Video Game Addiction: The Push To Pathologize Video Games
Video Game Addiction: The Push To Pathologize Video Games
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DOI：
10.1037/pro0000150
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发表时间：
2017-10-01
影响因子：
1.5
通讯作者：
Ferguson, Christopher J.
中科院分区：
文献类型：
--
作者：
Bean, Anthony M.;Nielsen, Rune K. L.;Ferguson, Christopher J.
随着将“游戏成瘾”纳入《诊断与统计手册》（DSM）和《国际疾病纲要》（ICD）的提议，电子游戏成瘾的概念越来越受到关注。然而，这个概念的许多方面仍然存在争议。目前，关于诊断标准和适当的症状还不太清楚。目前尚不清楚涉及有问题的视频游戏行为的症状是否应该被具体化为一种新的疾病，或者是潜在精神状况的表现。尽管如此，世界卫生组织和美国精神病学协会等受人尊敬的机构最近提出的关于游戏成瘾的提议似乎将大部分应用研究锁定在验证性轨道上。自 DSM-5 提案以来，研究越来越关注所提出标准的应用，而不是广泛测试总体结构的有效性和必要性。这引起了多种担忧。首先，目前理解“游戏成瘾”的方法植根于药物滥用研究，并且这些方法不一定能转化为媒体消费。其次，一些研究表明“电子游戏成瘾”并不是一个稳定的概念，临床损害可能较低。第三，病态化游戏行为的影响超出了治疗环境。鉴于持续存在的争议，有人认为目前提出的视频游戏成瘾障碍类别还为时过早。
With proposals to include "gaming disorder" in both the Diagnostic and Statistical Manual (DSM) and International Compendium of Diseases (ICD), the concept of video game addiction has gained traction. However, many aspects of this concept remain controversial. At present, little clarity has been achieved regarding diagnostic criteria and appropriate symptoms. It is unclear if symptoms that involve problematic video gaming behavior should be reified as a new disorder, or are the expression of underlying mental conditions. Nonetheless, the recent proposals around gaming disorder from respected bodies such as the World Health Organization and the American Psychiatric Association seem to lock much of the applied research into a confirmatory trajectory. Since the DSM-5 proposal, research is increasingly focused on the application of the proposed criteria, as opposed to broadly testing validity and necessity of the overarching construct. This raises multiple concerns. First, the current approaches to understanding "gaming addiction" are rooted in substance abuse research and approaches do not necessarily translate to media consumption. Second, some research has indicated that "video game addiction" is not a stable construct and clinical impairment might be low. Third, pathologizing gaming behavior has fallout beyond the therapeutic setting. In light of continuing controversies, it is argued that the currently proposed categories of video game addiction disorders are premature.