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Discussion of Internet Addiction as Mental Illness Resurfaces

Posted by Zonk on Tuesday March 18, @10:45AM
from the i-can't-quit-you-internets dept.
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."

Related Stories

[+] Games: Only 15% of Gamers are Internet Addicts 451 comments
Huckster writes "Jeffrey Parsons - a doctoral candidate from University of Iowa has resently conducted a research on MMORPG addiction. It took a while to get the results - but they are now available. The study found that about 15% of gamers meet the criteria for Internet addiction as provided by Kimberly Young, a leading researcher in Internet addiction. Using more strict criteria, a minimum of at least 10% of gamers met criteria for Internet addiction. Compared to national studies of Internet addiction, this numbers are somewhat elevated. However, given the sheer number of hours MMORPG gamers spend online (in comparison to the general population), even a 15% addiction rate is somewhat low. To illustrate the point, the college student spends 10 hours on the Internet per week. The average MMORPG gamer (addicted or not) spends 20-25 hours per week just playing MMORPGs, and an additional 10-15 hours per week in other Internet use. In other words, MMORPG players are spending 4x as much time online as non-gamers."
[+] Computer Addiction or Just Modern Life? 261 comments
Ant writes to tell us that ABC News has an interesting look at computer addiction and what it might take to be considered addicted in today's society. From the article: "Video games and the Internet have been subject to suspicion since the computer became a household fixture. One complaint: People get sucked into spending enormous amounts of time on the computer, to the detriment of other parts of their life. But are they addicted? The answer depends on what you mean by 'addicted.' Most experts say computers are not addictive in the same sense that drugs are, but they could be on the same level as gambling."
[+] Could You Be Addicted to the Internet? 261 comments
Billosaur writes "Over at The Register, Dr Stephen Juan has this interesting article on Internet Addiction Disorder (IAD). Apparently this has been around since at least 1995 and there are those lobbying for it to be included in the DSM-IV. While some people use the Internet a lot for work or to keep in touch with family & friends as well as banking and bill-paying, it's interesting to thing that some people actually become addicted. There's still a lot of controversy over the diagnosis, whether this is true addiction or not. There is more detailed information available in this paper from Viriginia Tech."
[+] Internet Addicts As Ill As Alcoholics? 260 comments
suntac writes to mention an article on New Scientist, reporting on a Stanford study of internet addiction. The study finds that the U.S. is 'rife' with internet addicts, who may be as addicted as alcoholics to their sweet sweet net connection. From the article: "Nearly 14% of respondents said they found it difficult to stay away from the internet for several days and 12% admitted that they often remain online longer than expected. More than 8% of those surveyed said they hid internet use from family, friends and employers, and the same percentage confessed to going online to flee from real-world problems. Approximately 6% also said their personal relationships had suffered as a result of excessive internet usage. 'Potential markers of problematic internet use are present in a sizeable portion of the population,' the researchers note." While obviously allowing relationships to suffer so you can surf eBay is a problem, where is the line between relying on the internet for news and information and addiction?
[+] Is Internet Addiction a Medical Condition? 227 comments
PreacherTom writes "Arising from such cases as a recent lawsuit with IBM over employee termination due to online sex chatting at work, recent debate over whether Internet abuse is a legitimate addiction, akin to alcoholism, is heating up. From the article: 'Attorneys say recognition by a court — whether in this or some future litigation — that Internet abuse is an uncontrollable addiction, and not just a bad habit, could redefine the condition as a psychological impairment worthy of protection under the Americans with Disabilities Act.' The condition could even make it into the next edition of the American Psychiatric Association's DSM, making it a full-blown neurosis. It wouldn't be a huge surprise, with a recent Stanford study showing that 14% of people state it would be 'hard to stay away from the Net for even a few days in a row."
[+] Games: Inside A Korean Rehab Camp For Web Addiction 131 comments
caffeinemessiah writes "The New York Times has a story about a Korean kids' camp for 'curing' Internet addiction. 'Seventeen hours a day online is fine,' said one such kid at the camp. From the article: 'Drill instructors drive young men through military-style obstacle courses, counselors lead group sessions, and there are even therapeutic workshops on pottery and drumming ... this year, the camp held its first two 12-day sessions, with 16 to 18 male participants each time. (South Korean researchers say an overwhelming majority of compulsive computer users are male.)'"
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  • Maybe (Score:5, Funny)

    by a whoabot (706122) on Tuesday March 18, @10:47AM (#22783176)
    I definitely reject eating when I'm doing stuff on the computer, but not sleeping.
    • Re:Maybe (Score:5, Funny)

      Lol like I'd forget to eat and pass up that stamina/spirit buff? Preposterous. /sleep is just for rp tho.
    • Re:Maybe (Score:5, Insightful)

      by psychodelicacy (1170611) on Tuesday March 18, @11:34AM (#22783742)
      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.

      • Re:Call me a cook if you want ... (Score:5, Insightful)

        by RocketScientist (15198) * on Tuesday March 18, @12:06PM (#22784188)
        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.
        • Re:Call me a cook if you want ... (Score:5, Insightful)

          by QRDeNameland (873957) on Tuesday March 18, @01:00PM (#22784792)

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

          Now there's a wonderful irony of modern society.

        • Ah, no need to assume a conspiracy (Score:5, Insightful)

          by Moraelin (679338) on Tuesday March 18, @02:04PM (#22785600) Journal
          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
  • by hilather (1079603) on Tuesday March 18, @10:49AM (#22783208)
    I display all the symptoms, but I'm cool with that, I just want to score some drugs.
  • Nonsense (Score:4, Funny)

    by Opportunist (166417) on Tuesday March 18, @10:51AM (#22783224)
    C'mon, put me in a mental institution and you'll notice that I'm allright.

    They do have internet connection there now, right? Right???
  • by sleeponthemic (1253494) on Tuesday March 18, @10:51AM (#22783226) Homepage
    When Dr. Jerald Block prescribes me some pussy.
  • I can stop whenever I want (Score:5, Insightful)

    by Ngarrang (1023425) on Tuesday March 18, @10:55AM (#22783268) Journal
    ...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.
  • In summary... (Score:5, Interesting)

    by IBBoard (1128019) on Tuesday March 18, @10:58AM (#22783294) Homepage
    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.
    • Re:In summary... (Score:4, Interesting)

      by gnick (1211984) on Tuesday March 18, @11:10AM (#22783462)

      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?
      If a significant number of people were doing the same thing to a degree that it was screwing up their lives? Probably. But, probably just a a strange subset of CDO*. They're treating this as special because there are a lot of people developing real problems (work/personal/etc) because they refuse to get off the damned computer.

      Disclaimer: I'm certainly no psychiatrist and have no idea if you need to treat people with this particular problem any different than your standard obsessive.

      *CDO = Obsessive Compulsive Disorder. Don't you hate it when people fail to properly alphabetize their acronyms?
      • Re:What if your job requires it? (Score:4, Informative)

        by Kandenshi (832555) on Tuesday March 18, @11:30AM (#22783698)
        The DSM [wikipedia.org](the Diagnostic and Statistical Manual of Mental Disorders) typically uses when it causes clinically significant distress on the part of the person, or in their work, social, personal lives.

        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.

        You have a tendency to check twice if the door to your house is locked after leaving? That's not really going to cause you major problems, and odds are you're not freaking out about it. Not OCD.
        Have frequent compulsions to drive back home and check if your door is locked, occuring throughout the day, making you get fired from your job, ruining your social life and making you feel like crap? That might be more likely to get you that diagnosis.

        You doing lots of e-mail for work is not likely to interfere with your ability to work. :P So you're fine.

        Heroin junkies might not mind their heroin(though some do), but if it screws up their lives then it's something the DSM will look at.
        • Re:What if your job requires it? (Score:5, Interesting)

          by SatanicPuppy (611928) * <Satanicpuppy.gmail@com> on Tuesday March 18, @12:53PM (#22784700) Journal
          "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 [ohio-state.edu].

          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.
  • Double-you tea eff?! (Score:5, Insightful)

    by geminidomino (614729) * on Tuesday March 18, @11:00AM (#22783320) Homepage Journal
    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.
  • by natex84 (706770) on Tuesday March 18, @11:05AM (#22783392) Homepage
    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.
    • by mpapet (761907) on Tuesday March 18, @11:32AM (#22783724) Homepage
      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.
    • by misleb (129952) on Tuesday March 18, @11:36AM (#22783770)
      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.
  • by moltenfury (1131037) on Tuesday March 18, @11:06AM (#22783404)
    Getting a girlfriend or boyfriend. I've seen it work well over the years even with the most hardcore online users.
  • Honestly Dr. Block... (Score:4, Funny)

    by XxtraLarGe (551297) on Tuesday March 18, @11:12AM (#22783490) Journal
    People with obsessive-compulsive disorders are the last people you want to make angry!
    • Re:Who defines "excessive?" (Score:5, Funny)

      by pandrijeczko (588093) on Tuesday March 18, @10:59AM (#22783310)
      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.

    • Re:Who defines "excessive?" (Score:5, Interesting)

      by sm62704 (957197) on Tuesday March 18, @11:32AM (#22783726) Homepage Journal
      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 [slashdot.org] 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 [kuro5hin.org] in 1999 I was amazed that the habit was as strong as the physical withdrawal from that deadly awful drug.

      The anti-drug monsters [wikipedia.org] 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