Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy

@article{Lindner2020BetterVT,
  title={Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy},
  author={Philip Lindner},
  journal={International Journal of Cognitive Therapy},
  year={2020}
}
  • P. Lindner
  • Published 20 October 2020
  • Psychology
  • International Journal of Cognitive Therapy
Virtual reality (VR) is an immersive technology capable of creating a powerful, perceptual illusion of being present in a virtual environment. VR technology has been used in cognitive behavior therapy since the 1990s and accumulated an impressive evidence base, yet with the recent release of consumer VR platforms came a true paradigm shift in the capabilities and scalability of VR for mental health. This narrative review summarizes the past, present, and future of the field, including milestone… 
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References

SHOWING 1-10 OF 137 REFERENCES
Transforming Experience: The Potential of Augmented Reality and Virtual Reality for Enhancing Personal and Clinical Change
TLDR
The paper focuses on the two leading virtual technologies – augmented reality (AR) and virtual reality (VR) – exploring their current uses in behavioral health and the outcomes of the 28 available systematic reviews and meta-analyses.
Creating state of the art, next-generation Virtual Reality exposure therapies for anxiety disorders using consumer hardware platforms: design considerations and future directions
TLDR
The current state of VR technology is detailed and important therapeutic considerations in designing self-help and clinician-led VRETs, such as platform choice, exposure progression design, inhibitory learning strategies, stimuli tailoring, gamification, virtual social learning and more are discussed.
Virtual Reality Exposure Therapy for PTSD Vietnam Veterans: A Case Study
TLDR
The results of the first Vietnam combat veteran with PTSD to have been treated with VRE are presented, where the patient was exposed to two virtual environments, a virtual Huey helicopter flying over a virtual Vietnam and a clearing surrounded by jungle.
The Immersive Virtual Reality Lab: Possibilities for Remote Experimental Manipulations of Autonomic Activity on a Large Scale
TLDR
The utility of pupil dilation as a marker of autonomic arousal and the feasibility to assess this in commercially available VR hardware and support a robust Virtual Lab tool for massive remote testing are demonstrated.
Gamified, Automated Virtual Reality Exposure Therapy for Fear of Spiders: A Single-Subject Trial Under Simulated Real-World Conditions
TLDR
An automated VRET intervention for fear of spiders showed equivalent effects on phobia symptoms under effectiveness conditions as previously reported under efficacy conditions, suggesting that automated V RET applications are promising self-help treatments also when provided under real-world conditions.
Relaxation with Immersive Natural Scenes Presented Using Virtual Reality.
TLDR
Natural scene VR provided relaxation both objectively and subjectively, and scene preference had a significant effect on mood and perception of scene quality, and VR may enable relaxation for people living in isolated confined environments, particularly when matched to personal preferences.
Attitudes Toward and Familiarity With Virtual Reality Therapy Among Practicing Cognitive Behavior Therapists: A Cross-Sectional Survey Study in the Era of Consumer VR Platforms
TLDR
Therapist’s attitudes toward VRET appear to have evolved in recent years, and no longer appear to constitute a major barrier to implementing the next generation of VR technology in regular clinical practice.
...
...