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Developing Empathy towards Experiences of Invisible Disabilities Through Games

Published: 18 May 2023 Publication History

Abstract

Hidden or invisible disabilities are invisible to the onlooker and can be physical, mental, or neurological conditions that limit a person's movements, senses or activities. As a result, they can lead to misunderstandings, false perceptions, and judgments. Developing an understanding of the conditions and the limitations they impose on people who have these conditions might help to develop empathy and reduce stigma and misunderstanding. We investigate the use of games for this purpose. This paper reports a first qualitative survey study with 56 participants about their experiences of interacting with a paper prototype of a game about living with chronic fatigue syndrome (CFS) and then answering questions regarding their perceptions of the game with respect to their own experiences. The study aimed to understand if we can unify the design of games for barriers faced by people with invisible disabilities. The prototype was redesigned based on the findings of the first study. Study 2 involved a playtesting session with 8 participants who did not have invisible disabilities engaging with the digital prototype. Their empathy quotient was measured before and after playing. While the study's results did not yield any statistically significant findings, they do offer some evidence that playing computer games can be a useful way to increase empathy towards people with invisible disabilities and provide design considerations for such games.

References

[1]
And what is an invisible disability? (August 2021). Retrieved June 17, 2022 from https://invisibledisabilities.org/what-is-an-invisible- disability/
[2]
Simon Baron-Cohen and Sally Wheelwright. 2004. The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. 34(2): J Autism Dev Disord 163-75.
[3]
Joy E. Beatty and Susan L. Kirby. 2006. Beyond the legal environment: How stigma influences invisible identity groups in the workplace. Employee Responsibilities and Rights Journal 18, 1: 29-44.
[4]
Jonathan Belman and Mary Flanagan. 2010. Designing games to foster empathy. International Journal of Cognitive Technology 15, 1: 11.
[5]
Joy G. Bertling. 2015. The art of empathy: A mixed methods case study of a critical place-based art education program. International Journal of Education & the Arts 16, 13.
[6]
Barbaros Bostan, Önder Yönet, and Vugar Sevdimaliyev. 2020. Empathy and choice in story driven Games: a case study of telltale Games In Game User Experience And Player-Centered Design, Bostan Barbaros (eds.). Springer, Cham, 361-378.
[7]
Derek J. Burks, and Amy M. Kobus . 2012. The legacy of altruism in health care: the promotion of empathy, prosociality and humanism. Medical
[8]
education 46, 3: 317- 325.
[9]
Caren Chesler. 2022. Can video games teach people to be more empathetic? Maybe. Retrieved July 20, 2022 from https://www.washingtonpost.com/health/2022/06/25/video- games-empathy/
[10]
Candace Cortiella and Sheldon Horowitz . 2014. The state of learning disabilities: Facts, trends and emerging issues. New York: National center for learning disabilities 25, 3: 2- 45.
[11]
Gideon Dishon and Yasmin B. Kafai. Making more of games: Cultivating perspective-taking through game design. 2020. Computers & Education 148: 103810.
[12]
Shoshana Eilon. 2018. That dragon, cancer: Video game as art form [leading edge]. IEEE Technology and Society Magazine 37, 2: 16-17.
[13]
Karen P. Eriksen and Garrett J. McAuliffe. 2006. Constructive development and counselor competence. Counselor Education and Supervision 45, 3: 180-192.
[14]
Patrick J. Flink. 2017. Invisible disabilities, stigma, and student veterans: Contextualizing the transition to higher education. Journal of Veterans Studies 2, 2: 110-120.
[15]
Paul Formosa, Malcolm Ryan and Dan Staines, Papers, Please and the systemic approach to engaging ethical expertise in videogames. Ethics and Information Technology 18, 3: 211-225.
[16]
Sarah Gibbons. 2015. Disability, neurological diversity, and inclusive play: An examination of the social and political aspects of the relationship between disability and games. Loading... 9, 14.
[17]
Michael E. Goodwin. 2020. Making the Invisible Visible: Let's Discuss Invisible Disabilities. HAPS Educator, 62-73.
[18]
Jane Goudge, Lucy Gilson, Steven Russell, Tebogo Gumede and Anne Mills. 2009. Affordability, availability and acceptability barriers to health care for the chronically ill: longitudinal case studies from South Africa. BMC health services research 9, 1: 1-18.
[19]
Tobias Greitemeyer. 2013. Playing video games cooperatively increases empathic concern. Social Psychology 44, 6: 408.
[20]
Abbie Hartman, Rowan Tulloch, and Helen Young. 2021. Video Games as Public History: Archives, Empathy and Affinity. Game Studies 21, 4.
[21]
Susan E. Jackson and Aparna Joshi. 2004. Diversity in social context: a multi‐attribute, multilevel analysis of team diversity and sales performance. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior 25, 6: 675-702.
[22]
Connie Johnson. 2011. Disabling barriers in the person- centered counseling relationship. Person-Centered & Experiential Psychotherapies, 10, 4: 260- 273.
[23]
Shanna K. Kattari, Miranda Olzman, and Michele D. Hanna. 2018. “You look fine!” Ableist experiences by people with invisible disabilities. Affilia 33, 4: 477-492.
[24]
Tammi R. A. Kral, Diane E. Stodola, Rasmus M. Birn, Jeanette A. Mumford, Enrique Solis, Lisa Flook, Elena G. Patsenko, Craig G. Anderson, Constance Steinkuehler, and Richard J. Davidson. 2018. Neural correlates of video game empathy training in adolescents: a randomized trial. npj Science of Learning 10,1: 1-10.
[25]
Tuuli Lähdesmäki and Aino-Kaisa Koistinen. 2021. Explorations of Linkages Between Intercultural Dialogue, Art, and Empathy In Dialogue for Intercultural Understanding, Maine Fiona and Virikki Maria (eds.). Springer, Cham, 45-58.
[26]
Petri Lankoski. 2007. Goals, affects, and empathy in games. Philosophy of computer games, 1-10.
[27]
Susan Lingsom. 2008. Invisible impairments: Dilemmas of concealment and disclosure. Scandinavian Journal of Disability Research 10, 1: 2-16.
[28]
Lidia Miteva. 2021. Playing Against Stigma: Increasing Empathy Towards Patients with Chronic Fatigue Syndrome through Branching Decision- Based Games. Dissertation.
[29]
Rebecca Muir, Kim M. Thompson, and Asim Qayyum. 2019. Considering “atmosphere” in facilitating information seeking by people with invisible disabilities in public libraries. Proceedings of the Association for Information Science and Technology 56, 1: 216-226.
[30]
Federica Pallavicini, Alessandro Pepe, Chiara C. Caragnano, and Fabrizia Mantovani. 2020. Video games to foster empathy: A critical analysis of the potential of Detroit: Become Human and The Walking Dead. In proceedings of International Conference on Human-Computer Interaction, 212–228.
[31]
Jesslyn Parrish. 2022. Seeing the Unseen: Interactive Narrative as a Tool for Understanding Invisible Disabilities. Ph.D Dissertation. University of Central Florida.
[32]
Lucas Pope. 2013. Papers, please. Version 1: 65.
[33]
Sydney Pratte, Tang Anthony, and Oehlberg Lora. 2021. Evoking Empathy: A Framework for Describing Empathy Tools. In Proceedings of the Fifteenth International Conference on Tangible, Embedded, and Embodied Interaction, 1-15. https://dl.acm.org/doi/10.1145/3430524.3440644
[34]
Michael J. Prince. 2017. Persons with invisible disabilities and workplace accommodation: findings from a scoping literature review. Journal of Vocational Rehabilitation, 46, 1: 75-86.
[35]
Janet Rankin. 2017. Conducting analysis in institutional ethnography: Analytical work prior to commencing data collection. International Journal of Qualitative Methods 16, 1: 1609406917734484.
[36]
Brian Ruff, Mandi Mzimba, Simon Hendrie and Jonathan Broomberg. 2011. Reflections on health-care reforms in South Africa. Journal of public health policy, 32, 1: S184- S192.
[37]
Isaac E. Sabat, Alex P. Lindsey, Ashley Membere, Amanda Anderson, Afra Ahmad, Eden King, and Balca Bolunmez. 2014. Invisible disabilities: Unique strategies for workplace allies. Industrial and Organizational Psychology 7, 2: 259-265.
[38]
Alecia M. Santuzzi, Pamela R. Waltz, Lisa M. Finkelstein and Deborah E. Rupp 2014. Invisible disabilities: Unique challenges for employees and organizations. Industrial and organizational Psychology 7, 2: 204-219.
[39]
Gareth R. Schott. 2017. That Dragon, Cancer: Contemplating life and death in a medium that has frequently trivialized both. In Proceedings of the Digital Games Research Association Conference (DiGRA), 1-10.
[40]
Miguel Sicart. 2019. Papers, please. How to Play Video Games 1: 149.
[41]
Dorothy E. Smith . 2005. Institutional ethnography: A sociology for people. Rowman Altamira.
[42]
paula S. Sterkenburg and Victorita S. Vacaru. 2018. The effectiveness of a serious game to enhance empathy for care workers for people with disabilities: a parallel randomized controlled trial. Disability and health journal 11, 4: 576-582.
[43]
Humphrey Taylor. 2002. Workplace discrimination against, and jokes about, African Americans, gays, Jews, Muslims, and others. New York: Harris Interactive.
[44]
Linda P. Thurston, Cindy Shuman, Jan B. Middendorf and Cassandra Johnson. 2017. Postsecondary STEM Education for Students with Disabilities: Lessons Learned from a Decade of NSF Funding. Journal of Postsecondary Education and Disability 30, 1: 49-60.
[45]
Sarah S. Von, Valerie Malzer and Susanne Bruyère. 2014. Perspectives on disability disclosure: the importance of employer practices and workplace climate. Employee Responsibilities and Rights Journal 26, 4: 237-255.
[46]
Gabriela Walker and Weidenbenner V. Jeni. 2019. Social and Emotional Learning in the age of virtual play: technology, empathy, and learning. Journal of Research in Innovative Teaching & Learning 12, 2: 116-132.
[47]
Ossy D. E. Wulansari, Johanna Pirker, Johannes Kopf, and Christian Guetl. 2019. Video games and their correlation to empathy. In Proceedings of the International Conference on Interactive Collaborative Learning, 151–163.
[48]
Nnoi A. Xaba, Mapheko D. Peu, and Salaminah S. Phiri. 2012. Perceptions of registered nurses regarding factors influencing service delivery in expanding programmes in a primary healthcare setting. Health SA Gesondheid 17, 1: 1- 12.A

Cited By

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  • (2025)Empathy-Driven Student Transformations: Bridging the Gap in Software Development for Inclusive User ExperiencesInformation Systems Education Journal10.62273/LEIV132123:1(32-45)Online publication date: 2025
  • (2024)Enhancing Empathy and Inclusivity in Computer Science Education: An Empirical Study on Accessibility Interventions for Undergraduate StudentsJournal of Computing Sciences in Colleges10.5555/3665609.366561639:8(98-112)Online publication date: 17-May-2024
  • (2024)Representation of Invisible Disability: Exploring the Lived Experience of Teenagers with ADHD to Inform Game DesignACM Transactions on Computer-Human Interaction10.1145/368527631:5(1-26)Online publication date: 13-Aug-2024
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cover image ACM Other conferences
EmpathiCH '23: Proceedings of the 2nd Empathy-Centric Design Workshop
April 2023
67 pages
ISBN:9798400707490
DOI:10.1145/3588967
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike International 4.0 License.

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 18 May 2023

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Author Tags

  1. Invisible disabilities stigma
  2. empathy
  3. game design

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EMPATHICH '23
EMPATHICH '23: EmpathiCH Workshop
April 23, 2023
Hamburg, Germany

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Cited By

View all
  • (2025)Empathy-Driven Student Transformations: Bridging the Gap in Software Development for Inclusive User ExperiencesInformation Systems Education Journal10.62273/LEIV132123:1(32-45)Online publication date: 2025
  • (2024)Enhancing Empathy and Inclusivity in Computer Science Education: An Empirical Study on Accessibility Interventions for Undergraduate StudentsJournal of Computing Sciences in Colleges10.5555/3665609.366561639:8(98-112)Online publication date: 17-May-2024
  • (2024)Representation of Invisible Disability: Exploring the Lived Experience of Teenagers with ADHD to Inform Game DesignACM Transactions on Computer-Human Interaction10.1145/368527631:5(1-26)Online publication date: 13-Aug-2024
  • (2024)"I Found it Cathartic": Exploring Empathy and Mental Health Awareness in Psychological Horror Video GamesProceedings of the ACM on Human-Computer Interaction10.1145/36770838:CHI PLAY(1-21)Online publication date: 15-Oct-2024
  • (2024)Leveraging Games to Foster Empathy toward RefugeesCompanion Proceedings of the 2024 Annual Symposium on Computer-Human Interaction in Play10.1145/3665463.3678851(442-445)Online publication date: 14-Oct-2024

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