Levy settle: A statutory gambling levy is needed to help treat gambling addicts

At the most recent Labour Party conference, the Party’s deputy leader Tom Watson said that if they formed the next Government they would introduce legislation to force gambling operators to pay a levy to fund research and NHS treatment to help problem gamblers deal with their addiction. This is something which I wholeheartedly support and is also something that I have been calling for myself for over a decade

The most recent statistics on gambling participation by the Gambling Commission in August 2017 reported that 63% of the British population had gambled in the last year and that the prevalence rate of problem gambling among those 16 years and over was 0.6%-0.7%. While this is relatively low, this still equates to approximately 360,000 adult problem gamblers and is of serious concern.

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At present the gambling industry voluntarily donates money to an independent charitable trust (GambleAware) and most of this money funds gambling treatment (with the remaining monies being used to fund education and research). In the 12 months prior to March 2017, the gambling industry had donated £8 million, an amount still 20% below the £10 million a year I recommended in a report I wrote for the British Medical Association a number of years ago.

A statutory levy of 1% on all gambling profits made by the British gambling industry would raise considerably more money for gambling education, treatment and research than the £8 million voluntarily donated last year and is the main reason why I am in favour of it. Gambling has not been traditionally viewed as a public health matter. However, I believe that gambling addiction is a health issue as much as a social issue because there are many health consequences for those addicted to gambling including depression, insomnia, intestinal disorders, migraine, and other stress related disorders. This is in addition to other personal issues such as problems with personal relationships (including divorce), absenteeism from work, neglect of family, and bankruptcy.

There are also many recommendations that I would make in addition to a statutory levy. These include:

  • Brief screening for gambling problems among participants in alcohol and drug treatment facilities, mental health centres and outpatient clinics, as well as probation services and prisons should be routine.
  • The need for education and training in the diagnosis and effective treatment of gambling problems must be addressed within GP training. Furthermore, GPs should screen for problem gambling in the same way that they do for other consumptive behaviours such as cigarette smoking and alcohol drinking. At the very least, GPs should know where they can refer their patients with gambling problems to.
  • Research into the efficacy of various approaches to the treatment of gambling addiction in the UK needs to be undertaken and should be funded by GambleAware.
  • Treatment for problem gambling should be provided under the NHS (either as standalone services or alongside drug and alcohol addiction services) and funded either by gambling-derived revenue (i.e., a ‘polluter pays’ model).
  • Given the associations between problem gambling, crime, and other psychological disorders (including other addictions), brief screening should be routine for gambling problems should be carried out in alcohol and drug treatment facilities, mental health centres and outpatient clinics, as well as probation services and prisons.
  • Education and prevention programmes should be targeted at adolescents along with other potentially addictive and harmful behaviours (e.g., smoking, drinking, and drug taking) within the school curriculum.

As I have tried to demonstrate, problem gambling is very much a health issue that needs to be taken seriously by all in the medical profession. General practitioners routinely ask patients about smoking and drinking, but gambling is something that is not generally discussed. Problem gambling may be perceived as a grey area in the field of health. If the main aim of practitioners is to ensure the health of their patients, then an awareness of gambling and the issues surrounding it should be an important part of basic knowledge in the training of those working in the health field.

Gambling is not an issue that will go away. Opportunities to gamble and access to gambling have increased due to the fact that anyone with Wi-Fi access and a smartphone or tablet can gamble from wherever they are. While problem gambling can never be totally eliminated, the Government must have robust gambling policies in place so that potential harm is minimized for the millions of people that gamble. For the small minority of individuals who develop gambling problems, there must be treatment resources in place that are affordable and easily accessible.

(N.B. This is a longer version of an article that was originally published in The Conversation)

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

Further reading

Auer, M. & Griffiths, M.D. (2013). Behavioral tracking tools, regulation and corporate social responsibility in online gambling. Gaming Law Review and Economics, 17, 579-583.

Griffiths, M.D. (2003). Problem gambling. The Psychologist: Bulletin of the British Psychological Society, 16, 582-584.

Griffiths, M.D. (2004). Betting your life on it: Problem gambling has clear health related consequences. British Medical Journal, 329, 1055-1056.

Griffiths, M.D. (2006). The lost gamblers: Problem gambling. Journal of the Royal Statistical Society, 3(1), 13-15.

Griffiths, M.D. (2007). Gambling Addiction and its Treatment Within the NHS. London: British Medical Association

Griffiths, M.D. (2017). Gambling regulation from a psychologist’s perspective: Thoughts and recommendations. In Gebhardt, I. (Ed.), Glücksspiel – Ökonomie, Recht, Sucht (Gambling – Economy, Law, Addiction) (Second Edition) (pp. 938-944). Berlin: De Gruyter.

Meyer, G., Hayer, T. & Griffiths, M.D. (2009). Problem Gambling in Europe: Challenges, Prevention, and Interventions. New York: Springer.

Idol thoughts: What links the Velvet Underground and the Beatles?

Regular readers will know that I love music and that two of my favourite bands include the Beatles and the Velvet Underground (both of who I have written blogs about including the VU’s lead singer Lou Reed, as well as blogs here, here, and here). Many would argue that the two bands couldn’t have been further apart musically especially given the Velvet Underground’s reputation as an ‘extreme’ band. However, I thought I would try and gather stories, anecdotes, and make my own observations on where the music and lives of members of the two bands connected in some way. Most of you reading this will know the four members of the Beatles (John Lennon, Paul McCartney, George Harrison, and Ringo Starr) but some of you may not know the original Velvet Underground members (Lou Reed, John Cale, Sterling Morrison, and Moe Tucker, plus Nico as vocalist on three songs on their first LP). These are presented in no particular order although towards the end of the list, the associations become more tenuous.

  • Both bands released their seminal LPs in 1967 (Sgt. Pepper’s Lonely Hearts Club Band by the Beatles and Velvet Underground and Nico by the Velvet Underground). Both of the covers were designed by ‘pop artists’ (Peter Blake and Andy Warhol, the latter being VU’s manager at the time) and both are regarded as iconic LP cover art. The Velvet Underground were in the minority who didn’t like Sgt. Pepper and John Cale dismissed the LP as a “theatrical statement”. Lou Reed went even further and was quoted as saying “I never liked The Beatles. I thought they were garbage”.
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  • In 1993, Richard Witts (who before being an academic was the lead singer in one of my favourite 1980s band The Passage, and who I wrote about in a previous blog), published a biography about Velvet Underground vocalist Nico (Nico: The Life & Lies of an Icon). Witts claimed that in 1967 (May 19), Nico attended one of Beatles’ manager Brian Epstein’s private parties where he previewed the Pepper for the British media. Nico said in Witts’ book that: “There is a song I liked on Sgt. Pepper, called ‘A Day in the Life. It has a beautiful song and then this strange sound like John Cale would make (he told me it was an orchestra, actually) and then this stupid little pop song that spoils everything so far. I told this to Paul [McCartney], and I made a mistake, because the beautiful song was written by John Lennon and the stupid song was written by Paul. It can be embarrassing when you speak the truth.” Witts book also claimed that Nico briefly stayed with Paul McCartney at his London home during this particular May visit.
  • In 1968, both the Beatles and the Velvet Underground released eponymous LPs (i.e., The Beatles by the Beatles and The Velvet Underground by the Velvet Underground). The eponymous Beatles LP is usually referred to as the ‘White Album’ and the eponymous Velvet Underground LP is sometimes referred to as the ‘Grey Album’. The other LP that the Velvet Underground released in 1968 (i.e., White Light/White Heat) was an all-black cover apart from the name of the group and the album title in white whereas the Beatles eponymous album was completely white apart from the name of the album in black). This is sometimes refereed to ‘The Black Album’.
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  • According to a number of Lou Reed’s biographers, the Beatles’ manager Brian Epstein really liked the Velvet Underground’s debut LP and (like David Bowie) was given a promo copy before it had actually been released. Epstein was approached by Steve Sesnick (the Velvet Underground’s manager after Andy Warhol) who contacted him hoping to get a deal for Velvet Underground songs with Epstein’s publishing company. It has also been claimed that Epstein was setting up a European tour for the Velvet Underground but Epstein died just before the contracts were signed (in fact Epstein died on my first birthday, August 27, 1967). According to Richie Unterberger (author of the excellent book White Light, White Heat: The Velvet Underground Day-By-Day), Reed actually met Epstein: “In a semicomic incident, Lou Reed himself met Brian Epstein around spring 1967 when, at publicist Danny Fields’s instigation, Reed finagled a cab ride with the Beatles manager in New York in the hopes that some interest in the VU’s affairs might be ignited. Evidently nothing came of it, however, other than Epstein sharing a joint with Reed and telling Lou how much he liked the banana album”.
  • Lou Reed was a long-term client/patient of German (but New York-based) Dr. Robert Freymann. Freymann (also known as ‘Dr. Feelgood’) was the subject of the 1966 Beatles song ‘Dr. Robert’ on their Revolver.
  • Both bands have individuals that are often claimed to be the ‘fifth member’. There are the ‘fifth Beatles’ (George Martin, Brian Epstein, Mal Evans, Billy Preston) and the ‘fifth VU member’ (Nico, Billy Yule, Andy Warhol).
  • Anthony DeCurtis (author of the 2017 biography Lou Reed: A Life) speculates that Lou Reed’s song ‘The Day John Kennedy Died’ includes lyrics that are conflated with Reed’s memories of the day John Lennon died. More specifically, Reed wrote that he heard about Kennedy’s death while watching an American football match but there was no game on that day (12.30pm on November 22, 1963). However, on the day John Lennon died, sports broadcaster Howard Cosell announced that Lennon had been shot dead during his evening TV programme Monday Night Football.
  • Lou Reed’s 1980 LP Growing Up In Public was recorded in Monserrat at Beatles’ producer George Martin’s studio.
  • The Velvet Underground’s first manager, the rock journalist Al Aronowitz, was the man who first introduced the Beatles to Bob Dylan on August 28, 1964 (and George Harrison became Dylan’s life-long friend and were both in the Traveling Wilburys).
  • Both ‘leaders’ of the Beatles and Velvet Underground wrote songs about heroin use from a personal perspective (‘Cold Turkey’ by Lennon and ‘Heroin’ by Reed). Other members of both bands experienced alcoholism (Ringo Starr and John Cale), and almost all members of both bands dabbled in various drug use (some very heavily) in the 1960s and 1970s.
  • Lou Reed and John Lennon have both collaborated with David Bowie. Bowie produced Reed’s album ‘Transformer‘, sang on the track ‘Hop Frog’ (on The Raven LP), and and sang live on stage together in 1972 and 1997 (at Bowie’s 50th birthday concert at Madison Square Garden). Bowie co-wrote his No.1 US hit ‘Fame‘ with Lennon at the end of the Young Americans LP sessions (and in a previous blog, I looked at other associations between Bowie and the Beatles). John Cale also collaborated on two songs with Bowie (‘Velvet Couch’ and ‘Piano-la’) but these were never officially released and are only found on bootlegs).
  • In the song ‘Rooftop Garden’ (the song that closes Reed’s Legendary Hearts LP), Reed used the line ‘Sitting in my rooftop garden, waiting for the sun’ in which he swapped the word ‘English’ for ‘rooftop’ from the line in ‘I Am The Walrus’.
  • Both Lou Reed and Ringo Starr appeared as guests on the 1985 anti-apartheid protest song ‘Sun City’ single and accompanying video put together by Steven Van Zandt. Reed and Starr were also both inducted into the US ‘Rock ‘n’ Roll Hall of Fame’ in 2015.
  • In 2011, Lou Reed and Paul McCartney both appeared on the same tribute album (Rave On) to Buddy Holly. Reed sang ‘Peggy Sue‘ and McCartney sang ‘It’s So Easy‘ (and McCartney earned money from both as he owns Holly’s back catalogue).
  • Both Lou Reed and George Harrison have been heavily influenced in their lives by various aspects of Buddhism.
  • Both John Lennon and Lou Reed spent the last decade of their lives living in New York (although Reed never lived in anywhere but New York) and both released albums with New York in the title (Some Time in New York City by Lennon and New York by Reed).

 

 

 

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

Further reading

Bockris, V. & Malanga, G. (1995). Up-tight – The Velvet Underground Story. London: Omnibus Press.

DeCurtis, A. (2017). Lou Reed: A Life. London: John Murray.

Davies, H. (2009). The Beatles: The Authorised Biography. London: Ebury.

Doggett, P. (1991). Lou Reed – Growing Up in Public. London: Omnibus Press.

Henry, T. (1989), Break All Rules! Punk Rock and the Making of a Style, Ann Arbour MI: UMI Research Press.

Hare, R. D., & Vertommen, H. (2003). The Hare Psychopathy Checklist-Revised. Multi-Health Systems, Incorporated.

Heylin, C. (2005). All Yesterday’s Parties – The Velvet Underground In Print 1966-1971. Cambridge, MA: Da Capo Press.

Hogan, P. (2007). The Rough Guide To The Velvet Underground. London: Penguin.

Hogan, P. (2007). The Dead Straight Guide To The Velvet Underground. London: Red Planet.

Jovanovich, R. (2010). The Velvet Underground – Peeled. Aurum Press.

Kostek, M.C. (1992). The Velvet Underground Handbook
. London: 
Black Spring Press.

Lewisohn, M. (1990). The Complete Beatles Chronicle. London: Harmony Books.

McNeil, Legs; McCain, G. (1996). Please Kill Me: The Uncensored Oral History of Punk. London: Grove Press.

Muggleton, D. & Weinzierl, R. (2003). The Post-Subcultures Reader. Oxford: Berg.

Norman, P. (2011). Shout! the Beatles in their generation. New York: Simon and Schuster.

Reed, L. (1992). Between Thought and Expression. 
London:  Penguin Books.

Unterberger, R. (2011). White Light, White Heat: The Velvet Underground Day-By-Day. London: Edition Olms.

Wall, M. (2013). Lou Reed: The Life. Croydon: Orion Books.

Witts, R. (1993). Nico: The Life & Lies of an Icon. London: Virgin Books.

 

Stammer time: A brief look at psellismophilia

Over the Christmas holiday I received a notification from Google to say that my work on sexual paraphilias had been cited in an article entitled ‘Forget feet, meet the fetishists turned on by insects, stuttering and stairs’ on the Shoofee website. The article was a brief overview of seven paraphilias and fetishes, and many of those listed referred readers to articles on my personal blog. Of the seven listed, I had already written articles on six of them but I had never done one on the seventh – psellismophilia.

According to Dr. Anil Aggrawal in his 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices, psellismophilia is a paraphilia that involves becoming sexually aroused by stuttering. Psellismophilia is another paraphilia whose name has been derived as being the opposite of a specific phobia (i.e., psellismophobia, an irrational and persistent fear of stuttering). According to the Massive Phobia website, the root word ‘psellismo’ is the Greek word for ‘stammering’. The Phobia Source website notes stuttering as:

“A speech disorder wherein sounds, syllables or words are repeated or prolonged and this disrupts the normal flow of speech. This affects a person’s quality of life because people find it difficult to communicate with others and people might have also a hard time understanding people who stutter or might find it even annoying. Stuttering can be a source of ridicule and humiliation and this can lead to a full blown phobia called psellismophobia…We must remember that stuttering is not equivalent to lack of intelligence. In fact, most people who stutter are extremely intelligent and is said to be that their brains process their thoughts too fast and their speech can’t cope up with their thoughts”.

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As with any human behaviour that I know little about, I first did a search on Google Scholar and found that no article had ever been written on the topic. I then did a simple search on Google and again found that no articles had ever been done on the behaviour. However, there were plenty of articles that mentioned it in passing including articles in The Huffington Post (‘46 sexual fetishes you’ve never heard of’), Crave Online (‘15 bizarre sexual fetishes you’ve probably never heard of’), The Buzz (‘15 bizarre/disgusting sexual fetishes you’ve probably never heard of!’), The Thrillist (‘20 bizarre sexual fetishes you never knew existed’), The Sex Health Mag (‘The 10 strange sexual fetishes you’ve probably never heard of’), The Hook Mag (‘20 of the most f**ked up sexual fetishes you’d prefer not to know about’), and The Inked Mag (‘50 shades of weird. 49 of the most bizarre sex fetishes!’). Not one of these articles had anything more than a one-line definition (typically describing the condition as an abnormal affection and/or love for stuttering). The article in Shoofee, did offer a little more in the way of explanation:

“Stuttering affects one percent of the world’s population and many sufferers find themselves the butt of jokes. But if they were to come across a psellismophiliac they could find that their speech is an instant aphrodisiac, for this is a fetish which involves arousal to stuttering. Natalie, a 22-year-old psellismophiliac, explained her condition on an online psychology forum. ‘I feel like I can’t date regularly because I won’t be sexually interested in anyone who doesn’t have a stammer,’ she wrote. Natalie added that when she mentioned it to boyfriends they tried to pretend to stutter but she said it failed to arouse her like the real thing”.

Given the complete lack of information on whether there are individuals who are sexually aroused by stuttering I began trawling various online forums and began to find individuals who confessed online that stuttering was something they found sexually arousing (or claim to know those who are). Obviously I have no way of knowing the veracity of the claims made, but most appeared to be genuine to me. Here are some extracts:

  • Extract 1: “I am a girl who finds listening to a guy stutter and struggle extremely sexy… no there is very little on the internet about it, guess there’s not many of us out there, but you’re not alone” (Lickerish, female, heterosexual).
  • Extract 2: “I’m a guy who gets turned on by listening to a girl stutter, and I’ve never been able to figure out why…There’s hardly anything on the internet about it, other than this thread and a few random ‘stuttering is sexy’ one-liners on other sites…But yeah, there are a few of us out there, and it’s interesting to know that it’s not limited to just one gender” (Wireless Mike, male, heterosexual).
  • Extract 3: “I’ve had this fetish for years (I’m 31 now), but it’s been getting stronger and stronger. I’m a gay guy attracted to other guys who stutter. I’ve met a couple of guys locally and a couple more over Skype. We are still friends with [three] of them – we just drifted apart with the other one since time zones don’t work to our advantage. But I find myself wishing I had more friends who stutter to talk to. It’s both a sexual thing and a non-sexual thing… in some ways I prefer chatting with guys who stutter than fluent guys…Does anyone else feel the same? It’s frustrating that I have to work so hard to convince others I’m not crazy” (Jay, male, gay).
  • Extract 4: “I had a chick ask me to stutter on her nether regions once. It’s about the closest I’ve seen of a “stuttering fetish” (Zachary, male, heterosexual).
  • Extract 5: “I have [a stutter fetish]. I’m female and I like men, but I have this fetish for males and females. I’ve never written this before. Certainly never said it” (Spector, female, bisexual).
  • Extract 6: “I don’t have personal experience with people fetishizing stuttering, but I’ve seen it, particularly in smutty fanfiction with ‘nervous’ submissive characters” (Croagunk, male, sexuality unknown).
  • Extract 7: “I once dated a girl who confessed during our brief relationship that she thought my stutter was ‘cute’. I’m pretty sure she was into ‘different’ kinds of guys. She would always bring it up and stare at my mouth. It was like a fetish. It was like she had a thing for disabled guys! I broke up with her not because I didn’t like her, just because it freaked me out. Made me feel really uncomfortable” (priateproducer, male, heterosexual).
  • Extract 8: The stutter can be sexy. The thing of gasping for air; moving tongues; flailing lips; breathing. These are sexual motions, these are movements of the mouth, the delicate lips, the waving of the soft tongue. To stutter is to wave the soft flesh of the face in rapid succession…Thinking about stuttering as an intimate act, akin to being naked, may change its constructed meaning and turn it into a moment of closeness with our community” (Zach, male, sexuality unknown)
  • Extract 9: “I am a guy who likes guys, and consider myself to have a stuttering fetish…It’s true that there isn’t much [online about] this, but I’ve spoken to 4 or 5 other guys (through the net and on the phone/skype occasionally) who also share this – so I’m not the only one!…I can’t quite explain it, but I really like guys who stutter. Let me say that it has to be more than just that to like a guy, but it helps!…For me, the more severe the stutter the more attractive it is. I’ve spoken to a quite a few guys who stutter and I’ve always been open about this. Some just find it strange or think I’m kidding, but most are really open and relieved to find someone who doesn’t have an issue with it. For me it’s not as simple as just a ‘fetish’, I’ve read a lot about it and can understand a lot about it. I’ve also talked to a couple of guys who like to pretend (even though they’re completely fluent otherwise) and I find that interesting too” (Jay, male, gay).
  • Extract 10: “I have a stuttering fetish…I look for videos of stuttering online to watch. The more severe the stutter, the more struggle and secondary characteristics, the better. I stuttered pretty badly as a child, and occasionally still do…It’s nice to know I’m not the only one” (eglorae, gender and sexuality unknown).
  • Extract 11: “I’m new on this forum so I was just only browsing and saw the stuttering topic and it immediately caught my attention so…yes I guess I have a soft spot for guys who stutter. It’s not quite a fetish, but I find it really cute and sexy. I used to [have] a crush on a guy when I was like 14 years old and he was a stutterer, oh his speaking was so hot!” (Alexandra, female, heterosexual).
  • Extract 12: “Wow, I thought I was the only one and that I was odd! I’m a guy who finds stuttering really sexy in women. No idea why…It’s just something I discovered that I like. I’d love to talk…with some girls who stutter but it seems very unlikely!” (emmanola, male, heterosexual).
  • Extract 13: “I have to tell you, that some of the guys I have met have found it an absolute turn on for them. During intimate moments my stuttering gets a lot worse which can send some guys crazy, although admittedly it is a very small number. I never thought it as being a fetish though, but maybe it is. I can’t say that anyone I have met has been actually looking for someone that stutters but rather looked at is a bonus when they found someone that did” (Kenny, male, gay).
  • Extract 14: “I stutter and it is a BIG turn-on for me. It’s nice to know that I’m not the only one. I would love to talk to another stutterer – especially one who thinks it’s a turn-on” (Stutteringdude, male, gay).

Based on these online self-confessions, a few things can be concluded. Obviously I have no idea about whether these are in any way representative of those individuals who like those that stutter, but if it is a genuine fetish or paraphilia (and some of these individuals claim it is something they like strongly or have a preference for rather than it being a fetish as such), the behaviour appears to prevalent in both men and women and not be associated with one particular sexual orientation as it was described by those both gay and straight. Very few appear to know where their fetish for stuttering originates although some describe memories from adolescence and being sexually aroused in the formative stages of sexual development. Most see the fetish as something that they have kept to themselves without ever having talked to others about it. Some appear to be glad that they ‘are not alone’ in having the fetish and find comfort in hearing others’ stories. Some individuals went as far to offer explanations for the fetish or what it’s not about.

  • Extract 15: ‪I think I know what attracts [people] to the stutter. I think it’s most likely the tonality of a stutter. They raise in pitch, repeat syllables that sometimes mirror those of an orgasm or basic sexual moaning. I honestly do think you might find something a bit erotic about how similarly a stutter can mimic that of sexual moan…even the facial expressions made” (aimoo182, gender and sexuality unknown).
  • Extract 16: “I’ve also read a bit about stuttering and can understand a lot more than your average guy. I’ve been asked if it’s a [domination] thing…it’s not. I’d happily dom or be dommed by a guy who stutters. Or just hold a nice conversation. It doesn’t matter” (Jay, male, gay).

My own view is that most fetishes and paraphilias appear to begin developing in early adolescence and that classical conditioning (i.e., associative pairing between sexual arousal and the non-sexual stimulus, in this case the stuttering) is an important part of the acquisition process. Little of what I found fits my opinion on this but that’s more because the individuals themselves have little insight to their own behaviour and how the fetish manifested itself. Whether psellismophilia ever becomes the focus of serious academic study remains to be seen but I doubt that it will unless any negative consequences arise from the behaviour (and I have come across nothing suggesting that the condition – if it genuinely exists – is any way detrimental).

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.

Gates, K. (2000). Deviant Desires: Incredibly Strange Sex. New York: RE/Search Publications.

Love, B. (1992). Encyclopedia of Unusual Sex Practices. Fort Lee, NJ: Barricade Books.

Sexed text and lust discussed: Another brief look at cybersex

The advent of the Internet has enabled people’s engagement in a wide variety of online sexual behaviors. The Internet can provide a “safe” space for sexual exploration that presents less physical and social danger than offline activities, and may also provide access to a social community and a support system for non-normative gender and sexual expression (e.g., sexual fetishes and paraphilias). Additionally, a small minority of people may use the Internet excessively to engage in cybersex. Rather than being complementary, their use of cybersex may become a substitute for their offline sexual lives. For a small minority, their behaviors may take on addictive qualities that can be indicative of an online sexual addiction.

I noted in a number of papers that I published in the early 2000s (e.g., Journal of Sex Research [2001] and CyberPsychology and Behavior [2000]; see ‘Further reading’ below) that the Internet can be – and has been – used for a number of diverse activities surrounding sexually motivated online behavior. These include the use of the Internet for (i) seeking out sexually related material for educational use, (ii) buying or selling sexually related goods for further use offline, (iii) visiting and/or purchasing goods in online virtual sex shops, (iv) seeking out material for entertainment/masturbatory purposes for use online, (v) seeking out sex therapists, and (vi) seeking out sexual partners for an enduring relationship.

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Other sexually motivated uses of the Internet include (i) seeking out sexual partners for a transitory relationship (i.e., escorts, prostitutes, swingers) via online personal advertisements/“lonely hearts” columns, escort agencies, and/or chat rooms, (ii) seeking out individuals who then become victims of sexually related Internet crime (online sexual harassment, cyberstalking, pedophilic “grooming” of children), (iii) engaging in and maintaining online relationships via email and/or chat rooms, (iv) exploring gender and identity roles by swapping gender or creating other personas and forming online relationships, and (v) digitally manipulating images on the Internet for entertainment and/or masturbatory purposes (e.g., celebrity fake photographs where heads of famous people are superimposed onto someone else’s naked body)

More recently, in a 2012 issue of the journal Addiction Research and Theory, I noted that online sexual behaviors can be classified as either cybersexual consumption (i.e., downloading and watching sexual content online such as pornography or reading sexual content in forums/chat sites without actively participating), or cybersexual interaction with others (e.g., text-based chat and/or video-linked conversations). Either of these types of online behavior may be accompanied by concurrent masturbation. Furthermore, online activities with a sexual component can be problematic for some because (1) they manifest sexual desires that the person (or their offline sexual partner) disapprove of or feel guilty about; (2) they divert (or distort) sexual energy from offline sexual behavior; and (3) the search for the ideal online sexual material may take up a great deal of time. Therefore, it appears necessary to distinguish not only between consumptive and interactive cybersex, but also between “normal” and “deviant” online sexual behaviors.

The late 1990s and early 2000s experienced a proliferation of studies investigating how human sexual behavior is enacted on the Internet. Some scholars (such as James Quinn and Craig Forsyth in a 2005 issue of the journal Deviant Behavior) claimed that technology transformed vicarious sex into an increasingly viable and attractive substitute for interpersonal forms of sexual fulfilment. Such an assertion suggests that a minority of cybersex users may use the Internet as a substitute for offline behaviours. It also suggests that what happens online may be very fulfilling for some people.

Sex on the Internet is particularly viable because of the inherent qualities of the Internet that the late Dr. Al Cooper referred to as the ‘Triple A Engine’ (access, affordability and anonymity). The online world, including explicit sexual material as well as potential online and offline sexual partners, can be accessed anytime and anywhere. Most of the time, sexual activities can be pursued at virtually no cost online, a point that demarcates online sex from offline sex, considering the expenditures involved in buying sex tapes or paying for sex workers. In comparison, the costs for bandwidth access are relatively low.

As an adaptation to Dr. Cooper’s Triple A Engine, Dr. Kimberley Young and colleagues proposed the ACE model, incorporating anonymity, convenience, and escape as factors salient to the Internet. These factors facilitate the engagement in sex by decreasing the inhibition thresholds present in offline sexual relations. Not only is a person anonymous online, but the Internet is ubiquitous and it can be accessed conveniently from a safe base, such as the person’s home.

Compared to offline sex, the Internet appears to offer the possibility to engage in cybersex anytime and anywhere for little financial cost. Therefore, research studies have found individuals are more likely to engage in risky sexual behaviors on the Internet rather than offline. The lower threshold associated with perceived lower risks of engaging in online sex may therefore increase the chance of persons who are at risk for developing sex addiction offline to actually develop sex addiction on the Internet. Empirical studies have increased our understanding of specific online sexual activities (e.g., Internet sex addiction). Here, the distinction between people who use Internet sex to improve their offline sex life and those who use it as a substitution may play an important role. Furthermore, cross-cultural differences point to the fact that the sociocultural context plays an important role in influencing people’s attitudes toward sexual behaviors.

In line with this, two potential scenarios materialize. First, one might assume that as views of sex are relatively liberal in some cultures relative to other more conservative cultures, members of the former may be more likely to engage in sex on the Internet because they have more open attitudes toward sexuality in general. Alternatively, particularly because some cultures are relatively conservative when it comes to sex, their members could potentially be more likely to engage in cybersex in order to compensate for the lack of freedoms in expressing their sexuality offline.

Note: This article used material previously published in the following book chapter: Griffiths, M.D. (2016). Internet sex. In Naples, N.A. (Ed.), The Wiley-Blackwell Encyclopedia of Gender and Sexuality Studies. Chichester: Wiley. DOI: 10.1002/9781118663219.wbegss408

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

Further reading

Cooper, A. (1998). Sexuality and the internet: Surfing into the new millennium. CyberPsychology and Behavior, 1, 187–193.

Dhuffar, M. & Griffiths, M.D. (2015). A systematic review of online sex addiction and clinical treatments using CONSORT evaluation. Current Addiction Reports, 2, 163-174.

Griffiths, M.D. (2000).  Excessive internet use: Implications for sexual behavior. CyberPsychology and Behavior, 3, 537-552.

Griffiths, M.D. (2001). Sex on the internet: Observations and implications for internet sex addiction. Journal of Sex Research, 38(4), 333–342.

Griffiths, M.D. (2004). Sex addiction on the Internet. Janus Head: Journal of Interdisciplinary Studies in Literature, Continental Philosophy, Phenomenological Psychology and the Arts, 7(2), 188-217.

Griffiths, M.D. (2012). Internet sex addiction: A review of empirical research. Addiction Research and Theory, 20, 111–124.

Griffiths, M.D. (2016). Compulsive sexual behaviour as a behavioural addiction: The impact of the Internet and other issues. Addiction, 111, 2107-2109.

Griffiths, M.D. & Dhuffar, M. (2014). Treatment of sexual addiction within the British National Health Service. International Journal of Mental Health and Addiction, 12, 561-571.

Quinn, J.F. & Forsyth, C.J. (2005). Describing sexual behavior in the era of the Internet: A typology for empirical research. Deviant Behavior, 26(3), 191–207.

Van Gordon, W., Shonin, E., & Griffiths, M.D. (2016). Meditation Awareness Training for the treatment of sex addiction: A case study. Journal of Behavioral Addictions, 5, 363–372.

Young, K., Pistner, M., O’Mara, J. & and Buchanan, J. (1999). Cyber-disorders: A mental health concern for the new millennium. CyberPsychology and Behavior, 3(5), 475 – 479.

 

The born identity: Can online gaming help people with gender dysphoria?

About a year ago, my colleagues and I published what we believe is the very first study of the helping role that video gaming can play in the lives of transgender individuals. Before I get to that, it’s probably worth noting that there have been studies of how gamers and fans play with sexuality, gender, and the video game Minecraft on YouTube as well as papers discussing whether the gaming industry should cater for marginalized groups and develop games for groups where there is little representation within games (e.g., gay and transgendered characters). For instance, there is now a short autobiographical game by Auntie Pixellante called Dys4ia. This is a WarioWare-style game, played only with the arrow keys, chronicling the experiences of a trans woman rectifying her own gender dysphoria. Such videogames raise interesting questions about how those individuals with gender dysphoria utilize gaming as part of their identity.

In a previous blog I briefly looked at gender swapping in online video games including some of my own research. For instance, in 2003 I published a paper in the journal CyberPsychology and Behavior using secondary poll data from online gaming forums. The paper reported that of 10,350 players at the Everlore fan site, 15% had swapped the gender of their main in-game playing character. We also reported a similar finding among 8,694 players at the Allakhazam fan site with 15.5% reporting that they had gender swapped their main in-game character (and more specifically, 14.5% males and 1% were females who had changed the gender of their lead character). In a 2004 follow-up survey among 540 Everquest gamers (again in the journal CyberPsychology and Behavior) my colleagues and I reported that 60% had swapped their online in-game characters. The prevalence of gender swapping was probably much higher in this study because the question related to the gender swapping of any online game character not just their main playing character.

In a small exploratory study I published in 2008 with Dr. Zaheer Hussain in the International Journal of Mental Health and Addiction, we examined why people engaged in gender swapping in a self-selecting sample of 119 online gamers (mean age of 28.5 years). We reported that 57% of gamers had engaged in gender swapping (any character not just their main character), and that males adopting an online female persona believed there were a number of positive social attributes to becoming female characters in male-oriented gaming environments. The study also reported that significantly more females than males had gender swapped their character – mainly to prevent unsolicited male approaches on their female characters. Some females appeared to gender swap purely out of interest to see what would happen in the game (as a personal experiment), while others claimed that they were treated more favourably by male gamers when they played as a male character. Others reported that gender swapping enabled them to play around with aspects of their identity that would not be possible to explore in real life. Other reasons for gender swapping were that (i) female characters had better in-game statistics, (ii) some specific tools were only available with female characters, (iii) the class of character was sometimes only available in one gender, (iv) they played for fun, and/or (v) they did it to so something that they would not normally do in the game (i.e., they did it for a change in their usual playing behaviour).

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Outside of online gaming, a 2002 paper by Hegland and Nelson in the International Journal of Sexuality and Gender Studies noted that the Internet more generally can be used as a tool for expressing gender identity because it allows identities to cross cultural boundaries instantly and without regard for real physical space. They examined 30 cross-dressing websites and argued that for most cross-dressers that visited such websites, the online forum was their primary medium of expression. The users of the website used the Internet to nurture the ability to create a feminine identity, and helped them to pass as a woman in the offline public world. More generally, cross-dressers used the Internet to participate in the larger cultural dialogue of gender.

For an adult to meet current criteria for a diagnosis of transsexualism, the World Health Organisation’s International Classification of Diseases (ICD) reports they must express the desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the desired sex through surgery and cross-sex hormones. This transsexual identity must have been present persistently for a minimum of two years and not be a symptom of another mental disorder or a chromosomal abnormality. The latest (fifth) edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) of the American Psychiatric Association uses the term gender dysphoria to describe people who are uncomfortable and/or distressed regarding their assigned gender, their physical sex characteristics and/or their associated social roles. Depending upon the intensity of this distress, some individuals may wish to transition from one point on a notional gender scale to another. The most common direction is from a man to a woman (individuals known as trans women), or from a woman to a man (individuals known as trans men). The distress intrinsic to gender dysphoria may be focused around anatomy, physiology, and/or being perceived and treated as someone of a gender with which the person does not identify. However, these diagnostic labels do not apply to all trans individuals for a multitude of reasons because some people will not identify themselves as a man or as a woman

The World Health Organisation working group has recommended that the latest ICD replace the term Transsexualism with Gender Incongruence) and remove it from the mental and behavioural disorders chapter. Gender incongruence denotes the incongruence between a person’s gender identity and their assigned sex and/or congenital primary and secondary sex characteristics. The terminology in this field has changed over the years and the terms ‘transgender’ and ‘trans’ have been used in the literature as umbrella terms to cover a wide variety of atypical gender experiences and expressions which may lead to permanent change of social gender role but does not necessarily involve treatment with cross-sex hormones or surgical intervention. A recent study has reported an prevalence for transsexualism of 4.6 in 100,000 individuals; 6.8 for trans women and 2.6 for trans men, which is primarily based on studies looking at individuals attending clinical services. (However, it should be noted that recent population studies have reported a significantly higher prevalence rate of atypical gender experiences and expressions).

The study we published in the journal Aloma originated from initial observations made by Dr. Jon Arcelus that a number of gender dysphoric clients presenting at the national (UK) gender dysphoria clinic admitted that they gender-swapped while playing online games. After I met with Dr. Arcelus I suggested he revisit his case files and and to write them up as case studies (as no study in the gaming field has ever examined online gaming among those with gender dysphoria). The main objectives of our study were to use exemplar case studies to highlight that gaming – in some circumstances – appears to be a functional way of dealing with gender identity issues, and that gender swapping in gaming may help such individuals to come to terms with their gender dysphoria.

Our paper featured four case studies who attended an assessment at the National Centre for Gender Dysphoria in Nottingham. All four individuals described in our paper were given pseudonyms and the content of their histories were anonymised (and included ‘Mary’ a 26-year old natal male who fully transitioned to the female social role six months prior to our study; ‘Mark’ a 20-year old natal female who first attended for an assessment in the female role; ‘Paul’ a 31-year old natal male who would like to be female, but still living full-time as a male; and ‘Harry’ a 23-year old natal male who presented for an assessment as a male). If you want to read about each case in detail, the paper can be downloaded for free from here).

The four case studies outlined in our paper are only a selected sample of the number of cases attending a national clinic for people with gender dysphoria. However, they were in no way unusual to the other clients that have sought help at the Centre. However, these individual accounts were specifically selected to demonstrate the different ways that video gaming may help people with gender dysphoria come to terms with their gender identity. For example, gaming can be used among trans people as a psychological tool to increase one’s awareness of gender identity and/or as part of the self. Gaming may therefore be a useful way to express one’s experienced gender identity in a safe, non-threatening, non-alienating, non-stigmatizing, and non-critical environment. This appears to mirror other the findings of other studies outside of the online gaming environment.

Articles published in the mass media have reported that online games such as World of Warcraft provide a creative space that allows gamers that might be questioning aspects of their identity to explore their lives as different individuals. Some have even gone as far as to argue that this could help gamers transform their ‘offline’ identity, as is the case with some trans gamers. This was also demonstrated in the case studies described in our study. Other authors have asserted that the online medium offers an infinite space for development and resistance to traditional gender roles, and that online interaction enables a transgression of the dichotomous categories of male and female, constructing trans (or even genderless) social identities and relationships. However, although such anonymous online communities may provide trans individuals with the power to subvert their physical sex.

Our case studies also demonstrated the different functions of gaming in trans people (e.g., the function of “testing out” their gender feelings). For instance, using gaming to ‘come out’ to other people, by initially coming out in the online community, which is perceived as a safe environment, and then gradually coming out in real life. Gaming, as for many non-trans individuals, can derive psychological benefits and a sense of escapism. This is even more relevant among trans people as it may be the only time that they feel they can be themselves, allowing them to feel happy, relaxed, and achieving a sense of completeness. This could develop into a powerful coping skill substituting unhealthy behaviours, such as self-harming behaviour. This is particularly important in this population as research shows a strong association between being trans and mental health problems, particularly depression and self-harm as a way to manage one’s trans feelings. This is not surprising as the discomfort and distress about assigned gender and body dissatisfaction may lead to a sense of hopelessness, which can bring low mood, self-injury and even suicide.

Although gaming appears (at least initially) to be a positive and beneficial activity for many trans people, there is also the risk that staying in the game becomes too much of a secure and safe environment. This can create a vicious circle where the trans person does not wish to move out of the secure online world, and back into reality. Spending an increasing amount of time in online gaming carries the risk of developing a gaming dependence or addiction. This may not only affect one’s personal relationships, work and/or study, but may also impair real life social gender role transition, as in many cases, the individual is expected to socially transition before they can be considered for treatment.

Obviously our paper only included four participants and may be perceived by some researchers as ‘anecdotal’ because the data were not collected for this specific study but were retrospectively collated. However, our findings showed that for a trans individual, the online gaming environment was perceived as “safe” but further research is needed to establish what the distinctive elements of online gaming are that help to raise gender awareness (or not as the case may be). With the rates of gender dysphoria attending clinical services increasing significantly, future research should investigate (i) the rates and severity of gaming among this population as well as its function, and (ii) the rates of gender dysphoria among game addiction as coming out may help their addiction. The game industry may also want to consider how they can use games as a way of helping trans people being more accepted within society by developing game industry may want to co-observe how their games can prepare and assist individuals to socially transition. Online games also provide a safe environment that provides people access to a platform where individuals can discuss and experiment with gender identity.

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

Further reading

Arcelus, J., Bouman, W. P., Witcomb, G. L., Van den Noortgate, W., Claes, L., & Fernandez-Aranda, F. (2015). Systematic review and meta-analysis of prevalence studies in transsexualism. European Psychiatry, 30, 807-815.

Arcelus, J., Jones, B., Richards, C., Jimenez-Murcia, S., Bouman, W.P. & Griffiths, M.D. (2017). Video gaming and gaming addiction in transgender people: An exploratory study. Journal of Behavioral Addictions, 6, 21–29.

Dale, L. K. (2014, January 23). How World of Warcraft helped me come out as transgender. The Guardian. Retrieved from http://www.theguardian.com/technology/gamesblog/2014/jan/23/how-world-of-warcraft-game-helped-me-come-out-transgender

Griffiths, M.D., Arcelus, J. & Bouman, W.P. (2016). Video gaming and gender dysphoria: Some case study evidence. Aloma: Revista de Psicologia, Ciències de l’Educació i de l’Esport, 34(2), 59-66.

Griffiths, M. D., Davies, M.N.O. & Chappell, D. (2003). Breaking the stereotype: The case of online gaming. CyberPsychology and Behavior, 6, 81-91.

Griffiths, M.D., Davies, M.N.O. & Chappell, D. (2004). Demographic factors and playing variables in online computer gaming. CyberPsychology and Behavior, 7, 479-487.

Griffiths, M. D., Kiraly, O., M. Pontes, H. M. & and Demetrovics, Z. (2015). An overview of problematic gaming. In Starcevic, V. & Aboujaoude, E. (Eds.), Mental Health in the Digital Age: Grave Dangers, Great Promise (pp.27-55). Oxford: Oxford University Press.

Fahs, B., & Gohr, M. (2012). Superpatriarchy meets cyberfeminism: Facebook, online gaming, and the new social genocide. MP: An Online Feminist Journal, 3(6), 1-40.

Hegland, J. E., & Nelson, N. J. (2002). Cross-dressers in cyber-space: Exploring the Internet as a tool for expressing gendered identity. International Journal of Sexuality and Gender Studies, 7(2-3), 139-161.

Huh, S., & Williams, D. (2010). Dude looks like a lady: Gender swapping in an online game. In Online worlds: Convergence of the real and the virtual (pp. 161-174). London: Springer.

Hussain, Z., & Griffiths, M. D. (2008). Gender swapping and socialising in cyberspace: An exploratory study. CyberPsychology and Behavior, 11, 47-53.

Lewis, A., & Griffiths, M. D. (2011). Confronting gender representation: A qualitative study of the experiences and motivations of female casual-gamers. Aloma: Revista de Psicologia, Ciencies de l’Educacio i de l’Esport, 28, 245-272.

McLean, L., & Griffiths, M. D. (2013). Female gamers: A thematic analysis of their gaming experience. International Journal of Games-Based Learning, 3(3), 54-71.

Osborne, H. (2012). Performing self, performing character: Exploring gender performativity in online role-playing games. Transformative Works and Cultures, 11. doi:10.3983/twc.2012.0411.

Potts, A. (2015). ‘LOVE YOU GUYS (NO HOMO)’ How gamers and fans play with sexuality, gender, and Minecraft on YouTube. Critical Discourse Studies, 12(2), 163-186.

Shaw, A. (2012). Do you identify as a gamer? Gender, race, sexuality, and gamer identity. New Media and Society, 14(1), 28-44

Taylor, T. L. (2003). Multiple pleasures women and online gaming. Convergence: The International Journal of Research into New Media Technologies, 9(1), 21-46.

Todd, C. (2012). ‘Troubling’ gender in virtual gaming spaces. New Zealand Geographer, 68(2), 101-110.

Story rebellion: A brief look at ‘news addiction’

Earlier this year, I was contacted by a BBC reporter asking me what the latest research on ‘news addiction’ was. I politely told him I was unaware of any such research and that if ‘news addiction’ existed, it would be more akin to ‘television addiction’ or ‘boxset bingeing’. About a month after that call, a paper on ‘news addiction’ was published in the Journal of the Dow University of Health Sciences Karachi by Pakistani psychologists Ghulam Ishaq, Rafia Rafique, and Muhammad Asif.

I have to admit that some might say I’m a bit of a ‘news junkie’. As soon as I get up in the morning or as soon as I come home from work I switch on the radio or television to listen to the news. However, I do not consider my love of listening to the news to be an addiction, and I suspect most people like me wouldn’t either. Of course, there are now other ways for individuals to get their ‘news fix’ including thousands of online news sites and via social media which is why Ishaq and his colleagues decided to look at the construct of ‘news addiction’. They claimed that:

“People are persuaded towards news. Similarly, engrossment of certain individuals in any domain from politics, sports, global issues, arson or terrorism can also promote news habituation or addiction and intensify inspection towards news. News addiction comes under the term behavioral-related behavior…When somebody interacts with news, this gives him/her satisfying feelings and sensations that he/she is not able to get in other ways. The reinforcement an individual gets from these feelings compels him to repeat their behavior to get these types of feelings and sensations repeatedly… eventually causing a disturbance in every sphere of life… individuals who are addicted to news feel themselves much obsessed to check the news in uncontrollable ways”.

Screen Shot 2017-12-04 at 16.42.08Theoretically there is no reason why individuals cannot be addicted to reading and/or listening to the news as long as they are being constantly rewarded for their behaviour. In fact, the authors used some of my papers on behavioural addiction more generally to argue for the construct of ‘news addiction’ as a construct to be empirically investigated. In their study, Ishaq and colleagues wanted to examine the relationship between (the personality construct of) conscientiousness, neuroticism, self-control, and news addiction. Conscientiousness is a personality trait and refers to individuals who are orderly, careful, and well organised. Neuroticism is another major personality trait and refers to individuals who have high mental instability such as depression and high anxiety. The researchers hypothesised that there would be negative correlation between conscientiousness and news addiction, and that neuroticism would be positively correlated with news addiction.

To test their hypotheses, a survey was completed by 300 participants (aged 18 to 60 years; average age 39 years) from major cities of the Punjab (Lahore, Multan, Bahawalpur, Faisalabad, Sargodha). The authors developed their own 19-item News Addiction Scale (NAS) although the paper didn’t give any examples of any of the items in the NAS. They also administered the ‘Big Five Inventory’ (which assesses five major personality traits – Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism). The study found that the hypotheses were supported (i.e., news addiction was positively correlated with neuroticism and negatively correlated with conscientiousness. Previous literature has consistently shown that there is relationship between personality traits and behavioural addiction. The findings of this study are very similar to those more widely in the general literature for both substance and behavioural addictions (which also show most addictions have a low correlation with conscientiousness and a high correlation with neuroticism). The authors also argued that:

“(The findings show that) self-control plays an active role [in] refraining from the instant pleasure of impulse that would hinder with daily functioning and attainment goals…[The] current study findings demonstrated that self-control acts as a mediating variable between conscientiousness, neuroticism and news addiction”.

They also reported that females had higher scores on neuroticism and conscientiousness and that males had higher scores on the News Addiction Scale. The authors also claimed that there was much similarity between social media addiction (although provided no evidence for this except to say that they were both examples of behavioural addiction).

There was no mention at all in the paper about how their participants accessed their news. I access most (but certainly not all) of my news via television and therefore if I was watching an abnormal amount of news on the television, this would more likely be a sub-type of television addiction or a sub-type of television binge-watcher (both of which have been reported in the psychological literature). If someone addictively accessed all their news online or via social media, this could perhaps come under more general umbrella terms such as ‘internet addiction’ or ‘social media addiction’.

However, things are further complicated by the fact that ‘news’ can be defined in a number of ways. In the study by Ishaq and colleagues, news was defined as a statement of specific information and facts and figures on any substantial event” but such a definition doesn’t take into account such things as political opinions and nor does it define what a ‘substantial event’ is. Given that this is the only study on news addiction that I am aware of, I’ll need a lot more research evidence before I am convinced that it really exists.

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

Further reading

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

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

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

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

Orosz, G., Vallerand, R. J., Bőthe, B., Tóth-Király, I., & Paskuj, B. (2016). On the correlates of passion for screen-based behaviors: The case of impulsivity and the problematic and non-problematic Facebook use and TV series watching. Personality and Individual Differences, 101, 167-176.

Sussman, S., & Moran, M.B. (2013). Hidden addiction: Television. Journal of Behavioral Addictions, 2(3), 125-132.

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

The wows of brows: Eyebrow fetishes and the naming of a new paraphilia

Over the years I have written about many different body part fetishes and paraphilias including a number involving human hair (or the lack of it). These have included individuals that are sexually aroused by (i) human hair in general but usually head hair (trichophilia/hirsutophilia), (ii) female body hair fetishism, (iii) beard fetishism (pogonophilia), (iv) haircut fetishism, (v) armpit hair fetishism (maschalagnia), (vi) depilation and shaving fetishism, and (vii) baldness fetishism (acomophilia). [I’ve also written articles about uncombable hair syndrome and hair dryer dependence].

The reason I mention all this was that a few months ago I got an email from a man asking if I had ever come across individuals with a fetish for eyebrow hair. He claimed he had a fetish for women with “big bushy eyebrows” and gave the example of Cara Delevinge (the model and actress who played the Enchantress June Moone in the film Suicide Squad). I wrote back to him and told him that I had never come across anyone but would have a look into it (and this blog is the consequence).

Unknown

As far as I am aware, not only is there no academic or clinical research on the topic of eyebrow fetishes, but there aren’t even any articles (this I believe is the first ever article on the topic). There was nothing between in Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices and nothing in Dr. Anil Aggrawal’s Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices. Eyebrows weren’t even mentioned in the list of fetishized body parts in Dr. C. Scorolli and colleagues’ excellent paper on the prevalence of fetishes in their 2007 paper in the International Journal of Impotence Research (a study I have cited countless times in relation to my blogs on other sexualized body parts).

As a final resort I went searching on the internet but was unable to locate a single online forum that was dedicated to those who have eyebrow fetishes. However, I did locate a few individuals that claimed they had eyebrow fetishes (or at least some behaviour indicative of some kind of eyebrow fetish). Here are a few examples:

  • Exract 1: “I’m not that attracted to a lot of girls. I mean yeah there’s hot girls but [I’m just not] into them. ([I’m] not gay). But I’ve notice the girls I am interested are while girls with thick wavy eyebrows and I admire those, and yeah the girls are pretty too. But I find it weird that I like eyebrows really much!
  • Extract 2: “I’m not sure, but I think people think I’m weird. I like to stare at other people’s eyebrows, sometimes I reach out to touch them but they run away…One time, I masturbated in class over Casey’s bushy brow and I squirted everywhere. The teacher and everyone were staring with a sort of disgusted look on their faces. I don’t know why though? Is this not normal?”
  • Extract 3: “Okay, is it weird that I find guys with really nice eyebrows sexy or when a guy has a nice beard, not puffy…like Adam Levin’s beard. AND WHEN A GUY HAS BOTH….YOU DON’T EVEN KNOW WHAT IT DOES TO ME…When a guy has nice eyebrows, I just want to fangirl over them and stare at them. Too bad, the guys my age don’t have nice eyebrows”
  • Extract 4: “I know I have [a nose and eyebrow fetish], and if someone doesn’t have a nose shape I like I just can’t be attracted to them – same with the eyebrows. It’s the weirdest thing, I could literally pet a man’s eyebrows for prolonged periods of time”.
  • Extract 5: “I have an eyebrow fetish for as long as I can remember…I’ve been through A LOT of different eyebrow stages, caterpillar eyebrows, Yankee eyebrows. Then came the flat eyebrows without much of an arch. And now I finally have eyebrows that people might say are normal”
  • Extract 6: “I have had a fetish with eyebrows. I can’t help but study a woman’s brows when we are talking or am looking at someone at a distance. I have been shaping my brows for over 20 years and over past 10 years my brows have gone from shaped to thin and even shaved off couple times smooth. Yes I said smooth. I currently have very thin eyebrows. Like 2-3 hairs wide from start to end. Usually they are a little thicker like maybe 5 hairs wide. My wife is a hairdresser and she waxes them every 2 weeks or so. I have worn them for a while clippered next to skin and thin. I wax my wife’s brows every 3 weeks but she likes a more natural look and arched. I did however get her to let me clipper cut them shorter so they were not so thick ‘n’ long. looks great now that they are shorter. My ex-wife allowed me to keep her brows fairly thin and that was great”.
  • Extract 7: “I love shaved naked eyebrows on ladies or very thin/pencil thin arched eyebrows on ladies. I think it is very sexy and unique. I myself very thin eyebrows. Like 3 hairs wide from start to finish. [I] have shaved them smooth several times while on vacation from work…I am attracted to ladies with very thin eyebrows. Just something I notice and love”.

Obviously I can’t vouch for the veracity of these quotes but they appeared to be genuine. However, based on the self-confessions I found, there is little in the way of definitive conclusions. All of the individuals appeared to be heterosexual and males were more likely than females to claim they had such a fetish (five of the seven extracts were by males). None of the information I found gave any clue as to the etiology of their love for eyebrows although no-one found their fetish in any way problematic. Two of the individuals said their fetish for eyebrows was not their only focus of sexual attraction (with noses and beards also being cited as an additional source of sexal arousal). Given the apparent rarity, I doubt that this type of fetish or paraphilia will ever be the topic of academic or clinical study.

Given the complete lack of scientific study relating to eyebrow fetishes I have decided to name a new paraphilia – if it exists – based on traditional nosology using the Greek words for ‘eyebrow’ (frýdi) and ‘love’ (philia) – thus this ‘new’ paraphilia is called frýdiphilia.

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.

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

Gates, K. (2000). Deviant Desires: Incredibly Strange Sex. New York: RE/Search Publications.

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

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

Out of sports: The influence of structural and situational characteristics in online sports betting

In a paper that I recently co-wrote in the Journal of Sport and Social Issues with Hibai Lopez-Gonzalez and Ana Estevez, we argued that the growing conversion of sports betting into an online activity has prompted two types of transformations in the way companies market their betting products. Firstly, the Internet has not only extended the opportunities to bet but has also changed the characteristics of the betting practice itself. Such product characteristics can be divided into two categories, namely situational and structural characteristics, that appear to be associated with factors influencing the onset and maintaining of betting as well as the difficulty of discontinuing it (the focus of this blog). Secondly, the online dimension has also enabled the proliferation of cross-marketing strategies leading to a convergence between previously independent markets or the tightening of the relationship between those with already established synergies (which I will examine in a future blog).

The internet has substantially transformed the situational and structural characteristics of sports betting. Situational factors comprise all environmental features that might make gamblers feel comfortable (both psychologically and physically) while gambling including sensory factors like colour, music, and smell in the environment, novelty of the activity, accessibility or proximity to a gambling venue, social facilitation and intrinsic association, which is defined as ‘the degree to which gambling is associated with other interests and attractions’.

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New situational factors in online sports betting include: (i) easier and faster accessibility to betting opportunities; (ii) ubiquity of bettable competitions around the globe and seamless availability of those competitions around the clock; (iii) anonymity (in terms of social stigma traditionally attached to gambling) and comfortable betting from home or elsewhere via mobile devices; (iv) greater social facilitation via online communities of bettors or betting leagues organized between groups of friends; and (v) an enhanced intrinsic association of sports betting with sporting values such as health, competition, team identification and loyalty, further facilitated by the proliferation of live sport content on television and social media.

Structural factors refer to the specific characteristics or design of the gambling activity such as win probability, sound and lighting effects of the game, bet frequency (how many bets a person can place in a given period of time), loss chasing facilitation (gambling to recover lost money), jackpot size, price structure, near-miss opportunities (the psychological bias of interpreting losses as nearly wins or anticipatory of a winning streak).

New structural factors in online betting include: (i) a greater frequency of bets, with shorter intervals between bets, and shorter event durations (e.g., virtual sports), meaning faster reward mechanisms; (ii) in-play betting, which encompasses a closer connection between watching sport and betting; (iii) contextual betting, with live markets that open after specific actions (e.g. betting on the outcome of a penalty kick seconds after being awarded by the referee); (iv) greater illusion of control over the bets with new functionalities that emphasize the skills involved and diminish the role of luck, such as cash out (the person can withdraw the bet before the end of the event at the price stipulated by the betting site), accumulators (a person can aggregate multiple events in a single bet, increasing the potential return), exchange (betting against other people instead of the bookmaker); and (v) a greater integration in the betting process of the knowledge about the sport (e.g., daily fantasy sports), resulting in the gamification of the betting experience.

In a 2013 scoping study that I published with Dr. Abby McCormack in the International Journal of Cyber Behavior, Psychology and Learning, we noted that new situational and structural factors associated with Internet gambling could influence the onset of problem gambling in non-sporting gambling contexts. The relative novelty of these situational and structural characteristics affecting the wagering on sports is reflected in the scarcity of research devoted to understanding them. However, there are a few studies.

An analysis of 47,603 Bwin betting website subscribers (by Dr. Debi LaPLante and colleagues in the journal Computers in Human Behaviors) showed some interesting results in the direction of the importance of structural factors determining excessive gambling. The most involved bettors (those comprising the most active 1% of the user sample) who gambled on final outcomes did not escalate their gambling behaviour over time whereas those who gambled in-play did so. In a 2014 follow-up study in the journal Psychology of Addictive Behaviors, LaPlante and her colleagues examined the effect of in-play betting in the development of problem gambling. The researchers expanded the sample to other forms of gambling and compared the role of breadth (i.e., many different gambling forms) and depth involvement (i.e., more frequent betting) in problem gambling onset. They hypothesised that more involved users would be more likely to become problem gamblers (which was shown to be the case). For every form and gambling, when controlling for depth and breadth involvement, the model was not able to predict gambling-related problems, with one exception: in-play betting. The study suggested that a structural characteristic of a game, the live betting action, could be a precipitant, in conjunction with other determinants, of gambling disorders.

Another study by Dr. Richard LaBrie and Dr. Howard Shaffer (in a 2011 issue of Addiction Research and Theory) found that self-limiting features – in which the bettor determines a maximum amount of money to be bet – made problem gamblers bet less frequently but, in turn, increased the stakes of the bets placed. Bettors who scored high on problem gambling scales chased their losses by implementing a risk aversion strategy, placing high bets conservatively on short odds events (i.e., events with unbalanced contenders in which the outcome can more likely be determined beforehand but with a lower monetary return).

While there has been an increasing amount of research that has examined the influence of situational and structural characteristics in gambling (particularly in relation to slot machine gambling), the impact of such characteristics on online sports betting (at present) remains largely unknown.

(Please not that this article was co-written with Dr. Hibai Lopez-Gonzalez and Dr. Ana Estevez).

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

Further reading

Griffiths, M.D. (1993). Fruit machine gambling: The importance of structural characteristics. Journal of Gambling Studies, 9, 101-120.

Griffiths, M.D. (1999). Gambling technologies: Prospects for problem gambling. Journal of Gambling Studies, 15(3), 265–283.

Griffiths, M.D. (2005). A biopsychosocial approach to addiction. Psyke & Logos, 26(1), 9–26.

Griffiths, M.D. & Auer, M. (2013) The irrelevancy of game-type in the acquisition, development and maintenance of problem gambling. Frontiers in Psychology, 3, (621). doi: 10.3389/fpsyg.2012.00621.

LaBrie, R. & Shaffer, H.J. (2011). Identifying behavioral markers of disordered Internet sports gambling. Addiction Research & Theory, 19(1), 56–65.

LaPlante, D., Nelson, S.E. & Gray, H.M. (2014). Breadth and depth involvement: Understanding Internet gambling involvement and its relationship to gambling problems. Psychology of Addictive Behaviors, 28(2), 396-403.

LaPlante, D.A., Schumann, A., LaBrie, R.A., et al. (2008). Population trends in Internet sports gambling. Computers in Human Behavior, 24(5), 2399–2414.

Leino, T., Torsheim, T., Blaszczynski, A., Griffiths, M.D., Mentzoni, R., Pallesen, S. & Molde, H. (2015). The relationship between structural characteristics and gambling behavior: A population based study. Journal of Gambling Studies, 31, 1297-1315.

Lopez-Gonzalez, H., Estevez, A. & Griffiths, M.D. (2017). Marketing and advertising online sports betting: A problem gambling perspective. Journal of Sport and Social Issues, in press.

Lopez-Gonzalez, H. & Griffiths, M.D. (2016). Is European online gambling regulation adequately addressing in-play betting advertising? Gaming Law Review and Economics, 20, 495-503.

Lopez-Gonzalez, H. & Griffiths, M.D. (2017). Understanding the convergence of online sports betting markets. International Review for the Sociology of Sport, in press.

Lopez-Gonzalez, H. & Griffiths, M.D. (2017). ‘Cashing out’ in sports betting: Implications for problem gambling and regulation. Gaming Law Review and Economics, in press.

McCormack, A. & Griffiths, M.D. (2013). A scoping study of the structural and situational characteristics of internet gambling., 3(1), 29–49.

Parke, J. & Griffiths, M.D. (2006). The psychology of the fruit machine: The role of structural characteristics (revisited). International Journal of Mental Health and Addiction, 4, 151-179.

Parke, J. & Griffiths, M.D. (2007). The role of structural characteristics in gambling.  In G. Smith, D. Hodgins & R. Williams (Eds.), Research and Measurement Issues in Gambling Studies (pp.211-243). New York: Elsevier.

Making scents of it all: A brief look at sex, smell and olfactophilia

Olfactophilia (also known as osmolagnia, osphresiolagnia, and ozolagnia) is a paraphilia where an individual derives sexual pleasure from smells and odours. Given the large body of research on olfaction, it is unsurprising that in some cases there should be an association with sexual behavior. The erotic focus is most likely to relate to body odors of a sexual partner, including genital odors. One of my favourite papers examining sex and smell was a 1999 paper by Dr. Alan Hirsch and Dr. Jason Gruss published in the Journal of Neurological and Orthopaedic Medicine and Surgery. As they note in the introduction to their study, sex and smell have a long association:

“Historically, certain smells have been considered aphrodisiacs, a subject of much folklore and pseudoscience. In the volcanic remnants of Pompeii, perfume jars were preserved in the chambers designed for sexual relations. Ancient Egyptians bathed with essential oils in preparation for assignations; Sumarians seduced their women with perfumes. A relationship between smell and sexual attraction is emphasized in traditional Chinese rituals, and virtually all cultures have used perfume in their marriage rites. In mythology, rose petals symbolized scent, and the word ‘deflowering’ describes the initial act of sex…Dramatic literature abounds with sly references to nasal size as symbolic of phallic size, as in the famous play Cyrano De Bergerac…Psychoanalysis has made much of these associations. Fliess, in his concept of the phallic nose, formally described an underlying link between the nose and the phallus. Jungian psychology also connects odors and sex”.

In contemporary society, perfumes for women and colognes for men are marketed aggressively because it is a multi-billion pound business and are advertised in a way that suggests sexual success for those who use such fragrances. Hirsch and Gruss argue that:

“The prominent connection between odors and sex among diverse historical periods and cultures implies a high level of evolutionary importance. Freud suggested that odors are such strong inducers of sexual feelings that repression of smell sensations is necessary to civilization. Anatomy bears out the link between smells and sex: the area of the brain through which we experience smells, the olfactory lobe, is part of the limbic system, the emotional brain, the area through which sexual thoughts and desires are derived. Brill [1932] suggests that people kiss to get their noses close together, so that they can smell each other (the Eskimo kiss). Or possibly they kiss to get their mouths together so they can taste each other since most of what we call taste is dependent upon olfaction”.

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One of the research areas that I have published a couple of papers with Dr. Mark Sergeant (see ‘Further reading’ below) in is on the area of pheromones (i.e., chemical substances “produced and released into the environment by an animal, especially a mammal or an insect, affecting the behaviour or physiology of others of its species”). Pheromones are known to exist across the animal kingdom from insects to primates (possibly including humans but most robust scientific studies have shown the evidence is relatively weak, and if pheromones do exist in humans the effects are likely to be very subtle). As Hirsch and Gruss note:

“Inside the human brain, near the top of the nose is an anatomical feature that gives us reason to believe that human pheromones exist: the vomeronasal organ. Its function is unknown, but in subhuman primates, this is the area where pheromones act to increase the chance of procreation…When we exercise, we sweat through endocrine glands. But when we are embarrassed or sexually excited, we sweat through apocrine glands that release high-density steroids under the arms and around the genitalia; their role is unknown. In subhuman primates, the same apocrine glands release pheromones”.

Other evidence for the existence of pheromones are the studies showing that women’s menstrual cycles tend to synchronize over time when living or working closely together (the so-called ‘McClintock Effect’ named after Martha McClintock, the person who first reported it in a 1971 issue of the journal Nature). Other research by Dr. Hirsch has shown evidence that links smell with sexual response. For instance, in one of his studies, 17% of patients that had “olfactory deficits” had developed some kind of sexual dysfunction.

In Hirsch and Gruss’ 1999 study, they examined the effects of 30 different smells on male sexual arousal of 31 American male participants (aged 18 years to over 60 years). They underwent various (question-based) smell tests and their sexual arousal was assessed experimentally by measuring penile blood flow with a penile plethysmograph. The smells comprised 24 different odourants in addition to six combination odourants. All 30 odours produced an increase in penile blood flow (Table III). They reported that:

“The combined odor of lavender and pumpkin pie had the greatest effect, increasing median penile-blood flow by 40%. Second in effectiveness was the combination of black licorice and doughnut, which increased the median penile-blood flow 31.5%. The combined odors of pumpkin pie and doughnut was third, with a 20% increase. Least stimulating was cranberry, which increased penile blood flow by 2%…Men with below normal olfaction did not differ significantly from those with normal olfaction, nor did smokers differ significantly from nonsmokers”.

The findings supported their hypothesis that positive smelling odours would increase sexual arousal, and then speculated a number of reasons why this might be the case:

“The odors could induce a Pavlovian conditioned response reminding subjects of their sexual partners or their favorite foods. Among persons raised in the United States, odors of baked goods are most apt to induce a state called olfactory-evoked recall. Possibly, odors in the current study evoked a nostalgic recall with an associated positive mood state that affected penile blood flow. Or the odors may simply be relaxing. In others studies, lavender, which increased alpha waves posteriorly, an effect associated with a relaxed state. In a condition of reduced anxiety, inhibitions may be removed and thus penile blood flow increased…Another possibility, odors may act neurophysiologically…Nor can we rule out a generalized parasympathetic effect, increasing penile blood flow rather than specific sexual excitation…The specific odors that affected penile blood flow in our experiment were primarily food odors…Does this support the axiom that the way to a man’s heart (and sexual affection) is through his stomach?…We certainly cannot consider the odors in our experiment to be human pheromones, therefore we believe they acted through other pathways than do pheromones”.

Shortly after this study, Hirsch and his colleagues repeated the study on females (assessing their vaginal blood flow) and found similar effects that they reported in the International Journal of Aromatherapy. In this second study they found that the largest increases in vaginal blood flow were from candy and cucumber (13%), baby powder (13%), pumpkin pie and lavender (11%), and baby powder and chocolate (4%). Obviously there are major limitations with both of these studies (such as small sample sizes, all the odours being selected by the researchers, and blood flow being the sole measure of arousal).

Odours that are sexually arousing are likely to be very specific and (in some cases) strange and/or bizarre. For instance, I published the world’s first case study of eproctophilia (sexual arousal from flatulence and a sub-type of olfactophilia) in a 2013 issue of the Archives of Sexual Behavior (a topic that I examined in a number of previous blogs such as those here and here). I’ve also come across anecdotal evidence of other strange smells that sexually arouse people. For instance, in an article on ’15 Surprising & Weird Fetishes’, number 11 in the list was ‘air freshener’ fetish:

One Reddit user reports becoming aroused as a teenager whenever he walked into a room that uses a specific brand and scent of air freshener! After some questioning from other conclusions, he suspects that the scent has become associated withe the first time he watched porn. Other users report being turned on by scents such as perfume samples that were included in ‘Playboy’ magazine”.

Some paraphilias may have an element of olfaction. For instance, antholagnia refers to individuals who are sexually aroused by flowers (and the arousal may depend on the sight and/or smell of the flowers). The Kinkly website notes (without empirical evidence to back up any of the claims made):

People with antholagnia typically have a preference for certain flowers, just as most people are sexually aroused by certain body types. They are likely to become aroused while visiting a florist shop, a floral nursery, or a botanical garden. They may also seek out images of flowers online for sexual gratification. Most people with antholagnia learn to manage their condition and enjoy healthy sex lives. They may even use the scent of flowers during foreplay or intercourse. However, if antholagnia starts to interfere with a person’s professional or personal life, he or she may wish to seek treatment. Treatment for antholagnia may consist of cognitive or behavioral therapies, psychoanalysis, or hypnosis”

I also came across an online 2013 article (‘Scents that trigger sexual arousal’) by Susan Bratton that summarized recent research (although she based most of it from material in Dr. Daniel Amen’s 2007 book Sex On The Brain). More specifically, the article note that:

“Current research also suggests the scent of musk closely resembles that of testosterone, the hormone that enhances healthy libido in both sexes. In scent studies at Toho University in Japan, floral and herbal essential oils were found to impact sexual arousal in the nervous system. But depending on whether you need to stimulate or relax your partner to get them in an amorous mood, you would use different scents. To stimulate the Sympathetic Nervous System use jasmine, yang-ylang, rose, patchouli, peppermint, clove and bois de rose. To relax the Parasympathetic Nervous System use sandalwood, marjoram, lemon, chamomile and bergamot…Many of these scents are also commonly found in tea such as peppermint and chamomile. Many candles are scented with rose, jasmine, patchouli, sandalwood and bergamot”.

There are plenty of websites that list various scents that turn people on and a lot of these appear to be based upon on the research carried out by Dr. Hirsch and his colleagues. Research into sex, smell and olfactophilia appears to be a growing area and hopefully my own research has played a small part in stimulating research into the area.

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

Further reading

Amen, D. (2007). Sex on the Brain: 12 Lessons to Enhance Your Love Life. London: Harmony.

Bratton, S. (2013). Scents that trigger arousal. Personal Life Media, October 10. Located at: http://personallifemedia.com/2013/10/scents-that-trigger-arousal/

Brill, A.A. (1932). Sense of smell in the neuroses and psychoses. Psychoanalytic Quarterly, 1, 7-42

Gilbert, A. N. (2008). What the Nose Knows: The Science of Scent in Everyday Life. Crown.

Graham, C.A., & McGrew, W.C. (1980). Menstrual synchrony in female undergraduates living on a coeducational campus. Psychoneuroendocrinology, 5, 245-252.

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

Hirsch, A., & Gruss, J. (1999). Human male sexual response to olfactory stimuli. Journal of Neurological and Orthopaedic Medicine and Surgery, 19, 14-19.

Hirsch, A. R., Schroder, M., Gruss, J., Bermele, C., & Zagorski, D. (1999). Scentsational sex Olfactory stimuli and sexual response in the human female. International Journal of Aromatherapy, 9(2), 75-81.

Hirsch, A.R., & Trannel, T.J. (1996). Chemosensory dysfunction and psychiatric diagnoses. Journal of Neurological and Orthopaedic Medicine and Surgery, 17, 25-30.

McClintock, M. (1971). Menstrual synchrony and suppression. Nature, 229, 244-245.

Sergeant, M., Davies, M.N.O., Dickins, T.E. & Griffiths, M.D. (2005). The self-reported importance of olfaction during human mate choice. Sexualities, Evolution and Gender, 7, 199-213.

Sergeant, M.J.T., Dickins, T.E., Davies, M.N.O. & Griffiths, M.D. (2007). Hedonic ratings by women of body odor in men are related to sexual orientation, Archives of Sexual Behavior, 36, 395-401.

The night stuff: A very brief look at nyctophilia and scotophilia

According to Dr. Anil Aggrawal in his 2009 book Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices nyctophilia is a sexual paraphilia where the individual derives sexual pleasure and arousal by a “love of night”. In the same book, Aggrawal defines similar (if not the same conditions) including scotophilia (“turned on by darkness”), lygophilia (“love of darkness”) and achluophilia (“arousal from darkness”). Another related condition is arguably amaurophilia (“arousal by a partner who is blind or unable to see due to artificial means such as being blindfolded or having sex in total darkness”, a paraphilia that I examined in depth in a previous blog). Other sources (such as Dr. Brenda Love’s Encyclopedia of Unusual Sex Practices doesn’t mention any of these, apart from amaurophilia) whereas other medical dictionaries conflate darkness and night together and define nyctophilia as a “preference for the night or darkness. Also called scotophilia”.

As far as I can ascertain, there is no empirical research on this topic at all. There are many references to the similar sounding scopophilia (viewed by many as another term for ‘voyeurism’) but as Dr. Aggrawal notes:

“Several terms have been used as synonyms of voyeurism, although some writers have constantly pointed out subtle differences. The terms scopophilia and scoptophilia are taken as synonyms to voyeurism by most writers. However, others have pointed out a minor difference. If the victim is unsuspecting and non-consenting, the act is voyeurism, but if the other party is consenting, the act is scopophilia or scoptophilia. Furthermore, if the person watched is in the act of disrobing, or nude, the act is voyeurism, but if the person watched is engaged in sex, the act is either mixoscopia (if the watched person is the voyeur’s lover) or allopellia (if the watched persons are complete strangers)”.

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The reason I mention this is because in a paper by Dr. Patrick Mahony on voyeurism in a 1989 issue Journal of the American Psychoanalytic Association noted that the “alternate spelling scoptophilia, preferred by some of the older German psychoanalysts, must not be confused with scotophilia or love of darkness”. This appears to have happened in other academic papers I found directly referring to ‘scotophilia’. For instance, one paper dating back almost 70 years was that of Dr. F.S. Caprio who wrote a paper entitled ‘Scotophilia–exhibitionism: A case report’ in the Journal of Clinical and Experimental Psychopathology but it was actually a paper about voyeurism. More specifically, the paper reported the cases of a mother and son who constantly watched residents for sexual arousal in the mother’s rooming house via drilled holes in the wall. A 1966 theoretical review paper by Dr. Jerome Sattler on embarrassment and blushing published in the Journal of Social Psychology claimed that “stage-fright and erythrophobia [fear of blushing] are not simply expressions of the warding off of heightened exhibitionism and scotophilia but also develop as a result of previous instinctual conflict”. Here again, scotophilia appears to be a synonym for voyeurism rather than a sexual love of darkness.

I was pleasantly surprised to find dozens of references to nyctophilia in the scientific literature but the overwhelming majority of papers were biological in origin and all referred to non-human species. For instance, a recent 2016 paper Dr. Luis Espinasa and colleagues in the journal Subterranean Biology reported that cave amphipods are eyeless troglobitic crustaceans found in caves located in the Northeastern (Allegheny) region of the United States and who “exhibit nyctophilia” (literally meaning they love darkness, and has absolutely nothing sexual whatsoever).

I only managed to find one non-biological academic reference on nyctophilia and this was a 1994 paper by Dr. Lewis Lawson in the journal Papers on Language and Literature. In actuality, the use of the word ‘nyctophilia’ was mentioned in passing and noted that the term was defined by psychoanalyst Bertram Lewin as “an erotic pleasure in darkness, which enters as a wish-fulfillment element on fantasies of being in the ‘womb,’ or more properly, as the German word Mutterlieb suggests, of being in the mother’s body”. I was unable to track down the original source so I don’t know the context in which Lewin used the word but the definition is certainly used in a sexual sense rather than the general ‘love of darkness’ used in the biologically-based papers.

In a more general search on the internet, located dedicated photographic sites for nyctophilia, a number of fictional books with the title of Nyctophilia (such as the novel by Welsh author K.A. Hambly), and even the name of a 2014 film (although details about it are sketchy to say the least). I also came across one first-person account of nyctophilia online from someone who has written a number of different articles about the condition such as ‘What is nyctophilia?’, ‘What is it like to have nytophilia?’ and ‘Everything you wanted to know about nyctophilia symptoms’. However, detailed reading of these articles suggests that any sexual element is secondary to a general love of darkness. Here are a few extracts from the articles:

Extract 1: “I have a confession to make. I am a nyctophiliac…Well, a lot of people have told me that I am an insomniac. An insomniac is someone who has difficulty sleeping at night. But I have realized over time that I am not just an insomniac. Insomnia is a physical condition, not a psychological one. Nyctophilia, on the other hand, is purely a psychological condition. Many say that nyctophiliacs are sexually aroused by the dark. Is that true? Well, yes and no. I like darkness, but I am not always sexually aroused by it. I just love it for what it is. It gives me a sense of relief and it makes me happy”.

Extract 2: “To help you understand nyctophilia symptoms, [here] I reveal some uncomfortable details of my life. Every night, I try to sleep at 10 pm. I take sleeping pills such as Klonopin and get myself a good book to read. When I do fall asleep, at around 10:30 pm or 10:45 pm, I find myself waking up at 12:00 am sharp, as fresh as the day, as though I’ve been asleep for 9 hours. I am wide awake at this time and no matter what I do, I cannot go to sleep. Unlike an insomniac, who would turn the lights on and perhaps watch TV, that’s the last thing on my mind. I just want to sit in the bedroom chair in the dark, all alone, with just darkness as my company. I love the darkness. It makes me happy. I feel a sense of relief as I sit in the dark and listen to the sound of the clock ticking by. I know it’s not good for me to stay awake like this, like a ghost, in complete darkness. I tell that to myself several times and often I try my very best to sleep. That is when I get those dreams. Those horrible dreams. The nightmares. I find myself in impossible situations, either getting tortured like Mel Gibson in Braveheart or dying of a dreadful disease, like a child affected by the Ebola virus in Africa”.

Extract 3: There isn’t much of an awareness of nyctophilia, or nyctophilia symptoms, out there on the Web…The UrbanDictionnary.com defines nyctophilia as ‘The love of darkness or night, or feeling like you belong in the dark” and adds that the condition ‘usually applies to those who often feel sadness!’ Nyctophilia is a condition that makes you want to sit in the dark all by yourself late at night, wide awake…You may wander off late at night in the dark. This will get you in trouble with the authorities, who do not really understand the nyctophilia meaning and cannot even comprehend how you feel. So you may get mistaken for a sex addict or a pervert, or possibly a criminal. Your neighbors would avoid you and report you to the law enforcement agencies. They would want you to leave the neighborhood and move somewhere else. They would feel distinctly uncomfortable about your condition and word would get around about the fact that you stay up all night in the dark, basically doing nothing”.

Extract 4: “There are many who say that nyctophialiacs find darkness sexually arousing. They compare the condition to a form of sex addiction. Indeed, have been given medication for sex addiction, such as GnRH, a long lasting gonadotropin releasing hormone that suppresses sexual desires. If you feel that you have any of the nyctophilia symptoms…it is important to get yourself treated by a qualified psychiatrist, preferably someone who has experience of working with modern or unusual psychiatric conditions. Take the medications that are suggested to you and ask support from your friends and family”

In all the reading I have done on this topic, there appears to be very little genuine evidence that scotophilia and nyctophilia exist, and if the condition does exist, few people appear to suffer major problems as a consequence, unless their love of the dark leaves the person feeling so sleep-deprived that it interferes with their day-to-day functioning. Maybe this condition is a sub-type of insomnia but that the underlying reasons for not going to sleep are very different from the usual reasons for not being able to sleep.

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.

Caprio, F. S. (1949). Scoptophilia, exhibitionism; a case report. Journal of Clinical and Experimental Psychopathology, 10(1), 50-72.

Espinasa, L., Collins, E., Finocchiaro, A., Kopp, J., Robinson, J., & Rutkowski, J. (2016). Incipient regressive evolution of the circadian rhythms of a cave amphipod. Subterranean Biology, 20, 1-13.

Love, B. (1992). Encyclopedia of Unusual Sex Practices. Fort Lee, NJ: Barricade Books.

Lawson, L. A. (1994). The dream screen in The moviegoer. Papers on Language and Literature, 30(1), 25.

Mahony, P. J. (1989). Aspects of nonperverse scopophilia within an analysis. Journal of the American Psychoanalytic Association, 37(2), 365-399.

Sattler, J. M. (1966). Embarrassment and blushing: A theoretical review. Journal of Social Psychology, 69(1), 117-133.