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Discussion of Internet Addiction as Mental Illness Resurfaces

Lone Writer writes "The editorial section of the American Journal of Psychiatry for March offers the opinion that Internet addiction is a 'compulsive-impulsive' disorder, and should be added to the official guidebook of disorders. The editorial characterizes net addiction as including 'excessive gaming, [online] sexual pre-occupations and e-mail/text messaging'. From the article: 'Like other addicts, users experience cravings, urges, withdrawal and tolerance, requiring more and better equipment and software, or more and more hours online, according to Dr. Jerald Block, a psychiatrist at the Oregon Health and Science University in Portland. Dr. Block says people can lose all track of time or neglect "basic drives," like eating or sleeping. Relapse rates are high, he writes, and some people may need psychoactive medications or hospitalization."

22 of 279 comments (clear)

  1. Maybe by a+whoabot · · Score: 4, Funny

    I definitely reject eating when I'm doing stuff on the computer, but not sleeping.

    1. Re:Maybe by abe+ferlman · · Score: 4, Funny

      Lol like I'd forget to eat and pass up that stamina/spirit buff? Preposterous. /sleep is just for rp tho.

      --
      microsoftword.mp3 - it doesn't care that they're not words...
    2. Re:Maybe by psychodelicacy · · Score: 4, Insightful
      I have to admit that I'll go without food and sleep for ages when I'm interested in something on the computer, whether it's teh internets or doing some coding, or whatever.

      But, the thing is, I'm like that when I get hold of a good novel, too. I'll sometimes forget to eat for a day if I'm reading something great, and will even cancel social engagements if the book's really good. I don't think I'm alone in this.

      So, do we also need a category of book addiction? Or do we just need to get a reality check, and accept that people in a relatively affluent society are lucky to have the luxury to give up on sleep or food for a little while in order to pursue an interest? After all, we know that we're not going to starve, so what does it matter if we miss a meal in order to iron out a persistent bug or follow a fascinating click-trail through Wikipedia? I think there are too many people out there who want us all to follow norms and have a vested interest in making us feel weird and wrong when we don't.

      --
      A closed mouth gathers no foot.
  2. What kind of drugs do they give out for this? by hilather · · Score: 5, Funny

    I display all the symptoms, but I'm cool with that, I just want to score some drugs.

  3. I'll step away from the computer by sleeponthemic · · Score: 5, Funny

    When Dr. Jerald Block prescribes me some pussy.

    --
    I record my sleeptalking
    1. Re:I'll step away from the computer by gnick · · Score: 4, Funny

      When Dr. Jerald Block prescribes me some pussy. Actually, gender reassignment may work. From what I hear, there are no girls on the internet.
      --
      He's getting rather old, but he's a good mouse.
  4. I can stop whenever I want by Ngarrang · · Score: 4, Insightful

    ...just as soon as this next web page is done loading.

    Oooh, where does THAT link go?

    When I was a kid, I want crazy over Transformers (1st gen). Before that, it was Hot Wheels. The Internet strikes me as one of these shiny new toys, but infinitely greater in its possibilities. But, compulsive-impulsive behavior? Why do I get the feeling that someone is looking for an excuse to live off my tax money? I am guilty for having shown addict-like behavior with it years ago. In college, if I wasn't in class, I was at a terminal run on the DEC VAX running TinyFugue and exploring every MUD and MOO out there.

    There will be those who take the Internet to its extreme, sure. You will get that with any activity. But, 86% of addicts have some form mental illness? Me thinks "mental illness" has gained an overly-broad definition in the last 10 years. But, I am just an arm chair psychologist.

    Gotta go, my email notify chime just went off.

    --
    Bearded Dragon
  5. Re:Nonsense by NewYorkCountryLawyer · · Score: 4, Funny

    I personally think anything over 22 hours a day is excessive.

    Fortunately I have things in perspective.

    --
    Ray Beckerman +5 Insightful
  6. In summary... by IBBoard · · Score: 4, Interesting
    Correct me if I'm wrong, but in summary have the American Journal of Psychiatry released a report that an addiction to an entity resulting from a compulsion to use/have it should be added to a list of mental ilnesses/addictions that includes compulsions to use/have things?

    What if I had an addiction to orange juice and drank it ever hour, on the hour, or else I suddenly got shakey and had withdrawl symptoms - would they add "orange juice addiction" to the list?

    Sounds like a bit of a "well, duh" to me.

    Also, I love the first line of TFA (emphasis mine):

    Compulsive e-mailing and text messaging could soon become classified as an official brain illness.
    1. Re:In summary... by R2.0 · · Score: 4, Insightful

      This is the medical equivalent of bogus patents - take an old, well established idea, add "on the internet" at the end, and all of the sudden it's new?

      Addiction to Internet pornography? No, it's addiction to pornography.

      Addiction to Internet gaming? No, it's addiction to gaming.

      Addiction to Internet gambling? No, it's addiction to gambling.

      Addiction to Internet communication? That's a little tougher, but I'd view that more as low self esteem/insecurity - i.e. constantly needing to feel "connected". I'd bet these folks are the same ones used to who spend hours on the phone with their friends. Addiction? Hardly

      This is psychiatrists trying to drum up more work for themselves.

      --
      "As God is my witness, I thought turkeys could fly." A. Carlson
  7. Re:Who defines "excessive?" by pandrijeczko · · Score: 5, Funny
    I seem to recall the late and great American comedian Bill Hicks defining "excessive masturbation" as being the point when only "air comes out".

    I don't know if that helps with your definition.

    --
    Gentoo Linux - another day, another USE flag.
  8. Double-you tea eff?! by geminidomino · · Score: 4, Insightful

    FTFA: "three-dimensional, multiplayer games users have described as "heroinware."

    Who the fuck has ever used the word "Heroinware?"

    WarCrack/EverCrack, sure. I've heard those. But "heroinware"? That doesn't even roll off the tongue.

    Someone used the word to describe Doom shareware back in 94, but it doesn't seem to have caught on (802 hits in google vs 460,000 for 'warcrack').

    That's the equivalent of a /.er pulling shit from the jargon file to make himself sound like a "real hacker". Gimme a break.

  9. I need medication because I'm different by natex84 · · Score: 4, Insightful

    Everything is a disorder. We need medicine for everything. People cannot make changes in their life without medication.

    Everyone must be exactly the same!

    Some areas of medicine/psychology are getting ridiculous.

    1. Re:I need medication because I'm different by mpapet · · Score: 4, Insightful

      I'm just using your ridiculous post to make the following points:

      From a social health perspective, the social costs of addicts using the internet as their drug of choice are unknown. This topic along with most addiction research deserve way more research dollars. For example, we know our social costs went down when alcohol addiction was identified and promoted as an illness. (more workers, more productivity)

      If you knew anything about addiction therapy you would know that the therapy for a sex addict is much different than that of a bulemic(sp!), which is much different then that of an alcoholic. It stands to reason then, that "internet addiction" will eventually have different therapeutic methods that are unique to this category of addiction.

      Not all of us live in our parent's basement any more. Take a shower. Get a girlfriend.

      --
      http://www.maxineudall.com/2010/02/should-economists-be-sued-for-malpractice.html
    2. Re:I need medication because I'm different by misleb · · Score: 4, Insightful

      Lets say you're a doctor and you start getting patients coming in complaining that they have what appears to be an addiction to the Internet. Or perhaps they are trying to get help for a family member who is showing signs of addiction. What do you do? Do you just laugh it off? Say something like "just stop using the computer so much." What can the patient do? I understand that medicating it seems unreasonable, but what else can you do as a doctor when you can only see the patient once a week or whatever?

      It isn't like doctors are going around to people's homes and declaring otherwise healthy people mentally ill. I'm sure this is mostly a reaction to people with serious problems looking for help.

      Also, keep in mind that an official diagnosis is important for insurance purposes. "Internet addiction" may sound silly, but doctors need to put down some diagnosis or insurance may not pay.

      --
      "THERE IS NO JUSTICE, THERE IS ONLY ME." -Death
  10. Instant cure for internet addiction then. by moltenfury · · Score: 5, Insightful

    Getting a girlfriend or boyfriend. I've seen it work well over the years even with the most hardcore online users.

  11. Re:Who defines "excessive?" by sm62704 · · Score: 4, Interesting

    The new definition for the word "addiction" is the same as the old word for "habituation". OK, what is the new word for physical addiction, like with heroin or alcohol, where you can die from not getting your drug?

    If you take away my reefer or my internet or my writing I may be agitated and unhappy, but I can still function. Take away my coffee and I get headaches and can't do my job because I can't think straight. Take away Amy's booze and she sees snakes and thinks there's bugs crawling on her skin. What do you call THAT these days?

    You can't get addicted to the internet, or evercrack, or your crackberry. Internet habituation sure sounds like an obsessive compulsive disorder, and in some cases may need treatment, but it's not a true addiction.

    Like homosexuals purposely changed the word "gay" to no longer mean "happy and carefree", anti-drug zealots (NOT health care professionals) have changed the meaning of the word "addiction". But physical addiction is still a curse to those addicted to certain substances, like heroin, alcohol, tobacco, etc.

    I'm not negating the power of habituation. When I gave up cigarettes in 1999 I was amazed that the habit was as strong as the physical withdrawal from that deadly awful drug.

    The anti-drug monsters waging their "war on (some) drugs" are doing no favors to addicts or those in danger of addiction. IMO they are a far greater menace to society than the drugs and addicts they hate.

    -mcgrew

    --
    mcgrew's razor: Never attribute to stupidity that which can be explained by greedy self-interest
  12. The Sickness Industry at "work". by Futurepower(R) · · Score: 4, Insightful

    Exactly. The sickness industry wants everything to be a disease, because they charge for diseases.

  13. Re:Call me a cook if you want ... by RocketScientist · · Score: 4, Insightful

    Obviously if you play online games instead of watching TV, you're not consuming enough. You're paying $10-$30 a month for your game, but you're not seeing enough television advertisements, not buying enough golf equipment, not buying as many movie tickets, expensive SUV's to haul your crotchfruit to soccer games, and so on. You might want to buy an upgrade for your computer now and then, but that's nothing compared to gearing out for an avid golfer, or an avid fisherman, or an avid television watcher.

    Basically you're not consuming enough of the crap they want to shove down your throat. So they call it an addiction so they can give you drugs so you'll behave like a nice little drone, and watch their advertisements and buy their tooth whiteners.

    I've watched more people wate more time on "an addiction" to collegiate sports, celebrity gossip, cricket, football, or just shopping than online anything. And yet these folks are considered normal for spending hours every night researching their fantasy sports teams (not just online, magazines, books, go to Amazon.com and look it up) and solid hours every weekend watching games. But that's normal. They're seeing their fair share of ads for Budweiser, so it's all good. But if you spend a few hours nights and weekends online playing games with friends, well, you're not seeing your share of advertisements, so that's obviously an addiction.

    I'll take these jackasses seriously when I start hearing about American Idol addicts, TV addicts, and Golf addicts, or even (timely enough) College Basketball addicts. Until then, they're all basically bought by the advertising and marking cabal.

  14. Re:What if your job requires it? by SatanicPuppy · · Score: 4, Interesting

    "The DSM is usually reluctant to pathologize something unless it's really bothering the person themselves, or makes it impossible for them to live a normal life."

    As a counter-example I call to your attention: Social Anxiety Disorder.

    Not to be confused with "Seasonal Affective Disorder" (another real winner). The definition is vague, the symptoms can describe anyone who is uncomfortable in crowds, and yes, there is a pill. It's "Paxil" which is habit forming and has quite a colorful history: faked clinical trials, numerous lawsuits, all the way to a recent snafu where they dumped a batch on the market that was Ooops! missing the active ingredient...Did I mention it's habit forming? Lot of SAD people going into withdrawal while taking their pills. It's also another one where they marketed it agressively to kids, and, if you read the DSM definition of SAD, you'll find that kids who suffer it sometimes lack some of the vague-ass symptoms.

    I don't trust the DSM anymore, frankly. The number of anxiety-style disorders that they've added in the last 20 years is staggering and obscene, and none of them have hard physical causes, and yet all of them respond to chemical treatment. That is extremely suspicious.

    --
    ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
  15. Re:Call me a cook if you want ... by QRDeNameland · · Score: 4, Insightful

    So they call it an addiction so they can give you drugs...

    Now there's a wonderful irony of modern society.

    --
    Momentarily, the need for the construction of new light will no longer exist.
  16. Ah, no need to assume a conspiracy by Moraelin · · Score: 5, Insightful

    Well, seriously, you don't need to assume a conspiracy here. (There might still be one, but it's not needed to explain it. Occam's Razor, if you will. Or Hanlon's Razor.)

    The way it works is sorta like this:

    1. Most humans are herd animals, and educated to be very "us vs them" at it. And have layers upon layers of mental tricks to rationalize anything they personally do as the Right Thing. See, cognitive dissonance, for example.

    So when Mr X goes to the pub and yakks about the latest football game, it not only gives him a much needed feeling of belonging to some group, it also provides a circle-jerk reinforcement of the idea that any sane male would naturally feel an urge to go to the pub and yakk about football. So if Mr Y wants to go play WoW instead, there must be something awfully wrong with him.

    (And just so I don't piss off only the football fans, the same happens in reverse too. If John goes to the pub instead of doing the latest raid with us, there must be something awfully wrong with him. And if Tom is running OpenBSD instead of coming to our LUG meetings, and quotes Theo de Raad all the time instead of worshipping Linus like the rest of us, well, I'd be careful around him, if you know what I mean. Etc.)

    At any rate, people can be very distrustful of anything that is not one of "us", and doubly so of anyone or anything that challenges the rationalizations and excuses that that "us" group is built on.

    That incidentally means that anything new will invariably be met with such distrust. Society has had generations of building up a status quo, and lots of unwritten rules and roles for its members. Real Men do this, Real Women do that, Real Old Geezers do that other thing, and everyone is happy that they don't have to think much about it. Everyone else is doing the same things, so it must be the right, God-given way. And then this new group comes by and goes and reads comics instead, or watches TV, or listens to this newfangled heavy metal, or whatever.

    I'm not kidding. Each of those has been the new thing at some point, and were demonized and presented as some dangerous influence on the youth at some point. Games are just the newest instance of some people who just don't want to fit their traditional roles in this big "us" group, and it makes everyone else uneasy. Why would they want to do that instead of watching the sacred football game on TV, like everyone else? How we forget that not so far in the past it was watching TV (instead of going and yakking outside) that was the newfangled TV addiction that was making everyone else uneasy.

    So, anyway, we have a bunch of gamers and a large majority which doesn't understand them, and (to various extents) is made uneasy by them. They don't care that you don't watch ads or don't buy enough golf clubs, but they do get worried that you chose to not be a part of their group.

    2. There's the kind of people who just want some publicity, or to sell you something. Whether it's a new drug, or their expensive psychotherapy fees, or the idea of electing them to Congress. Make no mistake, these don't care about what else you buy either. They just care about selling their own snake oil to enough people, and if you're not a buyer, well, then maybe you'd make a good bogeyman instead.

    And that uneasy majority from #1 is a perfectly willing buyer for that snake oil. Especially one packed as, basically, "yes, it's scientifically proven: it's perfectly normal to be part of _your_ group and do the things _you_ do. And as you were suspecting, it's everyone else that are fucked-up in the head." That's what that majority wanted to hear.

    3. It also doesn't help that we have a whole game industry trying hard to amplify the symptoms, if they can't actually make their games more "addictive".

    We have limited save points. (My personal record was having to grind 10 hours before I found the next save point in a game.) We have 40-man raids that take a whole night to finish, and where if you quit suddenly, you've just piss

    --
    A polar bear is a cartesian bear after a coordinate transform.