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Pathogenesis of Subjectivation in Post Digital Generation

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Author(s):
  • Vicenzo Maria ROMEO University of Palermo & School of Specialization in Psychoanalytic and Groupanalytic Psychotherapy (SPPGP), Italy
Abstract:

This article explores the distinctive psychological and social characteristics of Post Digital Generation. The core psychoanalytic challenge for these generation is the question of identity - how to define and construct it in meaningful way. Psychoanalysis offers valuable insights into this issue, particularly through the concept of subjectivation, which involves the development of an autonomous ego and the creation of a personal psychic space. Key functions of the subject include self-creation, self-belonging, freedom, shared illusion, and the ability to form psychic ties. Insecure attachment and inadequate mentalization processes with caregivers can hinder subjectivation, leading to defensive mechanisms such as alexithymia and narcissistic traits. Understanding these aspects is crucial for clinicians, highlighting the need for further research into the pathogenesis of subjectivation and its implications for identity formation in contemporary society.


© The Author(s) 2024. Published by RITHA Publishing. This article is distributed under the terms of the license CC-BY 4.0., which permits any further distribution in any medium, provided the original work is properly cited maintaining attribution to the author(s) and the title of the work, journal citation and URL DOI.


How to cite:

Romeo, V. M. (2024). Pathogenesis of subjectivation in Post Digital Generation. Journal of Contemporary Approaches in Psychology and Psychotherapy, Volume II, Issue 2, 23 – 49. https://doi.org/10.57017/jcapp.v2.i2.02


References:

[1] Arènes, J., Louis-Dimitrov, D., & Murail, E. (2024). Introduction. Rewriting the soul: The persistence of a concept. In: Louis-Dimitrov, D., and Murail, E. (eds) The persistence of the soul in literature, art and politics. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-40934-9_1

[2] Aguilar-Palacio, I., Gil-Lacruz, A.I., Sánchez-Recio, R., & Rabanaque, M. J. (2018). Self-rated health in Europe and its determinants: Does generation matter? International Journal of Public Health, 63: 223–32. https://doi.org/10.1007/s00038-018-1079-5 

[3] Anderson, C. A., & Dill, K. E. (2000). Video games and aggressive thoughts, feelings, and behavior in the laboratory and in life. Journal of Personality and Social Psychology, 78(4), 772-790. http://dx.doi.org/10.1037//0022-3514.78.4.772

[4] Ausubel, D. P. (1978). Educational psychology: A cognitive view. Holt, Rinehart and Winston, pp. 733. ISBN: 0030899516, 978-0030899515

[5] Bateman, A., & Fonagy, P. (2013). Mentalization-Based Treatment.Psychoanalytic Inquiry,33(6), 595–613. https://doi.org/10.1080/07351690.2013.835170 

[6] Berman, M. G., Stier, A. J., & Akcelik, G. N. (2019). Environmental neuroscience. American Psychologist, 74(9), 1039–1052. https://doi.org/10.1037/amp0000583

[7] Boldi, A., & Rapp, A. (2022). Quantifying the Body: Body Image, Body Awareness and Self-Tracking Technologies. In: Wac, K., Wulfovich, S. (eds) Quantifying Quality of Life. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-94212-0_9

[8] Bossard, J. H., & Boll, E. S. (1950). Ritual in family living: A contemporary study. University of Pennsylvania Press, Anniversary Collection, pp. 240. ISBN: 978-1512821819

[9] Boyd, D. (2014). It's complicated: The social lives of networked teens. Yale University Press. ISBN 978-0300166439. https://doi.org.10.12987/9780300166439 

[10] Brand, M., Snagowski, J., Laier, C., & Maderwald, S. (2016). Ventral striatum activity when watching preferred pornographic pictures is correlated with symptoms of internet pornography addiction. NeuroImage, 129, 224-232. https://doi.org/10.1016/j.neuroimage.2016.01.033 

[11] Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Harvard University Press. ISBN 0-674-22457-4. https://khoerulanwarbk.wordpress.com/ wpcontent/uploads/2015/08/urie_bronfenbrenner_the_ecology_of_human_developbokos-z1.pdf

[12] Buckingham, D. (1993). Children talking television: The making of television literacy. Falmer Press, pp. 336. ISBN: 978-0750701105

[13]  Carraça, E. V., Silva, M. N., Markland, D. et al.(2011). Body image change and improved eating self-regulation in a weight management intervention in women. International Journal of Behavioral Nutrition and Physical Activity, 8, 75. https://doi.org/10.1186/1479-5868-8-75 

[14] Cahn R. (1991). Bulletin de la Société Psychanalytique de Paris n.19,1991, p.52-53.

[15] Cash, T. F., & Pruzinsky, T. (2004). Body image: A handbook of theory, research, and clinical practice. Guilford Press. pp. 530. ISBN: 1593850158, 978-1593850159

[16] Chaudron, S., Beutel, M. E., and Donoso, V. (2015). Young children (0-8) and digital technology: A qualitative exploratory study across seven countries. Publications Office of the European Union, Luxembourg, pp. 528, ISBN: 978-92-79-45023-5

[17] Clark, R. C., & Mayer, R. E. (2016). E-learning and the science of instruction: Proven guidelines for consumers and designers of multimedia learning. Wiley. ISBN: 978-1119158660. https://doi.org/10.1002/9781119239086

[18] Cochrane, C. E., Brewerton, T. D., Wilson, D. B., & Hodges, E. L. (1993). Alexithymia in the eating disorders. International Journal of Eating Disorders, 14(2), 219-222. https://doi.org/10.1002/1098-108X(199309)14:2<219::AID-EAT2260140212>3.0.CO;2-G

[19] Coleman, J. S. (1961). The adolescent society: The social life of the Teenager and its impact on education. Free Press, pp. 368. https://doi.org/10.1007/978-3-658-21742-6_27

[20] Deterding, S., Dixon, D., Khaled, R., & Nacke, L. (2011). From game design elements to gamefulness: Defining “gamification”. Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments. September11:9-15. DOI: 10.1145/2181037.2181040

[21] Douglas, S. J. (2004). Listening in: Radio and the American imagination. University of Minnesota Press, pp.432. ISBN: 0816644233

[22]  Ehrlich, R. (2021). Winnicott’s Idea of the False Self: Theory as Autobiography. Journal of the American Psychoanalytic Association, 69(1), 75-108. https://doi.org/10.1177/00030651211001461 

[23]  Eisenberg, M. B., & Berkowitz, R. E. (1990). Information problem solving: The big six skills approach to library & information skills instruction. Linworth, pp.173. ISBN: 0893917575

[24]  Fardouly, J., Diedrichs, P. C., Vartanian, L. R., & Halliwell, E. (2015). Social comparisons on social media: Examining the effects of Facebook on young women’s body image concerns and mood. Body Image, 13, 38-45. https://doi.org/10.1016/j.bodyim.2014.12.002

[25]  Fleer, M., & Jane, B. (2011). Design and technology for children. Frenchs Forest NSW: Pearson Australia, ISBN: 978-1486023226 

[26]  Fleming, T., Bavin, L., Lucassen, M., Stasiak, K., Hopkins, S., & Merry, S. (2018). Beyond the trial: Systematic review of real-world uptake and engagement with digital self-help interventions for depression, low mood, or anxiety. Journal of Medical Internet Research, 20(6), 199. https://doi.org/10.2196/jmir.9275

[27]  Foerde, K., & Shohamy, D. (2011). The role of the basal ganglia in learning and memory: Insight from Parkinson's disease. Neurobiology of Learning and Memory, 96(4), 624-636. https://doi.org/10.1016/j.nlm.2011.08.006.

[28]  Gallagher, S. (2005). How the body shapes the mind. Oxford University Press. https://doi.org/10.1093/0199271941.001.0001

[29]  Garvey, C. (1990). Play. Harvard University Press, pp.198. ISBN 978-0674673656

[30]  Gibson, W., Greenwood, R. A., & Murphy, J. E. F. (2009). Generational differences in the workplace: Personal values, behaviours, and popular beliefs. Journal of Diversity Management, 4 (3), 1–8. https://doi.org/10.19030/jdm.v4i3.4959 

[31]  Gilmore, K. (2019). Is Emerging Adulthood a New Developmental Phase? Journal of the American Psychoanalytic Association, 67(4), 625-653. https://doi.org/10.1177/0003065119868680

[32]  Goodnow, J. J. (1988). Children's household work: Its nature and functions. Psychological Bulletin, 103(1), 5-26. https://doi.org/10.1037/0033-2909.103.1.5

[33]  Gray, N.J., Klein, J.D., Cantrill, J.A., & Noyce, P.R. (2002). Adolescent girls use of the internet for health information: Issue beyond access, Journal of Medical Systems, 26(6), 545-553. https://doi.org/10.1023/a:1020296710179

[34]  Griffith, P., & Lafontaine, D. (2015). The importance of reading for enjoyment for the acquisition of literacy. IEA. https://www.stfelixhaverhill.com/_site/data/files/learning/reading/A66511CE9F89F8 E228A4F59626994545.pdf

[35]  Griffiths, M. D., Kuss, D. J., & King, D. L. (2012). Video game addiction: Past, present and future. Current Psychiatry Reviews, 8(4), 308-318. http://dx.doi.org/10.2174/157340012803520414

[36]  Grubbs, J. B., Volk, F., Exline, J. J., & Pargament, K. I. (2015). Internet pornography use: Perceived addiction, psychological distress, and the validation of a brief measure. Journal of Sex & Marital Therapy, 41(1), 83-106. https://doi.org/10.1080/0092623X.2013.842192

[37]  Haimson, O. L., Veale, J., Dourish, P., & Mazmanian, M. (2019). Gender recognition or gender reductionism? The social implications of embedded gender recognition systems. Gender, Technology and Development, 23(1), 1-25. https://www.morgan-klaus.com/pdfs/ pubs/HamidiScheuerman-CHI2019-GenderReductionism.pdf 

[38]  Hepper, E.G., Ellett, L., Kerley, D. Kingston, J.L. (2022). Are they out to get me? Individual differences in nonclinical paranoia as a function of narcissism and defensive self-protection, Journal of Personality, 90(5), 727-747. https://doi.org/10.1111/jopy.12693

[39]  Hobbs, R. (2010). Digital and media literacy: A plan of action. Aspen Institute., pp.64. ISBN-0-89843-535-8

[40]  Honkalampi, K., Hintikka, J., Laukkanen, E., Lehtonen, J., & Viinamäki, H. (2001). Alexithymia and depression: A prospective study of patients with major depressive disorder. Psychosomatics, 41(5), 373-378. https://doi.org/10.1176/appi.psy.42.3.229

[41]  Johnson, D. W., & Johnson, R. T. (1989). Cooperation and competition: Theory and research. Interaction Book Company, pp. 257. ISBN: 0939603101, 978-0939603107

[42]  Knight, J. (2023). Using game-based learning to improve learning outcomes in K-12 Mathematics Education. In L., Nicola-Gavrilă (Ed), Digital Future in Education: Paradoxes, Hopes and Realities (79-101 pp.). ISBN: 978-606-95516-1-5. In Book Series Socio-Economics, Research, Innovation and Technologies (SERITHA), ISSN: 3008-4237. https://doi.org/10.57017/SERITHA.2023.DFE.ch5

[43]  Kobayashi, K., Oishi, N., Yoshimura, S. et al. (2020). Relationship between media multitasking and functional connectivity in the dorsal attention network. Sci Rep, 10, 17992. https://doi.org/10.1038/s41598-020-75091-9 

[44]  Kowalski, R. M., Limber, S. P., & Agatston, P. W. (2012). Cyberbullying: Bullying in the digital age, 2nd Edition, John Wiley & Sons, pp. 296. ISBN: 978-1-444-33481-4

[45]  Krystal, H. (1988). Integration and self-healing: Affect, trauma, alexithymia. hillsdale,: The Analytic Press, pp.408. ISBN: 978-1315799032 https://doi.org/10.4324/9781315799032

[46]  Kuss, D. J., and Griffiths, M. D. (2012). Internet and gaming addiction: A systematic literature review of neuroimaging studies. Brain Sciences, 2(3), 347-374. 

[47]  Lemma A. (2010). An order of pure decision: Growing up in a virtual world and the adolescent’s experience of being-in-a-body. Journal of the American Psychoanalytic Association, 58 (4), 691-714. https://doi.org/10.1177/0003065110385576

[48]  Lesser, I. M. (1981). A review of the alexithymia concept. Psychosomatic Medicine, 43(6), 531-543. https://doi.org/1010.1097/00006842-198112000-00009

[49]  Levy, N. (2016). Virtual reality and augmented reality: Ethical and epistemological implications. In Handbook of Digital Games and Entertainment Technologies (pp. 1-24). Springer, Singapore.

[50]  Ley, D., Prause, N., & Finn, P. (2014). The emperor has no clothes: A review of the 'pornography addiction' model. Current Sexual Health Reports, 6(2), 94-105. https://doi.org/10.1007/s11930-014-0016-8

[51]  Livingstone, S., & Helsper, E. (2008) Parental mediation and children’s Internet use. Journal of Broadcasting & Electronic Media, 52 (4), 581-599.

[52]  Liu, J., Wang, C., Zhang, T. (Christina), & Qiao, H. (2023). Delineating the Effects of Social Media Marketing Activities on Generation Z Travel Behaviors. Journal of Travel Research, 62(5), 1140-1158. https://doi.org/10.1177/00472875221106394

[53]  Luminet, O., Bagby, R. M., Wagner, H., Taylor, G. J., & Parker, J. D. (2001). Alexithymia and personality structure: A study of incarcerated offenders. Journal of Personality Disorders, 15(3), 245- 260.

[54]  Lumley, M. A., Neely, L. C., & Burger, A. J. (2007). The assessment of alexithymia in medical settings: Implications for understanding and treating health problems. Journal of Personality Assessment, 89(3), 230-246. https://doi.org/10.1080/00223890701629698

[55]  Martinotti, G., Lupi, M., Carlucci, L., Cinosi, E., Santacroce, R., Acciavatti, T., Chillemi, E., Bonifaci, L., Janiri, L. & Di Giannantonio, M. (2015). Novel psychoactive substances: Use and knowledge among adolescents and young adults in urban and rural. Human Psychopharmacoly, 30, 295–301. https://doi.org/10.1002/hup.2486

[56]  Marwick, A. E., & Boyd, D. (2011). To see and be seen: Celebrity practice on Twitter. Convergence, 17(2), 139-158. http://dx.doi.org/10.1177/1354856510394539

[57]  McCrindle, M., & Wolfinger, E. (2009). Generations defined. In: The ABC of XYZ: Understanding the global generations. Sydney: University of New South Wales Press, pp. 1–22. 

[58]  Medlock, S., Eslami, S., Askari, M., Arts, D.L., Sent, D., de Rooij, S.E., & Abu-Hanna, A. (2015). Health information–seeking behavior of seniors who use the internet: A survey. Journal of Medical Internet Research, 17(1),10. https://doi.org/10.2196/jmir.3749

[59]  Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., Stewart, A. (2009). Body awareness: Construct and self-report measures. PLoS One, 4(5): e5614. PMID: 19440300; PMCID: PMC2680990. https://doi.org/10.1371/journal.pone.0005614

[60]  Meredith, G., & Schewe, C. (1994). The power of cohorts: Americans who shared powerful experiences as young adults, such as the hardship of the great depression, fall into six cohorts. American demographics magazine, 16 (22). ISSN: 0163-4089, 2163-5897

[61]  Morie, K. P., Crowley, M. J., Mayes, L. C., & Potenza, M. N. (2022). The process of emotion identification: Considerations for psychiatric disorders. Journal of Psychiatric Research, Volume 148, 264-274. https://doi.org/10.1016/j.jpsychires.2022.01.053 

[62]  Nicola-Gavrilă, L. (Ed.) (2023a). Digital Future in Education: Paradoxes, Hopes and Realities, In Book Series Socio-Economics, Research, Innovation and Technologies (SERITHA, ISSN: 3008-4237). eISBN 978-606-95516-1-5. https://doi.org/10.57017/SERITHA.2023.DFE 

[63]  Nicola-Gavrilă, L. (2023b). Education and Technology in a Data Driven Society. Turning Data into Education Intelligence. In L., Nicola-Gavrilă (Ed), Digital Future in Education: Paradoxes, Hopes and Realities (pp.12-33). eISBN 978-606-95516-1-5. In Book Series Socio-Economics, Research, Innovation and Technologies (SERITHA), ISSN: 3008-4237. https://doi.org/10.57017/SERITHA.2023.DFE.ch1

[64]  Oldenburg, R. (1998). The great good place: Cafes, coffee shops, bookstores, bars, hair salons, and other hangouts at the heart of a community. Marlowe & Company, pp. 336. ISBN: 1569246815, 978-1569246818

[65]  Papp-Zipernovszky, O., Horváth, M. D., Schulz, P. J. & Csabai, M. (2021). Generation Gaps in Digital Health Literacy and Their Impact on Health Information Seeking Behaviour and Health Empowerment in Hungary. Front. Public Health, 9: 635943. https://doi.org/10.3389/fpubh.2021.635943 

[66]  Parma, C, Doria, F, Zulueta, A, Lanzone, J, Boscarino, M, Giani, L, Lunetta, C, Vassallo, M, Parati, E.A., Picozzi, M, et al. (2024). An overview of the bodily awareness representation and interoception: Insights and progress in the field of neurorehabilitation research. Brain Sciences, 14(4), 386. https://doi.org/10.3390/brainsci14040386 

[67]  Pérez-Torres, V. (2024). Social media: a digital social mirror for identity development during adolescence. Current Psychology. https://doi.org/10.1007/s12144-024-05980-z

[68]  Pellegrini, A. D., & Smith, P. K. (1998). Physical activity play: The nature and function of a neglected aspect of play. Child Development, 69(3), 577-598. https://doi.org/10.1111/j.1467-8624.1998.tb06226.x

[69]  Perloff, R. M. (2014). Social media effects on young women’s body image concerns: Theoretical perspectives and an agenda for research. Sex Roles, 71(11-12), 363-377. https://doi.org/10.1007/s11199-014-0384-6

[70]  Phillips, K. A., & Menard, W. (2019). Gender identity and body dysmorphic disorder. In Gender Dysphoria and Disorders of Sex Development (pp. 247-258). Springer, Cham. ISBN: 978-1-4614-7440-1

[71]  Picardi, A. et al. (2012). Alexithymia and Severe Psychopathology: A Study on Psychiatric Inpatients. Psychopathology, 45(3), 159-66. https://doi.org/10.1159/000330261

[72]  Prensky, M. (2001). Digital natives, digital immigrants Part 1, On the Horizon, 9 (5), 1-6. https://doi.org/10.1108/10748120110424816

[73]  Przybylski, A. K., Murayama, K., DeHaan, C. R., and Gladwell, V. (2013). Motivational, emotional, and behavioural correlates of fear of missing out. Computers in Human Behaviour, 29(4), 1841-1848. https://doi.org/10.1016/j.chb.2013.02.014

[74]  Pourghomi, P., Dordevic, M. & Safieddine, F. (2018). The Spreading of Misinformation online: 3D Simulation, 5thInternational Conference on Information Technology, Computer, and Electrical Engineering, Semarang, Indonesia, 299-304. https://doi.org/10.1109/ICITACEE.2018.8576937 

[75]  Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. Touchstone Books/Simon & Schuster. https://doi.org/10.1145/358916.361990

[76]  Radesky, J. S., Schumacher, J., & Zuckerman, B. (2016). Mobile and interactive media use by young children: The good, the bad, and the unknown. Pediatrics, 135(1), 1-3. http://dx.doi.org/10.1542/peds.2014-2251

[77]  Regnerus, M., Price, J. & Gordon, D. (2017). Masturbation and Partnered Sex: Substitutes or Complements? Archives of Sexual Behaviour, 46, 2111–2121 https://doi.org/10.1007/s10508-017-0975-8 

[78]  Resnick, M. (2006). Computer as paintbrush: Technology, play, and the creative society. In Singer, D. G., Golikoff, R. M., and Hirsh-Pasek, K. (Eds.), Play=Learning: How play motivates and enhances children’s cognitive and social-emotional growth. Oxford University Press. https://web.media.mit.edu/~mres/papers/playlearn-handout.pdf

[79]  Rideout, V.J., Foehr, U.G., & Roberts, D.F. (2010). Generation M2: Media in the lives of 8 to18 year-olds. Kaiser Family Foundation Study, 85. http://www.kff.org/entmedia/8010.cfm

[80]  Robb, M., & Shellenbarger, T. (2014). Influential factors and perceptions of eHealth literacy among undergraduate college students. Journal of Nursing Informatics,  18 (3), https://www.researchgate.net/publication/266909663_Influential_factors_and_perceptions_of_eHealth_literacy_among_undergraduate_college_students

[81]  Rosen, L. D., Whaling, K., Carrier, L. M., Cheever, N. A., & Rokkum, J. (2013). The media and technology usage and attitudes scale: An empirical investigation. Computers in Human Behavior, 29(6), 2501-2511. https://doi.org/10.1016/j.chb.2013.06.006

[82]  Rubin, G. (2006). Thinking sex: Notes for a radical theory of the politics of sexuality. Culture, Society and Sexuality, p.38, ISBN: 978-0203966105

[83]  Schaepelynck, V. (2023). Institutional psychotherapy and the institution as strategy. Deleuze and Guattari Studies, 17(2), 183-195. https://doi.org/10.3366/dlgs.2023.0511

[84]  Sifneos, P. E. (1973). The prevalence of ‘alexithymic’ characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22(2-6), 255-262. https://doi.org/10.1159/000286529

[85]  Staiano, A. E., & Calvert, S. L. (2011). The promise of exergames as tools to measure physical health. Entertainment Computing, 2(1), 17-21. https://doi.org/10.1016/j.entcom.2011.03.008

[86]  Strauss W., & Howe N. (1991). Belonging to a generation. In: Zackheim, A. (ed), Generations the history of America’s future, 1584-2069. New York, NY: Harper Perennial, pp. 58–68. 

[87]  Tacikowski, P., Weijs, P. M., Ehrsson, H. H. (2020). Perception of our own body influences self-concept and self-incoherence impairs episodic memory. iScience, 23(9), 101429. https://doi.org/10.1016/j.isci.2020.101429 

[88]  Taylor, G. J. (2000). Recent developments in alexithymia theory and research. Canadian Journal of Psychiatry, 45(2), 134-142. https://doi.org/10.1177/070674370004500203

[89]  Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1997). Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambridge University Press. https://doi.org/10.1017/CBO9780511526831

[90]  Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance. American Psychological Association. https://doi.org/10.1037/10312-000

[91]  Thompson, R. A. (1994). Emotional regulation: A theme in search of definition. Monographs of the society for research in child development, 59(2-3), 25-52. https://doi.org/10.2307/1166137

[92]  Tiggemann, M., & Slater, A. (2013). NetGirls: The Internet, Facebook, and body image concern in adolescent girls. International Journal of Eating Disorders, 46(6). https://doi.org/10.1002/eat.2214

[93]  Tolmunen T. et al. (2010). Adolescent dissociation and alexithymia are distinctive but overlapping phenomena. Psychiatry Research. 176(1), 40-4. https://doi.org/10.1016/j.psychres.2008.10.029 

[94]  Tootell, H., Freeman, M., Freeman, A. (2014). Generation Alpha at the intersection of technology, play and motivation, Conference: Proceedings of the 2014 47th Hawaii International Conference on System Sciences. https://doi.org/10.1109/HICSS.2014.19

[95]  Turkle, S. (2011). Alone together: Why we expect more from technology and less from each other. Basic Books, 384 pp. ISBN: 978- 0465010219

[96]  Twenge, J. M. (2017). iGen: Why today’s super-connected kids are growing up less rebellious, more tolerant, less happy–and completely unprepared for adulthood and what that means for the rest of us. New York, NY: Atria, pp.342. ISBN: 978‐1‐5011‐5201‐6

[97]  Twenge, J. M., & Campbell, W. K. (2009). The narcissism epidemic: Living in the age of entitlement. Simon and Schuster, pp. 304. ISBN:1416576258, 978-1416576259

[98]  Valkenburg, P. M., & Peter, J. (2011). Online communication among adolescents: An integrated model of its attraction, opportunities, and risks. Journal of Adolescent Health, 48(2), 121-127. https://doi.org/10.1016/j.jadohealth.2010.08.020

[99]  Vannucci, A., Flannery, K. M., Ohannessian, C. M. (2017). Social media use and anxiety in emerging adults. Journal of Affective Disorders, 207, 163-166. https://doi.org/10.1016/j.jad.2016.08.040

[100]   Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). How young can children reliably and validly self-report their health-related quality of life? An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5(1). https://doi.org/10.1186/1477-7525-5-1

[101]   Veletsianos, G. (2020). Learning Online: The Student Experience. Johns Hopkins University Press. ISBN: 1421438097. https://doi.org/10.30935/cedtech/11687 

[102]   Weiss, R. D., Mirin, S. M., & Griffin, M. L. (1997). Alexithymia and addiction severity in patients with substance use disorders. Journal of Nervous and Mental Disease, 185(5), 320-323.

[103]   West, M., Rice, S., & Vella-Brodrick, D. (2023). Mid-Adolescents’ Social Media Use: Supporting and Suppressing Autonomy. Journal of Adolescent Research, 0(0). https://doi.org/10.1177/07435584231168402 

[104]   Williams, T. M. (1986). The impact of television: A natural experiment in three communities.Orlando: Academic Press, pp.446. ISBN: 0127562907

*** American Academy of Pediatrics. (2016). Media and young minds. Pediatrics, 138(5), e20162591. https://doi.org/10.1542/peds.2016-2591 

***American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th Edition). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596

*** McKinsey & Company. (2020). Telemedicine Preferences among Generation X. https://www.mc kinsey.com/~/media/mckinsey/industries/healthcare%20systems%20and%20services/our%20insights/mckinsey%20on%20healthcare%202020%20year%20in%20review/mckinsey-on-healthcare-2020-year-in-review.pdf 

*** True Gen’: Generation Z and its implications for companies (2018).