Mar 22 2012

Fear of flying - no more

Published by Editor at 3:40 pm under Press Releases, University News

Fear of flying? The University of Haifa has recently implemented an effective and proven form of therapy that uses virtual reality technology to treat the common phobia.

While lending itself to a wide range of disciplines, the technological advancement known as virtual reality continues to shift beyond the world of games. Even more so than before, virtual reality is proving its significance as this form of technology can be credited for supporting a treatment approach known as Cognitive and Behavior Therapy (CBT). CBT’s effectiveness in treating phobias such as the fear of flying, also known as aviophobia, is evident through the work of Prof. Marilyn Safir and Dr. Helene Wallach who developed VR-assisted CBT to treat patients suffering from aviophobia at their research lab in the University of Haifa’s Department of Psychology.

As the superior form of treatment for those with flight anxiety, CBT bears an impressive success rate; this is apparent through the high percentage of people who improve following therapy, their degree of improvement, and CBT’s long-term effects as revealed in follow-up studies.

But what is it that makes this treatment so efficient? As Safir and Wallach explain, the main component of phobia therapy is exposure to the cause of the fear, which for aviophobia sufferers may include anxiety over enclosed places, fear of heights, fear of suffocation, fear of a panic attack, and fear of vomiting or fainting, the researchers explain. “While exposing individuals to their fears is imperative to the productivity of CBT, people just don’t want to be exposed to the cause of their phobia, which is what perpetuates the phobia and thwarts the whole course of therapy,” explains Wallach. The new virtual reality program developed by Safir and Wallach implements the CBT treatment and ensures patients that the behavioral component is comprised of controlled exposure to the cause of fear. Instead of asking patients to try to imagine they are on board a flight, they are exposed to a simulated environment by using a helmet that provides a 3D experience of all stages of flying.

“Since exposure is controlled, the patient realizes that he/she will never become overwhelmed by anxiety during the course of this CBT process. As a result, he/she will experience a reduction in anxiety, as the anticipated catastrophic events do not occur, allowing the patient to practice both behavioral and cognitive coping skills that develop further during therapy,” Wallach ensures. The experience challenges patients’ irrational thoughts and perceptions about flying, helping them to develop cognitive skills, and hence alleviates thoughts of being unable to adequately cope with the situation, the researchers explain.

The aviophobia patient who comes to Wallach and Safir’s lab sits on an airline seat (donated by Arkia), and undergoes the full flying experience from beginning to end. It starts with the patient getting comfortable in the seat, hearing the safety instructions from the flight attendant, taxiing down the runway, takeoff, the flight itself (including some turbulence), and landing safely. Using VR also gives the researchers the ability to simulate complicated and more extreme conditions. “The patient and therapist are able to construct a hierarchy of conditions depending on the level of fear that the patient experiences when flying, and they are able to go through the process step by step at a pace that suits each individual patient. We do not need to jump to the next stage in experiencing the flight until the patient’s level of anxiety has already been significantly lowered at the earlier stages,” note the researchers.

One of the main advantages at the University of Haifa lab is that the treatment is based on earlier studies conducted by Prof. Safir and Dr. Wallach in this field. They have published numerous studies on the effectiveness of using virtual reality in developing treatments for phobias such as aviophobia and glossophobia - a fear of speaking in public. The knowledge that is being derived from new patients undergoing therapy in their lab is also being appended to the information that the researchers already have at hand, enabling them to continuously improve treatment over time.

“Using virtual reality has enormous benefits in providing treatment for this type of phobia. We have full control over exposure to different situations and the patient does not reach overwhelming anxiety at any point. We can also go over and over any stage of therapy, which in the real world would be too costly for most patients and therapists,” say the researchers.

To register for treatment: marilyn.safir@gmail.com or helenwa@yahoo.com. Tel: +972-4-8249655 at the University of Haifa.

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