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Emerging Conceptual Models of Excessive Behaviors

  • James Westphal
Article
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Abstract

The clinical assessment of a common behavior that disrupts a person’s life only when it becomes excessive is controversial. The inclusion of pathological gambling in the Diagnostic and Statistical Manual, Third Edition (DSM-III) in 1980 was one of the initial formal attempts to develop diagnostic criteria for this type of behavior. The diagnostic criteria for pathological gambling were based on substance dependency, but the disorder was classified as an impulse control disorder. One attempt to resolve the controversy has been the development of a general psychological model of addiction that includes both substance related behaviors and excessive behaviors. An example is the Griffiths component model that describes salience, mood modification, tolerance, withdrawal, conflict and relapse as the central features of addiction. An addictive disorders section including excessive behaviors and substance use disorders is one of the proposals for the DSM-V, scheduled to be published in 2012.

Keywords

Addiction Pathological gambling Obcessive compulsive spectrum Impulsivity 

References

  1. Allegre, B., Souville, M., Therme, P., & Griffiths, M. D. (2006). Definitions and measures of exercise dependence. Addiction Research and Theory, 14, 631–646.Google Scholar
  2. American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association.Google Scholar
  3. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, 4th ed., text revision. Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  4. Black, D. W., Monahan, P. O., Temkit, M., & Shaw, M. (2006). A family study of pathological gambling. Psychiatry Research, 141(3), 295–303.PubMedCrossRefGoogle Scholar
  5. Blum, K., Braverman, E. R., Holder, J. M., Lubar, J. F., Monastra, V. J., Miller, D., et al. (2000). Reward deficiency syndrome: A biogenetic model for the diagnosis and treatment of impulsive, addictive, and compulsive behaviors. Journal of Psychoactive Drugs, 32(Suppl:i–iv), 1–112.Google Scholar
  6. Brown, R. I. F. (1993). Some contributions of the study of gambling to the study of other addictions. In W. R. Eadington & J. Cornelius (Eds.), Gambling behavior and problem gambling. Reno, NV: University of Nevada Press.Google Scholar
  7. Campbell, W. G. (2003). Addiction: A disease of volition caused by a cognitive impairment. Canadian Journal of Psychiatry, 48(10):669–674.Google Scholar
  8. Castle, D. J., & Phillips, K. A. (2006). Obsessive-compulsive spectrum of disorders: A defensible construct? Australia and New Zealand Journal of Psychiatry, 40(2):114–120.CrossRefGoogle Scholar
  9. Christenson, G. A., Faber, R. J., de Zwaan, M., Raymond, N. C., Specker, S. M., Ekern, M. D., et al. (1994). Compulsive buying: Descriptive characteristics and psychiatric comorbidity. Journal of Clinical Psychiatry, 55(1), 5–11.PubMedGoogle Scholar
  10. Dell’Osso, B., Altamura, A. C., Allen, A., Marazziti, D., & Hollander, E. (2006). Epidemiologic and clinical updates on impulse control disorders: A critical review. European Archives of Psychiatry and Clinical Neuroscience, 256(8), 464–475.PubMedCrossRefGoogle Scholar
  11. Duvarci, I., Varan, A., Coskunol, H., & Ersoy, M. A. (1997). DSM-IV and the South Oaks Gambling Screen: Diagnosing and assessing pathological gambling in Turkey. Journal of Gambling Studies, 13(3), 193–206.PubMedCrossRefGoogle Scholar
  12. Grant, J. E., Brewer, J. A., & Potenza, M. N. (2006). The neurobiology of substance and behavioral addictions. CNS Spectrums, 11(12), 924–930.PubMedGoogle Scholar
  13. Griffiths, M. D. (1992). Pinball wizard: A case study of a pinball addict. Psychological Reports, 71, 160–162.PubMedCrossRefGoogle Scholar
  14. Griffiths, M. D. (1993). Tolerance in gambling: An objective measure using the psychophysiological analysis of male fruit machine gamblers. Addictive Behaviors, 18, 365–372.PubMedCrossRefGoogle Scholar
  15. Griffiths, M. D. (1994a). Co-existent fruit machine addiction and solvent abuse in adolescence: A cause for concern? Journal of Adolescence, 17, 491–498.CrossRefGoogle Scholar
  16. Griffiths, M. D. (1994b). An exploratory study of gambling cross addictions. Journal of Gambling Studies, 10, 371–384.CrossRefGoogle Scholar
  17. Griffiths, M. D. (1995). Technological addictions. Clinical Psychology Forum, 76, 14–19.Google Scholar
  18. Griffiths, M. D. (1996). Behavioural addictions: An issue for everybody? Journal of Workplace Learning, 8(3), 19–25.CrossRefGoogle Scholar
  19. Griffiths, M. D. (1997). Video games and clinical practice: Issues, uses and treatments. British Journal of Clinical Psychology, 36, 639–641.PubMedGoogle Scholar
  20. Griffiths, M. D. (2001). Sex on the internet: Observations and implications for sex addiction. Journal of Sex Research, 38, 333–342.Google Scholar
  21. Griffiths, M. D. (2004). Sex addiction on the Internet. Janus Head: Journal of Interdisciplinary Studies in Literature, Continental Philosophy, Phenomenological Psychology and the Arts, 7(2), 188–217.Google Scholar
  22. Griffiths, M. D. (2005a). A “components” model of addiction within a biopsychosocial framework. Journal of Substance Use, 10, 191–197.CrossRefGoogle Scholar
  23. Griffiths, M. D. (2005b). The biopsychosocial approach to addiction. Psyke & Logos (Journal of the Danish Psychological Society), 26, 9–26.Google Scholar
  24. Griffiths, M. D. (2005c). Workaholism is still a useful construct. Addiction Research and Theory, 13, 97–100.CrossRefGoogle Scholar
  25. Griffiths, M. D., & Duff, J. S. (1993). Etiologies of excessive behaviour: A study of non-professional peoples’ beliefs. Addiction Research, 1, 199–206.Google Scholar
  26. Griffiths, M. D., & Hunt, N. (1998). Dependence on computer games by adolescents. Psychological Reports, 82, 475–480.PubMedCrossRefGoogle Scholar
  27. Griffiths, M. D., & Larkin, M. (2004). Conceptualizing addiction: The case for a ‘complex systems’ account. Addiction Research and Theory, 12, 99–102.CrossRefGoogle Scholar
  28. Griffiths, M. D., Miller, H., Sparrow, P., & Gillespie, T. (1998). Internet usage and “internet addiction” in students and its implications for student learning. Journal of Computer Assisted Learning, 15, 89–91.Google Scholar
  29. Griffiths, M. D., & Smeaton, M. (2002). Withdrawal in pathological gamblers: A small qualitative study. Social Psychology Review, 4, 4–13.Google Scholar
  30. Griffiths, M. D., & Sutherland, I. (1998). Adolescent gambling and drug use. Journal of Community and Applied Social Psychology, 8, 423–427.CrossRefGoogle Scholar
  31. Griffiths, M. D., Szabo, A., & Terry, A. (2005). The Exercise Addiction Inventory: A quick and easy screening tool for health practitioners. British Journal of Sports Medicine, 39, 30–31.CrossRefGoogle Scholar
  32. Hodgins, D. C. (2004). Using the NORC DSM screen for gambling problems as an outcome measure for pathological gambling: Psychometric evaluation. Addictive Behavior, 29(8), 1685–1690.CrossRefGoogle Scholar
  33. Hodgson, R. J., Budd, R., & Griffiths, M. (2001). Compulsive behaviours (Chapter 15). In H. Helmchen, F. A. Henn, H. Lauter, & N. Sartorious (Eds.), Contemporary psychiatry. Vol. 3 (Specific Psychiatric Disorders) (240–250). London: Springer.Google Scholar
  34. Hollander, E. (1993). In E. Hollander (Ed.), Obsessive–compulsive related disorders (1–46). Washington, DC: American Psychiatric.Google Scholar
  35. Hollander, E. (1998).Treatment of obsessive–compulsive spectrum disorders with SSRIs. British Journal of Psychiatry, Suppl. (35), 7–12.Google Scholar
  36. Hollander, E. (2006). Behavioral and substance addictions: A new proposed DSM-V category characterized by impulsive choice, reward sensitivity, and fronto-striatal circuit impairment. CNS Spectrum, 11(11), 814.Google Scholar
  37. Hollander, E., & Rosen, J. (2000). Impulsivity. Journal of Psychopharmacology, 14(2 Suppl 1), S39–S44.PubMedGoogle Scholar
  38. Hollander, E., Stein, D. J., & DeCaria, C. M. (1992). Disorders related to OCD-neurobiology. Clinical Neuropharmacology, 15(S1)Pt A, 259A–260A.PubMedGoogle Scholar
  39. Hyman, S. E. (2005). Addiction: A disease of learning and memory. American Journal of Psychiatry, 162(8), 1414–1422.PubMedCrossRefGoogle Scholar
  40. Jaisoorya, T. S., Reddy, Y. C., & Srinath S. (2003). The relationship of obsessive-compulsive disorder to putative spectrum disorders: Results from an Indian study. Comprehensive Psychiatry, 44(4), 317–323.PubMedCrossRefGoogle Scholar
  41. Kupfer, D., First, M., & Regier, D. (2002). A research agenda for the DSM-V. Washington: American Psychiatric Association.Google Scholar
  42. Kuzma, J. M., & Black, D. W. (2004). Compulsive disorders. Current Psychiatry Reports, 6(1):58–65.PubMedGoogle Scholar
  43. Larkin, M., & Griffiths, M. D. (1998). Response to Shaffer (1996): The case for ‘complex systems’ conceptualizations of addiction. Journal of Gambling Studies, 14, 73–82.PubMedCrossRefGoogle Scholar
  44. Larkin, M., & Griffiths, M. D. (2002). Experiences of addiction and recovery: The case for subjective accounts. Addiction Research and Theory, 10, 281–311.CrossRefGoogle Scholar
  45. Larkin, M., & Griffiths, M. D. (2004). Dangerous sports and recreational drug-use: Rationalising and contextualising risk. Journal of Community and Applied Social Psychology, 14, 215–232.CrossRefGoogle Scholar
  46. Larkin, M., Wood, R. T. A., & Griffiths, M. D. (2006). Towards addiction as relationship. Addiction Research and Theory, 14, 207–215.CrossRefGoogle Scholar
  47. Lejoyeux, M., Mc Loughlin, M., & Ades, J. (2000). Epidemiology of behavioral dependence: Literature review and results of original studies. European Psychiatry, 15(2), 129–134.PubMedCrossRefGoogle Scholar
  48. Lesieur, H. R., & Rosenthal, R. J. (1991). Pathological gambling: A review of the literature. Journal of Gambling Studies, 7, 5–39.CrossRefGoogle Scholar
  49. Lochner, C., Hemmings, S. M., Kinnear, C. J., Niehaus, D. J., Nel, D. G., Corfield, V. A., et al. (2005). Cluster analysis of obsessive-compulsive spectrum disorders in patients with obsessive-compulsive disorder: Clinical and genetic correlates. Comprehensive Psychiatry, 46(1), 14–19.PubMedCrossRefGoogle Scholar
  50. Lubman, D. I., Yucel, M., & Pantelis, C. (2004). Addiction, a condition of compulsive behaviour? Neuroimaging and neuropsychological evidence of inhibitory dysregulation. Addiction, 99(12), 1491–1502.PubMedCrossRefGoogle Scholar
  51. McElroy, S. L., Phillips, K. A., & Keck, P. E., Jr. (1994). Obsessive compulsive spectrum disorder. Journal of Clinical Psychiatry, 55(Suppl), 33–51;discussion 52–3.PubMedGoogle Scholar
  52. Miller, W. R. (1980). The addictive behaviors. Oxford: Pergamon.Google Scholar
  53. Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158(11), 1783–1793.PubMedCrossRefGoogle Scholar
  54. Orford, J. (2001). Excessive appetites: A psychological view of the addictions. Chichester: Wiley.Google Scholar
  55. Petry, N. M. (2006). Should the scope of addictive behaviors be broadened to include pathological gambling? Addiction, 101(Suppl 1), 152–160.PubMedCrossRefGoogle Scholar
  56. Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66(5), 564–574.PubMedCrossRefGoogle Scholar
  57. Potenza, M. N. (2006) Should addictive disorders include non-substance-related conditions? Addiction, 101(Suppl 1), 142–51.PubMedCrossRefGoogle Scholar
  58. Rosenthal, R. J. (1992). Pathological Gambling. Psychiatric Annuals, 22(2), 72–78.Google Scholar
  59. Saunders, J. B. (2006). Substance dependence and non-dependence in the diagnostic and statistical manual of mental disorders (DSM) and the international classification of diseases (ICD): Can an identical conceptualization be achieved? Addiction, 101(Suppl 1), 48–58.PubMedCrossRefGoogle Scholar
  60. Saunders, J. B., & Schuckit, M. A. (2006). The development of a research agenda for substance use disorders diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5th edn. (DSM-V). Addiction, 101(Suppl 1), 1–5.PubMedCrossRefGoogle Scholar
  61. Shaffer, H. J., Freed, C. R., & Healea, D. (2002). Gambling disorders among homeless persons with substance use disorders seeking treatment at a community center. Psychiatric Services, 53(9), 1112–1117.PubMedCrossRefGoogle Scholar
  62. Shaffer, H., Hall, M., & Vander Bilt, J. (1997). Estimating the prevalence of disordered gambling behavior in the United States and Canada. A meta-analysis. Cambridge, Boston: Harvard Medical School, Division of Addictions.Google Scholar
  63. Shaffer, H. J., LaPlante, D. A., LaBrie, R. A., Kidman, R. C., Donato, A. N., & Stanton, M. V. (2004). Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry, 12(6), 367–374.PubMedCrossRefGoogle Scholar
  64. Stanbury, A., & Griffiths, M. D. (2007). Obsessive love as an addiction. Psychology Review, 12(3), 2–4.Google Scholar
  65. Stein, D. J., Chamberlain, S. R., & Fineberg, N. (2006). An A-B-C model of habit disorders: Hair-pulling, skin-picking, and other stereotypic conditions. CNS Spectrums, 11(11), 824–827.PubMedGoogle Scholar
  66. Stein, D. J., & Lochner, C. (2006). Obsessive-compulsive spectrum disorders: A multidimensional approach. Psychiatric Clinics of North America, 29(2), 343–351.PubMedCrossRefGoogle Scholar
  67. Stinchfield, R. (2003) Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. American Journal of Psychiatry, 160(1), 180–182.PubMedCrossRefGoogle Scholar
  68. Stinchfield, R., Govoni, R., & Frisch, G. R. (2005). DSM-IV diagnostic criteria for pathological gambling: Reliability, validity, and classification accuracy. American Journal of Addiction, 14(1), 73–82.CrossRefGoogle Scholar
  69. Stone, K. D., Rush, B. D., & Westphal, J. R. (1998). Trichotillomania resulting in a trichobezoar: A case report. Louisiana Medical Journal, 150(10), 478–481.Google Scholar
  70. Strong, D. R., Lesieur, H. R., Breen, R. B., Stinchfield, R., & Lejuez, C. W. (2004). Using a rasch model to examine the utility of the South Oaks Gambling screen across clinical and community samples. Addict Behaviors, 29(3), 465–481.CrossRefGoogle Scholar
  71. Terry, A., Szabo, A., & Griffiths, M. (2004). The Exercise Addiction Inventory: A new brief screening tool. Addiction Research and Theory, 12, 489–499.CrossRefGoogle Scholar
  72. Toce-Gerstein, M., Gerstein, D. R., & Volberg, R. A. (2003). A hierarchy of gambling disorders in the community. Addiction, 98(12), 1661–1672.PubMedCrossRefGoogle Scholar
  73. Welte, J., Barnes, G., Wieczorek, W., Tidwell, M. C., & Parker, J. (2001) Alcohol and gambling pathology among U.S. adults: Prevalence, demographic patterns and comorbidity. Journal of Studies of Alcohol, 62, 706–712.Google Scholar
  74. Werme, M., Thoren, P., Olson, L., & Brene, S. (2000). Running and cocaine both upregulate dynorphin mRNA in medial caudate putamen. European Journal of Neuroscience, 12(8), 2967–2974.PubMedCrossRefGoogle Scholar
  75. Westphal, J. (2007). Are the Effects of Gambling Treatment Overestimated? International Journal of Mental Health and the Addictions, 5(1), 65–79.CrossRefGoogle Scholar
  76. Westphal, J., & Johnson, L. (2007). Multiple co-occurring behaviours among gamblers in treatment: Implications and assessment. International Gambling Studies, 6(2), 129–145.CrossRefGoogle Scholar
  77. World Health Organization (1969). WHO expert committee on drug dependence. Sixteenth Report. World Health Organization Technical Report Service, 407, 1–28.Google Scholar
  78. Zimmerman, M., Chelminski, I., & Young, D. (2006). A psychometric evaluation of the DSM-IV pathological gambling diagnostic criteria. Journal of Gambling Studies, 22(3):329–337.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of Psychiatry, John Burns School of MedicineUniversity of Hawaii-ManoaHonoluluUSA
  2. 2.Hawaii State HospitalKaneoheUSA

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