Schema therapy helps people understand which emotional needs were not met during childhood, and how they can take care of those needs now. One important part of the therapy is the chairwork exercise, where people imagine talking to different parts of themselves (like the strict parent or the hurt child) using empty chairs. These exercises can be very helpful, but they can also be difficult for people who find it hard to imagine things in their mind. Virtual Reality (VR) can make these exercises easier and more powerful. VR creates a 3D world that feels real, using special equipment like a headset. In this world, people can see and interact with virtual characters that represent different parts of themselves. This can make the therapy more concrete and easier to understand, especially for people who struggle with imagination. In this study, we want to compare the regular imagination-based exercise with the chairwork exercise done in Virtual Reality. Everyone who joins the study will do both versions of the exercise-one with imagination and one with VR. The order will be random. Before and after each exercise, we will do a short assessment to see how people feel. At the end, we will also do a short interview to hear about their experience. The whole session will take about 1.5 hours. We want to know if people experience the VR exercise differently than the regular imagination exercise. We also want to know if these differences depend on how well someone can imagine things in their mind.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
A chairwork exercise from schema therapy, executed in Virtual Reality
A regular schema therapy imagination exercise
UMCG
Groningen, Provincie Groningen, Netherlands
Visual Analogue Scale (VAS) questions about schema modes, negative and positive affect, self-compassion and self-esteem.
VAS questions based on the Schema Mode inventory, Positive and Negative Affect Schedule (PANAS), and items on self-compassion and self-esteem that were derived from ESM studies and previous VR studies.
Time frame: Pre-, mid-, and post-assessment (within timeframe of 1.5 hours)
VAS questions on therapeutic relationship, vividness, and immersion
VAS questions based on the Working Alliance Inventory Short Form Revise (WAI-SR), the Vividness of Visual Imagery Questionnaire and the Igroup Presence Questionnaire (IPQ)
Time frame: Mid- and post-assessment (within timeframe of 1.5 hours)
Subjective experiences with both exercises
Qualitative interview consisting of open-ended questions to explore experiences and compare their experiences with both exercises
Time frame: Post-assessment (within timeframe of 1.5 hours)
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