At the end of the 6th session

1
At the end of the 6th session

• Relapse prevention
• what have you learned ?
• what are your high risk situations ?
• lapse vs relapse
• a lapse is a source of information about what
  went wrong and your reaction could turn a lapse
  into a relapse.
• From virtual to physical reality
• Plan self-exposure homework in necessary.

2
Fostering Presence / Anxiety

• Talk in non virtual terms.
• Walk toward the table and then please close the
  door.
• Highlight useful virtual stimuli.
• Ouch, its a big spider its legs are so long
  and its looking at you. Let the spider walk on
  the wall behind you.
• Give the participant some story line.
• Somebody collects spiders in that apartment and
  well visit it for awhile.
• Suggest sensations when you talk.
• It feels cold in here bend over if you dont
  want to hit
• your head on the lamp.

3
1997 Fear of Flying
4
Aviophobia 30 phobics (Wiederhold BK,
Wiederhold MD, 1999)

• 3 groups
• VR Exposure with NO physiological feedback
• VR Exposure WITH physiological feedback
• Imaginal exposure therapy (VIZ)
• 2 sessions breathing retraining
• 6 sessions of exposure

5
Behavioral Outcome 3 month follow-up
6
Behavioral Outcome 3 year follow-up
7
VRMC Video Clip Aviophobia
8
Airport Side by Side Shots
Unreal (Tournament)
Real
9
Fear of Flying Anticipatory Anxiety
10
Controlled Studies n gt 8
Aviophobia
Author Country Year of Pts Tx Grps
Wiederhold U.S. 1999 30 VR w/Fdbk, VR no Fdbk, VIZ
Rothbaum U.S. 2000 49 PC VR, In vivo, WLC
Botella Spain 2002 11 PC VR w/Anticipatory
Maltby U.S. 2002 45 VRE, In vivo
Wiederhold U.S. 2002 30 VRGETno, VRGETpm, IET
Jang Korea 2002 11 Driving vs. Flying
Wiederhold U.S. 2002 58 Phobic, non-phobic
Rothbaum U.S. 2002 49 VR, SE, WLC
Wiederhold U.S. 2003 30 VRGETno, VRGETpm, IET
Muhlberger Germany 2003 45 VRCBT, WLC
Botella Spain 2004 9 Multiple baseline
11
Fear of Flying

• Treatment
• Measures
• Virtual environments
• Procedure
• Fear of Flying studies

12
Treatment