Page 17 - Bexar County Medical Society Purchasing Directory
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MEDICAL
                                                                                        TECHNOLOGY




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        stand the phenomenon. despite the mounting acknowledgment and  billion in profits in 2018. What makes that earnings statistic par-
        investigation of IGd, some researchers suggest that this “push to  ticularly interesting is that Fortnite is completely free to download
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        pathologize video games” may be unfounded. In June of 2018, the  and play. by simply creating an account for free you can join 99
        World Health Organization (WHO) released the newly proposed  other players from across the world in a battle royale. Your character
        11th Revision of the International Classification of diseases, which  is dropped onto an island with the other players where you have to
        designates IGd as its own unique disorder. 7           gather weapons, medical supplies, and building materials while fight-
                                                                                ing your way to victory. This can be done
                                                                                alone or in a squad of up to four players. Epic
                                                                                Games has made Fortnite such a lucrative
                                                                                business by offering aesthetic upgrades to
                                                                                players’ virtual characters which they can pur-
                                                                                chase in-game. These virtual costumes, re-
                                                                                ferred  to  as  “skins”,  range  from  eight  to
                                                                                twenty dollars each and provide absolutely no
                                                                                advantage or change to the base gameplay
                                                                                aside from making your character look super
                                                                                cool.
          The WHO defines IGd as “…a pattern of gaming behavior  IGd has long been associated most with adolescent male gamers,
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        (“digital-gaming” or “video-gaming”) characterized by impaired  so I figured I would find one to talk to about all of this. I didn’t have
        control over gaming, increasing priority given to gaming over other  to go far. My 15-year-old brother has been playing increasing amounts
        activities to the extent that gaming takes precedence over other in-  of Fortnite for a year now. When he isn’t playing the game, he is usually
        terests and daily activities, and continuation or escalation of gaming  watching YouTube videos of other people playing the game, studying
        despite the occurrence of negative consequences.       how to perform better in the next battle he enters. Our parents strongly
          For gaming disorder to be diagnosed, the behaviour pattern must  limit his time spent gaming, only allowing him to play on the weekends.
        be of sufficient severity to result in significant impairment in per-  because his urges to play Fortnite are constantly constrained, when he
        sonal, family, social, educational, occupational or other important  gets the chance to finally play on the weekend it can turn into an all-
        areas of functioning and would normally have been evident for at  night binge session and a very disordered sleep schedule. by hording
        least 12 months.” 7                                    birthday and Christmas money, and through a bit of deception, he has
          A 2009 survey by Gentile reported that 8.5 percent of children  spent somewhere around $500 on skins for his Fortnite character. In
        and adolescents (8 to 18 years of age) who play video games in the  the podcast linked below, when asked if it was worth the $500 spent,
        United States display signs of pathological addiction. If we com-  he tells me that the added enjoyment that comes from having the rarest
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        bine this proposed statistic with the recent Pew Research Center  and most sought-after skins for his character has been well worth the
        data on gaming prevalence, it can be said that about one in thirteen  cost.  My brother goes on to reveal how playing Fortnite allows him
        United States teens are likely experiencing some kind of patholog-  and others to escape from the problems or negative feelings plaguing
        ical effects related to the use of video games.        them in their real lives. We talk about how young video game players
          One of the first stories of video game addiction came in 2011,  sometimes choose to spend time in the virtual world at a real cost to
        when The Guardian published an article telling the story of dr.  their lives back on earth. For young Americans, this cost can materialize
        Ryan van Cleave, a Ringling College of Art and design creative  in the form of worsening school grades, failure to maintain daily re-
        writing professor whose life was almost totally consumed by the on-  sponsibilities, or even sacrificing the quality of relationships with oth-
        line game World of Warcraft (WoW). According to The Guardian,  ers. When I ask my brother if his Fortnite use has ever had real
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        dr. van Cleave was playing upwards of 60 hours of WoW per week  negative effects on his life he tells me “there are definitely times where
        at the height of his addiction. 9                      I do let [my video game consumption] slip and it does get away from
          More recently, since debuting in late September of 2017, the on-  me.” This seems pretty alarming, doesn’t it? Are our teens’ lives being
        line game Fortnite has absolutely dominated the video game world.  ravaged by addictions to modern technology like video games and so-
        As of November of 2018, there are now over 200 million registered  cial media?
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        players. Fortnite’s creator Epic Games reportedly earned over $3                               continued on page 18
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