. For instance, if you and your partner both smoke, drink and/or eat unhealthily, it is really hard for one partner to change their behaviour if the other is still engaged in the same old bad habits. By having the same NYR (e.g., going on a diet), the chances of success will improve if you are both in it together.

Behavioural change isn’t limited to the New Year Changing your behaviour (or some aspect of it) doesn’t have to be restricted to the start of the New Year. It can be anytime.

Accept lapses as part of the process – It is inevitable that when trying to give up something (alcohol, cigarettes, junk food) that there will be lapses. You shouldn’t feel guilty about giving in to your cravings but accept that it is part of the learning process in enabling behavioural change. Bad habits can take years to become engrained and there are no quick fixes in making major lifestyle changes. These may be clichés but we learn by our mistakes and every day is a new day and you can start each day afresh. Right here. Right now.

Finally, some of you reading this might think all of this sounds like too much hard work and that it’s not worth making NYRs to begin with. However, research by John Norcross and colleagues has also shown that individuals who make NYRs are ten times more likely to achieve their goals than those that don’t make explicit NYRs. Food for thought (rather than thought for food)!

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

Further reading

Koestner, R. (2008). Reaching one’s personal goals: A motivational perspective focused on autonomy. Canadian Psychology/Psychologie Canadienne, 49(1), 60-67.

Marlatt, G. A., & Kaplan, B. E. (1972). Self-initiated attempts to change behavior: A study of New Year’s resolutions. Psychological Reports, 30(1), 123-131.

Norcross, J. C. (2006). Integrating self-help into psychotherapy: 16 practical suggestions. Professional Psychology: Research and Practice, 37(6), 683-693.

Norcross, J. C., & Mrykalo, M. S. (2002). Auld Lang Syne: Success predictors, change Processes, and self-reported outcomes of New Year’s resolvers and nonresolvers. Journal of Clinical Psychology, 58, 397-405.

Norcross, J. C., Ratzin, A. C., & Payne, D. (1989). Ringing in the New Year: The change processes and reported outcomes of resolutions. Addictive Behaviors, 14(2), 205-212.

Norcross, J. C., & Vangarelli, D. J. (1989). The resolution solution: longitudinal examination of New Year’s change attempts. Journal of Substance Abuse, 1(2), 127-134.

Polivy, J. (2001). The false hope syndrome: Unrealistic expectations of self-change. International Journal of Obesity and Related Metabolic Disorders, 25, S80-84.

Polivy, J., & Herman, C. P. (2000). The False-Hope Syndrome Unfulfilled Expectations of Self-Change. Current Directions in Psychological Science, 9(4), 128-131.

Polivy, J., & Herman, C. P. (2002). If at first you don’t succeed: False hopes of self-change. American Psychologist, 57(9), 677-689.

Farm assist? A brief look at ‘tractor sex’

One of my good friends, Dr. Mike Sutton, recently sent me a story he’d come across with the headline “Suffolk man had sex with 450 tractors”. Given my academic interest in paraphilias and fetishism, I decided to try and track down the original source of the story and found that it was first published by the Suffolk Gazette back in 2015. According to the news report:

Ralph Bishop, 53, was found by police with his trousers around his ankles “interfering” with a tractor parked in a field outside Saxmundham. He was arrested on suspicion of outraging public decency, and admitted to having had sex with around 450 tractors all over the Suffolk countryside. When officers searched his terraced home they found a collection of more than 5,000 tractor images on his laptop. The photos showed Bishop had a special desire for John Deere and Massey Ferguson tractors, particularly green ones. A police insider said: “We couldn’t believe it when we found him in the field. He was wearing a white t-shirt and Wellington boots and very little else. He was clearly in state of high excitement at the rear of the machine. Thankfully nobody else was around, but the field is close to a village primary school so we had to arrest him and educate him about the error of his ways. He told us he was particularly ‘in to’ axle grease and the presence of this around the back of tractors was all too much for him.” Bishop, twice divorced, was released without charge on condition he sought psychological help. He was put on the sex-offenders’ register. “He is also banned from the countryside and is now forbidden to go within one mile of a farm,” the police insider added. “So he has to live and remain in the middle of Ipswich to comply with that. However, we are watching him because we are worried about the safety of several street-cleaning machines.” Another policeman added: “He’ll also need to keep away from the town’s gardens – if he takes a fancy to a lawn mower he might find he loses more than just his liberty.”

Since the publication of this story, it has been re-reported dozens of times including the Daily Star and has even had follow-up stories (also in the Suffolk Gazette) – just type in the words ‘Ralph Bishop’ and ‘tractor’ and you’ll see what I am referring to. Given that I have written a number of articles on what has been termed ‘objectum sexuality’ (involving individuals who have sexual relationships with cars, trains, and bicycles) I wouldn’t have been overly surprised to hear of such a story, but the story is a hoax. My suspicions were raised by some of the alleged quotes from the nameless police officers in the story but the real clue to the story being a hoax (along with the follow-up stories) was that these stories were written by a ‘Crime correspondent’ called ‘Hugh Dunnett’ (‘whodunit’).

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Despite the story being a hoax I decided to see if there were any real examples of ‘tractor sex’. A quick bit of Googling demonstrated that there is certainly a niche market for pornographic videos featuring individuals having sex in tractors including Porn Hub and elsewhere (please be warned that clicking on these links leads directly to sexually explicit material). I also found the occasional admission in online forums of individuals who had sexual fantasies concerning tractors but these appeared to be nothing more than isolated dreams rather than being a fetish that was enacted. I also discovered that there is a sexual practice colloquially known as a ‘Kentucky Tractor Puller’. According to online sources, the description is as follows:

“The act of a male and a male or male and a female preforming anal sex. During sex the receiver clenches their butt-cheeks tightly and runs with the penis still in the buttocks”.

I then went onto Google Scholar, and a just published 2018 paper appeared after I had typed in the words ‘tractor sex’. A paper in the journal Medical Journal Armed Forces India by Antonio Ventriglio and colleagues entitled ‘Sexuality in the 21st century: Leather or rubber? Fetishism explained’. Unfortunately, I was disappointed by what I found. In the very first paragraph of the paper, the authors repeated the hoax story:

“In the UK, in early October 2015, a man was arrested for having had sex with 450 tractors. According to the news report, he was found to have over 5000 tractor images on his laptop. He had a special desire for John Deere and Massey Ferguson tractors, particularly the green ones. He was into axle grease, which apparently turned him on sexually. He was placed on the Sexual Offenders’ Register”.

Although academics (including myself) can be fooled by hoaxes, the authors of the paper clearly didn’t even check out the original source. In fact, the authors cited the article that appeared in the Daily Star but if they had continued to read the story to the very end, they would have seen the fact that even the newspaper believed the story to be a hoax.

I then found a 2016 paper by Brian Holoyda and William Newman in the International Journal of Law and Psychiatry entitled ‘Childhood animal cruelty, bestiality, and the link to adult interpersonal violence’. I knew the word ‘tractor’ appeared in the paper but I had no idea in what context. I emailed Dr. Holoyda who sent me the paper. I had been expecting to read that there was some kind of bestial act relating to a tractor but this wasn’t the case. It cited a paper published in a 1963 issue of the American Journal of Psychiatry by Dr. John Macdonald which related sadistic acts by a farmer (the so-called ‘homocidal triad‘) towards animals:

“Macdonald described some patients who were “very sadistic,” including one patient who “derived satisfaction from telling his wife again and again of an incident in which he assisted in the birth of a calf by hitching the cow to a post and tying a rope from the presenting legs of the calf to his tractor,” the result being that he “gunned the motor and eviscerated the cow” (p. 126). He claimed that “in the very sadistic patients, the triad of childhood cruelty to animals, fire setting and enuresis was often encountered” (p. 126–127), though he never explicitly stated how many patients had a history of these comorbid behaviors. Macdonald reported that within six months of his study, two patients killed a person, neither of whom he identified as having a history of animal cruelty (or enuresis or fire setting, for that matter), and that one patient with schizophrenia committed suicide”.

I ought to add that bestial acts by farmers is not uncommon. The Kinsey Reports (of 1948 and 1953) arguably shocked its readers when it reported that 8% of males and 4% females had at least one sexual experience with an animal. As with necrophiliacs who are often employed in jobs that provide regular contact with dead people, the Kinsey Reports provided much higher prevalence for zoophilic acts among those who worked on farms (for instance, 17% males who had worked on farms had experienced an orgasmic episode involving animals). A more recent reference by Dr. Anil Aggrawal outlining his new typology for zoophilia (which I overviewed in a previous blog) noted the cases of what he described as opportunistic zoosexuals who have normal sexual encounters but who Aggrawal argued would not refrain from having sexual intercourse with animals if the opportunity arose. Aggrawal claims that such behaviour occurs most often in incarcerated or stranded persons, or when the person sees an opportunity to have sex with an animal when they are sure no-one else is present (e.g., farmhands). Aggrawal claims that opportunistic zoosexuals have no emotional attachment to animals despite having sex with them.

Thankfully, I did manage to locate one paper in the academic literature where tractors were inextricably linked with paraphilic behaviour. In 1993, a paper by P.E. Dietz and R.L. O’Halloran entitled ‘Autoerotic fatalities with power hydraulics’ published in the Journal of Forensic Sciences. They reported two case studies of men who used “the hydraulic shovels on tractors to suspend themselves for masochistic sexual stimulation”. One of the men was an objectophile (although the authors didn’t call him that – I am using Dr. Amy Marsh’s definition in a 2010 paper on objectum sexuality in the Electronic Journal of Human Sexuality to classify him as such). This man actually developed a romantic attachment to his tractor, and went as far as giving his tractor a name and writing poetry about it. Unfortunately, the man “died accidentally while intentionally asphyxiating himself through suspension by the neck, leaving clues that he enjoyed perceptual distortions during asphyxiation”.

The second case was a man who was found dead in a barn lying on his front pinned under the hydraulic shovel of his tractor. His body was covered with semen stains and there was evidence of masochistic sexual bondage. His clothes were folded neatly away nearby. He was found naked except for a pair of women’s red shoes (with 8 inch heels), knee high stockings and tape duct wrapped around his ankles. Ropes led from his feet to the tractor which when raised would lift his inverted body causing complete suspension. It is not known exactly what happened but it is likely that the engine stalled and he was crushed underneath the tractor shovel. He died of positional asphyxiation by chest compression. This was an atypical autoerotic fatality because he did not purposely use asphyxiation but it did cause his death.

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

Further reading

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

Aggrawal, A. (2011). A new classification of zoophilia. Journal of Forensic and Legal Medicine, 18, 73-78.

Dietz, P. E., & O’Halloran, R.L. (1993). Autoerotic fatalities with power hydraulics. Journal of Forensic Science, 38(2), 359-364.

“Dunnett, H.” (2015). Suffolk man ‘had sex with 450 tractors’. Suffolk Gazette. Located at: https://www.suffolkgazette.com/news/suffolk-man-sex-with-tractors/

Holoyda, B. J., & Newman, W. J. (2016). Childhood animal cruelty, bestiality, and the link to adult interpersonal violence. International Journal of Law and Psychiatry, 47, 129-135.

Kinsey, A. C., Pomeroy, W. B., Martin, C.E., Gebhard, P.H. (1953). Sexual Behavior in the Human Female. Philadelphia, PA: W.B. Saunders Company.

Kinsey, A. C., Pomeroy, W. B., Martin, C.E., (1948). Sexual Behavior in the Human Male. Philadelphia, PA: W.B. Saunders Company.

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

Macdonald, J. M. (1963). The threat to kill. American Journal of Psychiatry, 120(2), 125-130.

Marsh, A. (2010). Love among the objectum sexuals. Electronic Journal of Human Sexuality, 13, March 1. Located at: http://www.ejhs.org/volume13/ObjSexuals.htm

Rawle, T. (2015). Perv who romped with 450 TRACTORS caught with 5,000 racy pics of farming vehicles. Daily Star, October 21. Located at: https://www.dailystar.co.uk/news/latest-news/471306/Pervert-tractor-sex-fetish-farm-vehicles-arrested

Ventriglio, A., Bhat, P. S., Torales, J., & Bhugra, D. (2018). Sexuality in the 21st century: Leather or rubber? Fetishism explained. Medical Journal Armed Forces India. Epub ahead of print. https://doi.org/10.1016/j.mjafi.2018.09.009

All cried out: A beginner’s guide to dacryphilia

(Please note: This article was commissioned by The Independent newspaper but was never published after the person who commissioned the article left to go to another newspaper. As I hate for writing to ‘go to waste’ I decided to publish it on my blog)

Dacryphilia is a paraphilia in which individuals derive sexual pleasure and arousal from seeing someone else cry. Back in 2012, I wrote an article on dacryphilia and noted that there hadn’t been a single academic study and started to do a little research of my own by visiting online dacryphilia forums. Based on the anecdotal data collected I speculated that two distinct types may exist within the dacryphilic community: those with sadistic dacryphilic interests and those with voyeuristic dacryphilic interests. Added to this was another dimension in that some dacryphiles appeared to be proactive in getting their sexual partners to cry whereas others were more passive. All of this speculation raises the question of why some individuals might be sexually aroused by crying and tears.

My research colleague Richard Greenhill and I published a study on the topic in the  International Journal of Sexual Health. We interviewed eight dacryphiles (six females and two males aged 20 to 50 years). Five of them were American with the three others from the UK, Romania, and Belgium. We recruited our participants from a dacryphilia forum (CryingLovers), a fetish forum (FetLife) and a sadomasochist forum (Collarchat.com). The data were analysed using thematic analysis.

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Based on the interviews, we proposed there are at least three distinct types of dacryphile. The three types were those whose sexual arousal was based on (i) the compassion of comforting someone crying, (ii) making someone cry in a consenting submissive individual and/or being made to cry by a consenting dominant individual, and (iii) seeing the curled-lips of someone crying.

Among the compassionate dacryphiles (four females) there were a number of important aspects. For these individuals, dacryphilia was comforting and was viewed as a ‘natural role’ and/or ‘their duty’. They also expressed negative feelings towards the dominance/submissive type of dacryphilia. A typical feature of compassionate interests was the presence of childhood fantasies and dreams in which the individual had met someone who’d had a ‘hard life’ and then comforted them. Here, the interest in comforting was grounded in their identities from an early age. Although there was an understanding that dacryphilia can be viewed as deriving pleasure from pain (i.e., crying), there was a clear emphasis placed on the comforting of pain. This contrasts compassionate interests with an interest in pain itself (i.e., sadomasochism) and displays the way in which these participants sought to ease pain rather than gain direct pleasure from it.

Three of our participants (two submissive females and one dominant male) expressed their dacryphilia primarily through dominance and submission. The two most important aspects for these individuals concerned emotional and physical pain, and the tears and crying as a secondary component of the dominance and submission. All three regarded tears and crying as a secondary component of their dacryphilia, citing surrender and the arousal of their sexual partner from tears as the predominant components. The psychological reinforcement appears to lie in the power and control they have over their submissive and compliant partner (referred to as ‘power play’). Knowing that their direct (verbal and/or physical) actions have directly caused the crying appears to be rewarding and reinforcing. 

The remaining male participant didn’t express an interest consistent with either compassion or dominance/submission. Instead, he expressed his dacryphilia primarily through an interest in curled-lips, as he was sexually aroused specifically by the curling of the lip during crying.

“I’m turned on by women who cry with their bottom lip stuck out. I’ve had this weird fetish since I was five. When the bottom lip sticks out, gets bulgy or curls downwards and the chin goes upwards and wrinkles – that’s an immediate turn on. I’ve come across dacryphiliacs who are turned on by tears, or by submission – but for me, it’s about the bottom lip. I’m starting to think I’m the only person on this planet with this problem”

The two most important aspects of this individual’s interest in curled-lips was the attraction to lips during crying, and the rarity of this dacryphilic interest (in fact, he described his interest as unique). This indvidual shows how very specific the sexual focus in dacryphilia can be (i.e., the crying having to be accompanied by the protruding bottom lip). This appears to be indicative of a powerful classically conditioned response as the stimuli for the sexual arousal is so very specific.

There may of course be more than three types of dacryphile as we only interviewed eight individuals. However, our study suggests 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.

Dr Mark Griffiths, Distinguished Professor of Behavioural Addiction, 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, 27, 337-350.

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

Griffiths, M. D. (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.

Myth world: A brief look at some myths about Gaming Disorder

Earlier this year, the World Health Organisation announced that ‘Gaming Disorder’ (GD) was to be officially been included in the latest (eleventh) edition of the International Classification of Diseases (ICD-11). The announcement received worldwide media coverage alongside many debates as to whether its inclusion was justified based on the scientific evidence. The extensive media coverage raised many questions but also appeared to give rise to a number of myths. In this blog, I address these myths in the British context but some of these myths also have resonance outside the UK.

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Myth 1 – Gaming Disorder equates to gaming addiction. Almost all of the worldwide press coverage for GD in June 2018 was equated with gaming addiction. However, the World Health Organization (WHO) does not describe GD as an addiction and the WHO criteria for GD do not include criteria that I believe are core to being genuine addictions (such as tolerance and withdrawal symptoms). Confusingly, the criteria for Internet Gaming Disorder (IGD) in the latest (fifth) edition of the Diagnostic Manual of Mental Disorders (DSM-5) does include all my core criteria of addiction. However, to be diagnosed with IGD, an individual does not necessarily have to endorse all the core addiction criteria. In short, all genuine gaming addicts are likely to be diagnosed as having GD and/or IGD but not all those with GD and/or IGD are necessarily gaming addicts.

Myth 2 – Gaming has many benefits so should not be classed as a disorder as it will create a ‘moral panic’: Predictably, the videogame industry has not welcomed the WHO’s decision to include GD in the ICD-11 and issued a statement to say gaming has many personal benefits and that GD will create moral panic and ‘abuse of diagnosis’. None of us in the field dispute the fact that gaming has many benefits but many other activities such as work, sex, and exercise can be disordered and addictive for a small minority, and is not a good basis for denying the existence of GD. The videogame industry also claims the empirical basis for GD is highly contested but then ironically uses non-empirical claims (i.e., that the introduction of GD will cause a moral panic and lead to diagnostic abuse by practitioners) as a core argument for why GD should not exist.

Myth 3 – Gaming Disorder is associated with other comorbidities so is not a separate disorder. In coverage concerning GD, those denying the existence of GD sometimes resort to the argument that problematic gaming is typically comorbid with other mental health conditions (e.g., depression, anxiety disorders, etc.) and therefore should not be classed as a separate disorder. However, such an argument is not applied (for instance) to those with alcohol use disorder or gambling disorder which are known to be associated with other comorbidities. In fact, we recently published some case studies in the International Journal of Mental Health and Addiction highlighting those attending treatment for GD included individuals both with and without underlying comorbidities. Consequently, diagnosis of disorders should be based on the external symptomatic behavior and consequences, not on the underlying causes and etiology.

Myth 4 – Gaming Disorder can now be treated for free by the National Health Service: Unlike many other countries, the UK has a National Health Service (NHS) whose treatment services can be accessed free of charge. A number of British newspapers reported that inclusion of GD in the ICD-11 meant that those with GD can now get free treatment. However, this claim is untenable and is unlikely to happen. All health trusts in the UK have a finite budget and allocate resources to those conditions considered a priority. Treating individuals with GD will rarely (if ever) be given priority over treatment for cancer, heart disease, schizophrenia, depression, etc. In countries where private health insurance is the norm, GD is likely to be a condition excluded for treatment on such policies even though it is now in the ICD-11. 

Myth 5 – The inclusion of Gaming Disorder as a mental disorder will lead to ‘millions’ of children being stigmatized for their videogame playing: This myth has been propagated by a group of scholars (mainly researchers working in the media studies field) but is completely unsubstantiated. The number of children who would ever be officially be diagnosed as having GD is extremely low and – as noted above – millions of children play videogames for enjoyment without any problems or stigma.

(Please note: This article is based on an editorial that I first published earlier this year: Griffiths, M.D. (2018). Five myths about gaming disorder. Social Health and Behavior Journal, 1, 2-3)

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

Further reading

Aarseth, E., Bean, A. M., Boonen, H., Colder Carras, M., Coulson, M., Das, D., … & Haagsma, M. C. (2017). Scholars’ open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal. Journal of Behavioral Addictions, 6(3), 267-270.

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

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

Griffiths, M.D. (2017). Behavioural addiction and substance addiction should be defined by their similarities not their dissimilarities. Addiction, 112, 1718-1720.

Griffiths, M.D. (2018). Conceptual issues concerning internet addiction and internet gaming disorder. International Journal of Mental Health and Addiction, 16, 233-239.

Griffiths, M.D., Kuss, D.J., Lopez-Fernandez, O., & Pontes, H.M. (2017). Problematic gaming exists and is an example of disordered gaming. Journal of Behavioral Addictions, 6, 296-301.

European Games Developer Foundation. Statement on WHO ICD-11 list and the inclusion of gaming. 2018 June 15. Available from: http://www.egdf.eu/wp-content/uploads/2018/06/Industry-Statement-on-18-June-WHO-ICD-11.pdf

Király, O., Griffiths, M.D. & Demetrovics Z. (2015). Internet gaming disorder and the DSM-5: Conceptualization, debates, and controversies, Current Addiction Reports, 2, 254–262.

Király, O., Griffiths, M.D., King, D., Lee, H-K., Lee, S-Y., Bányai, F., Zsila, A. Demetrovics, Z. (2018). An overview of policy responses to problematic videogame use. Journal of Behavioral Addictions, 7, 503-517.

Kuss, D.J., Griffiths, M.D. & Pontes, H.M. (2017). Chaos and confusion in DSM-5 diagnosis of Internet Gaming Disorder: Issues, concerns, and recommendations for clarity in the field. Journal of Behavioral Addictions, 6, 103-109.

Kuss, D.J., Pontes, H.M. & Griffiths, M.D. (2018). Neurobiological correlates in Internet Gaming Disorder: A systematic review. Frontiers in Psychiatry, 9, 166. doi: 10.3389/fpsyt.2018.00166

Griffiths, M.D., Van Rooij, A., Kardefelt-Winther, D., Starcevic, V., Király, O…Demetrovics, Z. (2016). Working towards an international consensus on criteria for assessing Internet Gaming Disorder: A critical commentary on Petry et al (2014). Addiction, 111, 167-175.

Rumpf, H. J., Achab, S., Billieux, J., Bowden-Jones, H., Carragher, N., Demetrovics, Z., … & Saunders, J. B. (2018). Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective: Commentary on: A weak scientific basis for gaming disorder: Let us err on the side of caution (van Rooij et al., 2018). Journal of Behavioral Addictions, 7(3), 556-561.

Torres-Rodriguez, A., Griffiths, M.D., Carbonell, X. Farriols-Hernando, N. & Torres-Jimenez, E. (2018). Internet gaming disorder treatment: A case study evaluation of four adolescent problematic gamers. International Journal of Mental Health and Addiction, https://doi.org/10.1007/s11469-017-9845-9.

To err is to be human: A brief look at mistakes in poker playing

One of the most psychologically interesting questions concerning poker is ‘Why do so many people play so badly?’ It’s clear that most players know better, but they appear to make the same mistakes repeatedly. Given the hundreds of thousands of poker strategy books that are sold every year, we can only reach the conclusion that just a small percentage of poker players apply the skills they have read about. My hunch is that most people understand what they have read but when it comes to playing a competitive hand it’s simply more ‘fun’ to play badly than to play well. I’m not saying losing is more fun than winning (because quite clearly it isn’t), but the pursuit of profit maximization forces players to do things they don’t like doing. On a psychological level, maximizing profit makes extreme demands. Therefore, only a few, extraordinarily disciplined people play their best game most of the time – and nobody always plays it.

Most economists claim that gamblers are primarily driven by the profit motive. However, the psychological evidence is overwhelming that other desires affect gambling actions. Put simply, for most gamblers, our actions contradict the desire to maximize profits. Whilst I am no Freudian, there appear to be a whole range of unconscious factors at play in gambling situations.

One of the basic mistakes is playing too many hands. All the self-help books warn players against it but it is a common behaviour. In general, poker players find it boring to fold hand after hand. Players become more reckless and instead of folding, risk all in an attempt to get themselves out of a boredom rut. Even after losing, the poker player may ‘congratulate’ their play by defining it as ‘courageous’ when in the cold light of day, it was stupid. This type of adaptive thinking is common amongst gamblers who lose and should be avoided. Poker players often chase with weak hands for the same reason. Players will throw good money after bad in an effort to get even. Occasionally the strategy will pay off, but most of the time it won’t. In these situations, gamblers will invariably focus on the few times that chasing has got them out of a hole – but conveniently forget the many times that it didn’t.

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Another common mistake is to playing too aggressively. Not only is this a male characteristic but is often the strategy of the game’s very top players. Again, such tactics occasionally pay off for the player in very tight games. However, in most gambling situations, playing aggressively is simply not called for yet players continue to do it. On the other hand, gamblers can sometimes play too passively. Gamblers constantly find good excuses to justify their playing styles. In these situations, gamblers simply remember the times they saved money by not betting or raising, ignoring the pots they lost by giving away free or cheap cards.

It’s also tempting to show your cards and most players will do it occasionally. If players make a successful bluff, it’s human nature to want to let people to know how smart they are. The golden rule in poker is never to give anything away but the human psyche works in such a way that we usually want to show off once in a while. Our psychological make-up also means that we let pride get in the way of minimizing losses. There are always games that should have been avoided but players end up staying in them long after they knew it was a mistake. None of us like to lose to who we think are weaker players, or admit that the game was too hard. How many times does a player continue playing because they want to try and get the better of a great player or show off because there is someone they are trying to impress? Although it’s a cliché, pride before a fall is commonplace. These short-term psychological satisfactions will almost always have a negative impact on long-term profits.

Because there are many non-financial types of rewards from many different sources while playing poker, some people view losses as the price of entry. To these players, winning may be a bonus. However, most of us don’t like losing – and we especially don’t like persistent losing, regardless of whether there are other types of reinforcement. In the cold light of day, we are all rational human beings. In the height of action, rationality often goes out the window. I’ve done it myself at the roulette table and standing in front of a slot machine. While gambling I have felt omnipotent (and wrote about this experience back in 1990 in an article on the dangers of doing observational research in amusement arcades). It is only after I walk away penniless that the non-financial rewards are short-term and not worth it.

Understanding our own psychological motives is clearly important while gambling. Most players know the strategies they should be adopting but fail to apply them in real gambling situations. Players do not lack the information. It is far more profitable to learn why we don’t apply the lessons we have already learned, then ensure that we apply them. Until we understand and control our own motives – including the unconscious ones – we cannot possibly play to our best ability.

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

Additional input from the writings of Alan Schoonmaker

Further reading

Biolcati, R., Passini, S. & Griffiths, M.D. (2015). All-in and bad beat: Professional poker players and pathological gambling. International Journal of Mental Health and Addiction, 13, 19-32.

Griffiths, M.D. (1990). The dangers of social psychology research. BPS Social Psychology Newsletter, 23, 20-23.

Griffiths, M.D., Parke, J., Wood, R.T.A. & Rigbye, J. (2010). Online poker gambling in university students: Further findings from an online survey. International Journal of Mental Health and Addiction, 8, 82-89.

McCormack. A. & Griffiths, M.D. (2012). What differentiates professional poker players from recreational poker players? A qualitative interview study. International Journal of Mental Health and Addiction, 10, 243-257.

Parke, A. & Griffiths, M.D. (2011). Poker gambling virtual communities: The use of Computer-Mediated Communication to develop cognitive poker gambling skills. International Journal of Cyber Behavior, Psychology and Learning, 1(2), 31-44.

Parke, A. & Griffiths, M.D. (2018). Identifying risk and mitigating gambling related harm in online poker. Journal of Risk Research, 21, 269-289.

Parke, A., Griffiths, M., & Parke, J. (2005) Can playing poker be good for you? Poker as a transferable skill. Journal of Gambling Issues, 14.

Recher, J. & Griffiths, M.D. (2012). An exploratory qualitative study of online poker professional players. Social Psychological Review, 14(2), 13-25.

Wood, R.T.A., Griffiths, M.D. & Parke, J. (2007). The acquisition, development, and maintenance of online poker playing in a student sample. CyberPsychology and Behavior, 10, 354-361.

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

Young blood: A brief look at ‘Orphan’ and the ‘evil child’ trope in horror films

(Please be warned, this article contains spoilers if you have not watched the films The Bad Seed and Orphan).

Regular readers of my blog know that I enjoy watching horror movies and I’ve written articles on why people enjoy watching horror movies, a look at scary clowns in film and television, as well as more direct and indirect in-depth looks at my personal favourites including the Hannibal Lecter and Alien franchises.

One of the most popular tropes in the horror genre is the ‘evil child’ (often referred to or seen as equivalent to the ‘demonic child’, ‘creepy child’, ‘bad seed’ and ‘demon seed’ trope). This has spawned dozens on online articles looking at celluloid examples of the evil child sub-genre such as ‘Top 25 Evil Child Movies’, ‘Evil Kid Horror Movies’, ‘16 Creepy Child Horror Movies That Will Make You Not Want Kids Ever’, ‘The Top 10 Most Evil Children In Movies’, ‘We’re Baaack: The 20 Most Evil Children From TV And Movies’, and ‘The 50 Spookiest Kids In Horror Movies, Ranked’ (to name just a few).

The film that arguably started the trope was Mervin LeRoy’s 1956 horror-thriller The Bad Seed. The film was based upon Maxwell Anderson’s play of the same name (itself based on the 1954 novel The Bad Seed by William March and – for you trivia fans – the inspiration for the name of Nick Cave’s band The Bad Seeds). The ‘demon child’ of both the book and the film is sociopath Rhoda Penmark, whose mother (Christine) – spoiler alert – learns that she is an adopted child and is the biological daughter of Bessie Denker, an infamous serial killer (and believes that she genetically caused Rhoda’s sociopathy).

As a teenager, the demonic child that had most impact on me was Damien Thorn (in Damien: Omen II) mainly because I shared my middle name with the titular character. However, there are hundreds to choose from that share many of Damien’s chilling characteristics (some horror and some not) including Joshua Cairn (Joshua), Dalton Lambert (Insidious), Lilith Sullivan (Case 39), Brahms (The Boy), Regan MacNeil (The Exorcist), Nicholas and Ann Stewart (The Others), Tomás (The Orphanage), Henry Evan (The Good Son), Delia (The Omen IV), Kevin (We Need To Talk About Kevin), Toshio (Ju-On/The Grudge), Samara (The Ring), Santi (The Devil’s Backbone), The Grady twins (The Shining), and Gage Creed (Pet Sematary). In addition to this there are those films where there are a group of demonic children (e.g., Children Of The Damned, Children Of The Corn, and the ‘psychoplasmic offspring’ of The Brood), as well as ‘demon seed’ children that are yet to be born (e.g., Rosemary’s Baby, The Omen, etc.).

When it comes to ‘evil child’ films, one of my more recent favourites (at least in terms of the film’s twist at the end) is the 2009 US psychological horror film Orphan (directed by Jaume Collet-Serra). When it comes to horror films I much prefer ‘psychological horror’ (which tends to be rooted in reality and is why I like the Hannibal Lecter franchise) as opposed to supernatural thrillers and the archetypal ‘slasher films’ (although I do like watching gory films). Orphan centres on married couple John and Kate Coleman (played by Peter Sarsgaard and Vera Farmiga) who after the death of their unborn baby adopt Esther, a nine-year old Russian girl from an orphanage (played by Isabelle Fuhrman).

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In the scene where a provocatively-dressed nine-year old Esther attempts to seduce her new father (who had been drinking heavily) I began to guess the twist in the film that – spoiler alert – Esther was (because of a hormone disorder called hypopituitarism) a woman in a child’s body. Near the end of the film, it is Esther’s new mother (Kate) that receives a call from the Saarne Institute (a mental institution) and is informed that Esther is in fact a violent murderer from Estonia called Leena Klammer, a 33-year-old woman whose physical growth was stunted and had spent most of her adult life posing as a young girl and had killed at least seven people (including the father of an Estonian family who adopted her and who she killed for rejecting her sexual advances). According to the IMDb ‘Trivia’ page about Orphan:

“Earlier drafts of the script include more information about Esther’s past and explain why she attempts to seduce her adoptive fathers. She was molested by her father for years, starting when she was an infant; this sexualized her at a very young age and destroyed any future chance of her having her own children. Her father later took another lover, telling Esther that, because of her condition, she could never be a real woman. She murdered them both and was ultimately sent to Saarne, a mental institution. After escaping from Saarne, she worked as a prostitute in Estonia for years, mostly catering to wealthy pedophiles. When she was arrested for this, she kept up the pretense of being a child to stay out of jail and was sent to an orphanage. Esther sees herself as trapped inside the body of a child, and it disgusts her. She wants to ‘grow up’ and be a wife, a mother, and a lover (what her father considered a ‘real woman’), and tries to find ‘love’ with her father but she didn’t”.

After the film had been released, there was a lot of debate about whether the medical condition that Esther had really exists. According to Wikipedia entry on the condition:

“Hypopituitarism is the decreased (hypo) secretion of one or more of the eight hormones normally produced by the pituitary at the base of the brain…The signs and symptoms of hypopituitarism vary, depending on which hormones are undersecreted and on the underlying cause of the abnormality…Hypopituitarism is a rare disease but may be significantly underdiagnosed in people with previous traumatic brain injury…The first description of the condition was made in 1914 by the German physician Dr. Morris Simmonds”.

Not only does Esther’s medical condition exist, but her character was actually inspired by the true life case of Barbora Skrlova who was one of the individuals in a 2008 story that the Daily Mail entitled ‘Boy ‘skinned and eaten’ by his cannibal cult family after being held captive in a cellar’. The story in question was a disturbing case involving single parent Klara Mauerova (described as an aggressive schizophrenic) and the physical abuse of her two sons (Yakub and Ondrej). The story was recounted in a 2017 article on the Mundo.com website entitled ‘Barbora Skrlová: The woman who inspired the movie Orphan’. From what I’ve read, Mauerova became depressed after the father of her children left her and she asked her sister (Katerina, who also appears to have had some kind of mental illness) to move in with her to help her look after the children. According to Mundo.com:

“The sisters met Barbora Skrlová at the university, a 33-year-old woman who looked [like a] 13 [year-old] girl because of a difficult disease called hypopituitarism. [Skrlová] was really skilled manipulating, and that’s what she did with the two sisters, they became really good friends because of her tragic childhood stories, she made the sisters take her to live with them. Years before meeting Klara and Katerina, [Skrlová] had been hospitalized for several years in a psychiatric center because she had made herself known as an orphaned child to a family that wanted to adopt her, but they realized about it and sent her to an asylum”.

The story alleged that Skrlová and the Mauerova sisters imprisoned Klara’s two sons (naked) in an iron cage in the basement of their house. It was also alleged that Skrlová wanted “to fatten [the two boys] just as Hansel and Gretel and wanted to commit cannibal acts while filming with a camera”. According to the Daily Mail story:

“An eight year-old boy was skinned and his flesh fed to cannibal relatives after his mother kept him locked in a cellar… Evil Klara Mauerova – a member of a sinister religious cult – wept in court as she admitted torturing her son Ondrej and his ten year-old brother Jakub. The court also heard allegations that relatives had partially skinned eight-year-old Ondrej and then eaten the raw human flesh. The two boys told how their mother and relatives had stubbed cigarettes out on their bare skin, whipped them with belts and tried to drown them. The court heard how the family had sexually abused them and even made them cut themselves with knives. They said they were kept in cages or handcuffed to tables and made to stand in their own urine for days”.

A neighbour alerted the police that there was something suspicious going on in the Mauerova household (having picked up what was happening on his baby monitor). When they police eventually arrived they discovered “the worst scenes they had ever seen” in the Mauerova’s basement. They found the two naked boys in the cage alongside a “little girl crying” (i.e., Barbora Skrlová). Skrlová told the police that her name was ‘Anika’ and that she had been adopted by the Mauerova sisters. The ‘little girl’ was taken to a children’s home by the police but absconded the same night. She was later found many months later living with another couple who had adopted her (but this time as a boy called Adam and described by the couple as a ‘child genius’ who suffered severe anxiety and depression attacks). Skrlová was sentenced to 12 years in prison but released in 2012. Her whereabouts are currently unknown.

Given that the orphan in the titular film was eventually exposed as an adult, it could be argued that the film is not technically about an ‘evil child’ and therefore not part of the ‘evil child’ trope (but I think that’s pedantry and misses the point). For almost all of the film, the audience believes Esther to be a child and on that basis alone it belongs to the ‘evil child’ horror genre. As plot twists go, I think it was one of the better ones, up there with The Usual Suspects, The Crying Game, and The Sixth Sense (which I won’t spoil just in case there are a few of you reading this that haven’t seen these three films).

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

Further reading

Ananvisca, V. (2017). Barbora Skrlová: The woman who inspired the movie Orphan. Mundo.com, June 17. Located at: https://en.mundo.com/most_viewed/barbora-skrlova-the-woman-who-inspired-the-movie-orphan/

Daily Mail (2008). Boy ‘skinned and eaten’ by his cannibal cult family after being held captive in a cellar. June 21. Located at: https://www.dailymail.co.uk/news/article-1027962/Boy-skinned-eaten-cannibal-cult-family.html

International Movie Database (2018). Orphan trivia. Located at: https://www.imdb.com/title/tt1148204/trivia

Orphan Wiki (2018). Leena Klammer. Located at: http://orphan-movie.wikia.com/wiki/Leena_Klammer

Villians Wiki (2018). Esther Coleman. Located at: http://villains.wikia.com/wiki/Esther_Coleman

Wikipedia (2018). Hypopituitarism. Located at: http://en.wikipedia.org/wiki/Hypopituitarism