Could a 11 year old growing up playing realistic looking violent games with poor parental supervision or teaching in terms of the context one needs to understand with such games cause some issues? Sure, I'd say that's possible. That same 11 year old watching gory and violent Rated R movies in a similar fashion ALSO is likely to be having similar problems. Which takes me back to my original point, Video Games are the scape goat that makes nice sensationalized stories in the media and an easy target...but the reality are underlying issues. In terms of children playing games they can't even legally buy, the issue is parenting not video games.