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Updated: Feb 12, 2026

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The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 12, 2009
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Presence Is Reality: Rethinking Virtual and Real-World Consciousness
Oliver Singleton1, Aikaterini Fotopoulou1
1Clinical, Educational and Health Psychology Research Department, Division of Psychology and Language Sciences, University College London.
Summary
Presence and reality are not distinct but continuous experiences, challenging traditional definitions. Virtual reality (VR) can help study the sense of reality and its disorders.
Area of Science:
- Cognitive Science
- Virtual Reality (VR) Research
- Neuroscience
Background:
- The sense of presence (feeling "there") and the sense of reality (discriminating real from unreal) are often treated as separate.
- Existing literature shows inconsistent and interchangeable use of these terms in cognitive science and VR studies.
Purpose of the Study:
- To challenge the dichotomy between presence and reality.
- To propose that presence and reality are continuous phenomena.
- To integrate perceptual and cognitivist theories of presence.
Main Methods:
- Review and synthesis of cognitive science and VR literature.
- Identification of converging psychophysical findings in multisensory integration, self-embodiment, and agency.
- Analysis of preliminary neuroimaging data.
Main Results:
- Presence and reality share conceptual, mechanistic, and phenomenological continuity.
- Integrative mechanisms likely underpin both presence and reality.
- Converging evidence exists in multisensory integration, self-embodiment, and agency.
- Preliminary neuroimaging suggests a shared frontolimbic neural substrate for "realness."
Conclusions:
- Presence and reality should be viewed as continuous, not dichotomous.
- Virtual reality (VR) is a valid tool for studying the sense of reality and related clinical disorders.
- Future research should directly compare presence and reality to test for functional and neural equivalence.
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