Kicking the habit, virtually
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...that they reported more positive attitudes about height than those in the control group. More than 50 percent of treatment group members exposed themselves to heights in the real world without being asked to do so.

Meanwhile, the cost of virtual reality technology began to decline. “It was kind of an intuitive fit with phobias,” said Brenda Wiederhold, executive director of the Virtual Reality Medical Center in San Diego, a clinical practice devoted to virtual reality as a tool for treating psychiatric disorders. Traditionally, therapists would have patients imagine what they were afraid of or take them into a real-world situation in order to desensitize them. Now, therapists can expose patients to a variety of situations right there in the office. For example, therapists with patients afraid of flying no longer have to travel all the way to the airport to have them sit on a plane. Instead, they can expose patients to a complete flight, making it smooth, turbulent or stormy, in the course of one therapy session.

Treatment of addicts is similar in principle to exposure therapy for phobias. One of the first clinics to use virtual reality to expose addicts to cravings was Virtually Better in Decatur, Ga. When the center opened in 1996, Ken Graap, the company’s president, helped therapists treat Vietnam veterans suffering from post-traumatic stress disorder by exposing them to virtual war scenes. He noticed that a lot of these men were also addicted to nicotine or other drugs and wondered if virtual reality could treat those problems, too. He teamed up with Bordnick, who had been wondering how virtual reality might help addicts reduce cravings in the real world.

Funded by a grant from the National Institute on Drug Abuse, Bordnick and Graap started a controlled clinical trail in 2002 with 20 people in order to determine whether a virtual environment could help smokers quit. Their first goal was to test whether the cues in the program actually triggered cravings.

To enter the virtual world they created, you stand on a platform and don a helmet equipped with headphones and a visor that falls over your eyes. The smoking program designed for the study, which lasts about 20 minutes, consists of three rooms. The first contains underwater aquarium scenes unrelated to smoking, what Graap calls a “neutral environment,” where you’re asked a series of questions about your current desire to smoke. This allows researchers to get base-line...