2020
DOI: 10.1002/cpp.2431
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Subjective experience of paranoid ideation in a virtual reality social environment: A mixed methods cross‐sectional study

Abstract: Virtual reality-assisted cognitive-behavioural therapy (VR-CBT) has potential to support people who experience paranoid ideation in social settings. However, virtual reality (VR) research using overt social environments is limited, and lack of qualitative studies on paranoid ideation in VR restricts understanding. This study aimed to use predominantly qualitative methods to investigate subjective experience of paranoia in VR and identify target domains for VR-CBT. Participants (N = 36) were non-clinical adults… Show more

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Cited by 19 publications
(9 citation statements)
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“…This effect might arise from some form of familiarity -those who behave more like us inspire less vigilance. In one virtual reality study, unfamiliarity, feeling out of place and feeling like an outsider increased participants' perceptions of being judged by avatars, as well as increased perceptions of these avatars aiming to cause emotional distress (Riches et al, 2020). Likewise, epidemiological work has observed increased psychosis risk in those marginalised, and 'othered' in a community (el Bouhaddani et al, 2019;Kirkbride et al, 2017), and network approaches find that being socially withdrawn from a group increases paranoia in those with psychosis and those at familial risk for psychosis (Isvoranu et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…This effect might arise from some form of familiarity -those who behave more like us inspire less vigilance. In one virtual reality study, unfamiliarity, feeling out of place and feeling like an outsider increased participants' perceptions of being judged by avatars, as well as increased perceptions of these avatars aiming to cause emotional distress (Riches et al, 2020). Likewise, epidemiological work has observed increased psychosis risk in those marginalised, and 'othered' in a community (el Bouhaddani et al, 2019;Kirkbride et al, 2017), and network approaches find that being socially withdrawn from a group increases paranoia in those with psychosis and those at familial risk for psychosis (Isvoranu et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…While we partnered participants against genuine people, we cannot capture all social nuance that might be present in a real-world interaction. There may be a host of other social factors that may influence learning rates and uncertainty over inferred social intentions in paranoia such as eye contact and multiple social actors [ 35 ], and we feel this is an important topic for future research. Additionally, while not a substantial limitation for us to use Bayesian inference rather than its common approximations (e.g.…”
Section: Discussionmentioning
confidence: 99%
“…While we partnered participants against genuine people, we cannot capture all social nuance that might be present in a real-world interaction. There may be a host of other social factors that may influence learning rates and uncertainty over inferred social intentions in paranoia such as eye contact and multiple social actors (Riches et al, 2020), and we feel this is an important topic for future research. Additionally, while not a substantial limitation for us to use Bayesian inference rather than its common approximations (e.g.…”
Section: Discussionmentioning
confidence: 99%