Doctor Urges AMA To Classify Gaming Addiction 258
Doctor Mario writes "The AMA has issued a set of findings and recommendations (Word document) which follow a lengthy look at possible connections between gaming and violence, as well as gaming addiction. Ars Technica has a very good summary of the report, which suggests that gaming addiction is likely to be a subset of Internet addiction 'as it most frequently occurs in players of MMORPGs. In both of these addictions, the current definition is currently informal — the described symptoms actually most closely resemble pathological gambling, rather than an addiction. In either case, the report notes, "there is currently insufficient research to definitively conclude that video game overuse is an addiction."' The report also recommends that Internet and videogame addiction be included in a revision to the Diagnostic and Statistical Manual of Mental Disorders."
Hoping the Proposal is Rejected (Score:5, Interesting)
I'm waiting for the stories ... (Score:2)
Heroin is addictive. Are we seeing similar behaviour? No? Not at all? Hmmmmm.....
This is nothing more than further abuse of the "addiction" crap. Everything is "addictive".
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People predisposed to addiction CAN get addicted to all kinds of things you might not expect. Should we write them off?
Re:I'm waiting for the stories ... (Score:5, Insightful)
Re:I'm waiting for the stories ... (Score:4, Insightful)
it should be under a more general descriptor like "addictive personality disorder" or something rather than coming up with 2^n differant description for what is the same thing at the core.
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Re:Hoping the Proposal is Rejected (Score:5, Insightful)
There is a distinct difference between someone who is participating in escapist behavior and a particular substance or activity being addictive. In the first case, whatever the focus or expression of the escapist behavior is largely incidental. Take the video games away and the person will find some other way of escaping. That may turn out to be reading all day and refusing to interact socially, self cutting, huffing glue, or whatever else may appeal to their personalities. Further, it is very arbitrary in what we would term "destructive" escapism and "constructive" escapism. For example, the socially defunct or depressed teenager who chooses books is viewed as a studios bookworm even though the root cause of the behavior is not any different nor ultimately any more beneficial to the individual.
For anyone who cannnot clearly see the difference I have a case study. Take a completely average, well adjusted, completely within the bounds or normalcy guy or gal from the street. Now force them to injest considerable quantities of Nicotine, Alcohol, Cocaine or Heroin over an extended period of time. That "extended period" might only need to be a week or two. Now take it away. What happens? You got it, this completely well adjusted individual will go through severe withdrawal. It will be physical, it will be accompanied but not limited to a significant mental craving, and it will be extremely unpleasant and in some cases life threatening. Take the same well adjusted individual and force them to play Warcraft and nothing of the sort will occur. Nada, ziltch. Depending on his general disposition toward games they may even dislike it quite a bit and be very thankful and relieved when they're allowed to discontinue their doses.
I've known first hand a good amount of people with this so called "game addiction" and in every single case they were running from life not toward games. Conversely, I've interacted with people with real addictions and though many were running from life there was a not insignificant number who were just hard partiers who woke up one day and realized they had a monkey on their back that they couldn't shake without help.
If only these nut jobs who want to term anything and everything under the sun as "addictive" could be brought to realize the truth of this they'd see that not every negative human behavior can be blamed on an external cause.
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The difference between physical and psychological addiction are indeed distinct, which is why they have different names.
That is an excel
Oh, Come on.... (Score:4, Funny)
I'm completely in control.
Re:Oh, Come on.... (Score:5, Funny)
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Slashdot the game. There, fixed that for you.
I mean, you've got the unwashed masses (no karma bonus), the slightly privileged class (karma bonus), the undesirable element (karma anti-bonus) and the unmentionable class (anonymous cowards, emphasis on coward) not to mention the nobility (editors) and the monsters (also the editors) and the king (Taco).
Guess that makes OSDL god in this context :)
Obligatory Penny Arcade (Score:3, Insightful)
I'm not playing right now
In all seriousness games aren't an addicting substance. I've played games for a long time now, on and off. I've never found it difficult to stop playing, never needed any sort of help. I often find it hard to keep playing a game after playing it for more than a week or so. Maybe some people are getting addicted to game, and those are probably the same people who can get addicted to just about anything thanks to some deeper psychological pr
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So then you say it's about personal choice. Of course it is. So is doing crack. Obviously an addict isn
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Maybe some doctor would try to get more studies so we can make informed decsions? if only...
I think we can safely say they can be habit forming. I have seen peoples behaviors be affected when they can't play games. Depression, mostly.
People have played until they died, and there are a number of cases where people have gamed to the determent of themselves. Loosing jobs, family etc...
None of which
Re:Obligatory Penny Arcade (Score:4, Interesting)
While I don't think game addiction necessarily needs a distinct category in the DSM, there is a difference between the hobbies you mention and potentially addictive activities. Namely, the latter involve persistant and compelling reasons to engage in the activity. Aside from delayed gratification (which can be more satisfying than instant gratification anyway), there typically isn't a downside to waiting to see a movie or read a book. In a MMORPG, on the other hand, there are countless disincentives to allow the real world clock to tick without accumulating
Note also both the similarity between, and integration of, gambling and MMOGs. Each exhibit similar characteristics: They are ostensibly social activities. They never end; there is always another potential goal*. They offer steady but random rewards and punishments. There also appears to be a large overlap of gamblers and gamers: From "guess the number," to full-blown casinos in Second Life, gambling is ever popular among the gaming population.
I'm not making a value judgement on any of these activities -- I enjoy gambling, and I've enjoyed years of MMOG playing -- but to say that they are no different from avid reading or moviegoing is disingenuous. If they were not fundamentally different, they wouldn't be so seductive, and it's not difficult to see how people can be drawn in to MMOGs to the detriment of all else.
* The fatal flaw in many MMOGs is that they do, in fact, run out of goals if a player is dedicated enough, which is why high-level guilds tend to have a high turnover of players who become disillusioned once they actually "have it all."
how about the dealing with real violence ... (Score:2)
the problem is doctors addicted to affluence
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Maybe look into how the consumer is out of the insurance-drug company-doctor-government loop on medical insurance, and how it doesn't truly subsist of a free market.
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If you think the doctors are the reason for the lack of medical insurance, you're sadly mistaken. You're attacking the same people that are shutting down their practices instead of paying ludicrous amounts for malpractice insurance, due to frivolous lawsuits.
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1-2 hours total daily screen time? (Score:2)
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Addiction? (Score:5, Insightful)
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It's just hard to identify, due to the subjective methods of determining cases.
Given an activity someone finds sufficiently enjoyable, combined with a predisposition for addiction, can lead to (this is the important part) neurophysiological changes in the areas of the brain known to play a role in addiction (Nucleus Accumbens, Ventral Tegmental Area, etc).
There might not be withdrawal symptoms associated with certain drug uses, but *PHYSICAL* changes to these areas constitute addiction IMHO. Some pe
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Re:Addiction? (Score:5, Informative)
So if you watch TV or play games for a couple hours a night, but don't mind too much when you can't and it doesn't interfere with your life, that's not an addiction.
However, if you spend 48 hours straight playing a game and die of a venous thrombosis, or lose your job because you can't stand to miss your soaps, that probably is.
Re:Addiction? (Score:5, Insightful)
Remember, there is a fine line between a "hobby" and "mental illness."
Re:Addiction? (Score:4, Insightful)
Their criteria for declaring something a medial disorder is based on 1) rhetoric and 2) political correctness. Why did the AMA delist homosexuality as a medical disorder? Better yet, why was it classified as a disorder in the first place? In both cases the answer is that the AMA bowed to social and political pressure. More direct examples of this sort of thing can be seen when psychiatrists are called in by politicians and companies to label opponents or employees as insane. When the definition of a "disorder" is based solely and completely on a wordy, obscure, and vaguely written paper by a "prominent" author, you can basically tag anyone as being insane.
It's a pity. There's some good work done in the sphere of mental health. People helping trauma victims based on studies of objective data being the best example. But most of the field is weighed down by extremely abstract humanities doctorates posing as scientists. The situation isn't helped by the neuroscience community waving about brain scans with no concrete idea of anything that's going on, and devouring the first scrap tossed to them by the entrenched ideas of psychoanalysis.
Bottom line, we need to stop treating psychiatrists and psychologist as scientists. They're not. At best they are practitioners, like doctors, or humanities researchers, like historians, though frankly that's a disparagement to both those groups. In the main the mental health community consists of amateurs posing as professionals. Their opinions should hold no weight in a court of law. The fact that the do is undermining our system of justice.
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Video lottery terminal addiction is a growing problem -- the things are even more addictive than regular gambling. They're a type of video game.
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And, of course, that's just a rephrasing of the widely-understood definition:
Addiction: n. Something that someone enjoys and does frequently.
The tendency to describe enjoyment as "addiction" is well known here in the US, and is often attributed to our Puritan heritage. And the fact that such a diagnosis can be very profitable to the people making the diagnosis goes right along with the practice.
In reality, maybe what we have her
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The actual definition of addiction is in flux at the moment, but it still doesn't come anywhere close to what you claim is the widely-understood definition. Addiction isn't just doing something you enjoy, it's being compelled to do something, to the point where it has a strong negative effect on your life.
The majority here on Slashdot get awfully defensive when anyone mentions that games can be bad. It's too bad, because it
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While I'm not going to dispute the fact that many people do subscribe to this definition, I don't agree that it's the widely understood definition.
Psychological addiction is a well observed phenomenon. Generally, it's seen in cases where a normal pleasurable activity becomes a compulsion, to the point where the person cannot stop or quit. The addicts in these cases are frequently people with underlying problems, whose compulsive behavior is a
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Ever played nethack [nethack.org]?
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Addiction. (Score:2)
Gaming addictions can be just as bad a nicotine addiction, or they can be as mild as chocolate/caffeine. It should be a recognised addiction, for what its worth. Like most other addictions, however, your employer should not have to put up wi
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You've never met my mother-in-law. She is so obsessed with World of Warcraft that she pretty much only gets up from the computer to fulfill basic biological necessities. All other aspects of her life have completely halted. She typically plays sixteen hours a day and hardly sleeps.
I've known people who abused actual drugs and weren't half as addicted.
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If there was fighting, screaming, crying.. THEN I'd take her to a doctor at that point
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So my question is, why isn't anyone doing something about your mom in laws behavior?
That's like asking, "why don't they take the bottle out of the alcoholic's hands?"
It's not that simple when you're dealing with an adult making their choices.
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The way I should have phrased my original response as "I still find the idea of people being addicted to video games explaining all these behaviors a stretch". I really think most instances of percieved video game addiction are really do to folks who have some level of obsessive compulsive engaged
Seriously... (Score:5, Insightful)
Does anyone know how non-accidental disabilities... like drug addictions... are handled in such cases? I've never been a drug addict, but surely you can't collect disability pay for it.
A more interesting question (Score:2)
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Nope. (Score:2)
But if he's going through therapy to control his alcoholism, then you need to make reasonable allowances for that (attending meetings, counseling and such). Until he fails his therapy and shows up drunk again.
Politically Expedient Research (Score:5, Interesting)
Just studying addictive personalities however is not as sensational or politically expedient as the more sensational avenue of linking games to violence and anti-social behavior. I'm sure a researcher can get more money by studying the latter.
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Well you can get addicted to nearly any thing. Let's see there is sex, work, beer, partying, socializing, religion, information, TV, reading, maybe radio, live bands, food, wasting time, gambling, getting various "highs" or "rushes", being the leader of a group, drivin
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Suicide. Though I'd bet you could get hooked on suicide *attempts*, you'd have a hard time being addicted to killing yourself.
:-)
Similarly, I cannot picture somebody being addiction to, say, being mauled by wild bears. That's really the sort of thing that you don't do twice
But, to amend your statement, a person can get hooked on anything pleasurable/stimulating. All they really need is a void in their life that can be filled by doi
It's Not An Addiction (Score:4, Funny)
Hmm, does the AMA say anything about Slashdot addiction?
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The day they classify Slashdot as an addiction is the day I get a free ride. I won't have any trouble proving it.
It's a habit, not an addiction. (Score:2, Insightful)
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An addiction to something you find pleasurable may not have a few negative withdrawal effects, but EVERYTHING else is the same, including the PHYSICAL changes in the brain.
I wish I could provide a compelling argument for you, but you obviously have no background in neuroscience, and would thus have no idea what was being argued.
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By calling it an addiction, it sounds like you are saying games are inherently dangerous, rather than that some people have a psychological di
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Really? Can you show me an MRI or PET of the brain of an opiate addict and the brain of someone who spends 14 hours a day on WoW and a drug/WoW naive brain and point to those changes? Can you link me to a paper in which they've done so?
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What if I find learning new things to be pleasurable? Am I then addicted to education? Should I then be prevented from seeking an education?
By whose standard does someone (else!) like something too much to label it an addiction? It's all about the powerful not wanting others to fee
A habit is something you do for 21 days... (Score:2)
Example of addictions would be a habit that you depend upon, like a morning cup of coffee (caffine) in order to get "moving", or an alcohol beverage in order to escape from emotional pain.
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why an addiction? (Score:4, Interesting)
Here's your tinfoil hat thought of the day: at least one major drug company is currently working on drugs intended to treat nonspecific 'compulsive' behaviors, and the list of populations they're targeting includes gamblers, overeaters, and gamers. Bit creepy, or is it just me?
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There are exercise addicts (Score:2)
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The same thing that separates feeling depressed from a depressive disorder. Interference and inability to carry out daily activities. Like someone who plays WoW 4 hours a night but otherwise has a normal life is fine, but someone who quits his job by not showing up, ignores his family and loses friendships over WoW would be someone who could probably use a psychiatric consult.
The Beepers "Video Fever" (Score:2)
The Beepers
WarGames Soundtrack
Working just the other day
You were an achiever, such a busy beaver!
Now we hear you've gone astray
And you're livin' in the shade of a video arcade
We don't see you on the street
People ask about you; life is grey without you!
Do you ever stop to eat?
Do you comb your hair? Do you really care?
And it's just a little to the left
And it's just a little to the right
And it's just unreal how alive you feel
Vaporizing everything in sight
And i
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There are adrenaline junkies who probably qualify as addicts -- they take more and more risks until something gets them. Exercise is probably doable too, say if you lose your job and all your friends b
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Ugh (Score:4, Insightful)
So I guess my point was that people, in general, have this completely backwards. It comes down to whether or not a person can see the difference between fantasy and reality violence. When one cannot tell the difference, it is indicative of something other than an overabundance of video gaming.
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I'll go out on a limb here and call it bad parenting.
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I'll go out on a limb here and call it bad parenting.
I think it's unfair to brand all parents of "problem" kids as failed parents. A personality is built on both nature AND nurture. Some people might turn out bad no matter how hard their parents try. Hoisting the responsibility off the wrongdoers and onto their parents doesn't put enough blame on the actual perpetrators of evil deeds.
My country's paying for my therapy... (Score:2)
But we got screwed anyway:
>>The choice was Universal Health Care or Cheap Games. Canada obviously made the wrong choice, so next time you're visiting the doctor, remember, you could have had cheap games instead. --deadend, Evil Avatar forums.
My name is UnknowingFool (Score:2)
Hi, my name is UnknowingFool
and I play WoW.
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*twitch*
If it were respected then it wouldn't be an issue (Score:4, Insightful)
Diagnosis (Score:2)
Finding a definition will already be impossible (Score:3, Insightful)
If so, I'm addicted to living.
Ok, that was a blatant one, but it should show that different "things to be addicted to" deserve different definitions. You can't just say "When you do something for X hours you're addicted to it, no matter what it is". When I drink for 3 hours straight I'm most likely on the floor. When I run for 3 hours I'm hopefully near a hospital. When I play for 3 hours I'm mostly relaxed.
Then there's very different kinds of people. I spend about 60 hours a week reading assembler code. Am I addicted to movs and nops? No, I'm employed. It's my job, and I like it enough that I do actually do the same after I go home. Could I stop? I do every year for a month, and I barely miss it. There's so much else to do.
Maybe if there's nothing else anymore that interests you could be a suitable definition. But then again, there are quite a few very healthy people who have a narrow field of interests. Otherwise, I am pretty sure there are millions if not billions of people addicted to TV.
The whole "addiction" theme already fails at its definition. Of course, the subject line is false. They WILL come up with some kind of definition. It will be as arbitrary, indifferent and false as pretty much every other definition of addiction.
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Here's a very loose definition that might work for you: addiction is any overwhelming feeling of compulsion to perform an activity other than natural biological functions (like eating). A person who is addicted to an activity has a recognizable set of behaviors that indicate the addiction,
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Non-Word version (Score:2, Informative)
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Information Addicts (Score:2)
Civ (Score:2, Funny)
Civilization IV at 34 years old: "One more turn! Even if...ZZZZzzzzzzzz"
See, I'm cured.
Caged Animals (Score:2, Insightful)
Maybe they'd discover something about humans: namely, that we've caged ourselves up in an over-regulated, overprot
Why the need for fine grain analysis? (Score:2)
video games are not addictive! (Score:2)
Great! (Score:4, Funny)
I see merit behind it, but doubt it's usefulness. (Score:4, Interesting)
We have the same situation with autism currently. So many kids are being diagnosed with them, but is it merely a case of a genetic defect that is all of a sudden present in them or is it a case of a diagnosis that is just too broad and doesn't realize the term "borderline" really should be "is similar but not really". Personally the research and the cases I've seen seems to be the later. That doesn't mean there isn't autism, but the severe cases are getting grouped with the "normal" cases of anti-social kids who have imaginary friends (imagine a kid having that?)
Even the behaviors involved with the identification of the conditions are often at odds with itself.
But even this makes me believe gaming addiction is ripe for another "autism" where there's people with serious problems (read "people who play themselves to death", aka the two Korean gentlemen I read about 6 months ago.) who really do need help, will once again get clumped in with anti-social people who'd prefer to play a game than go to a bar. Do I play games more than I should? Yeah, but I do it rather then going out all night and partying. Losing a job because you're playing WoW is an issue, but preferring to have fun playing games doesn't qualify as a disorder, just as reading too many fiction books isn't one. Sadly the AMA tends to broaden their definitions too much to if you play more than 2 hours of games a day you're sick and need help.
Let me guess... (Score:2)
rj
Good, more studies should be done (Score:2)
Is it good? bad? doesn't matter?
I don't know. So we need studies.
Considering the nature of games has changed so much, comparing it to PAC-MAN is a little silly.
Oh, and if PAC-MAN effected people it doesn't mean we would eat pills and listen to repetitive music*. It could mean we have memory retention issue later in life.
Determining if something is an addiction is NOT removing blame from someone. It is a data point to
I would propose a more general classification (Score:2)
Behaviour addiction.
Because in reality, people can get addicted to almost anything... the only requirement being that such activity stimulates the pleasure centre, creating the addiction response.
The term behaviour addiction would thus cover internet addiction, gaming addiction, tv addiction, and a host of others, and would reduce the need to have an ever-expanding medical dictionary for new so-called illnesses that are actually just variations on a single theme.
Comparing it with Alcohol Classes (Score:5, Interesting)
Phase one: Take it or leave it
You can stand to be without it and while you do enjoy when you do get to play you only do it when you have free time that you might have spent playing other games. Your odds of ever getting to 70 are pretty low and are likely to have a few low level alts.
Phase two: Anticipation
You look forward to playing WoW when you are leaving work or places where you cannot play. You spend some downtime when you can't play the game looking up some items or character builds and other information about the game. You probably talk about WoW with some friends or co-workers who play. This would be your normal player of WoW who will likely hit 70 some day, make some twinks, and even join a light raiding guild. If anything else comes up with friends, work, or family you will
Phase three: Occupation
You spend almost every waking moment thinking about WoW in some fashion. Typically work and social life are impacted as you re-prioritize your choices and life around WoW. You probably join a raiding guild and have set times everyday when you login and play. WoW is the only game you spend any serious time playing. Anything that interrupts those things will highly annoy you and you are likely to alienate yourself from others who do not play as to minimize distractions. Relationships with friends and family begin to become strained. You have 2-3 70s and clock in at least 30 hours a week.
Phase four: Complete Psychological Addiction
Note: This would be physical addiction for drugs
Your life is WoW. Every activity in your life revolves around it. You might seek out a job that gives you the best hours for raiding, pass up on promotions that would interfere with it, or even quit your job altogether. Your friends and family rarely see you and you grow distant from everyone who is not a member of your guild. Health and productivity go down the toilet after weeks and weeks of little sleep and complete occupation with the game take its toil. You lose many of your friends and any relationships where your partner does not play WoW as well. You may leave your guild as they are no longer "hardcore" enough for you and either start your own or join a very serious raiding guild. If not you are likely a guild leader or very high up in your guild.
Maybe I should start a "Prime for Gaming" support group.
Television addiction? (Score:4, Insightful)
Is that an addiction or a mental illness?
Or is that acceptable because the boomers grew up with it, but not with video games?
Re:They are addictive, let's get a better cure tho (Score:2)
Re:They are addictive, let's get a better cure tho (Score:2)
Re:They are addictive, let's get a better cure tho (Score:2)
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That is, not to put too fine a point on it, a bunch of crap. When you write "God as we understood Him"(1) you are making an explicit reference to the Judeo-Christian God (henceforth JCG) Yahweh/Jehovah. It
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