"Whether Internet addiction is a distinct malady deserving of its own diagnosis or just another manifestation of an addictive personality remains a subject of vigorous debate. Critics of the diagnosis are quick to point out that problematic online behaviors are almost always manifestations of "real-world" problems transported to the Internet. It appears that this describes Pacenza's case, in which a "real-world" sexual addiction became a cybersexual addiction, leading him to access an adult chat room from an IBM workstation."