Problematic use of new media and treatment of adolscents 8 ... · YOUTH ON THE NET: FIND YOUR...

YOUTH ON THE NET: FIND YOUR BALANCE

franz.eidenbenz@bluewin.ch

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 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

Developpement: Big Steps

www – goes mobile

Mobile Devices

Mobile Boost

Globale Penetration:

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

Head-Up-Display

Bildquelle: Wikipedia

Memory? Replay?

Bildquelle: http://www.chip.de/bildergalerie/Design-Konzept-Goog le-Glass-Funktionen-Galerie_62024769.htmlZugriff: 11.2013

Face to Face

Communication?

Bildquelle: http://www.chip.de/bildergalerie/Design -Konzept-Google-Glass-Funktionen-Galerie_62024769.ht ml

Virtuall Identity

Experience identity

� Normal development adolescents

Avatare – Alter Ego

franz.eidenbenz@bluewin.chPhotojournalist Robbie CooperFotojournalist Robbie Cooper, Alter Ego 2007

Role Diffusion

Fotojournalist Robbie Cooper, Alter Ego 2007

Role Divergence

Jean de la Fage - Dark Freeman (Natural hero)

Lucas Shaw - Barbarian Berserker

franz.eidenbenz@bluewin.chJg. 1985, 55h/week, Ever Quest

Nutzung neuer Medien

compensatory use

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”

use of new media

complementary use

compensatory use

No net ... ?

interactive group experiment?

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

Musik - u. Filmdownload

Games ��MMORPG

Shooter

Porno - Sex

• PornokonsumLegal, illegal

Behaviour pattern man?

Porno - Sex

Tripple A (Shotton 91, Cooper 98)

• Accessibility• Affordability• Anonymity

Chat and Communication Systems

Communities im Web 2.0

Favorite-apps

JAMES – Studie 2012

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

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.-

Craving forvisions

WoWAvatare

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

• Habitual alcohol abuse of siblings

• Positive parental attitudes toward adolescent

substance use

Therapy Process: Phase ModelF. Eidenbenz 2010

Addiction and Systemic Therapy

FamilySystem

Counselor Client

New Media

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

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.

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.

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.

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

• Interventionen

• Prävention

WorkshopOnlinesucht systemische Interventionen

14. -15.11.2014 Heidelberg

Problematic use of new media and treatment of adolscents 8 ... · YOUTH ON THE NET: FIND YOUR...

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