internet addiction?

scientificamerican |  How do we size up such an addiction? One way is to look at chemistry and the brain’s wiring. Drugs and behaviors are viewed as triggers for the same chemical changes in the brain. Researchers are also testing substance-abuse treatment drugs in experimental trials for Internet addiction and gambling. And the DSM-5 has a new behavioral addictions category, of which gambling is now a part, moved from its past classification as an “impulse-control disorder.” The APA has thus hinted that behaviors can be addictive in medical-speak.

Another way to look at addictions, however, is to look at the symptoms and consequences. You could diagnose addictions differently—alcohol, Internet gaming, etc.—or you could call them patients of a single condition: an addiction syndrome. Each overdose is viewed as a manifestation of this syndrome, driven by circumstance and inherent traits. The syndrome model buckets addictions into one category with a set of symptoms and a spectrum of severity. More than a habit, it’s the consequence that defines the addiction.

A third way is to rethink an addiction like Internet gaming as the development of a new worldview. An addiction often starts off as an innocuous experience. The experience triggers a series of pleasurable feelings but it also plants a series of memories. Taken to an extreme, what an addict wants is the recreation of the memory, an alternate reality. To simply abstain from whatever it is that is addictive is to deny a worldview. The body serves as a medium for the known route (the drug or behavior) that is the ticket to the desired world (the alternate reality). Of course, there are very real chemical changes that happen in an addict’s brain. But this alternate way of looking at addiction illustrates that it is a process, not a condition, and that circumstance influences chemistry.

And thus, the final question: Who decides what matters?

Over 400 years ago to be addicted was to simply have a strong inclination toward substances or behaviors. It was a choice. But over time, addictions started to mean inclinations that were less about choice and more about lack of control. Deviance then became a problem that could be fixed through religious discourse, medicine and social pressures. Today, there’s a psychiatric manual.

The DSM wields power. It’s gone from a 130-page manual in 1952 to a 900-page bestseller that competed with J. K. Rowling and Dan Brown on Amazon’s top-selling of 2013 before settling in at #12. The book is used as a treatment guide for picking out the right mental condition, providing the basis for insurance claims.