Affective Interactions in Therapeutic Virtual Reality: A Critical Perspective

Therapeutic virtual reality (VR) can be a tool, platform or experience imaginary in the healthcare setting. Emotions and affective interaction are integral to the care needs and experiences in digital healthcare, yet remain under-investigated in therapeutic VR. We reflect on four cases involving therapeutic VR to critically examine the function and value of affective interaction. Through a synthesis of the cases, we identify how affective interaction can enhance or diminish healthcare outcomes and even cause potential harm. We draw five recommendations for the design and evaluation of therapeutic VR to challenge assumptions about: (1) knowledge holders and knowledge co-production in design, (2) hyper-visiblity of medical gaze and invisibility of affective experiences, (3) diverse utilities of VR, (4) weaving assessment of affective benefits and harms into evaluation of therapeutic VR, and (5) implementation of therapeutic VR in collaboration with caregivers.