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Record W7151936185 · doi:10.7202/1124430ar

Playing with Perceptions: Reducing Mental Health Stigma through Proxy Experiences in Video Games

2025· article· en· W7151936185 on OpenAlex
Luke Simeon Pierce

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

venuePublished in a venue whose home country is Canada.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueLoading · 2025
Typearticle
Languageen
FieldPsychology
TopicEducational Games and Gamification
Canadian institutionsnot available
Fundersnot available
KeywordsMental healthNarrativeAutonomyStigma (botany)Proxy (statistics)DisseminationVideo gameSocial media

Abstract

fetched live from OpenAlex

This pilot study examines how self-identified gamers perceive video games as tools for reducing public stigma around mental health issues (MHIs) using a sequential, linked mixed-methods design. A closed online survey (N = 50) assessed demographics, gaming/media engagement, and attitudes toward MHI representation and served as the recruitment pool for an in-person qualitative phase, in which a subset completed individual playtests of Hellblade: Senua’s Sacrifice (2017) followed by semi-structured interviews (n = 7). Participants across both phases supported the use of video games for destigmatization. Playtesters emphasised that stigma-reduction impacts are more plausible when designers prioritise engaging narrative design, immersive play, and meaningful player autonomy over overt, moralizing, or didactic instruction. They linked Hellblade’s authenticity and ethical representation to the proactive collaboration between developers, mental health professionals, and people with lived experience of MHIs. They also advocated for wider consultation with related affected groups (e.g., family members) to better reflect the cumulative and far reaching societal impacts of mental health issues. Three developer-oriented recommendations emerged: define target audiences beyond “gamers” alone; design research-informed games that balance compelling play with sensitive portrayal; and disseminate across several platforms concomitantly to reach active players, wider gaming-related communities, and non-gaming publics.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.227
Threshold uncertainty score0.382

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.030
GPT teacher head0.368
Teacher spread0.339 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it