van Minnen Agnes, Ter Heide F Jackie June, Koolstra Tilly, de Jongh Ad, Karaoglu Sezer, Gevers Theo
Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.
Research Department PSYTREC, Bilthoven, Netherlands.
Front Psychiatry. 2022 Aug 18;13:882957. doi: 10.3389/fpsyt.2022.882957. eCollection 2022.
Interventions aimed at easing negative moral (social) emotions and restoring social bonds - such as amend-making and forgiving-have a prominent role in the treatment of moral injury. As real-life contact between persons involved in prior morally injurious situations is not always possible or desirable, virtual reality may offer opportunities for such interventions in a safe and focused way.
To explore the effects of the use of deepfake technology in the treatment of patients suffering from PTSD and moral injury as a result of being forced by persons in authority to undergo and commit sexual violence (so-called ).
Two women who had experienced sexual violence underwent one session of confrontation with the perpetrator using deepfake technology. The women could talk ZOOM with the perpetrator, whose picture was converted in moving images using deepfake technology. A therapist answered the questions of the women in the role of the perpetrator. Outcome measures were positive and negative emotions, dominance in relation to perpetrator, self-blame, self-forgiveness, and PTSD-symptom severity.
Both participants were positive about the intervention. Although they knew it was fake, the deepfaked perpetrator seemed very real to them. They both reported more positive and less negative emotions, dominance in relation to the perpetrator and self-forgiveness, and less self-blame and PTSD-symptoms after the intervention.
Victim-perpetrator confrontation using deepfake technology is a promising intervention to influence moral injury-related symptoms in victims of sexual violence. Deepfake technology may also show promise in simulating other interactions between persons involved in morally injurious events.
旨在缓解负面道德（社会）情绪并恢复社会关系的干预措施——如道歉和宽恕——在道德伤害的治疗中具有重要作用。由于在先前存在道德伤害情况的相关人员之间进行现实生活中的接触并不总是可行或可取的，虚拟现实可能会以安全且专注的方式为这类干预提供机会。
探讨使用深度伪造技术对因被权威人士强迫遭受和实施性暴力（所谓的 ）而患有创伤后应激障碍（PTSD）和道德伤害的患者进行治疗的效果。
两名经历过性暴力的女性使用深度伪造技术与犯罪者进行了一次面对面交流。这两名女性可以通过视频会议软件ZOOM与犯罪者交谈，犯罪者的照片通过深度伪造技术转换成了动态图像。一名治疗师以犯罪者的角色回答女性的问题。结果测量指标包括积极和消极情绪、相对于犯罪者的主导地位、自责、自我宽恕以及PTSD症状的严重程度。
两名参与者对该干预措施都持积极态度。尽管她们知道这是假的，但深度伪造的犯罪者对她们来说似乎非常真实。她们都报告说，干预后积极情绪增多，消极情绪减少，相对于犯罪者的主导地位和自我宽恕增加，自责和PTSD症状减少。
使用深度伪造技术进行受害者与犯罪者的面对面交流是一种有前景的干预措施，可影响性暴力受害者中与道德伤害相关的症状。深度伪造技术在模拟道德伤害事件中相关人员之间的其他互动方面也可能显示出前景。
