YOUTH ON THE NET: FIND YOUR BALANCE
Problematic use of new media and treatment of adolscents
8.5.2014 Luxenbourg
Center for gamblingand other behavioral addictions addictions
Zentrum für Spielsucht und andere Verhaltenssüchte
Prävention
Christian Jordi
Behandlung
Franz Eidenbenz
www.verhaltenssucht.chStampfenbachstrasse 161, 8006 Zürich
Christian Jordi (Leiter)
Christian Ingold(Fachexperte)
Franz Eidenbenz(Leiter)
Ines Bodmer(Psychotherapeutin)
Heinz Lippuner
(Psychotherapeut)
Contents
• Cyberspace, Identität
• Online -, Media-addiction
• Treatment of adolescents
Digital Natives
Digital Nativesgeb. nach 1980
Digital Immigrants
Off-Liner > Silver Surfer
Digital Divide
Digital Divide
Digital Immigrants:� Mistake-preventers� Think first > action� Computer as a tool, handling instructions
Native User:� „Trial and Error“� Action and than look whats happening� Cyberspace > Livestyle, Augmented Reality
In Anlehnung an Klaus Lutz, Medienpädagoge Bremen und F. Eidenbenz
Mobile Devices: Epoche making?
Idee gemäss: Vom Faustkeil zum InternetDie Entwicklungsgeschichte des Menschen, R. W. Meyer 2007
Transition object of the @-generation?
Bild: Imago http://www.t-online.de/eltern/erziehung/id_48506954/die-schmusetuchlobby-welche-rolle-spielen-uebergangsobjekte-.html
Developpement: Big Steps
Augmented Reality
Extended perceptionOverlap and combine RL and digital world
Mobile Devices: Google Glass
Memory? Replay?
Bildquelle: http://www.chip.de/bildergalerie/Design-Konzept-Goog le-Glass-Funktionen-Galerie_62024769.htmlZugriff: 11.2013
Mobile Devices: Google Glass
Face to Face
Communication?
Bildquelle: http://www.chip.de/bildergalerie/Design -Konzept-Google-Glass-Funktionen-Galerie_62024769.ht ml
Virtuall Identity
Experience identity
Experience identity
� Normal development adolescents
Avatare – Alter Ego
[email protected] Robbie CooperFotojournalist Robbie Cooper, Alter Ego 2007
Jean de la Fage - Dark Freeman (Natural hero)
Fotojournalist Robbie Cooper, Alter Ego 2007
Lucas Shaw - Barbarian Berserker
[email protected]. 1985, 55h/week, Ever Quest
Fotojournalist Robbie Cooper, Alter Ego 2007
Jason Rowe, Jg. 1975, 80h/week, Star Wars Galaxies
“Online you get to know a person behind the keyboar d before you know the physical person. The Internet eliminates how you look in real life, so you get to know a person by their mind and personality”
Online-Addiction
Internet Addiction Disorder (IAD)Internet Addictive Behaviour (IAB)
Compulsive Internet Use (CIU)
Internet Gaming Disorder DSM 5 (Stand 10.2013)
1. preoccupation with such games2. withdrawal symptoms of irritability, anxiety, or sadness3. the development of tolerance
To qualify for Internet gaming disorder, patients must meetat least 5 of the 9 following criteria within the past year:
3. the development of tolerance4. unsuccessful attempts to control the behavior5. loss of interest in other activities6. continued excessive use despite knowledge of psychosocial problems7. deceiving others regarding the amount of time spent gaming8. use of this behavior to escape or relieve a negative mood9. jeopardizing/losing a significant relationship/job/educational opportunity
„net generation“ Köln 22.10.08
Zentrum für Spielsucht und andere Verhaltenssüchte, Franz Eidenbenz, lic. phil. , Leiter Behandlung
Kommunikation����Social
Communities
Surfen����Information,
Konsum, Musik - u.
Aereas of exzessive use
www.inesbodmer.ch
Cybersex
Porno
Musik - u. Filmdownload
Games ����MMORPG
Shooter
Behaviour pattern man?
Porno - Sex
Tripple A (Shotton 91, Cooper 98)
• Accessibility• Affordability• Anonymity
Chat and Communication Systems
Communities im Web 2.0
Facebook: Mike Booth, somegreybloke.com
„Make the world more connected!“M. Zuckerberg, Facebook
Understanding Mediaaddiction as a
Relation-, Contact Disorder
On-, Offline Games
Benefit of Onlinegames
Benefit of Onlinegames
Games
Online - Games
WOWEinführung: 2004Spieler: ca. 11 Mio (2010)ca. 8 Mio (2013)Bezahlung: ca. 15$/MonatMMORPG: Massively
League of Legends Einführung: 2009MOBA: Multiplayer online Battle ArenaSpieler: ca. 15 Mio ab 12 J.Gratis: Optische Veränderung (Styling ist kostenpflichtig) Bis 5 Mio GewinnsummenTurnier 200‘000 Zuschauer!
Call of Duty CODEgoshooter Modern Warfare, Black OpsEinführung: 200355 Mio x verkauft, 2 Mia. USD, 500 MA PC 70.-; Konsole 90.-
Computerspielabhängigkeit im Kindes-und Jugendalter
Empirische Befunde zu Ursachen, Diagnostik und Empirische Befunde zu Ursachen, Diagnostik und Komorbiditäten uer besonderer Berücksichtigung
spielimmanenter Abhängigkeitsmerkmale
KfN Studie bearbeitet durch Ines Bodmer
Games und Suchtpotential
Studie Humboldt Universität, Prof. Jerusalem
Addicts
Problem:
Treatment
Familienklima und Internetnutzung
Studie Universität Hamburg (3. 2012) EXIF Exzessive Internetnutzung in Familien
N = 174414 – 17J.
Perspektiven:
• Jugendliche• Elternteil • Fachperspektive
EXIF – Exzessive Internetnutzung in FamilienStudie Universität Hamburg (3. 2012)
6% Suchtentwicklung • alle gesellschaftlichen Milieus• Familien aus tieferen sozialen Schichten• Einelternfamilien sind übervertreten
9% Exzessive Nutzung ohne pathologische Entwicklung
9% Exzessive Nutzung ohne pathologische Entwicklung • höheres Bildungsniveau• kritische Einstellung zu neuen Medien
Korrelationen zwischen:
• Qualität der Beziehung• Einstellung zu Medien• Erziehungsverhalten • Problematik in der Familie
Family Factor
Family factor of internet Addiction and SubstanceAbuse:Yen, Yen, Chen, Chen, Ko (2007)
• Higher parental conflict
• Lower family function
• Lower family function
• Habitual alcohol abuse of siblings
• Positive parental attitudes toward adolescent
substance use
Therapy Process: Phase ModelF. Eidenbenz 2010
Center for gambling and Behavioural Addiction:
Clinical Experiences:
Relatives contact the Center
Relatives contact the CenterPatients don‘t see a problem about their internet use
What is to do?
>>>> Workshop
Therapy Process: Phase ModelF. Eidenbenz 2010
The Client’s Environment as a Resource
Start-up phase (1-3 sessions)
The goal in the start-up phase is to create a cooperative working relationship and to obtain information for conducting an individual and systemic analysis of the problem (diagnostics) and for forming hypotheses.
Therapy Process: Phase ModelF. Eidenbenz 2010
Motivation Phase (Three to Five Sessions)
The motivation phase focuses on understanding the obvious circumstances that cause and maintain addiction
and on addressing related topics such as recognition, respect, and methods for dealing with conflict and stress (Wölfling, 2008). Parallel to these activities, the client should reduce his Internet usage and be required to build up a minimum of self-control.
Therapy Process: Phase ModelF. Eidenbenz 2010
Exploratory Phase (Three to Eight Sessions)
This phase seeks to promote an in-depth exploration of the
causes of online addiction as well as active discussions and respect within the family and alliances at parental and sibling level. Points of conflict with the parents and siblings are clarified and processed.
.
Therapy Process: Phase ModelF. Eidenbenz 2010
Stabilization and Final Phase (One to Three Sessions )
The client will have reached a level at which a satisfactory change is possible when he effectively controls online times, for example, or takes up other recreational activities,
times, for example, or takes up other recreational activities, improves his academic performance, deals more constructively with conflicts, and so on. At this stage, it is advisable to schedule further therapy sessions at longer intervals or to include at least one control session. This approach helps to prevent a relapse and can be used to stabilize new options within the family and to support further changes.
Startup
• Initialphase (1-3 Sessions):• Find a working therapeutic setting, Problemanalyse
Motivation
• Motivationsphase (3-5 S.):• Symtoms Work• Selfcontrole• Working on conflicts, Antistresstechniques
Exploratory
• Vertiefungsphase (3-8 S.):• Finding and understanding deeper causes, Working on relations (alternatives)
and conflicts
Stabilisation
• Stabilisierungs- und Abschlussphase (1-3 S.):• Changes, Deeper realtionships• Perspektives, Prophylaxe, Control session
Find your Balance
Franz Eidenbenz, lic. phil., Fachpsychologe für Psy chotherapie FSP
Net – Live - Balance
Inhalt
• Cyberspace, Identität
• Online -, Medien - Sucht
• Online -, Medien - Sucht
• Interventionen
• Prävention
WorkshopOnlinesucht systemische Interventionen
14. -15.11.2014 Heidelberg