Freeman and colleagues compared graded virtual social exposure with threat testing that included safety behavior reduction, assessing belief conviction and later real-world distress. The brief small-sample experiment probes a combined causal manipulation rather than establishing durable effects of every component.[ref]
Virtual reality in the treatment of persecutory delusions: randomised controlled experimental study testing how to reduce delusional conviction by Daniel Freeman and others. British Journal of Psychiatry 209, 62–67; 30 participants, graded social environments, safety reduction versus exposure and real-world assessment
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