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Magical Flight and Monstrous Stress: Technologies of Absorption and Mental Wellness in Azeroth

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An Erratum to this article was published on 02 March 2011

An Erratum to this article was published on 24 February 2011

Abstract

Videogame players commonly report reaching deeply “immersive” states of consciousness, in some cases growing to feel like they actually are their characters and really in the game, with such fantastic characters and places potentially only loosely connected to offline selves and realities. In the current investigation, we use interview and survey data to examine the effects of such “dissociative” experiences on players of the popular online videogame, World of Warcraft (WoW). Of particular interest are ways in which WoW players’ emotional identification with in-game second selves can lead either to better mental well-being, through relaxation and satisfying positive stress, or, alternatively, to risky addiction-like experiences. Combining universalizing and context-dependent perspectives, we suggest that WoW and similar games can be thought of as new “technologies of absorption”—contemporary practices that can induce dissociative states in which players attribute dimensions of self and experience to in-game characters, with potential psychological benefit or harm. We present our research as an empirically grounded exploration of the mental health benefits and risks associated with dissociation in common everyday contexts. We believe that studies such as ours may enrich existing theories of the health dynamics of dissociation, relying, as they often do, on data drawn either from Western clinical contexts involving pathological disintegrated personality disorders or from non-Western ethnographic contexts involving spiritual trance.

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Notes

  1. In World of Warcraft, “Azeroth” refers to one of the three continents of the Eastern Kingdoms. It also sometimes refers generally to the planet as a whole on which this continent is found, as well as to the world as a whole, which includes both Azeroth the planet and other planets like Outland.

  2. In fact, Butler (2006) terms commonly experienced forms of normal dissociation in naturalistic settings “normative.” Although the kind of dissociation of interest here is like that described by Butler, we prefer and use the phrase “normal dissociation,” to avoid connoting that these experiences are normatively expected or required in some setting.

  3. As Lynn (2005, p. 20) analogizes the situation, “Think of an office space comprising cubicles separated by partitions that can be moved around in a variety of configurations, interspersed with several dedicated offices that have more permanent walls. Information flows over, around, and through these separators, with various degrees of ease. The partitions can be unconsciously moved to divert or block streams of information.”

  4. Choices related to race and class determine, to a large extent, a character’s attributes like intelligence, stamina, and agility, as well as a player’s style of play and strategy. For example, warriors make good defensive “tanks,” who effectively absorb damage; mages can unleash large amounts of offensive damage; and priests make good healers and, thus, effective support characters.

  5. In the interest of keeping down the number and complexity of control variables, we dichotomized the education variable (college education or more versus anything less) and the age variable (over 27 years versus younger). Both of these cut-points are approximately at the median. Although using age as a continuous variable would have been possible, we had no reason to suspect a linear relation, so simply entering age, for example, as a linear predictor seemed unwarranted.

  6. For the reader unfamiliar with ordinal logistic regression: Like an ordinary least-squares linear regression model, this analysis involves using an equation to produce a predictive model for an outcome variable. However, a special approach is taken that does not assume the outcome is measured as a continuous variable, and treats it strictly as an ordinal variable. The particular model fitted is used to describe how the various explanatory variables are related to the odds that a respondent scores in category 2 or above as opposed to category 1, category 3 or above as opposed to anything lower, category 4 or above as opposed to anything lower and so forth. With this approach, there is no need to assume anything about the relative closeness of different scores in these categories. There is a simplifying assumption, though, that whatever relations each explanatory variable has to the outcome is the same across all category splits: 1 vs. 2, 3, 4, 5 and 1, 2 vs. 3, 4, 5. Thus, the coefficients we have reported here, for example in Table 2, show how a one-unit change in an explanatory variable is predicted to multiplicatively increase the odds of being in the higher versus lower location of any category split. Odds ratios >1 thus show positive relationships between an explanatory variable and the outcome, while those <1 indicate a negative association. For more detail on ordinal regression models, see, e.g., Long (1997).

  7. Indeed, dissociation is so strongly associated with addiction (R = 0.72), it almost seems on the surface that it measures the same psychological tendencies. However, the Appendix demonstrates that these two scales, and thus these two measures, are in fact quite distinct.

  8. For each outcome, we present a final regression model in Table 6, having started with a base model for each, containing the demographic control variables (as chosen for that outcome) and the Dissociation Scale, and added the relaxation/stress reduction variable, the increases stress variable and terms for the interactive effects of those variables with dissociation in relation to the outcome. The final model for each outcome includes those variables that improved the fit as determined by hypothesis tests on the overall model.

  9. For example, it can be calculated that, at low values of the relaxation variable (e.g., 2, or “disagree,” approximately the 10th percentile), the odds ratio for a 1-SD increase in dissociation is approximately 1.0, no relationship at all, but at higher values of the relaxation variable (e.g., 4, or “agree,” the mode and approximate median), the predicted odds ratio for dissociation is 1.7. Regarding the relaxation variable, the interaction is such that a respondent who was 1 SD below the mean in dissociation (a score of −1.0), would have an odds ratio of 1.9, but for a respondent at 1 SD above the mean on dissociation, the same odds ratio would be 3.4.

  10. At low values (2) of relaxation, the predicted odds ratio from dissociation to life satisfaction is 0.90, a slightly negative relationship, while for a more typical higher value (4) of relaxation, the odds ratio is 1.7. The odds ratio for relaxation’s relation to life satisfaction, though interactive with dissociation, is consistently positive, ranging from 2.0 when dissociation is −1 (1 SD below the mean) up to 3.9 when dissociation is +1.

  11. The issue is slightly more complicated, and the pleasures of WoW stress emerge from the fact that monsters seem simultaneously real and fantasy. On some level, even when the monsters temporarily feel real, players know that WoW is, after all, only a game, a fantasy, and not real. Players surrender some degree of control over the game’s fantasy dangers in order to be stimulated, but it is easy to snap back into a view of WoW as “only a game.”

  12. It is not clear to us why WoW’s being judged to be relaxing, rather than positive WoW stress, is revealed by our survey to be more clearly implicated in “interactions” connecting dissociation with positive mental wellness outcomes like happiness and life satisfaction. Our observations, interviews and own experiences reveal the importance of both relaxation and positive stress in such interactions.

  13. We also cannot entirely explain why the perception that WoW is stressful, which we read as “positive” stress, rather than relaxation, is most clearly implicated in our statistical models related to dissociation and WoW addiction. Again, our interviews belie in part such an observation, pointing to how gamers might become “addicted,” so to speak, to relaxing states themselves.

References

  • Achterberg, Jeanne (1985) Imagery in Healing: Shamanism and Modern Medicine. Boston: Shambhala.

    Google Scholar 

  • Acocella, Joan Ross (1999) Creating Hysteria: Women and Multiple Personality Disorder. San Francisco: Jossey-Bass.

    Google Scholar 

  • American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders. 4th ed. (text rev.). Washington, DC: APA.

    Google Scholar 

  • Baker, D., E. Hunter, E. Lawrence, N. Medford, M. Patel, C. Senior, M. Sierra, M. V. Lambert, M. L. Philips, and A. S. David (2003) Depersonalization Disorder: Clinical Features of 204 Cases. British Journal of Psychiatry 182:428–433.

    Article  Google Scholar 

  • Bartle, Richard (2003) Designing Virtual Worlds. Indiana: New Riders Publishing.

    Google Scholar 

  • Benson, Herbert (2000) The Relaxation Response. NewYork: Harper.

    Google Scholar 

  • Bernstein, Eve M., and Frank W. Putnam (1986) Development, Reliability, and Validity of a Dissociation Scale. Journal of Nervous and Mental Disease 174(12):727–735.

    Article  Google Scholar 

  • Blizzard Entertainment 2008 World of Warcraft Reaches New Milestone: 10 Million Subscribers. Available at: http://www.blizzard.com/us/press/080122.html. Accessed February 22, 2008.

  • Boddy, Janice (1988) Spirits and Selves in Northern Sudan: The Cultural Therapeutics of Possession and Trance. American Ethnologist 15(1):4–27.

    Article  Google Scholar 

  • Boddy, Janice (1993) Subversive Kinship: The Role of Spirit Possession in Negotiation Social Place in Rural Northern Sudan. PoLAR: Political and Legal Anthropology Review 16(2):29–38.

    Article  Google Scholar 

  • Boddy, Janice (2001) Spirit Possession and Gender Complementarity: Zar in Rural Northern Sudan. Pp. 397–408 in Gender in Cross-Cultural Perspective. 3rd ed. Caroline B. Brettel and Carolyn F. Sargent, eds. Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Brown, Barbara B. (1974) New Mind, New Body: Biofeedback: New Directions for the Mind. New York: Harper Rowe.

    Google Scholar 

  • Brown, Karen McCarthy (1991) Mama Lola: A Vodou Priestess in Brooklyn. Berkeley: University of California Press.

    Google Scholar 

  • Butler, Lisa D. (2006) Normative Dissociation. Psychiatric Clinics of North America 29:45–62.

    Article  Google Scholar 

  • Caplan, S., D. Williams, and N. Yee (2009) Problematic Internet Use and Psychosocial Well-being Among MMO Players. Computers in Human Behavior 25(6):1312–1319.

    Article  Google Scholar 

  • Castillo, Richard (1995) Culture, Trance, and the Mind-Brain. Anthropology of Consciousness 6(1):17–34.

    Article  Google Scholar 

  • Castronova, Edward (2005) Synthetic Worlds: The Business and Culture of Online Games. Chicago: University of Chicago Press.

    Google Scholar 

  • Castronova, Edward (2007) Exodus to the Virtual World: How Online Fun Is Changing Reality. New York: Palgrave.

    Google Scholar 

  • Charlton, J. P., and I. D. W. Danforth (2007) Distinguishing Addiction and High Engagement in the Context of Online Game Playing. Computers in Human Behavior 23:1531–1548.

    Article  Google Scholar 

  • Chou, T.-J., and C.-C. Ting 2003 The Role of Flow Experience in Cyber-Game Addiction. Cyberpsychology and Behavior 6(6):663–675.

    Article  Google Scholar 

  • Collins, F., and C. French (1998) Dissociation, Coping Strategies and Locus of Control in a Non-clinical Population: Clinical Implications. Australian Journal of Clinical and Experimental Hypnosis 26(2):113–126.

    Google Scholar 

  • Coons, Philip M., E. Bowman, T. A. Pellow, and P. Schneider (1989) Post-traumatic Aspects of the Treatment of Victims of Sexual Abuse and Incest. Psychiatric Clinics of North America 12(2):325–335.

    Google Scholar 

  • Csikszentmihalyi, Mihaly (2008) Flow: The Psychology of Optimal Experience. New York: Harper and Row.

    Google Scholar 

  • Davis, Joel (1984) Endorphins. Garden City, NY: Dial.

    Google Scholar 

  • Desjarlais, Robert R. (1992) Body and Emotion: The Aesthetics of Illness and Healing in the Nepal Himalayas. Philadelphia: University of Pennsylvania Press.

    Google Scholar 

  • Devereux, George (1969) Mohave Ethnopsychiatry: The Psychic Disturbances of an Indian Tribe. Washington, DC: Smithsonian Institution Press.

    Google Scholar 

  • Ding, Y., H. Chi, D. Grady, A. Morishima, J. Kidd, K. Kidd, P. Flodman, M. Spence, S. Schuck, J. Swanson, Y. Zhang, and M. Moyzis (2002) Evidence of Positive Selection Acting at the Human Dopamine Receptor D4 Locus. Proceedings of the National Academy of Sciences USA 99:309.

    Article  Google Scholar 

  • Ewing, Katherine P. (1990) The Illusion of Wholeness: Culture, Self, and the Experience of Inconsistency. Ethos 18(3):251–278.

    Article  Google Scholar 

  • Fiorillo, C., P. Tobler, and W. Schultz (2003) Discrete Coding of Reward Probability and Uncertainty by Dopamine Neurons. Science 299:1998.

    Article  Google Scholar 

  • Foa, Edna B., and Diana Hearst-Ikeda (1996) Emotional Dissociation in Response to Trauma. In Handbook of Dissociation. L. Michelson and W. Ray, eds. New York: Plenum Press.

    Google Scholar 

  • Freed, R. S., and S. A. Freed (1990a) Ghost Illness in a North Indian Village. Social Science and Medicine 30(5):617–623.

    Article  Google Scholar 

  • Freed, R. S., and S. A. Freed (1990b) Ghost Illness of Children in North India. Medical Anthropology 12(4):401–417.

    Article  Google Scholar 

  • Gaines, Atwood D. (1992) From DSM I to III-R; Vocies of Self, Mastery and the Other: A Cultural Constructivist Reading of the U.S. Psychiatric Classification. Social Science and Medicine 35(1):3–24.

    Article  Google Scholar 

  • Gambrana, C., F. Masi, A. Taglimonte, S. Scherggi, O. Ghiglieri, and M. De Monti (1999) A Chronic Stress That Impairs Reactivity in Rats Also Decreases Dopaminergic Transmission in the Nucleus Accumbens: A Microdialysis Study. Journal of Neurochemistry 72:2039.

    Article  Google Scholar 

  • Gold, P. W., and G. P. Chrousos (2002) Organization of the Stress System and its Dysregulation in Melancholic and Atypical Depression: High vs Low CRH/NE States. Molecular Psychiatry 7: 254–275.

    Article  Google Scholar 

  • Goldstein, A., and P. Grevert (1985) Placebo, Analgesia, Endorphins, and Naloxone. Lancet 2:8204–8205.

    Google Scholar 

  • Goodwin, Jean M., and Roberta G. Sachs (1996) Child Abuse in the Etiology of Dissociative Disorders. In Handbook of Dissociation. L. Michelson and W. Ray, eds. New York: Plenum Press.

    Google Scholar 

  • Green, Elmer, and Alyce Green (1989) Beyond Biofeedback. Santa Barbara, CA: Knoll.

    Google Scholar 

  • Griffin, Michael, G. P. Resick, and M. Mechanic (1997) Objective Assessment of Peritraumatic Dissociation: Psychophysiological Indicators. American Journal of Psychiatry 154(8):1081–1088.

    Google Scholar 

  • Hacking, Ian (1995) Rewriting the Soul: Multiple Personality and the Sciences. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Hahn, Robert (1997) The Nocebo Phenomenon: Concept, Evidence, and Implications for Public Health. Preventive Medicine 26:607–611.

    Article  Google Scholar 

  • Hollan, Douglas 2000a Culture and Dissociation in Toraja. Transcultural Psychiatry 37(4):545–559.

  • Hollan, Douglas 2000b Constructivist Models of Mind, Contemporary Psychoanalysis, and the Development of Culture Theory. American Anthropologist 102(3):538–550.

  • Jakobsen, Merete (1999) Shamanism: Traditional and Contemporary Approaches to the Mastery of Spirits and Healing. Oxford, UK: Berghahn Books.

    Google Scholar 

  • Jenkins, Henry (2000) Game Design as Narrative Architecture. In First Person: New Media as Story, Performance, and Game. N. Wardrip-Fruin and P. Harrigan, eds., pp. 118–130. Boston: MIT Press.

    Google Scholar 

  • Kakar, Sudhir (1982) Shamans, Mystics, and Doctors: A Psychological Inquiry into India and Its Healing Traditions. Chicago: University of Chicago Press.

    Google Scholar 

  • Kaplan, B., and D. Johnson (1974) The Social Meaning of Navaho Psychopathology and Psychotherapy. In Magic, Faith and Healing. A. Kiev ed., pp. 203–229. New York: Free Press.

    Google Scholar 

  • Kelley, Al, and K. Berridge (2002) The Neuroscience of Natural Rewards: Relevance to Addictive Drugs. Journal of Neuroscience 22:3306–3311.

    Google Scholar 

  • Kihlstrom, John F. (2005) Dissociative Disorders. Annual Review of Clinical Psychology 1:227–253.

    Article  Google Scholar 

  • Kirmayer, Laurence J. (1993) Healing and the Invention of Metaphor: The Effectiveness of Symbols Revisited. Culture, Medicine, and Psychiatry 17:161–195.

    Article  Google Scholar 

  • Kirmayer, Laurence J. 1994 Pacing the Void: Social and Cultural Dimensions of Dissociation. In Dissociation: Culture, Mind, and Body. D. Spiegel, ed. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Kleinman, Arthur (1980) Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. Berkeley: University of California Press.

    Google Scholar 

  • Kleinman, Arthur et al. (1979) Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross- Cultural Research. Annals of Internal Medicine 88:251–258.

    Google Scholar 

  • Klinger, E. (1978) Modes of Normal Conscious Flow. In The Stream of Consciousness—Scientific Investigations into the Normal Flow of Human Experience. K. Pope and J. Singers, eds. New York: Plenum Press.

    Google Scholar 

  • Kluft, Richard (1996) Dissociative Identity Disorder. In Handbook of Dissociation: Theoretical, Empirical, and Clinical Perspectives. L. Michelson and W. Ray, eds. New York: Plenum Press.

    Google Scholar 

  • Koopman, C., C. Classen, and D. Spiegel (1994) Predictors of Posttraumatic Stress Symptoms Among Survivors of the Oakland/Berkeley, Calif., Firestorm. American Journal of Psychiatry 151: 888–894.

    Google Scholar 

  • Koopman, Cheryl, Victor Carrion, Lisa D. Butler, Shiv Sudhakar, Laura Palmer, and Hans Steiner (2004) Relationships of Dissociation and Childhood Abuse and Neglect With Heart Rate in Delinquent Adolescents. Journal of Traumatic Stress 17(1): 47–54.

    Article  Google Scholar 

  • Koss-Chioino, Joan D., and Philip Hefner (2006) Spiritual Transformations and Healing: Anthropological, Theological, Neuroscientific, and Clinical Perspectives. New York: Altamira Press.

    Google Scholar 

  • Krippner, Stanley (1997) Dissociation in Many Times and Places. In Broken Images, Broken Selves: Dissociative Narratives in Clinical Practice. Stanley Krippner and Susan Marie Powers, eds. Washington, DC: Brunner/Mazel.

    Google Scholar 

  • Lambek, Michael (1981) Human Spirits: A Cultural Account of Trance in Mayotte. Cambridge: Cambridge University Press.

    Google Scholar 

  • Lamius, R. et al. (2002) Brain Activation During Script-Driven Imagery Induced Dissociative Responses in PTSD: AFunctional Magnetic Resonance Imaging Investigation. Biological Psychiatry 52:305–311.

    Article  Google Scholar 

  • Lewis, Ioan M. (1989) Ecstatic Religion: An Anthropological Study of Spirit Possession and Shamanism. 2nd ed. Harmondsworth, UK: Penguin Books.

    Google Scholar 

  • Lindau, Stacy Tessler, and McDade, Thomas W. (2008) Minimally Invasive and Innovative Methods for Biomeasure Collection in Population-Based Research. In Biosocial Surveys, Committee on Advances in Collecting and Utilizing Biological Indicators and Genetic Information in Social Science Surveys. M. Weinstein, J. W. Vaupel, and K. W. Wachter, eds. Washington, DC: National Academies Press.

    Google Scholar 

  • Long, J. Scott (1997) Regression Models for Categorical and Limited Dependent Variables. London: Sage Publications.

    Google Scholar 

  • Luhrmann, Tanya M. (2005) The Art of Hearing God: Absorption, Dissociation, and Contemporary American Spirituality. Spiritus 5:133–157.

    Google Scholar 

  • Luhrmann, Tanya M., Howard Nusbaum, and Ronald Thisted (2009) The Absorption Hypothesis: Learning to Hear God in Evangelical Christianity. American Anthropologist 112(1):66–78.

    Article  Google Scholar 

  • Lynn, Christopher D. (2005) Adaptive and Maladaptive Dissociation: An Epidemiological and Anthropological Comparison and Proposition for an Expanded Dissociation Model. Anthropology of Consciousness 16(2):16–49.

    Article  Google Scholar 

  • Marmar, C. R. et al. (1994) Peritraumatic Dissociation and Posttraumatic Stress in Male Vietnam Theater Veterans. American Journal of Psychiatry 151:902–907.

    Google Scholar 

  • Masquelier, Adeline 1999 The Invention Anti-Tradition: Dodo Spirits in Southern Niger. In Spirit Possession: Modernity and Power in Africa. Heike Behrend and Ute Luig, eds., pp. 34–50. Madison: University of Wisconsin Press.

  • Mattingly, Cheryl. (2006) Reading Medicine: Mind, Body, and Meditation in One Interpretive Community. New Literary History 37(3):563–581.

    Article  Google Scholar 

  • McClenon, James. (1997) Shamanic Healing, Human Evolution, and the Origin of Religion. Journal for the Scientific Study of Religion 36(3):345–354.

    Article  Google Scholar 

  • McClenon, James. (2002) Wondrous Healing: Shamanism, Human Evolution, and the Origin of Religion. DeKalb: Northern Illinois University Press.

    Google Scholar 

  • McClenon, James. (2006) The Ritual Healing Theory: Therapeutic Suggestion and the Origin of Religion. Pp. 135–158 in Where God and science meet. P. McNamara, ed. Westport, CT: Praeger.

    Google Scholar 

  • Medford, Nick, M. Sierra, D. Baker, and A. David (2005) Understanding and Treating Depersonalization Disorder. Advances in Psychiatric Treatment 11:92–100.

    Article  Google Scholar 

  • Moerman, Daniel E. (1979) Anthropology of Symbolic Healing. Current Anthropology 20(1):59–80.

    Article  Google Scholar 

  • Molino, Anthony, ed. (1998) The Couch and the Tree: Dialogues in Psychoanalysis and Buddhism. New York: North Point Press.

    Google Scholar 

  • Nardi, B., and J. Harris (2006) Strangers and Friends: Collaborative Play in World of Warcraft. Pp. 149–158 in CSCW’ ‘06. Proceedings of the 20th Anniversary 2006 Conference on Computer Supported Cooperative Work, Banff, Alberta, Canada.

    Google Scholar 

  • Nijenhuis, E., J. Vanderlinden, and P. Spinhoven (1998) Animal Defensive Reactions as a Model for Trauma-Induced Dissociative Reactions. Journal of Traumatic Stress 11(2):243–260.

    Article  Google Scholar 

  • Noll, Richard. (1985) Mental Imagery Cultivation as a Cultural Phenomenon: The Role of Visions in Shamanism. Current Anthropology 26:443–451.

    Article  Google Scholar 

  • Obeyesekere, Gananath. (1981) Medusa’s Hair. Chicago: University of Chicago Press.

    Google Scholar 

  • Obeyesekere, Gananath. (1982) Science and Psychological Medicine in the Ayurvedic Tradition. Pp. 235–248 in Cultural Conceptions of Mental Health and Therapy. A. Marsella and G. White, eds. Dordrecht: Reidel.

    Google Scholar 

  • Ogata, S. N. et al. (1990) Childhood Sexual and Physical Abuse in Adult Patients with Borderline Personality Disorder. American Journal of Psychiatry 147:1008–1013.

    Google Scholar 

  • Ong, Aihwa (1987) Spirits of Resistance and Capitalist Discipline: Factory Women in Malaysia. Albany: State University of New York Press.

    Google Scholar 

  • Phillips, P., G. Stuber, M. Heien, R. Wightman, and R. Carelli (2003) Subsecond Dopamine Release Promotes Cocaine Seeking. Nature 422:614.

    Article  Google Scholar 

  • Piazza, P., and M. Le Moal (1997) Glucocorticoids as a Biological Substrate of Reward: Physiological and Pathophysiological Implications. Brain Research Reviews 25:359.

    Article  Google Scholar 

  • Piazza, P., and M. Le Moal (1998) The Role of Stress in Drug Self-Administration. Trends in Pharmacological Science 1998:6.

    Google Scholar 

  • Prince, Raymond (1982) Shamans and Endorphins. Ethos 10(4):409.

    Article  Google Scholar 

  • Raz, Amir (2005) Attention and Hypnosis: Neural Substrates and Genetic Associations of Two Converging Processes. International Journal of Clinical and Experimental Hypnosis 53(3):237–258.

    Article  Google Scholar 

  • Raz, Amir, and T. Shapiro (2002) Hypnosis and Neuroscience: A Cross Talk Between Clinical and Cognitive Research. Archives of General Psychiatry 59(1):85–90.

    Article  Google Scholar 

  • Ross, Colin A. (1996) History, Phenomenology, and Epidemiology of Dissociation. Pp. 3–24 in Handbook of Dissociation: Theoretical, Empirical, and Clinical Perspectives. Larry K. Michelson and William. J. Ray, eds. New York; London: Plenum.

    Google Scholar 

  • Ross, Colin A. (1997) Dissociative Identity Disorder: Diagnosis, Clinical Features, and Treatment of Multiple Personality. New York: Wiley.

    Google Scholar 

  • Rubin, Jeffrey B. (1996) Psychotherapy and Buddhism. New York: Plenum.

    Google Scholar 

  • Santorelli, Saki (1999) Heal Thy Self: Lessons on Mindfulness in Medicine. New York: Three Rivers Press.

    Google Scholar 

  • Sapolsky, Robert (1996) Why Stress Is Bad for Your Brain. Science 273:749–750.

    Article  Google Scholar 

  • Sapolsky, Robert 2003 The Pleasure (and Pain) of “Maybe”: Both Tease and Terrorist Exert Control by Fostering Uncertainty in Their Targets. Natural History. September 2003.

  • Sapolsky, Robert (2004) Why Zebras Don’t Get Ulcers. 3rd ed. New York: Holt Paperbacks.

    Google Scholar 

  • Schultz, W., L. Temblay, and J. Holerman (2000) Reward Processing in Primate Orbitofrontal Cortex and Basal Ganglia. Cerebral Cortex 10:272.

    Article  Google Scholar 

  • Seay, F., and R. Kraut 2007 Project Massive: Self-Regulation and Problematic Use of Online Gaming. In Proceedings of the ACM Conference on Human Factors in Computing Systems, pp. 829–838. New York: ACM Press.

  • Seligman, Rebecca 2005a Distress, Dissociation, and Embodied Experience: Reconsidering the Pathways to Mediumship and Mental Health. Ethos 33(1): 71–99.

  • Seligman, Rebecca 2005b From Affliction to Affirmation: Narrative Transformation and the Therapeutics of Candomble Mediumship. Transcultural Psychiatry 42(2): 272–294.

  • Seligman, Rebecca, and Laurence Kirmayer 2008 Dissociative Experience and Cultural Neuroscience: Narrative, Metaphor and Mechanism. Culture, Medicine, and Psychiatry 32(1):31–64.

  • Sharp, Leslie A. (1993) The Possessed and the Dispossessed: Spirits, Identity, and Power in a Madagascar Migrant Town. Berkeley: University of California Press.

    Google Scholar 

  • Sharp, Leslie A. 1999 The Power of Possession in Northwest Madagascar: Contesting Colonial and National Hegemonies. In Spirit Possession: Modernity and Power in Africa. Heike Behrend and Ute Luig, eds., pp. 3–19. Madison: University of Wisconsin Press.

  • Shore, B. (1978) Ghosts and Government: A Structural Analysis of Alternative Institutions for Conflict Management in Samoa. Man (NS) 13: 175–199.

    Google Scholar 

  • Shweder, Richard, and E. Bourne (1984) Does the Concept of the Person Vary Cross-Culturally? Pp. 158–199 in Culture Theory. R. Shweder and R. LeVine, eds. Cambridge: Cambridge University Press.

    Google Scholar 

  • Sierra, M., and G. E. Berrios (2001) Conversion Hysteria: the Relevance of Attentional Awareness. Pp. 192–202 in Contemporary Approaches to the Study of Hysteria. P. Halligan, C. Bass, and J. Marshall, eds. Oxford: Oxford University Press.

    Google Scholar 

  • Simeon, Daphne et al. (2000) Feeling Unreal: A PET Study of Depersonalization Disorder. American Journal of Psychiatry 157:1782–1788.

    Article  Google Scholar 

  • Simeon, Daphne et al. (2001) The Role of Childhood Interpersonal Trauma in Depersonalization Disorder. American Journal of Psychiatry 158:1027–1033.

    Article  Google Scholar 

  • Simeon, Daphne et al. (2003) Basal Norepinephrine in Depersonalization Disorder. Psychiatry Research 121(1):93–97.

    Article  Google Scholar 

  • Simeon, Daphne et al. (2004) Depersonalization Disorder: A Contemporary Overview. CNS Drugs 18(6):343– 354.

    Article  Google Scholar 

  • Snodgrass, Jeffrey G. 2002a Imitation Is Far More Than the Sincerest of Flattery: The Mimetic Power of spirit Possession in Rajasthan, India. Cultural Anthropology 17(1):32–64.

  • Snodgrass, Jeffrey G. 2002b A Tale of Goddesses, Money, and Other Terribly Wonderful Things: Spirit Possession, Commodity Fetishism, and the Narrative of Capitalism in Rajasthan, India. American Ethnologist 29(3):602–636.

  • Snodgrass, Jeffrey G. 2004 Spirit Mediums in Rajasthan. The Encyclopedia of Shamanism. Mariko Walter and Eva Fridman, eds. Oxford, UK: ABC-CLIO.

  • Snodgrass, Jeffrey G., H.J. Francois Dengah II, Michael G. Lacy, Jesse Fagan, David Most, Michael Blank, Lahoma Howard, Chad R. Kershner, Gregory Krambeer, Alissa Leavitt-Reynolds, Adam Reynolds, Jessica Vyvial-Larson, Josh Whaley, and Benjamin Wintersteen 2010 Restorative Magical Adventure or Warcrack? Motivated MMO Play and the Pleasures and Perils of Online Experience. Games and Culture 7(1) (forthcoming, Jan 2012).

  • Spiegel, David 1991 Dissociation and Trauma. In American Psychiatric Press Review of Psychiatry. A. Tasman and S. Goldfinger, eds. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Spiegel, David, and E. Cardena (1991) Disintegrated Experience: The Dissociative Disorders Revisited. Journal of Abnormal Psychology 100(3):366–378.

    Article  Google Scholar 

  • Spiro, Melford E. (1953) Ghosts: An Anthropological Inquiry into Learning and Perception. Journal of Abnormal and Social Psychology 48(3): 376–382.

    Article  Google Scholar 

  • Tambiah, Stanley J. (1980) Buddhism and the Spirit Cults in North-East Thailand. Cambridge: Cambridge University Press.

    Google Scholar 

  • Taussig, Michael (1987) Shamanism, Colonialism, and the Wild Man: A Study in Terror and Healing. Chicago: University of Chicago Press.

    Google Scholar 

  • Tellegen, A., and G. Atkinson (1974) Openness to Absorbing and Self-Altering Experiences (“Absorption”), a Trait Related to Hypnotic Susceptibility. Journal of Abnormal Psychology 83:268–277.

    Article  Google Scholar 

  • Terr, L. (1991) Childhood Traumas: An Outline and Overview. American Journal of Psychiatry 148:10–20.

    Google Scholar 

  • Travis, Fred, and Jonathan Shear (2010) Focused Attention, Open Monitoring and Automatic Self-Transcending: Categories to Organize Meditations from Vedic, Buddhist and Chinese Traditions. Consciousness and Cognition 19(4): 1110–1118.

    Article  Google Scholar 

  • Tsai, G. et al. (1999) Functional Magnetic Resonance Imaging of Personality Switches in a Woman with Dissociative Identity Disorder. Harvard Review of Psychiatry 7(2):119–122.

    Google Scholar 

  • van der Kolk, B., and O. Van der Hart (1989) Pierre Janet and the Breakdown of Adaptation in Psychological Trauma. American Journal of Psychiatry 146:1530–1540.

    Google Scholar 

  • Wallace, L. M. (1984) Psychological Preparation as a Method of Reducing the Stress of Surgery. Journal of Human Stress 10: 62-77.

    Google Scholar 

  • Waelti, P., A. Dickinson, and W. Schultz (2001) Dopamine Response Comply with Basic Assumptions of Formal Learning Theory. Nature 412: 43.

    Article  Google Scholar 

  • Wan, C. S., and W. B. Chiou (2006) Psychological Motives and Online Games Addiction: A Test of Flow Theory and Humanistic Needs Theory for Taiwanese Adolescents. Cyberpsychology and Behavior 9(3):317–324.

    Article  Google Scholar 

  • Williams, C., J. Haines, and I. Sale (2003) Psychophysiological and Psychological Correlates of Dissociation in a Case of Dissociative Identity Disorder. Journal of Trauma and Dissociation 4(1):101–118.

    Article  Google Scholar 

  • Williams, Dmitri, Nicolas Ducheneaut, Li Xiong, Yuanyuan Zhang, Nick Yee, and Eric Nickell (2006) From Tree House to Barracks: The Social Life of Guilds in World of Warcraft. Games and Culture 1(4): 338–361.

    Article  Google Scholar 

  • Winkelman, Michael (2000) Shamanism: The Neural Ecology of Consciousness and Healing. Westport, CT: Bergin and Garvey.

    Google Scholar 

  • Yee, Nick. (2006) The Demographics, Motivations and Derived Experiences of Users of Massively- Multiuser Online Graphical Environments. Teleoperators and Virtual Environments 15:309–329.

    Article  Google Scholar 

  • Yee, Nick. (2007) Motivations of Play in Online Games. Journal of Cyberpsychology and Behavior 9:772–775.

    Article  Google Scholar 

  • Young, Allan (1995) The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Young, K. S. 1998a Internet Addiction: Emergence of a New Clinical Disorder. Cyberpsychology and Behavior 1(3):237–244.

  • Young, K. S. 1998b Caught in the Net. New York: John Wiley and Sons.

  • Young, K. S. 2009 Internet Addiction Test. Available at: http://www.netaddiction.com/. Accessed November 9, 2009.

  • Young, K. S., and R. C. Rogers 1998 The Relationship Between Depression and Internet Addiction. CyberPsychology and Behavior 1:25–28.

    Article  Google Scholar 

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Acknowledgments

We thank the organizers, presenters and individuals at the 2008 Cultures of Virtual Worlds conference, April 25 and 26, at the University of California, Irvine. We especially thank those who gave us useful feedback on our presentation, “Internet Addiction or Restorative ‘Magical Flight’?: A Report on Collaborative Ethnographic Research in the World of Warcraft,” and later, at the 2008 American Anthropological Association meetings in San Francisco, on our “Internet Addiction or Restorative Magical Flight?: ‘Cultural Dissonance’ in the World of Warcraft.” We are also grateful for the research help of other student participants in the collaborative ethnographic research and teaching laboratory, taught in Spring 2008 by this article’s lead author: Michael Blank, Lahoma Howard, Chad R. Kershner, Gregory Krambeer, Alissa Leavitt-Reynolds, Adam Reynolds, Jessica Vyvial-Larson, Josh Whaley and Benjamin Wintersteen.

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Correspondence to Jeffrey G. Snodgrass.

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An erratum to this article can be found at http://dx.doi.org/10.1007/s11013-011-9204-4

An erratum to this article can be found online at http://dx.doi.org/10.1007/s00261-011-9704-2

Appendix

Appendix

See Table 8.

Table 8 WoW dissociation and addiction scales

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Snodgrass, J.G., Lacy, M.G., Francois Dengah, H.J. et al. Magical Flight and Monstrous Stress: Technologies of Absorption and Mental Wellness in Azeroth. Cult Med Psychiatry 35, 26–62 (2011). https://doi.org/10.1007/s11013-010-9197-4

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