Over half the adults in Europe are overweight (
https://ec.europa.eu/eurostat/web/products-eurostat-news/-/ddn-20210721-2(opens in new window)) including 17% classified as obese. Being overweight can have a highly negative impact on health. This can lead to heart disease and stroke, type 2 diabetes, musculoskeletal disorders like osteoarthritis, and also cancer. Any of these conditions can lead to premature death. As well as the direct health implications and its consequences for individuals and families, there is a considerable economic burden. For example, Müller-Riemenschneider et al
https://pubmed.ncbi.nlm.nih.gov/18509729/(opens in new window) report costs in the billions, and a "substantial economic burden". On the other hand it has been reported that obesity treatment is underfunded in many countries in Europe (
https://easo.org/survey-of-access-to-obesity-care-in-europe-for-adults/(opens in new window)). The aim of the SOCRATES project is to approach obesity from a different point of view. Taking advantage of the low cost availability of high quality virtual reality devices in recent years, and growing take up of the technology for home use, SOCRATES is investigating and providing a method that aims to be used for treatment of obesity, allowing even for the possibility of ultimate home use.
This project is based on a new paradigm for self-counselling in virtual reality. The idea is based on embodied perspective taking where patients can see and interact with a virtual human character that looks very much like themselves. In SOCRATES we exploit this method with three approaches addressed to the problem of patients with obesity. The first is to help patients understand the problem. They will see a close likeness of their real body shape. When people look in a mirror they see what they expect or want to see. Seeing yourself in full 3D stereo is rarely if ever possible in everyday life, and the expectation is that seeing their true (rather than imagined) body shape from this unusual perspective, will act as a motivation. A second aspect of this is that it is designed to help patients overcome their own self-stigmatisation to recognise that their worth is independent of their contingent body shape. In the third instantiation patients will be encouraged to understand the possibility of having a healthy and fit body corresponding with their own desire, with the goal to enhance their autonomy.