Maladaptive daydreaming

Last updated

Maladaptive daydreaming, also called excessive daydreaming, is when an individual experiences excessive daydreaming that interferes with daily life. It is a proposed diagnosis of a disordered form of dissociative absorption, associated with excessive fantasy that is not recognized by any major medical or psychological criteria. Maladaptive daydreaming can result in distress, can replace human interaction and may interfere with normal functioning such as social life or work. [1] Maladaptive daydreaming is not a widely recognized diagnosis and is not found in any major diagnostic manual of psychiatry or medicine. [2] The term was coined in 2002 by Eli Somer of the University of Haifa. [3] Somer's definition of the proposed condition is "extensive fantasy activity that replaces human interaction and/or interferes with academic, interpersonal, or vocational functioning." [3] There has been limited research outside of Somer's.

Contents

Range of daydreaming

Daydreaming, a form of normal dissociation associated with absorption, is a highly prevalent mental activity experienced by almost everyone.[ unreliable medical source? ] [4] Some individuals reportedly possess the ability to daydream so vividly that they experience a sense of presence in the imagined environment. [3] This experience is reported to be extremely rewarding to the extent that some of those who experience it develop a compulsion to repeat it that it has been described as an addiction. [1] [5] [6] Somer has proposed "stimuli" for maladaptive daydreams that may relate to specific locations. The main proposed symptom is extremely vivid fantasies with "story-like features", such as the daydream's characters, plots and settings. [7]

Somer has argued that maladaptive daydreaming is not a form of psychosis as people with maladaptive daydreaming can tell that their fantasies are not real, while those with psychotic disorders have difficulty separating hallucinations or delusions from reality. [7]

Causes

There is no consensus among psychologists as to the causes of maladaptive daydreaming, although some experts believe it may be a coping mechanism. Teenagers and young adults, particularly those with childhood trauma or abuse, more frequently report having the condition than do adults. Individuals with the condition sometimes share traits with other behavioral addictions such as gambling or video games and may use their daydreams as a means to escape reality. [1] [8] [9]

Treatment

Whilst maladaptive daydreaming is not a recognized psychiatric disorder, it has spawned online support groups since Somer first reported the proposed disorder in 2002. [10] [11] Although there are no specific treatments recommended for maladaptive daydreaming, Harvard Medical School suggests individuals with the condition may find treating other mental health conditions to be effective. [9]

Research

Maladaptive daydreaming is currently studied by a consortium of researchers (The International Consortium for Maladaptive Daydreaming Research or ICMDR) from diverse countries including the United States, Poland, Switzerland, Israel, Greece and Italy. [12] [6] [13] [14]

Interested researchers are continuously added to the Consortium in order to foster collaborations in this small field of research. The ICMDR's website features all scientific studies on MD in the "publications" section. [15]

Diagnosis

There are no official ways to diagnose maladaptive daydreaming in patients because it has not yet been recognized in any official diagnostic manual for psychiatry, such as the DSM-5. However, some methods have been developed in attempt to gauge the proposed mental disorder's prevalence. [7]

Maladaptive Daydreaming Scale (MDS-16)

In 2015, a 14-item self-report measurement, known as the Maladaptive Daydreaming Scale or MDS-16 was designed to identify abnormalities in the daydreaming of individuals. The purpose of designing this instrument was to provide a reliable and valid measurement of the existence of the proposed condition in patients and to garner attention to the potential existence of maladaptive daydreaming as a mental disorder. [7] [9]

Later, an additional two items were added, assessing the use of music in fostering daydreaming. The MDS-16 has been used in several countries such as the United States, Turkey, the United Kingdom, Italy and Israel. [16] [17]

Potential comorbidity

Maladaptive daydreaming has been identified to potentially have comorbidity with a number of already existing recognized mental disorders such as attention deficit hyperactivity disorder, anxiety disorder, major depressive disorder, and obsessive-compulsive disorder (OCD). [18] In one case study, a patient believed to have the condition was administered fluvoxamine, a medication typically used to treat those with OCD. The patient found she was better able to control the frequency of her daydreaming episodes. [19]

Maladaptive daydreaming in media

Although maladaptive daydreaming has not been officially recognized as a mental disorder, it has garnered attention from numerous news and media outlets starting in 2020. [20] [21] [22]

Reality shifting is a trend that appears to be a form of excessive daydreaming, which emerged as an internet phenomenon on TikTok around 2020. [23]

See also

Related Research Articles

<span class="mw-page-title-main">Borderline personality disorder</span> Personality disorder of emotional instability

Borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD), is a personality disorder characterized by a pervasive, long-term pattern of significant interpersonal relationship instability, a distorted sense of self, and intense emotional responses. Individuals diagnosed with BPD frequently exhibit self-harming behaviours and engage in risky activities, primarily due to challenges in regulating emotional states to a healthy, stable baseline. Symptoms such as dissociation, a pervasive sense of emptiness, and an acute fear of abandonment are prevalent among those affected.

<span class="mw-page-title-main">Narcissistic personality disorder</span> Personality disorder

Narcissistic personality disorder (NPD) is a personality disorder characterized by a life-long pattern of exaggerated feelings of self-importance, an excessive need for admiration, and a diminished ability to empathize with other people's feelings. Narcissistic personality disorder is one of the sub-types of the broader category known as personality disorders. It is often comorbid with other mental disorders and associated with significant functional impairment and psychosocial disability.

Antisocial personality disorder is a personality disorder characterized by a limited capacity for empathy and a long-term pattern of disregard or violation of the rights of others. Other notable symptoms include impulsivity, reckless behavior, a lack of remorse after hurting others, deceitfulness, irresponsibility, and aggressive behavior.

Hypersexuality is a term used for a presumed mental disorder that causes unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment. It is controversial whether it should be included as a clinical diagnosis used by mental healthcare professionals. Nymphomania and satyriasis were terms previously used for the condition in women and men, respectively.

<span class="mw-page-title-main">Depersonalization</span> Anomaly of self-awareness

Depersonalization is a dissociative phenomenon characterized by a subjective feeling of detachment from oneself, manifesting as a sense of disconnection from one's thoughts, emotions, sensations, or actions, and often accompanied by a feeling of observing oneself from an external perspective. Subjects perceive that the world has become vague, dreamlike, surreal, or strange, leading to a diminished sense of individuality or identity. Sufferers often feel as though they are observing the world from a distance, as if separated by a barrier "behind glass". They maintain insight into the subjective nature of their experience, recognizing that it pertains to their own perception rather than altering objective reality. This distinction between subjective experience and objective reality distinguishes depersonalization from delusions, where individuals firmly believe in false perceptions as genuine truths. Depersonalization is also distinct from derealization, which involves a sense of detachment from the external world rather than from oneself.

<span class="mw-page-title-main">Kleptomania</span> Inability to resist the urge to steal

Kleptomania is the inability to resist the urge to steal items, usually for reasons other than personal use or financial gain. First described in 1816, kleptomania is classified in psychiatry as an impulse control disorder. Some of the main characteristics of the disorder suggest that kleptomania could be an obsessive-compulsive spectrum disorder, but also share similarities with addictive and mood disorders.

<span class="mw-page-title-main">Dialectical behavior therapy</span> Psychotherapy for emotional dysregulation

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. DBT evolved into a process in which the therapist and client work with acceptance and change-oriented strategies and ultimately balance and synthesize them—comparable to the philosophical dialectical process of thesis and antithesis, followed by synthesis.

Dissociation is a concept that has been developed over time and which concerns a wide array of experiences, ranging from a mild emotional detachment from the immediate surroundings, to a more severe disconnection from physical and emotional experiences. The major characteristic of all dissociative phenomena involves a detachment from reality, rather than a false perception of reality as in psychosis.

<span class="mw-page-title-main">Daydream</span> Aspect of human thought and consciousness

Daydreaming is a stream of consciousness that detaches from current, external tasks when attention drifts to a more personal and internal direction.

Psychopathology is the study of mental illness. It includes the signs and symptoms of all mental disorders. The field includes abnormal cognition, maladaptive behavior, and experiences which differ according to social norms. This discipline is an in-depth look into symptoms, behaviors, causes, course, development, categorization, treatments, strategies, and more.

Depersonalization-derealization disorder is a mental disorder in which the person has persistent or recurrent feelings of depersonalization and/or derealization. Depersonalization is described as feeling disconnected or detached from one's self. Individuals may report feeling as if they are an outside observer of their own thoughts or body, and often report feeling a loss of control over their thoughts or actions. Derealization is described as detachment from one's surroundings. Individuals experiencing derealization may report perceiving the world around them as foggy, dreamlike, surreal, and/or visually distorted.

Dissociative disorders (DDs) are a range of conditions characterized by significant disruptions or fragmentation "in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior." Dissociative disorders involve involuntary dissociation as an unconscious defense mechanism, wherein the individual with a dissociative disorder experiences separation in these areas as a means to protect against traumatic stress. Some dissociative disorders are caused by major psychological trauma, though the onset of depersonalization-derealization disorder may be preceded by less severe stress, by the influence of psychoactive substances, or occur without any discernible trigger.

<span class="mw-page-title-main">Emotional detachment</span> Inability and/or disinterest in emotionally connecting to others

In psychology, emotional detachment, also known as emotional blunting, is a condition or state in which a person lacks emotional connectivity to others, whether due to an unwanted circumstance or as a positive means to cope with anxiety. Such a coping strategy, also known as emotion-focused coping, is used when avoiding certain situations that might trigger anxiety. It refers to the evasion of emotional connections. Emotional detachment may be a temporary reaction to a stressful situation, or a chronic condition such as depersonalization-derealization disorder. It may also be caused by certain antidepressants. Emotional blunting, also known as reduced affect display, is one of the negative symptoms of schizophrenia.

In the field of psychology, absent-mindedness is a mental state wherein a person is forgetfully inattentive. It is the opposite mental state of mindfulness.

<span class="mw-page-title-main">Internet addiction disorder</span> Excessive internet use that causes psychological disorders

Internet addiction disorder (IAD) can otherwise be referred to as problematic internet use or pathological internet use. It is generally defined as problematic, compulsive use of the internet, that results in significant impairment in an individual's function in various aspects of life over a prolonged period of time. Young people are at particular risk of developing internet addiction disorder, with case studies highlighting students whose academic performance plummets as they spend more and more time online. Some also experience health consequences from loss of sleep, as they stay up later and later to chat online, check for social network status updates or to further progress in a game.

Derealization is an alteration in the perception of the external world, causing those with the condition to perceive it as unreal, distant, distorted or falsified. Other symptoms include feeling as if one's environment is lacking in spontaneity, emotional coloring, and depth. It is a dissociative symptom that may appear in moments of severe stress.

Personality disorders (PD) are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. The definitions vary by source and remain a matter of controversy. Official criteria for diagnosing personality disorders are listed in the sixth chapter of the International Classification of Diseases (ICD) and in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM).

Fantasy-prone personality (FPP) is a disposition or personality trait in which a person experiences a lifelong, extensive, and deep involvement in fantasy. This disposition is an attempt, at least in part, to better describe "overactive imagination" or "living in a dream world". An individual with this trait may have difficulty differentiating between fantasy and reality and may experience hallucinations, as well as self-suggested psychosomatic symptoms. Closely related psychological constructs include daydreaming, absorption and eidetic memory.

Compulsive sexual behaviour disorder (CSBD), is an impulse control disorder. CSBD manifests as a pattern of behavior involving intense preoccupation with sexual fantasies and behaviours that cause significant levels of psychological distress, are inappropriately used to cope with stress, cannot be voluntarily curtailed, and risk or cause harm to oneself or others. This disorder can also cause impairment in social, occupational, personal, or other important functions.

Absorption is a disposition or personality trait in which a person becomes absorbed in their mental imagery, particularly fantasy. This trait thus correlates highly with a fantasy prone personality. The original research on absorption was by American psychologist Auke Tellegen. The construct of absorption was developed in order to relate individual differences in hypnotisability to broader aspects of personality. Absorption has a variable correlation with hypnotisability (r = 0.13–0.89) perhaps because in addition to broad personality dispositions, situational factors play an important role in performance on tests of hypnotic susceptibility. Absorption is one of the traits assessed in the Multidimensional Personality Questionnaire.

References

  1. 1 2 3 Pietkiewicz, Igor J.; Nęcki, Szymon; Bańbura, Anna; Tomalski, Radoslaw (August 2018). "Maladaptive daydreaming as a new form of behavioral addiction". Journal of Behavioral Addictions. 7 (3): 838–843. doi:10.1556/2006.7.2018.95. PMC   6426361 . PMID   30238787.
  2. "DSM-5". www.psychiatry.org. Retrieved 2020-07-17.
  3. 1 2 3 Somer, Eli (Fall 2002). "Maladaptive Daydreaming: A Qualitative Inquiry" (PDF).
  4. Singer, J. L. (1966) "Daydreaming: An Introduction to the Experimental Study of Inner Experience". New York, NY: Random House
  5. Somer, E.; Somer, L.; Jopp, S.D. (9 June 2016). "Parallel lives: A phenomenological study of the lived experience of maladaptive daydreaming". Journal of Trauma & Dissociation. 17 (5): 561–576. doi:10.1080/15299732.2016.1160463. PMID   26943233. S2CID   970330.
  6. 1 2 Bigelsen, J., J.; Schupak, C. (December 2011). "Compulsive fantasy: Proposed evidence of an under-reported syndrome through a systematic study of 90 self-identified non-normative fantasizers". Consciousness and Cognition. 20 (4): 1634–1648. doi:10.1016/j.concog.2011.08.013. PMID   21959201. S2CID   206954778.
  7. 1 2 3 4 Somer, Eli; Lehrfeld, Jonathan; Bigelsen, Jayne; Jopp, Daniela S. (2016). "Development and validation of the Maladaptive Daydreaming Scale (MDS)". Consciousness and Cognition. 39: 77–91. doi:10.1016/j.concog.2015.12.001. PMID   26707384. S2CID   4848532.
  8. Ballabio, Matteo; Griffiths, Mark D.; Urbán, Róbert; Quartiroli, Allessandro; et al. (2017). "Do gaming motives mediate between psychiatric symptoms and problematic gaming? An empirical survey study". Addiction Research & Theory. 25 (5): 397–408. doi:10.1080/16066359.2017.1305360.
  9. 1 2 3 Fisher, Jennifer (January 9, 2024). Collier, Stephanie (ed.). "Maladaptive daydreaming: What it is and how to stop it". Harvard Health. Harvard Medical School . Retrieved May 8, 2024.
  10. Soffer-Dudek, Nirit; Somer, Eli (15 May 2018). "Trapped in a Daydream: Daily Elevations in Maladaptive Daydreaming Are Associated With Daily Psychopathological Symptoms". Frontiers in Psychiatry. 9: 194. doi: 10.3389/fpsyt.2018.00194 . ISSN   1664-0640. PMC   5962718 . PMID   29867613.
  11. Bershtling, O., & Somer, E. (27 August 2018). "The Micro-Politics of a New Mental Condition: Legitimization in Maladaptive Daydreamers' Discourse". The Qualitative Report.{{cite web}}: CS1 maint: multiple names: authors list (link)
  12. "Maladaptive Daydreaming Publications". The International Consortium for Maladaptive Daydreaming Research (ICMDR).
  13. Bigelse, Jayne; Lehrfeld, Jonathan M.; Jopp, Daniela S.; Somer, Eli (May 2016). "Maladaptive daydreaming: Evidence for an under-researched mental health disorder". Consciousness and Cognition. 42: 254–266. doi:10.1016/j.concog.2016.03.017. PMID   27082138. S2CID   4838048.
  14. "Maladaptive Daydreaming researchers | ICMDR". md-research. Retrieved 2020-12-06.
  15. "Publication on Maladptive Daydreaming | ICMDR". md-research. Retrieved 6 December 2020.
  16. Soffer-Dudek, Nirit; Somer, Eli; Abu-Rayya, Hisham M.; Metin, Barış; Schimmenti, Adriano (2 November 2020). "Different cultures, similar daydream addiction? An examination of the cross-cultural measurement equivalence of the Maladaptive Daydreaming Scale". Journal of Behavioral Addictions. 9 (4): 1056–1067. doi: 10.1556/2006.2020.00080 . ISSN   2062-5871. PMC   8969720 . PMID   33141115.
  17. Schimmenti, Adriano; Sideli, Lucia; La Marca, Luana; Gori, Alessio; Terrone, Grazia (2 September 2020). "Reliability, Validity, and Factor Structure of the Maladaptive Daydreaming Scale (MDS–16) in an Italian Sample". Journal of Personality Assessment. 102 (5): 689–701. doi:10.1080/00223891.2019.1594240. ISSN   0022-3891. PMID   31012744. S2CID   128360603.
  18. Somer, Eli; Soffer-Dudek, Nirit; Ross, Colin A. (2017). "The Comorbidity of Daydreaming Disorder (Maladaptive Daydreaming)". The Journal of Nervous and Mental Disease. 205 (7): 525–530. doi:10.1097/NMD.0000000000000685. ISSN   0022-3018. PMID   28598955. S2CID   13618389.
  19. Bigelsen, Jayne; Schupak, Cynthia (2011). "Compulsive fantasy: Proposed evidence of an under-reported syndrome through a systematic study of 90 self-identified non-normative fantasizers". Consciousness and Cognition. 20 (4): 1634–1648. doi:10.1016/j.concog.2011.08.013. PMID   21959201. S2CID   206954778.
  20. Bigelsen, Jayne; Kelley, Tina (April 29, 2015). "When Daydreaming Replaces Real Life". The Atlantic. ISSN   1072-7825. Archived from the original on May 1, 2015. Retrieved 6 December 2020.(subscription required)
  21. "The daydream that never stops". BBC . Retrieved 6 December 2020.
  22. "People with "Maladaptive Daydreaming" spend an average of four hours a day lost in their imagination". Research Digest. 25 June 2018. Retrieved 6 December 2020.
  23. Eli Somer, Etzel Cardeña, Ramiro Figueiredo Catelan & Nirit Soffer-Dudek (2021), "Reality shifting: psychological features of an emergent online daydreaming culture", Current Psychology{{citation}}: CS1 maint: multiple names: authors list (link)