{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:18:22Z","timestamp":1785475102590,"version":"3.56.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T00:00:00Z","timestamp":1737158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Based on the repertory grid technique, we developed Explore Your Meanings (EYME), a digital platform that helps patients explore identity values and internal conflicts using virtual reality (VR). EYME was part of a research project treating depression in young adults, including 10 weekly, 1\u2010h sessions aimed at changing personal constructs\u2014cognitive schemas that shape how individuals interpret reality. We present the case of Mary, a 21\u2010year\u2010old woman diagnosed with persistent major depressive disorder and social phobia. Early sessions with EYME revealed key implicit dilemmas in Mary's worldview, such as feeling that she had to be selfish (an undesired personal characteristic) to become smarter and more self\u2010confident (desired pole). As Mary visualized these constructs in VR, she began to recognize her identity conflicts and strengths, ultimately helping her to improve her negative self\u2010image. Interventions focused on reframing these constructs, particularly around \u201cintelligence\u201d and introducing \u201cemotional intelligence,\u201d which helped Mary adopt a more nuanced view of herself. A key session involved a two\u2010chair dialog between her \u201ccritical\u201d and \u201cemotional\u201d selves, facilitating the integration of polarized aspects of her personality. In subsequent sessions, EYME reinforced these changes, with Mary reinterpreting behaviors like being \u201cselective\u201d as protective rather than negative. By the end of therapy, she no longer met the criteria for depression or social phobia, and her psychological distress had normalized.<\/jats:p>","DOI":"10.1002\/jclp.23771","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T16:43:15Z","timestamp":1737218595000},"page":"345-354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Using Virtual Reality to Promote Self\u2010Identity Reconstruction as the Main Focus of Therapy"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2972-4865","authenticated-orcid":false,"given":"Alejandro","family":"Garcia\u2010Gutierrez","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychobiology Universitat de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9201-8694","authenticated-orcid":false,"given":"Adri\u00e1n","family":"Montesano","sequence":"additional","affiliation":[{"name":"School of Psychology and Educational Sciences Open University of Catalonia Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillem","family":"Feixas","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychobiology, The Institute of Neurosciences Universitat de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,18]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44159-024-00334-9"},{"key":"e_1_2_4_3_1","first-page":"69","volume-title":"Qualitative Psychotherapy Research: Methods and Methodology","author":"Elliott R.","year":"2001"},{"key":"e_1_2_4_4_1","unstructured":"Feixas G. M.Alab\u00e8rnia\u2010Segura A.Garc\u00eda\u2010Guti\u00e9rrez andM.S\u00e1nchez\u2010Povedano. February 2021. \u201cEYME\u2010Explore Your Meanings: A Digital Platform for the Exploration of Identity Values and Conflicts.\u201d Paper Presented at the First European Conference on Digital Psychology (online)."},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0947-x"},{"key":"e_1_2_4_6_1","unstructured":"Feixas G. andJ. M.Cornejo.2002. \u201cGRIDCOR: Correspondence Analysis for Grid Data v.4.0 [Computer Software and Repertory Grid Manual].\u201dhttps:\/\/www.ub.edu\/terdep\/gridcor2002\/pag\/index.html."},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41811-021-00122-w"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1138741600004765"},{"key":"e_1_2_4_9_1","volume-title":"Constructivismo y psicoterapia [Constructivism and Psychotherapy] (3rd ed.)","author":"Feixas G.","year":"2000"},{"key":"e_1_2_4_10_1","volume-title":"A Manual for Repertory Grid Technique (2nd ed.)","author":"Fransella F.","year":"2004"},{"key":"e_1_2_4_11_1","doi-asserted-by":"crossref","unstructured":"Ka\u2010Yee Essoe J. A. K.Patrick K.Reynolds A.Schmidt K. A.Ramsey andJ. F.McGuire(2022). \u201cRecent Advances in Psychotherapy With Virtual Reality Closing the Research\u2010to\u2010Practice Gap.\u201dhttps:\/\/doi.org\/10.1016\/j.ypsc.2022.04.001.","DOI":"10.1016\/j.ypsc.2022.04.001"},{"key":"e_1_2_4_12_1","volume-title":"The Psychology of Personal Constructs (Vol. 2)","author":"Kelly G. 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