The rise of online impulsivity: a public health issue

How much online pornography is too much? A comparison of two theoretically distinct assessment scales

BACKGROUND

Online pornography use, an ever more common activity, has raised myriad psychosocial and clinical concerns. While there is a need to screen for and measure its problematic dimension, there is a debate about the adequacy of existing assessment tools.

OBJECTIVE

The study compares two instruments for measuring pathological online pornography use (POPU) that are based on different theoretical frameworks-one in line with DSM-5 criteria and the six-component addiction model and one in line with ICD-11 criteria.

METHODS

An international sample of 1,823 adults (Mean age = 31.66, SD = 6.74) answered an online questionnaire that included the Short Version of the Problematic Pornography Consumption Scale (PPCS-6) and the Assessment of Criteria for Specific Internet-Use Disorders (ACSID-11). Factorial, correlational, and network analyses were conducted on the data.

RESULTS

Both tools adequately screened for online "addictive" behavior, but the ACSID-11 was superior in assessing the degree of clinical risk.

CONCLUSION

Depending on the specific aim of the assessment (screening vs. clinical diagnostics), both online pornography measurement tools may be useful.

Mental Ill-Health and the Epidemiology of Representations

One of major challenges facing contemporary psychiatry is the insufficient grasp of relationship between individual and collective mental pathologies. A long tradition of diagnosing "mental illness" of society-exemplified by Erich Fromm-stands apart from approach of contemporary social psychiatry and is not perceived as relevant for psychiatric discourse. In this Perspective article, I argue that it is possible to uphold the idea of a supra-individual dimension to mental health, while avoiding the obvious pitfalls involved in categorical diagnosing of society as suffering from mental illness. I argue for an extended notion of public mental ill-health, which goes beyond the quantitative understanding of mental health as an aggregate of individual diseased minds captured in statistics, and which can be conceived as a dynamic, emergent property resulting from interactions of individual brains/minds in social space. Such a notion, in turn, presents a challenge of how to account for the interfacing between individual minds/brains and the collective mental phenomena. A suitable theoretical framework is provided by the notion of epidemiology of representations, originally formulated by cognitive anthropologist Dan Sperber. Within this framework, it is possible to highlight the role of public (material) representations in inter-individual transfer of mental representations and mental states. It is a suitable conceptual platform to explain how the troubling experiences with causal or mediating role on mental health, to a significant degree arise through a person's direct interaction with material representations and participation in collective mental states, again generated by material representations.

The Internet's effect on personality traits: An important casualty of the "Internet addiction" paradigm

Background and aims The "Internet addiction" paradigm has been criticized for several shortcomings, including inattention to specific online behaviors, not distinguishing the Internet from other media, insufficient focus on comorbidities, and definitions that do not take into account the constant access now possible. The paradigm's biggest casualty, however, may be that it has diverted attention away from subtle personality changes that seem to occur online, including in users who cannot be considered "addicted" under any definition. Methods A narrative assessment of the literature was conducted, focusing on the Internet's effects on personality traits as revealed in studies of Internet users. Results Impulsivity, narcissism, and aggression are some of the personality traits that seem to be nurtured by the Internet, with possible negative offline consequences. Discussion Ignoring the Internet's subtle effects on personality as we embrace an addiction model that implies severe pathology makes the majority of Internet users feel deceptively immune to the psychological effects of new technologies. It also limits our understanding of the big cultural shifts that are happening as a result. Conclusion The Internet's potentially negative effect on personality, and by extension on society at large, is a fundamental part of online psychology, one well worthy of further investigation.