WED-052 - Digital Spaces, Real Harm: Exploring Dread Game, Emotional Abuse, and Implications for Health Education
Wednesday, April 22, 2026
12:30 PM - 1:30 PM PST
Location: Plaza Foyer, Plaza Level
Area of Responsibility: Area VIII: Ethics and Professionalism Keywords: Health Equity@@@Social Media@@@Violence Prevention, Subcompetencies: 1.3.2 Determine the knowledge, attitudes, beliefs, skills, and behaviors that impact the health and health literacy of the priority population(s)., 6.3.4 Employ media literacy skills (e.g., identifying credible sources and balancing multiple viewpoints). Research or Practice: Research
Assistant Teaching Professor Northeastern University Boston, Massachusetts, United States
Learning Objectives:
At the end of this session, participants will be able to:
Describe how online Red Pill communities and manipulative dating tactics such as Dread game reinforce gendered power dynamics and contribute to emotional and psychological abuse in relationships.
Demonstrate how health educators can teach digital literacy skills and counter online misinformation to support healthy, equitable relationship behaviors.
Discuss how dread game is "played" among Red Pill men
Brief Abstract Summary: Learn how online “Red Pill” communities promote manipulative relationship tactics such as Dread Game, where men intentionally cause emotional distress to maintain control over partners. This qualitative content analysis of Reddit threads (r/exredpill and r/purplepilldebate) examined discussions surrounding Dread Game. Four key themes emerged: (1) normalization of manipulative relationship behaviors, (2) perceptions and misconceptions of emotional abuse, (3) psychological and behavioral health impacts, and (4) opportunities for prevention and education around healthy relationships. Findings underscore the need for health education strategies that build healthy relationship skills, promote emotional well-being, and strengthen digital literacy to counter the online normalization of abusive dynamics and support equitable, respectful partnerships.
Detailed abstract description: Intimate Partner Violence (IPV), is disproportionately experienced by women, includes not only physical harm but also emotional and psychological abuse that can have lasting effects on mental health and well-being. In recent years, the “Red Pill” movement and ideology have popularized manipulative dating practices among men with the “Dark Triad” personality traits (narcissism, Machiavellianism, and psychopathy). These online communities, which are part of the broader “manosphere,” often normalize gendered power imbalances and promote coercive relationship tactics as strategies for maintaining control. One such tactic, known as Dread Game, involves intentionally causing emotional distress or insecurity leading the partner to “dread” the man from leaving the relationship. The intention of dread game is to shift power back to the man in the relationship after a period in which he feels like the woman has taken control of the relationship. This study conducted a qualitative content analysis to examine how Dread Game is discussed on Reddit, focusing on two subreddits: r/exredpill and r/purplepilldebate. The analysis identified four major health education relevant themes: (1) Normalization of manipulative relationship behaviors, where users framed emotional control as a legitimate or even necessary dating strategy; (2) Perceptions and misconceptions of emotional abuse, revealing confusion or denial about the psychological harm caused by such tactics; (3) Psychological and behavioral health impacts, where discussions reflected anxiety, distrust, and emotional trauma resulting from manipulation; and (4) Opportunities for prevention and education around healthy relationships, emphasizing the importance of addressing misinformation about relationships circulating in online spaces. Findings suggest that online discourse around Dread Game reinforces harmful relationship norms that perpetuate emotional abuse and undermine mental health. For health education professionals, this represents a critical opportunity to integrate digital media literacy, emotional health promotion, and relationship education into IPV prevention programming. Educators can apply insights from online communities to design culturally relevant interventions that help individuals recognize manipulation tactics, challenge harmful narratives, and build equitable, respectful relationships. By bridging research on online gender dynamics with the field of health education, this study highlights how virtual environments shape beliefs and behaviors related to power and relationships. These findings can help inform current and future health education interventions aimed at teaching adolescents about healthy relationships.