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“You can't be deadnamed in a video game”: transgender and gender diverse adolescents' use of video game avatar creation for gender-affirmation and exploration
Abstract
Transgender and gender diverse (TGD) adolescents experience mental health challenges at higher rates than cisgender peers due to a combination of minority stress and gender dysphoria. Many TGD youth use video games to cope with stress and access informal networks of support. However, very little is known about the potential positive influence avatar customization has for this group of youth. To address this gap in the literature, in-depth, semi-structured qualitative interviews were conducted with ten TGD adolescents about their experiences with avatar customization. Thematic analysis revealed four primary themes including that (1) video game avatar customization offers a low stakes environment for gender exploration, (2) avatars offer both internal and external validation of gender identity and transition goals, (3) avatars allow players to enact aspirational appearance goals, and (4) video games and avatars offer immersion and escapism for TGD adolescents. These novel findings underscore the range of positive impacts avatar customization can have for TGD adolescents, particularly for youth with gender dysphoria. Video game avatar customization can be a key part of the gender exploration and affirmation for some TGD adolescents.
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“McKenna et al. (2024) reported similar accounts from ten transgender and gender diverse adolescents in the United States, for whom avatar customization offered a lowstakes space to explore gender and to see transition goals reflected”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as McKenna et al. (2024)
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“Research has indicated that gaming can be an adaptive way of coping with distress and can increase psychological wellbeing for cisgender adolescents (see Granic et al., 2014; Kowal et al., 2021).”
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Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review
Shekarchi, R., Eleuteri, S., Saladino, V., Calaresi, D., Giordano, F., & Prunas, A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.2002054
Metadata
- Authors
- McKenna, J. L., Wang, Y.-C., Williams, C. R., McGregor, K., & Boskey, E. R.
- Affiliations
- Gender Multispecialty Service, Boston Children’s Hospital, Boston, Massachusetts, USA
- Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA
- Venue
- Journal of LGBT Youth
- Publisher
- Informa UK Limited
- Published
- 2022-11-11
- Volume
- 21
- Issue
- 1
- Pages
- 29-49
- ISSN
- 1936-1653
- 1936-1661
- Cited by
- 40
- References
- 2
- Language
- en
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