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New Light on Lights, Sounds and the Brain
Megabrain Reports, Vol. 2, No. 3. The history of EDS, and some of the lessons I have learned using the system with patients, and what I inferred about human functioning, dysfunction, and recovery.From MEGABRAIN REPORT
Volume 2, Number 3 (Spring-Summer, 1994)
New Light on Lights, Sounds, and the Brain
by Len Ochs, Ph.D.
Light and sound machines-devices that combine rhythmic photic and auditory
stimulation and seem to alter or "entrain" brain wave activity-have
been available as consumer products for years now. These devices have been
used to explore consciousness, relax, enhance performance and learning,
explore altered states, and enhance sleep and energy, to name but a small
selection of goals.
I am not aware of any reasonable scientific studies, much less controlled
studies, of the therapeutic effectiveness of light and sound stimulation
devices. However, if there's fire where there's smoke, formal studies or
no, these devices must be doing enough to warrant their sharply increasing
sales over the past few years. Reliable reports of significant benefit
are few, but they are clearly frequent enough to sell increasing numbers
of these devices in the context of enhanced functioning, as well as widespread
desires to stay away from both drugs and the relatively poor efficacy of
medical treatment for some chronic conditions. I have, on occasion, heard
second hand stories of these devices producing effects that seem nothing
less than miraculous.
My negative bias and disposition toward these devices showed clearly, even
in the face of Marion Diamond's and W. Grey Walter's pioneering work on
stimulation. So it is with a distinct sense of embarrassment that I must
report my own observations of a light and sound device that produces reliable
and important results with-in certain domains of problems.
EEG Entrainment Feedback In the process of working on one technical problem,
1 designed a sound and light system that would customize itself to the
user's brain waves on a moment to moment basis. By using the individual's
EEG to set and reset the stimulation frequency, the stimulation would always,
then, be customized to the user's brain wave states. This system, which
I called EEG Entrainment Feedback (EEF) would, I thought, constitute a
non-directive psychotechnology whose course would be set by the person's
brain, but which in turn would be influenced by the stimulation.
I had the biofeedback J&J I-330 EEG and the Synergizer light/sound
device from Synetic Systems. EEG software was designed to link these two
devices allowing the person's EEG to change the frequency of the lights
and sounds, and the stimulation, in turn, to change the EEG. That covers
the electronics and computer side of the system.
The clinical effects of this system were entirely unpredictable to me.
This link had not been attempted before to my knowledge. There was certainly
nothing in the literature which described the EEG-stimulation link, what
the effects of it might be, what problems might be encountered, and how
it might be used.
I tried out the EEF system and found it much more visually beautiful than
I found the traditional sound and light stimulation. it seemed more alive
and responsive to my brain waves than was the fixed-frequency or pre-programmed
slowly ramping stimulation I had previously tried. Although only red LEDs
were used at that time, the visible patterns and rich colors varied closely
with the measured EEG frequencies.
Clearer, FASTER PSYCHOTHERAPY. Interested, but not especially aware of
any unusual ability of the system, I introduced it to some patients who
had a great deal of psychotherapy, biofeedback, and even EEG brainwave
biofeedback, but who needed results that were clearer, faster, and more
meaningful than brought about by these procedures. One man had 20 years
of rages, many of which lasted two weeks at a time.
The family was threatened with divorce because of the unacceptability of
his explosiveness. He was unable to work because of his temper. Another
patient was a woman who worked for a major retail chain as an upper-level
manger and had been expected to increasing work pressure over the past
few years, capped by threats of bodily harm to her and her family by employees.
She had been unable to go to work and was extremely depressed and anxious.
Both of individuals were very highly motivated, and very bright Both wanted
to work again; and both felt the shame of being out of work. The man highly
valued his family and wanted to continue in it What follows are lessons
I learned using EEF to work with these two individuals and others.
LESSON ONE: People can be hypersensitive to their own brain waves.
Within two minutes of feeding back EEG-driven sound and lights the woman
began to complain of back, neck, and head pain. I had set the system to
lower her EEG by flashing the lights a little slower than her dominant
frequency. Increasingly in the biofeedback field, brain wave biofeedback
was being used to teach people with post-traumatic stress disorders to
voluntarily lower their average brain wave frequencies. But this woman
clearly experienced tension and muscle contraction pain when her brain
wave frequencies lowered. If lowering her EEG produced pain, I wondered
if increasing her EEG by flashing the lights slightly faster than her dominant
frequency would keep her from pain. Contrary to the wisdom of conventional
EEG biofeedback, it did.
Her responses suggested to me that she was hypersensitive to lower frequencies.
So the strategy I next adopted was to gradually re expose her to her lower
frequencies, but to do it so gradually that she would desensitize to them
and be able to be comfortable with them. So I alternately reduced and sped
up the stimulation by changing the polarity of the difference between her
dominant frequency and the stimulation. The lights alternately flashed
at slightly faster than her dominant frequency (thus entraining her brainwaves
upward) for one minute, then slightly slower for the next minute, and so
on, reversing the polarity or direction over the course of a five minute
session, at first and gradually lengthening the session to 30 minutes.
As I continued exploring this non-directive psychotechnology, psychologist
Jon Cowan's objection to the name EEF began to stimulate me to fit a new
model to the phenomenon I was witnessing. EEG Entrainment Feedback still
made sense in that the brain was indeed being entrained by the stimulation
(as James Gleick writes in Chaos: Making of a New Science, "This phenomenon,
in which one regular cycle locks into another, is now called entrainment,
or mode locking.") However, in the larger sense this
entrainment was being used to disentrain the brain from being stuck in
a destructive reaction pattern.
Disentrainment refers to the disruption of entrained patterns, patterns
which have become in some way locked. Disentrainment is more a process
which leads to the re-establishment of biological systems flexibility.
As critical as the ability of a system in its ability to withstand shocks
is, in Gleick's words, "how well a system can function over a range
of frequencies. A locking-in to a single mode can be enslavement, preventing
a system from adapting to change.... No heartbeat or respiratory rhythm
can be locked into the strict periodicities of the simplest physical models,
and the same is true of the subtler rhythms of the rest of the body"
[italics mine].
The linked EEG and LS system I had developed had the effect of making more
flexible a range of neurological and neurochemical systems from the largest
to the scale, and consequently improve conditions of patients once thought
to be largely hope-less. The success of this system rests on the integrity
and ingenuity of the research toward this end. Thus I changed the original
name EEG Entrainment Feedback to the more accurate EEG Disentrainment Feedback
(EDF).
The previously mentioned man afflicted with uncontrollable rages, a Viet
Nam veteran, had suffered these explosive episodes since his tour of duty.
His temper had decreased ever so slightly over the course of 40 EEG biofeedback
sessions, but clearly not enough to change his wife's mind about divorcing
him. His sixteen year-old son was giving the patents increasing problems
with temper, manipulativeness, and mixing with the "wrong crowd"
at school. The mother was especially concerned that the son was beginning
to imitate "big time" the father's temper, which was too much
for her to handle, and which added to her sense of urgency. Over a span
of two weeks of daily EEG-driven LS stimulation sessions, tears would show
over the man's cheeks; he felt thermal hallucinations ("It's as hot
as Nam.. whoops, its gone."); he experienced auditory hallucinations
("I hear the choppers."). In each of these instances, and in
others like them, my only verbal intervention was a non-technical acknowledgment
of what he said: "Uh-huh," or "Yup." In each of these
instances he reassured me that he was all right.
The protocol I used with this patient was the same that I used with the
woman: if the patient looked uncomfortable or sounded uncomfortable, I
reversed the polarity of the leading frequency, i.e. alternating between
slightly faster and slightly slower than the dominant brain wave frequency.
Over the course of two weeks not only did the father's temper recede, but
the son could no longer trigger the father's temper outbursts (which dazed
and confused the son the first times it happened). In addition, the father
became a stable aid to the mother in the son's management, and exercised
good judgment in the management of his own time so that the mother could
at last depend on the father to show up for appointments, for example,
even when things didn't go his way, or when traffic was especially bad.
With the progressively lengthening exposures to specific frequencies that
made these individuals uncomfortable, their comfort with the presence of
these frequencies in their spectrum increased, and their symptomatology
decreased.
LESSON TWO: Those with psychological and physical trauma are much
more frequently hypersensitive than normals are to stimulation. According
to Robert Austin, the president of Synetic Systems of Seattle-a manufacturer
of consumer sound and light stimulation devices-approximately 5% of their
customers have complained about the brightness of the lights and the loudness
of the sounds (even though the stimulation could be lowered to non-visible
and non-audible levels). However, my continuing work with a heterogeneous
head injury and mixed psychopathology patient sample has shown over 80%
to be hypersensitive to the light stimulation to significant degrees.
"Hypersensitive" to stimulation means that the patients showed
or expressed some degree of discomfort when the stimulation was present.
Often the sensitivity was so great that the lowest levels of illumination
of the lights were too bright. Non-verbal signs of over stimulation were
tightening of the chest, restriction of chest motility, lifting or rounding
of the shoulders, flexion of the neck, or tightening of the jaw. There
were verbal expressions as well, ranging from "too bright" to
"too much flicker" to "too much red" to cries and grunts
of discomfort. In some cases I needed to mask the red LEDs embedded on
the inside of the glasses with a sheet or two of manila file folder material
in order to decrease the brightness of the lights low enough so that the
patients could be comfortable with the stimulation.
One woman was so sensitive that she found the lights too bright even when
they were shielded with file folder material and placed on her lap. Individuals
may not even be able to see the lights when they are so dim; some can,
however, feel that the lights are on, and feel this as apparent changes
in blood flow inside their head, in their scalp, or in their eye lids.
If they are sensitive to vascular pain, stimulation at the lowest levels
may begin to elicit vascular pain as a fraction of that which they usually
experience-and rarely pain of their usual full intensity, although full
intensity pain has been known to occur and the patient should be prepared
medically to manage it with the cooperation of his or her physician.
LESSON THREE: The people with the worst symptoms are the most hypersensitive
to LS stimulation. It is astonishing to link sound and light sensitivity
to symptom intensity. It is astonishing because we are not used to documenting
central nervous system status with peripheral problems, or brain irritability
with consciousness, motivation, mood and energy problems. It is much more
typical to think of psychological reasons for these problems. Examples
of those with extreme hypersensitivity problems are people unable to tolerate
the flashing at all, even with the lights taped over with black electrical
tape; they may object to the brightness, the flicker or the color. These
people may not begin to respond for 20 sessions, while most of those with
less sensitivity can begin to respond with symptom relief after the first
session.
LESSON FOUR: The people who desensitize get better. Not all patients
show hypersensitivity. However, of those that do show hypersensitivity,
100% of the over 50 patients I have worked with showed a decrease in symptoms
as they desensitized. Examples of this hypersensitivity are someone saying
that the lights, colors, or flickering are making them uncomfortable. Several
kinds of symptoms reliably improve for those that have suffered psycho-logical
or mechanical head trauma: lack of clarity, lack of energy during the day,
sleeping problems at night, depression, irritability, temper, and explosive
episodes, inability to absorb information auditorily or visually, difficulty
prioritizing, poor short-term memory, difficulty making decisions related
to focused and directed activity, and obsessive thinking.
A 24-year old man with a pre-birth family history of alcohol abuse and
physical violence, multiple head injuries as a young child and a long history
of psychotherapy (along with continued family addictions, violence, and
parental psychiatric hospitalizations), came in to me for treatment on
the referral of his therapist He complained of a life-long history of depression,
suicidality (thoughts and attempts), obsessive thinking sleeping problems,
and the shooting of a family member. His skepticism about the possibility
of change was immense, as was his distrust of me as a psychologist and
therapist Within the first 10 daily half-hour treatments (given in 1-hour
ses- sions) he noticed a decrease obsessions and suicidality. At his 22nd
session he was in his own words "90%" free of depression, irritability,
temper, and obsession. He declared himself to be reliably not suicidal,
and was focused on how he might mobilize himself vocationally to move out
of social security disability. At this time he his completed 45 daily sessions
and his work, energy, productivity and attention have stabilized. He will
begin once weekly sessions for about six weeks to taper from treatment
There was a clear direct relation between the amount of light stimulation
he could comfortably tolerate and his sense of well being. It took him
twenty sessions to be able to comfortably tolerate full light intensity.
To someone hypersensitive to stimulation it seems impossible that they
will ever be able to be comfortable with strongly bright lights. However
if the desensitization is managed carefully, skillfully, and with patience,
patients are able to be comfortable with brightness levels they once thought
impossible.
LESSON FIVE: After desensitization, the lower the intensity of the
stimulation, the more reliable the improvement. After a woman who had been
doing well suffered another trauma she relapsed. And alter the trauma she
appeared to be making no progress toward recovering the gains she had made,
although she did not appear to be uncomfortable with bright stimulation.
Since she was showing large amounts of very low frequency activity, I wondered
if the strong stimulation was itself mimicking the effects of trauma and
perpetuating her problems.
I decided to lower the lights to levels barely visible to her, and once
I did, she began making progress again others using EDF have found the
same improvement effects in work with stroke victims: those who appeared
to have plateaued once again made progress once the stimulation levels
were lowered.
The advisability of lowering the stimulation levels also flies in the face
of the way many use commercial sound and light devices. People seem hungry
for experience and sensation, and often speak of "blasting" themselves
with light and sound stimulation. In fact, patients frequently ask me to
raise the brightness of the lights in the belief that more is better; if
they can just "take" a little more, they may get through the
treatment faster. Unfortunately this may provoke a relapse and overdose,
and lengthen their treatment at best, it can lead to no improvement.
It may be that gradually raising the lights in intensity serves to reorganize
the brain in some way. However while many of the symptoms do decrease as
this happens, as noted above, some others, typically the finer thinking,
organizing, memory, and sequencing skills seem to need something else.
It may also be that lowering the intensity of the stimulation produces
a much milder local stimulation at the site of the EEG electrode without
the global brain reorganization. Keeping the stimulus intensity high may
interfere with the return of function by overloading the cortex, an effect
seen by large amounts of low frequency activity and a failure of the cortex
to inhibit that activity and integrate it so that the person can function
at "higher" levels. This cortical overload may serve as a model
by which trauma can be studied. (This also suggests that there may be two
phases to EDF treatment: global and local. Global reorganization appears
to require desensitization to bright stimulation, while local reorganization,
responsible for the recovery of specific skills, seems to require dim light.)
LESSON SIX: There is more than one kind of hypersensitivity. Although
the woman I mentioned above appeared comfortable with brighter lights she
did not resume making progress until their brightness was lowered significantly.
This implies that she was still hypersensitive to the lights even though
she felt no need to complain. The loss of the sense of hypersensitivity
in the midst of continued impairment suggests that the brain is capable
of reacting differentially.
Because her sense of hypersensitivity was lost, there his been a need to
develop other objective ways to alert the clinician that the patient is
hypersensitive. This remains a problem today, and one that is receiving
top attention.
LESSON SEVEN: There appears to be such a thing as optimization of
one's EEG. As a patient becomes progressively more functional-that is mood,
energy, motivation, memory, attention, sequencing, prioritizing, etc.,
become more present and reliable-there are predictable changes that appear
in the patient's EEG patterns. As the patient learns to "cruise the
frequencies" and do "nothing" under the stimulation of the
lights and/or sounds, i.e., gets better at not directing or processing
consciousness but instead lets go and permits it be pulled however it goes,
the activity observed in each of the bands becomes minimized, equalized,
and reduced in variability.
While there initially appears relatively enormous amounts of high amplitude
EEG in the lower frequency hands, this activity is minimized and stabilized
in response to properly applied stimulation
I have seen no instance in which symptoms were worsened or even fixed at
high levels as these patterns became more prominent. The opposite is true,
in fact: I have only seen improvement as the "idling" EEG was
minimized and stabilized when measured from the front of the head.
As these EEG patterns become increasingly prominent, the EEG will increasingly
follow (or be entrained by) the stimulation if it is deliberately varied.
EEG following has not been evident early in the treatment when the EEG
appears disorganized. In addition, movement artifact, often a consideration
in EEG measurement, becomes much less prominent as the treatment progresses,
and may almost be another indication of discomfort which improves with
treatment.
LESSON EIGHT: We appear to have subcortical as well as cortical
intelligence, fortunately. Once our functioning begins to deteriorate,
our ability to be ourselves also deteriorates. We begin to experience the
frustration that we can no longer do the things we used to do. We have
trouble reading, following conversations, following (understanding), remembering
and executing sequences of instructions; remembering what we need to do,
what belongs to whom, and what still needs to be done (whether it was already
done, or whether we or someone else needed to do it). We often have problems
driving or riding in the car, fuming at apparent slights and stupidities
of others and the impossibility of arriving at the intended destination
on time (especially if we are having troubles admitting we can't remember
where we are going or how to get there). The frustration and shame of not
being who we were in our former competence is pervasive in nearly everything
we do, and nobody can really understand why we can't "snap out of
it" and "grow up." We lake normalcy the best we can.
If we try to use regular EEG biofeedback, which follows a conscious learning
model, our incompetencies interfere with our ability to learn brain wave
discrimination, association, and control. EEG biofeedback, that is, sometimes
places us in a Catch 22 situation in which the very skills we have lost
are those which are required to expeditiously learn brain wave control!
Fortunately EDF does not require conscious learning-except for the need
to learn to "idle" and drift with the stimulation pat-terns,
as we both influence and are influenced by the lights. In fact, any attempts
to "help" the stimulation, engage in constructive thinking, meditate,
and so on, usually lengthen the treatment process, at least in its initial
stages.
We are used to thinking of our intelligence as an attribute associated
with focused attention, discrimination, associative linking, memory, sorting,
and discerning our way through sequences of possibilities and problems.
The application of intellectual skills is often associated with effort.
Those receiving EDF treatment, however, are asked to do as little effortful
focusing as they are able. They are asked to drift, or let their minds
wander as much as possible without direction. Patients often spontaneously
report at the end of the treatment that they no longer resist the stimulation,
that they just watch the colors and patterns and let them take them wherever
they go--which is largely a reflection of what their brain activity is
inclined to do.
Those who were brightest consciously before their trauma often do the best,
as if their intelligence is a quality that permeates the brain subcortically
as well as cortically. While they often feel stupid in the conscious world
of complex tasks, instructions, and cues, watching and listening to the
stimulation seems to allow it to work without the need to overcome what
are apparently useless efforts to direct their consciousness.
It has been apparent that more than just the visual or auditory parts of
the brain are involved in this treatment process. Reports of "a golden
globe slowly rotating before my eyes," "strange smells that I
can't place," "smelling the horses on screen at the movie,"
or "my God it's hot! as if I'm back in Nam," are not uncommon.
These appear to be signs of the brain's interconnectedness, intelligence
that is at work to automatically heal the individual.
The floating relationship between stimulation and brain activity becomes
the program. It is important to say that except for the skills involved
in desensitizing the individual and remaining comfortingly present and
yet unobtrusive, it is the interaction between the EDF system and the individual's
brain that is most intelligent. That is, the therapist does not need to
pick out helpful frequency stimulation strategies:
LESSON NINE: High functioning people who are truly injured and handicapped
will do almost anything to get better if there is a reasonable chance that
they will show relatively rapid significant improvement People who are
used to high functioning are intolerant of impaired functioning, even if
there is secondary gain to be had from their impairment. They will travel
hours each way each day; they will pay cash regardless of whether insurance
will pay; they will keep their appointments except m unusually difficult
circumstances at which times they will call to keep the connection; they
will ask questions about their experience; they will ask for reading material
if there is some reasonable assurance that what is being offered to them
will make a real difference in their lives. Formerly high functioning individuals
who have been financially impoverished, who are living on disability and
welfare, will stop at nothing to obtain and accept free treatment and will
get well if possible, and go back to work or back to school. These people
hate their lives.
LESSON TEN: Research, Research, Research. It is sometimes difficult
to tell the difference between wishes for dramatic breakthroughs in medicine
and knowledge of the mind, and actual discoveries that change our knowledge
and our lives. Research starts with observation and moves on to controlled
testing of hypotheses with increasing degrees of stringency, all to make
sure we are not fooling ourselves and each other. In case the reader thinks
I am advocating stodgy academic publishing to enhance a knowledge of basic
science, the reader is only partly correct I am as well concerned with
marketing and being able to make the grandest justifiable claims. However,
these claims should acknowledge the product's limitations as well as its
areas of applicability. The makers of the claims need to recognize the
desperation of those afflicted with head injuries, strokes, spinal cord
problems, depression, obsessions, rages, enormous fatigue, emotional and
environmental hypersensitivity. Only research can define a product's limitations
and capacities.
It has taken us three years to study how EDF might be studied, and to begin
to develop tools so that neuroscientists can begin to evaluate its safety,
efficacy and mechanism Research is the only way to ascertain the system's
assets and liabilities.
Furthermore, there is no reason not to subject even the standard light
and sound technologies to controlled studies. They lend themselves perfectly
to such investigations. The programs may be changed inside them without
the knowledge of either the study personnel or the subjects under some
conditions, and then changed again to be sure that each subject receives
the real and placebo programs at specific times during the study. Fully
informing both staff and subjects that such switching will be taking place,
and reassuring them that each will receive the best treatment known at
the time will safeguard the interests of all. 1 believe that the extent
to which the manufacturers of these devices have confidence that they are
useful will be seen in their willingness to conduct good research on them.
Again, this is not just research, but potentially superb marketing.
Many questions remain to be answered, such as:
Is the inclusion of the EEG really necessary? I suspect so, otherwise there
would have been much more frequently reported successes from the already
existing LS stimulation devices. However this really needs to be tested
methodically.
Is the desensitization to the stimulation all that is necessary?
Are there particular protocols that are much more effective than others?
Only research will advance our knowledge of the potential here.
LESSON ELEVEN: Move to other sites to monitor the EEG. One site
most probably won't be enough. An individual's EEG may be optimized at
one site and problems still remain. it is possible that the job may not
be completed satisfactorily until the EEG from the entire scalp is examined
for high signal levels and great variability. The therapist may proceed
systematically around the head following the standard 1O-2O electrode site
system, or look for electrode sites on the basis of neuropsychological
research. One patient was doing rather well throughout the sites on the
left side of his head. However when electrodes were placed toward the back
of the scalp on the left, and working around the back of the scalp from
left to right, and again across sites on the right side of his scale, he
began to have emotional reactions, powerful dreams, and changed from not
feeling bad to feeling occasional clear happiness. His inner life has become
unstable, bat extremely intriguing and satisfying in its diversity.
LESSON TWELVE: Trauma, both psychological and physical, may be a
lot more treatable than formerly thought. A great deal of pain has been
endured by the traumatized; a great deal of human resource has been lost
as well. Trauma's impact on someone's life can convert it from exciting,
satisfying, and productive, to one that is empty of hope, or financial
and social independence in a second.
LESSON THIRTEEN: Dead may not be so dead. The traditional wisdom
is that head injury symptoms are the result of dead or destroyed brain
tissue. While there is undoubtedly structural and tissue dam-age in head
injury, including stroke and spinal cord injury, the inevitable linking
of that damage with the subsequent loss of function may be premature and
largely based on the treatment resistance of the subsequent, problems using
conventional methods.
EDF has most certainly had its treatment failures. However in each case
these failures are characterized by the patients being disappointed that
the particular functions they wanted did not return, while other functions
did. The functions that did return, such as the ability to remember without
making notes all the time, or clarity of consciousness, were each devalued.
One patient did not recover from her post-traumatic headache of five years
when I was just beginning to under-stand the phenomenon of photic and auditory
hypersensitivity Her treatment may have been terminated prematurely.
Another, who suffered both a massive stroke and an attempt to surgically
repair his cerebral circulation during a cardiac bypass operation had major
portions of dead tissue removed from his brain. The clarity EDF brought
him drove home to him even more the significance of his losses. which intensified
his frustration
However the range of problems that were helped, from mild traumatic closed
head injury, to limbs paralyzed by stroke, to loss of emotional control,
to depression, to loss of balance and equilibrium, to loss of sight, to
fatigue in chronic fatigue, to arthritis, to allergic cracking of the skin
(post head injury), etc., implies that finding a structural anomaly does
not necessarily mean that the person won't recover. In fact, I have been
increasingly dissatisfied with the medical (EEG, radiographic, nuclear
medicine) ability to predict capacity for recovery once EDF is applied
to problems, especially since most of the patients I have worked with have
been better than two years since their injuries.
LESSON FOURTEEN: We ain't seen nothin' yet. Once more it appears
that we really don't know what we thought we knew: former truths about
human limitations to recovery from terrible trauma are beginning to show
themselves as inadequate pictures of reality. There may be a good deal
of institutional, personal, and professional resistance to the recognition
that commercial IS stimulation technologies may have a valued place in
the hallowed halls of medicine and psychology. Here are some of examples
of resistance I have already encountered.
1. Congratulations from some medical and psychological professionals followed
by quickly walking away.
2. Accusations of cruel fraud and deception, offering false hope to the
truly hopeless.
3. The attribution of success to either the personality of the therapist
or the placebo response of the patient.
4. Expressed fears that therapists will lose their jobs due to the success
of EDF.
5. Statements that the patients really didn't have the previously diagnosed
problems, but psychological ones that were much more easily curable.
None of these forms of resistance are unusual. Certainly controlled studies,
even double-blind studies, are required to offer the highest level of commonly-accepted
evidence of efficacy and safety.
I have not speculated about how EDF works. It may be premature to do so.
There is a great deal of research to do which will answer questions as
it is conducted.
There is no telling what electronic miniaturization will bring, ranging
from the possibility of widespread and rapid improvement to many "hopeless"
patients, to performance enhancement to many less severely afflicted. Procedures
need to be developed to automatically adjust the intensity of the lights
so that those who believe in macho treatment don't make themselves or their
patients too spacy to operate a motor vehicle or other heavy or potentially
dangerous machinery. Of one thing I am certain, and I underscore it for
those who think that everything has been discovered: as long as people
are alive, creation has a chance of being a continuous process. Just as
this EDF process couldn't have been anticipated and just as the beneficial
consequences of this process couldn't have been concretely forecast (disregarding
the slogans about the brain being only 10% used, and therefore capable
of anything), openness to surprise has helped many who were condemned to
a hopeless life.
Len Ochs, Ph.D. has applied the principles of simplicity, directness and
obviousness to such diverse endeavors as the design and development of
the Orion biofeedback system and its Apple II-based predecessor, psychiatric
aftercare facility merger, psychotherapy issues and techniques, and behavioral
medicine. He has worked extensively with the physically injured, teaching
them to rapidly and purposefully direct their blood flow for pain control,
and with the chemically dependent, to alter their brain rhythms to relieve
addiction. He is a past president of the Biofeedback Society of New York,
and was recognized by the AAPB for his pioneering contributions to biofeedback
instrumentation. He has a private practice in northern California. Phone
510-906-0422
16.05.2008. 09:31
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