Introduction Modern media are instruments of a cross-linked social system. Because everyone is involved, media-associated psychological effects have arisen. Due to the bizarre effects of mediacaused behaviour, authors have discussed the question of the entity of possible new-and media-associated symptoms and devised a practical way to approach this question. In summary, the question that arises is whether George Orwell's literally-formulated hypotheses could clarify the phenomenon of media-associated diseases. Hypothesis Owing to the increasing use of new media tools, such as smartphones and handhelds, and social media networks, bizarre reports of mediaassociated aggressive or self-aggressive behaviour have arisen. These reports are perhaps not only a result of a permanent multitasking-use of the new media tools but also a new entity of media-associated diseases caused by the media tools themselves. Conclusion To check these implications, we propose a stepwise clinical pathway to clarify the question if the phenomenon of media-associated diseases is genuine or only an end result of the increased use of media tools.
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