It seems like they do consider games as "real life", unlike how they perceive Video/Printed. "Video" meaning movies and television with "fictional" content. Visa and Mastercard are all too happy to receive payment fees for Game of Thrones.
As for the gaming side of things, they just don't seem to understand it is a "fictional" medium. It is also only a matter of time before it escalates beyond gaming into printed fiction. My wife straight-up admits many of the NSFW games here on Itch that I have played are tame in comparison to the supermarket-smut-novels they have near the registers! HAHA