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This paper presents a design case study of SIDES: Shared Interfaces to Develop Effective Social Skills. SIDES is a tool designed to help adolescents in social group therapy, specifically individuals with Asperger’s Syndrome, practice effective group work skills using a four-player cooperative computer game that runs on tabletop technology. We present the design process and evaluation of SIDES conducted over a period of six months with a middle school social group therapy class. Our findings indicate that tabletop computer games provide a motivating experience to help our target audience learn effective group work skills in a supportive environment