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WHO to recognize gaming disorder as mental health condition

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Re: WHO to recognize gaming disorder as mental health condition

#11

Before the sceptics get in: 1. The purpose of DSM/ICD is often to justify financing treatment: > Chris Ferguson, a professor of psychology at Stetson University ... described the ICD as "the book of real diseases that you can get insurance payments for." 2. Treatment has to be mindful of the specific form of addiction: > "These are co-morbid conditions," he said. "If you just treat the depression and not gaming, the…

> Before criticizing modern psychiatry keep in mind:

> 1. mental health patients are extreme in their dysfunction, never common.

I agree with what you're saying, but the US does have a problem of over-testing, over-diagnosis, and over-treating illness. Not just mental ill health, but everything.

In the US about 10% of children have ADHD

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489818/

> Based on the Heath Resources and Services Administration's National Survey of Children's Health, the percentage of children aged 4–17 years diagnosed with ADHD increased from 7.8% in 2003 to 9.5% in 2007, representing a 21.8% increase in just 4 years (Centers for Disease Control and Prevention 2010).

An estimates 3million US children take stimulant medication:

> Experts estimate that approximately 60% of children with ADHD are treated with prescription stimulants (Center for Disease Control and Prevention 2005a); therefore, approximately three million children in this country take stimulants for problems with focusing. At the same time, many studies have revealed the numerous adverse effects associated with prescription stimulants when they are used inappropriately.

These numbers are a bit worrying, especially if medication alone is being used, and it's not provided as a package of bio-psycho-social treatment.

Re: WHO to recognize gaming disorder as mental health condition

#12
post #9

WHO recognizing things as diseases or not diseases is becoming largely politicized. They have already removed many obvious mental disorders from their lists due to political pressures and now they're starting to add some bizarre entries. I wouldn't be surprised if they add "investing in cryptocurrencies" or "thinking Russia is an ok place" next, considering current trendy topics.

It's certainly a slippery slope. I suppose it's not a so big problem if "healing" is optional.

Political dissidence has been categorize as an illness in the past. In the Soviet Union, for instance. The same with sexual preferences.

In the science fiction novel "Distress", by Greg Egan, appears a character that it's a highly functioning autistic that don't want to be "healed".

I have the book here. This idea has been with me since I read it:

"What's the most patronising thing you can offer to do for people you disagree with, or don't understand? [..] Heal them. [..] Whoever claims the authority to define the boundary between health and disease claims...everything."

Re: WHO to recognize gaming disorder as mental health condition

#14
post #7
post #6

my personal reaction is 2 fold WRT >In one study, he found that when kids stopped being addicted to games, their depression and anxiety got better. ( 1 ) Is this study repeatable? (or does it suffer the fate of many (75%) psychology experiments that cannot be replicated [1] ( 2 ) Instagram, Facebook , -- would those, potentially, addiction-fueled activities, ever become subject to the WHO recommendation ? [ 1 ] https…

The replication claim has never been replicated either.

they have. repeatability problems have been found in various domains , including medicine and psychology which is of concern here

Re: WHO to recognize gaming disorder as mental health condition

#15

Before the sceptics get in: 1. The purpose of DSM/ICD is often to justify financing treatment: > Chris Ferguson, a professor of psychology at Stetson University ... described the ICD as "the book of real diseases that you can get insurance payments for." 2. Treatment has to be mindful of the specific form of addiction: > "These are co-morbid conditions," he said. "If you just treat the depression and not gaming, the…

> 3. modern clinical psychiatry is an evidenced-based, research-driven field which treats and forms diagnoses on the basis of decades of research into any particular condition. It isnt the 1950s.

But isn't modern clinical psychiatry marred by the same problems social or economic sciences are? Ultimately you are studying/interpreting human behaviour, which doesn't lend itself well to quantisation or categorising.

Re: WHO to recognize gaming disorder as mental health condition

#16
Video games are obviously addictive. The way you make money off of games is to make them addictive. There is a direct feedback loop between more addictive games and more profits and so the addictiveness of games can be research, refined, and optimized over time.

The WHO is way behind the curve here.

If society treated video games the same as alcohol and drugs they would already be banned for minors. Eventually they probably will be.

Re: WHO to recognize gaming disorder as mental health condition

#17
post #9

WHO recognizing things as diseases or not diseases is becoming largely politicized. They have already removed many obvious mental disorders from their lists due to political pressures and now they're starting to add some bizarre entries. I wouldn't be surprised if they add "investing in cryptocurrencies" or "thinking Russia is an ok place" next, considering current trendy topics.

This is thoroughly unempathetic. Video game addiction is absolutely real, and the WHO is well behind the curve on this, as other posters have already pointed out.

Re: WHO to recognize gaming disorder as mental health condition

#18
post #11

Before the sceptics get in: 1. The purpose of DSM/ICD is often to justify financing treatment: > Chris Ferguson, a professor of psychology at Stetson University ... described the ICD as "the book of real diseases that you can get insurance payments for." 2. Treatment has to be mindful of the specific form of addiction: > "These are co-morbid conditions," he said. "If you just treat the depression and not gaming, the…

> Before criticizing modern psychiatry keep in mind: > 1. mental health patients are extreme in their dysfunction, never common. I agree with what you're saying, but the US does have a problem of over-testing, over-diagnosis, and over-treating illness. Not just mental ill health, but everything. In the US about 10% of children have ADHD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489818/ > Based on the Heath Resour…

Ahh, sigh. I was writing with ADHD in mind actually.

Up to 10% children really do have ADHD which is a delay in the development of the frontal lobe. Such a delay seems "somewhat common" amongst humans.

More than half catch up, leaving upto 5% of adults with some form of ADHD.

ADHD is serious. It is a severe impairment to planning, self-management, emotional regulation, etc. You are likely to be impoverished without substantial resources to rely on (family, etc.).

> are a bit worrying > it's not provided as a package of bio-psycho-social treatment.

ADHD researchers (serious neuroscientists & clinical psychiatrists) have for DECADES tried "biosocial blah blah". It has failed. ADHD is not a failure of child training (ie., parents "Raising Their Child Right!!!").

Overwhelmingly the effective treatment for ADHD is pharmocological. At this point comments like yours, along with the media hysteria, are doing real harm to children actually getting treatment.

The problem we have with ADHD is significant under treatment and under diagnosis.

It turns out all those "useless" people joked about in human history have not just been failures of character: in need of "social" intervention. They have had a physical impairment, a delay in their brain's development. Not Fixable by a good beating, or whatever the touchy-feely equivalent is.

The suggestion that a child with a broken leg not receive crutches would be absolutely outrageous. Or a person with cancer not receive a daily pill treatment. The very same outrage should be felt here in the suggestion that people with ADHD not receive medication vital to their ability to even pay attention to their lessons (goals, etc.). Vital to their ability to socailize (ie., control their frustation in ways that doesnt alientate other children). And therefore vital to their future success.

Yes there does need to be a fundamental reorganization to western education systems to, from the ground up, be aware of how wide-spread developmental issues are -- and to build in fundamental support structures.

However this isnt a "treatment" for ADHD. There is no cure. This is just bracing the crutches. Overwelmingly the research over the last 30 years has shown the only significant impact on ADHD is pharmocological.

Re: WHO to recognize gaming disorder as mental health condition

#19

Before the sceptics get in: 1. The purpose of DSM/ICD is often to justify financing treatment: > Chris Ferguson, a professor of psychology at Stetson University ... described the ICD as "the book of real diseases that you can get insurance payments for." 2. Treatment has to be mindful of the specific form of addiction: > "These are co-morbid conditions," he said. "If you just treat the depression and not gaming, the…

> 3. modern clinical psychiatry is an evidenced-based, research-driven field which treats and forms diagnoses on the basis of decades of research into any particular condition. It isnt the 1950s. But isn't modern clinical psychiatry marred by the same problems social or economic sciences are? Ultimately you are studying/interpreting human behaviour, which doesn't lend itself well to quantisation or categorising.

The most reasonable thing to think about any mental health disorder is whatever the consensus in clinical psychiatry is.

That is the point. It is so overwhelmingly well-researched, that even if its conclusions are wrong, no lay person is going to be in a position to have "an argument" that hasn't already been considered and researched and folded into the consensus.

This isnt the case with social sciences, and it isnt the case with macroeconomic policy. Both of these are about groups of humans, not individual humans, and are fundamentally about behaviour in the face of cultural/economic/social changes. That kind of analysis is purely speculative and historically accidental in the way that giving people adderall and measuring their cognitive performance isn't.

A man on the street may well have good reasons to speculate differently about the evolution of his society that those speculations produced in some university in a foreign country.

A man on the street can have no good reason to act against the consensus of research-based medicine. To do so is to fly blindly into an area of profound research depth and consideration.

We have a problem today of these domains being equivocated. About people believing they are experts because the "Experts" they see are really political speculators and commentators of macro-cultural changes. And so everyone thinks everything is speculation.

This is profoundly not the case for, let's say, what the best treatment plan for bipolar disorder, adhd, autism, clincial depression, psychosis, etc. etc. etc. is.

...which has folded in lifetimes of research on the way the brain works, the way that drugs work, CBT, social therapies, counselling, etc. etc. etc. ...

An opinion on what "should be done" about a family member with bipolar disorder may as well be an opinion about what should be done about their thyroid problem, carpal fracture, lymphoma, etc.

Re: WHO to recognize gaming disorder as mental health condition

#20
post #11

Earlier quoted context omitted.

> Before criticizing modern psychiatry keep in mind: > 1. mental health patients are extreme in their dysfunction, never common. I agree with what you're saying, but the US does have a problem of over-testing, over-diagnosis, and over-treating illness. Not just mental ill health, but everything. In the US about 10% of children have ADHD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489818/ > Based on the Heath Resour…

Ahh, sigh. I was writing with ADHD in mind actually. Up to 10% children really do have ADHD which is a delay in the development of the frontal lobe. Such a delay seems "somewhat common" amongst humans. More than half catch up, leaving upto 5% of adults with some form of ADHD. ADHD is serious. It is a severe impairment to planning, self-management, emotional regulation, etc. You are likely to be impoverished without s…

Honestly I think about half the problem is that psychiatric illnesses don't make people bleed, so there's no way to universally tell something is wrong.
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