Category Archives: Sex

Tub zero: A brief look at bath-related illnesses and fatalities

Regular readers of my blog will know that I have an interest in all things bizarre and out of the ordinary. In previous blogs I have examined coital cephalagia (people that get headaches from having sex) and masturbatory cephalagia (people that get headaches from masturbation). It was while researching those articles that I came across a 2005 paper on ‘bath-related headaches’ (BRHs) by Dr. Mak and colleagues in the journal Cephalagia.

BRH is rare headache syndrome. They reported 13 case studies (six from their own case files collected over a seven-year period and seven from other reports in the medical literature). They reported that all the cases involved “Oriental women” aged 32 to 67 years (with an average age of 51 years). The cases were reported in females from Hong Kong (n=6), Taiwan (n=4) and Japan (n=3). All of the women reported severe headaches (lasting from 30 minutes to 30 hours) that were triggered by bathing or other activities involving contact with water. Typically, the onset of the headaches were “hyperacute” and were like ‘thunderclap’ headaches (a severe headache that takes seconds to minutes to reach maximum intensity). The paper reported that no underlying secondary causes were identified and that drug treatment was generally unsatisfactory (although use of the drug Nimodipine was reported to shorten the length of the headache in some cases). Unfortunately, the only way that such headaches could be prevented was to avoid bathing.

After reading this paper I looked for other papers relating to bath-related illnesses. A 2000 paper by Dr. S. Cerovac and Dr. A. Roberts reported on 57 cases of burns sustained by hot bath and shower water (in the journal Burns) over an eight-year period. None of the 57 cases died as a result of the burns. The authors worked at Stoke Mandeville Hospital (in the UK) and they divided the cases into child (below the age of 16 years) and adult groups. Most of the children (n=39) were under the age of three years (83%), with two-fifths having superficial burns (41%). Most of these cases occurred due to what the authors described as “inadequate supervision” by the child’s parents (85%). Among the adult group, 83% of the adults were over 60 years of age with around 65% of them having “some form of psycho-motor disorder that predisposed to an accident which should have been anticipated”. The adult group had more extensive burns which resulted in eight deaths (out of 18 cases; 44%). They reported that the number of cases had been declining over the eight-year period but the study highlighted that fatal incidents could be caused by something as simple as bathing.

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A 1995 study by Dr. J. Lavelle in the Annals of Emergency Medicine evaluated the risk factors associated with bathtub submersion injury and their relationship to child abuse and neglect over a 10-year period (1982-1992). They reported that there had been 21 patients treated for bathtub near-drownings (nine of which had subsequently died). Of these, two-thirds of the children (67%) had “historic and/or physical findings suspicious for abuse or neglect, including incompatible history for the injury, other physical injuries, previous child abuse reports, psychiatric history of the caretaker, and/or psychosocial concerns noted in the chart”. The mortality rate of 42% was significant. However, findings showed that no demographic characteristics identified at-risk children.

Perhaps the most common form of bathtub deaths are infant drownings. A paper by Dr. John Pearn and Dr. James Nixon examined the socio-demographic factors surrounding drowning accidents among children aged 0-15 years in a 1978 issue of Social Science & Medicine. Obviously this paper examined all drownings but did note that those that involved bathtub drownings occur “almost exclusively in lower social class homes” In a follow-up study specifically on bathtub drownings, Dr. Pearn and his colleagues reported the cases of seven bathtub drownings in the journal Pediatrics. All of the seven cases were infants in the US state of Hawaii. As with the previous paper, the authors reported that the families of the infant were typically of lower socioeconomic status but also added that the deaths had occurred when the father “had immediate care of the infant at the time of the accident”. In five of the cases, the drowned infant was being looked after by older sibling.

In 1985, Dr. Lawrence Budnick and Dr. D. Ross published a study on bathtub-related drownings in the USA in the American Journal of Public Health. They analysed information (1979-1981) on such deaths using data from the (i) National Center for Health Statistics and (ii) Consumer Product Safety Commission data. They reported 710 individuals had drowned in the bath during this period with an estimated mortality rate of 1.6 per million individuals per year. They reported an excess of deaths in the spring but this was not statistically significant. However, they did note that individuals “at the extremes of age were at greatest risk of death, with mortality rates of 5-6 per million per year”. Unsurprisingly, there was a frequent history of children below the age of five years being left unattended by parents. Amongst young to middle-aged adults, there was a frequent history of seizures or history of alcohol or drug use. Among more elderly individuals there was frequent evidence of having fallen in the bath.

Similarly, in 2006, Dr. G. Somers and colleagues carried out a 20-year review of bathtub drownings published in the American Journal of Forensic Medicine and Pathology. The authors retrospectively retrospective reviewed US autopsy records over a 20-year period (1984–2003). They identified 18 cases of bathtub drownings (8 boys and 10 girls) aged 6 months to 70 months (average of 17 months) almost three-quarters aged under one year (72%). The factors leading to the death were reported as inadequate adult supervision (89%), cobathing (39%), the use of infant bath seats (17%), and coexistent medical disorders predisposing the child to the drowning episode (17%).

A paper by Dr. R. Rauchschwalbe and colleagues in a 1997 issue of Pediatrics examined the role of bathtub seats and rings as a primary cause of death in US infant drowning deaths (1983-1995). The paper reported 32 deaths by drowning involving bath seats/rings with the victims’ ages at the time of the death ranging from 5 to 15 months (average 8 months old). Nine in ten deaths was due to a “reported lapse in adult supervision”. The authors concluded that infant drownings associated with bath seats/rings are increasing in the US and that very young children “should never be left in the bathtub unsupervised, even for brief moments”.

A more recent 2004 study by Dr. R. Byard and Dr. T. Donald in the Journal of Paediatrics and Child Health examined the possible role of infant bathtub seats in drowning and near-drowning (1998-2003). The authors used files from the Forensic Science Centre and Child Protection Unit, Women’s and Children’s Hospital in Adelaide (Australia). In the six-year period, there were six cases of drowning in children aged under two years. They noted:

“One of these cases, a 7-month-old boy, had been left unattended for some time in an adult bath in a bathtub seat. He was found drowned, having submerged after slipping down and becoming trapped in the seat. Three near-drowning episodes occurred in children under the age of 2 years, including two boys aged 7 and 8 months, both of whom had been left for some time in adult baths in bath seats. Both were successfully resuscitated and treated in hospital…These cases demonstrate the vulnerability of infants to immersion incidents when left unattended in bathtubs”.

In a 1984 paper in the Journal of the American Medical Association, Dr. Lawrence Budnick examined bathtub-related electrocutions in the USA (1979 to 1982). He reported that at least 95 Americans had been electrocuted in the bath and that the use of hair dryers in the bathroom had caused 60% of the deaths. It was also noted that two-thirds of the deaths had occurred during spring and winter, and that those under five years of age had the highest mortality rate.

A 2003 paper by Dr. N. Yoshioka and his colleagues in the journal Legal Medicine examined bathtub deaths in Japan. The authors claimed that approximately 100–120 cases of “sudden death in bathroom” are reported there every year and accounts for around “8–10% of the total number of what is considered unnatural deaths”. Most of the deaths occur in winter and 80% of cases involve the elderly and the authors described the deaths as “baffling” as the autopsies rarely locate the exact cause of death. By testing physiological changes 54 volunteers in both winter and summer, the authors reported that many heart conditions occurred during the winter months in their volunteers (e.g., cardiac arrhythmia including ventricular tachycardia, ventricular extrasystole, supraventricular extrasystole, and bradycardia) and that these conditions might lead to an increased risk for cardiac arrest while bathing.

Another possible reason for bathtub-related drownings is epileptic seizures while bathing. A paper by Dr. C. Ryan and Dr. G. examined drowning deaths among epileptics in a 1993 issue of the Canadian Medical Association Journal. The authors retrospectively reviewed deaths from drowning in Alberta (Canada) from 1981 to 1990. Of these drownings in Alberta (n=482), 5% (n=25) were directly related to epileptic seizures of which 60% (n=15) occurred while the individual was taking an unsupervised bath. The authors advised that all people with epilepsy should take showers (while sitting) instead of baths.

While most of these bath-related health issues and fatalities are rare, they do highlight the issue that accidents can happen anywhere and that in the bath can be a vulnerable location for infants left unattended or those with medical conditions that cause immobility.

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

Further reading

Budnick, L.D. (1984). Bathtub-related electrocutions in the United States, 1979 to 1982. JAMA, 252(7), 918-920.

Budnick, L.D., & Ross, D.A. (1985). Bathtub-related drownings in the United States, 1979-81. American Journal of Public Health, 75(6), 630-633.

Byard, R. W., & Donald, T. (2004). Infant bath seats, drowning and near‐drowning. Journal of Paediatrics and Child Health, 40(5‐6), 305-307.

Cerovac, S., & Roberts, A.H. (2000). Burns sustained by hot bath and shower water. Burns, 26(3), 251-259.

Lavelle, J. M., Shaw, K. N., Seidl, T., & Ludwig, S. (1995). Ten-year review of pediatric bathtub near-drownings: evaluation for child abuse and neglect. Annals of Emergency Medicine, 25(3), 344-348.

Mak, W., Tsang, K.L., Tsoi, T.H., Au Yeung, K.M., Chan, K.H., Cheng, T. S., … & Ho, S.L. (2005). Bath‐related headache. Cephalalgia, 25(3), 191-198.

Pearn, J. H., Brown, J., Wong, R., & Bart, R. (1979). Bathtub drownings: Report of seven cases. Pediatrics, 64(1), 68-70.

Nixon, J., & Pearn, J. (1978). An investigation of socio-demographic factors surrounding childhood drowning accidents. Social Science & Medicine. Part A: Medical Psychology & Medical Sociology, 12, 387-390.

Rauchschwalbe, R., Brenner, R.A., & Smith, G.S. (1997). The role of bathtub seats and rings in infant drowning deaths. Pediatrics, 100(4), e1.

Ryan, C. A., & Dowling, G. (1993). Drowning deaths in people with epilepsy. CMAJ: Canadian Medical Association Journal, 148(5), 781-784.

Somers, G. R., Chiasson, D. A., & Smith, C. R. (2006). Pediatric drowning: A 20-year review of autopsied cases: III. Bathtub drownings. American Journal of Forensic Medicine and Pathology, 27(2), 113-116.

Yoshioka, N., Chiba, T., Yamauchi, M., Monma, T., & Yoshizaki, K. (2003). Forensic consideration of death in the bathtub. Legal Medicine, 5, S375-S381.

Digital desires: A brief look at sexual thumb sucking and thumb fetishism

In previous blogs I have examined a number of extreme behaviours involving hands (both sexual and non-sexual) including hand wear fetishism, fingernail fetishism, ‘hands on hip’ fetishism, alien hand syndrome, ‘touch the truck’ endurance television, and thumb sucking as an addiction. However, it was while I was researching a previous blog on belly inflation fetishes that I came across a man who on the Yahoo! Answers website claimed he had a belly inflation fetish and a thumb fetish along with another person who responded saying he also shared the same fetish:

  • Extract 1: “Another weird fetish I have is ‘hitchhiker’s thumb’. Hitchhikers thumb is when the top part of your thumb bends backwards when pushed on or fully extended…The hitchhiker’s thumb fetish developed when I found out that my cousins could do it. I would ALWAYS ask questions about it and I would bend her thumbs back and forth for hours. And I just get turned on by it now…is this weird?” (Male, sexual orientation unknown)
  • Extract 2: “I [also] have a fetish for bendy thumbs hence the profile pic. It’s all good I say whatever turns u on and if not hurting anyone then it’s cool” (Male, sexual orientation unknown)

Although I have read about (i) thumb bondage (mentioned in a 2007 book chapter on themes of sadomasochistic expression by Dr. Charles Moser and Dr. Peggy Kleinplatz) and (ii) thumb sucking by adult babies that are into paraphilic infantilism, I had never read anything on standalone thumb fetishes. (I would also point out that the ‘thumb sucking’ is just one of many baby-like behaviours that paraphilic infantilists enjoy but do not necessarily see as a source of arousal in and of itself). There is also those who say that they engage is ‘thumb sex’ and defined by the online Urban Dictionary as when two people hold hands and run their thumbs around the other persons thumb or twiddle the thumbs”. There are also (for want of a better word) ‘cultural’ references to thumb fetishes such as the instrumental song ‘Mayor Oscar Goodman’s Thumb Fetish’ by US deathcore band Molotov Solution.

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As far as I am aware there has never been any empirical research on thumb fetishism. There are various online websites and forums that feature individuals that claim to have very specific types of thumb fetishes. This is one of the more specific that I found:

  • Extract 3: “I’m a 34 year old men and I have thin thumbs (each ones have the same width as an American/Canadian penny, that’s 0.74 inch or 19 millimeters). I got a fetish that seems to be pretty rare. It consists of being turn on by comparing my thin thumbs with a woman that has larger ones than mine. Also, the younger the woman is with larger thumbs, the better. It’s pretty inoffensive, but rare I think” (Male heterosexual).

There are also whole webpages dedicated to the sexiness of thumb sucking. Here are some of the online accounts I found on the Thumb Sucking Adults website. They begin by noting that adult thumb sucking is “sexy. This fact shouldn’t be too surprising in that it involves the sensual oral center [and] so much of what is human has become sexualized in one way or another that thumb sucking adults is just another part of the total picture”. They then highlight some of their readers’ experiences:

  • Extract 3: “I am a bisexual woman who finds other women sucking their thumbs extremely erotic…First of all, growing up, I had a very close friend who lived down the street from me who also sucked her thumb. Experimenting with sex at a very early age…[she] and I would spend hours together exploring our bodies and touching each other. We learned how to masturbate and although I was so young, I discovered how to reach orgasm. I think perhaps Janice and I shared a certain closeness in our friendship and later in our intimacy because we both sucked our thumbs and felt accepted by each other if not by peers who seemed to ridicule us…I can summarize that my earliest, deepest feelings of sexual desire were connected to both thumb sucking and a female partner. Many years passed and I dated men here and there, but never quite felt emotionally or sexually fulfilled [as with women]…From the e-mails I’ve read on your site, I have also noticed that it is mostly the men who find thumbsucking erotic. Perhaps as a woman who is mostly gay and possesses some traits and attributes more commonly associated with men…I am more turned on by this than other women. And why does it turn me on? I’m sure it has to do with my childhood friend and the feelings associated with that particular behavior”(Bisexual female).
  • Extract 4: “The arousal that naturally occurs when I do it. Thumb in mouth…hand on penis. This goes way back. I had contributed an early ‘embarrassment’ to [another website] saying that I watched a home movie in front of all our relatives and there was this shot of me, around 3 years old, standing by the garage, thumb in mouth, hand holding crotch. I had never seen that before. There was devilish laughter. I laughed along, but was shocked. I do remember a dry climax sucking my thumb when I was about 6 or 7. And my first real emission at age 12 or 13 involved thumb sucking in my bed. So it is very ingrained in me. The physical feeling of doing it brings such erotic pleasure. When I first insert my thumb in my mouth, pressing it against my palate and rubbing it back and forth about 1/2″, the stimulus begins. I don’t suck continuously. I do it for 1-2 minutes and take my thumb out for about 20 seconds and then put it back in. Each time it gets better and better. The key thing is that my thumb gets wetter and softer and SMOOTHER against my palate. I am very curious if anyone else sucks their thumb this way. I don’t actually SUCK it. I rub it. The other important part is that as I rub it, my tongue proceeds to pulsate. It’s involuntary. There’s no stopping it as long as I connect with the right spot on my palate. This enhances the feeling greatly. This dual rubbing, pulsating action. My thumb would have to be cut off to stop me from doing it. The last part of sexuality in thumb sucking is observing others doing it. I have to be honest in saying that watching…is an immense turn-on. Fortunately, I know I can control my desires” (Heterosexual male)
  • Extract 5: “Larry finds many things attractive in a woman. One of these things, apparently, is that she sucks her thumb. It probably is not essential that she does so (if it was, we’d be talking more along the lines of a fetish) but, if she does suck her thumb, he finds that attractive, whatever the underlying psychodynamics. I propose that his preferences aren’t much different than, say, another man’s predilections for big-breasted women, though both allures aren’t necessarily exclusive…There are societal stigmas associated with the habit. Try sucking your thumb whenever you want to and you’ll see that at least an undue amount of attention will be focused your way for a while. The point is, perhaps as adult thumb sucking becomes more widely known, it is natural that some out there will find it an endearing quality in a person…For the adult thumb sucker, this site has been liberating…And, in the case of Larry, the fact that he has felt solitude in his thumb sucking, all his adult life, it’s certainly understandable to me that among all the feelings that are engendered when he sees it in another for the first time…[This website] simply proposes that adult thumb sucking is more common than otherwise assumed and should be accepted since it is, essentially, harmless and, for those that indulge, beneficial. As for thumb sucking being sexually provocative, I suppose that anything human can be sexualized by others eventually. As long as it’s legal, what’s wrong with that?” (Gender and sexual orientation unknown)
  • Extract 6: “I love adult women who still suck on their thumb. Since I was a kid, I felt an attraction for girls sucking their thumbs. My twin sister sucked her thumb till she was 16 years old! When I first started masturbating at age 12, I thought of a girl sucking her thumb. I’ve always looked for women that sucked their thumb and then ask them to suck it for me. When I was 18, I met a girl I suspected of still sucking her thumb. Strangely, I noticed she didn’t have any marks or callus on her thumb. But from time to time, I saw teeth marks and lipstick marks on her thumb…We started to have thumb sucking sex and I loved it. She liked it also. We stayed together four years. It became a habit. She’d suck her thumb for me and then I’d suck her thumb while we made love. I never sucked my thumb but now I suck my thumb while masturbating and thinking about my former girlfriend’s thumb or another girl’s thumb. I always look for women sucking their thumbs in their cars while driving. I have seen three in all the years I have looked. Those times were awesome. I never tried to make contact. I am married now, but my wife never sucks her thumb. She will do it if I ask her, but that isn’t the same. I like it when an adult woman does it naturally…I love a woman with a thumb callus and nice teeth (there are a few). I love to see a wet thumb. I like it when an adult sucks her thumb with the index finger over the nose. I find that very sexy” (Heterosexual male).
  • Extract 7: I find thumb sucking sensual, sexual, erotic, comforting, calming…It’s like catching someone at their most vulnerable. Partly because of its social taboo, it can even be slightly ‘naughty’…But it is an exciting thought to me to perhaps one day ‘catch’ someone else thumb sucking. Thumb sucking provides sensations around the mouth and nose that can be reproduced during sex or loveplay, although thumb sucking is less tiring. It feels nice, smells nice, tickles [the] pleasure centers. It provides the sensations of skin-to-skin warmth that I think everyone of us craves…It’s sensual, it’s intimate. But it’s also sensual and sexual. I find myself sucking my thumb after sex much like I might grab for a cigarette…But I think that thumb sucking is by far more satisfying and truly far less addicting [than smoking]. And definitely far less damaging…Quite honestly I didn’t find out how much I found finger and thumb sucking an exciting part of foreplay and sex until I was 23” (Heterosexual female).
  • Extract 8: I suck my thumb for the usual reasons, tension relief, to go to sleep, it feels good. But, I notice that other contributors here suck their thumb because it also feels erotic, and, I have to say, I agree…When I’m aroused, it enhances the feeling so much more. So it’s obvious that I’ve learned to associate my thumb sucking with something sexual…When I look at the photos of women at this site, sucking away, I just find them so beautiful, so sexually enthralling….First off, there’s the lips. I think most people can understand why lips can be very erotic. I don’t want to get into heavy psychology, but, let’s face it, lips are sexy, especially full lips, parted ever so slightly. They’re like an invitation to something exciting…When I see a woman’s full lips open just a bit, my tongue gets an irresistible urge to explore her sweet mouth…If her teeth were affected by thumb sucking, all the better. The thought that she can’t stop her habit, and the pleasure she derives from it, even if her teeth are affected to the point of obvious buckedness adds that much more to my sensation…She looks like something innocent, childlike but not a child. Her profile, exaggerating her now protrusive lips, wrapped around a phallus-like object that is her compulsion, her requirement, her urgency…I want her thumb to feel comfortable in my mouth as I experience, once again, her essence, her habit as mine” (Heterosexual male).

Obviously this is just a small selection of online accounts of sexual thumb sucking I have come across and I can’t know for sure that they are genuine (but they appear that way to me). Also, I have no idea whether these are typical but I can make a few tentative conclusions. Firstly, both males and females can find thumb sucking sexually stimulating. Secondly, sexual thumb suckers tend to be heterosexual (although one account was from a bisexual woman). Thirdly, most experiences of sexual thumb sucking are rooted in childhood experiences and that the acquisition and development of such behaviour is related with associative pairing (i.e., classical conditioning). Fourthly, no-one pathologizes the behaviour, and as long as the act is consensual, there is absolutely nothing wrong with the behaviour as a sexual preference. Finally, none of the accounts suggest the sexual thumb sucking is fetishistic – just that it is a non-normative sexual expression that fits alongside their other sexual experiences.

While researching this article I also came across the remarkable story of American Rafe Briggs (from Oakland, California) in a 2013 issue of the International Business Times. In 2004, Biggs fell off a roof and broke his neck leaving him paralyzed from the chest down. He obviously thought he would never experience any kind of sexual pleasure again but he was wrong:

“Turns out he can. Biggs, 43, says that his thumb is his ‘surrogate penis’, and that he gets ‘orgasmic sensations’ whenever it’s stimulated. ‘I never thought it would be possible, but massaging and sucking on my thumb, feels a lot like my penis used to feel – it’s really hot” said Biggs, whose girlfriend helped him discover this phenomenon a year after the accident. Sex therapists like Lisa Skye Carle, who works with Biggs, calls it a ‘transfer orgasm – where another place on the body gives the same sensation”. Biggs has made it his mission to helping quadriplegics lead sexually fulfilling lives, working with the group ‘Sexability’ an ‘organization committed to empowering people with disabilities to explore sexuality and creating intimate loving relationships. Since our beginning in 2006, we have been working with individuals, groups and organizations to transform sexuality and disability’. ”

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

Further reading

Huffington Post (2013). Rafe Biggs’ thumb has become his ‘surrogate penis’ after accident left him paralyzed, April 22, Located at: http://www.huffingtonpost.com/2013/04/22/rafe-biggs-thumb_n_3132325.html?utm_hp_ref=weird-news

Moser, C., & Kleinplatz, P. J. (2007). Themes of SM expression. In D. Langdridge & M. Barker (Eds.) Safe, sane & consensual:  Contemporary perspectives on sadomasochism.  (pp. 35-54). Hampshire, UK:  Palgrave Macmillan.

Thumb Sucking Adults (undated). Why [thumb sucking] is sexy. Located at: http://www.thumbsuckingadults.com/mytsingissexypage.htm

Tungol, J.R. (2013). Paralyzed man Rafe Biggs has ‘orgasmic sensations’ through his thumb, ‘surrogate penis’ International Business Times. April 22. Located at: http://www.ibtimes.com/paralyzed-man-rafe-biggs-has-orgasmic-sensations-through-his-thumb-surrogate-penis-1208099

 

Feeling hot, hot, hot: A brief look at sex and the sun

Most people now accept that weather can affect mood state and for some people can lead to extreme depression in the form of Seasonal Affective Disorder. There also seems to be some evidence that weather can affect people’s sex lives. Being too hot or too cold is likely to lessen the desire to engage in sexual behaviour. Most academic research appears to indicate that sex drives are higher in spring and summer. One of the reasons given for this is that during spring and summer, there is more sun, and that a particular hormone – Melanocyte Stimulating Hormone (MSH) – stimulates sex, particularly in women.

Sex-and-the-sun-online-300x300@2x-300x195@2x

A number of studies have also indicated that during the spring and summer months, the body produces more seretonin (the so-called ‘feel good neurotransmitter’) because increased luminosity of sunlight. During the winter months as the amount of sunlight decreases, the body produces more melatonin, and this appears to inhibit sex drives. However, there is wide individual variation and the weather and subsequent hormone stimulation differs highly from one person to the next. As an online article by Shiv Joshi confirms:

“Sunlight has a direct effect on the brain’s serotonin production, according to researchers at the Human Neurotransmitter Laboratory and Alfred and Baker Medical Unit, Baker Heart Research Institute, Australia. Our serotonin levels increase with increase in luminosity. And how does that matter? Among other things, serotonin also regulates arousal, says Ray Sahelian, MD, author of Mind Boosters…Not just serotonin, but sunlight affects many other hormones in our body as well, some of which are associated with mood and pleasure feelings, according to professor Carmen Fusco, an instructor in pharmacology. It decreases melatonin, norepinephrine, and acetylcholine and increases cortisol, serotonin, GABA, and dopamine. The summer heat is good for your sex life too. It works on your muscles, by relaxing them and intensifies sensations of the skin. Further, the heat slows us down. This helps us get in touch with our more subdued sensual side, according to psychologist Stella Resnick, PhD, author of The Pleasure Zone”.

German researchers Winfried März and colleagues examined the relationship between vitamin D production (aided by sunny weather) and sex hormones (published a 2010 issue of the journal Clinical Endocrinology). In a study of 2,299 men, the researchers found that levels of Vitamin D were associated with androgen (i.e., testosterone) production with peak levels in August (the sunniest time of year in Germany). They concluded that testosterone and Vitamin D levels “are associated in men and reveal a concordant seasonal variation. Randomized controlled trials are warranted to evaluate the effect of vitamin D supplementation on androgen levels”. The study was replicated by Dr. Katharina Nimptsch and her colleagues among a sample of 1,362 men (also published in the same journal in 2012), and they found the same association between Vitamin D and testosterone production (although they found no seasonal effect). However, a more recent 2014 study published by Dr. Elizabeth Lerchbaim and her colleagues in the journal Andrology found no association (but it was on a much smaller sample of 225 men).

Although I have been unable to track down the academic source, an article by Sam Rider in Coach Magazine claimed that:

 “Exposing the skin to sunlight for just 15-20 minutes can raise your testosterone levels by 120%, says a report from Boston State Hospital in the US. The research also found that the hormone increased by a whopping 200% when genital skin was exposed to the sun. Stick to the privacy of your own garden though – we don’t want any arrests”.

In previous blogs I briefly reviewed some of the many studies into courtship requests by Dr. Nicolas Guéguen (which you can read here and here). In one of his studies (published in a 2013 issue of Social Influence), Guéguen examined the effect of sunshine on romantic relationships (reasoning that sunny weather puts people in a better mood than non-sunny weather). In this study, an attractive 20-year old man approached young women walking alone in the street and asked them for their telephone number in two conditions (sunny or cloudy days). The temperature was controlled for and all days of the experiment were dry. The results showed that more women gave the man their telephone numbers on the sunny days. Guéguen concluded that positive mood induction by the sun may explain the success in courtship solicitation.

Finally, in his 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices, Dr. Aggrawal was quoted as saying that “like allergies, sexual arousal may occur from anything under the sun including the sun”. In fact, Aggrawal’s book arguably contains the most references to fetishes that concern the weather. This includes fetishes and paraphilias in relation to sexual arousal to sunny weather (actirasty), sexual arousal from the cold or winter (cheimaphilia), sexual arousal from snow (chionophilia), sexual arousal from thunderstorms (brontophilia), sexual arousal from thunder and lightning (keraunophilia), sexual arousal from fog (nebulophilia), sexual arousal from rain and being rained upon (ombrophilia and pluviophilia), and love of thunder (tonitrophilia). However, as far as I am aware, no scientific research has ever investigated any of these alleged fetishes.

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

Further reading

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

Amanad, V. (2012). Does weather affect your sex drive? Only My Health, June 29. http://www.onlymyhealth.com/does-weather-affect-your-sex-drive-1340990772

Guéguen, N. (2013). Weather and courtship behavior: A quasi-experiment with the flirty sunshine. Social Influence, 8, 312-319.

Herbert, E. (2009). Sex: Weather-driven desire? Elle, July 28. Located at: http://www.elle.com/life-love/sex-relationships/sex-tips-women

Hurwood, B.J. (1965). The Golden Age of Erotica. Los Angeles, CA: Sherbourne Press.

Joshi, S. (2010). Summer and intimacy: Felling hot, hot, hot. Complete Wellbeing, May 11. Located at: http://completewellbeing.com/article/feeling-hot-hot-hot/

Lerchbaum, E., Pilz, S., Trummer, C., Rabe, T., Schenk, M., Heijboer, A. C., & Obermayer‐Pietsch, B. (2014). Serum vitamin D levels and hypogonadism in men. Andrology, 2(5), 748-754.

Nimptsch, K., Platz, E. A., Willett, W. C., & Giovannucci, E. (2012). Association between plasma 25‐OH vitamin D and testosterone levels in men. Clinical Endocrinology, 77(1), 106-112.

Rider, S. (2015). How to boost your testosterone levels (the natural way). Coach Magazine, October 5. Located at: http://www.coachmag.co.uk/lifestyle/1558/10-ways-boost-testosterone

Wehr, E., Pilz, S., Boehm, B. O., März, W., & Obermayer‐Pietsch, B. (2010). Association of vitamin D status with serum androgen levels in men. Clinical Endocrinology, 73(2), 243-248.

Tongue-tied: A look inside the weird world of Japanese doorknob licking

Over the past three years or so, I have written a number of articles on various aspects and practices of Japanese sexual culture. These have included Oshouji (i.e., a calligraphy fetish where the decorative writing is done on a person’s – usually naked – body), Hentai (i.e., Japanese hardcore Manga cartoon pornography), Nyotaimori (i.e., eating a variety of foods or a whole meal off somebody’s naked body), Tamakeri (i.e., the masochistic practice of getting sexual pleasure and arousal from being kicked in the testicles), Burusera (i.e., Japanese shops that sell [amongst other things] soiled female undergarments and fetishist school uniforms), Omorashi (i.e., deriving sexual pleasure from having a full bladder or a sexual attraction to someone else experiencing the discomfort of a full bladder) and Shokushu Goukan (i.e., tentacle rape).

About 18 months ago, I came across the Art-Sheep website featuring loads of photographs of young Japanese women licking doorknobs. At first I thought it was some kind of spoof website but after a few hours of online research I realised that it was not a joke, and that there were a fair few articles examining the behaviour. For instance, an article on the Cracked website (‘The 6 Most Bizarre Safe For Work Fetishes’) claimed that the explanation for such sites was “straightforward” and that the Japanese pornography censorship laws are so draconian that it forces Japanese to be more creative about what they masturbate to”. The article claimed:

“Anybody with a porn addiction can tell you, in order to keep things fresh, you have to get a bit weird. Japan, always on the cutting edge of innovation, simply took this idea and ran with it all the way to Planet Dick Tentacle, which brings us to these images of girls licking doorknobs…Men (and presumably some women) get turned on by the sight of females licking anything. The curse of being a woman is knowing that you can’t eat an ice cream cone or a banana in public without several nearby males achieving a state of semi-arousal”.

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A number of online articles claim that because of the strict censorship laws in Japan, the country is “infamous for using a wide variety of stand-ins” for penises as there is a “crackdown on the depiction of genitalia” (so swords, fish, vegetables, and – as mentioned briefly above – tentacles, have been used as substitute phallic images). It has also meant that Japanese manga animators and videogame artists have become more innovative in displaying acts of sexuality. The Cracked article also claimed the doorknob licking trend “is a fairly big deal in Japan, even getting featured on national television”. But what is the attraction of seeing women specifically lick doorknobs (beyond the obvious phallic symbolism)? The Cracked article implies that it could be a masochistic act in that the women is typically viewed on her knees seen licking something that arguably has more bacteria on it than most other household items (bar the toilet), and that the act is therefore degrading and humiliating. Of all the images I have seen myself on various websites, all of the Japanese women were fully clothed (although some did appear to pander to clothing and uniform fetishes, such as the young women being dressed in schoolgirl uniforms, or for those with a fetish for spectacles).

A number of articles (such as those in the ‘Further reading’ list below) report that doorknob licking originated from the self-taught Japanese artist Ryuko Azuma renowned for his sexually provocative illustrations (you can check out some of his work here). More bizarrely, the impetus was (according to Azuma) “a drunken tweet…I tweeted that a collection of photos of a girl licking a doorknob [and thought it] would be a big hit”. The tweeted photographs went viral and subsequently featured on a Japanese television show. Azuma collaborated with a young photographer Ai Ehara, and ‘Doorknob Shojo’ (i.e., the ‘Doorknob Girl’) took on a life of its’ own. An article on the Kotaku website noted:

“The settings vary as much as the doorknobs, from nondescript apartments to crumbling Showa-era dwellings. The doors are typically closed, and the rooms are shut. The other side cannot be penetrated by the viewer, making the pictures, even when they are outside, closed. Some models play to the camera, other don’t. These are private moments, though, and the viewer is a fly on the wall – or door. Tropes that commonly appear in anime, manga, and video games populate the pictures. Some of the girls are wearing schoolbags or carrying phallic recorders and school notebooks. Some of the girls are in school uniforms. Others are dressed like female office workers and even have wear worker name badges around their necks. In Japan, where clothes were traditionally used to mark class and status, these are all identifiers and are used to provide enough information for the viewer to finish the story, making them as an essential part of the narrative. All of these items are meaningless alone. It’s the viewer, informed by popular culture like anime, TV, and games as well as real life, that gives them meaning”.

The photos appeared on Tumblr and featured Ehara herself. (You can have a look at the Tumblr photographs here). Following the viral success of the original photographs, Azuma and Ehara hired and photographed a number of models with their mouths on doorknobs and licking them. As the article in Kotaku noted:

The photos depict a variety of young girls (shojo) with their mouths and tongues touching doorknobs. The imagery is sexually charged. Doorknobs are ubiquitous and common, bland and banal. Intrinsically, doorknobs are not sexual objects in the same way that, say, a banana is. Yet, their position on a door, require the girls to kneel and by placing their mouths on the knobs. It’s undeniably submissive. A doorknob is not necessarily a sexual object. Its purpose is to open doors. Licking is not only a sexual act. Its purpose is to taste. The juxtaposition comes across as titillation and provocative, designed to elicit a response. The photos might look submissive, or exploitive, but they confront the viewer, asking the question, ‘What do you see?’ The pictures can dominate and even exploit the viewer’s notions of foreplay. The photos are psychosexual, with the viewer, if he or she so chooses, filling in the blanks and replacing the boring with the sensual. For such a commonplace object, the doorknob is a perfect phallic symbol. Like [penises], doorknobs come in a variety of shapes and sizes, from short and fat to long and thin. And like [penises], doorknobs can transmit diseases”.

It’s hard to assess who accesses and enjoys such photos and I know of no non-Japanese sites that have featured such models. I’ll leave you with a quote from Azuma himself who claims that it is up to the person viewing to interpret his art:

“Basically, we shot whatever doorknobs were at the location. But just in case, I always carried a backup knob with me to switch out. I always think a work is completed by the viewer. So whatever the viewer brings to the work is sufficient…Many people feel like the photos are a metaphor for oral sex, but we’re not especially taking the photos with that in mind. See whatever you want to see”.

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

Further reading

Art-Sheep (2015). “Doorknob girl”: Japan and the trend of girls licking doorknobs. August 17. Located at: http://art-sheep.com/doorknob-girl-japan-and-the-trend-of-girls-licking-doorknobs/

Ashcraft, B. (2011). The art of girls licking doorknobs. Kotaku, August 9. Located at: http://kotaku.com/5838276/the-art-of-girls-licking-doorknobs/

The Chive (2015). Leave it to Japan to create the weirdest trend EVER. May 1. Located at: http://thechive.com/2012/01/05/leave-it-to-japan-to-create-the-weirdest-trend-ever-35-photos/

Ntumy, E.K. (2013). The 6 most bizarre safe for work fetishes. Cracked, November 2. Located at: http://www.cracked.com/article_20691_the-6-most-bizarre-safe-work-fetishes.html

Pam (2012). Crazy Japanese trends – Hard to resist? Imperfect Women, March 1. Located at: http://imperfectwomen.com/crazy-japanese-trends-–-hard-to-resist/

Sumitra (2012). Girls licking doorknobs – more madness from Japan. Oddity Central, January 13. Located at: http://www.odditycentral.com/pics/girls-licking-doorknobs-more-madness-from-japan.html

A diction for addiction: A brief overview of our papers at the 2017 International Conference on Behavioral Addictions

This week I attended (and gave one of the keynote papers at) the fourth International Conference on Behavioral Addictions in Haifa (Israel). It was a great conference and I was accompanied by five of my colleagues from Nottingham Trent University all of who were also giving papers. All of the conference abstracts have just been published in the latest issue of the Journal of Behavioral Addictions (reprinted below in today’s blog) and if you would like copies of the presentations then do get in touch with me.

mark-haifa-keynote-2017

Griffiths, M.D. (2017). Behavioural tracking in gambling: Implications for responsible gambling, player protection, and harm minimization. Journal of Behavioral Addictions, 6 (Supplement 1), 2.

  • Social responsibility, responsible gambling, player protection, and harm minimization in gambling have become major issues for both researchers in the gambling studies field and the gaming industry. This has been coupled with the rise of behavioural tracking technologies that allow companies to track every behavioural decision and action made by gamblers on online gambling sites, slot machines, and/or any type of gambling that utilizes player cards. This paper has a number of distinct but related aims including: (i) a brief overview of behavioural tracking technologies accompanied by a critique of both advantages and disadvantages of such technologies for both the gaming industry and researchers; (ii) results from a series of studies carried out using behavioural tracking (particularly in relation to data concerning the use of social responsibility initiatives such as limit setting, pop-up messaging, and behavioural feedback); and (c) a brief overview of the behavioural tracking tool mentor that provides detailed help and feedback to players based on their actual gambling behaviour.

Calado, F., Alexandre, J. & Griffiths, M.D. (2017). Youth problem gambling: A cross-cultural study between Portuguese and English youth. Journal of Behavioral Addictions, 6 (Supplement 1), 7.

  • Background and aims: In spite of age prohibitions, most re- search suggests that a large proportion of adolescents engage in gambling, with a rate of problem gambling significantly higher than adults. There is some evidence suggesting that there are some cultural variables that might explain the development of gambling behaviours among this age group. However, cross­cultural studies on this field are generally lacking. This study aimed to test a model in which individual and family variables are integrated into a single perspective as predictors of youth gambling behaviour, in two different contexts (i.e., Portugal and England). Methods: A total of 1,137 adolescents and young adults (552 Portuguese and 585 English) were surveyed on the measures of problem gambling, gambling frequency, sensation seeking, parental attachment, and cognitive distortions. Results: The results of this study revealed that in both Portuguese and English youth, the most played gambling activities were scratch cards, sports betting, and lotteries. With regard to problem gambling prevalence, English youth showed a higher prevalence of problem gambling. The findings of this study also revealed that sensation seeking was a common predictor in both samples. However, there were some differences on the other predictors be- tween the two samples. Conclusions: The findings of this study suggest that youth problem gambling and its risk factors appear to be influenced by the cultural context and highlights the need to conduct more cross-cultural studies on this field.

Demetrovics, Z., Richman, M., Hende, B., Blum, K., Griffiths,
M.D, Magi, A., Király, O., Barta, C. & Urbán, R. (2017). Reward Deficiency Syndrome Questionnaire (RDSQ):
A new tool to assess the psychological features of reward deficiency. Journal of Behavioral Addictions, 6 (Supplement 1), 11.

  • ‘Reward Deficiency Syndrome’ (RDS) is a theory assuming that specific individuals do not reach a satisfactory state of reward due to the functioning of their hypodopaminergic reward system. For this reason, these people search for further rewarding stimuli in order to stimulate their central reward system (i.e., extreme sports, hypersexuality, substance use and/or other addictive behaviors such as gambling, gaming, etc.). Beside the growing genetic and neurobiological evidence regarding the existence of RDS little re- search has been done over the past two decades on the psychological processes behind this phenomenon. The aim of the present paper is to provide a psychological description of RDS as well as to present the development of the Reward Deficiency Syndrome Questionnaire (developed using a sample of 1,726 participants), a new four-factor instrument assessing the different aspects of reward deficiency. The results indicate that four specific factors contribute to RDS comprise “lack of satisfaction”, “risk seeking behaviors”, “need for being in action”, and “search for overstimulation”. The paper also provides psychological evidence of the association between reward deficiency and addictive disorders. The findings demonstrate that the concept of RDS provides a meaningful and theoretical useful context to the understanding of behavioral addictions.

Demetrovics, Z., Bothe, B., Diaz, J.R., Rahimi­Movaghar, A., Lukavska, K., Hrabec, O., Miovsky, M., Billieux, J., Deleuze,
J., Nuyens, P. Karila, L., Nagygyörgy, K., Griffiths, M.D. & Király, O. (2017). Ten-Item Internet Gaming Disorder Test (IGDT-10): Psychometric properties across seven language-based samples. Journal of Behavioral Addictions, 6 (Supplement 1), 11.

  • Background and aims: The Ten-Item Internet Gaming Disorder Test (IGDT-10) is a brief instrument developed to assess Internet Gaming Disorder as proposed in the DSM­5. The first psychometric analyses carried out among a large sample of Hungarian online gamers demonstrated that the IGDT-10 is a valid and reliable instrument. The present study aimed to test the psychometric properties in a large cross-cultural sample. Methods: Data were collected among Hungarian (n = 5222), Iranian (n = 791), Norwegian (n = 195), Czech (n = 503), Peruvian (n = 804), French­speaking (n = 425) and English­ speaking (n = 769) online gamers through gaming­related websites and gaming-related social networking site groups. Results: Confirmatory factor analysis was applied to test the dimensionality of the IGDT-10. Results showed that the theoretically chosen one-factor structure yielded appropriate to the data in all language­based subsamples. In addition, results indicated measurement invariance across all language-based subgroups and across gen- der in the total sample. Reliability indicators (i.e., Cronbach’s alpha, Guttman’s Lambda-2, and composite reliability) were acceptable in all subgroups. The IGDT- 10 had a strong positive association with the Problematic Online Gaming Questionnaire and was positively and moderately related to psychopathological symptoms, impulsivity and weekly game time supporting the construct validity of the instrument. Conclusions: Due to its satisfactory psychometric characteristics, the IGDT-10 appears to be an adequate tool for the assessment of internet gam- ing disorder as proposed in the DSM-5.

Throuvala, M.A., Kuss, D.J., Rennoldson, M. & Griffiths, M.D. (2017). Delivering school-based prevention regarding digital use for adolescents: A systematic review in the UK. Journal of Behavioral Addictions, 6 (Supplement 1), 54.

  • Background: To date, the evidence base for school-delivered prevention programs for positive digital citizenship for adolescents is limited to internet safety programs. Despite the inclusion of Internet Gaming Disorder (IGD) as a pro- visional disorder in the DSM-5, with arguable worrying prevalence rates for problematic gaming across countries, and a growing societal concern over adolescents’ digital use, no scientifically designed digital citizenship programs have been delivered yet, addressing positive internet use among adolescents. Methods: A systematic database search of quantitative and qualitative research evidence followed by a search for governmental initiatives and policies, as well as, non­profit organizations’ websites and reports was conducted to evaluate if any systematic needs assessment and/or evidence-based, school delivered prevention or intervention programs have been conducted in the UK, targeting positive internet use in adolescent populations. Results: Limited evidence was found for school-based digital citizenship awareness programs and those that were identified mainly focused on the areas of internet safety and cyber bullying. To the authors’ knowledge, no systematic needs assessment has been conducted to assess the needs of relevant stakeholders (e.g., students, parents, schools), and no prevention program has taken place within UK school context to address mindful and positive digital consumption, with the exception of few nascent efforts by non­profit organizations that require systematic evaluation. Conclusions: There is a lack of systematic research in the design and delivery of school-delivered, evidence-based prevention and intervention programs in the UK that endorse more mindful, reflective attitudes that will aid adolescents in adopting healthier internet use habits across their lifetime. Research suggests that adolescence is the highest risk group for the development of internet addictions, with the highest internet usage rates of all age groups. Additionally, the inclusion of IGD in the DSM-5 as provisional disorder, the debatable alarming prevalence rates for problematic gaming and the growing societal focus on adolescents’ internet misuse, renders the review of relevant grey and published research timely, contributing to the development of digital citizenship programs that might effectively promote healthy internet use amongst adolescents.

Bányai, F., Zsila, A., Király, O., Maraz, A., Elekes, Z., Griffiths, M.D., Andreassen, C.S. & Demetrovics, Z. (2017). Problematic social networking sites use among adolescents: A national representative study. Journal of Behavioral Addictions, 6 (Supplement 1), 62.

  • Despite being one of the most popular activities among adolescents nowadays, robust measures of Social Media use and representative prevalence estimates are lacking in the field. N = 5961 adolescents (49.2% male; mean age 16.6 years) completed our survey. Results showed that the one-factor Bergen Social Media Addiction Scale (BSMAS) has appropriate psychometric properties. Based on latent pro le analysis, 4.5% of the adolescents belonged to the at-risk group, who reported low self-esteem, high level of depression and the elevated social media use (34+ hours a week). Conclusively, BSMAS is an adequate measure to identify those adolescents who are at risk of problematic Social Media use and should therefore be targeted by school-based prevention and intervention programs.

Bothe, B., Toth-Király, I. Zsila, A., Griffiths, M.D., Demetrovics, Z. & Orosz, G. (2017). The six-component problematic pornography consumption scale. Journal of Behavioral Addictions, 6 (Supplement 1), 62.

  • Background and aims: To our best knowledge, no scale ex- ists with strong psychometric properties assessing problematic pornography consumption which is based on an over- arching theoretical background. The goal of the present study was to develop a short scale (Problematic Pornography Consumption Scale; PPCS) on the basis of Griffiths` (2005) six-component addiction model that can assess problematic pornography consumption. Methods: The sample comprised 772 respondents (390 females; Mage = 22.56, SD = 4.98 years). Items creation was based on the definitions of the components of Griffiths’ model. Results: A confirmatory factor analysis was carried out leading to an 18­item second­order factor structure. The reliability of the PPCS was good and measurement invariance was established. Considering the sensitivity and specificity values, we identified an optimal cut­off to distinguish between problematic and non-problematic pornography users. In the present sample, 3.6% of the pornography consumers be- longed to the at-risk group. Discussion and Conclusion: The PPCS is a multidimensional scale of problematic pornography consumption with strong theoretical background that also has strong psychometric properties.

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

Don’t blame the game: Parents, videogame content, and age ratings

Back in March 2015, BBC News reported that parents of children in 16 Cheshire county schools had been sent a letter saying that head teachers would report them to the authorities if they allowed their children to play videogames that are rated for adults (i.e., games that have an ‘18’ rating). The teachers claimed that popular games like Grand Theft Auto and Call of Duty are too violent to be played by those under the age of 18 years. They also stated that such games increased sexualised behaviour and left children vulnerable to sexual grooming. The schools also threatened to report parents who let their children play such games because it was a form of parental neglect. The author of the letter, Mary Hennessy Jones, was quoted as saying that:

“We are trying to help parents to keep their children as safe as possible in this digital era. It is so easy for children to end up in the wrong place and parents find it helpful to have some very clear guidelines”.

I’m sure the letter to parents was written with the best of intentions but as a parent of three ‘screenagers’ and someone that has spent almost three decades researching the effects of video games on human behaviour, this appears to be a very heavy-handed way to deal with the issue. Although it is illegal for any retailer to sell ‘18’ rated games to minors, it is not illegal for children to play such games, or illegal for parents to allow their children to play such games. Many parents need to be educated about the positives and negatives of playing video games but reporting them to the “authorities” is not the right way forward.

pegi_ratings_system

Back in the early 1990s I was probably the only academic in the UK carrying out scientific research on children’s video game playing. In fact, I was proud of my role in getting age ratings onto all video games in the first place, and for writing the text for educational information leaflets for parents (outlining the effects of excessive playing of such games) sponsored by the National Council for Educational Technology. There are many positive benefits of playing video games (something that I wrote about in a previous article for The Conversation).

I know from first-hand experience that children often play games that are age-inappropriate. Two years ago, my (then) 13-year old son said he was the only boy in his class that did not play or own the Call of Duty video game. This is also borne out by research evidence. One study that I was involved in found that almost two-thirds of children aged 11- to 13-years of age (63%) had played an 18+ video game. Unsurprisingly, boys (76%) were more likely than girls (49%) to have played an 18+ video game. Children were also asked about how often they played 18+ video games. Of the two-thirds who had played them, 8% reported playing them “all the time”, 22% reported playing them “most of the time”, 50% reported playing them “sometimes”, 18% reported playing them “hardly ever”. Again, boys were more likely than girls to play 18+ video games more frequently. Children were asked how they got access to 18+ plus video games. The majority had the games bought for them by family or friends (58%), played them at a friend’s house (35%), swapped them with friends (27%), or bought games themselves (5%). This research certainly appears to suggest that parents and siblings are complicit in the playing of age-inappropriate games.

There is a growing amount of scientific literature that has examined the content of video games designed for adults. For instance, a study led by Dr. Kimberley Thompson and published in the Archives of Pediatric and Adolescent Medicine attempted to quantify the depiction of violence, blood, sexual themes, profanity, substances, and gambling in adult (18+) video games and to assess whether the actual game content matched the content descriptor on the packaging. Although content descriptors for violence and blood provided a good indication of content in the 36 games examined, the authors concluded that 81% of the games studied (n=29) lacked content descriptors of other adult content. Other studies carried out by the same research team have found that adult content can be found in lots of games aimed at young children and teenagers.

Another study led by Dr. David Walsh published in Minerva Pediatrica tested the validity of media rating systems (including video games). Results showed that when the entertainment industry rated a product as inappropriate for children, parents also agreed that it was inappropriate. However, parents disagreed with many industry ratings that were designated as containing material as suitable for children. The products rated as appropriate for adolescents by the industry were of the greatest concern to parents.

The issue of children and adolescents playing 18+ games is no different from the debates about children and adolescents watching 18+ films. However, based on anecdotal evidence appears that parents are more likely to adhere to age ratings on films than they are on video games. This is one area that both media researchers and media educators need to inform parents to be more socially responsible in how they monitor their children’s leisure activity. A school sending out a threatening letter to parents is unlikely to change parental behaviour. Education and informed debate is likely to have a much greater effect in protecting our children from the potential harms of video game playing.

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

 Further reading

Anderson, C.A., Gentile, D.A., & Dill, K.E. (2012). Prosocial, antisocial and other effects of recreational video games. In D.G. Singer, & J.L. Singer (Eds), Handbook of Children and the Media, Second Edition, (pp. 249-272). Thousand Oaks, CA: Sage.

Anderson, C. A., Shibuya, A., Ihori, N., Swing, E. L., Bushman, B.J., Sakamoto, A., Rothstein, H.R., & Saleem, M. (2010). Violent video game effects on aggression, empathy, and prosocial behavior in eastern and western countries: a meta-analytic review. Psychological Bulletin, 136, 151-173.

Bartlett, C. P., Anderson, C.A. & Swing, E.L. (2009). Video game effects confirmed, suspected and speculative: A review of the evidence. Simulation and Gaming, 40, 377-403.

Ferguson, C. J. (2007). Evidence for publication bias in video game violence effects literature: A meta analytic review. Aggression and Violent Behavior, 12, 470-482.

Ferguson, C. J. (2013). Violent video games and the supreme court: Lessons for the scientific community in the wake of Brown v. Entertainment Merchants Association. American Psychologists, 68, 57-74.

Ferguson, C. J., San Miguel, S. & Hartley, T. (2009).  Multivariate analysis of youth violence and aggression: The influence of family, peers, depression and media violence. Journal of Paediatrics, 155, 904-908.

Gentile, D. A. & Stone, W. (2005). Violent video game effects in children and adolescents: A review of the literature. Minerva Pediatrics, 57, 337-358.

Griffiths, M.D. (1998). Video games and aggression: A review of the literature. Aggression and Violent Behavior, 4, 203-212.

Griffiths, M.D. (2000). Video game violence and aggression: Comments on ‘Video game playing and its relations with aggressive and prosocial behaviour’ by O. Weigman and E.G.M. van Schie. British Journal of Social Psychology, 39, 147-149.

Griffiths, M.D. (2010). Age ratings on video games: Are the effective? Education and Health, 28, 65-67.

Griffiths, M.D. & McLean, L. (in press). Content effects: Online and offline games. In P. Roessler (Ed.), International Encyclopedia of Media Effects. Chichester: Wiley.

Grüsser, S.M., Thalemann, R. & Griffiths, M.D. (2007). Excessive computer game playing: Evidence for addiction and aggression?  CyberPsychology and Behavior, 10, 290-292.

Ivory, J.D., Colwell, J., Elson, M., Ferguson, C.J., Griffiths, M.D., Markey, P.M., Savage, J. & Williams, K.D. (2015). Manufacturing consensus in a divided field and blurring the line between the aggression concept and violent crime. Psychology of Popular Media Culture, 4, 222–229.

McLean, L. & Griffiths, M.D. (2013). The psychological effects of videogames on young people. Aloma: Revista de Psicologia, Ciències de l’Educació i de l’Esport, 31(1), 119-133.

McLean, L. & Griffiths, M.D. (2013). Violent video games and attitudes towards victims of crime: An empirical study among youth. International Journal of Cyber Behavior, Psychology and Learning, 2(3), 1-16.

Mehroof, M. & Griffiths, M.D. (2010). Online gaming addiction: The role of sensation seeking, self-control, neuroticism, aggression, state anxiety and trait anxiety. Cyberpsychology, Behavior, and Social Networking, 13, 313-316.

Drowning gory: A brief look at quicksand fetishes

“[There] is a natural or unexpected form of bondage where girls step into cement, wander into spider webs or sink into quicksand. Often girls find themselves in perilous or humiliating situations like being in danger of sinking under quicksand or unable to stop the advances of a horny teenager after having stepped into superglue” (Weird and Sexy website).

I used the opening quote in a previous blog on ‘stuck fetishism’ but is just as appropriate in the context of this article on quicksand fetishes. Such fetishes appear to be a sub-type of taphephilia (that I also examined in a previous blog on claustrophilia [sexual arousal from being in confined spaces]). Dr. Anil Aggrawal in his book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices defines taphephilia as deriving sexual pleasure and arousal from being buried alive. I noted in my previous blog that when I first read about this paraphilia I had major doubts about it’s existence until I came across groups such as the Six Feet Under Club and the Buried Stories website. As the Buried Stories homepage asserts:

“Buried or burial whilst still alive is a nightmare to some but a joy or fetish to others. The desire to be boxed, bagged and buried is a great turn on for many. The feeling of utter helplessness as the sounds of the first shovel of dirt hits the top of their coffin. The fantasy may also involve being placed in a casket, bodybag, or other enclosure before being buried either on the beach, in dirt or even in quicksand. Encased or entombed, enclosed or just bagged. ‘Buried Stories’ contains stories of people being buried, sunk in quicksand or encased within an enclosure. Some may have acted out their desires whilst others have written about their fantasy to share with you”

07-1457352185-quicksand

An article about ‘stuck fetishism’ (on the now defunct Nation Master website) provided a typology of all the different types of stuck fetishes. There was no empirical evidence supporting the typology but has good face validity based on what I have read about the topic. The different type of stuck fetishism includes (i) sticky substance immobilization fetishes, (ii) non-sticky substance immobilization fetishes, (iii) situational immobilization fetishes, (iv) perceived situational immobilization fetish, (v) stuck clothing fetish, (vi) stuck transport fetish, (vii) stuck transformation fetish, (viii) stuck multi-person fetish, and (ix) stuck conjoinment fetish (for a detailed description of each of these fetishes, see my previous blog on stuck fetishism). These fetishes – while specific – may not be mutually exclusive, and some stuck fetishists may gain sexual arousal from more than one of these scenario. Quicksand fetishes are an example of ‘non-sticky substance immobilization fetishes’ (i.e., the individual is rendered immobile and derives sexual arousal from a substance that is not sticky but stops the individual from being able to move such as quicksand, mud or cement).

In an article on the Cracked.com website, ‘Girls stuck in quicksand’ was one of the six most bizarre safe for work fetishes they listed. The article noted:

“There’s no official name for this weird fetish – yet – but that doesn’t mean the Internet isn’t full of videos and photos depicting it. For some people, the idea of a person, especially a woman, nearly drowning in quicksand is quite the turn on. Perhaps these viewers imagine themselves as a hero who can swoop in and save the day. Or maybe these people are aroused by the woman’s fear. Either way, this is a fetish we hope you won’t experience any time soon. This is a perfect example of a nearly ‘safe for work’ fetish – it requires no nudity or sex, and it in fact involves a situation in which sex would be utterly impossible. It’s people who get aroused at the sight of fully clothed women sinking in quicksand”.

The article then went on to say things that I have confirmed for myself when visiting such sites as Quicksand Visuals and Quicksand Fans:

 

“A cursory search online would reveal tons of sites dedicated to compiling clips from various sources of girls drowning in quicksand, and then there are the niche video sites dedicated to providing original content (there probably is a booming industry in quicksand pit installation these days). On those sites, elaborate storylines are created to justify how these lovely ladies came to be trapped in the unforgiving, bottomless pit of certain-yet-sexy death. So … maybe the quicksand thing triggers some ‘damsel in distress’ response in the [brain’s cortex]? If there’s anything lonely Internet tough guys love, it’s sitting behind their keyboards visualizing all the many ways they would totally jump in and save the unfortunate lady fake drowning in a boggy marsh”.

Reference was made in the paragraph above to a “damsel in distress response”. In a previous blog I examined ‘damsel in distress’ (DiD) fetishes. I noted in thatblog that (like quicksand fetishes) it is mostly males who have DiD fetishes and that they can be very specific including (but not restricted to) such things as (i) ‘kidnap and rescue’ fetishes (sexual pleasure from watching or engaging in women being kidnapped and/or rescued from potentially life-threatening scenarios where they are cuffed, bound and/or controlled by another person or persons), (ii) tickle bondage fetishes (sexual pleasure from watching or tickling women while they are tied up), (iii) quicksand fetishes (sexual pleasure from watching women sink in quicksand), and (iv) ‘pedal pumping’ and ‘cranking’ fetishes (sexual pleasure from watching women stranded in their cars with repeated pressing of the gas pedal and revving up – which also has elements of foot fetishism – while turning the key in an attempt to get the engine to start).

Unsurprisingly, there are no academic papers on quicksand fetishes and very few articles of any description on the topic. One article by Jagger Gravning on the Motherboard news site wrote an interesting article on ‘The fetish for video game characters trapped in quicksand’ (and could arguably be classed as a sub-type of quicksand fetishism). This could also be classed as a type of toonophilia (sexual arousal from cartoon characters) that I also examined in a previous blog.

Gravning’s article concentrated on the ‘quicksand artists’ (and other types of fetish illustrations on the Deviant Art website) rather than the quicksand fetishists (such as A-020, an artist who draws women trapped in quicksand for the titillation of those with a predilection for such imagery”) as well as interviewing various academics about the fetishistic side of the practice. However, A-020 admitted he was also a quicksand fetishist. When asked about the origins of his fetish, which he claimed were integrated with other types of fetish behaviour: “I think it could be a distant cousin of fetishes like vore and bondage with a combination of muddy and stuck elements. Those similarities may be why I find it interesting mixed with an attractive female”.

Gravning wanted to know whether witnessing human beings stuck in quicksand in cartoons over and over as a child possibly lead to this unusual fetish. She asked Dr. Catherine Salmon, an evolutionary psychologist, who wrote the book Warrior Lovers: Erotic Fiction, Evolution and Female Sexuality:

“It could be something like that. Whether it’s quicksand or tar pits, there are things like that in children’s cartoons. It could be something as simple as that. Part of it is the damsel in distress kind of image. Watching ‘Wonder Woman’ caught in that kind of circumstance when people are younger—[it’s] an image that’s eroticized, a very sexually drawn, very feminine image. And they might enjoy watching that sort of thing or the struggle, as she’s trying to get out of whatever that circumstance is. There are a lot of unusual circumstances in cartoons and fantasy and you may get aroused while you’re watching it and then carry some of that too”.

Gravning also interviewed Dr. Elizabeth Larson, the Director of the Seattle Institute for Sex Therapy, Education and Research. Like me, Dr. Larson sees the development of such fetishes as most likely the consequence of associative pairing early in childhood or adolescence. More specifically she noted:

“These associations that come to be associated with an aroused state and are ‘accidents of learning’. These accidents of learning are most potent in the early sexual learning history, although it’s not impossible later. They don’t have to be exactly like the fantasy that comes. It just has to resemble it…[Quicksand fetishists] probably fantasized and got into the feeling that goes with that, not just watching. It could [also] be identifying with it. The kid imagining himself stuck in quicksand in the victim’s place, for example, could be part of its erotic appeal. You could either be observing it or experiencing it. You could be doing both at the same time in a fantasy. Some evidence certainly suggests that sexual patterns are already there, for sure in males, by the age of eight [years of age]. They may or may not have begun masturbating to fantasies until adolescence but something is going on internally at a very young age”.

 Gravning also spoke to the US computational neuroscientist Dr. Ogi Ogas who was quoted as saying: 

“While uncommon, the notion of being smothered or trapped is universal in the sense that it exists to greater and lesser degrees ‘all over’ [the world]. It’s not just one or two people that have it. It is found in a lot of places. Clearly our normal brain design is not that far removed from [wanting to be] enveloped. It’s probably something to do with our tactile system, our touch system of the brain, that’s quite naturally wired to our sexual arousal system. The tactile system is also interconnected with sensations like being smothered and being interred, being doused with water. Probably, somehow – and I’m speculating here – that’s what got crossed up for whatever reasons…A quirk in the brain, essentially…As we’re learning more about the genetics of brain construction, we’re coming to understand the genetic expression that leads to different neural wiring is highly variable and dependent on so many things [that] could happen in the womb, things that happen in early life, different environmental things. There’s just myriad, myriad factors that can cause unusual neural wiring to arise. Following this logic, some boy who just happens to have the notion of being smothered or trapped somehow interconnected to his arousal system becomes aroused when he sees an attractive woman struggling in quicksand, and that image burns into his mind”.

I have no idea how common quicksand fetishes are (but I would suspect it’s a very niche fetish), and I doubt whether the fetish is the only type of fetishistic behaviour among such people as there is so much crossover with many other different niche fetishes (stuck fetishism, buried fetishism, etc.). As with many other extreme sexual behaviours I have examined, I can’t see this becoming an area of serious academic study any time soon, but that doesn’t mean it’s not an interesting topic.

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

Further reading

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

Encyclopedia Dramatica (2016). Quicksand fetish. May 4. Located at:https://encyclopediadramatica.se/Quicksand_Fetish

Gravning, J. (2015). The fetish for video game characters trapped in quicksand. Motherboard, March 19. Located at: http://motherboard.vice.com/read/quicksand

Ntumy, E.K. (2013). The 6 most bizarre safe for work fetishes. Cracked.com. November 7. Located at: http://www.cracked.com/article_20691_the-6-most-bizarre-safe-work-fetishes.html

Pop Crunch (2010). Quicksand, pedal pumping, tickle bondage, women in distress in general. May 11. Located at: http://www.popcrunch.com/the-17-most-wtf-fetishes-imaginable/

Surprise, surprise: A brief overview of our recent papers on strange addictions and behaviours

Following my recent blogs where I outlined some of the papers that my colleagues and I have published on mindfulness, Internet addiction, gaming addiction, youth gambling, workaholism, exercise addiction, and sex addiction, here is a round-up of recent papers that my colleagues and I have published on strange and/or surprising addictions and behaviours.

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.

  • Background: Muscle dysmorphia (MD) describes a condition characterised by a misconstrued body image in which 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 type of body dysmorphic disorder, an eating disorder, and obsessive–compulsive disorder symptomatology. Method and aim: Through a review of the most salient literature on MD, this paper proposes an alternative classification of MD – the ‘Addiction to Body Image’ (ABI) model – using Griffiths (2005) addiction components model as the framework in which to define MD as an addiction. Results: It is argued the addictive activity in MD is the maintaining of body image via a number of different activities such as bodybuilding, exercise, eating certain foods, taking specific drugs (e.g., anabolic steroids), shopping for certain foods, food supplements, and the use or purchase of physical exercise accessories). 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). Conclusions: Based on empirical evidence to date, it is proposed that MD could be re-classified as an addiction due to the individual continuing to engage in maintenance behaviours that may cause long-term harm.

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.

  • Background: Following the publication of our paper ‘Muscle Dysmorphia: Could it be classified as an addiction to body image?’ in the Journal of Behavioral Addictions, two commentaries by Jon Grant and Johanna Nieuwoudt were published in response to our paper. Method: Using the ‘addiction components model’, our main contention is that muscle dysmorphia (MD) actually comprises a number of different actions and behaviors and that the actual addictive activity is the maintaining of body image via a number of different activities such as bodybuilding, exercise, eating certain foods, taking specific drugs (e.g., anabolic steroids), shopping for certain foods, food supplements, and purchase or use of physical exercise accessories. This paper briefly responds to these two commentaries. Results: While our hypothesized specifics relating to each addiction component sometimes lack empirical support (as noted explicitly by both Nieuwoudt and Grant), we still believe that our main thesis (that almost all the thoughts and behaviors of those with MD revolve around the maintenance of body image) is something that could be empirically tested in future research by those who already work in the area. Conclusions: We hope that the ‘Addiction to Body Image’ model we proposed provides a new framework for carrying out work in both empirical and clinical settings. The idea that MD could potentially be classed as an addiction cannot be negated on theoretical grounds as many people in the addiction field are turning their attention to research in new areas of behavioral addiction.

Maraz, A., Király, O., Urbán, R., Griffiths, M.D., Demetrovics, Z. (2015). Why do you dance? Development of the Dance Motivation Inventory (DMI). PLoS ONE, 10(3): e0122866. doi:10.1371/ journal.pone.0122866

  • Dancing is a popular form of physical exercise and studies have show that dancing can decrease anxiety, increase self-esteem, and improve psychological wellbeing. The aim of the current study was to explore the motivational basis of recreational social dancing and develop a new psychometric instrument to assess dancing motivation. The sample comprised 447 salsa and/or ballroom dancers (68% female; mean age 32.8 years) who completed an online survey. Eight motivational factors were identified via exploratory factor analysis and comprise a new Dance Motivation Inventory: Fitness, Mood Enhancement, Intimacy, Socialising, Trance, Mastery, Self-confidence and Escapism. Mood Enhancement was the strongest motivational factor for both males and females, although motives differed according to gender. Dancing intensity was predicted by three motivational factors: Mood Enhancement, Socialising, and Escapism. The eight dimensions identified cover possible motives for social recreational dancing, and the DMI proved to be a suitable measurement tool to assess these motives. The explored motives such as Mood Enhancement, Socialising and Escapism appear to be similar to those identified in other forms of behaviour such as drinking alcohol, exercise, gambling, and gaming.

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.

  • Although recreational dancing is associated with increased physical and psychological well-being, little is known about the harmful effects of excessive dancing. The aim of the present study was to explore the psychopathological factors associated with dance addiction. The sample comprised 447 salsa and ballroom dancers (68% female, mean age: 32.8 years) who danced recreationally at least once a week. The Exercise Addiction Inventory (Terry, Szabo, & Griffiths, 2004) was adapted for dance (Dance Addiction Inventory, DAI). Motivation, general mental health (BSI-GSI, and Mental Health Continuum), borderline personality disorder, eating disorder symptoms, and dance motives were also assessed. Five latent classes were explored based on addiction symptoms with 11% of participants belonging to the most problematic class. DAI was positively associated with psychiatric distress, borderline personality and eating disorder symptoms. Hierarchical linear regression model indicated that Intensity (ß=0.22), borderline (ß=0.08), eating disorder (ß=0.11) symptoms, as well as Escapism (ß=0.47) and Mood Enhancement (ß=0.15) (as motivational factors) together explained 42% of DAI scores. Dance addiction as assessed with the Dance Addiction Inventory is associated with indicators of mild psychopathology and therefore warrants further research.

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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.

  • Objectives: Dacryphilia is a non-normative sexual interest that involves enjoyment or arousal from tears and crying, and to date has never been researched empirically. The present study set out to discover the different interests within dacryphilia and explore the range of dacryphilic experience. Methods: A set of online interviews were carried out with individuals with dacryphilic preferences and interests (six females and two males) from four countries. The data were analyzed for semantic and latent themes using thematic analysis. Results: The respondents’ statements focused attention on three distinct areas that may be relevant to the experience of dacryphilia: (i) compassion; (ii) dominance/submission; and (iii) curled-lips. The data provided detailed descriptions of features within all three interests, which are discussed in relation to previous quantitative and qualitative research within emotional crying and tears, and the general area of non-normative sexual interests. Conclusions: The study suggests new directions for potential research both within dacryphilia and with regard to other non-normative sexual interests.

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.

  • Aims: Recent research has suggested that for some individuals, educational studying may become compulsive and excessive and lead to ‘study addiction’. The present study conceptualized and assessed study addiction within the framework of workaholism, defining it as compulsive over-involvement in studying that interferes with functioning in other domains and that is detrimental for individuals and/or their environment. Methods: The Bergen Study Addiction Scale (BStAS) was tested — reflecting seven core addiction symptoms (salience, mood modification, tolerance, withdrawal, conflict, relapse, and problems) — related to studying. The scale was administered via a cross-sectional survey distributed to Norwegian (n = 218) and Polish (n = 993) students with additional questions concerning demographic variables, study-related variables, health, and personality. Results: A one-factor solution had acceptable fit with the data in both samples and the scale demonstrated good reliability. Scores on BStAS converged with scores on learning engagement. Study addiction (BStAS) was significantly related to specific aspects of studying (longer learning time, lower academic performance), personality traits (higher neuroticism and conscientiousness, lower extroversion), and negative health-related factors (impaired general health, decreased quality of life and sleep quality, higher perceived stress). Conclusions: It is concluded that BStAS has good psychometric properties, making it a promising tool in the assessment of study addiction. Study addiction is related in predictable ways to personality and health variables, as predicted from contemporary workaholism theory and research.

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.

  • Background and aims: ‘Study addiction’ has recently been conceptualized as a behavioral addiction and defined within the framework of work addiction.  Using a newly developed measure to assess this construct, the Bergen Study Addiction Scale (BStAS), the present study examined the one-year stability of study addiction and factors related to changes in this construct over time, and is the first longitudinal investigation of study addiction thus far. Methods: The BStAS and the Ten Item Personality Inventory (TIPI) were administered online together with questions concerning demographics and study-related variables in two waves. In Wave 1, a total of 2,559 students in Norway and 2,177 students in Poland participated. A year later, in Wave 2, 1,133 Norwegians and 794 Polish who were still students completed the survey. Results: The test-retest reliability coefficients for the BStAS revealed that the scores were relatively stable over time. In Norway scores on the BStAS were higher in Wave 2 than in Wave 1, while in Poland the reverse pattern was observed. Learning time outside classes at Wave 1 was positively related to escalation of study addiction symptoms over time in both samples. Being female and scoring higher on neuroticism were related to an increase in study addiction in the Norwegian sample only. Conclusion: Study addiction appears to be temporally stable, and the amount of learning time spent outside classes predicts changes in study addiction one year later.

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

Further reading

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

Griffiths, M.D. (1999). Dying for it: Autoerotic deaths. Bizarre, 24, 62-65.

Griffiths, M.D. (2001). Stumped! Amputee fetishes. Bizarre, 44, 70-74.

Griffiths, M.D. (2001). Heaven can wait: The psychology of near death experiences. Bizarre, December, 63-66.

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

Griffiths, M.D. (2013). Bizarre sex. New Turn Magazine, 3, 49-51.

Griffiths, M.D. (2013). Eproctophilia in a young adult male: A case study. Archives of Sexual Behavior, 42, 1383-1386.

To pee or not to pee? Another look at paraphilic behaviours

Strange, bizarre and unusual human sexual behaviour is a topic that fascinates many people (including myself of course). Last week I got a fair bit of international media coverage being interviewed about the allegations that Donald Trump hired women to perform ‘golden showers’ in front of him (i.e., watching someone urinate for sexual pleasure, typically referred to as urophilia). I was interviewed by the Daily Mirror (and many stories used my quotes in this particular story for other stories elsewhere). I was also commissioned to write an article on the topic for the International Business Times (and on which this blog is primarily based). The IBT wanted me to write an article on whether having a liking for strange and/or bizarre sexual preferences makes that individual more generally deviant.

it-makes-perfect-sense-that-a-politican-like-donald-trump-would-be-into-pee-golden-showers-pee-gate-fetish-kink-urolagnia-urophilia

Although the general public may view many of these behaviours as sexual perversions, those of us that study these behaviours prefer to call them paraphilias (from the Greek “beyond usual or typical love”). Regular readers of my blog will know I’ve written hundreds of articles on this topic. For those of you who have no idea what parahilias really are, they are uncommon types of sexual expression that may appear bizarre and/or socially unacceptable, and represent the extreme end of the sexual continuum. They are typically accompanied by intense sexual arousal to unconventional or non-sexual stimuli. Most adults are aware of paraphilic behaviour where individuals derive sexual pleasure and arousal from sex with children (paedophilia), the giving and/or receiving of pain (sadomasochism), dressing in the clothes of the opposite sex (transvestism), sex with animals (zoophilia), and sex with dead people (necrophilia).

However, there are literally hundreds of paraphilias that are not so well known or researched including sexual arousal from amputees (acrotomophilia), the desire to be an amputee (apotemnophilia), flatulence (eproctophilia), rubbing one’s genitals against another person without their consent (frotteurism), urine (urophilia), faeces (coprophilia), pretending to be a baby (infantilism), tight spaces (claustrophilia), restricted oxygen supply (hypoxyphilia), trees (dendrophilia), vomit (emetophilia), enemas (klismaphilia), sleep (somnophilia), statues (agalmatophilia), and food (sitophilia). [I’ve covered all of these (and more) in my blog so just click on the hyperlinks of you want to know more about the ones I’ve mentioned in this paragraph].

It is thought that paraphilias are rare and affect only a very small percentage of adults. It has been difficult for researchers to estimate the proportion of the population that experience unusual sexual behaviours because much of the scientific literature is based on case studies. However, there is general agreement among the psychiatric community that almost all paraphilias are male dominated (with at least 90% of all those affected being men).

One of the most asked questions in this field is the extent to which engaging in unusual sex acts is deviant? Psychologists and psychiatrists differentiate between paraphilias and paraphilic disorders. Most individuals with paraphilic interests are normal people with absolutely no mental health issues whatsoever. I personally believe that there is nothing wrong with any paraphilic act involving non-normative sex between two or more consenting adults. Those with paraphilic disorders are individuals where their sexual preferences cause the person distress or whose sexual behaviour results in personal harm, or risk of harm, to others. In short, unusual sexual behaviour by itself does not necessarily justify or require treatment.

The element of coercion is another key distinguishing characteristic of paraphilias. Some paraphilias (e.g., sadism, masochism, fetishism, hypoxyphilia, urophilia, coprophilia, klismaphilia) are engaged in alone, or include consensual adults who participate in, observe, or tolerate the particular paraphilic behaviour. These atypical non-coercive behaviours are considered by many psychiatrists to be relatively benign or harmless because there is no violation of anyone’s rights. Atypical coercive paraphilic behaviours are considered much more serious and almost always require treatment (e.g., paedophilia, exhibitionism [exposing one’s genitals to another person without their consent], frotteurism, necrophilia, zoophilia).

For me, informed consent between two or more adults is also critical and is where I draw the line between acceptable and unacceptable. This is why I would class sexual acts with children, animals, and dead people as morally and legally unacceptable. However, I would also class consensual sexual acts between adults that involve criminal activity as unacceptable. For instance, Armin Meiwes, the so-called ‘Rotenburg Cannibal’ gained worldwide notoriety for killing and eating a fellow German male victim (Bernd Jürgen Brande). Brande’s ultimate sexual desire was to be eaten (known as vorarephilia). Here was a case of a highly unusual sexual behaviour where there were two consenting adults but involved the killing of one human being by another.

Because paraphilias typically offer pleasure, many individuals affected do not seek psychological or psychiatric treatment as they live happily with their sexual preference. In short, there is little scientific evidence that unusual sexual behaviour makes you more deviant generally.

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

Further reading

Abel, G. G., Becker, J. V., Cunningham-Rathner, J., Mittelman, M., & Rouleau, J. L. (1988). Multiple paraphilic diagnoses among sex offenders. Bulletin of the American Academy of Psychiatry and the Law, 16, 153-168.

Buhrich, N. (1983). The association of erotic piercing with homosexuality, sadomasochism, bondage, fetishism, and tattoos. Archives of Sexual Behavior, 12, 167-171.

Collacott, R.A. & Cooper, S.A. (1995). Urine fetish in a man with learning disabilities. Journal of Intellectual Disability Research, 39, 145-147.

Couture, L.A. (2000). Forced retention of bodily waste: The most overlooked form of child maltreatment. Located at: http://www.nospank.net/couture2.htm

Denson, R. (1982). Undinism: The fetishizaton of urine. Canadian Journal of Psychiatry, 27, 336–338.

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. (2013). Eproctophilia in a young adult male: A case study. Archives of Sexual Behavior, 42, 1383-1386.

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

Griffiths, M.D. (2013). Bizarre sex. New Turn Magazine, 3, 49-51.

Massion-verniory, L. & Dumont, E. (1958). Four cases of undinism. Acta Neurol Psychiatr Belg. 58, 446-59.

Money, J. (1980). Love and Love Sickness: The Science of Sex, Gender Difference and Pair-bonding, John Hopkins University Press.

Mundinger-Klow, G. (2009). The Golden Fetish: Case Histories in the Wild World of Watersports. Paris: Olympia Press.

Skinner, L. J., & Becker, J. V. (1985). Sexual dysfunctions and deviations. In M. Hersen & S. M. Turner (Eds.), Diagnostic interviewing (pp. 211–239). New York: Plenum Press.

Spengler, A. (1977). Manifest sadomasochism of males: Results of an empirical study. Archives of Sexual Behavior, 6, 441–456.

Under the influence: Ten things I’ve learned from David Bowie

It’s now been a year since the tragic death of David Bowie and this is my fourth blog on him in that period (my others being my personal reflections on the psychology of Bowie, Bowie and the Beatles, and Bowie and the occult). Outside of my own friends and family, it’s still Bowie’s death that has affected me the most psychologically but at least I still have his music to listen to. Bowie inspired millions of people in many different ways. This blog looks at the things that I have learned from Bowie and how he influenced my career.

Persevere with your life goals – Most people are aware that it took years for Bowie to have has first hit single (‘Space Oddity’, 1969), five years after his first single (‘Liza Jane’, 1964). Even after the success of ‘Space Oddity’, it took another three years before he had his second hit single (‘Starman’, 1972) and in the early 1970s there were many who thought he would be a ‘one-hit wonder’ and a small footnote in music history. Bowie never gave up his quest for musical stardom and is arguably one of the best examples of the proverb If at first you don’t succeed, try, try again. I’ve often told others that they key to success is being able to learn from your mistakes and being able to handle rejection (which for academics is having papers rejected, grant bids rejected, and attempts at promotion rejected, etc.). Bowie personified perseverance and for this quality alone I am very grateful as it has been the bedrock of my career to date.

Encourage teamwork and collaboration – Despite being a solo artist for the vast majority of his post-1969 career (Tin Machine being the most high-profile notable exception), Bowie was (like me) a ‘promiscuous collaborator’ and much of his success would not have been possible without a gifted team around him whether it be his inner circle of musicians (Mick Ronson, Carlos Alomar, Robert Fripp, Mike Garson, etc.), his producers (Tony Visconti, Nile Rogers, Ken Scott, etc.), co-writers and inspirators (Iggy Pop, Lou Reed, Brian Eno, John Lennon, etc.), or those he jointly released music with (Mott The Hoople, Queen, Arcade Fire, Pet Shop Boys, Placebo, to name just a few). I have carried out and published research with hundreds of people during my 30-year academic career, and like Bowie, some are one-off collaborations and others are lifelong collaborations. Bowie taught me that although I can do some things by myself, it is the working with others that brings out the best in me.

Experiment to the end – Bowie was never afraid to experiment and try new things whether it was musical, pharmacological, spiritual, or sexual. Mistakes were part of the learning process and he pursued this – especially musically – until the very end of his life (for instance, on his ★ [Blackstar] album where he employed a local New York jazz combo led by saxophonist Donny McCaslin). Failure is success if we learn from it and this is one of the maxims that I live my life by. Bowie taught me that you can have lots of other interests that can be rewarding even if you are not as successful as your day job. Bowie liked to act (and obviously had some success in this area) and also liked to paint (but had much less success here than his other artistic endeavours). By any set of criteria, I am a successful academic but I also like to write journalistically and engage in a wide variety of consultancy (areas that I have had some success) and I like writing poetry (something that I have not been successful financially – although I did win a national Poetry Today competition back in 1997 and have published a number of my poems). Bowie taught me that success in one area of your life can lead to doing other more experimental and rewarding activities even if they are not as financially lucrative.

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Push yourself (even in the bad times) – One of the things I love about Bowie was his ability to carry on working and being productive even when he was not at his physical best. Nowhere is this more exemplified than working on the ★ LP while undergoing chemotherapy for his liver cancer. There are also other times in his life such as when he was at the height of his cocaine addiction in 1975 where he produced some of the best music of his career (most notably the Young Americans and Station to Station LPs, the latter of which is one of my all-time favourite records). I have had a few low periods in my life due to various health, relationship and/or personal issues but I have learned through experience that work is a great analgesic and that even when you are at your lowest ebb you can still be highly productive.

Have a Protestant work ethic – Bowie was arguably one of the most hard-working musicians of all time and had what can only be described as a Protestant work ethic from the early 1960s right up until his heart attack in 2004. I am a great believer in the philosophy that “you get out what you put in” and Bowie exemplified this. Andy Warhol told Lou Reed while he was in the Velvet Underground that he should work hard, because work is all that really matters (and was the subject of the song ‘Work’ on the seminal Songs For Drella LP by Reed and John Cale). Bowie also appeared to live by this mantra and is something that I adhere to myself (and is why I am often described as being a workaholic). While Bowie isn’t my only role model in this regard, he’s certainly the most high-profile.

Lead by example but acknowledge your influences – Bowie had a unique gift in being able to borrow from his own heroes but turn it into something of his own (without ever forgetting his own heroes and influences – his Pin Ups LP probably being the best example of this). One of my favourite phrases is Don’t jump on the bandwagon, create it”, and this has as underpinned a lot of the research areas that I have initiated and is something that I learned from Bowie. Maybe Bowie is a case of the quote often attributed to Oscar Wilde that “talent borrows, genius steals”.

Promote yourself – If there is one thing that Bowie was gifted in as much as his songwriting, it was his own art of self-promotion. Bowie always had the knack to generate news stories about himself and his work without seemingly trying. By the end of his career, it was the act of not saying anything or doing any personal publicity that was just as newsworthy. Bowie intuitively knew how to garner media publicity on his own terms in a way that very few others can. (I also argued that another one of my heroes – Salvador Dali – did the same thing in one of my articles on him in The Psychologist back in 1994). I’d like to think I am good at promoting my work and Bowie is one of my role models in this regard.

Be opportunistic and flexible – If there is one thing besides working hard that sums up my career to date, it is being opportunistic and flexible. As a voracious reader of all things Bowie since my early teens, I always loved Bowie’s sense of adventure and just following paths because they might lead you to something unexpected. Whether it was his use of the ‘cut up’ technique for writing lyrics (developed by Brion Gysin and William S. Burroughs), his use of Brian Eno’s ‘oblique strategy’ cards, or his love of studio improvisation (such as on the Berlin trilogy albums and the Outside LP), Bowie showed that inspiration for his musical and lyrical ideas could come from anywhere – from a person, from a fleeting observation, from something he read, from something he heard or saw in film or TV programme, and from his own life experiences. I too have taken this approach to my work and believe I am a much better person for it.

Be a mentor to others – Whatever career path you follow, mentors are key in developing talent and Bowie was a mentor to many people that he personally worked with (including many of the artists I named in the section on encouraging teamwork and collaboration above) as well as being an inspirational influence to those he never met (including myself).

Learn from those younger and less experienced than yourself – Paradoxically, despite being an influence on millions of people across many walks of life, Bowie was never afraid to learn from those much younger than himself and exemplified the maxim that you’re never too old to learn new things. He loved innovation and ideas and would soak it up from whoever was around him. As I have got older, this is something that I value more and am never afraid to learn from those much younger or seemingly less experienced than myself – particularly my PhD students.

Dr. Mark Griffiths, 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.

Griffiths, M.D. (1994). Heroes: Salvador Dali. The Psychologist: Bulletin of the British Psychological Society, 7, 240.

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

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

Pegg, N. (2011). The Complete David Bowie. 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.