Postnatal Depression Game Update

In summer 2024, the Bristol Digital Game Lab co-directors Dr Michael Samuel and Dr Richard Cole, along with digital artist Dr Danny Bacchus, were awarded seed funding from the AHRC (Arts and Humanities Research Council) Narrative Technologies fund to explore the potential of a videogame to be used as a conversational tool for fathers living with postnatal depression.

Process (Q4, 2024)

In October 2024, we participated in an initial game jam led by Michael at the Department of Film and Television, University of Bristol. Conversations over the day revolved around a central research question and aim: what is the capacity of a game to engender empathy toward fathers experiencing postnatal depression, and be the catalyst for further conversation?

Given that there is no one size fits all experience of postnatal depression, we felt it was essential to approach the conceptualisation of the game objectively. It was important at the start to dedicate time to understanding some of the nuances of postnatal depression by contextualising the condition medically, historically, and culturally, including reviewing representations across literature, art and visual media. Quickly abandoning the immediate impulse to create a character and a story, we opted instead for a symptoms-led approach to the game’s conceptualisation and design, identifying common symptoms from literature and asking, how might they shape the game world, its mechanics and, ultimately, the player experience?

Showcases (Q1, 2025)

After a busy fourth quarter in 2024, during which time we developed a concept and a working prototype, the first quarter of 2025 was marked by both public-facing and research showcases. At a Narrative Technologies sharing event at the Watershed (23rd January) the three of us presented and took part in a panel conversation about the potential of games (and other interactive narrative forms) as a methodology for working through complex mental health conditions. In March (7th), Danny presented our prototype our prototype at the Pervasive Media Studio’s First Friday event, a monthly public social and showcase of creative work in the community. More recently (2nd April), Michael presented the game as part of a departmental research seminar in Film and TV. His research paper detailed some of the context and research that informed the videogame’s production, insight into the game making process, followed by a Q&A and demo for scholars and students to try. Feedback from these events has been highly encouraging.

Next Phase

Now that we have a working interactive prototype, the next stage is to consult with support workers in the third sector to identify additional needs and potential. Once funding is in place, we plan to run a series of playtests to gain valuable feedback and continue to develop the gain in response to ongoing feedback from professionals and those with lived experience of postnatal depression.
If you are interested in hearing more about the project, or would like to discuss how the Bristol Digital Game Lab could consult on the process of translating your research into an videogame, please contact Michael or Richard.

Gallery

 

Announcement: We’re Developing a Game Concept!

We are overjoyed to announce that we have been awarded seed corn funding as part of the Narrative Technologies initiative to develop a proof of concept for a game exploring the complex topic of postnatal depression. 

According to the National Library of Medicine, ‘15% of new mothers’ and ‘10% of new fathers’ are affected by PND (Scarff, 2019, p.11). Meanwhile, studies indicate that men’s bodies experience profound change after a partner gives birth, mentally as well as hormonally. Within the first 12-16 weeks of their partner giving birth, new fathers experience similar structural changes in the brain (Kim et al., 2014) and a 34% drop in testosterone (Gettler and Feranil, 2011) which are understood as root causes in depression. However, as Ammar Kalia (2023) writes, while ‘new mothers are monitored for PND during routine NHS health visits. New fathers […] have no access to standardised care or routine checkups’. With limited NHS support in place, in recent years charities (such as Mind, Acacia, Pandas, NCT) have registered a high volume of new fathers turning to technology to find support and community, connecting with groups on social media for example. 

Whilst pamphlets, websites, and social media continue to be ways of disseminating information about PND, the potential of video games and immersive experiences remains untapped. Beyond entertainment, video games have proven a powerful medium for engaging people in the complexities of the human condition, with games and interactive experiences increasingly exploring the nuances of mental health (depression, grief, anxiety, empathy) in artistic ways. Some of these games include Gris (2018), Celeste (2018), Hellblade: Senua’s Sacrifice (2017), What Remains of Edith Finch (2017), Firewatch (2016), That Dragon, Cancer (2016), Depression Quest (2013), and Dear Esther (2012). However, there is yet to be a game about PND. This project aims to address this gap. 

At this stage of the project, we are going to use game development as a method of exploring the potential ways in which an art game about PND might engender empathy towards new fathers and their networks (partners, friends, family). The aim being to produce the concept to present to potential partners and stakeholders for further funding and development. Initially, this will be developed by the co-Directors of the Bristol Digital Game Lab, Dr Michael Samuel (Film and Television) and Dr Richard Cole (Classics and Ancient History) in partnership with Digital Artist Danny Bacchus (see below).  

 

 

For the next stage, we aim to hold a game jam and several focus groups with local and national mental health support charities, as well as with partners and families, to navigate the topic with nuance and sensitivity.  

If you would like to be involved in the future development of the game, or would like to discuss the project, please get in touch with the project lead, Dr Michael Samuel (mike.samuel@bristol.ac.uk).  

 

References 

Gettler, L.T. et al. (2011) ‘Longitudinal evidence that fatherhood decreases testosterone in human males’, Proceedings of the National Academy of Sciences of the United States of America, 108(39), pp. 16194–16199. Available at: https://doi.org/10.1073/pnas.1105403108. 

Kalia, A. (2023) ‘“I didn’t even know men could get it”: the hidden impact of male postnatal depression’, The Guardian, 22 May. Available at: https://www.theguardian.com/society/2023/may/22/i-didnt-even-know-men-could-get-it-the-hidden-impact-of-male-postnatal-depression (Accessed: 18 July 2024). 

Kim, P. et al. (2014) ‘Neural Plasticity in Fathers of Human Infants’, Social neuroscience, 9(5), pp. 522–535. Available at: https://doi.org/10.1080/17470919.2014.933713. 

Scarff JR. Postpartum Depression in Men. Innov Clin Neurosci. 2019 May 1;16(5-6):11-14. PMID: 31440396; PMCID: PMC6659987.