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Yıl:2023; Cilt: 15; Sayı: 4>> Özet
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Psikiyatride Güncel Yaklaşımlar; 2023;15(4):665-676
Şizofreni Hastalarında İşitsel Halüsinasyonların Tedavisinde Avatar Terapi Modeli ve Etik İlkeler
Z Özerol, S Andiç
Antalya Bilim Üniversitesi
Şizofreni ruhsal bozukluklar içerisinde en yıkıcı özelliklere sahip olanlardan biridir. Kişilerarası ilişkilerle yakından ilişkili olduğu bilinen işitsel halüsinasyonlar şizofreni gidişatında en sık gözlemlenen halüsinasyon türüdür. Sanal gerçeklik, bilgisayarlı teknolojilerin gelişmesiyle çeşitli alanlarda gelişim göstermektedir ve klinik psikoloji alanında sanal gerçeklik terapileri şeklinde karşımıza çıkmaya başlamıştır. Avatar terapisi, şizofreni belirtileri arasındaki işitsel halüsinasyonlara odaklanan kişilerarası temelli sanal gerçeklik terapi modelleri arasında yer almaktadır. Avatar terapisi ile amaçlanan, kişinin işitsel halüsinasyonları üzerinde kontrol sahibi olabilmesinin sağlanmasıdır. Bu derleme çalışması kapsamında; şizofreni tedavisinin dünü, bugünü ve yarınına, şizofreni tedavisindeki etkili müdahale yöntemlerine, sanal gerçeklik terapisine, avatar terapi modelinin ana hatlarına, avatar terapisinin etkililik çalışmalarına ve etik ile ilişkili konulara değinilmiştir. Avatar terapisinin etkililik çalışmalarına dair araştırma sonuçları bu alanda yapılacak daha fazla araştırmaya ihtiyaç olduğunu ortaya koymaktadır.
Avatar Therapy Model and Ethical Principles in the Treatment of Auditory Hallucinations in Patients with Schizophrenia
Schizophrenia is one of the most debilitating mental disorders. Auditory hallucinations, which are known to be closely related to interpersonal relationships, are the most common type of hallucinations observed in the course of schizophrenia. Virtual reality has been developing in various fields with the development of computerized technologies and has started to appear in the field of clinical psychology in the form of virtual reality therapies. Avatar therapy is among the interpersonal-based virtual reality therapy models that focus on auditory hallucinations among the symptoms of schizophrenia. The aim of avatar therapy is to enable the person to have control over auditory hallucinations. Within the scope of this review study; the past, present and future of schizophrenia treatment, effective intervention methods in the treatment of schizophrenia, virtual reality therapy, the main outlines of the avatar therapy model, the effectiveness studies of avatar therapy and ethical issues were discussed. The results of the research on the effectiveness of avatar therapy reveal the need for further research in this field.

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