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Psychological injury caused by direct, repeated exposure to highly distressing or violating content within video games, or by the social ecosystems surrounding them. This goes beyond being scared by a horror game. It includes trauma from graphic, involuntary scenes (e.g., infamous story moments involving torture or sexual violence), prolonged in-game harassment and hate raids, or the psychological manipulation of "live service" games designed to create addiction and financial stress. It also encompasses the trauma of esports or competitive grinding, where extreme pressure, social isolation, and abuse from coaches or communities lead to burnout, anxiety disorders, and shattered self-worth.
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