# Qualitative study on the virtual reality-based empty-chair technique in middle-aged South Korean men

## TL;DR

A study explored how middle-aged South Korean men experience a VR-based version of a therapy technique that helps them confront emotions they might avoid due to cultural norms.

## Contribution

The study introduces a VR adaptation of the empty-chair technique tailored to address cultural barriers to emotional expression in middle-aged South Korean men.

## Key findings

- Participants experienced emotional reactions when interacting with their virtual childhood selves.
- The VR format helped shift participants' attitudes toward self-reflection and emotional openness.
- Participants identified advantages of VR, such as immersion, but also noted areas needing improvement.

## Abstract

The gestalt empty-chair technique facilitates dialog between clients and an imagined person or aspect of themselves to explore and resolve emotions or conflicts. Although it has proven to be therapeutic, middle-aged South Korean men may find its traditional format uncomfortable because of cultural norms and traditional gender roles that discourage emotional expression. This study explored the perceptions of a virtual reality (VR)-based adaptation of the empty-chair technique.

Fourteen middle-aged South Korean men (aged 40–59 years) participated in sessions involving interaction with a virtual representation of their younger selves in a VR environment, followed by in-depth interviews. Data were analyzed using Smith’s Interpretative Phenomenological Analysis to reveal participants’ lived experiences.

Three positive experience domains emerged: “emotional reactions from meeting my childhood self,” “shifting attitudes toward the self,” and the “advantages of using VR.” Conversely, three negative experience domains were identified: “difficulty revisiting childhood without constraints,” “elements that disrupted immersion,” and “areas for improvement.”

The findings highlight the potential of the VR-based empty-chair technique as a counseling tool for middle-aged men, offering innovative ways to overcome the limitations of the traditional approach.