BOSTON (AP) — Your work is dangerous and your
co-workers rely on you to stay alive. But you can never get far from those
colleagues. You can't see your family for months, even years. The food isn't
great. And forget stepping out for some fresh air.
No wonder the adventure of space flight can also be
stressful, isolating and depressing. So scientists are working on giving a
computer the ability to offer some of the understanding guidance — if not
all the warmth — of a human therapist, before psychological problems or
interpersonal conflicts compromise a mission.
Clinical tests on the four-year, $1.74 million project for
NASA, called the Virtual Space Station, are expected to begin in the Boston
area by next month.
The new program is nothing like science fiction's infamous
HAL, the onboard artificial intelligence that goes awry in "2001: A Space
Odyssey." The Virtual Space Station's interaction between astronaut and
computer is far less sophisticated and far more benevolent.
In the project, sponsored by the National Space Biomedical
Research Institute, a recorded video therapist guides astronauts through a
widely used depression therapy called "problem-solving treatment."
The recording helps astronauts identify reasons for their
depression. Then the program helps them make a plan to fight the depression,
based on the descriptions the astronauts type in about their problems.
Astronauts also can learn strategies for handling conflict
through interactive role-playing, and even read psychology books.
Twenty-nine current and former astronauts have been
consulted for the project.
"If things go down the wrong pathway, you're depending
on each other for your survival. So you want to make sure you're working
together well and trust each other implicitly," said Dr. Jay Buckey, a
former astronaut on the Space Shuttle Columbia who's collaborating on the
program.
While the program is designed for astronauts, project
leaders say it could help Earth-bound patients who won't talk to a therapist
because of cost or pride or because they live in rural areas with few
psychologists. In fact, it will be civilian patients, not astronauts, who take
part in the initial tests in Boston.
There are "a lot of barriers to getting help from a
professional, even if you want it here," said Dr. James Cartreine, a
Harvard researcher who heads the project. "Whereas getting help from a
computer, there's not nearly as many barriers."
Depression and personal conflicts have no real effect on the
vast majority of space missions. But some psychological problems are
inevitable, particularly on longer assignments, given the high demands, close
quarters and months in near isolation. Most conflicts never become public
unless they are revealed by an agency or astronaut.
In 1985, a mission on Russia's Salyut 7 space station was
scrapped after colleagues noticed the commander seemed uninterested in the work
and spent hours looking out portholes. Three years earlier, a mission on the
same space station was hampered by tension between two astronauts.
"We don't understand what's going on with us," one
of the crew members, Valentin Lebedev, wrote in the book "Diary of a
Cosmonaut." ''We silently walk by each other, feeling offended. We have to
find some way to make things better."
Space can affect mood by playing havoc with natural body
rhythms and sleep. Weightlessness seems to throw off those rhythms. And on the
international space station, for instance, the normal day-night cues are
disrupted as sunrises and sunsets come every 45 minutes.
Psychologists can be available to some astronauts, depending
on when communication links are open. But on missions that might eventually
emerge, such as a trip to Mars, the distance to Earth — as wide as 250
million miles — might make those talks all but impossible. Radio
transmissions could take 40 minutes to carry an exchange between astronaut and
therapist.
Through the Virtual Space Station program, a recording of
Dartmouth psychologist Dr. Mark Hegel comes onboard through a personal laptop
accessible to only one astronaut. Cartreine hopes the privacy encourages those
who might be reluctant to seek help. Confidentiality is a major concern among
astronauts, who worry they won't get choice assignments if superiors learn they
want help for emotional problems.
It's the first time researchers have tried to use the
problem-solving treatment without a live therapist. Typically the therapist's
role is to guide patients to make a plan to relieve problems that can cause
depression. But Hegel is optimistic it can work in space because the treatment
depends so heavily on patient input.
Hegel said he worked hard in endless takes to be engaging
and avoid terms that might put off an astronaut. For instances, problems are
"challenges" or "malfunctions" that can be corrected.
The new program is a compelling idea, and it's important
step to improve quality of life in space, said Al Harrison, a psychologist at
the University of California at Davis who has studied psychology in space
flight and worked with NASA.
But Harrison added that because of the absolute need for
privacy, it will be hard to determine how many astronauts actually use the
program and whether it works.
Harrison said researchers have good reason to believe the
program will be effective because it's proven that many other situations and
forms of treatment can be addressed without a live therapist. But it still has
to be proven on the Virtual Space Station.
"It shows a tremendous scientific and clinical
creativity and great promise," Harrison said. "It's going to take a
long time to get the final proof of the pudding."
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