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“网络成瘾”诊断和分类问题。

Problems with 'Internet addiction' diagnosis and classification.

机构信息

Department of Psychology, State University of Novi Pazar, Serbia.

出版信息

Psychiatr Danub. 2011 Jun;23(2):145-51.


DOI:
PMID:21685852
Abstract

Owing to the fact that the Internet is spreading rapidly and influencing all aspects of everyday life, a task is assigned to the academic and clinical circles to establish a diagnosis and provide treatment for disorders brought about by its dysfunctional use. This paper presents a review of the most frequent problems and difficulties in dealing with individuals complaining of the symptoms of Internet use disorder, as well as some suggestions for overcoming and alleviating these problems. For the diagnostic criteria problem, a solution can be provided in the form of behavioural addictions category in order to solve the problem of the classification of not only this disorder but also other forms, such as pathological gambling, compulsive shopping etc. However, since there are obvious similarities with the compulsive behaviour, we suggest the term Internet Use Disorder, which appears most acceptable in terms of avoiding beforehand the indecisiveness of this disorder nature. Certainly, in the practical work with each client, by means of a precise and complex clinical interview, it would be further determined which subtype is under question and whether the mechanism of its realisation is more that of a compulsive or addictive nature. We also suggest an approach of defining a set of minimal key symptoms and manifestations of this problem, rather than singling out the personality profiles of individuals who constitute the population at risk. By prevention, the attentiveness of the public would be in that way directed towards the critical aspects of behaviour, and not towards a vague picture which causes panic and doubt, rather than reasonable ways of the problem solution.

摘要

由于互联网迅速传播并影响到日常生活的方方面面,学术界和临床界的任务是为其功能失调的使用所带来的障碍建立诊断和提供治疗。本文回顾了处理抱怨互联网使用障碍症状的个体时最常见的问题和困难,并提出了一些克服和缓解这些问题的建议。对于诊断标准问题,可以通过行为成瘾类别来提供解决方案,以便解决不仅是这种障碍,还有其他形式的障碍(如病理性赌博、强迫性购物等)的分类问题。然而,由于与强迫行为存在明显的相似性,我们建议使用“互联网使用障碍”这一术语,这在避免事先对该障碍性质的犹豫不决方面是最可取的。当然,在与每个客户的实际工作中,通过精确和复杂的临床访谈,将进一步确定所涉及的亚类型,以及其实现机制是更具有强迫性还是成瘾性。我们还建议采用定义一组该问题的最小关键症状和表现的方法,而不是确定构成风险人群的个体的人格特征。通过预防,公众的注意力将被引导到行为的关键方面,而不是引起恐慌和怀疑的模糊画面,而是解决问题的合理方式。

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Problems with 'Internet addiction' diagnosis and classification.

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[2]
[Addiction and brief-systemic therapy: working with compulsion].

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[3]
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[4]
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[5]
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[10]
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引用本文的文献

[1]
Challenges in Internet Addiction Disorder: Is a Diagnosis Feasible or Not?

Front Psychol. 2016-6-6

[2]
Gender Difference in Internet Use and Internet Problems among Quebec High School Students.

Can J Psychiatry. 2016-10

[3]
Diagnostic Stability of Internet Addiction in Obsessive-compulsive Disorder: Data from a Naturalistic One-year Treatment Study.

Innov Clin Neurosci. 2015

[4]
A basic need theory approach to problematic Internet use and the mediating effect of psychological distress.

Front Psychol. 2015-1-14

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