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A Psychoanalytic Approach to Internet Gaming Disorder.
Georgios Floros1, Ioanna Mylona2
12nd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, 56430 Thessaloniki, Greece.
Summary
A psychoanalytic approach offers effective treatment for Internet Gaming Disorder (IGD), particularly for individuals with complex character pathology. This method addresses challenges like resistance and comorbidity, improving care for underserved patients.
Area of Science:
- Psychiatry
- Psychology
- Psychoanalysis
Background:
- Internet Gaming Disorder (IGD) is a recognized diagnosis posing public health challenges.
- Existing treatments for IGD lack a psychoanalytic foundation, leaving patients with character pathology underserved.
- IGD is often classified as behavioral, overlooking deeper psychological issues.
Purpose of the Study:
- To present a psychoanalytic perspective on Internet Gaming Disorder.
- To explore the application of Kohut's Self Psychology to IGD treatment.
- To provide a framework for assessing and treating IGD from a psychoanalytic viewpoint.
Main Methods:
- Utilized Kohut's Self Psychology principles, applied successfully to other addictions.
- Developed a psychoanalytically driven theory, assessment, and treatment protocol for IGD.
- Illustrated the protocol's application through two detailed case reports.
Main Results:
- Discussed challenges in treating IGD, including guided imagery and treatment resistance.
- Explored concepts of selfobject transference in the context of IGD.
- Highlighted comorbidity issues, such as marijuana use and bipolar disorder, in IGD patients.
Conclusions:
- A psychoanalytically driven protocol demonstrates efficacy in treating IGD.
- This approach is particularly beneficial for patients with significant character pathology.
- It offers a viable alternative for individuals resistant to other treatment modalities.
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