Abstract
Schizophrenia, a health and social problem of enormous importance and cost, is a serious mental disorder that has defied researchers for many years. Virtual and augmented reality (VR/AR) is proving to be a powerful experimental tool to study such complex cognitive processes. But there are no VR/AR tools for the systematic treatment of schizophrenia. Avatars do not incorporate adaptation, learning and evolution able to produce natural communication and interaction with humans. To significantly advance the state of art, it is proposed to supplement VR/AR with brain-computer interfaces (BCI) based on obtaining electrical brain signals. The project “Human-avatar symbiosis in cognitive cybertherapies: Proof of concept for auditory verbal hallucinations” assesses whether, through the complementary use of VR/AR and BCI, it is possible to achieve human-machine symbiosis (between a patient who hears voices and “his/her” avatar), which would provide an unforeseen advance. It relies on automatic adaptation, learning and evolution over BDI (beliefs-desires-intentions) models, proper of the intelligent agency paradigm inspired in social behaviour. The proof of concept will show if the proposal is an alternative/complement to conventional therapies of auditory verbal hallucinations and can guide the patient from a negative socio-emotional behaviour toward successful social situations.
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Freud, S.: Psychoanalytische Bemerkungen über einen Autobiographisch Beschriebenen Fall von Paranoia (Dementia paranoides). Gesammelte Werke 8, 240–320 (1911)
Byerly, M.J., Nakonezny, P.A., Lescouflair, E.: Antipsychotic medication adherence in schizophrenia. Psychiatr. Clin. North Am. 30, 437–452 (2007)
Elkis, H.: Treatment-resistant schizophrenia. Psychiatr. Clin. North Am. 30, 511–533 (2007)
Leucht, S., Arbter, D., Engel, R.R., Kissling, W., Davis, J.M.: How effective are second- generation antipsychotic drugs? A meta-analysis of placebo-controlled trials. Mol. Psychiatr. 14, 429–447 (2009)
Harrow, M., Jobe, T.H., Faull, R.N.: Does treatment of schizophrenia with antipsychotic medications eliminate or reduce psychosis? A 20-year multi-follow-up study. Psychol. Med. 44, 3007–3016 (2014)
Ricarte, J.J., Hernández-Viadel, J.V., Ros, L.: Tratamiento de los trastornos psicóticos. Nuevas Terapias Cognitivas y Aportaciones de la Experiencia Autobiográfica. Editorial Psicología Pirámide, Madrid (2014)
Hooker, C.I., Benson, T.L., Gyurak, A., Tully, L.: Neural activity to positive expressions predicts daily experience of schizophrenia-spectrum symptoms in adults with high social anhedonia. J. Abnorm. Psychol. 123, 190–204 (2014)
Krabbendam, L., Hooker, C.L., Aleman, A.: Neural effects of the social environment. Schizophr. Bull. 40, 248–251 (2014)
Schultheis, M.T., Rizzo, A.A.: The application of virtual reality technology in rehabilitation. Rehabil. Psychol. 46, 296 (2001)
Segal, R., Bhatia, M., Drapeau, M.: Therapists’ perception of benefits and costs of using virtual reality treatments. Cyberpsychol. Behav. SoC. Netw. 14, 29–34 (2011)
Rodríguez, A., Rey, B., Clemente, M., Wrzesien, M., Alcañiz, M.: Assessing brain activations associated with emotional regulation during virtual reality mood induction procedures. Expert Sys. Appl. 42, 1699–1709 (2015)
Martinez, J., Garcia, A.S., Oliver, M., Molina, J.P., González, P.: Identifying 3D geometric shapes with a vibrotactile glove. IEEE Comput. Graph. Appl. 99 (2014). doi:10.1109/MCG.2014.81
Martínez, J., García, A.S., Oliver, M., Molina, J.P., González, P.: VITAKI: a vibrotactile prototyping toolkit for virtual reality and video games. Int. J. Hum. Comput. Interact. 30, 855–871 (2014)
Hobbs, C.N., Kreiner, D.N., Honeycutt, M.W., Hinds, R.M., Brockman, C.J.: The illusion of control in a virtual reality setting. North Am. J. Psychol. 123, 551–564 (2010)
Botella, C.M., Juan, M.X., Baños, R.M., Alcañiz, M., Guillén, V., Rey, B.: Mixing realities? An application of augmented reality for the treatment of cockroach phobia. Cyberpsychol. Behav. 8, 216–217 (2005)
Eichenberg, C.: Application of “virtual realities” in psychotherapy: possibilities, limitations and effectiveness. In: Virtual Reality, Chap. 22. InTech (2011)
Licklider, J.C.R.: Man-computer symbiosis. IRE Trans. Hum. Fact. Electron. 1, 4–11 (1960)
Gascueña, J.M., Navarro, E., Fernández-Caballero, A.: Model-driven engineering techniques for the development of multi-agent systems. Eng. Appl. Artif. Intell. 25, 159–173 (2012)
Pavón, J., Gómez-Sanz, J., Fernández-Caballero, A., Valencia-Jiménez, J.J.: Development of intelligent multisensor surveillance systems with agents. Robot. Auton. Syst. 55, 892–903 (2007)
Ruse, S.A., Harvey, P.D., Davis, V.G., Atkins, A.S., Fox, K.H., Keefe, R.S.E.: Virtual reality functional capacity assessment in schizophrenia: preliminary data regarding feasibility and correlations with cognitive and functional capacity performance. Schizophr. Res. Cogn. 1, e21–e26 (2014)
Han, K.: Assessment of cognitive flexibility in real life using virtual reality: a comparison of healthy individuals and schizophrenia patients. Comput. Biol. Med. 42, 841–847 (2012)
Park, K., Ku, J., Choi, S., Jang, G., Park, J.: A virtual reality application in role-plays of social skills training for schizophrenia: a randomized, controlled trial. Psychiatr. Res. 189, 166–172 (2011)
Peyroux, E., Franck, N.: RC2S: a cognitive remediation program to improve social cognition in schizophrenia and related disorders. Front. Hum. Neurosci. 8, 400 (2014)
Tsang, M.M., Man, D.W.: A virtual reality-based vocational training system (VRVTS) for people with schizophrenia in vocational rehabilitation. Schizophr. Res. 144, 51–62 (2013)
Moritz, S., Voigt, M., Köther, U., Leighton, L., Kjahili, B., Babur, Z., Jungclaussen, D., Veckenstedt, R., Grzella, K.: Can virtual reality reduce reality distortion? Impact of performance feedback on symptom change in schizophrenia patients. J. Behav. Ther. Exp. Psychiatr. 45, 267–271 (2014)
Stinson, K., Valmaggia, L.R., Antley, A., Slater, M., Freeman, D.: Cognitive triggers of auditory hallucinations: an experimental investigation. J. Behav. Ther. Exp. Psychiatr. 41, 179–184 (2010)
Zhao, Q., Hu, B., Liu, L., Ratcliffe, M., Peng, H., Zhai, J., Li, L., Shi, Q., Liu, Q., Qi, Y.: An EEG based nonlinearity analysis method for schizophrenia diagnosis. In: 9th IASTED International Conference on Biomedical Engineering, pp. 136–142 (2012)
Ruiz, S., Birbaumer, N., Sitaram, R.: Abnormal neural connectivity in schizophrenia and fMRI-brain-computer interface as a potential therapeutic approach. Front. Psychiatr. 4, 17 (2013)
Acknowledgements
This work was partially supported by Spanish Ministerio de Economía, Industria y Competitividad, Agencia Estatal de Investigación (AEI)/European Regional Development Fund under HA-SYMBIOSIS (TIN2015-72931-EXP) grant.
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Fernández-Caballero, A. et al. (2017). Human-Avatar Symbiosis in Cognitive Cybertherapies: Proof of Concept for Auditory Verbal Hallucinations. In: Ochoa, S., Singh, P., Bravo, J. (eds) Ubiquitous Computing and Ambient Intelligence. UCAmI 2017. Lecture Notes in Computer Science(), vol 10586. Springer, Cham. https://doi.org/10.1007/978-3-319-67585-5_72
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