Creating state of the art,next-generation Virtual Reality exposure therapies for anxiety disorders using consumer hardware platforms: design considerations and future directions

Decades of research and more than 20 randomized controlled trials show that Virtual Reality exposure therapy (VRET) is effective in reducing fear and anxiety. Unfortunately, few providers or patients have had access to the costly and technical equipment previously required. Recent technological advances in the form of consumer Virtual Reality (VR) systems (e.g. Oculus Rift and Samsung Gear), however, now make widespread use of VRET in clinical settings and as self-help applications possible. In this literature review, we detail the current state of VR technology and discuss important therapeutic considerations in designing self-help and clinician-led VRETs, such as platform choice, exposure progression design, inhibitory learning strategies, stimuli tailoring, gamification, virtual social learning and more. We illustrate how these therapeutic components can be incorporated and utilized in VRET applications, taking full advantage of the unique capabilities of virtual environments, and showcase some of these features by describing the development of a consumer-ready, gamified self-help VRET application for low-cost commercially available VR hardware. We also raise and discuss challenges in the planning, development, evaluation, and dissemination of VRET applications, including the need for more high-quality research. We conclude by discussing how new technology (e.g. eye-tracking) can be incorporated into future VRETs and how widespread use of VRET self-help applications will enable collection of naturalistic “Big Data” that promises to inform learning theory and behavioral therapy in general.     

Die‐by Framing both Lengthens and Shortens Life: Further Evidence on Constructed Beliefs in Life Expectancy

Decisions regarding consumption over the lifespan require some estimate of how long that lifespan is likely to be. Payne et al. (2013) found that respondents' estimates of their own life expectancy are on average 8.6 years shorter when elicited using a die‐by frame than when elicited by a live‐to frame. If decision makers act on these life expectancies, then an arbitrary detail of framing will lead to drastically different choices. We propose that the framing effect is sensitive to the iterative probabilistic elicitation procedure employed by the previous literature. Study 1 compares the framing effect across the iterative probabilistic procedure and a point estimate procedure that simply asks respondents the age they will live to/die by. The iterative probabilistic procedure implies a life expectancy six years shorter in the die‐by frame than in the live‐to frame, replicating the results of Payne et al. (2013). With the point estimate procedure, however, the framing effect reverses: the die‐by frame increases life expectancy by three years. In Study 2, we test for the framing effect using a point estimate procedure on a representative sample of 2000 Britons. Again, and in contrast with the previous literature, we find that the die‐by frame implies longer life. Our results reinforce the previous literature that beliefs around life expectancy are constructed. We recommend caution when attempting to debias life expectancy estimates or using life expectancies in choice architecture. Copyright © 2017 John Wiley & Sons, Ltd.     

Family conflict and academic performance of first-year Asian American undergraduates

This three-study investigation examined risk and protective factors for poor academic performance among Asian American first-year undergraduates. Students were surveyed prior to starting college and their GPA was collected after their first semester in college. Family conflict as a significant risk factor for poor academic performance was examined in all three studies. The results indicate that higher family conflict prior to college was related to lower first-semester college GPA, after controlling for standardized test scores and high school rank (Studies 1-3). Even though psychological distress was related to both family conflict and GPA, it did not mediate the relationship between family conflict and GPA (Studies 2 and 3). In terms of protective factors, the results indicate that life satisfaction buffered the negative effects of family conflict on first-semester college GPA (Study 3). Together, these findings support the need to take into account family variables and psychological well-being in the academic performance of Asian American students as they transition from high school to college.     

Irrelevant visual faces influence haptic identification of facial expressions of emotion

This study demonstrates that when people attempt to identify a facial expression of emotion (FEE) by haptically exploring a 3D facemask, they are affected by viewing a simultaneous, task-irrelevant visual FEE portrayed by another person. In comparison to a control condition, where visual noise was presented, the visual FEE facilitated haptic identification when congruent (visual and haptic FEEs same category). When the visual and haptic FEEs were incongruent, haptic identification was impaired, and error responses shifted toward the visually depicted emotion. In contrast, visual emotion labels that matched or mismatched the haptic FEE category produced no such effects. The findings indicate that vision and touch interact in FEE recognition at a level where featural invariants of the emotional category (cf. precise facial geometry or general concepts) are processed, even when the visual and haptic FEEs are not attributable to a common source. Processing mechanisms behind these effects are considered.     

Biased interpretation in perfectionism and its modification

Perfectionism is a transdiagnostic construct associated with a range of diagnoses, including depression, eating disorders and obsessive compulsive disorder. Treatments that directly target perfectionist cognitions have been shown to successfully reduce associated pathologies. However, the way in which they do this is not clear. We set out to assess the role of one candidate mechanism of action, namely the cognitive process of interpretation of ambiguity. In one experiment we looked for associations between biased interpretation and perfectionism. In a second, we manipulated interpretations, thereby providing a strong test of their aetiological significance. Results from the first experiment confirmed the presence of biased interpretation in perfectionism and demonstrated that these are highly specific to perfection relevant information, rather than reflecting general negativity. The second experiment succeeded in manipulating these perfection relevant interpretations and demonstrated that one consequence of doing so is a change in perfectionist behaviour. Together, these data experimentally demonstrate that biased interpretation of perfection relevant ambiguity contributes to the maintenance of perfectionism, but that it is also possible to reverse this. Clinical implications include the identification of one likely mechanism of therapeutic change within existing treatments, as well as identification of an appropriate evidence-based focus for future treatment development. Targeting underlying functional mechanisms, such as biased interpretation, has the potential to offer transdiagnostic benefits.     

From over-imitation to super-copying: adults imitate causally irrelevant aspects of tool use with higher fidelity than young children

Recent research has revealed a striking tendency in young children to imitate even causally irrelevant actions, a phenomenon dubbed 'over-imitation'. To investigate whether children develop beyond this, we allowed both adults and children to witness either a child or adult model performing goal-relevant and goal-irrelevant actions to extract a reward from a transparent puzzle box. Surprisingly, copying of irrelevant actions increased with age, with the adults performing the task with less efficiency than the children. Participants of all ages were more likely to perform the irrelevant actions performed by an adult model, than by a child model. These results suggest that people may become more imitative as they mature, whilst selectively copying particular models with a high level of fidelity. We suggest that this combination of faithful copying and selectivity underwrites the powerful social learning necessary for the level of cultural transmission on which our species depends.     

The Effect of Religious Short‐Term Mission Trips on Youth Civic Engagement

Religious short‐term mission trips are an increasingly popular form of American religious practice, especially among young people. Both organizers and participants often emphasize their transformative nature. However, scholarly efforts to evaluate systematically the social consequences of religious short‐term mission trips are lacking. To address this neglect, our article investigates whether going on a religious short‐term mission trip significantly differentiates youth who engage in civic actions from those who do not. Based on quantitative analysis of Wave I of the National Survey of Youth Religion (NSYR), we find that, controlling for other important factors, taking a mission trip significantly increases the likelihood of adolescents participating in various forms of civic activity, particularly religious‐based volunteer work. Drawing on prior scholarship on religious short‐term mission and similarly focused trips and in‐depth interview data from trip participants, we outline several theoretical mechanisms that likely explain the link between taking a mission trip and civic engagement.     

In‐group and role identity influences on the initiation and maintenance of students' voluntary attendance at peer study sessions for statistics

Background. Although class attendance is linked to academic performance, questions remain about what determines students' decisions to attend or miss class. Aims. In addition to the constructs of a common decision‐making model, the theory of planned behaviour, the present study examined the influence of student role identity and university student (in‐group) identification for predicting both the initiation and maintenance of students' attendance at voluntary peer‐assisted study sessions in a statistics subject. Sample. University students enrolled in a statistics subject were invited to complete a questionnaire at two time points across the academic semester. A total of 79 university students completed questionnaires at the first data collection point, with 46 students completing the questionnaire at the second data collection point. Method. Twice during the semester, students' attitudes, subjective norm, perceived behavioural control, student role identity, in‐group identification, and intention to attend study sessions were assessed via on‐line questionnaires. Objective measures of class attendance records for each half‐semester (or ‘term’) were obtained. Results. Across both terms, students' attitudes predicted their attendance intentions, with intentions predicting class attendance. Earlier in the semester, in addition to perceived behavioural control, both student role identity and in‐group identification predicted students' attendance intentions, with only role identity influencing intentions later in the semester. Conclusions. These findings highlight the possible chronology that different identity influences have in determining students' initial and maintained attendance at voluntary sessions designed to facilitate their learning.