I was reading something that touched on this the other day. The essence of what was said was that the majority of people who play violent video games are perfectly clear about the differences between reality and fantasy. (Throughout history there have always been representations of violence that some considered cathartic.)
However, there are those who spend more or less every waking hour playing violent games, not pausing for proper meals, proper hygiene or adequate sleep. Some of these people not so much lose their ability to distinguish between reality and fantasy as accept virtual reality as their world. The people with whom they play these games become their main human contacts, increasing their connection with their virtual world.
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