David Brendel Posted over 1 year ago Community Organization and Impact in Online Games Gary, Thanks so much for sharing these thoughts about games to help with PTSD and TBI, both of which often don't respond adequately to the conventional medical treatments involving psychotropic medications. The medication approach is so passive in many ways -- take a pill and wait to see if it will make things better. Even when the medications help to reduce the severity and intensity of symptoms, something more is necessary. Here is where I find your remarks about "existential sensibilities" and "choice and responsibility" so important and enlightening. The community of clinicians (and many others) serve people with PTSD and TBI best when we engage with them as active co-participants in recovery and wellness, rather than simply treat "patients" was bundles of neurons waiting to be passively modulated by drugs (even though the drugs may be helpful in settling the nervous system enough so that people can assert themselves as individuals with choice and responsibility). The right kind of games invite people to proactively take control of and shape their mental lives. We are in rudimentary phases of developing optimal games for people with neuropsychiatric challenges, but the existential and choice-based philosophy you articulate will help to drive the field forward toward novel, unforeseen options for human community and wellness.