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They then look to the only thing that they know which is the game. They can meet people there and not have to worry about showing others what they look like or how they act. Some people have claimed that talking to people online and seeing how they act and such is how they are in real life.
Just to reply to this brief little section, as someone who plays FFXI too much (<3 Archdominus).
In all my observations, just as there are tendencies you will discover among close friends in a real life setting that will bother the heck out of you, they are also very present in a game. From what I have seen, it can be even more intensely observed in a game.
Talking to people that you don't know in real life everyday, over time, you pick up a lot on their personality, whether it is real, or a mask. Especially if it is a person you talk to *everyday* it doesn't take a forever before you notice things about them, just as you would in real life.
I personally don't feel one way or the other about online relationships. I have a hard time looking down on people who pursue them. Your making a big speculation/stereotype that these people are unable to get anyone else, from what I have read, they just as often have someone, and are looking for more the typically deeper emotional connection a non-physical relationship can provide.
I have two good friends, who are now happily married that met playing UO(Ultima Online). They always tell me, their relationship feels like it started as a penpal relationship, neither of them were playing UO in the pursuit of developing a romantic online relationship. It started out as an adventuring pair that became close friends, but somehow, they kept commmunicating, and the bases of their relationship continued to become deeper. Email came about a year and a half after they started talking, I believe they met on their two year anniversary of meeting each other in game. They said love was kind of an unavoidable thing.
At any rate, although it's enjoyable playing armchair quarterback, I don't have the psychological knowledge to say its unhealthy, or healthy, and I doubt most people do.