Alex Goldman
Alex Goldman is a producer for On the Media. One time he got run over by a car.
In May, I was severely injured in a bicycle accident. I heard about a game that was being designed by Jane McGonigal called Superbetter, which is specifically designed to create "gameful" incentives to help people recuperate physically and emotionally from injury. Brooke interviewed both me and Jane on our most recent episode and I pledged to try using Superbetter for six weeks, blogging about the process and how it potentially helps my convalescence.
In my accident, I sustained multiple fractures of my tibia and my fibula (the bones in my leg below the knee and above the ankle). After my first surgery, I spent three weeks in a device called an external fixator, which was drilled into the bones in my leg, pictured to the right. I had a second surgery on June 1st to remove the fixator, and then I spent about 6 weeks on crutches. I have been walking since July, but I still experience a lot of pain related to my leg. I walk with a limp, my leg swells up every afternoon, and I'm generally incapable of a lot of the activity I did prior to the accident. Worst of all, the accident just left me incredibly depressed.
When I first heard about Superbetter, I assumed that it was basically designed to help people with physical recuperation, but after talking to McGonigal and playing with the program, I've found that the game is much more open-ended, allowing users to focus on whatever part of the recovery process they think is most important to them. In that way, it's a very robust tool, allowing for incredible custimatization. But, at the same time, having so many options made the beginning of the game the most difficult aspect for me.
Establishing a baseline in Superbetter requires completing seven "missions," which are basically objectives for the game. For this blog entry, I'll detail those seven missions.
Mission 1: Identify my epic win
Strangely, I found this to be the most difficult aspect of the whole game. Your epic win is something that, ideally, can be completed in six weeks. Something, according to Superbetter that "signifies you’ve taken a huge step towards becoming 'better'." The problem, for me, is that "better" is awfully vague.
With the cajoling of my co-workers and my wife, I decided to make my goal a 3-mile ride around Brooklyn's Prospect Park. It's a far cry from the 10 miles I used to ride to and from work everyday, but you have to start somewhere, I guess.
Mission 2: Create my secret identity
As I mentioned in our interview, when asked to pick a secret identity, I automatically thought of Omar Little, the loner who robs drug dealers from the HBO show The Wire. And, hey, as Omar says, "It's all in the game."

Mission 3: Bad guys
Choosing bad guys is pretty easy. I just identified all the bad habits I'd developed in the few months since the accident. Those include being really antisocial, playing video games too much, staying up very late, drinking too much caffeine, eating too much junk food, and just generally being incredibly negative. Well, honestly, I've always been pretty negative, but since this is about being "superbetter," rather than just "better" I suppose I'll try and dial that back a bit too.
Mission 4: Power ups
Power ups are things that push me to keep going, and that make me feel good. Things I can do without a lot of effort that make me feel better. As such, I picked playing guitar, reading, and hanging out with my cats, both of whom are pretty amazing. I am also a big fan of podcasts, and I usually have about 10-15 on my iPod at any given time, so listening to those will be helpful as well.
Mission 5: Quests
Quests are essentially smaller goals that I set for myself in pursuit of my epic win. Here are the quests I've set for myself:
Go to Physical Therapy (twice a week). I hate physical therapy. It hurts, and after months it has come to feel like it isn't helping anymore. But, realistically, if I'm going to be doing things like riding my bike, I'm going to have to go regularly.
Climb my apartment stairs five times (twice a week). I live on the 3rd floor. It's a good leg strengthening exercise. I guess it couldn't hurt, right?
Walk two miles a day. This isn't as crazy as it sounds, because I walk about a mile a day to and from the subway for my work commute. I'm just going to walk to a subway stop that's further away from my house.
Go out with friends. One side effect of having leg pain all the time is that sitting still is a lot less painful than walking around, and I feel terrible about life all the time, so I never want to go anywhere. As such, I tend not to leave the house very much these days. I'm going to try to force myself to hang out with people twice a week.
Mission 6: Allies
Allies are supposed to encourage you to stay on the righteous path of convalescence. As such, I picked two allies who I see almost all day, every day. First, I picked my wife, Sarah. Second, I picked my colleague, PJ Vogt. As my allies, it's their responsibility to be ever mindful of my progress and encourage me to continue to try and reach my goals every day. And to stoically endure when I yell at them for constantly reminding me to push myself.
Mission 7: Future Boosts
According to Superbetter, futureboosts are "any two things you’re looking forward to - in the next day, the next week, or the next month." Aside from coming up with an epic win, this was the other mission I found really difficult. Strangely, when I asked Sarah for some advice for coming up with future boosts, she mostly came up with things that I could do with her that she would hate, such as watching horror or action movies, and making her eat a banana (Sarah hates bananas so much that she gets queasy just smelling them. Naturally, I've been trying to figure out a way to make her eat one for years. Who knew all that needed to happen was for me to get run over by a car?)
Eventually, I settled on a couple of much more neutral superboosts - going out to dinner, and going out to a show of some kind. But I won't rule out exploiting the banana option in the future.
Now that I've chosen my 7 missions, I'm ready to start using Superbetter. There's still plenty more to the game -- there are self monitoring components, unlockable achievements, and much more. I'll detail more of those components of the game in my next entry. If you have any questions or comments about the game, please let me know in the comments, and I'll be happy to follow up with you.
(Follow the links for other superbetter articles: Segment from September 30th episode of On the Media; Entry 2; Entry #3; Entry #4; Entry #5; Entry 6; Entry 7; Entry 8)
Comments [12]
What an incredible story! From a Bay Area Psychologist who works with many such suffering folk! Thanks for what you are doing here! soulstuffmusings.blog.com
Alex,
I am fascinated by your journey, thank you for sharing it! It's a tough road.
I used to be a bike racer, and rode 350+ miles a week and drove for hours each weekend to races. One year, my brother and I were hit by a drunk driver while out training. We were lucky only to have each broken a leg. Your story brought the pain of that back vividly--and I was luckier than you, with no compound fracture, and at an age where I could live at home and my mother tend to me. The massive change to my routine, so critical to my sense of self and goals, large and small, was difficult to handle.
I think it habits from training itself--which is goal-setting moment by moment, as well as month to month, and even year to year--that functioned for me like this Superbetter game. I recall when I finally got on the trainer 3 months later, while wearing a hinging and removeable cast (which everyone thought was a prosthetic leg) my knee had stiffened so much I could not make a full pedal stroke. My knee felt grown together. But I realized I could quantify tiny improvements and after a week of working at it I could ride at 20 RPM for a half hour. Three weeks later my brother and I entered my local college race at SUNY Binghamton--named for a guy, Chris Thater, who was killed by a drunk driver a few years earlier. My brother collected third and I got fifth. It was the most exciting race I ever rode.
So, that physical recovery was pretty easy in the end. Or at least I just had the tools for that. What was much harder to manage was the frustration that a knucklehead in a reckless moment could stop me so cold. I had nowhere to put my energy and the 20 or so hours each week spent riding and all that brought was now suddenly empty. I was stranded, besides. My sense of self had been obliterated. All my attention, which had been all about progressing, as a bike racer but also as a person, was now focussed on this instant of absolute stupidity where I got launched into the air by a car--a car!--a moment which even as it receded into the past for everyone else still occupied my every moment. God, it was miserable.
I'll be fascinated to watch as you figure this part of your recovery out. How do you break down the recovery of yourself and your good cheer through gaming and seeking wins? I have to say that while I can see Superbetter working it feels extremely counter to my sense of how emotions work. Almost as though good cheer is quantifiable, or that all it requires is simple ingredients that you stack one up top of on each other. Perhaps it is so. Perhaps it is so.
I really like the idea of using SuperBetter. Being a gamer myself, I like the idea of putting my real life into a gaming type atmosphere. Thinking in this format could get very interested. Simple tasks, such as taking out the trash can provide certain rewards. Where as procrastination would hinder you in someway. The process is simple, but im guessing very effective. Theres a good guy (yourself) bad guy/s (bad habits) and obstacles to overcome.
Alex, Thank you for the comment that you run negative in general. I identify with mode of thinking and know so well how being trapped in a body that can't exercise especially in the outdoors, can spiral my spirits to depression.
Please keep us informed how SuperBetter counteracts this. Maybe it isn't misery loves company as much as it is "like-challenged" like company.
You story hit home for me, as I was also hit by a car while biking and broke seven bones in my pelvis in addition to my tibia/fibula. I struggled with depression and with imagining my life back to normal. How I wish I'd had Superbetter to boost my spirits! Turns out, four years later, I'm doing everything I once did. In fact, I commuted 88 miles last week ON MY BIKE. Hang in there, Alex!
Alex - Sarah and PJ may be your official allies but you have many undesignated nags in the office to provide you with additional boosts.
It's going to be (delicious) hell.
No seriously, you're gonna love it.
I've been looking forward to reading your blog; your on-air candidness last week made for an interview that was both heartbreaking and inspiring. Do hope you get better, and I hope this helps you get better so others can be helped to get better, too :P
I have not tried anything like weight watchers, et. al. I think that part of the reason I was so interested in this story is because I am a big fan of video games, and I respond positively to the gameful aspects of gaming (like achievements and points) so I figured that this would be a natural fit.
Hi, Alex: Have you ever tried a progeram like this before, similar, Weight Watchers, AA, any kind of planning/motivation/support program to achieve a goal? If so, I wonder how/if Superbetters differs; is it the same, better, different worse........an analytic comparison is what I'm looking for. Thanks, and good luck!
This is a great explainer, Alex! Your blog post makes it a lot clearer how the game works. Wishing you much luck and many epic wins.
Good luck, Alex. I know I would be reacting the same way to such a horrible accident (and the resulting lack of physical activity). I hope this works for you!
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