Abstract
Zusammenfassung.Theoretischer Hintergrund und Fragestellung: Eine von Jahr zu Jahr steigende Anzahl von Publikationen signalisiert die Entstehung eines neuen Gebiets der Klinischen Psychologie, das man “Klinische Cyberpsychologie“ nennen könnte. Die vorliegende Arbeit versucht vor allem einen Überblick über die neuesten Ergebnisse der Anwendung “virtueller Realitäten“ (VR) in der psychologischen Diagnostik und Behandlung zu geben. Methode: Es wurden drei Ansätze unterschieden: a) Die E-Therapie, b) die VR-Therapie und c) die VR-Teletherapie. Diese Dreiteilung gilt im Wesentlichen auch für den Bereich der Diagnostik, Beratung und Rehabilitation. Ergebnisse und Schlussfolgerungen: Mit Hilfe computergenerierter virtueller Szenarien kann eine wirklichkeitsnahe Reizmodellierung vorgenommen werden, die nicht nur eine gut kontrollierbare Reizdarbietung ermöglicht, sondern darüber hinaus auch eine interaktive Gestaltung zulässt. Dies gibt Anlass zur Hoffnung, dass durch den gezielten Einsatz virtueller Systeme die psychologische Diagnostik und Behandlung wesentlich verbessert werden kann.
Abstract.Background and objective: A steadily increasing number of publications indicate the emergence of a new field in clinical psychology that may be called “clinical cyber psychology”. An attempt is made to give a survey of recent results of applying “virtual realities” (VR) to psychological assessment and treatment. Method: The present study distinguishes between three approaches: a) E-therapy, b) VR-therapy, and c) VR-teletherapy. By and large, these distinction categories (E, VR, and VR-tele) apply also to psychological assessment, counseling, and rehabilitation. Results and conclusions: Computer-generated 3 D virtual realities provide a high level of control of both stimulus presentation and interaction between patients and the virtual environment. It is hoped that the application of virtual reality technologies may contribute to essential improvements in the field of psychological assessment and treatment.
Literatur
(2000). A new realistic 3D body representation in virtual environments for the treatment of disturbed body image in eating disorders. CyberPsychology & Behavior , 3, 433–439.
(2003). Internet-based telehealth system for the treatment of agoraphobia. CyberPsychology & Behavior , 6, 355–358.
(2000). Evolution of the virtual human: from term to potential application in psychiatry. CyberPsychology & Behavior , 3, 321–326.
(1992). Ethical principles of psychologists and code of conduct. American Psychologist , 47, 1597–1611.
(Ed.) (2000). Psychology and the internet [special issue]. Monitor on Psychology , 31(4),.
(2004). Computer-supported cognitive behavioral treatment of anxiety disorders. Journal of Clinical Psychology , 60, 253–267.
(1971). Social learning theory. New York: General Learning Press.
(1974). Behavior theory and models of man. American Psychologist , 29, 859–869.
(2003). A virtual reality system für neurobehavioral and functional MRI studies. CyperPsychology & Behavior , 6, 259–266.
(2002). Virtuelle Realität als Gegenstand und Methode in der Psychologie. In G. Bente, N. C. Krämer & A. Petersen (Hrsg.), Virtuelle Realitäten (S. 1-31). Göttingen: Hogrefe.
(Hrsg.) (2003). [Themenheft] Psychologie in Österreich , 23, .
(1992). Communication within virtual reality: Creating space for research. Journal of Communication , 42, 5–22.
(1995). The vision of virtual reality. In F. Biocca & M. Levy (Eds.), Communicaton in the age of virtual reality (pp. 57-126), Hillsdale, NJ: Erlbaum.
(1973). Biofeedback - Furor Therapeuticus. In L. Birk (Ed.), Biofeedback: Behavioral Medicine (pp. 1-4). New York: Grune & Stratton.
(2003). Spatial navigation in virtual reality environments: An EEG analysis. CyberPsychology & Behavior , 6, 487–495.
(2002). An evaluation of the efficacy of training people with learning disabilities in virtual environments. Disability and Rehabilitation , 24, 622–626.
(2004). Computer treatment for common mental health problems. Journal of Clinical Psychology , 60, 239–251.
(2003). CyberPsychology meets clinical psychology: The emergence of e-therapy in mental health care. In G. Riva & C. Gamimberti (Eds.), Towards Cyberpsychology: Mind, cognition and society in the internet age (pp. 229-252). Amsterdam: IOS Press.
(1999). Temperament: A new paradigm for trait psychology. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (2nd ed., pp. 399-423). New York: Guilford.
(1992). Four ways of five factors are basic. Personality and Individual Differences , 13, 653–665.
(2002). The UFRJ-UERJ group: Interdisciplinary virtual reality experiments in neuropsychiatry. CyperPsychology & Behavior , 5, 423–431.
(2003). Bio-phobias/techno-philias: virtual reality exposure as treatment for phobias of “nature“. Sociology of Health & Illness , 25, 644–661.
(2003). A virtual reality system for the training of volunteers involved in health emergency situations. CyberPsychology & Behavior , 6, 267–274.
(2002). Virtual reality exposure therapy for the world trade center post-traumatic stress disorder: A case report. CyberPsychology & Behavior , 5, 529–535.
(1972). Response specificity. In N. S. Greenfield & R. A. Sternbach (Eds.), Handbook of Psychophysiology (pp. 571-576). New York: Holt, Rinehart and Winston.
(1993). Pathological anxiety: The meaning and the structure of fear. In N. Birbaumer & A. Öhman (Eds.), The structure of emotion. Psychphysiological, cognitive and clinical aspects (pp. 111-121). Seattle: Hogrefe & Huber.
(2002). Internet use and social support in women with breast cancer. Health Psychology , 21, 398–404.
(2001). Three versus six sessions of computer-aided vicarious exposure treatment for spider phobia. Behaviour Change , 18, 213–224.
(2002). A cognitive model of persecutery delusions. British Journal of Clinical Psychology , 41, 331–347.
(2003). Can virtual reality be used to investigate persecutory ideation?. Journal of Nervous and Mental Disease , 191, 509–514.
(2003). Avatars in clinical psychology: A framework for the clinical use of virtual humans. CyberPsychology & Behavior , 6, 117–125.
(2003). Three-dimensional virtual environments for cybertherapy: A psychosocial approach to effective usability. CyberPsychology & Behavior , 6, 229–235.
(2003). Responding to a fire emergency in a virtual environment: different patterns of action for different situations. Ergonomics , 46, 842–858.
(2002). Virtual reality in the treatment of spider phobia: a controlled study. Behaviour Research and Therapy , 40, 983–993.
(2003). Use of virtual reality as a distractor for painful procedures on a patient with pediatric cancer: A case study. CyberPsychology & Behavior , 6, 657–661.
(2003). Long-term follow-up of computer-aided vicarious exposure versus live graded exposure in the treatment of spider phobia. Behavior Therapy , 34, 65–76.
(2002). Journal of the American Acadademy of Child and Adolescence. Psychiatry , 41, 1182–1189.
(2002). Brief virtual reality therapy for public speaking anxiety. CyberPsychology & Behavior , 5, 543–550.
(2003). Interfaces that heal: Coupling real and virtual objects to cure spider phobia. International Journal of Human-Computer Interaction , 16, 283–300.
(2003). The illusion of presence in immersive virtual reality during an fMRI brain scan. CyberPsychology & Behavior , 6, 127–131.
(1999). Evaluating the effects of a virtual environment (STARBRIGHT World) with hospitalized children. Research on Social Work Practice , 9, 365–382.
(2000). The effects of a computer network on pediatric pain and axiety. Journal of Technology in Human Services , 17, 27–47.
(2002). The impact of a computer network on pediatric pain and anxiety: A randomized controlled clinical trial. Social Work in Health Care , 36, 21–33.
(2003). Pediatric pain and Anxiety: A meta-analysis of outcomes for a behavioral telehealth intervention. Research on Social Work Practice , 13, 693–704.
(1998). An introduction to usability. New York: Taylor and Francis.
(1999). Human theta oscillation exhibit task dependence during virtual maze navigation. Nature , 399, 781–784.
(2002). Virtuelle Helfer: Embodied Conversational Agents in der Mensch-Computer-Interaktion. In G. Bente, N. C. Krämer & A. Petersen (Hrsg.), Virtuelle Realitäten (S. 202-225). Göttingen: Hogrefe.
(2004). Treatment of acrophobia in virtual reality: The role of immersion and presence. Behaviour Research and Therapy , 42, 229–239.
(1979). A bio-informational theory of emotional imagery. Psychophysiology , 16, 495–512.
(2000). Online support groups gaining credibility. Lancet , 355, 1834–.
(1992). An inside view of the future of virtual reality. Journal of Communication , 42, 150–172.
(2003). Experimental application of virtual reality for nicotine craving through cue exposure. CyberPsychology & Behavior , 6, 275–280.
(2002). Virtual reality exposure therapy for the treatment of fear of flying: A controlled investigation. Journal of Consulting and Clinical Psychology , 70, 1112–1118.
(1998). On the status of individual response specificity. Psychophysiology , 35, 1–15.
(2002). Effectiveness of virtual reality for teaching pedestrian safety. CyberPsychology & Behavior , 5, 185–190.
(2002). Panic and agoraphobia in a virtual world. CyberPsychology & Behavior , 5, 197–202.
(2003). A Platform for combining virtual reality experiments with functional magnetic resonance imaging. CyberPsychology & Behavior , 6, 359–368.
(2001). Repeated exposure of flight phobics to flights in virtual reality. Behaviour Research and Therapy , 39, 1033–1050.
(2003). Efficacy of a one-session virtual reality exposure treatment for fear of flying. Psychotherapy Research , 13, 323–336.
(1994). Randomization tests for restricted alternating treatment designs. Behavior Research and Therapy , 32, 783–786.
(2000). Parasoziale Beziehungen zu einer Dozentin im Netz. Medienpsychologie , 12, 242–259.
(2003). “Virtual“ health care organizations and the challenges of improving quality. Health Care Management Review , 28, 79–92.
(2003). Virtual reality in eating disorders. European Eating Disorders Review , 11, 261–278.
(2002). Virtuelle Stellvertreter: Analyse avatar-vermittelter Kommunikationsprozesse. In G. Bente, N. C. Krämer & A. Petersen (Hrsg.), Virtuelle Realitäten (S. 228-253). Göttingen: Hogrefe.
(2003). Might virtual reality promote the mood benefits of exercise?. Computers in Human Behavior , 19, 495–509.
(2000). Self-help sites: a blessing or bane?. Monitor on Psychology , 31, 28–30.
(2002). Virtual personalities: A neural network model of personality. Personality and Social Psychology Review , 6, 357–369.
(2002). Virtual reality and the person-environment experience. CyberPsychology & Behavior , 5, 559–564.
(2003). Effects of haptic feedback and turblence on landing performence using immersive cave automatic virtual environment (CAVE). Perceptual and Motor Skills , 97, 820–832.
(2002). Virtual reality for health care: The Status of research. CyberPsychology , 5, 219–225.
(1997). Virtual reality as assessment tool in psychology. Studies in Health Technology and Informatics , 44, 77–79.
(1997). Virtual reality for the treatment of body image disturbances. In G. Riva (Ed.), Virtual reality in neuro-psycho-physiology: Cognitive, clinical and methodological issues in assessment and rehabilitation (pp. 95-111). Amsterdam: IOS Press.
(2002). Virtual environments for the assessment of attention and memory processes: The virtual classroom and office. Proceeedings of the International Conference on Disability, Virtual Reality and Associated Technology (ICDVRAT 2002). Veszprem, Hungary.
The challenge of using virtual reality in telerehabilitation. Telemedicine Journal and E-Health , .
(in press)(2003). Anxiety and presence during VR immersion: A comparative study of the reactions of phobic a nd non-phobic participants in therapeutic virtual environments derived from computer games. CyberPsychology & Behavior , 6, 467–476.
(2001). Learning and memory in virtual environments - a role in neurorehabilitation? Questions (and occasional answers) from UEL. Presence-Teleoperators and Virtual Environment , 10, 345–358.
(2000). A controlled study of virtual reality exposure therapy for fear of flying. Journal of Consulting and Clinical Psychology , 68, 1020–1026.
(2002). Virtual reality: a new tool for panic disorder therapy. Expert Rev. Neurotherapeutics , 2, 89–95.
(2003). Virtual reality intervention for older women with breast cancer. CyberPsychology & Behavior , 6, 301–307.
(2003). An investigation of road crossing in a virtual environment. Accident Analysis & Prevention , 35, 787–796.
(1993). Representation systems, percerptual position, and presence in immersive virtual environments. Presence , 2, 221–233.
(1992). Defining virtual reality: Dimensions determing telepresence. Journal of Communication , 42, 73–93.
(2001). EHealth traffic critically dependent onsearch engines and portals. Health Care News , 1(13),1–3.
(2004). Computer and internet applications for psychological treatment: Update for clinicians. Journal of Clinical Psychology , 60, 209–220.
(2003). Preliminary research on the efficacy of virtual reality exposure therapy to treat driving phobia. CyberPsychology & Behavior , 6, 459–467.
(2003). Exploring the use of computer games and virtual reality in exposure therapy for fear of driving following a motor vehicle accident. CyberPsychology & Behavior , 6, 329–334.
(2003). Virtual realitiy provides leisure time opportunities for young adults with physical and intellectual disabilities. CyberPsychology & Behavior , 6, 335–342.
(2003). Three-year follow-up for virtual reality exposure for fear of flying. CyberPsychology & Behavior , 6, 441–445.
(1996). A dyadic-interactional perspective on the five-factor model. In J. S. Wiggins (Ed.), The five-factor model of personality: Theoretical perspectives (pp. 88-162). New York: Guilford.
(2000). Effectiveness of an internet-based program for reducing risk factors for eating disorders. Journal of Consulting and Clinical Psychology , 68, 346–350.