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Ah, there's a thought, donutbandit - are you using an LCD screen, do you have the refresh rate set to 60Hz and are you playing NTSC games? This may cause either jerkiness or picture tearing, since NTSC games run at 50fps, which obviously doesn't synchronise well with a 60Hz display.
If this is the case, try increasing your screen refresh rate to 75Hz (if it can be), as this will work better with 50fps games (most monitors won't go down to 50Hz), and should work OK with 60fps PAL games. If your monitor can't handle this, make sure VSync is disabled in pSX, and is disabled or can be set so that an application can disable it in your video driver.
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