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Military Uses Virtual Iraq To Treat PTSD

Posted by samzenpus on Wed Sep 17, 2008 06:39 PM
from the virtually-fixed dept.
Hugh Pickens writes "Traditionally the best treatment for post-traumatic stress disorder [PTSD] — being raped, narrowly escaping the collapse of the Twin Towers, or witnessing a buddy die on the battlefield — is to have the person relive the trauma using his or her imagination. Repeated exposure to the horror can desensitize individuals and help them stay calm enough to reprocess what happened and get beyond it. Now Clinical Psychologist Albert "Skip" Rizzo has developed a program that has had great success in treating returning troops from Iraq. A soldier with PTSD recounts what happened, and a therapist seated before a computer then creates an environment in the program Virtual Iraq that captures the essential elements of the episode. By donning special goggles, the soldier can see a reenactment and while the simulation starts off relatively tame over the course of several weeks, the therapist monitors the patient 's response and more elements of the episode are introduced until the individual can finally go through an intensely vivid recreation of it without being overpowered by terror. Other programs offered to treat PTSD include Virtual Airplane, Virtual Audiences, Virtual Heights, Virtual Storm, and Virtual Vietnam."
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  • by Enderandrew (866215) <enderandrew@@@gmail...com> on Wednesday September 17 2008, @06:42PM (#25047037) Homepage Journal

    * Watching Uwe Boll films.
    * Being a chair in Ballmer's office.
    * Working as a new Microsoft guru and telling the angry masses with a straight face that Vista is great! No, really, it is!

    • * Reading Slashdot's Disagree Mail.
      * Watching anything on Fox News.
      * The new Firefox "Awesome" bar.
      • While I can't comment on chairs, I am sure, I have seen people surviving watching Uwe Boll movies or spewing Microsoft marketing crap in front of other people.

        On the other hand, if there is going to be some public beating of Microsoft marketdroid anywhere near SF Bay Area, count me in.

  • by Anonymous Coward

    Scientology techniques combined with computers!

    More seriously though, this is an effective technique, but it is painful for the person going through it. There are much better techniques found in fringe places like NLP that provide ways for people to get through severe problems like that without forcing them to relive trauma such as a rape over and over again. This technique seems almost sadistic.

  • by MarkusQ (450076) on Wednesday September 17 2008, @06:44PM (#25047065) Journal

    I'm waiting for Virtual Staff Meeting.

    *shudder*

    Although I suppose the fact that I can joke about it means I'm coming along. *twitch* *twitch*

    --MarkusQ

  • by mangu (126918) on Wednesday September 17 2008, @06:48PM (#25047137)

    ...do they have Virtual Girls?

  • Hard Sell (Score:5, Funny)

    by omnilynx (961400) on Wednesday September 17 2008, @06:48PM (#25047139)
    Yeah, I don't think "Virtual Rape" and "Virtual 9/11" will go over to well.
  • Virtual Vietnam

    I think I played that game years ago. It was severely unbalanced in the beginning with the attack helicopters that couldn't be shot down and the M60 infantry being deadly accurate on the move.

  • by Sir Holo (531007) on Wednesday September 17 2008, @06:56PM (#25047249)
    Other programs offered to treat PTSD include Virtual Airplane, Virtual Audiences, Virtual Heights, Virtual Storm, and Virtual Vietnam."

    And for the slashdot crowd, Virtual Pick-up, Virtual Bar-scene, and Virtual Date.
  • then someone should port the terror scenarios to an fps

    SERGEANT BILKO WENT INSANE DUE TO WHAT HAPPENED HERE, can you survive?

  • Doesn't this show that intense violent video games might very well have a desensitizing effect on kids? I'm not talking about stupid theories about turning kids into killers, I just mean that they might react less strongly, and possibly less negatively, to violence after playing Grand Theft Auto. Something to think about. Anyone have any studies based on this?

    p.s.
    I'm a gamer and personally love GTA and many other other very violent games.

  • by A nonymous Coward (7548) * on Wednesday September 17 2008, @07:05PM (#25047427)

    What if you suffer from PTSD induced in Second Life? Do they have a Virtual Virtual?

  • I've had virtual sex so many times I'm desensitized to that now, too.
  • This reminds me a little of the film Brainstorm [imdb.com] where they invent a device to record & playback sensations (audio/video/taste/touch/smell), but like any new & wonderful invention the military see what use they can use it for and develop recordings to torture people with.
  • The desensitization of an individual to violence through psychological conditioning is frequently featured in fiction, in the ST:TNG episode The Mind's Eye [memory-alpha.org] for example, as part of a multi-sensory simulation program necessary (supposedly) to create a Manchurian Candidate [wikipedia.org] style assassin. Theses studies offer at least some proof that people can be conditioned [wikipedia.org] to have a very casual reaction to an episode(s) of extreme violence, so perhaps the fiction is not too far off the mark.
  • by DynaSoar (714234) on Wednesday September 17 2008, @07:33PM (#25047823) Journal

    "Other programs offered to treat PTSD include Virtual Airplane, Virtual Audiences, Virtual Heights, Virtual Storm, and Virtual Vietnam."

    All but the last are for desenstitization of phobias (as are those for snakes and spiders). The same programs would work for PTSD as they're simply VR of exposure to a particular situation, but I can't recall there ever being a case of audience-induced PTSD.

    Rizzo has also used his VR work in stroke rehab, a worthy effort. OTOH, he used it to 'erase' the well known and much decried persistent gender effects (males being better at it than females) in the mental rotation task (MRT) http://en.wikipedia.org/wiki/Mental_rotation [wikipedia.org] . Not bad work, but he credited VR, not simply exposure and practice. One of my undergrad labs approached the Virginia Tech VR "tank" folks and asked for help in replicating this. The VR lab suggested using VRML instead for our own convenience. We did so, and we built two full sets of the MRT out of wooden blocks. We tested males and females from psychology as well as from engineering. We found the effect he did, but got the same effect from both virtual and manual manipulation. The effect was from practice, not specifically VR immersion.

    To pull this back on topic, the above tends to support the traditional military medicine model for treating "shell shock" and "battle fatigue" (as PTSD was know for the past century) by exposure, ie. "return to the battlefield as soon as possible". Just as with electroshock therapy, much as I dislike the fact the numbers show it to be effective.

    • Re: (Score:3, Informative)

      To pull this back on topic, the above tends to support the traditional military medicine model for treating "shell shock" and "battle fatigue" (as PTSD was know for the past century) by exposure, ie. "return to the battlefield as soon as possible". Just as with electroshock therapy, much as I dislike the fact the numbers show it to be effective.

      It's different in prolonged low-intensity combat situations. The WWII observation was that most troops were likely to develop debilitating PTSD after about 200

  • I'm surprised that the summary makes no mention of EMDR [wikipedia.org]. Speaking from personal experience, I've found that to be a very effective treatment for PTSD, and far less time-consuming than traditional approaches.
  • by namayake (1037920) on Wednesday September 17 2008, @09:31PM (#25049241)
    I was doing research on PTSD a few years back for personal reasons. The studies I found were quite shocking to say the least. PTSD isn't just caused by being on the battle field or having one major traumatic event happen. Most of the things people go to therapists for; depression, anxiety, trust issues, etc. are all symptoms of milder forms of trauma. It's all PTSD. Dr. Amen, one of the leading psychiatrists in the world on brain scanning technology has scanned thousands of people. The scans he does sense chemical-electric activity in the brain. What he's found is very, very few people actually have healthy brain activity; most people have suffered from trauma. The general populace seems to see it though as "that's life" rather than seeing mental illness as the plague of humanity. Mental illness is truly a disease as it's contagious; people tend to reenact their trauma and in doing so traumatize others. And most treatment is laughable to say the least. Different types of treatment were tested on Viet Nam vets. The combination of talk or cognitive therapy with pharmacolatherapy and relaxation exercises only had a 15% recovery rate.Then I discovered a fairly new therapy called EMDR (Eye Movement, Desensitization & Reprocessing). It was developed and has been tested since the mid-80's. The recovery rate was far higher; 85% of all patience diligently engaged in weekly sessions recovered. So the question is, why isn't there more media coverage of this? Why aren't more therapists trained in something that actually works?
    • Do you have any references for your assertion that we are all mentally ill? Forgive me for being skeptical, I do think "that's life."

      Could you explain the brain differences you allude to between healthy and unhealthy people? I have a hard time accepting your premise that, as I see it, is that most of us are in an unnatural state of being screwed up.

  • EULAs? (Score:5, Funny)

    by nick_davison (217681) on Wednesday September 17 2008, @10:20PM (#25049707)

    "Traditionally the best treatment for [PTSD] â" being raped . . . is to have the person relive the trauma using his or her imagination . . .

    Now Clinical Psychologist Albert "Skip" Rizzo has developed a program that has had great success . . .

    Other programs offered to treat PTSD include Virtual Airplane, Virtual Audiences, Virtual Heights, Virtual Storm, and Virtual Vietnam."

    Or, for people who've been raped and need repeated exposure, AT&T have created a program called "our EULA [slashdot.org]"

  • The next step is to use this pre-emptively as part of "training". A soldier exposed in advance to killing and extreme sensory input, will not only not need therapy later, but be more effective as his job.

    "An ounce of prevention is worth a pound of cure."

    • I saw all those comments hinting that this treatment seemed sadistic, and I immediately thought, sadistic? try watching network television....

      I suppose it would work though, I just get an image of Will Smith in a particularly nasty Clockwork Orange therapy film... over and over

    • If it helps legless vets, more power to them. You sound like the kind who spit on returning Vietnam vets.

      • Exactly what I was about to say. If it works then it's not a waste of money. Actually, when I get old, I'd like to have a sort of virtual heaven where people can do plenty of stuff instead of wasting their time on the balcony and admire the grass grow.
    • Re: (Score:2, Interesting)

      You do know that exposure therapy is the most effective (and sadly, just about the only) treatment for PTSD? It really is amazingly effective, and has been backed up by a large number of peer-reviewed studies as being an excellent tool.

      This seems to be the next generation of exposure therapy. I say bravo to the VA for pushing lead-edge therapies (that have significant literature backing their efficacy) that may help save a number of our individuals form lifetimes of hurt. One of the tragedies of this
    • Re: (Score:3, Insightful)

      Yet another way for the veterans affairs office to waste taxpayers dollars.

      Do you think the cost of this intervention is anything like the cost of the war to begin with? It's a trivial extra cost. Decent nations factor in the cost of being nice to the vets after a war.

      More importantly, is the cost of the intervention more than the cost of having the PTSD sufferer continue to suffer? Fixing up a young traumatised soldier is an investment: from one rather crass point of view, the government effectively invests in creating taxpayers, and I bet refurbishing a soldier is much cheap

      • Re: (Score:2, Insightful)

        PS. yes, that sort of whining about health expenditure makes me really angry and anti-american. It is amazing how so many Americans believe that their system is superior and the only morally defensible system. Empirically, it is more expensive and less effective than other Western systems. People die because of your theoretical whining about 'socialised health systems.'

        Yes, yours is a great country and all, but it's got a few damned ugly patches, and the worst of it is that so many of you don't have th

        • Thanks (Score:3, Interesting)

          Thank you for both of your posts. My sentiments exactly. I've actually had an American acquaintance of mine die of complications from undiagnosed diabetes because he couldn't get healthcare coverage in that lovely capitalist paradise. He was in his twenties and his death is frankly unnecessary and tragic.
          • Hey,don't blame us average guys,we know the system is total shit. Want proof just go into any ER and see how many of our poor have to use them for primary care because they can't afford health care. Unfortunately MSM has been paid off like our congress critters and anytime anyone suggests changing it we get 40 bazillion jokes like "Womb to the Tomb" that we got during Clinton. But as always this is my 02c,YMMV
    • Re: (Score:3, Informative)

      Yet another way for the veterans affairs office to waste taxpayers dollars.

      http://fnonsl.fantasy-net.net/category/vet-center [fantasy-net.net] [fantasy-net.net]
      ^^^__Did you know the VA hospital owns property in second life? They're going to build virtual ski slopes for the legless vets to ski down. Woohoo!

      From your link: "It is supported by primarily by donations and is not affiliated with or sponsored by any US government agency."

      Try again.

    • by kaiser423 (828989) on Wednesday September 17 2008, @07:09PM (#25047493)
      The point isn't to make you feel better. The point is to be able to address what happened and move on....it's not a huge surprise that talking through in a controlled, supportive environment what happened might help people address the situation and resolve it.

      Of course, if the armchair /. people have other methods that have been empirically backed by a number of excellent studies, I'm sure that these people would be all ears. They're really just doing their best to help, and would love some more.
      • by RingDev (879105) on Wednesday September 17 2008, @11:50PM (#25050411) Homepage Journal

        Of course, if the armchair /. people have other methods that have been empirically backed by a number of excellent studies, I'm sure that these people would be all ears. They're really just doing their best to help, and would love some more.

        I've got one... don't send our young men and women into wars unnecesarily.

        PTSD is a lot less impacting if you never have to experience the traumatic part.

        -Rick

    • by mikael (484) on Wednesday September 17 2008, @07:19PM (#25047655)

      The problem is that the individual is likely to suffer from flashbacks whenever similar simple events happen in the real world. If they are walking down the street, and hear a loud noise such as a car backfiring, a container door being slammed, or some construction work, it would trigger those memories causing them to freeze-up, get angry or be unhappy.

      The idea of this treatment is to desensitize them to these events so that those memories aren't triggered.

    • by Kooty-Sentinel (1291050) on Wednesday September 17 2008, @07:39PM (#25047915) Homepage
      I couldn't imagine being a rape victim and being subject to this.... "Welcome to Virtual Rape 1.0 - Simulated Rape to help enable you to conquer your fears"
      • Re: (Score:2, Interesting)

        What would they do, simulate an attack and then throw on a porn video with your face crudely pasted over the others. This sounds like either a sick video/video game or a bad reference. Lets hope at least.
    • I don't see this being particularly helpful if the cause was rape or watching a friend die though. I'd imagine you'd just feel worse.

      I was planning to get through a dungeon full of dragons... we were all ready, and then Leroy.... BWAAAA! *SOB*

    • Re:Boo-Hoo... (Score:5, Insightful)

      by IanHurst (979275) on Wednesday September 17 2008, @07:53PM (#25048125) Homepage
      Other than showing that you're an asshole, your post shows you haven't thought about what it's like to live around guys with PTSD. They have families and neighbors who, you know, didn't volunteer to sign their lives away. Innocent bystanders, you might even call them. Programs that help treat direct sufferers - even if you don't think they deserve it - can make a huge difference in the lives of everyone around them.

      The city I live in has a very large military presence, and I welcome every bit of assistance the government can provide in helping them return to society.

      Think harder.