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EEG Biofeedback: A Generalized Approach to Neuroregulation By Siegfried Othmer, Susan F. Othmer, and David A. Kaiser
To appear in "APPLIED NEUROPHYSIOLOGY & BRAIN BIOFEEDBACK" Edited by Rob Kall, Joe Kamiya, and Gary Schwartz
Page 1 of 13
Overview Many
clinicians who have adopted EEG biofeedback are struck by the wide
variety of clinical indications for which efficacy has been either
observed directly, or claimed by others. This chapter presents a
comprehensive overview of the current state of EEG biofeedback from the
clinical perspective, but with an orientation toward model building.
Specifically, the review covers the higher frequency training
conventionally referred to as "SMR/beta" (nominally 12 to 19 Hz).
Discussion of the lower frequency domain of "alpha/theta" (4 to 12 Hz),
though of great interest as well, is left to others.
INTRODUCTION First,
a conceptual model is proposed and discussed. Second, the research
history of the field is drawn upon to illustrate the evolution of
protocols and explain elements of the emerging model. Third, an
overview of our clinical results is given that depicts the use of the
proposed "generalized approach" for a number of mental disorders. These
results were obtained with a relatively limited set of clinical
protocols that evolved out of our extrapolation of new methods from the
original research. From these results emerges a need to explain how
such broad efficacy can be achieved. It is postulated that the EEG
feedback technique not only promotes particular functional states of
the brain, but more generally exercises neural mechanisms by which the
fundamental functions of arousal, attention and affect are managed by
the central nervous system (CNS). Rhythmicity in the EEG is seen as a
key variable in the coordination of cortical activity, and clinical
improvement is traceable to improved neuroregulation in those basic
functions by appeal to their underlying rhythmic mechanisms. Current
models of brain function are used to explain both the frequency and the
spatial specificity of the EEG biofeedback process.
It will be demonstrated in the following that
EEG biofeedback cuts across the bestiary of clinical diagnostic
categories that has been devised over the last thirty years,
demonstrating an ability to remediate a multiplicity of diagnoses with
a limited set of protocols. It acts directly on underlying
physiological mechanisms, and presupposes a considerable functional
plasticity of the brain, a concept that has only recently become a
significant subject of inquiry within the research community. Such
plasticity appears as "noise" in the search for the genetic basis of
behavior, and as such has asserted itself primarily in its negative
implications for such work. It will be argued that EEG biofeedback
affects brain function at the network level, and a preoccupation with
processes at the molecular, membrane, or even cellular level is not
particularly illuminating for brain function at the higher levels. The
implicit assumption of the bottom-up approach of the neurosciences
seems to be that a viable conceptual model of the network cannot be
constructed until we know the detailed workings of all the parts. Yet
EEG biofeedback has proven to be a valuable clinical tool (as the data
cited will show), and has stimulated the creation of a conceptual model
based on such a top-down, systems approach. .
EEG biofeedback can be best understood, and
its relevant mechanisms discerned, by viewing the brain through the
action of its web of inhibitory and excitatory feedback networks. Such
networks require explicit mechanisms to manage them, integrate them,
and assure their functional integrity. These networks must meet global
stability criteria irrespective of what neurochemical implementation
nature has, by evolutionary happenstance, devised. No doubt the
technique impacts very specific neuromodulatory mechanisms, which
remain undefined at this time. The clinical work can nevertheless
proceed fruitfully on an empirical basis. Thus, EEG biofeedback is
deemed to address itself to the core issue of control, with specificity
at the network level, and yet with considerable generality in terms of
clinical implications. Click for Next Page
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