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Chair Petros Levounis MD Ma (editor) - Technological Addictions

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Chair Petros Levounis MD Ma (editor) Technological Addictions

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Technological Addictions is a wakeup call alerting the medical communityand society at largeto the addictive potential of technology and to technological addictions as legitimate psychiatric conditions worthy of medical assessment, diagnosis, and treatment. No other book tackles these addictions, individually and collectively, contextualizing them for both mental health professionals and the interested public. Petros Levounis, an authority on addiction whos been an early voice on the intersection of addiction and technology, and James Sherer are uniquely well-suited to the task, and they have recruited an impressive list of contributors who write thoughtfully, eloquently, and authoritatively on their respective topics. The 10 chapters address the different kinds of technological addiction, as well as how they manifest and impact particular populations. Core to this discussion is the fine line between addictive and nonpathological use. After all, technology makes modern life possible, so assessing whether patients have crossed that line is not an easy task.

Other noteworthy topics In 2019, gaming disorder was added to the ICD-11, a controversial move raised a difficult question: are video games addictive and harmful, or are they just another pastime? The book helps clinicians understand video games as a cultural phenomenon, analyzing both their social importance and with their addictive potential. Cybersex and online pornography can hijack our dopaminergic reward pathways like any other addictive substance, destroying relationships, bank accounts, and mental health. The book provides a brief history followed by a discussion of diagnostic criteria, screening tools, associations, and treatments. Although seemingly harmless, even social media can become addictive, as people create online personae that may confuse and undermine both their sense of self and their sense of connectedness to the world, leading to anxiety, depression, impulsivity, and ADHD. The book helps readers distinguish between healthy and pathological social media use and explores treatment options for the latter. Technology is an integral factor in what has become known as information overload, which is associated with decreased performance and job satisfaction, work-related stress, social isolation, impaired sleep, relationship issues, and other problems. The book examines the underlying psychology of internet addiction and problematic internet use, their comorbidities, psychopathological models, and treatments. Significantly older when first introduced to the internet, older adults may face unique challenges and vulnerabilities, and this evolving understanding of the role of technology in their lives, both in terms of positive changes and the risk for pathological patterns of use and other potential harms, is explored in-depth.

Although written primarily for psychiatrists and other mental health professionals, patients, parents, teachers, students, administrators, and anyone who is interested in how humans interact with technology will find Technological Addictions fascinating and thought provoking.

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Technological Addictions Technological Addictions EDITED BY Petros Levounis - photo 1
Technological
Addictions
Technological
Addictions

EDITED BY

Petros Levounis, M.D., M.A.

James Sherer, M.D.

Note The authors have worked to ensure that all information in this book is - photo 2

Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. No medication mentioned in this book has been approved by the Food and Drug Administration (FDA) for the treatment of any technological addiction.

Books published by American Psychiatric Association Publishing represent the findings, conclusions, and views of the individual authors and do not necessarily represent the policies and opinions of American Psychiatric Association Publishing or the American Psychiatric Association.

If you wish to buy 50 or more copies of the same title, please go to www.appi.org/specialdiscounts for more information.

Copyright 2022 American Psychiatric Association Publishing

ALL RIGHTS RESERVED

First Edition

Manufactured in the United States of America on acid-free paper
252423222154321

American Psychiatric Association Publishing
800 Maine Avenue SW, Suite 900
Washington, DC 20024-2812
www.appi.org

Library of Congress Cataloging-in-Publication Data

Names: Levounis, Petros, editor. | Sherer, James, editor. | American Psychiatric Association Publishing, issuing body.

Title: Technological addictions / edited by Petros Levounis, James Sherer.

Description: First edition. | Washington, DC : American Psychiatric Association Publishing, [2022] | Includes bibliographical references and index.

Identifiers: LCCN 2021017495 (print) | LCCN 2021017496 (ebook) | ISBN 9781615372935 (paperback ; alk. paper) | ISBN 9781615372942 (ebook)

Subjects: MESH: Internet Addiction Disorder | Behavior, Addictive

Classification: LCC RC569.5.I54 (print) | LCC RC569.5.I54 (ebook) | NLM WM 176 | DDC 616.85/84dc23

LC record available at https://lccn.loc.gov/2021017495

LC ebook record available at https://lccn.loc.gov/2021017496

British Library Cataloguing in Publication Data
A CIP record is available from the British Library.

For Lukas and Shannon

Contents
  1. James Sherer, M.D.
  2. Lancer Naghdechi, D.O.
  3. Muhammad Aadil, M.D.
  4. Faisal Kagadkar, M.D.
  5. Petros Levounis, M.D., M.A.
  6. Robert Rymowicz, D.O.
  7. Heather Wurtz, M.D.
  8. Donya Nazery, D.O.
  9. Diego Garces Grosse, M.D.
  10. Lukman-Afis (Lukmon) Babajide, M.D.
  11. Faisal Kagadkar, M.D.
  12. Ana Claudia Zacarkim Pinheiro dos Santos, M.D.
  13. Lancer Naghdechi, D.O.
  14. Muhammad Aadil, M.D.
  15. Aitzaz Munir, M.D.
  16. Lancer Naghdechi, D.O.
  17. Yonatan Kaplan, M.D.
  18. Seyed Parham Khalili, M.D., MAPP
  19. Rafael Coira, M.D., J.D.
Contributors

Muhammad Aadil, M.D.

Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Lukman-Afis (Lukmon) Babajide, M.D.

Psychiatry Resident PGY-4, Rutgers New Jersey Medical School, Newark, New Jersey

Rafael Coira, M.D., J.D.

Child and Adolescent Psychiatry Fellow, New York Medical College, Behavioral Health Center, Valhalla, New York

Diego Garces Grosse, M.D.

Psychiatry Resident, Rutgers New Jersey Medical School, Newark, New Jersey

Faisal Kagadkar, M.D.

Resident Physician, Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Yonatan Kaplan, M.D.

Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Seyed Parham Khalili, M.D., MAPP

Clinical Assistant Professor, Department of Family Medicine, Keck School of Medicine of USC, Los Angeles, California

Petros Levounis, M.D., M.A.

Professor and Chair, Department of Psychiatry, Rutgers New Jersey Medical School; Chief of Service, University Hospital, Newark, New Jersey

Aitzaz Munir, M.D.

Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Lancer Naghdechi, D.O.

Resident Physician, Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Donya Nazery, D.O.

PGY-2 Resident, Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Ana Claudia Zacarkim Pinheiro dos Santos, M.D.

Resident Physician, Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Robert Rymowicz, D.O.

Fellow 20202021, Addiction Psychiatry, UCLA David Geffen School of Medicine, Los Angeles, California

James Sherer, M.D.

Chief Resident, Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Heather Wurtz, M.D.

PGY-3 Resident, Department of Psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey

Preface

Addiction to alcohol, tobacco, cocaine, and opioids can be devastating, as we all know. However, video games, online pornography, internet gaming, internet gambling, and other technological addictions can be every bit as addictive as substances. People have gotten so caught up in virtual pursuits that they have lost jobs, money, and loved ones in the real world. As technology becomes integrated into every facet of modern life, these technological addictions are becoming increasingly prevalent.

This book aims to help clinicians (as well as patients, parents, teachers, students, administrators, and anyone else who is interested in how humans interact with technology) master the fundamentals of the emerging technological addictions. The book is organized into 10 chapters: Video Games; Cybersex and Online Pornography; Internet Gambling; Texting, Emailing, and Other Online Messaging; Internet Surfing and Information Overload; Social Media; Online Shopping and Auctions; Children and Adolescents; Special Considerations for Older Adults; and New and Emerging Addictive Technologies. Some chapters overlap because people may be addicted to multiple technologies. Each chapter begins with the psychological and cultural context of that particular technology or population, which includes history and definitions, as well as the 21st-century reality of the people who struggle with these addictions every day. We also address the difference between healthy engagement with technology and addiction. Finally, each chapter includes some practice questions to cement the readers knowledge and understanding.

Most of us know somebody, whether a patient, family member, or friend, who might be described as being addicted to technology. One of our patients, a 25-year-old man, could not date offline because he could not find anyone as attractive as his virtual partners. Another, a 20-something war veteran with schizoaffective disorder, ended up homeless because he racked up more than $10,000 in credit card debt buying virtual accessories to enhance his status in an online game. Yet another 20-something veteran with PTSD spent countless hours playing

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