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The ‘Tetris Effect’

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Jess Jarvis

Tetris – a game we’ve all played at some point throughout our childhood. A frustratingly addictive, yet somewhat simplistic game, involving aligning falling blocks in horizontal lines, to gain points.

But whom would’ve thought that a game which stamped out hours of our summer holiday boredom, could hold such valuable, therapeutic properties?

The BBC reported recently that Tetris may actually be beneficial to our physical and mental health. Helping to ease patient suffering in Post-Traumatic Stress Disorder (PTSD), curb cravings for addictive substances and even treat lazy eyes!

Scientists have suggested that it is the captivating and immersive ease of playing Tetris which ‘makes it potentially powerful as a therapeutic tool’.

Prof. Emily Holmes, a previous visiting professor in Clinical Psychology at the University of Oxford, has spent many years of her career studying the potential use and effectiveness of Tetris in therapy and medicine. She suggests that it is the visual aspect of Tetris that makes it so absorbing. Unlike other games, the diversity in colour, shape and movement taps into the visual memory. The ‘Tetris Effect’ can be so intense, that people often report seeing the ‘falling blocks in their thoughts and dreams’ after playing.

Easing Suffering in PTSD

Prof. Holmes and her colleagues published a study in 2017, which showed how intrusive memories and ‘flashbacks’ – characteristic of PTSD – could be significantly reduced by playing Tetris. This study was one of the first to look at the use of Tetris as a therapeutic intervention. It suggested that the high ‘visuospatial demands’ of Tetris occupied the sensory elements of memory, preventing the consolidation of traumatic memories in the mind.

6 hours following a motor vehicle trauma, participants were delivered either a control intervention (writing a log for 20 minutes) or a Tetris intervention (20 minutes of game play). A week later, compared to the control group, those whom had played Tetris were significantly less affected by intrusive memories. Furthermore, their incidence of intrusions was significantly lower too!

From analysing previous research, Tetris seems to be the only game which has a positive effect on preventing intrusive memories following trauma. Not only is the intervention extremely effective, it is also very simple and helpful for people to use. It is low in intensity and the game itself, creates minimal distress. It reduces the symptoms of PTSD, whilst still allowing the ability to make sense of the event.

Further studies with more participants could show whether Tetris might have a real impact on the quality of life for sufferers following trauma. This research is only in the early stages though, and has a long way to go before it can be implemented into clinical situations.

Curbing Addiction and Cravings

Scientists from Plymouth University and Queensland University of Technology, have said playing Tetris can also help control cravings for addictive substances.

31 students took part in this experience sampling study. They were sent text messages throughout the day which asked them to rate their current level of cravings for drugs (e.g. cigarettes), food and drink (e.g. coffee, alcohol), and activities such as exercise and sex.

Half of the students were given a device to play short games of Tetris throughout the day. This mini intervention showed Tetris to have an effect, whereby cravings reduced more in those who played the game.

Prof. Jackie Andrade believes Tetris has an effect on curbing addictive cravings, because cravings involve imagining an intense experience of indulging in the use of a particular substance. Therefore, the demanding nature of Tetris on the sensory mental processes in the brain, makes it extremely difficult to imagine cravings vividly and make sense of them, whilst playing Tetris at the same time.

Treating a Lazy eye (Amblyopia)

Dr. Robert Hess, from McGill University in Canada (2013), completed a small study to see whether Tetris could help treat a condition known as lazy eye or amblyopia.

Previous treatments have only focused on retraining the ‘lazy eye’ alone. In the past doctors had recommended “covering the “good” eye with a patch to make the “lazy” one work harder.”

However, it became apparent to the researchers that the only way to help solve amblyopia was to solve the disruption to binocular vision and encourage the two eyes to work together.

Dr. Robert Hess, used headset-video goggles to display an adapted version of Tetris. Through these goggles Tetris was displayed dichoptically, ‘where one eye was allowed to see only the falling objects, and the other eye was allowed to see only the ground plane objects.’ This adaptation required the eyes to work simultaneously.

Results showed half of the participants played regular Tetris with the stronger eye patched up, while the other half of the participants played the adapted game with both eyes open. At the end of the study both groups improved, but those who used both eyes and played the game through the headset, showed a dramatic improvement.

Many people play Tetris just to pass the time. However, it seems as though Tetris may have therapeutic benefits; showing an amazing and captivating effect on the mental and physical processes in the body and enabling interventions for many kinds of disorders and conditions.

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