New Developments in Virtual Reality-Assisted Treatment of Aggression in Forensic Settings:The Case of VRAPT

Aggression is a known problem in individuals being cared for in forensic settings, yet the evidence base for its treatment is scarce. Virtual Reality (VR) has been proposed as a promising addition to interventions in forensic settings, as it may increase the motivation among participants, bridge the gap between real life, therapeutic and laboratory experiences, and increase the ecological validity of psychological research. Recently, a new treatment for aggression using VR as the treatment environment, Virtual Reality Aggression Prevention Training (VRAPT) program, was developed to provide realistic and safe environments for participants to practice aggression management. In its current revised version, VRAPT is conceptualized as a form of cognitive behavioral therapy with its theoretical background in the General Aggression Model. Its purpose is to increase awareness of, and improve control over, one's own aggression and that of others through social interactions in individually tailored virtual environments. This manuscript describes how the lessons learned from the first randomized controlled trial of VRAPT have been applied to further develop the method and discusses challenges and future directions for VR-assisted treatment of aggression in forensic settings. VRAPT is a new psychological treatment for aggression and the coming years will provide expanded scientific evidence for further developments and adaptations

Identifying the Added Value of Virtual Reality for Treatment in Forensic Mental Health: A Scenario-Based, Qualitative Approach

Background: Although literature and practice underline the potential of virtual reality (VR) for forensic mental healthcare, studies that explore why and in what way VR can be of added value for treatment of forensic psychiatric patients is lacking.Goals: This study aimed to identify (1) points of improvements in existing forensic mental health treatment of in- and outpatients, (2) possible ways of using VR that can improve current treatment, and (3) positive and negative aspects of the use of VR for the current treatment according to patients and therapists.Methods: Two scenario-based methods were used. First, semi-structured interviews were conducted with eight therapists and three patients to elicit scenarios from them. Based on these results, six scenarios about possibilities for using VR in treatment were created and presented to 89 therapists and 19 patients in an online questionnaire. The qualitative data from both methods were coded independently by two researchers, using the method of constant comparison.Results: In the interviews, six main codes with accompanying sub codes emerged. Ideas for improvement of treatment were grouped around the unique characteristics of the forensic setting, characteristics of the complex patient population, and characteristics of the type of treatment. For possibilities of VR, main codes were skills training with interaction, observation of situations or stimuli without interaction, and creating insight for others into the patient. The questionnaire resulted in a broad range of insights into potential positive and negative aspects of VR related to the current treatment, the patient, the content of a VR application, and practical matters.Conclusion: VR offers a broad range of possibilities for forensic mental health. Examples are offering training of behavioral and cognitive skills in a realistic context to bridge the gap between a therapy room and the real world, increasing treatment motivation, being able to adapt a VR application to individual patients, and providing therapists with new insights into a patient. These findings can be used to ground the development of new VR applications. Nevertheless, we should remain critical of when in the treatment process and for whom VR could be of added value

Perspectives from a human-centred archaeology : Iron Age people and society on Öland

The objective of this study was to develop, test and evaluate a specifically defined interdisciplinary approach—the human-centred approach—as applied to a case study, Iron Age Öland. Four themes were selected to highlight different aspects of particular interest in Öland: taphonomy, diet, migration, and social organization. The uncremated human skeletal remains from Öland are the basis for this study. Different aspects of the bones, such as spatial distribution and chemical and physical properties, were investigated. The methods used include osteological methods, image-based modelling, isotopic analysis of bone (δ13C and δ15N; 14C) and enamel (87Sr/86Sr, δ18O), statistical modelling, and graph-based network analysis.The great impact of the choice of methodology in the different papers was apparent in evaluating how the human-centred approach could be practiced.The concept developed in Paper I, Virtual Taphonomy, provided deeper insight into the specific case study of Öland but also showed the potential of this methodology for archaeology and osteology in general.The approach to migration in Paper II gave results differing from those in Paper IV. The use of a second isotope (δ18O) in Paper IV showed how some individuals were clearly not from an area close by enough to fit within the proposed areas in Paper II. Paper IV also questioned the definitions of 87Sr/86Sr baseline and the interpretation process for deciding whether an individual is determined as a migrant. While the population level approach to migration in Paper II allowed for a discussion on the mechanisms behind migration, the approach in Paper IV instead gave insight into the nature and expression of migration within Öland’s society.In Paper III, it was demonstrated that a shift in diet (isotope variation) did not coincide with the relative typological chronology but instead should be studied by more independent chronology (such as 14C). The isotope results for Öland could also be interpreted completely differently today due to new standards for understanding how isotope values relate to human diet.Paper V showed how a transparent analysis of isotope results, osteological analysis, and archaeological parameters could be used to discuss societal development using graph-based network analysis.Using the human-centred approach to Iron Age Öland resulted in some new insights and a rethinking of society, particularly regarding diet and migration. The interpretation of the diet isotopes means that the pastoralist subsistence likely transformed the Ölandic landscape much earlier than previously thought. The dietary shift places the start of this in the final two centuries BC, not AD 200. In the Late Iron Age, the migration levels doubled, especially as women were immigrating. The people settling Öland were coming from diverse geographical areas in both periods, with the addition of more distant migrants in the Late period. I argue this is part of a creolization process in Öland in the Late Iron Age, detectable in burial practice and diet. The starting point of this great immigration is difficult to define as uncremated human remains are largely lacking in the period AD 200–700. Around AD 200, there is also a change in social organization indicated through the perceptible use of violence. I interpret this as a society where elders had diminished social power compared to earlier times, and when the increasing military focus throughout Scandinavia was also established in Öland.In conclusion, the exploration of a human-centred archaeology gave new insights of relevance to archaeology at large, not just Iron Age Öland. In particular, the strong interpretational aspects of isotopes could be demonstrated, as well as the great advantages of applying digital archaeological theory and method to human skeletal remains