CAVEAT: Before reading this article, and to provide context, it is important for the reader to understand that the Diagnostic and Statistical Manual Of Mental Disorders (DSM5) here in North America does not recognize the term “social media addiction”, “cellphone addiction” or “gaming addiction”. (1) In Europe, they turn to the World Health Organization (WHO) who uses the International Classification of Diseases (ICD11) when it comes to diagnosis, which also does not recognize the term “social Media Addiction”, “cellphone addiction” or “gaming addiction”.(2)
The relationship between teenagers and technology is often a point of concern for parents. With headlines warning of smartphone addiction and the perils of excessive screen time, it’s easy to feel overwhelmed and unsure of how to guide our children in this rapidly evolving digital landscape.
A prevalent message that is pushed to parents and caregivers, by some social media safety and digital literacy advocates, involve equating excessive tech use, social media engagement, and online gaming with “addiction” to substances like alcohol, drugs, and cigarettes. While it may seem convenient to draw parallels, the reality is far more complex. Some who like to make this comparison will say they use the word addiction “colloquially” rather than “diagnostically.”
In discussions surrounding mental health and addiction, the terms “colloquially” and “diagnostically” play crucial roles in shaping perceptions and understanding. These terms represent distinct approaches to labeling and categorizing behaviors, and understanding their differences is essential for accurate communication and interpretation, especially when it comes to our kids and their use of technology.
When we refer to something “colloquially,” we are speaking in terms commonly used in everyday language or informal conversation. In the context of mental health, using a term like “addiction” colloquially means applying it based on general observations or a layperson’s understanding, rather than adhering to strict diagnostic criteria.
For example, a parent expressing concerns about their child’s “addiction” to technology may be using the term addiction colloquially to convey their perception of excessive use and its impact on behavior and well-being. In this sense, “colloquially” allows for flexibility in language and interpretation, reflecting individual experiences and perspectives.
On the other hand, when we approach the term “diagnostically,” we are adhering to specific criteria and standards established within clinical or professional contexts. In the area of addiction, diagnoses are made based on criteria outlined in diagnostic manuals such as the Diagnostic and Statistical Manual of Mental Disorders (DSM5) or the International Classification of Diseases (ICD11).
Using the example of addiction, a diagnostic assessment would involve a doctor evaluating the individual’s symptoms against the criteria for substance use disorders or behavioral addictions outlined in these manuals. A diagnosis made diagnostically follows a standardized process and is based on objective criteria rather than subjective perceptions or opinions.
The distinction between “colloquially” and “diagnostically” is crucial for parents, caregivers, and educators to understand for several reasons. First, it underscores the significance of clear and precise communication, especially when delving into intricate subjects like mental health and addiction in conversations with our kids.(3) Although using terms colloquially allows for flexibility and subjective interpretation, it may also lead to misunderstandings or misrepresentations of the true underlying issues.
Second, recognizing the difference between colloquial and diagnostic usage of terms helps avoid stigma and stereotyping associated with issues such as addiction and mental health. Colloquial usage may inadvertently perpetuate misconceptions or oversimplify complex issues, whereas diagnostic criteria provide a standardized framework for accurate assessment and treatment.
We should be mindful of the potential consequences of labeling or stigmatizing behavior based on colloquial terms. Using terms like “addiction” casually may inadvertently reinforce negative stereotypes or undermine the child’s sense of agency and autonomy when it comes to their use of technology. This is something that we believe some groups and individuals are purposely using as a strategy to create a moral panic surrounding youth and their use of technology to meet their political or personal agenda.
Diagnostically, research suggests that the behaviors observed in excessive smartphone use are better labeled as problematic or maladaptive habituation, rather than indicative of an addiction. (4)(5)(6)(7) Unlike the severe consequences of substance addiction, the harms associated with smartphone use do not reach the same levels of severity in most cases. It’s crucial for parents to recognize the difference, especially when it comes to colloquial clickbait headlines such as “Smartphones Are The New Drug”.
While concerns about the overuse of technology among young people are valid, likening it to the addictiveness of drug abuse or alcohol abuse is misguided. Unlike substances, smartphones and other tech devices serve as essential tools in today’s interconnected world – drug and alcohol abuse, not so much!
As parents, it’s crucial to engage in open dialogue with our children about responsible technology use. Rather than demonizing our kid’s use of technology and colloquially comparing them to drugs and alcohol, let’s foster a healthy relationship with technology, emphasizing balance and moderation. By understanding the nuances and avoiding simplistic comparisons, we can guide our children toward responsible digital citizenship in an increasingly connected onlife world.
While problematic tech use and substance addiction may both exhibit some colloquial similarities in certain aspects, they are fundamentally different. Here’s why problematic tech use is not the same as substance addiction:
- Substance addiction remains a leading cause of preventable death worldwide, contributing to various health issues like cancer, cardiovascular diseases, and respiratory ailments. While excessive tech use has its own set of consequences, including sleep disturbances, social isolation, and mental health disorders, its impact on public health differs tremendously from that of drugs, alcohol, or tobacco. Nonetheless, both issues warrant attention from policymakers, healthcare professionals, and communities to mitigate their adverse effects.
- The most fundamental distinction lies in the nature of the addiction itself. Alcohol, drugs, or tobacco addiction involves a physical dependence on a powerful addictive substance. In contrast, problematic tech use revolves around behavioral patterns, such as excessive screen use, compulsive social media scrolling, or problematic gaming behaviour. While both can lead to less-than-desirable consequences, the underlying mechanisms differ significantly.
- Substance addiction is characterized by a physiological reliance leading to withdrawal symptoms when consumption is reduced or discontinued. On the other hand, problematic tech use typically stems from psychological factors like stress, anxiety, or social pressures, driving individuals to seek refuge or stimulation through their devices. The absence of a chemical substance distinguishes tech use from substance addiction.
- Research indicates that substance addiction, such as substance dependence, alters neurological pathways in the brain, hijacking the reward system and reinforcing addictive behaviors – commonly known as the “dopamine loop”. While excessive tech use can also trigger neural responses associated with pleasure and reward, the mechanisms are not identical to those observed in substance addiction. (8)
- While both substance addiction and problematic tech use can negatively impact individuals’ health and well-being, the approaches to treatment and intervention differ. Substance addiction often necessitates medical intervention, including pharmacological therapies and behavioral counseling, to manage withdrawal symptoms and support cessation efforts. In contrast, addressing problematic tech use may involve strategies like cognitive-behavioral therapy, mindfulness practices, and establishing healthier screen habits.
Recognizing these differences is essential for developing targeted interventions and support systems to address the unique challenges posed by each issue. By understanding the complexities of both behaviors, we can foster healthier relationships with technology and promote well-being in today’s onlife world with our kids.
So, what is a better term to use when it comes to technology, based upon the DSM5 and the ICD11 – we use the phrase “Problematic Tech Behaviour” or “Compulsive Tech Behaviour Disorder” In our opinion, both are a better reflection diagnostically, and help to remove the stigma and shame associated with the word addiction.
As parents, caregivers, and educators it’s important to approach discussions surrounding technology use, mental health, and addiction with a nuanced understanding of terminology and its implications. While colloquial comparisons between excessive tech use and substance addiction may seem convenient, they oversimplify complex issues and risk perpetuating stigma. Understanding the distinctions between colloquial and diagnostic language is essential for accurate communication and effective intervention, especially when it comes to our children’s well-being.
The use of the term “addiction” when it comes to technology can be overly simplistic and limiting. It implies that the only solution is complete abstinence, which may not be practical or necessary for every situation. Instead, we can view certain behaviours as problematic habituations—patterns that can be changed over time with intention and effort. By recognizing that we have control over our habits, we empower ourselves and our children to make positive changes.
Rather than succumbing to sensationalized clickbait headlines or simplistic comparisons, let’s foster open dialogue, informed by research and empathy, to promote responsible digital citizenship and support our children in navigating the challenges of an increasingly connected world. By embracing this approach, we can empower both ourselves and our children to thrive in today’s onlife world, while acknowledging and addressing the unique challenges it presents.
Given what’s been mentioned in this article, let’s shift our focus away from comparing substance addiction with problematic tech usage. Yes, both should be a concern, but there is a difference! Let’s enlighten and not frighten through facts and not fear when it comes to our kids and their use of technology!
Digital Food For Thought
The White Hatter
Related article: https://thewhitehatter.ca/blog/understanding-screen-use-is-it-really-addiction/
REFERENCES
1/ https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
4/ https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2350-x
6/ https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2350-x
7/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203830/7/https://thewhitehatter.ca/dopamine-facts-vs-fear/