Intervention proposal
“All the information contained in this section is for guidance only. Psious environments are therapy supporting tools that must be used by the healthcare professional within an evaluation and intervention process designed according to the characteristics and needs of the user.
Also remember that you have the General Clinical Guide in which you have more information on how to adapt psychological intervention techniques (exposure, systematic desensitization, cognitive restructuring, chip economy…) to Psious environments.”
SESSION 1
- Inform the patient about the fear of public speaking (causes, symptoms, prevalence…).
- Present and justify the techniques that will be used throughout the treatment: exposure to virtual reality and live exposure.
- Creation of a hierarchy of exposure and exposure to items on the 20-30 USA’s hierarchy (example).
- Begin hierarchy of exposition with an item from the 30 USAs. The main objective will be to familiarise the patient with virtual reality and the dynamics of work.
| ITEM | ENVIRONMENT | CONFIGURATION | EVENT |
|---|---|---|---|
| Be in the office alone, preparing the meeting that you will shortly have with some colleagues | Fear of speaking in public | Office, none, easy | No Event |
| Be in a meeting with one colleague and they are listening attentively to you | Fear of speaking in public | Office, minimum, easy | No Event |
| Be alone in a conference room, preparing a talk that you will give in a few minutes | Fear of speaking in public | Audience, none, easy | No Event |
| Be in a meeting with few colleagues and when speaking they give you positive feedback | Fear of speaking in public | Office, medium, easy | Positive remark |
| They ask you to give an example of something that you have explained in a job interview | Fear of speaking in public | Office, minimum, easy | Neutral remark |
SESSION 2
- Review the previous session achievements and establish objectives for the session: You are speaking in a meeting with several work colleagues and you receive a negative remark.
- After the second session of treatment, it is recommended to start the gradual and systematic exposure to the virtual reality environments. Cognitive restructuring, if applicable.
- Show clinical advances, through reports on the platform, to the patient.
HOMEWORK
Live exposure by preparing some type of talk as if later they would have to present it in a meeting, and also they can practice this talk with a very close person.
| ITEM | ENVIRONMENT | CONFIGURATION | EVENT |
|---|---|---|---|
| Be in a meeting with few colleagues and while you are talking a mobile telephone rings | Fear of public speaking | Office, medium, easy | Office, medium, easy |
| Be explaining a project to a lot of work colleagues and someone comes in interrupting the meeting | Fear of public speaking | Office, maximum, easy | Distraction (person comes in) |
| Be in an auditorium alone, preparing a talk that you are going to give in a few minutes | Fear of public speaking | Auditorium, none, easy | No Event |
| Have a meeting with several colleagues and when you finish your talk they make a critical remark | Fear of public speaking | Office, maximum, difficult | Negative remark |
SESSION 3
- Review the previous session achievements and establish objectives for the session: in a meeting with work colleagues who are not very interested, a mobile telephone rings and a negative remark is made.
- Gradual and systematic exposure to the virtual reality environments. Cognitive restructuring, if applicable.
- Show clinical advances, through reports on the platform, to the patient.
HOMEWORK
Concealed exposure at home reviewing the process followed in consultation with the imagination + live exposure preparing a talk (although later they do not say it).
| ITEM | ENVIRONMENT | CONFIGURATION | EVENT |
|---|---|---|---|
| Be about to give a talk in a room that is not very big with few people and the public applauds you | Fear of public speaking | Audience, few, easy | Applause |
| Be in a meeting with quite a lot of colleagues who are not interested, and then another person comes in and interrupts | Fear of public speaking | Office, maximum, difficult | Distraction (person comes in) |
| Be giving a talk with few people and one of the audience asks you a question that seems easy to answer | Fear of public speaking | Audience, minimum, easy | Easy question |
| Be in a meeting with work colleagues who do not show much interest. A mobile telephone rings and they make a negative remark | Fear of public speaking | Office, maximum, difficult | Distraction (telephone) + negative remark |
SESSION 4
- Review previous session achievements and establish objectives for the session: prepare a talk that is going to be given shortly and will be seen on television.
- Gradual and systematic exposure in the virtual reality environments. Cognitive restructuring, if applicable.
- Show clinical advances, through reports on the platform, to the patient.
HOMEWORK
Live exhibition doing some meeting at work + covert exposure at home, reviewing the process followed in consultation by imagination.
| ITEM | ENVIRONMENT | CONFIGURATION | EVENT |
|---|---|---|---|
| Be giving a talk with quite a lot of people and hear a mobile telephone ring | Fear of public speaking | Audience, medium, easy | Distraction (mobile) |
| Be in a conference room with a lot of people and see that they are not paying much attention | Fear of public speaking | Audience, maximum, difficult | No event |
| Be preparing a talk that is going to be broadcast on television | Fear of public speaking | Broadcast conference, none, easy | No event |
SESSION 5
- Review previous session achievements and establish objectives for the session: Be giving a conference that is going to be broadcast on television and the audience is paying attention.
- Gradual and systematic exposure in the virtual reality environments. Cognitive restructuring, if applicable.
- Repeat each one of the exercises twice.
- Show clinical advances, through reports on the platform, to the patient.
HOMEWORK
Concealed exposure at home, reviewing the objectives of the sessions and the process followed in consultation.
| ITEM | ENVIRONMENT | CONFIGURATION | EVENT |
|---|---|---|---|
| After answering an easy question from a member of the audience at the conference today, see that there are people talking amongst themselves | Fear of public speaking | Audience, medium, difficult | Difficult question + people talking |
| Be giving a talk in an auditorium full of people, and also see that they are not paying much attention, hear a yawn from the audience | Fear of public speaking | Auditorium, maximum, difficult | Distraction (yawn) |
| Be giving a talk that is being broadcast on television and see that the audience is paying attention | Fear of public speaking | Broadcast conference, medium, difficult | Go to the stage and then no event |
SESSION 6
- Review previous session achievements and establish objectives for the session: Give a conference that is broadcast on TV and a listener asks a difficult question.
- Gradual and systematic exposure in the virtual reality environments. Cognitive restructuring, if applicable.
- Repeat each one of the exercises twice.
- Show clinical advances, through reports on the platform, to the patient.
HOMEWORK
Imaginal exposure at home reviewing the process following the consultation.
| ITEM | ENVIRONMENT | CONFIGURATION | EVENT |
|---|---|---|---|
| Be in a room full of people giving a talk, see that the audience is not showing much interest and that one of them leaves the room | Fear of public speaking | Audience, maximum, difficult | Person leaves |
| Be giving a talk in a room full of people, with the lights down and television cameras and hear laughing in the background | Fear of public speaking | Broadcast conference, many, easy | Difficult question |
| Be giving a talk in a room full of people, with the lights down and television cameras and hear laughing in the background | Fear of public speaking | Broadcast conference, many, easy | Distraction (laughs) |
| Be holding a conference that is going to be broadcast on television and a person from the audience asks you a question that is difficult to answer | Fear of public speaking | Broadcast conference, maximum, difficult | Difficult question |