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Virtual reality aid for schizophrenia

The device mimics hallucinations
BBC News Online June 26, 2002

Showing schizophrenic patients "virtual reality" hallucinations, could help convince them their own hallucinations are not real, scientists believe.

The psychiatrists who devised the technique believe it could show them they have a condition which requires treatment.

UK mental health experts said using virtual hallucinations on vulnerable patients was interesting, but required caution.

But they said it could be useful in showing relatives and careers what schizophrenia is like.

The virtual hallucinations have the same sights and sounds a patient would see in a real one - such as hearing the TV tell them to kill themselves, walls closing in or one person's face morphing into another, with an abusive running commentary.

One in 10 people with schizophrenia is eventually driven to suicide.

Researchers from the University of Queensland in Brisbane have built a prototype 3D virtual reality simulation, which they say could be used to help patients confront their psychoses when drug therapy fails.

They say it could work in the same way as using virtual reality to help people get over phobias about spiders or heights.

The simulator has a wrap-around screen onto which an image of a typical living room is projected.

It can be changed to replicate common hallucinations.

Frightening

The researchers, led by Dr Peter Yellowlees, a psychiatrist at the University of Queensland, are now attempting to recreate the hallucinations experienced by a woman whose schizophrenia is now under control.

The next step will be to use virtual reality in a treatment program for patients.

Dr Yellowlees has already used video-conferencing to treat schizophrenic patients in remote parts of Australia.

He admits some patients may find the virtual hallucinations frightening, but is optimistic many will be able to distinguish between real hallucinations and the virtual ones.

Andy Dennison, a member of the research team, said it is hoped it will eventually be possible to model the hallucinations on environments relevant to each patient.

"They would bring us a few photos and we would build a virtual model of their sitting room or a hospital environment," he said.

Courage

Paul Corry of the UK's National Schizophrenia Fellowship told BBC News Online: "This is an exciting development and shows how modern technological breakthroughs can be applied to severe mental illness, a health area often overlooked by researchers.

"Its application would need to be carefully monitored as people with schizophrenia whose thoughts are already disturbed, may find the experience of another altered reality troubling."

He added: "One area where it could be introduced immediately is in tackling the public's prejudice, ignorance and fear of severe mental illness.

"This 3D 'virtual' experience would allow the public to rethink their attitudes to people who live with hallucinations and to appreciate the courage of the very many people with schizophrenia who are able to recover a meaningful and fulfilling life."

Source: http://news.bbc.co.uk/hi/english/health/newsid_2066000/2066973.stm
 

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Aussie schizophrenia treatment
www.News.Com.AU June 27, 2002

AUSTRALIAN psychiatrists have developed a virtual reality environment that recreates schizophrenic hallucinations in an attempt to convince patients that their hallucinations are not real.

They plan to show patients that they suffer from an illness that requires treatment, and hope they can teach them to ignore hallucinations in real life when drug therapy fails, New Scientist magazine reports.

Virtual reality is already being used to help patients with phobias about spiders or heights.

But using it to recreate psychotic hallucinations, including patients hearing their TV sets instructing them to kill themselves or seeing inanimate objects morphing into faces or people, is unprecedented.

One in 10 schizophrenics eventually commits suicide.

"Any attempt to help people to monitor, recognize and create strategies to deal with their hallucinations and other psychotic symptoms in a controlled environment is good," David Castle, of Melbourne's Mental Health Research Institute, said.

University of Queensland psychiatrist Peter Yellowlees and his team have built a prototype 3D virtual reality simulation that shows a typical living room projected onto a wraparound screen.

The virtual setting can be modified to mimic common hallucinations by making the walls appear to be closing in, photographs of one person's face morphing into another's, and straight lines such as the edge of picture frames wobbling.

At the same time, a soundtrack gives an abusive running commentary, typical of many schizophrenic hallucinations.

The prototype is helping doctors and relatives get a better understanding of the disorder.

"It's early days. Some of the psychosis depicted is not as florid and as lucid as some people see, but it helps you realize what a person with mental illness is going through," Schizophrenia Fellowship of South Queensland president Peter Darling said.

Dr Yellowlees admits some patients might find the virtual hallucinations frightening but he is optimistic that many will be able to distinguish between their own hallucinations and the virtual ones.

Eventually, the researchers plan to tailor the hallucinations to individual patients.

"They would bring us a few photos and we would build a virtual model of their sitting room or a hospital environment," team member Andy Dennison said.

Source:  http://www.news.com.au/common/story_page/0,4057,4588535%255E1702,00.html

 

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Virtual Reality Helps Schizophrenia Patients
Reuters June 27, 2002

LONDON (Reuters) - Australian scientists are using virtual reality to conjure up demons plaguing schizophrenia patients to help them realize they are not real.

By confronting the psychoses, staff at the Mental Health Research Institute in Melbourne and the University of Queensland in Brisbane hope patients will be better able to deal with their hallucinations and ignore them.

"Any attempt to help people monitor, recognize and create strategies to deal with their hallucinations and other psychotic symptoms in a controlled environment is good," David Castle, one of the researchers, told New Scientist magazine.

A prototype 3D virtual reality simulation depicts a living room that mimics common hallucinations -- walls that close in, picture frames that wobble, faces that morph into each other -- and an equally disturbing soundtrack.

"The prototype is already helping doctors and relatives of people with schizophrenia get a better understanding of the disorder," according to the magazine.

Although it may be too frightening for some patients, the scientists think it has great potential. In the future they hope to create models that mimic the patient's own environment, so the hospital or living room will be one they are familiar with.

Source:  yahoo news

This "Mental Health E-News" posting is a service of the New York Ass'n of Psychiatric Rehabilitation Services, a statewide coalition of people who use and/or provide community mental health services dedicated to improving services and social conditions for people with psychiatric disabilities by promoting their recovery, rehabilitation and rights. To join our list, e-mail us your request and, where appropriate, the name of your organization to NYAPRS@aol.com.

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