PTSD - Virtual Treatment

[bravo 6 0]

Post Traumatic Stress Disorder

I would like to add this thread to this forums since does Not exist one word of it and all people should be aware by having the knowledge of its existence and how to deal with it.

I believe with time this will help a lot of Humans with this kinda problem which affects people's lives, not just the individual him self but also all that live with and around him.

For some time Post Traumatic Stress Disorder (PTSD) was not considered as a disease because people knew a little about it and were not open to this serious problem.

"Post Traumatic Stress Disorder is an anxiety disorder that can develop after exposure to one or more traumatic events that threatened or caused grave physical harm.

It is a severe and ongoing emotional reaction to an extreme psychological trauma. This stressor may involve someone's actual death, a threat to the patient's or someone else's life, serious physical injury, an unwanted sexual act, or a threat to physical or psychological integrity, overwhelming psychological defenses.

In some cases it can also be from profound psychological and emotional trauma, apart from any actual physical harm. Often, however, incidents involving both things are found to be the cause.

Post traumatic Stress Disorder can occur following a life-threatening event like military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assaults like rape. Most survivors of trauma return to normal given a little time. However, some people have stress reactions that don't go away on their own, or may even get worse over time. These individuals may develop PTSD.

People who suffer from PTSD often suffer from nightmares, flashbacks, difficulty sleeping, and feeling emotionally numb. These symptoms can significantly impair a person's daily life.

PTSD is marked by clear physical and psychological symptoms. It often has symptoms like depression, substance abuse, problems of memory and cognition, and other physical and mental health problems. The disorder is also associated with difficulties in social or family life, including occupational instability, marital problems, family discord, and difficulties in parenting.

Signs & Symptoms

People with PTSD have persistent frightening thoughts and memories of their ordeal and feel emotionally numb, especially with people they were once close to. They may experience sleep problems, feel detached or numb, or be easily startled. more info

Treatment

Effective treatments for post-traumatic stress disorder are available, and research is yielding new, improved therapies that can help most people with PTSD and other anxiety disorders lead productive, fulfilling lives. more info

Getting Help: Locate Services

Locate mental health services in your area, affordable healthcare, NIMH clinical trials, and listings of professionals and organizations. more info

If you are suffering from PTSD, or know someone who is, the following list of resources and information will help you find help in dealing with PTSD and related conditions."

PTSD-FAQs

New Virtual PTSD Treatment

(Yes, the Science has already a way to help people)

PTSD: Virtual Reality Therapy: Part One

PTSD: Virtual Reality Therapy: Part Two

Army Uses Virtual Tool in its Battle with PTSD

more info

more info

@ Message To Bohemia Interactive Studios

Quote[/b] ]Civilian usage of VBS

I’m proud to announce that we are shipping VBS to Czech Universities; we hope that it will enable us to better cooperate with students on our projects and teach them to use our technology. The first application is a VBS installation at the University of West Bohemia in Pilsen, where they will use VBS with an EEG system to measure the speed of user reactions and brain behavior in stress situations. In Prague it is Charles University's faculty of mathematics and physics, where VBS will help to teach students how to program AI and in the future it will also be used as a VR environment for the diagnosis and measuring of development of Alzheimer’s disease.

* * * source

I would like to direct this and sensibilize BIS to the Problem and maybe If possible to help people who suffers from PTSD when correctly using BIS's New Technology and Developments. Maybe with BIS technology people can obtain positive results on their psychological health problems in their specific areas. Would be a huge project..

PS- If Moderators find a better location for this thread please direct it.

edit: fixed the old codes from old forum

Edited April 13, 2009 by bravo 6

[Clavicula_nox4817 0]

What effect could it have on someone who's PTSD is brought about by physical trauma, such as head injuries?

I don't believe this would help me. I would write more, I suppose, but this isn't the forum for such posts.

[max power 21]

I think that PTSD is primarily a psychological wound. If you get PTSD from a head wound, I think it would likely be that the emotional trauma of being wounded and dealing with any disability due to brain damage has caused it. Psychological interventions are highly personal to the patient and what he or she is willing to subscribe to. Sometimes clinical attention of any kind helps. That said, brain injuries are possibly one of the most complex problems in modern medicine. If someone is experiencing heightened anxiety, nightmares, obsessive thoughts, and dissociation after a head wound, it could be that it is caused by the brain lesion. This cluster of symptoms really does fit with psychological scarring after a traumatic event, though. Whether it is from a head wound, a leg wound, or something purely mental like emotional torture, I would look for psychological interventions for that syndrome as well as treating the physical wounds, if any. If the patient can form a clinical alliance with the mental health professional, and the professional is using techniques that work for the patient- whether they are virtual, cognitive behavioural, behavioural, or whatever- there is certainly no harm in trying.

[Clavicula_nox4817 0]

I think that PTSD is primarily a psychological wound.  If you get PTSD from a head wound, I think it would likely be that the emotional trauma of being wounded and dealing with any disability due to brain damage has caused it.  Psychological interventions are highly personal to the patient and what he or she is willing to subscribe to.  Sometimes clinical attention of any kind helps.  That said, brain injuries are possibly one of the most complex problems in modern medicine.  If someone is experiencing heightened anxiety, nightmares, obsessive thoughts, and dissociation after a head wound, it could be that it is caused by the brain lesion.  This cluster of symptoms really does fit with psychological scarring after a traumatic event, though.  Whether it is from a head wound, a leg wound, or something purely mental like emotional torture, I would look for psychological interventions for that syndrome as well as treating the physical wounds, if any.  If the patient can form a clinical alliance with the mental health professional, and the professional is using techniques that work for the patient- whether they are virtual, cognitive behavioural, behavioural, or whatever- there is certainly no harm in trying.

No, there is no harm in trying; I just said it wouldn't help me. I don't know what mine is caused from, there are any number of incidents spread over a few years, anyone of which could serve as The Cause.

I wouldn't want to play a video game re-enacting things, and it wouldn't work as treatment for me because:

A. I know it's a game, and I'm good at disconnecting my emotional responses.

B. I'm not interested in some other person knowing these things. They weren't there, they have trouble understanding the context, and I'm not interested in assisting them.

C. The VA sucks. After 2 hospitals, and a number of smaller clinics, my experience has been almost entirely negative. While the doctors and what-not are fine, the nurses, and admin personnel are extremely rude and unhelpful. They change procedures, but give no notice when doing so; IF they answers questions, they do not give all needed information; etc.

[max power 21]

Forgive me if I appeared sophomoric in my earlier post.  It wasn't clear in your original post that you were speaking from first hand experience, and I was responding as if we were talking hypothetically.

What you say about the VA is terrible.  This is just the kind of situation that sabotages psychological treatment before it can even begin.  An environment like that may be depriving veterans of the opportunity to take advantage of services they can really use, if it was run by competants.

[bravo 6 0]

<s>I'm not quite sure what you are asking.</s>

I think there is no problem if you want/need to write more, if you do and try maybe it could clear a bit more what you are saying/asking and maybe would help others to understand your point of view.

The thread main idea is for War Veterans suffering from PTSD:

Quote[/b] ]Nearly one in five Vietnam veterans suffered post-traumatic stress disorder (PTSD) — and nearly one in 10 was still suffering 11 to 12 years after the war, a new study finds.

That's fewer PTSD cases than once feared. But it is still a lot — with implications for Iraq war veterans, finds Columbia researcher Bruce P. Dohrenwend, Ph.D., and colleagues.

"Substantial similarities exist between Vietnam then and Iraq now," Dohrenwend and colleagues note. "Both have been wars without fronts in which it is often difficult to tell peaceful civilians from enemy combatants."

The study appears in the Aug. 18 issue of the journal Science.

Long after a life-threatening event, PTSD can cause flashbacks — vivid, disturbing memories of the trauma — as well as sleep problems, nightmares and panic attacks. People with PTSD may feel detached, guilty, or paranoid. They often suffer depression and are at increased risk of suicide.

     source

For those who want to know more:

PTSD: The War Within

If the people with this problem don't get help when they still can they can not live their life, nor their family.

For those who need Videos:

youtube video 1

Again: For these particular and sensible case why not use ArmA2 not as a game but as a Simulator for the respective and necessary purpose. I believe ArmA2 Would help a lot of people out there with this kinda problem. Young and old! This is my message.

edit: i just read both posts and i somehow understand Clavicula_nox4817 situation, not that i was personally in the situation but im closed to one that thinks the same.

This is a sensitive matter, i recognize it, very complex too.. each case is a case and people react differently.

Would it be positive, as treatment, if people could and would relive somehow these trauma moments? Like we can see in the top videos?

Science say it is good for the individual health to controllably live and call back those trauma situations as treatment for these psychological wounds.

[Clavicula_nox4817 0]

Forgive me if I appeared sophomoric in my earlier post.  It wasn't clear in your original post that you were speaking from first hand experience, and I was responding as if we were talking hypothetically.

What you say about the VA is terrible.  This is just the kind of situation that sabotages psychological treatment before it can even begin.  An environment like that may be depriving veterans of the opportunity to take advantage of services they can really use, if it was run by competants.

That's okay. I also didn't want to give the impression that I'm against it, just suggesting that it isn't a magic cure, or anything. If it works for someone, then that's great, I"m glad they're better.

The VA suffers from being a monolithic organization, and the fact that it has to process a massive amount of people in varying degrees of health, where a good number are trying to find some way of milking the system doesn't help matters much. I try not to be overly critical of the VA, but the fact is the system is completely and utterly broken; and every trip to the hospital is the most depressing part of the day.

Also, I was in a PTSD support group once, and I was in the same room with guys who never deployed. I was shocked, and didn't understand what they were doing there. I got nothing out of it, and am extremely reticent to continue any further cognitive therapy, mainly because I can't take it seriously.

Quote[/b] ]This is a sensitive matter, i recognize it, very complex too.. each case is a case and people react differently.

Would it be positive, as treatment, if people could and would relive somehow these trauma moments? Like we can see in the top videos?

Science say it is good for the individual health to controllably live and call back those trauma situations as treatment for these psychological wounds.

Two sides with equally good arguments, which ultimately comes down to going on a case-by-case basis. For some people, re-living is good, for others it isn't. I haven't watched the videos, but I read the links you posted in the first post, and I didn't see anything that was remotely convincing; just a guy saying I should listen to him because Patton was his boss, pot works for his veterans, and someone once mentioned the idea of virtual reality treatment to him.

Quote[/b] ]If the people with this problem don't get help when they still can they can not live their life, nor their family.

Some guys can't function, and indeed, many live homeless because of it. We are just starting to see a large number of homeless Iraq (particularly Iraq vs Afghanistan) veterans, before, it was pre-dominantly Vietnam veterans who were homeless. I predict that in a few years, say 10, or so, it will be changed. Anyways, I'm not one of those. Most who talk to me, unless they're very perceptive, can't pick up the symptoms. I function reasonably well around others, and generally only relax my guard by myself; and on the few unfortunate occasions around my wife.

I prefer to keep my stuff private; and I know: "Pain shared is pain divided; Joy shared is joy multiplied." But that's okay, I'll live.

[Clavicula_nox4817 0]

Hey, I'll watch your videos Monday; I won't be able to watch them over the weekend because of my work schedule, and I'm not going to watch them while my wife is around.

[Baff1 0]

I'm not sure I buy video games a solution to this kind of probelm. Sorry.

It certainly isn't going to help anyone with the phtsical problems related to shellshock.

And despite playing video games all day and night my entire life, the images of death and mutilation I have experienced have never been diminished by them.

Neither has my ability to live a structured and regulated life without a sargeant major forcing me to.

Nor has my ability to respect civilians for their chosen life paths been altered, and above all it's done nothing to save my marriage whatsoever.

I'm all up for veterans playing good video games on the other hand. Good luck to them.

[kavoven 4]

Since I'm learning this stuff in university I can tell you, why PTSD is not cureable:

PTSD is an over-generalization of an event that caused fear. Its one of the basic fear principles of the brain that you never, never forget things that posed a threat to your life.

There are two ways of passing the "Warning, there is something that could be dangerous" information along in your brain. The so called "higher" and "lower" path.

Lets take a bomb blast and a thunder strike as example. The noise will go into your ear and move along various sections to the amygdala, which is a very important part in the fear-system. On its way the signal is seperated moving either through the lower (and faster) path directly to the amygdala, or the higher (and slower) path that leads through the cortex, which is part of your consciousness.

During this process your consciousness will tell you, that the noise is only a thunder and not a bomb blast.

When you're suffering PTSD your brain will over-exaggerate the signal coming through the lower path and the amygdala will tell you "danger, be afraid" which will lead to various reaction patterns, each depending on the situation.

This kind of behaviour will never be deleted again. Its part of the whole structure. There are ways how people can get used to it, but in may come back in extreme situations, when your consciousness isn't in the position to "overwrite" the lower signal.

[bravo 6 0]

I have a close familiar who suffers PTSD for more then 30 years and still lives the trauma every day. Some days are worst then others, some times are better but the problem is always present and some times its simply numb, like a tick tack bomb waiting to explode.

I know that some people with PTSD may not be able to do simple tasks (as normal people consider), thats the reason why some Veterans were retired at 45 years old due to 75% mental incapability (or even more). When the adrenaline is too high for the human body it has to explode somehow, some times it does explode in the tip of the hands or feet, and individual can't do nothing to stop it, its terrible when you look at the person and he can't pick a fork or knife to eat due to the wounds in the hands. All of this effects are due to the psychic problems. The closest family is also directly affected with the problem as well, not just the individual with PTSD.

This person belonged to a support group of veterans for several years, and had regular psychic treatments at the hospital and had respective and correct medical prescriptions. I felt that these support group resolved in nothing. Some times i thought, damn he goes there and come back even worse..

I know and i totally agree that the problem does not have a complete cure, it just doesn't have.

Though i believe if the individual follows the correct treatment for hes case it can somehow attenuated the depression crisis that are dangerous.

This is the main idea: With the correct and specific treatments people would be able to learn more about them selfs and their reactions/problems and somehow learn how to control them in their normal days.

Important: Its very important that people don't take this hole idea in a bad way, the intuit here is to help people who directly or indirectly live this PTSD problem. There might be some people out there that have this problem but just don't admit they have and they don't look for help. These cases are the worst because it can resolve in suicide.

[walker 0]

Hi all

I should point out I attempted to write something here several times but have found it very hard to write the correct words.

What k@voven said was very sensible.

As he said PTSD is not as yet curable. I will not say never as the scientists and doctors come up with new drugs and therapies and I always have hope. All that can be done at the moment is to ameliorate it by giving a sufferer and supporters knowledge to spot when their own symptoms are heading or likely to crisis and set up coping strategies or use drugs to deaden its effects and help sufferers to have a degree of normal life.

I have spoken at length on several occasions to a person involved in using virtual therapies; on its current concept and purpose.

Some of the research is used as just that, research. Scientists are using it to get model of the brain and how it works. It is only by understanding the problem that it can be treated. This is the newest form of modern medicine, though society since the stone age has made attempts at dealing with this, post trauma cleansing rituals even exist among hunter gatherer societies.

Other research is attempts to treat from existing knowledge. One has to start somewhere.

The major problem is society's failure to recognise that the problem exists and its tendency, particularly among the political sectors, media and certain senior members of the chain of command, to sweep the problem under the carpet as embarrassing.

PTSD as others have said is very complex. It comes with layers of hidden fear and guilt and it is not yet properly understood. Tie that up with individual complexity of circumstances and reaction. And we have a hard problem.

All that said we are human beings and solving hard problems is something we as a species do.

A major problem is the failure to recognise the increase in the problem of Perpetration-Induced Post Traumatic Stress Disorder.

In the past few soldiers would have fired their gun at another human being, in WWII it was 25% but with the Operant Conditioning used today 95% plus will do so. Historically Perpetration-Induced Traumatic Stress form of PTSD was much rarer and less severe. From the Korean war onwards Operant Conditioning began to be used the PTSD rates started to rise. In the Korean War Those who would fire at another human being rose to 55%.

By the time of the Vietnam war Operant Conditioning was so effective that 95% of soldiers fired their weapon at another human being. In Iraq I have heard the figure 100% spoken.

Consider that for a moment; in the past 75% of soldiers were incapable of firing their weapon at another human. All that WWII conditioning, months of basic training, being trained to obey orders, could not break the human evolutionary and social taboos against killing a fellow human being. Now all those 75% with the most resistance to killing their own species will kill people.

What kind of effect do you think breaking those evolutionary instincts and social taboos has on that 75% who so profoundly believe killing to be wrong?

That is what Operant Conditioning has done. It has shifted all those with the most profound resistance to killing their own kind into those who do it on trigger, just like pavlov's dogs being triggered to salivate.

It was done with best intentions to protect them in the heat of battle. It was done so that they would do the job they signed up to do. It was done with their consent, but for all that, it still has its effect on the psyche.

I will repeat what I said in earlier post.

There are consequences to Operant Conditioning:

Rising cases of PTSD. Suicides. Murder Rates. Mental illness rates. Marriage break ups. Homelessness. The problem is something that  now has the fancy term Perpetration-Induced Traumatic Stress; for the rest of us it comes under the simple term guilt.

Take a person who by evolution, psychology and socialisation is programmed not to kill their own species. Reprogram them, even with their consent, so that they will kill on command or instant reaction to events. There is guilt for killing another human being when all your evolution and upbringing tells you it is wrong and you are going to hell.

Those human feelings of guilt are not turned off by Operant conditioning.

You have seen your self do horrible violence and you can feel those responses kicking-in, in family arguments or when a car backfires. How can you trust your self with loved ones?

And those responses do not just turn off. because they make use of that hard coded fast path to the Amygdala k@voven talked about.

No matter how you cut it, that is going to leave social scars of self loathing and fear of your self with others you love.

The idea that you are just Pavlov's dog must ruin self esteem forcing people to create very rickety frame works of psychological lies, fantasies and excuses to hide behind.

In every society there are purification rituals for those returning from war. They are there for a good reason yet nowadays we have virtually none.

A person has killed another in the name of the nation, they need to be be purified. They cannot and should not have to bring that demon home without all of societies care.

More money needs to be spent on getting veterans though it and most of all this factor has to be talked about. Read "On Killing II: The Psychological Cost of Learning to Kill" by LT. COL. DAVE GROSSMAN, U.S. Army (Ret.) Director, Killology Research Group, www.killology.com

Of more importance is Rachel M. MacNair's work

For the future we may have to consider there are those who should not get in to the military because they cannot cope with killing.

The military already test for psychotics in aptitude exams and does not allow them into the military. I have seen some reports that the testing has been relaxed because the overstretch. I hope this is not so; I for one do not want psychotics running around the streets with military grade reaction conditioning acting out their fantasies.

Society needs to deal with this as it did not with Vietnam.

We all know that PTSD is the elephant in corner of the room, time to stop ignoring it. It is time for society to talk about it.

Kind regards walker

[Clavicula_nox4817 0]

I'm a big fan of Grossman's work, and have read both of his books: On Killing and On Combat .

[walker 0]

Hi all

I understand that the hopes with virtual therapies are two fold.

First:

To start to understand what parts of the brain are affected, by creating the stimulus in a controlled and distanced environment. That might lead to drug therapies to target specific parts of the brain rather than the blunt all brain depressants but the more important it will allow the classification of different problems thus breaking down a vast problem into workable chunks.

Second:

The main direct therapy idea is to counteract the strong negative paths in the brain with alternate positive ones. Hoping in the long term that positive paths in the brain will become the more used and well trodden and that the negative ones will become disused.

Essentially the idea is to train new paths in the brain. Since we know simulations and training can aid in the production of new pathways and thought patterns, the idea is to use this capability as a therapeutic tool.

Kind Regards walker

[Clavicula_nox4817 0]

Yeah, but how could these things work with people who grow up with video games and have at least some kind of ability to separate them as fiction? For example, I've never had any kind of problem playing any game, and there have been some games which featured scenarios that were similar enough they could have been triggers, but they weren't; I knew it was a game, and continued to enjoy myself/be bored/whatever.

I understand the idea of mapping the brain, but I'm curious as to just how accurate it can be in a controlled environment.

*edit*

I guess that while the game might be okay in the visuals department, it is so lacking in every other sense, particularly olfactory and auditory. It isn't enough to hear a certain trigger-causing line being read wiht a robot voice, if it isn't the same voice said in the same way, it's just fake.

Likewise, no smell = no suspension of disbelief.

[walker 0]

Hi Clavicula_nox4817

We have to start somewhere. The first maps are always crude. You have to explore to make better maps. Drug therapies are becoming more precise but a precision tool is no use unless you have an accurate map of where you wish to deploy it.

We are not telepathic and even empathy is limited; so we must fall back on the scientific method and divide up the problem into its constituent parts.

Just because it is a simulation does not mean it is not affecting some of the same parts of the brain as the reality. In fact the studies so far show that it is. And the mere fact that your brain can place limits on the fictional response shows us a degree of mediation and control by the conscious. If we can understand the positive route your brain takes when you assign something with similar triggers the status of fiction rather than threat, then we may have something to work with.

It may well be that the same cut off or lack of it that prevents or in some dire case causes a human to react negatively in a simulation may be usable in a different part of the brain.

Further if we can understand how the paths are created we can perhaps retrain the brain using the same methods. It may well be that something external or internal to the simulation could push someone to the edge of a crisis without tipping them over that edge and then we could use that to create the same malleability of the Amygdala route to create a positive path as an alternate to the negative one.

I think your suggestion of a smell is probably correct; a strong sickening metalic smell might be that external trigger.

I teach rock climbing and mental conditioning is a key component; getting people to recognise and manipulate fear responses constructively is something I have learned myself and taught others; so I know some of this is possible. Other activities do the same. From your avatar and reading between the lines in your posts I think you are aware of this.

In the end the use of VR is just another tool in the arsenal. It aint a magic bullet but it is another step.

Kind Regards walker

[Clavicula_nox4817 0]

I can buy into that. I need to do more research on the subject, I don't suppose there are any books published on the issue?

I'm sure there is some kind of response from the stimuli, my question is whether the response is the same as the actual event? If so, then I wonder what that says about our grasp on reality.

I'm pretty tired, I had some more stuff typed, but it didn't make any sense.

[Kimmeh 0]

Hmmm... interesting.

I've got PTSD myself and must admit after so many treatments I'm a tad sceptical about this solving the entire problem. 'Healthy' people may see it as 'being negative in advance which will make it not work anyway' but you cannot judge that until you've been there.

However, it may be a tool that'll assist towards healing in the future. I think this method, or stuff like Virtual Reality stuff, may help to re-confront a person with the situations and re-wire the brains reactions to certain stimuli. A bit like EMDR(a rather famous anti-PTSD method).

Maybe as virtual reality grows more advanced it'll be more immersive and thus more confronting, and perhaps more effective? However, people with PTSD are sometimes very trigger-sensitive and even a scent or sound can make the past events flare back up again, so I dunno. And not everyone is suited to the 'confrontation' treatment method.

I do wonder if it actually can be fully removed. I mean, 'trauma', means wound. PTSD is the result of a psychological wound. Maybe you can heal the wound, but the scar or damage to underlying 'tissue' will still remain?

Food for pyschologists. (I hope to be one, someday    )

Kimmy

Edit: spelling.

[Clavicula_nox4817 0]

oh man, this thread again. you know, i would go for the VR stuff if it was completely real and oput me back. seriously, i just wnat ot go back; but that is never going to happen again. ever. my brother in law, who is a felon and no education can enlist, but I, a former Ranger(tabbed, not scrolled), can't re-enlist because of this shit.

if the VR was real, i mean, down to the last detail, i would never unplug. i never wanted to leave, it just wasn't my choice.

[walker 0]

Hi Clavicula_nox4817

I am guessing your missing that cold pure feeling; the feeling of being in the moment.

Like I say I climb, I get it there. And no its not just the adrenaline, the self control has always been the thing that appealed to me more, along with the ritual, the complexity and interplay of factors, the puzzle solving and comradeship. Oh and great views help especialy the sunsets. Lots of other things people can do though.

Kind Regards walker

[bravo 6 0]

I'm not very good with words as walker and others, its not my native language and some things are hard to explain for me, and since this is a very sensitive matter maybe videos/professional words help better to express what i would like to transmit to those who don't know where to start..

Youtube videos:

         

         

 ;  source

[walker 0]

Hi all

Here are couple of the Academic papers on the subject that have been publicly released.

http://ict.usc.edu/files/publications/Pair%20Virtual%20Reality.pdf

http://www.dtic.mil/cgi-bin....Doc.pdf

If you have clearance there are probably others.

There has been a fare bit of work in this area recently.

Kind Regards walker

[Clavicula_nox4817 0]

Hm, those are good proposals, walker. My curiosity is truly peaked, Bravo 6, I'm about to watch your videos now, so don'tthink I forgot about you.

*edit*

They say they can do smells. the videos are..i don't know, maybe it could work.

[Clavicula_nox4817 0]

Oh, the one problem I saw was that you can't fire. I understand their reasons, but if they're simulating events...then they can't simulate anything where you engaged the enemy, so I'm not sure what that is supposed to accomplish.

[bravo 6 0]

I in some way thought the same, it wouldn't entirely simulate thing.. in some way it would be incomplete.

I believe the purpose of that specific treatment is to help people to control their unconscious behavior on certain happenings and behaviors. Like was said berfore every case is a case, simulations are not equal for every individual.

I believe these Doctors have to study and analyze every psychic before they determinate a treatment for a individual.

For example, in some cases smell is more important then visualization or vice versa. In other cases the some specific sounds that trigger the flashback. Its all relative. Maybe in the videos we only see a particular case of treatment.

I believe there are some critical cases, the worst ones, that are "easily" to trigger.