Yang Yongxin, why haven't you been treated? 》
A few days ago, I was in Rihui Psychology (micro signal: r? H X？ L 5 19 1) pushed the title "Yang Yongxin, why haven't you received treatment? After the article was published, many readers and friends came to consult the treatment of internet addiction. Today, I will give a unified reply to several big questions raised by many of them.
Is there a disease of "Internet addiction"?
I think it exists.
Not only I, but also many medical researchers initially thought that "Internet addiction" did exist.
Yes, whether "Internet addiction" is a disease and its diagnostic criteria has been controversial in academic circles at home and abroad. Mainly divided into two factions.
? One school thinks that there is no such mental illness as "Internet addiction". The so-called "Internet addiction" teenagers just fled to the Internet for comfort under the pressure of reality, which is basically a behavioral problem.
? The other school believes that this mental illness does exist. Because judging from the diagnostic criteria of psychiatry, some "Internet addiction" teenagers have indeed reached the diagnostic criteria of psychiatric related symptoms. Personally, I prefer this school.
The picture shows the fifth edition (DSM-V) of the American Diagnostic Statistical Manual of Mental Disorders.
What are the diagnostic criteria? Interested readers can search for Professor Tao Ran's academic papers online by themselves. Simply put, to diagnose Internet addiction, several conditions must be met.
First of all, the client's online behavior must be aimed at non-study and work, which damages his social function, that is, his ability to study, work and communicate. When he was forced not to do this kind of behavior, he was full of desire and impulse (psychological dependence) and had obvious withdrawal reaction (anxiety, irritability, losing his temper and trying to surf the Internet).
There has been a lot of research on the mechanism of Internet addiction at home and abroad. Through functional magnetic resonance imaging (fMRI), researchers found that when teenagers with real internet addiction play online games, the changes of their brain functional areas are very similar to those of gambling addicts. These findings further confirm the existence of Internet addiction. Research by Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences shows that Internet addiction can change the morphological structure of brain nerve cells. (According to Changjiang Daily)
So I think the real Internet addiction is similar to gambling addiction and belongs to the category of behavioral addiction. At present, the industry at home and abroad has long recognized that behavioral addiction is also a major type of addictive diseases, including gambling, surfing the Internet, shopping, sexual addiction and so on. ? From a psychological point of view, Internet addiction is actually a pathological conditioned reflex at the subconscious level. When patients are bored, they think of surfing the Internet. When they think of surfing the Internet, they feel happy and excited, and they have an irresistible impulse. If parents stop it, it will easily lead to fierce conflicts between the two sides. In fact, patients know that such behavior is harmful and will hinder their normal study and social interaction, but they can't control their own behaviors and impulses.
It needs special explanation. I think Internet addiction is a mental illness, but it is by no means a mental illness. Mental illness and mental illness are completely different concepts. In medicine, mental illness refers to a very wide range, including smoking addiction, depression, insomnia, anxiety, ADHD and so on. However, the scope of mental illness is very narrow. Many people confuse mental illness with mental illness, but in fact their understanding of mental illness often refers to severe schizophrenia.
How should Internet addiction be treated? There are many scientific and comprehensive methods, but they certainly should not be like Yang Yongxin. ? As mentioned above, Internet addicts know that surfing the Internet will damage their social function, but they can't control themselves. These teenagers usually feel inferior and lack self-confidence in real life, and then continue to escape in the online world, forming a cycle of evil deeds, which requires professional psychological intervention. ? From the root point of view, the root of internet addiction is family. According to my clinical experience and practice in treating adolescent addiction for many years, teenagers with behavioral problems and internet addiction problems all stem from abnormal family relationships, mainly the deviation of parents' educational concepts and methods.
The most common ones are: ? Spoil, parents think that as long as their children have good academic performance, they will be blindly satisfied and will not give positive and healthy guidance.
Neglect, parents are busy with work and business, ignoring children's needs and feelings, leading to indifference between parents and children.
Control type, as long as the child is disobedient, take extreme measures, including beating and cursing. Force children to obey, leading to more rebellion.
These educational problems lead to rigid parent-child relationship. If we go deeper, why do parents have these wrong educational concepts? On the one hand, they come from their parents' family, and are influenced by their parents to form their own educational concepts and opinions, which will be applied to their children involuntarily.
Both parents come from different families, which will lead to conflicts because of different concepts, which will make the children at a loss. Therefore, some families also have problems such as doting and controlling, which will cause more psychological problems for children. If it is not corrected, this problem will be passed down from generation to generation. Therefore, the correct treatment should also be psychological intervention for family members.
In 2006, Professor Tao Ran founded the first Internet addiction diagnosis and treatment base in China, "Youth Psychological Growth Base of Beijing Military Region General Hospital", which was mainly used to treat youth Internet addiction. This base adopts a series of systematic methods such as psychotherapy, family therapy, behavioral therapy and even simulating virtual games in reality.
For some serious cases, drug treatment is needed. Because serious internet addiction may cause obsessive-compulsive disorder, depression and other mental disorders, and even hallucinations and delusions, it is necessary to take related drugs, which is a comprehensive scientific treatment. Therefore, it is not that taking medicine is an unscientific treatment, nor that mental illness does not need to take medicine.
I am also engaged in research and treatment in this field. The Rihui Psychology I founded (micro-signal: RHXL5 19 1) is mainly aimed at the efficient intervention of addiction, depression and learning disabilities. In the aspect of behavioral addiction, the object of intervention is often more serious compound addiction, such as internet addiction and gambling addiction. The treatment is similar to that of Professor Tao Ran. But we pay more attention to psychological intervention and family intervention, which is stronger and more effective, and we are more cautious in drug use.
Generally speaking, it is the medical knowledge of objectively analyzing children's problems from the perspectives of brain science, medicine, psychology, psychiatry and sociology, and carrying out in-depth, systematic, humanized and efficient psychological intervention and comprehensive treatment.
Just help teenagers cure and quit internet addiction? Far from it, we need to help them rebuild their family relationships and return to the learning track. Rebuilding family relations is mainly through family therapy, which has been mentioned above and will not be repeated here. ? Teenagers with internet addiction are often students. Their main business is learning. Quitting internet addiction is to return to the learning track and return to society healthily. This involves the treatment of learning disabilities. At present, our technology in this field is mature. The goal is to let these children return to the classroom with a positive and focused attitude, study happily and efficiently, and catch up with the learning progress quickly. We don't even rule out, let them learn to "addiction", from a problem of juvenile into an excellent teenager. ? At present, our psychological intervention technology in this area is mature and iterative. It took less than 30 hours of psychological intervention to cure a returned high school student with "Internet addiction+fetishism+learning disabilities+depression+social phobia". (For details, please click "Why do excellent parents raise" problem "sons" and "Why do excellent parents raise" problem "sons".
Is there "electric shock therapy" in medicine?
It exists, but it has been basically eliminated.
I have seen that most reports and commentary articles call Yang Yongxin's method "electroshock therapy", and some people call it "electroshock therapy". These two therapies are not the same thing at all, and cannot be confused. ? Let's talk about the latter. At present, "electroconvulsive therapy" has developed into modified electroconvulsive therapy (MECT), which mainly treats severe mental disorders (often including severe depression, severe schizophrenia, bipolar disorder with violent tendency, etc.). ). In the case that drugs and psychological counseling are ineffective for patients, under anesthesia, patients will basically not feel pain, and the cell membrane of their somatic cells will quickly return to zero potential, which will often significantly improve their condition. However, this method can only solve the temporary problem, but can't solve the fundamental problem. The effective rate is about 70%~80%, and it is ineffective for some patients. Even effective patients should be cured with drugs and psychotherapy. Therefore, the application of electroconvulsive therapy in clinic, mainly for severe patients, is a more humane treatment.
Electroshock therapy is another kind of therapy, which generally applies electric current to the patient's body when he is awake to make him suffer. Technically speaking, it is to establish an offensive conditional launch. It was used to treat so-called "homosexuals" a long time ago (homosexuality is not a mental illness at present, which is another topic). Electroshock therapy is also used to treat obsessive-compulsive disorder. Simply put, it is to link the painful feeling of electric shock with a certain behavior, so that patients will suffer at the thought of this behavior, thus reducing this behavior. The teenager was forced to cry.
However, there are great problems in this method. On the one hand, it causes great pain and harm to patients, and it treats the symptoms rather than the root cause, so this treatment method has been basically eliminated at present. If Yong Yang believes in this method, it is actually torture in the name of electroshock therapy. As can be seen from the report, he did not link the pain of electric shock with online behavior, but linked the pain of electric shock with all disobedience of the child, forcing the child to apologize to his parents, or lied that he was willing to stay for treatment. This is not therapy, this is a threat of violence.
Therefore, parents are fully aware of this. We can't blindly worship and accept electroconvulsive therapy just because it once belonged to drug therapy. We should recognize the essence of things.
A painful electric shock
What psychological barriers do children bring? The most likely and common is post-traumatic stress disorder (PTSD).
PTSD usually refers to people's psychological disorder after suffering major setbacks, blows or major natural disasters. It is reported that Yang Yongxin's therapy is a great blow to the lives of teenagers. When they think about this experience in the future, they will still be afraid, have avoidance behavior, and even suffer from insomnia and depression.
Moreover, this method does not really solve the family problems behind the Internet addiction teenagers or problem of juvenile, and often worsens the parent-child relationship, making family conflicts more intense and even breaking up the family. If the root cause problem is not solved, it will be easy to repeat.
Why are those parents willing to give their children to Yang Yongxin?
It is pain and helplessness.
According to reports, many parents know that their children are physically and mentally tortured, and still ask their children to stay in Linyi Internet Ring Center for "treatment". Many friends said, are these parents out of their minds? ? Actually, I can understand these parents very well. Many problem of juvenile are not necessarily addicted to Internet, but have behavior problems, such as playing truant and fighting. These problems come from the family, that is, the parent-child relationship has become rigid, parents are helpless, and the school has no good solution. These parents are suffering. How to help them get out of the pain has given birth to a huge abstinence market. ? Similar institutions such as Linyi Net Ring Center have just grasped this kind of psychology of parents. When children rebel, parents will send them to these institutions to make them obey, even if they use painful electroshock therapy. Therefore, their behavior seems stupid, but in fact it is helpless.
The last thing I want to say. Not only Internet addiction, but also adolescent addiction and behavioral problems need in-depth, systematic and humanized efficient psychological intervention and comprehensive treatment. However, there are few institutions with these conditions in China, and we professionals still need to work hard to give parents and children in deep pain a way out.
Criticizing Yang Yongxin is not the purpose, but to let the public know about these problems, and to further understand the nature of the problems and the scientific ways to deal with them.
All kinds of reports and comments are aimed at making more families learn to reflect and improve themselves, and don't put all the problems on their children. Parents should understand the psychological change process of their children's growth. While respecting children's ideas, we should also give them correct guidance and norms, so that children can grow up in an environment of respect and understanding instead of going to extremes.
Parents should learn to grow up. No problem children, only troubled parents.
For more authoritative analysis or information exchange, please contact He Rihui (VX: vx:herihui20 15).