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. 2023 May 12;11:e41638. doi: 10.2196/41638

Table 3.

An ABCDEa model breakdown of the conversation exchanged between Blue and Line in chapter 9 of BlueLine.


Activating event Beliefs Consequences Disputation of beliefs Effective new approach
Narrative
  • Blue and Line are having breakfast after the sunrise photo shoot. The couple begins to quarrel.

  • Line thinks that Blue is not trying hard enough and believes that he does not care.

  • Line vents at Blue.

Blue cannot continue to apologize because the game prevents the player from saying “Sorry” by fading out the “Sorry” button. Line realizes that Blue does try his best and that the way she expresses herself has a negative effect on Blue.
Blue
  • Blue tries to apologize because the photos he took were not his best.

  • Player begins self-monitoring.

  • Blue feels he has messed up. In the hope of being forgiven, he keeps apologizing (achieved by the player pressing the “Sorry” button).

  • DSM-5b symptoms:

    • A7c: a sense of worthlessness

    • A8: impaired concentration

  • Blue feels insignificant and worthless because she despises the photos.

  • DSM-5 symptoms:

    • A1: depressed mood

    • A2: lack of interest

    • A6: fatigue

    • A7: a sense of worthlessness

    • A8: impaired concentration

Interpersonal skills (using silence): Blue uses silence so that Line can gather her thoughts. Behavioral activation: Blue learns that sometimes a moment of silence can help others to regain their minds.
Line
  • Line is angry because the photos taken by Blue are not good enough.

  • She thinks that the photos are bad because Blue does not care. She does not want to listen to any excuses or apologies.

  • Line feels unappreciated and blames Blue.

  • DSM-5 symptoms

    • A2: lack of interest

    • A8: impaired concentration

Interpersonal skills (giving recognition): Line realizes that her words have hurt Blue. Behavioral activation: Line learns to appreciate and give recognition when others are trying their best.

aABCDE: Activating Events, Beliefs, Consequences, Disputation of Beliefs and Effective New Approaches.

bDSM-5: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.

cA7 and so on: assessment of depressive symptoms at each stage of the story.