Specifically, the process facilitates the patient in replacing images that aggravate physical pain, exacerbate psychological pain, reaffirm debilitation, recollect and reconstruct distressing events, or intensify disturbing feelings such as hopelessness and anxiety, with imagery that emphasizes and precipitates physical comfort, cognitive clarity, and emotional equanimity. This process may be facilitated by a practitioner or teacher in person to an individual or a group. Alternatively, the participants or patients may follow guidance provided by a sound recording, video, or audiovisual media comprising spoken instruction that may be accompanied by music or sound.[45]