VR Reminiscence as “Care” in a Psychiatric Hospital

Emphasis on Narratives and the Phenomenological View of the Person

抄録

This study explores the use of virtual reality reminiscence therapy (VR-RT) as a “care” tool in a psychiatric hospital setting, focusing on its potential to foster meaningful interactions between patients and nurses. While VR-RT has been shown to improve psychological well-being and cognitive function in older adults, this study examines its application through the lens of the phenomenology of care. Seven participants, hospitalized in chronic care wards for conditions such as schizophrenia and depression, engaged in a VR experience alongside their assigned nurses. Participants revisited significant locations and life events through immersive 360-degree films, tailored to their memories and desires. The analysis revealed that VR-RT facilitates conversations that reflect key elements of Benner's phenomenological framework: temporality, care/concern, background meaning, situation, and embodied intelligence. Patients shared narratives about their pasts, current experiences, and aspirations for the future, deepening their connection with the nurses. The study employed qualitative methods, including semi-structured interviews, to evaluate the effectiveness and limitations of VR as a therapeutic medium. While VR sickness was minimal, the results highlight the importance of careful monitoring and short usage durations to ensure safety. This research contributes to the growing field of digital therapeutics by demonstrating the value of VR-RT not only as a tool for symptom management but also as a means to enhance patient-centered care. Future studies should expand sample sizes and integrate mixed-method approaches to explore the broader implications of VR technology in mental health care.