This article has multiple issues. Please help improve it or discuss these issues on the talk page . (Learn how and when to remove these messages)
|
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.
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]
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]
While 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]
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 to foster collaborations in this small field of research. The ICMDR's website features all scientific studies on MD in the "publications" section. [15]
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]
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]
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]
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]
Borderline personality disorder (BPD) 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. People diagnosed with BPD frequently exhibit self-harming behaviours and engage in risky activities, primarily due to challenges 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.
Substance intoxication is a transient condition of altered consciousness and behavior associated with recent use of a substance. It is often maladaptive and impairing, but reversible. If the symptoms are severe, the term "substance intoxication delirium" may be used. Slang terms for the state include: getting high (generic), and being stoned, cooked, or fried.
Antisocial personality disorder (ASPD) is a personality disorder defined by a chronic pattern of behavior that disregards the rights and well-being of others. People with ASPD often exhibit behavior that conflicts with social norms, leading to issues with interpersonal relationships, employment, and legal matters. The condition generally manifests in childhood or early adolescence, with a high rate of associated conduct problems and a tendency for symptoms to peak in late adolescence and early adulthood.
Hypersexuality is a medical condition 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. Nymphomaniac and sex maniac were terms previously used for the condition in women and men, respectively.
Individuals who experience depersonalization feel divorced from their own personal self as not belonging to the same identity.]] 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.
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.
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.
Daydreaming is a stream of consciousness that detaches from current external tasks when one's attention becomes focused on 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.
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.
Absent-mindedness is a mental state wherein a person is forgetfully inattentive. It is the opposite mental state of mindfulness.
Internet addiction "disorder" (IAD), also known as problematic internet use, or pathological internet use, is a problematic compulsive use of the internet, particularly on social media, that impairs an individual's function 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 declines as they spend more time online. Some experience health consequences from loss of sleep as they stay up to continue scrolling, chatting, and gaming.
Derealization is an alteration in the perception of the external world, causing those with the condition to perceive it as unreal, distant, distorted or in other words falsified. Other symptoms include feeling as if one's environment is lacking in spontaneity, emotional coloring, and depth. Described as "Experiences of unreality or detachment with respect to surroundings in the DSM-5, it is a dissociative symptom that may appear in moments of severe stress.
Personality disorders (PD) are a class of mental health conditions characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the 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 psychological 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. CSBD is not an addiction, and is typically used to describe behavior, rather than "sexual addiction".
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 Dutch 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.
{{cite web}}
: CS1 maint: multiple names: authors list (link)