Virtual Reality Exposure Therapy for PTSD Vietnam Veterans: A Case Study

Virtual reality (VR) integrates real-time computer graphics, body tracking devices, visual displays, and other sensory input devices to immerse a participant in a computer-generated virtual environment that changes in a natural way with head and body motion. VR exposure (VRE) is proposed as an alternative to typical imaginal exposure treatment for Vietnam combat veterans with posttraumatic stress disorder (PTSD). This report presents the results of the first Vietnam combat veteran with PTSD to have been treated with VRE. The patient was exposed to two virtual environments, a virtual Huey helicopter flying over a virtual Vietnam and a clearing surrounded by jungle. The patient experienced a 34% decrease on clinician-rated PTSD and a 45% decrease on self-rated PTSD. Treatment gains were maintained at 6-month follow-up.

[1]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[2]  C. Spielberger,et al.  STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire") , 1970 .

[3]  M. Horowitz,et al.  Impact of Event Scale: A Measure of Subjective Stress , 1979, Psychosomatic medicine.

[4]  D W Foy,et al.  Etiology of posttraumatic stress disorder in Vietnam veterans: analysis of premilitary, military, and combat exposure influences. , 1984, Journal of consulting and clinical psychology.

[5]  K. O’leary,et al.  The image of behavior therapy: It is time to take a stand * , 1984 .

[6]  M. Kozak,et al.  Emotional processing of fear: exposure to corrective information. , 1986, Psychological bulletin.

[7]  S. Orr,et al.  Psychophysiologic assessment of posttraumatic stress disorder imagery in Vietnam combat veterans. , 1987, Archives of general psychiatry.

[8]  Michel Hersen,et al.  Dictionary of behavioral assessment techniques , 1988 .

[9]  J. Fairbank,et al.  Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. , 1989 .

[10]  G. Clum,et al.  Imaginal flooding as a supplementary treatment for PTSD in combat veterans: A controlled study , 1989 .

[11]  B. Rothbaum,et al.  Behavioral/cognitive conceptualizations of post-traumatic stress disorder , 1989 .

[12]  B Altman,et al.  Psychophysiologic responses to combat imagery of Vietnam veterans with posttraumatic stress disorder versus other anxiety disorders. , 1990, Journal of abnormal psychology.

[13]  Dennis S. Charney,et al.  A CLINICIAN RATING SCALE FOR ASSESSING CURRENT AND LIFETIME PTSD: THE CAPS-1 , 1990 .

[14]  Patrick A. Boudewyns,et al.  Physiological response to combat memories and preliminary treatment outcome in Vietnam veteran PTSD patients treated with direct therapeutic exposure. , 1990 .

[15]  B. Jacobs,et al.  Serotonin and behavior: emphasis on motor control. , 1991, The Journal of clinical psychiatry.

[16]  B. Rothbaum,et al.  Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling. , 1991, Journal of consulting and clinical psychology.

[17]  M. L. Macklin,et al.  Psychiatric complications during flooding therapy for posttraumatic stress disorder. , 1991, The Journal of clinical psychiatry.

[18]  D. Weiss,et al.  The prevalence of lifetime and partial post-traumatic stress disorder in vietnam theater veterans , 1992 .

[19]  D. Weiss,et al.  The prevalence of lifetime and partial post-traumatic stress disorder in Vietnam theater veterans , 1992 .

[20]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[21]  James S. Williford,et al.  Virtual Reality Graded Exposure in the Treatment of Acrophobia: A Case Report , 1995 .

[22]  Thomas C. Meyer,et al.  Presence as the Defining Factor in a VR Application , 1994 .

[23]  Rob Kooper,et al.  Virtual Environments for Treating the Fear of Heights , 1995, Computer.

[24]  B. Rothbaum,et al.  Virtual reality exposure therapy in the treatment of fear of flying: a case report. , 1996, Behaviour research and therapy.

[25]  S. Weghorst,et al.  Virtual reality and tactile augmentation in the treatment of spider phobia: a case report. , 1997, Behaviour research and therapy.

[26]  R. Novaco,et al.  Cognitive-behavioral treatment for severe anger in posttraumatic stress disorder. , 1997, Journal of consulting and clinical psychology.

[27]  Steven Taylor,et al.  Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis , 1998 .