Calmavisio: Visualizing Abstract Anxiety Through 360° Symbolic Animation-Based Exposure Therapy

Authors

  • Benny Rahmawan Noviadji Indonesian Institute of the Arts Bali
  • I Nyoman Artayasa Indonesian Institute of the Arts Bali
  • A.A. Gde Bagus Udayana Indonesian Institute of the Arts Bali
  • I Wayan Swandi Indonesian Institute of the Arts Bali

DOI:

https://doi.org/10.55927/ijis.v4i12.795

Keywords:

Generalized Anxiety Disorder, Symbolic Exposure Therapy, 360° Animation, Immersive Media, Art-Based Therapeutic Intervention

Abstract

Generalized Anxiety Disorder (GAD) is characterized by diffuse, abstract, and non-object-specific anxiety, presenting significant challenges for conventional exposure-based therapies that depend on identifiable fear stimuli. This study proposes Calmavisio, a symbolic exposure therapy model utilizing 360° cinematic animation to visualize abstract anxiety experiences in a psychologically safe and immersive environment. Adopting a descriptive qualitative and practice-based research methodology, the study integrates principles from cognitive behavioral therapy, symbolic psychology, visual semiotics, and aesthetic theory. The creative process is structured through the INSPIRA model and realized using the AURA production method, resulting in a 360° animated experience composed of three therapeutic stages: symbolic exposure, response awareness, and recovery. The findings indicate that symbolic and surreal visual metaphors, combined with immersive presence, can effectively externalize internal anxiety states while facilitating emotional reflection and regulation. Calmavisio demonstrates conceptual coherence as a complementary exposure medium, particularly for individuals with GAD who experience difficulty with verbalization or imaginal exposure. Although further empirical validation is required, this study establishes a robust interdisciplinary framework for the development of symbolic immersive media in anxiety intervention

References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). APA Publishing.

Arnheim, R. (2004). Art and visual perception: A psychology of the creative eye (Updated ed.). University of California Press.

Bell, C. (2018). Art. Oxford University Press. (Original work published 1914)

Carl, E., Stein, A. T., Levihn-Coon, A., Pogue, J. R., Rothbaum, B. O., Emmelkamp, P., Asmundson, G. J. G., & Powers, M. B. (2019). Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials. Journal of Anxiety Disorders, 61, 27–36. https://doi.org/10.1016/j.janxdis.2018.08.003

Chandler, D. (2017). Semiotics: The basics (3rd ed.). Routledge.

Craske, M. G., Hermans, D., & Vervliet, B. (2022). State-of-the-art and future directions for exposure therapy. Annual Review of Clinical Psychology, 18, 257–282. https://doi.org/10.1146/annurev-clinpsy-072720-014822

Craske, M. G., Stein, M. B., Eley, T. C., Milad, M. R., Holmes, A., Rapee, R. M., & Wittchen, H. U. (2022). Anxiety disorders. Nature Reviews Disease Primers, 8(1), 35. https://doi.org/10.1038/s41572-022-00358-8

Jung, C. G. (1968). The archetypes and the collective unconscious (2nd ed.). Princeton University Press.

Malchiodi, C. A. (2020). Trauma and expressive arts therapy: Brain, body, and imagination in the healing process. Guilford Press.

Moleong, L. J. (2005). Qualitative research methodology. Remaja Rosdakarya.

Newman, M. G., Castonguay, L. G., & Fisher, A. J. (2019). Cognitive-behavioral therapy for generalized anxiety disorder: Current status and future directions. Journal of Anxiety Disorders, 63, 101–110. https://doi.org/10.1016/j.janxdis.2019.02.001

Newman, M. G., Llera, S. J., Erickson, T. M., Przeworski, A., & Castonguay, L. G. (2019). Worry and generalized anxiety disorder: A review and theoretical synthesis. Clinical Psychology Review, 74, 101784. https://doi.org/10.1016/j.cpr.2019.101784

Penninx, B. W. J. H., Pine, D. S., Holmes, E. A., & Reif, A. (2021). Anxiety disorders. The Lancet, 397(10277), 914–927. https://doi.org/10.1016/S0140-6736(21)00359-7

Santabárbara, J., Bueno-Notivol, J., Lipnicki, D. M., Olaya, B., Pérez-Moreno, M., Gracia-García, P., & Bobes, J. (2021). Prevalence of anxiety in the COVID-19 pandemic: An updated meta-analysis. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 109, 110207. https://doi.org/10.1016/j.pnpbp.2020.110207

Slater, M., & Sanchez-Vives, M. V. (2016). Enhancing our lives with immersive virtual reality. Frontiers in Robotics and AI, 3, 74. https://doi.org/10.3389/frobt.2016.00074

Stein, M. B., & Sareen, J. (2018). Generalized anxiety disorder. The New England Journal of Medicine, 373(21), 2059–2068. https://doi.org/10.1056/NEJMcp1502514

Wölfflin, H. (2015). Principles of art history: The problem of the development of style in later art. Dover Publications.

World Health Organization. (2022). World mental health report: Transforming mental health for all. WHO Press.

Published

2025-12-30

How to Cite

Noviadji, B. R., Artayasa, I. N., Udayana, A. G. B., & Swandi, I. W. (2025). Calmavisio: Visualizing Abstract Anxiety Through 360° Symbolic Animation-Based Exposure Therapy. International Journal of Integrative Sciences, 4(12), 3077–3094. https://doi.org/10.55927/ijis.v4i12.795