ABSTRACT
Exposure based exercises are a common element of many gold standard treatments for anxiety disorders and post-traumatic stress disorder and virtual reality simulations have been evaluated as a platform for providing clients with opportunities for repeated exposure during treatment. Although research on virtual reality exposure therapy (VRET) indicates effectiveness and high levels of user satisfaction, VRETs require a participant to complete exposure exercises in-offices with specialized equipment. The current exploratory case method study evaluates the experience and outcomes of one student veteran with social anxiety disorder and PTSD completing twelve sessions of VRET exposure using a mobile phone simulation of a virtual grocery store. The participant reported decreases in psychological symptoms, improvements in neurological connectivity, and better sleep quality upon completing the trial. Results suggest that VRET using a mobile application is feasible and warrants further research to evaluate effectiveness more fully. Implications include the use of a mobile based virtual reality simulation for intervening in social anxiety for student veterans.
ABSTRACT
Sykes and Matza introduced neutralization theory in 1957 to explain how juvenile delinquents retain a positive self-image when engaging in delinquent acts. Since then, aspects of neutralization theory have been incorporated into sociological and criminological theories to explain socially deviant behavior. Functional brain mapping research utilizing advanced magnetic resonance imaging techniques has identified complex, intrinsically organized, large-scale brain networks. Higher order operations commonly attributed to three brain networks (default mode network [DMN], central executive network [CEN], salience network [SN]) align closely with neutralization theory. This article briefly discusses brain networks in general and the DMN, CEN, and SN specifically. It also discusses how these networks are involved when engaging in the use of techniques of neutralization and offers implications for future research.
