Presents - Western Association of Biofeedback and Neuroscience
Transcription
Presents - Western Association of Biofeedback and Neuroscience
Presents Pre-Conference Issue Transformative Technology November 6-8th, 2015 Avenue of the Arts Wyndham Hotel, Costa Mesa, CA Details Inside! THE NEWSLETTER OF THE BIOFEEDBACK SOCIETY OF CALIFORNIA | Fall 2015 ~ VOL. 31, No. 2 Training Programs from the Leader in Biofeedback 2015 CertifiCate Programs 2015 CertifiCate Programs 5-Day Professional Biofeedback 4-Day EEG Neurofeedback 3 days in Classroom & 2 days live online 3 days in Classroom & 1 day live online atlanta, ga austin, tX sf Bay area/mill valley, Ca newark, nJ anaheim, Ca Chicago/st. Charles, il Hartford, Ct Washington, dC denver, Co ft. lauderdale, fl sf Bay area/mill valley, Ca atlanta, ga austin, tX sf Bay area/mill valley, Ca newark, nJ anaheim, Ca Chicago/st. Charles, il Washington, dC denver, Co ft. lauderdale, fl sf Bay area/mill valley, Ca feb 19 – 21 mar 10 – 12 apr 23 – 25 may 9 – 11 June 20 – 22 July 23 – 25 aug 15 – 17 sep 23 – 25 oct 8 – 10 nov 19 – 21 dec 4 – 6 feb 22 – 24 mar 5 – 7 apr 26 – 28 may 12 – 14 June 25 – 27 July 28 – 30 sep 17 – 19 oct 11 – 13 nov 22 – 24 dec 9 – 11 3-Day Quantitative EEG 2-Day Advanced Biofeedback HRV/Pain Applications newark, nJ anaheim, Ca Washington, dC anaheim, Ca Chicago/st. Charles, il sf Bay area/mill valley, Ca may 15 – 17 June 28 – 30 sep 20 – 22 2-Day ADD & AVE with Dave Siever austin, tX June 23 – 24 July 26 – 27 dec 7 – 8 5-Day Quantitative EEG sf Bay area/mill valley, Ca dec 12 – 16 mar 8 – 9 Earn the most didactic hours for BCIA certification Learn from highly experienced instructors Hands-on training and more using NeXus, Infiniti® & Brainmaster systems Call us at 800-257-8367 or register online at www.stens-biofeedback.com NeXus wireless Bluetooth® technology with BioTrace is available exclusively from Stens-Biofeedback The leading supplier of biofeedback equipment and training. Serving you for over 40 years. CEs for APA, CNA, BBS. Stens Corp is approved by the APA to offer CE for psychologists and maintains responsibility for the program. Infiniti is a registered trademark of Thought Technology, Ltd. Bluetooth is a trademark owned by Bluetooth SIG Inc., USA. From the President EXECUTIVE BOARD ALI HASHEMIAN, PHD President, Biofeedback Society of California GARY SCHUMMER, PHD, BCB, BCN President-Elect, Biofeedback Society of California Education Committee Chair JAY GUNKELMAN, QEEGD Past President BOARD MEMBERS JULIE MADSEN, PSYD Continuing Education Chair JOHN C. LEMAY, MA, MFT, BCB STEVE KASSEL, MA, MFT, BCN, BCB RICHARD HARVEY, PHD NICHOLAS DOGRIS, PHD, BCN, QEEGD SIEGFRIED OTHMER, PhD ROBERT N. GROVE, PHD ROBERT GUILES, MA, BCB Student Committee Chair EXECUTIVE DIRECTOR TIFF THOMPSON, MA, BCN, QEEG DIPLOMATE Direct all correspondence and inquiries, including commercial advertising information and classified ads, to: Biofeedback Society of California 1108 De La Vina St., Santa Barbara CA 93101 Phone: (805) 453-6190 Fax: (949) 544-0439 biofeedbackcalifornia@gmail.com www.biofeedbackcalifornia.org I t’s so hard to believe that the year is more than half over already! Didn’t we just celebrate Christmas a couple of weeks ago? Maybe the technology that connects us all in an instant is also making the time go by faster. Your board has been hard at work with lots of exciting changes. We, after much deliberation, voted to expand formally beyond California to include neighboring states to increase both membership and regional conference attendance. Our name was changed to Western Association for Biofeedback and Neuroscience. Also, we are now finalizing the revised association bylaws which needed to be modified, and at the same time updated to bring to regulatory compliance. All of these changes and modification will be presented to the full membership for final vote and ratification. We also have an exciting meeting coming up in Costa Mesa this year. Our hotel is the beautiful Avenue of the Arts Wyndham Hotel located in Costa Mesa, a block or two from the South Coast Plaza, one of the largest shopping malls on the West Coast. We are also about 5 miles away from the Orange County Airport (SNA), with complimentary hotel shuttle available. With room rate of $109.00 which includes free internet, and a parking rate of only $5.00, this is one of the best values in our recent history at a prestigious property. We have a great line-up of presenters already committed, with more being added every day. This is a once-a-year opportunity to keep abreast of the changes in our field and network with your friends, colleagues, and yes—your competitors. There is no other networking like that where you can meet face-to-face, exchange ideas, and break bread. So mark your calendar and plan to attend, encourage your friends and associates to come too! Newport Beach, Disneyland and some of the country’s best golfing are only minutes away. Lastly, the board elections are coming up and we need new board members. This is your opportunity to help the field move forward and to contribute. Please nominate yourself or anyone else you think might be suitable or interested in being a volunteer board member. It’s a one year term and takes about five to ten hours of your time monthly. Looking forward to seeing you in Costa Mesa. u Ali Hashemian, PhD CALIFORNIA BIOFEEDBACK EDITOR: Tiff Thompson, MA, BCN, QEEGD California Biofeedback is the official publication of The Biofeedback Society of California. Opinions expressed herein are those of the respective authors and do not necessarily reflect the official view of the BSC. The BSC is not responsible for the products or programs of private companies advertised herein. California Biofeedback is published three times a year and will consider all materials pertaining to the practice and/or promotion of biofeedback in healthcare in California. Send all correspondence to: Biofeedback Society of California 1108 De La Vina St., Santa Barbara CA 93101 biofeedbackcalifornia@gmail.com Presents Join us this year at our 41st Annual Conference, where the Biofeedback Society of California transforms into the Western Association of Biofeedback and Neuroscience! A yearly subscription to California Biofeedback is available for $35.00. Please send your check to the Executive Office listed above. Friday, November 6th through Sunday, November 8th, in Costa Mesa! California Biofeedback — Fall 2015 PUBLISHER: Biofeedback Society of California 2 From the Executive Director G ety. reetings BSC Members! A few important items are underway, as our organization expands and shifts to a regional soci- Firstly, we’re reaching out to new members in other states, focusing first upon Nevada, Arizona, Colorado, New Mexico, Oregon, Hawaii, and Alaska. Do you have friends or colleagues in these states who would like the support of a regional organization? Membership is reasonable, at $125 for newbies and $95 for renewals. Now is an important time to join with colleagues who have the best interests of the field at heart. In my estimation, we are about to see both an explosion of new psychophysiological technologies, as well as debates and strife over issues concerning licensing, psychophysiological education, and certification. I hope you will join us in these important times. In addition to membership, if you would like to be in a position that allows greater influence over societal and industry-wide decisions and policy, nominate yourself for a board member position. A few long-time and loyal board members are stepping down this fall and we’re looking to fill a few spots. We will miss the presence of Jay Gunkelman, Julie Madsen, John Lemay and Robert Grove who have been quite instrumental to the BSC over the years. u Tiff Thompson, MA, BCN, QEEG Diplomate v v Table of Contents A s your elected BSC student liaison, I have been given the task to generate student interest and promote the field for future biofeedback practitioners. With the recent expansion of our corporation, our committee has worked diligently to create an abundance of professional development opportunities for students to explore. Not only will you learn from the top experts in the field, but you will gain invaluable experience connecting with seasoned professionals who can help mentor you through networking and career development. Annual conferences are held each year giving students advantages to attend through travel scholarships, reduced registrations fees, and student-lead biofeedback presentations. Biofeedback professionals are eager for your contributions and invested in your future in the field. Your desire to become a student member can lead to unique connections and a more satisfying journey through your graduate studies. As a BSC student member for the past 4 years, I have gained skills and practical experience outside the classroom. The BSC has supported my career endeavors and provided me with professional development opportunities that has continued to cultivate my fields of interest. As a result, I have collaborated with leading experts in the field which has yielded access to key resources that would not have been made possible without my student membership. Take advantage of our networking opportunities while learning about new innovative biofeedback equipment and trends. Whether you are just starting out or furthering your education, BSC offers a variety of benefits to you as a BSC student member to meet your needs. Join us and become a student member today! u From the President��������������������������������������2 From the Executive Director ����������������������3 From the Student Liaison����������������������������3 v v California Biofeedback — Fall 2015 The Mentoring Program and Beyond: Part 1 of 2 Gary J. Schummer, PhD����������������������������5 Virtual Reality Siegfried Othmer, PhD������������������������������6 Q & A with Hanno Kirk by Tiff Thompson����������������������������������������7 Biofeedback at the Crossroad George von Bozzay ������������������������������������8 3 From the Student Liaison Robert Guiles, MA, BCB Register at www.biofeedbackneuroscience.com November 4th-8th, 2015, Costa Mesa, California Wyndham Avenue of the Arts Hotel Thurs. Nov. 5th Friday. Nov. 6 Sat. Nov. 7 Sun. Nov.8 REGISTRATION REGISTRATION REGISTRATION Erik Peper Stephen Sideroff The Freeze Response, School Performance, and Redesigning the Stress Response For Optimal Resilience our Reponse to Agggression 8am-9am 8am-9am Siegfried Othmer Theoretical Model for Infra-Low Frequency Training 9:00am-10:15am Richard Gervirtz The effect of slow diaphragmatic breathing on heart beat event related potentials (HEPs) 9am-10am Break - visit our vendors Deborah Livermore, MarvinJay Tomas, Sabrina Williams, & Jessie Woodford Sea Level or Machu Picchu: Does your ANS care? 10:30am-11:45am Lynette Louise The Interplay between Autism, Tics, Neurofeedback, Trauma and Chelation 10:30am-11:45am Barry Sterman & Jay Gunkelman 1Barry Sterman & Lunch Banquet Cynthia Kerson day Professional Cynthia Kerson Raw EEG Interpretation 3-day Members Meeting 3-day Course 12pm-‐1:30pm NFB Certification Course NFB Certification Course Frank DeGregorio full day with lunch break full day with lunch break General Introduction to full day with lunch break Biofeedback Peripherals Christine Palmquist Workshop Robin Arnott Brain Brightening with AVE for full day with lunch break Engineering Peak Experience Memory Enhancement in Middlewith Videogames aged and Elderly 1:30pm-2:30pm 1:30pm-2:30pm Juan Acosta-Urquidi QEEG Studies of Meditation and the Acute Effects of Visionary Tryptamines 10am-11am Break - visit our vendors Scott Makeig Toward High Resolution EEG Imaging and Feedback 11:15am - 12:15pm Jay Gunkelman EEG TBD 12:15pm - 1:30pm Victoria Ibric Michael Linden Neuro-Rehabilitation QEEG Guided Based Effectiveness Study of the Treatment for Combinations of Neurodynamic Activator(TM) as a ADHD, Anxiety and Autism standalone device Spectrum Disorder 2:30pm-3:45pm 2:30pm-3:45pm Break - visit our vendors Rohan Dixit Wearable HRV Biofeedback 4pm-5pm Scheherazade S. St. Martin Stimulation Technologies 4pm-5pm Break -‐ visit our vendors Break - visit our vendors Sue Othmer Nicholas Dogris NeuroField Cross Frequency Coupling: The New Horizon in Neurofeedback 5:30pm-7pm In Conversation with the Brain:The Evolving Theory and Practice of Neurofeedback, from Operant Conditioning to Self-Regulation 5:30pm-7pm Dinner on your own 7pm-‐8pm Goodbye Biofeedback Society of California, Hello Western Association for Biofeedback and Neuroscience! Dinner REGISTRATION HOURS Friday: 8:00am -‐ 5:30pm Saturday: 7:30am -‐ 9:00am Sunday: 7:30am -‐ 9:00am 7pm-9pm Student Party! 9pm On HOTEL INFORMATION WYNDHAM AVENUE OF THE ARTS HOTEL 3350 Avenue of the Arts, Costa Mesa, CA 92626 (714) 751-‐5100 California Biofeedback — Fall 2015 Presidential Reception & Cocktail Party 8pm-‐10pm 4 The Mentoring Program and Beyond: Part 1 of 2 Gary J. Schummer, PhD I n the next issue of the newsletter, I will share more details about a mentoring program we are developing, in this issue we will examine some “big picture” issues that inspire and support such a program. No matter if we define ourselves as clinicians or researchers, we are, first and foremost, scientists. This means we are, by nature, curious and quite willing to admit we do not know everything about any subject. This is evident if you attend a scientific workshop or read a study in a scientific journal, the speaker or author will go out of their way to qualify their conclusions and state that more research needs to be done. While this may look like fence sitting or modesty, it is so much more. On a personal level, when an individual acknowledges not knowing everything, he or she adopts an attitude of a learner, this removes sociocultural barriers to growth. On a larger scale, scientific inquiry points us toward an ever more accurate understanding of our world, allowing our civilization to expand our knowledge base with each new generation. These considerations inspire the building of a mentoring program and explain why it is better to define oneself as a California Biofeedback — Fall 2015 In 2010, a study1 found that only 19 (.89%) out of over 2,100 clinicians surveyed had ever used biofeedback with clients and most would not know to refer patients for treatment. 5 learner, rather than an expert. The human tendency is to place experts on pedestals, in turn, experts pretend to have all the answers and, once exalted, they have been known to halt or even reverse human progress. To take on the façade of an expert, a person will let go of their learning attitude and, along with it, the ability to integrate new scientific discoveries diminishes. Although our field has been around for 50+ years and was a born of scientific inquiry, the lack of funding for research and institutional support has taken a toll. For example, clinically our field lacks an agreed upon curriculum delineating stages for proficiency as well as standards-of-care that other therapeutic interventions take for granted. The NIMH is only now funding studies in, what they call, “novel and innovative approaches to treating children with AD/HD.” Granted this will be a landmark study, however, it will validate research Joel Lubar did in the mid-1970s. Many biofeedback clinicians continue to feel cut off and misunderstood by colleagues whose practice is in the more traditional types of interventions. In 2010, a study1 found that only 19 (.89%) out of over 2,100 clinicians surveyed had ever used biofeedback with clients and most would not know to refer patients for treatment. The study’s authors concluded, not that biofeedback has been tried and found deficient, rather, it has not been tried. The scarcity of experts causes us to be more dependent on learning from one another and actually fosters an attitude of a learner. Our openness and need to learn from one another are the raw material that predicts success for a mentorship program. The program will utilize advances in internet commu- nications and software development that has made it easier to connect mentors with mentees to facilitate professional development and support those who are new to the field. Because we envision this program on a national scale, BSC is working with AAPB to discern the optimal software platform. The time and cost of various options are being evaluated and we hope to obtain support from all the regional and national organizations. The program has ambitious goals and we believe that every clinician and researcher in our field could benefit from participation. Beyond individual development, we hope to scale the program so it might become a center for excellence for both clinicians and researchers. Although this is very preliminary, what is being discussed is that the mentorship program would be one of the operations of a multi-dimensional communications platform that would also be home for a vetted repository for data and research. For example, we have discussed helping clinicians standardize their data collection in order to facilitate outcome research that, when added to the database, would allow the comparison of various treatment approaches. This would allow us to consistently improve the quality of services we provide. With the availability of data that is correlated with functional improvements, students and researchers could address questions about which we have only theorized. Even though this is an ambitious plan, it is a project that is very doable if it becomes a shared vision in our members and professional societies. The benefits of a program like this can only serve to support and accelerate the growth of our field. Of course, an ambitious program like this is best implemented in stages, and the mentoring program is a good place to begin. I will share more specifics about this program in our next issue, but I wanted our members to be aware of the “big picture” because it looks very promising, but, of course, more investigation is necessary. u Gary J. Schummer, PhD Cook, JM, et. al. (2010). What do psychotherapists really do in practice? An Internet study of over 2,000 practitioners. Psychotherapy: Theory, Research & Practice, 47(2), 260-267 1 Virtual Reality D evelopments in the virtual reality sphere were another highlight of the latest Consumer Electronics Show in Las Vegas. Matters were raised to a higher level of visibility even before the conference, when Facebook pumped $2B into Oculus. A billion here, a billion there; pretty soon you are talking about real money. As it happens, we took a look at an Oculus system a while back to evaluate its suitability for neurofeedback. It wasn’t long before each of us felt just a little woozy from the experience, and opted for going back to maneuver in the real rather than the virtual world. Of course we don’t actually experience the real world. We live in the world that our brain constructs for us, and that world in turn emerges out of the brain’s experience, which consists largely of the neuronal dance and of its neuro-chemical milieu. In the words of Walter Freeman, “the only knowledge that the rabbit could have of the world outside itself is what it had made in its own brain.” [(Ref.) Walter Freeman, Societies of Brains, P.2] So we are actually living in a state of virtual reality already, even without the help of Oculus. And that virtual reality world emerges out of a neuronal dance that encodes some amalgamation of present sensory input with prior experience. There is no witness of the outside world that has not been sluiced through the filter of prior experience. When such a brain experiences Oculus, it does not take long for it to notice a discrepancy between the presented information and what ought to be there in a perfect world. The latter is the brain’s construct, its projection forward of its interpretation of reality. If that discrepancy persists, the brain may even become disregulated and plunge into wooziness or nausea. The challenge to the Oculus development is substantial because our detection threshold for the above discrepancy is low indeed. We know this from other examples. Nausea turns out to be a big problem among astronauts, even though the deviations from expectations are surely small in the space environment. There are only occasional firings of the thrusters to reorient the ship. Stasis becomes the expectation. Of course the zero-g environment can cause problems as well, so a better example may be an earth-bound situation. Those who undergo long flights in the belly of a B-52 tend to get nauseous also. Here the motions of the ship are also small, but that is not of much help. Even small deviations can upset the brain’s calculus, and if truth be told, the small deviations can be even more troublesome than the large ones. In a large excursion, the brain recalibrates its expectations. Small excursions, on the other hand, do not alter the expectation of stasis. They register as a discrepancy from expectations. Our sensitivity to these discrepancies constitutes some of the best evidence we have of how our brains come to terms with the environment. The instantaneous reality is always played off against our expectations, and the latter is entirely constructed out of what the brain already holds to be true. This process works so exquisitely well that Oculus has to meet a very high bar indeed in order to fool us with a virtual reality model over the long haul. The challenge is summed up in the word “presence,” the felt sense of realism in the experience. Historically the chief source of the problem has been processing-related delays as the next image to be projected is calculated in a context-sensitive manner. Even with modern computing horsepower at our disposal, apparently that problem has not yet been fully resolved. There are inevitably delays in catching up to reality, and apparently these are still detectable by the brain. The other problem is the accuracy with which head movements are determined. When we think about it, we realize that the brain has those very same problems to contend with in its own virtual reality. There is finite accuracy in the brain’s determination of head position, and there are propagation delays in the processing of the sensory information. In fact, those problems are far more substantial in the ‘real’ world of the brain than in the virtual world of Oculus. So why aren’t we nauseous all the time, one might wonder? Why aren’t we always a few hundred milliseconds late because of all those processing delays? It is because the brain does one more piece of magic, which is to compensate for those delays and to project things forward to the present moment. The brain has to do time-base correction in order to recreate the simultaneity of an “event” out of signal streams with differential processing delays. It also has to do time-shifting in order to give us the experience of living in the present moment. And that is why we can sometimes actually hit a fastball. Finally, our explanation of the experience with Oculus may also serve to explain infra-low frequency neurofeedback. At the outset, the brain must ‘discover’ the connection between the slow cortical potential unfolding on the screen and its own internal state. As soon as that recognition takes place, the brain assumes responsibility for that signal and projects it forward in time. The subsequent discrepancy between the actual trajectory and the expectation for that trajectory must then be minimized, and that attempt to reach convergence is the essence of the training. In the real world, reaching closure is a never-ending proposition for as long as the signal is available, so the brain remains continuously engaged on the challenge. This job description accounts for the fact that the brain does not get bored with the task—although it may well get fatigued by it! u Siegfried Othmer, PhD California Biofeedback — Fall 2015 Siegfried Othmer, PhD 6 Q & A with Hanno Kirk by Tiff Thompson Author of the new book “Restoring the Brain: Neurofeedback as an Integrative Approach” H anno Kirk took some time to chat about the book he has recently edited: Restoring the Brain: Neurofeedback as an Integrative Approach. Released just last month, it covers both the history of neurofeedback and the process of neurofeedback from a myriad of perspectives. Of particular interest, this book proposes that infralow, right now, is the most effective way of doing neurofeedback. Chapter authors include Siegfried Othmer, David Kaiser, Nora Gedgaudas, Kurt Woeller, Kelly Faust, and others. The book was requested of Kirk by a Taylor and Francis acquisition editor, after hearing a presentation by the author on neurofeedback at the Integrative Medicine and Mental Health conference in 2013. “When opportunity comes knocking, you grasp it,” noted Kirk. What follows is our conversation about his process. Q: What was it like working with a myriad of authors and personalities? A: It was like herding cats. Now I can look back at it and laugh, although there were times when I got the heebie jeebies. But, most of the authors responded very well to my deadline pressures and they all produced really superb stuff. Q: What are some of the major takeaways of the book? A: One of the major takeaways is that neurofeedback exists in the context of what else is going on in the body. You cannot just rely on biofeedback to address every problem, you may need to look at biomedical issues that can impact brain functioning. Another takeaway was to provide an understandable overview of neurofeedback and show how it fits into the larger context of integrative medicine. Q: How do you hope this will impact the neurofeedback California Biofeedback — Fall 2015 community and health care practitioner community at large? A: One goal of the book’s broad integrative approach is for community at large to look at factors that impact brain functioning that are outside the immediate purview of the brain (i.e. gut issues and other bio-medical factors that impact how the brain functions). I think the neurofeedback community at large will embrace this book, even if there are differences in approaches. 7 Q: What was the biggest difficulty in writing this book? A: The biggest difficulty was making sure that there was a common thread relating to neurofeedback throughout the chapters. For example, Nora Gedgaudas’s chapter on nutrition differed from the other chapters. This bestselling author came to be a neurofeedback practitioner because it lifted her lifelong depression. In the book, she devotes most of her chapter to how the presence or absence of key nutrients and environmental toxins impact brain functioning and the body’s immune system. Another author had never written an academic paper, and needed coaching on how to put her rich clinical experience into narrative form. Q: What was the greatest reward of writing this book? A: One satisfaction was getting this book out to alert the neurofeedback community to recognize that if the usual training protocols do not work, one should look at other aspects of the pathology, such as biomedical issues. Another satisfaction lies in the ability to present evidence to the larger health community that neurofeedback is a very effective modality for treating a wide range of conditions such as autism, ADHD and other behavioral disorders, PTSD, seizures, and most mood disorders. Q: Would you consider this book indispensable? And if so, why? A: I think for people who are using the low frequency approach, this will be a really good reference book. Two reviews have already gone out that say that this is indispensable for neurofeedback practitioners for different reasons. I hope the larger medical and mental health community will come to regard neurofeedback as a valuable adjunct to their own practice. We would certainly hope that the VA will consider the chapters on the successful use of neurofeedback for veterans with PTSD, and start using it within their system. Q: Explain to me, briefly, why and how and infralow neurofeedback works? A: Those are really two separate questions. Let me first explain the why. In chapter 3, David Kaiser, presents a lot of recent research on the role of astrocytes and glial cells, which make up 90% of the volume of our cortex. Far from being passive entities, providing mere structural support for the neural networks and filling up space, glia have a host of important functions. Of primary interest to neurofeedback is the messaging performed by astrocytes. Astrocytes, which operate at these infra low frequencies, help to determine the ultradian rhythms of the brain and body. Indeed, most rhythms of the brain are modulated with roughly two hour periodicities. Through the release of ATP, the astrocytes control the hemodynamics of the brain, i.e. the instantaneous activation of blood flow to the neural networks. So David Kaiser’s chapter provides the scientific basis for understanding why, when we train at these very low frequencies, we are affecting state regulation of the brain. What makes ILF neurofeedback so effective is the incredible interconnectivity of neural Continued on Page 9 Biofeedback at the Crossroad George von Bozzay e are at the most important turning point since biofeedback’s and apps for the continuous, wireless, real-time online measurement of physiologic variables, biofeedback is at the place for acceptance by the general public. If only it could’ve been 45 years ago, it would already be in the mainstream in health medicine and the use by the general public. Yet now is the time, and it would be unfortunate if biofeedback did not play a major part in this revolutionary development. In the years that the biofeedback community struggled with identity and split between research/experimental (go slow) and applied/clinical (go fast), we paid very little attention to the public perception, or lack of, regarding this modality. As a professional group we missed our opportunities to lobby in Washington and become part of covered medical procedures; we missed our opportunity to form liaisons, mergers, and confederations with other groups such as the Society of Behavioral Medicine to become stronger, more diverse, and even more multidisciplinary. We failed to educate the general public about the incredible potential of this exciting modality. We even failed to get new and potentially interested members from medicine, psychology and physiology to improve the demographics of biofeedback practitioners. Soon, very soon, the general public is going to become aware of, interested in, and used to physiologic monitoring on a day -today basis through the many wearables and apps that are becoming available to them. Interestingly, many developers are not sure how to use these approaches correctly or even how to avoid misuse via artifact recognition and the like. Whereas those of us in the biofeedback community have the expertise and the experience of how to effectively monitor physiologic signals not just in the lab, but with every day people. We also have the understanding of how to convert those physiologic signals to a useful understanding for our clients/patients/subjects, as well as being able to eliminate sources of error an artifact. Thus, the biofeedback community is on the cusp of the kind of critical mass that biofeedback has been needing for its many years. We should not ignore or fail to engage the developers, professionals, and public with our expertise. To do this we may need to make several changes. •Change the name of our practice from biofeedback to something more global and encompassing, but not complicated and confusing (or raise the public and developer consciousness about our field and its name so that it’s identifiable and understandable). •Make our services and knowledge available to developers and administrators of companies that are now releasing wearables and apps and work with them to better their understanding of how they can be artifact free and usable for self-regulation. •Engage and educate each other through the professional societies, equipment companies, and elsewhere in this revolution of wearables and apps that are just beginning to become relevant to our work. u George von Bozzay, PhD California Biofeedback — Fall 2015 W45 years of existence. With the development of wearables 8 Become the Next Board Member of the Western Association of Biofeedback & Neuroscience Help shape the new face of the Biofeedback Society of California! As we become the Western Association of Biofeedback and Neuroscience we are looking for fresh faces and new ideas to help us regionalize and spread the practice of biofeedback and neurofeedback far and wide! Join us, as we join together to lift the field we share. What it Takes: • Professional experience & knowledge in the fields of neurofeedback or biofeedback • 5-10 hours of monthly time commitment • Willingness to collaborate with other like-minded professionals If you are interested, please contact: biofeedbackneuroscience@gmail.com California Biofeedback — Fall 2015 Q & A with Hanno Kirk Continued from Page 7 9 networks; stabilizing or changing the arousal patterns of a targeted area of the brain will tend to have a global influence on state regulation throughout the brain. own discretion. The process is highly frequency-specific, which imposes a substantial burden on the clinician for ongoing parameter optimization. Regarding the question of how infra-low frequency training works, the bandpass filter of the Neuroamp developed specifically for the Cygnet system selects for activity that is associated with one or another of our basic regulatory rhythms, and the brain responds to the dynamics of that activity. Even low-frequency regulatory activity has to respond at the speed of life. The resulting fluctuations can be picked up with sufficient sensitivity for the brain to notice them. In this role, the brain is functioning as a change detector, which it is exquisitely organized to do. The changes detected relate to the brain’s undertakings, and thus are correlated with them. This means that once the process is underway, the brain comes to it with expectations for the signal. It is looking for corroboration of its expectations. The ever-present discrepancy that necessarily exists between the actual signal and the brain’s expectation for the signal provides grist for the training process. The brain by its very nature continually seeks closure between its own reality and the observation. The attempt to reach closure engages the brain’s regulatory mechanisms and learning occurs. Since there is no imposed direction in this process, it is a matter of the brain exercising its Q: How do you contend with the argument that you cannot train Infralow potentials with an AC coupled amplifier? A: All AC amplifiers are DC amplifiers that have been designed to be AC-amplifiers. All the work in the EEG field has been done either with such AC-coupled amplifiers or with DC amplifiers that have been made to emulate AC-amplifiers. Cygnet and the NeuroAmp fall in the latter category. In practice, one is not interested in the DC value of the signal, so the DC “pedestal” is usually rejected either in the analog or the digital domain. One is only interested in change, and the filter parameters can be selected such that any frequency of interest is passed by the filter. u 10 California Biofeedback — Fall 2015
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