| NEW YORK — A pretty, young teacher stands
at the head of a classroom full of the usual distractions --
pencils dropping, kids coughing and paper airplanes flying --
as students try to follow the lesson.
But the "classroom" is actually a virtual reality
scene used to test and treat kids with attention deficit disorder
-- part of the growing but still-niche practice of virtual
reality therapy.
"We wanted to design a system that would provide a better
assessment of attention skills than the current tests,"
said Skip Rizzo, who directs the virtual environments lab
at the University of Southern California's Integrated Media
Systems Center.
Currently, about 10 clinics in the U.S., as well as ones
in Italy, Spain, Korea, England, Canada and Argentina, use
virtual reality to help treat people with phobias, anxieties
and other disorders.
"Virtual reality provides a middle ground for working
with distortions, whether they're fear distortions or body-image
distortions," said Brenda Wiederhold, executive director
of the Virtual Reality Medical Center in San Diego, Calif.
"We still want the person to confront whatever they're
afraid of in the real world but we use VR as a beginning point."
For more than five years, the Virtual Reality Medical Center
has been using the systems developed by Rizzo and others for
patients with anxiety problems like eating disorders, panic
disorders and phobias including fear of flying, driving, open
spaces, crowds and public speaking.
Even more cutting-edge is technology using virtual reality
and a 360-degree video camera that films a party for social-phobic
therapy. The system will allow the patient to feel like part
of the gathering as it grows into a full-swing bash and he
or she confronts increasing social anxiety.
"We got actors and filmed at a house and actually had
a party," said Rizzo, who is leading the research and
development of the experimental system.
Separate shots were taken of actors approaching the camera
and asking questions. The film was edited into the party footage
so those "guests" can seemingly interact with the
patient.
Proponents of VR-assisted treatment say it allows therapists
to control the setting while providing a more realistic atmosphere
than traditional methods using talk therapy and visualization
techniques.
Psychologist Paula Levine, director of the Agoraphobia Resource
Center in Coral Gables, Fla., has her phobic patients imagine
worst-case scenarios and use techniques like deep breathing
to get them through the scary experience.
"We have them visualize the situation using their imagination
in our office," she said.
But visualization can have its limitations. Wiederhold said
only about 15 percent of the population have good imagery
skills, so in-office mental exercises can be less-than-effective
in many cases.
The difficulty with visualization is one of the reasons the
Anxiety Treatment Center in Schaumburg, Ill., puts its patients
into therapist-guided real-life situations. The fear-of-flying
course, for instance, ends with an actual flight.
"We do as much real-life exposure as we can," said
Executive Director David Carbonell. "If someone is afraid
of flying, we take them in an airplane."
Carbonell doesn't use VR technology, in part because of the
prohibitive costs and in part because he believes real-world
treatment is more effective.
Of virtual reality methods, he said, "I didn't think
it was an improvement over what I can do now."
Virtual reality has been incorporated into therapy since
the early 1990s, but the slow evolution of the technology
and its exorbitant costs (up to $8,000 for the equipment)
have prevented it from catching on quickly.
"It's not that widely used yet," said Wiederhold.
"The cost still seems prohibitive for mental health professionals."
But in spite of the slow growth of the movement, Wiederhold
and others in the field believe VR is the wave of the future
in psychotherapy.
"While talk therapy will never disappear, VR technology
can serve as a tool" to measure how people react in a
simulated situation like the one they're having trouble with,
Rizzo said.
"This isn't going to replace all the traditional methods,
but it will enhance the capabilities of traditional methods,"
he said. "We've got a good future ahead of us to revolutionize
how therapy and other areas of psychology are done." |