Mod-05 Lec-30 The gambler’s lament: Behavioural addictions- gambling, internet and porn addictions

Mod-05 Lec-30 The gambler’s lament: Behavioural addictions- gambling, internet and porn addictions


Good morning. .. Today, we are going to talk about gambling
and other behavioral addictions most of us are used to. … The idea of addiction to substances, addiction
to alcohol, addiction to drugs etcetera. But,
I am sure you heard of people being addicted to their work you know you heard of terms
like workaholism, you heard of. Now I am sure you would have read somewhere
that you know some people are more than a little
fond of their Facebook pages you know staying on Facebook. Or you know more than a little fascinated
by their cell phones. So
the issue is, whether one can be addicted to a particular behavior. Now how you be
“addicted” to a behavior? . .If I might see the slide now,, addiction
to substances, addiction to patterns of behavior appear to be to liar continumum. Because, ultimately addiction is about loss
of control; the badge of addiction is that there is a
person is lost control over the use of a particular substance or over his particular behavior. So, while substance addictions involve abuse
of and dependence upon chemicals such as: alcohol, nicotine, heroin, cocaine etcetera. Behavioral addictions involve problem use,
repetitive use of potentially pleasurable or
compulsive activities. I mean, most of them are activities which
are normally done in society you know they can be gambling, they
can be sex, can be working, spending. You
know any go to people-people go on spending sprees eating etcetera. And sometimes
what happens is, some people struggle with both types simultaneously. So, often and that
is point I am going to try and make to you is that it is the same people who are at risk
for both types of addiction. . General public often mistakenly view these
addictions as “moral flaws” in the same way
that the general public often views people who use drugs and alcohol as some are
morally weak. Somehow you know having less control over
what they do and therefore, bad as less serious. But they also can end of and public also have
the feeling that these are somehow less serious. Then, the substances addictions, the behavioral
addictions I mean. .But what is, true and this is something that
we see in our clinics is that these addictions to behaviors can also go totally out of control
and they cause as much havoc on families, on persons themselves as drug addiction alcoholism. And it often I mean these addictions
for example: gambling addiction etcetera often also contribute to relapse to substance
addictions when people have both. . These potentially addictive behaviors are
usually healthy, essential activities; you know
that is the paradox that most of them start out of as often essential activity: eating
is an essential activity, sex is an essential activity. Sometimes going and having a little you
know fun is an essential activity in today’s life you know listening to the cell phone
is become an essential activity. But sometimes is, essential activities spiral
out of control, but 1 of the things this is something that we talked earlier these activities
all have 1 common property; that they appear to stimulate a very ancient reward
circuit in the brain. This is the circuit which as
a part of evolution has occurred in human brain which gives you a sense of reward when
you perform, a certain activity or more important when you anticipate performing a
certain activity. You know first you eat a chocolate, you get
a warm feeling of reward in this particular circuit. The next time you see a chocolate, you brain
goes wow just do it you know. And
this is very important circuit as far as motivating humans to action is concerned and all .these whether it is the substances, whether
it is some of these behaviors that I am going to talk about the cause of flood of this important
chemical called Dopamine in this particular circuit. Now, brains are already programmed to encourage
these behavior by making them highly pleasurable. Addictive drugs in alcohol trigger as similar
response but, drugs induce a pleasurable distractions simply by
being taken; you do not have to do that activity in this you have to actually perform
an activity and that is the only difference. . So what are the Core elements of addiction
seen in both substance and behavioral addictions: 1 as I told you is loss of control. 2 is, that you continue to do this despite
negative consequences. You suffer pain, you suffer shame, suffer
loss. But you continue
to do it despite these odds and you make multiple attempts to stop. But despite that you
relapse. Then tolerance which means, you require higher
levels of a particular drug or in this case higher levels of that activity to
give you the same buzz. The earlier level for example: I start gambling
right, tomorrow I need to gamble at a higher level I need to bet more to get the
same buzz that you know I was getting initially. Then of course, there is this preoccupation
you know it is a word which is often used to
describe this is salience. This is so salient that this becomes the most
important thing in my life you know; doing this activity and
planning to do this activity takes over my 24
hours you know. .My going and buying stuff for my child is
not become that important. My coming to
work is not that important in when I come to work, mind is constantly thinking about
this particular thing and that is salience. And if I do not do this particular activity,
I get sense of withdrawal, which can be sadness, which
can be anxiety, which can be persistent thoughts about this inability to sleep you
know basic difficulties. And I get cravings or an urge to perform this
particular activity. These are some of the 7
criteria which are necessary to signify that a behavior or use of particular substance
has become addictive. .. Gambling: what is gambling is, putting something,
usually money, at risk, in the hope of gaining of something of greater value. Now, gambling is very very very very old human
societies and if 1 looks at the RigVeda. Which is 1 of the oldest you know pieces of
literature known to mankind; 1 finds there is extensive description of gambling. And
what they use to use is this particular 5 sided seed of tree called Vibhitaka. Then, this is been described in as 1 of the
earliest forms of gambling. Then, people
started using somewhere in the indo Iranian and Indian region the Astragalus that is the
of certain bones of animals; which have different facets so when you throw them, there is
an equal chance of any side following and this again is around 1500 BC. I mean the
earlier science. .And then of course, you move to dice which
could be made out of ceramic or stone etcetera so you have cop dice. Those are pictures of some of the early dice
which you can found especially in the Indian region. . The gamblers lament which is in the RigVeda
is actually probably i am going to start with that because, it is 1 of the earliest
descriptions of an addiction a behavioral addiction. This let us go through this it says sprung
from the tall trees on windy heights, these rollers meaning this dice transport
me as they turn upon the table. The enlivening
Vibhitaka has pleased me like the draught of soma. Some body actually, making a
comparison between gambling and the Somaras that they used to get higher. And remember this is 1700 BC when, I resolve
I will not play with them, I will remain behind when my friends depart to play and
the brown dice throw on the board have rattled like, a fond girl I seek the place
of meeting meaning it draws me this presumable a man, who saying draws me like a young girl
young girl draws me. The dice draw me so
his talking of the craving and the urge and so on and so forth. .. These are for example: some oil paintings
the of people gambling you know the gamester seeks the gambling house and wonders,
his body all afire, will I be lucky? So
end it goes on and on about how 1 has no control and how dice are like you know as if
they have thorns and. They can like goats which pull elephants then,
they can pull you. So the point, the reason why I you know brought
of this very old piece of literature is to just to tell you that this is, something which
is been recognized for many many years and yet in the country which probably described
pathological gambling for the first time. We
haven’t had too much of serious discussion, serious scholarship on pathological
gambling. .. It also talks about you know some of the consequences
of gambling that what happens to people that they loss everything that they
loss their families, they loss their wives alright. . Let me, go to the this is a very very well-known
scenario to all of us who grown up in India and have listened to a grandmother’s
tell us the story of their Mahabharata. Did
you know? .. For example, that there are different forms
of gambling there are gambling over sports for example these are people who are gambling
over cocks fighting with each other cock fighting. And this is very very ancient has been described
in some of the early Purans and certainly in the Mahabharata. On this side is, this picture of what used
to go on in Calcutta in the late 1700s. They was of gambling called rain gambling. People would gamble on the amount of rain
that would fall and when rain would fall. People have gambled on you know how much the
cotton stocks would be in the US which would broughten by writers telegraph. And this was perceive I mean historically
the reason why I am telling this was perceived by the British colonial governed as
something very very harmful, very very morally bad and they tried to ban gambling. But in in true colonial style they decided
to buy a gamble which the Nate is did and they
decided that you know gambling on horse racing was not bad, but it was legal because
they did it. And they came to this very very funny in logic
that gambling on horse racing actually the scientific principal so you have
to decide. How the horse is going to run,
which horse, how the horse you know strong the horse is etcetera. But you know something that this is, also
something which is now currently used as a principle to determine what is right and what
is wrong. The law on gambling in India
today is, still based on this principle that if there is some scientific knowledge which
is .require then, that is that is called gaming. And if not if is based only on chance then,
it is illegal because it is gambling. . Anyway, so subsequently of course there are
things which happened you know there is the game of Satta which is illegal because,
it is based on chance but, there are 2 gambling’s forms which are legal in India
actually 3: 1 is horse racing which is come down from British times. The other 1 is game of rummy and the third
1 is legal in only some states which are casinos were used you
know play certain kinds of gambling games. .. But these are some of the recent papers that
we have had on you know gambling in India. And what we been trying to talk about is,
that some forms gambling can be pathological like: some forms of drinking can be pathological,
some forms of eating can be pathological and there is a segment of people
who do gamble and they develop early problems. . .. Basically, what I am trying to say is that
there is a continuum of risk it is it is not a black
and white thing from no gambling to casual social gambling. You know for example, it is
very common in India during Diwali, during Lakshmi Pooja and other things to get to
gamble in at least in some parts of the country. And it is part of the religious ritual and
then of course, you have serious social gambling where people disappear every you
know weekend to play in some form of rummy or bridge or whatever in the lay backs on
it. Then, you have harmful gambling, harmful involvement;
where people actually started losing money, start developing you know going
to dead because of it and then, you have pathological gambling where gambling occurs
to the extent of and of addiction. … Basically, we talk of and where reasonably
of speaking and gambling is that most of the work has been done. And gambling you have “at risk” gambling
which is gambling that carry is the increase risk of developing into
gambling problem, but has not yet developed. Then, there is problem gambling that disrupts
or damages personal family or recreational pursuits. Or next and more serious is gambling addiction
or pathological gambling which is persistent and recurrent
maladaptive. Gambling characterize by some of the following
that I talked about remember the 7 characteristics pre occupation with gambling
they need to gamble with increasing amounts, inability to cut back or stop, chasing
losses. You that I will loss so I need to the
loss lying about gambling adverse social and financial consequences and continuing this
spit knowledge of harm. .. So basically these are some other criteria
for pathological gambling; which I just already talked about so we do not need to get into
the detail of this. . And there are different criteria depending
on the which part of the world you are in this
is the American criteria. And earlier people in the psychiatric world
consider, gambling to be a problem of impulse. It was concerned consider disorder of impulse
that you could not restrict your impulse. So it was called an impulsive impulse control
disorder. For .example, you know you heard of people who
pull out their hair is called Trichotillomania. So this was class in the same class is that
I have an impulse triple out pull out my hair and I pull it out. And gambling was concerned in impulse, but
now people are more and more because of some other science that that
has accrued over the last 10 years. If you
more and more are saying look this is like addiction so it is now being classified as
an addictive disorder. . . .So any way this was. So, how common is pathological gambling. We are talking about
this in your at liberty to ask me why you talking about this really common. What we do
know is that pathological gambling occurs in about 30 to 60 percent and these are US
figures of the population you know but, these are American figures. . Let us, look at and these are some of tools
which are used to tap gambling. . .But, 1 of the best screen as for gambling
is just 2 questions have you ever felt the need to
bet more and more money, have you ever had to lie to people important to you about
how much you gamble. . And these are again some of the tools which
are used. . Let me give, you some Indian figures these
are figures of you know when we asked for gambling in the population in a population
in Banglore and we looked at people who were treatment seekers. Who are seeking treatment for addiction, what
we found was that .in non-treatment seekers. What am I looking at in treatment seekers
13 percent had gambling of any kind and 7 percent had from
pathological odd addictive gambling. In non-treatment seekers that is general population
that we looked at about 5 percent had gambling of any kind and 0 percent had pathological
gambling. We did an internet of
gambling and we found again about 20 percent people reported gambling of any kind
and 0 percent reported gambling of any kind and 0 percent reported pathological
gambling. Then, Say 1 of the things that we arrived
that is the conclusion is that people who are
seeking treatment for other addictions. Where at much higher risk for pathological
addiction as pathological gambling or addictive gambling as well. Whereas, other forms
of gambling the problem gambling and the social gambling were common in people who
are not at all not at risk for other addictions. So this the addictive forms are seem to
cluster together. . The mode of gambling that we did find was
more of you know of card games involving money, horse racing etcetera. But as you can see no this this is a slide
about mode of gambling so card games involving money seen
to be the most common form that we found in or on in a study. .. Again this particular slide really shows that
the kind of problems that were there and we if you look the problem seeing to be more
in the blue stripes. Which are people who are
seeking treatment for addictive disorders. . But the slide I really want to show you is,
that problem gambling seen to be much more in people who had developed early onset addictive
problems. And in the previous lecture
I had talked about you know how people with early onset addiction seen to be at much
higher risk for a whole host of problems. .. What we also found in this particular study
is, that these are the externalizing scores. Scores of behavior which are name namely impulsivity
in a tension, oppositional, behavior etcetera. So people who had greater externalizing scores,
were more likely to be gambling them who had lesser externalizing
scores. . And this is something that is implicit found
consistently in old literature that adolescents who have attention deficit adolescents who
have contact problems are more likely to have gambling problems. .. Let me, go pass this I will not spend too
much time here other than to say that brain imaging studies in people with pathological
gambling have shown that the brain sizes and brain volumes in people who have pathological
gambling at different from people, who do not have pathological gambling. . .. .. .. . .. . Let me go instead to because this is a lot
so how does when treat pathological gambling currently the only method of treating pathological
gambling or psychosocial interventions. The once which have strong evidence have cognitive
behavioral therapies and behavioral therapies. .. And very recently, we are we have started
using certain pharmacological or drugged medicine treatments for pathological gambling. . Let us talk, about another form behavioral
addiction internet addiction disorder. Now the
question is, internet addiction really real? Again the, you do know of people who spend
in ordinate amounts of time on the net and who get very upset when they are dragged off
or when their internet provider or broadband supply gets cut. So do you think internet
addiction is real? .. Let us, examine the between 5 percent to 10
percent of Web surfers suffer from some form of dependency and this is from in American
study. . What is addiction? Like we said it is a compulsive need for and
use of a habit forming a substance. But persistence compulsive use of a substance
known to be harmful. .. Now internet addiction can in involved excessive
social networking, excessive online shopping, compulsive online gaming, excessive
blogging, compulsive watching of internet videos and pornography and playing
online games. So when we once talks of
internet addiction 1 talks of a whole cluster of problems. . Now, while there is a generation of internet
addicts most of them seen to be clustered in
the younger age group. While this only stands to reason because,
people above the age of 45 are not using the net so much and they
are not as net savvy. .. So there are some studies which show the too
much internet usage can cause structural brain damage. And some of the consequences of internet addiction
or loss of a sense of time with you warn be on the net without knowing
how much time is passed. Withdrawal
when the computer is inaccessible. Social isolation and fatigue they do not want
to go into you know social groups you get tired
and bore very easily. Tolerance that is,
including the need for better computer equipment that you keep upgrading your
computer you keep upgrading a software. . .So these are some of the known consequences
of internet addiction. N ow this is again
another particular another study on internet addiction. And when people where ask do
you normally stay online longer than you intended 75 percent of people who are
approach said yes. Unfortunately this particular study was done
on people who were in the internet. So in a way it was by us to people who were
on the internet for very long periods of time. . When asked do you sometimes choose to spend
more time on online then going out with others; 41 percent said yes. .. We usually use sleep due to late night log
ins 50 percent said yes. . Did you think your job performance of productivity
suffers because of the internet; 42 percent said yes. So fairly large numbers of people who have
being poled a saying that internet usage is interfering with their day
to day functioning. .. How often you check e mail before something
else that you need to do 23 percent say frequently. .. So is internet addiction of mental disorder. Now actually, the whole concept in the
internet addiction started of us a satirical piece somebody wrote up a piece saying if
this is addiction internet you know sitting on
the internet is also addiction. And applied the
principles of addiction to internet thing so it started of us satirical piece by gentlemen
called gold work in 1995. But by 2013 this is now entered the bible
of psychetric .diagnosis. So what started of us a joke hence, have been
become a serious pathological entity. . People have there are some people who opposite
and this say that, the relationship between depression and internet addiction
is because people would dispersed 10 to not use not to be in contact with other people. But take request to the internet and that
it is usually people who are first unwell. Who then spend more and more time with the
internet that internet usage is secondary to other mental disorders. . .But you cannot escape the consequences, you
know when 1 talks of Facebook addiction Facebook in 2012 had 1.06 billion uses of
them almost 680 million how where according to 1 particular study addicted to Facebook. . . This is the US study and the time spent each
month was very very high was what 53 billion minutes on Facebook 3.2 billion were
pressing the like button and 30 million uploads happened in 1 particular month is
a these are huge figures. .. Facebook a addiction is be increasingly become
real problem because, if you look at Facebook users and these are dated taking
taken from this particular study which looked at Facebook usage 41 percent are addicted
to Facebook, 63 percent as stress by delaying the responses to our friend request. More than 30 percent 1 third guilty by rejecting
new friends request 20 percent people comment
on their friend photos each day. Now which
plan do you guys fallen to 15 percent update their status each taken imagine everybody
updating the status each day. . .Anyway, this is what we are talking about
gaming addiction that it is not unusual for people to get so obsessed with online gaming
that they forget to eat. And they just grow
thin and anorexic and it does happen and we have started getting people who are coming
to the clinic with complaints. Usually, they do not complain their parents
and you know relatives who complain that they stop doing
every activity. They just sitting, on the net playing often
they playing is multi player massive multi player online games. And they are on it in the day time because,
all their friends in India playing and they are wake it night. Because, they are playing with people in some
other continent in some other time zone. . A lot of work is been done in Korea, where
I believe gaming addiction is very very our gaming very very popular. And apparently 70 percent of the young people
in Korea play online games and it has been estimated by
2 studies from Korea that 18 percent are online addicts, I mean game addicts. .. Now people often ask me, new so what happens
if people play games. Does it hurt
anybody? And these are some of the studies where people
are actually killed or hurt other people or hurt themselves. When they was stopped from access to their
computer, access to their games. . .. Online gambling I was talking about earlier
so, I will not talking about it now. Internet
pornography addiction is also very very figure have very very high and these are again
these ways you can get global statistics from the net also. If you look at porn websites of
all the global sites 12 percent of the websites are pornographic. And there appear to be
huge amounts of money which are spent on these websites. . These are term which I use especially industry,
you got a Cyberloafing in Goldbricking. Cyberloafing is, when peoples use their companies
internet for non-work related .purposes during working hours. And these in industry has become a very big
drain on the the productive and therefore, on the money. . So people have been doing research on the
“Impact Cyberloafing”. So they have been
studies for an against you know; some studies is said the people who take time off from
their work actually have better psychological performance and better engagement with
their work. Because they enable to take time off from
their work, but know think the bosses in the industry are very happy about
people using their computers to login on to Facebook. .. Goldbricking on the other hand is: staff who
use their work internet access for personal reasons while maintaining the appearance of
working, which can lead to inefficiency. So
you have 1 screen opened which is your work thing and another screen opened on your
Facebook page and you keep shifting between the 2. . It has been estimated that almost 70 percent
of businesses lose money and time because of these particular practices. .. Now this is not something that has become
very popular in India. But especially in US
and in countries like: Korea etcetera. There is strong move to bring about internet
addiction rehabilitation, I haven’t heard of any search process and you know in India
and honesty we really we who are in treatment
arena haven’t yet thought of developing invention but, we are going to need to develop
such inventions. . Having review with these questions. Are you addicted to your smart phone? Do you have
a smart phone? I will show you will are you addicted to it
65 percent of I phone users .surveyed said, I cannot live without my phone
and 40 percent said, I give up my morning coffee first you know. I rather you know check my phone before I
check my you know have my morning coffee, 18 percent said, I
will stop breathing every day before I give up
my I phone. And 15 percent said, I give up go week end
without my i phone I do rather give up sex. So I phone usage also seems to be becoming
fairly problematic. Now I want to finish
with the point that, you know we can keep adding you know I phone usage this, that. But
at the end of the day what seems failure apparent is that it is not the form of the
addiction, rather not the content of the addiction, but the form of the addiction. There are some people who lose control and
these are people who are liability to lose control, whether it is with cell phones or
whether it is with alcohol or whether it is with
drugs. And ultimately, the issue is to look at the
characteristics of the people who are likely to who are at greater risk of losing
control. This is what we talk about yesterday so
but, I am not going to repeat that and invention lies in dealing with these characteristics;
which are likely to give raise to these addictive forms of behavior i will end there. Thank
you. Can love will fall into. This categories of addiction. Love how are going to define love. But love for music. That is different. What does fallen to the category I mean for
example, is sexual addiction. Because, there
are people who get addicted to either pornography or to sex; as for as love is concerned
love I mean if you talking about love has an human relationship. Well I will showed
there are some people who fall even out of love you know consistently. But I doubt
whether that would really you know b an addiction. Because, but love to love for music yes there
are some people who may put on the headphones and listen to music all the times
especially, the music. And will not doing .anything else other than that. And I suppose yes it is link to this whole
thing of these are again people whose into be high risk for other
problems. For example: it is fell even
known the people listen to head music in keep listening to that all the time often very
prone to developing problem with drug usage you know. Then, it is not about them into drug usage
all the music per say, but these are people who
often use this to control the hyper activity in the brains as we talked about last yesterday. Coming control goldbricking and Cyberloafing
1 will be 2 just cut of the connection can portent like: Facebook and Twitter. But, this could also be contribute at because,
this can make them angry that they are not even track
with other fellows. And I think that this
would also hyper productivity of the organization. That so all it is very good question because,
there is no proper answer for that. It is like it
is the same difficulty that is there is in organization for example, you have in most
organization you are not allow to smoke inside right. So, but organization allow their
workers to outside and smoke and then, they face problem. Because you have people
who are going out half the time you may be 5, 10 minute there are going out and
smoking. So are you losing more time by having love
with people going out and have a smoke. Or
if do not especially for people who are addicted to smoking you will have workers there
who are getting very hesitated and unable to continue with their work. So what you do,
so lot of age you know industry has not started you know giving in house tobacco
suggestion programs saying that, let us put money in getting these people to give up
smoking totally. Now whether. that will happen with Twitter and Facebook
I do not know what I am sure people can thought not to use Facebook and
Twitter while on the job. You know like,
most serious employees will not be sitting up ringing up their friends and having you
chatting away to glory you know while, there are my job is there is there they are serious
about their job. But you are right I mean if you prevent forcibly
you cut of Twitter account, which some companies do it you know access to the internet
other than the side you have to visit. Because, you are on a company internet or
whatever. Whether, that creates more
satisfied employees or more disagreed employees. .That is something really do not know about
it nobody is really done in work about that. But is good question. We talked about how internet addiction was
a consequence of depression when they went into the internet
addiction that the way from depression. So
does it every get through a point where it finally, get board of it? Of the internet. Yeah, where so much explode that is load everything. While I know of lots of people front themselves
from the Facebook from Facebook. But
people who are really addicted and get up 1 day say that, I am not going to use the
internet any longer. I am sure there are like they are people who
are really addicted alcohol 1 day say, I am not going to drink
any more. But statistically I would say that
guest. Because, there is there is not any hard data
about it I had it a guess they are few entire between. Because, remember when you talking of addiction
what we are under what we are slowly understanding is that some people
are getting addicted because of certain ways of brain functioning. And these are people who are liable get addicted
whether to this or to that. In fact, it is a well know phenomenon that
in in place an alcoholic phenomenon. The
people have come to give up alcohol is the issue you want to smoke and there is the
whole concept of shifting from 1 addiction to another; replacing 1 addiction with
another. So, the real solution probably is to get people
to shift to addiction which are adoptive healthier addictions, safer addictions. Sir is there any difference in the extra word
and inter words when it comes to like internet addiction and all? Well that is not be studied, but again I would
had it a guess that people with is impulsivity, tension etcetera are more likely
to be attach to any addictive behavior. Then,
people who are not, but to your direct question whether there is difference between extra
words and inter word. There is no hard data no body studied in please
remember, these are concepts which are very very new. .Most of the world believe these concept exist
and these concepts are and have been put up saying that, length studies this and see
whether is really we need to get bother about it. We really need to follow this sum, but as
all of you know that all of you can at least count 5 people who sit on the internet among
your friends who sit on the internet more than they required to who have cut down they
social inter action because of their love for
the you know for scuffing. Whatever and so to all view it is really problem
in some at least 5 people you know similarly, with cell phones are not are not
so much with cell phones not yet. And sir 1 more question what about social
wirelism is can that also fall into the? What is that mean what is that mean? Social as in as in people how are like they
want to know about the life of other people. Who are on the Facebook friend less or something
else? But they do not want to tell
about their life so they keep their life is secret they own photographs, their own first
status updates anything but, they have what is happening in other people’s lives
regularly, check they are prepare and all that so. What is the term use for it? I had so social word. Yeah I suppose noble that is that is there
in normal human invention also know. Yeah. I mean of these number of people who are here
what asking questions they be 1 on 2 will not ask questions. Who cleanly listening to the other people
asking questions, would be very cleanly observing what is happening. So, but to be fair there are some people who
will you know we hidden enter be watching and like you say why are you looking are
some other things; which are not very necessarily very adoptive. I will and if you going certain sites you
find there are people go social media sides pick
up pictures and then they collect them and use it for not so healthy purpose. And yes that
is there that is the very nature of the internet that if you choose to you can may you know
stay hidden. .I am so what is the method which are been
kindly employed by the US society took off the addiction? They are certain sites not just US I mean
it there in Australia and various other kind countries which are looking at providing services
for internet and other addictions gambling addiction etcetera. Which is similar to I showed to some other
things most of it is behavioral treatments. Basically, most of this behavioral treatment
try to get you to unlearn old patterns of behavior and learn
your and more adoptive pattern of behavior. So it uses of behavioral therapy model already
behavior therapy also includes looking at the cognition or thoughts. The automatic cognition thoughts which 1 falls
into on which then propels you are behavior and should’s
and would’s that 1 has in our once mind isn’t
it. And sir does also change the wiring of earlier
in the yesterday’s documentation that when 1 is to 2 much addicted to drugs or say
alcohol why did the hard ware bring changes? Yes. Does similar thing happens and does abuse
also like when your 1 is too much addicted internet or gambling does the wiring of brain
changes? Yeah this very earlier data very earlier data. which was that there is difference between
the brains of people who are addicted to some of this behavior addictions most the
gambling and people who are not. Now the same question that we talk about yesterday
is, whether this changes are there before or consequence of this behavior that is
something which we still cannot answer. But from the experience of what we have learnt
from substance gambling and substance used this order, substance addiction. 1 would has I guess that this this difference
in brain size, brain function existed you before people took on the behavioral you know
behavioral addict. So, that it is a
vulnerability rather than just consequence of this particular behavioral addiction. Anything? If someone wants to good 1 kind of addiction. So, is it that they are more fall for other
kind of addictions? .Yeah. They yes your are absolutely right that if
1 quiets 1 kind of addiction your also proved to developing other addictions. So, the ultimate aim will be try and deal
with the basic vulnerability that exists, rather than
just getting people to quit 1 additional of the
other. Unfortunately at old way of dealing with addiction
has been to say stop this ok. If
has not been say stop this and I shall also provide you with a solution to deal with
whatever is called the you 2 get addicts. So the treatment of addiction has been like
a revolving door you go in go out from the door i will come back again through the door. Now recent strategies which have which
been started looking at has that is deal with the preexisting problem rather, than just
looking at the tape of the ice berg it is like an ice berg you know; only a small part
is visible. But if you do and look at that your ship gets
and by what is the under the water. Just 1 question to ask you have first became
reductive 1 type of this, which word ultimately lead you to some other concept. Just I will say to, if I am into online will
be or if I am into photography that in the suit
that you have known first. I develop addiction
towards internet and then, that addiction further gets a flavor of say internet gaming
or photographic material? Ok what you are talking about is the soul
concept of get reduction. Which is specifically
used in drug use; that the other the classical thing is that you will start on to vacuum
smoking were chewing and that leads you on to other drugs. Or as was earlier taught the
people who start using calamines, ganja that is the gate way to link due into others you
knows more serious drugs like you know cocaine and other substances. So, that is prove
to be not very useful model to follow. Similarly, I would not really subscribe to
gate way addiction even in the behavior addictions. Because, I would not think that what while
chooses as the behavior is dependent on the circumstance. If you have access to gambling, you go to
that. If you
have access to the internet, you go to that. It is because of you are the fact that whatever
this particular thing increases activity in your reward circuit you persist with that. Because in a way it deals with this particular
vulnerability and normalizes this externalizing behavior that you continue with
that. Because, like I showed yesterday it
seems to give you a better response, a better reinforcement. Then, it gives other people
we are the people who are vulnerable. And so if continue emphasis with that and
it could .be what or when you started on. That sometimes when you stop one and you are
not dent with your vulnerability. Then, you have to move on to another substances
or another behavior. The lessen name that one who is vulnerable
is one variable to any or many of his behavior or substances. .

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