Universität zu Köln

Marloth, Maria, Chandler, Jennifer and Vogeley, Kai (2020). Psychiatric Interventions in Virtual Reality: Why We Need an Ethical Framework. Camb. Q. Healthc. Ethics, 29 (4). S. 574 - 585. NEW YORK: CAMBRIDGE UNIV PRESS. ISSN 1469-2147

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Abstract

Recent improvements in virtual reality (VR) allow for the representation of authentic environments and multiple users in a shared complex virtual world in real time. These advances have fostered clinical applications including in psychiatry. However, although VR is already used in clinical settings to help people with mental disorders (e.g., exposure therapy), the related ethical issues require greater attention. Based on a thematic literature search the authors identified five themes that raise ethical concerns related to the clinical use of VR: (1) reality and its representation, (2) autonomy, (3) privacy, (4) self-diagnosis and self-treatment, and (5) expectation bias. Reality and its representation is a theme that lies at the heart of VR, but is also of specific significance in a clinical context when perceptions of reality are concerned, for example, during psychosis. Closely associated is the autonomy of VR users. Although autonomy is a much-considered topic in biomedical ethics, it has not been sufficiently discussed when it comes to applications of VR in psychiatry. In this review, the authors address the different themes and recommend the development of an ethical framework for the clinical use of VR.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Marloth, Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Chandler, Jennifer UNSPECIFIED UNSPECIFIED UNSPECIFIED Vogeley, Kai UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-317771
DOI:	10.1017/S0963180120000328
Journal or Publication Title:	Camb. Q. Healthc. Ethics
Volume:	29
Number:	4
Page Range:	S. 574 - 585
Date:	2020
Publisher:	CAMBRIDGE UNIV PRESS
Place of Publication:	NEW YORK
ISSN:	1469-2147
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BEHAVIOR Multiple languages Health Care Sciences & Services; Health Policy & Services; Social Sciences, Biomedical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31777