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.     

Appraising Loftus and Palmer (1974) post-event information versus concurrent commentary in the context of sport

Two experiments were conducted to examine framing effects in sport. In Experiment 1, a conceptual replication [Loftus, E. F., & Palmer, J. C. (1974). Reconstruction of automobile destruction: An example of the interaction between language and memory. Journal of Verbal Learning and Verbal Behavior, 13(5), 585–589], participants watched a hockey collision, with the hit described later in a written format as a “contact”, “bump”, or “smash”. This manipulation resulted in no differences in participants’ report of how fast the players were skating, their intentions, and the outcome of the hit. In Experiment 2, participants watched the same video clip with ongoing commentary. Those who heard the announcer describing the event as “contact” estimated a higher skating speed than participants who were exposed to the “smash” commentary. Participants who were exposed to the “bump” commentary rated the repercussions of the collision as less severe than did those exposed to the other commentaries. These findings show that the perception of magnitude hierarchy may be domain specific and suggest future avenues for exploring framing effects when one is exposed to visual stimuli.     

Local spatial distortion caused by simple geometrical figures

Dynamic distortion of the visual field has been shown to affect perceptual judgment of visual dimensions such as size, length, and distance. Here, we report four experiments demonstrating that the different aspects of a triangle differently influence judgments of distance. Specifically, when the base of the triangle faces the centre of the display, participants consistently underestimate and overestimate the distance of a small dot from the unmarked centre of the display relative to conditions in which the vertex of the triangle faces the centre. When the dot is close to the figure, the distance of the dot to the centre is underestimated. Conversely, when the dot is close to the figure, the distance to the centre is overestimated. The effect is replicated when the internal distances are equalized and when ellipses are used instead of triangles. These results support a ripple model of spatial distortion in which local curvature acts to attract or repel objects. In conclusion, we suggest some implications of our findings for theories of perceptual organization.     

Evolution and human motivation: A fundamental motives framework

An evolutionary perspective on human motivation provides a means of identifying conceptually distinct motivational systems (including motives pertaining to self‐protection, disease avoidance, affiliation, status, mate acquisition, mate retention, and parental care), each of which has unique implications for affect, cognition, and behavior. We provide an illustrative summary of some of these empirically documented implications—including those pertaining to individual differences in chronic motivational tendencies, as well as additional implications that follow from temporary activation of these motivational systems. We also summarize a variety of broader implications—both conceptual and practical—that follow from this framework.     

Testing the generality of the zoom-lens model: Evidence for visual-pathway specific effects of attended-region size on perception

There are volumes of information available to process in visual scenes. Visual spatial attention is a critically important selection mechanism that prevents these volumes from overwhelming our visual system’s limited-capacity processing resources. We were interested in understanding the effect of the size of the attended area on visual perception. The prevailing model of attended-region size across cognition, perception, and neuroscience is the zoom-lens model. This model stipulates that the magnitude of perceptual processing enhancement is inversely related to the size of the attended region, such that a narrow attended-region facilitates greater perceptual enhancement than a wider region. Yet visual processing is subserved by two major visual pathways (magnocellular and parvocellular) that operate with a degree of independence in early visual processing and encode contrasting visual information. Historically, testing of the zoom-lens has used measures of spatial acuity ideally suited to parvocellular processing. This, therefore, raises questions about the generality of the zoom-lens model to different aspects of visual perception. We found that while a narrow attended-region facilitated spatial acuity and the perception of high spatial frequency targets, it had no impact on either temporal acuity or the perception of low spatial frequency targets. This pattern also held up when targets were not presented centrally. This supports the notion that visual attended-region size has dissociable effects on magnocellular versus parvocellular mediated visual processing.     

Human classifier: Observers can deduce task solely from eye movements

Computer classifiers have been successful at classifying various tasks using eye movement statistics. However, the question of human classification of task from eye movements has rarely been studied. Across two experiments, we examined whether humans could classify task based solely on the eye movements of other individuals. In Experiment 1, human classifiers were shown one of three sets of eye movements: Fixations, which were displayed as blue circles, with larger circles meaning longer fixation durations; Scanpaths, which were displayed as yellow arrows; and Videos, in which a neon green dot moved around the screen. There was an additional Scene manipulation in which eye movement properties were displayed either on the original scene where the task (Search, Memory, or Rating) was performed or on a black background in which no scene information was available. Experiment 2 used similar methods but only displayed Fixations and Videos with the same Scene manipulation. The results of both experiments showed successful classification of Search. Interestingly, Search was best classified in the absence of the original scene, particularly in the Fixation condition. Memory also was classified above chance with the strongest classification occurring with Videos in the presence of the scene. Additional analyses on the pattern of correct responses in these two conditions demonstrated which eye movement properties successful classifiers were using. These findings demonstrate conditions under which humans can extract information from eye movement characteristics in addition to providing insight into the relative success/failure of previous computer classifiers.     

Cognitive control in media multitaskers: Two replication studies and a meta-Analysis

Ophir, Nass, and Wagner (2009, Proceedings of the National Academy of Sciences of the United States of America, 106(37), 15583–15587) found that people with high scores on the media-use questionnaire—a questionnaire that measures the proportion of media-usage time during which one uses more than one medium at the same time—show impaired performance on various tests of distractor filtering. Subsequent studies, however, did not all show this association between media multitasking and distractibility, thus casting doubt on the reliability of the initial findings. Here, we report the results of two replication studies and a meta-analysis that included the results from all published studies into the relationship between distractor filtering and media multitasking. Our replication studies included a total of 14 tests that had an average replication power of 0.81. Of these 14 tests, only five yielded a statistically significant effect in the direction of increased distractibility for people with higher scores on the media-use questionnaire, and only two of these effects held in a more conservative Bayesian analysis. Supplementing these outcomes, our meta-analysis on a total of 39 effect sizes yielded a weak but significant association between media multitasking and distractibility that turned nonsignificant after correction for small-study effects. Taken together, these findings lead us to question the existence of an association between media multitasking and distractibility in laboratory tasks of information processing.

     

The problem of invoking infinite polytheisms: a response to Raphael Lataster and Herman Philipse

Raphael Lataster and Herman Philipse present an argument which they think decisively demonstrates polytheism over monotheism, if theism is assumed. Far from being decisive, the argument depends on very controversial and likely false assumptions about how to treat infinities in probability. Moreover, these problems are well known. Here, we focus on three objections. First, the authors rely on both countable additivity and the Principle of Indifference, which contradict each other. Second, the authors rely on a particular way of dividing up the possibility space, when there are equally as reasonable alternative divisions which give different answers to the one the authors arrived at. Third, the authors’ argument proves too much, giving us an argument against many positions we should not be able to argue against so easily.     

Renewed behavior produced by context change and its implications for treatment maintenance: A review

Behavioral treatment gains established in one setting do not always maintain in other settings. The present review examines the relevance of basic and translational research to understanding failures to maintain treatment gains across settings. Specifically, studies of the renewal effect examine how transitioning away from a treatment setting could evoke a return of undesirable behavior, rather than newly trained appropriate behavior. Studies of renewal typically arrange three phases, with a response trained and reinforced under a particular set of contextual stimuli in the first phase. Next, that response is extinguished, often under a different set of contextual stimuli. Finally, that response returns despite extinction remaining in effect upon returning to the original training context or transitioning to a novel context. Thus, removing the extinction context is sufficient to produce a recurrence of the response. The findings suggest treatment effects can become specific to the context in which the treatment was delivered. This literature offers promising methods for systematically assessing the factors contributing to treatment maintenance and improving generalization of treatment gains across contexts. Therefore, the present review suggests basic and translational research on renewal provides an empirical literature to bring greater conceptual systematization to understanding generalization and maintenance of behavioral treatment.