2014 AAPB Annual Meeting


Friday Sessions

MEAL3: General Attendee Continental Breakfast

Friday, March 21, 2014
7:00 AM to 8:00 AM



BOS01: Inflammation and Psychophysiological Reactivity to Stress

Friday, March 21, 2014
8:00 AM to 9:00 AM

Inflammation predicts increased hypertension, cardiovascular disease, and diabetes. Chronic stress, mood disorders, and low psychological wellbeing have been related to increased inflammation. In this symposium we first review the pathways through which inflammation impacts health and wellbeing and then present original research on how current inflammatory state (as measured by C-reactive protein) impacts psychophysiological reactivity to stress. We found that those with the highest levels of inflammation also had the highest psychophysiological blood pressure and heart rate reactivity to the Trier Social Stress Test compared to those with medium and low levels of stress. We end by discussing the potential role of biofeedback as a method to reduce reactivity and inflammation.

Speaker:

  • Patrick Steffen PhD
  • Tracy Brown BS
  • Yoko Tsui BS
  • Louise Fidalgoi BS

Learning Objectives:

  • Impact of inflammation on physical health
  • Impact of inflammation on psychophysiological reactivity
  • Potential uses of biofeedback as intervention for reactivity and inflammation

Who Should Attend: Level: Introductory

Louise FidalgoLouise Fidalgo Louise Fidalgo is a graduate student at BYU with interests in clinical health psychology and using biofeedback as adjunct treatment in psychotherapy.

Hiu Wai "Yoko" CaldwellHiu Wai "Yoko" Caldwell Yoko Tsu is a graduate student at BYU with interests in clinical health psychology and using biofeedback as adjunct treatment in psychotherapy.

Tracy BrownTracy Brown Tracy Brown is a graduate student at BYU with interests in clinical health psychology and using biofeedback as adjunct treatment in psychotherapy.

Patrick SteffenPatrick Steffen Patrick Steffen's broad research interests lie in the areas of health psychology and behavioral medicine, with specific interests in culture, spirituality, and health. He is particularly interested in the Hispanic Paradox and how disadvantaged groups display resiliency and positive adaptation in spite of significant stressors. He has authored and co-authored articles in Psychosomatic Medicine, Annals of Behavioral Medicine, Journal of Behavioral Medicine, American Journal of Hypertension, Ethnicity and Disease, and Mental Health, Religion, and Culture; and co-authored chapters in the Oxford Handbook of Health Psychology and the Handbook of Primary Care Psychology. Dr. Steffen is currently an associate professor and associate director of clinical training in the Brigham Young University clinical psychology program. Before coming to BYU, Steffen was a postdoctoral research fellow in cardiovascular behavioral medicine at Duke University Medical Center. He received his PhD and master's degrees at the University of Miami in clinical health psychology, and a bachelor's degree in psychology with minors in statistics and philosophy from Brigham Young University.


BOS02: Teaching Breathing Without Overbreathing

Friday, March 21, 2014
8:00 AM to 9:00 AM

Most biofeedback practitioners have had the experience of their clients reporting that they have learned breathing practices from their previous therapist, yoga instructor, or voice coach. Some of these clients go on to say that breathing practices do not work for them, make them feel lightheaded or short of breath, and/or make their symptoms worse. A frequent reason for such experiences is overbreathing. Overbreathing is the most common dysfunctional breathing habit, affecting 10 - 25% of the US population. Overbreathing, or exhaling too much carbon dioxide, results in hypocapnia, or low levels of carbon dioxide in the blood and other interstitial fluids. Overbreathing leads to significant emotional, cognitive, behavioral, and physiological changes which may seriously impact health and performance. Specifically, overbreathing serves as a contributing factor to various psychophysiological disorders, such as anxiety and panic, chronic pain, headaches, asthma, and gastrointestinal distress. Overbreathing also negatively impacts performance, both physical (e.g., athletics) and cognitive (e.g., attention). The purpose of this symposium is to introduce its audience to the concept of overbreathing, including relevant physiology and behavioral consequences, and, as the main focus, discuss ways to recognize overbreathing in their clients and teach healthy breathing skills. Learning to identify and correct overbreathing is important in improving client outcomes.

Speaker:

  • Inna Khazan, PhD, BCB

  • Learning Objectives:
    • Define overbreathing
    • Participants will be able to differentiate antibody mediated immunity from cell mediated immunity
    • Describe physiological and behavioral consequences of overbreathing
    • Recognize when your clients may be overbreathing
    • Aquire skills for teaching healthy breathing

    Who Should Attend:
    Anyone who teaches breathing skills to their clients or patients: psychologists, social workers, mental health counselors, physicians, nurses, other clinical biofeedback practitioners

    Level: Introductory

    Inna  KhazanInna  Khazan Inna Khazan, PhD, BCB, is a Clinical Instructor of Psychology at Harvard Medical School, where she teaches biofeedback. Dr. Khazan is the author of Clinical Handbook of Biofeedback: A Step-by-Step Guide to Training and Practice with Mindfulness. Dr. Khazan has been invited to teach at numerous national and international conferences and prestigious institutions on the topics of biofeedback and mindfulness. A clinical psychologist specializing in health psychology and biofeedback, Dr. Khazan also maintains a private practice in Boston, working with clients presenting with various psychophysiological disorders, using both biofeedback and mindfulness-based approaches to psychotherapy.


    BOS03: Construct Validation of the Neurometric Performance Battery with SLORETA

    Friday, March 21, 2014
    8:00 AM to 9:00 AM

    The Neurometric Performance Battery (NPB) is designed to fill the gap between training and real world assessment. The measures have been painstakingly developed to meet scientific standards by providing reliable and valid assessments of how a subjects skills match up to over 6000 subjects from all 50 states with all social and economic characteristics represented. The measures provide both broad range and specific information about important attention, executive and motor functions as they relate to day to day performance in the real world. This presentation will cover the purpose of using psychometric tests to inform treatment decisions and to cross validate results from neurofeedback interventions. Specifically we will demonstrate how combining test performance with EEG and SLORETA can help inform and validate treatment decisions.

    Speaker:

    • Thomas K. Pedigo EdD, MSCP, ABMP, BCN

    Learning Objectives:

    • Undertand the use and validation of performance tests
    • Effectively evaluate the psychometric acceptability of performance tests for clinical use
    • Understand how performance testing can augment and cross validate QEEG and Neurofeed back results

    Who Should Attend:
    Anyone interested in Neurofeedback and performance testing

    Level: Intermediate

    Thomas PedigoThomas Pedigo Thomas K. Pedigo is a licensed Psychologist in Georgia with 20 years of clinical experience. He is Board Certified in Medical psychology, Psychopharmacology and Clinical Neurofeedback. Dr. Pedigo is the owner and director of the Savannah Child and Family Study Center located in beautiful Savannah Georgia.


    Oral Presentations 1

    Friday, March 21, 2014
    8:00 AM to 9:00 AM

    A Sufi self-piercing analyzed with EEG and sLORETA imaging
    Thomas F. Collura PhD, MSMHC; Howard Hall Phd; Erik Peper Phd; Annette Booiman

    QEEG-NEUROMETRIC ANALYSIS GUIDED NEUROFEEDBACK (NF) TREATMENT IN DEMENTIA: 20 CASES. HOW NEUROMETRIC ANALYSIS IS IMPORTANT
    Tanju Surmeli MD.BCIA-C EEG, Associate Fellow

    The Effect of NeuroField on Parkinson's Disorder - A Case Study
    Nicholas Dogris PhD


    Networking Break & Posters Available for Viewing in the Exhibit Hall

    Friday, March 21, 2014
    9:00 AM to 9:15 AM



    Opening Welcome & President's Address

    Friday, March 21, 2014
    9:15 AM to 9:30 AM



    KEY2: Keynote Address: Ary Goldberger, MD
    Nonlinear Dynamics, Fractals and 21st Century Biomedicinine: The Collapse of Complexity with aging and disease.

    Friday, March 21, 2014
    9:30 AM to 10:30 AM

    Contemporary medicine is founded on the concept of homeostasisthe notion that healthy systems are engineered to maintain and restore constancy. This talk revisits the concept of homeostasis from the perspective of complex systems and nonlinear dynamics, including fractal mechanisms. We show that the most adaptive (robust) systems have the highest multiscale complexity and that this ensemble of properties breaks down with advanced aging (frailty) and disease. These new concepts are exemplified using examples from a number of physiologic control systems, including those regulating heart rate fluctuations (variability). Practical applications of complexity theory to diagnostics and therapeutics are explored.



    BOS04:Theory and Applications of Biofeedback in Cardiovascular Diseases

    Friday, March 21, 2014
    11:00 AM to 12:30 PM

    Four speakers will be involved, all addressing topics related to the use of biofeedback in cardiovascular disease or its underlying mechanisms. Dr. Christine Moravec will talk about biofeedback in patients with heart failure. Dr. Michael McKee will talk about biofeedback in patients with coronary artery disease. Dr. Angele McGrady will discuss the use of biofeedback as an adjunct to cardiac rehabilitation programs. Dr. Richard Gevirtz will talk about heart rate variability, focusing on evidence that changing heart rate variability will improve prognosis in cardiac disease.

    Speakers:

    • Christine S. Moravec PhD
    • Michael G McKee PhD
    • Angele McGrady PhD
    • Richard Gevirtz PhD

    Learning Objectives:

    • Explain heart rate variability and its value as a prognostic marker of cardiovascular disease, as well as evidence that changing heart rate variability will improve cardiac conditions.
    • Discuss the value of adding biofeedback to a cardiac rehabilitation program.
    • Describe inflammatory markers and quality of life measures in patients with coronary artery disease and how biofeedback may be used to impact both.
    • Compare the effects of biofeedback to those of other interventions in a heart failure population.

    Who Should Attend:
    Anyone interested in the potential of biofeedback to help patients with cardiac disease, or in research related to its impact. Anyone interested in heart rate variability and its impact in cardiovascular disease.

    Level: Intermediate

    Richard GevirtzRichard Gevirtz Dr. Richard Gevirtz is a Distinguished Professor of Psychology at the California School of Professional Psychology at Alliant International University in San Diego. His research and practice in recent years has focused on psychophysiological mechanisms and treatment of disorders affected by the autonomic nervous system, such as, IBS, Non-Cardiac Chest Pain, TMD, Headache, and other muscle pain syndromes. He is one of the first researchers and clinicians to explore heart rate variability biofeedback. He has presented workshops on these topics throughout the world over the last 15 years. Dr. Gevirtz is the author of numerous peer reviewed articles and chapters. He has been the chair of Biofeedback Certification Institute of America and was the president of the Association of Applied Psychophysiology and Biofeedback. He was honored with the AAPB Distinguished Scientist Award in 2008 and the Sheila Adler Service award in 2005. For the past several years he has been on the editorial board of Applied Psychophysiology and Biofeedback, and was named in 2005 as Associate Editor. .

    Angele McGradyAngele McGrady Dr. McGrady received her PhD in Biology and her MEd in Counseling from the University of Toledo. She is a licensed counselor and BCIA certified. Currently Dr. McGrady is a professor and Director of Medical Education in the Department of Psychiatry at the University of Toledo Medical Center, where she also maintains a practice in counseling and biofeedback. She is a certified sports counselor and assists college athletes with life skills and performance enhancement. Dr. McGrady's professional activities include: Past President of the Association for Applied Psychophysiology and Biofeedback and former Associate Editor of "Applied Psychophysiology and Biofeedback". In 2000, Dr. McGrady received the Distinguished Scientist Award from AAPB. Dr. McGrady lectures widely on Stress and Chronic Illness, and Biofeedback. Her curriculum vita lists 80 peer reviewed article and book chapters. Her first book "Pathways to Illness, Pathways to Health" with Donald Moss, PhD, was published by Springer Publishing in March, 2013.

    Michael McKeeMichael McKee Michael G. McKee is a clinical health psychologist, a biofeedback provider, a training supervisor, and a past president of AAPB.

    Christine MoravecChristine Moravec Christine S. Moravec is research scientist with an interest in cardiovascular disease and the autonomic nervous system. She has been working in the area of biofeedback for chronic disease, together with her collaborator, Dr. Michael McKee, a clinical health psychologist and a past president of AAPB. They have presented at AAPB several times previously and she was fortunate to have been a keynote speaker in Baltimore in 2012. The work they will describe here has not yet been published, except in descriptive form in our recent article in Biofeedback (spring 2013).


    BOS05: Quantitative Surface Electromyography: Opening new avenues in the...

    Friday, March 21, 2014
    11:00 AM to 12:30 PM

    Title: Quantitative Surface Electromyography: Opening New Avenues in the Rehabilitation of Motor Dysfunction

    QSEMG represents a new innovative approach within the field of rehabilitation. When rehabilitating a motor disorder multiple muscles are always involved. Training one or two muscle sites will change individual muscle recruitment but is not sufficient for changing motor function. One must understand the underlying dynamics of the myotatic unit involved in the desired movement pattern (such as bringing a cup to the mouth). Patterned responses are rewarded rather than discrete muscles. This approach is similar to the Z-score used in neurofeedback where multiple variables are monitored at more than one brain site with a reward activated as these multiple variables move toward a more normal pattern.

    Speakers:

    • Jeffrey Bolek PhD, BCB

    Learning Objectives:

    • The attendee will be able to apply the concepts of QSEMG in treating patients with motor dysfunction.
    • The attendee will be able to prepare a blueprint with which to investigate the relevant muscles involved in the motor dysfuntion.
    • The attendee will be able to describe the problem with the use of only changes in the microvolt level as a measure of progress in motor rehabilitation.
    • The attendee will be able to explain the foundation of QSEMG as it relates to augmented feedback.

    Who Should Attend:
    Psychologists, counselors, nurses, therapists, physicians, general biofeedback practitioners.

    Level: Intermediate

    Jeffrey BolekJeffrey Bolek Jeffrey Bolek, PhD Creator and Director, Motor Control Program, Cleveland Clinic, since 1988, Ph.D. from Kent State University, many original publications on the characteristics of the SEMG signal and its use in the rehabilitation of motor dysfunction, creator of QSEMG, quantitative surface electromyography, the topic of this presentation.


    BOS06: Infra-Slow Fluctuation Training for Autism

    Friday, March 21, 2014
    11:00 AM to 12:30 PM

    Infra-slow Fluctuation (ISF) training is an emerging method in neuromodulation. This form of EEGbiofeedback addresses the lowest energy the brain produces < .1 hertz. ISF neurofeedback is particularly promising for the treatment of the core symptoms of autism. Growing evidence suggests that the coordination of large-scale cortical networks play a central role in the psychopathology of Autism Spectrum Disorders (Coben & Padolsky 2007, Domínguez et al 2013, Khan et al 2013, Thatcher et al 2009, Uhlhaas & Singer 2012). Infra-slow oscillations (ISO) on the scale of seconds to several minutes have been directly implicated in the organization of neural networks. Recently, ISO researchers (Palva & Palva 2012) have labeled this low energy the "Ultradian Rhythm" and dubbed it the "superstructure" of the brain whose function is the coordination within and the decoupling between neuronal networks. ISF neurofeedback training addresses the Ultradian Rhythm and offers a non-invasive method for altering the coordination dynamics of neural networks. QEEG data suggest ISF neurofeedback training modulates neural plasticity within a distributed network promoting positive functional reorganization in the human cortex. Pre/post ISF training behavioral data strongly supports the conclusion that this form of neurofeedback may have therapeutic value in Autism Spectrum Disorders. Relevant research data will be presented that supports the use of ISF training to address ASD clients. The ISF treatment strategy for ASD clients will be discussed. The use of QEEG and peripheral biofeedback in the optimization of treatment will be presented. Pre/post treatment behavioral data and QEEG results will be shared.

    Speakers:

    • Mark Llewellyn Smith LCSW

    Learning Objectives:

    • Explain the signal processing, equipment, technique and unique clinical demands of Infra-slow training for clients with Autism
    • Describe the neural networks most often targeted for training and the expected behavioral results
    • Demonstrate the efficacy of Infra-slow training with pre/post training behavioral scales and Quantitative EEG

    Who Should Attend:
    Doctors, nurses, psychologists, social workers, mental health practitioners, occupational therapists and others working with Autism Spectrum Disorder.

    Level: Intermediate

    Mark SmithMark Smith Mark SmithMark is a licensed clinical social worker whose early career was established in the world of work as the provider of clinical services to nurses, doctors, and staff of NYU Medical Center and Downtown Hospital in New York City. In private practice since 2000, Mark is a leading developer, teacher, and clinician of neurofeedback interventions for a variety of disorders. He was an early adopter and developer of Z-score, Infra-slow Fluctuation, and sLORETA training, all now primary interventions in EEG-Biofeedback therapy. Mark has taught neurofeedback and QEEG on four continents and continues to educate and train neurofeedback providers in international workshops and conferences. He was the founder and Clinical Supervisor of The Child School's Neurofeedback Program. The program provided neuromodulation interventions in a special needs school setting. He is the founder and Clinical Director of Neurofeedback Services of New York, PC. neurofeedbackservicesny.com


    BCIA101: BCIA Cetification 101

    Friday, March 21, 2014
    1:30 PM to 2:00 PM

    If you have ever wondered about becoming a BCIA certified practitioner in Biofeedback, Neurofeedback, or Pelvic Muscle Dysfunction Biofeedback, this informal discussion will lead you through the process and requirements and answer any questions you may have.


    BOS07: The Role of Heart Rate Variability Biofeedback (HRVB) in Treating...

    Friday, March 21, 2014
    1:30 PM to 3:00 PM

    Title: The Role of Heart Rate Variability Biofeedback (HRVB) in Treating Depression: Outcomes and Mechanisms

    Depression is now rated as the 2nd most slaient disorder in industrialized nations. While therapies such as CBT have been shown to be effective, the effect sizes reported leave plenty of room for improvement. Recently several studies have reported promising results of HRVB either indendenetly or in conjunction with other therapies. In this symposium, we report on recent findings in this area and discuss potential mechanisms involved in this treatment

    Speaker:

    • Richard Gevirtz PhD
    • Paul Lehrer PhD
    • Elisabetta Patron MS
    • Maria Karavidas PhD

    Learning Objectives:

    • Be knowledgeable regarding the literaure on HRVB and depression
    • Be aware of potential mechanisms that could mediate the treatment
    • Have a basic template for HRVB with depression.

    Who Should Attend:
    Anyone interested in HRVB and depression

    Level: Intermediate

    Maria KaravidasMaria Karavidas Maria Karavidas Awaiting Presenter Information

    Elisabetta PatronElisabetta Patron Elisabetter Patron PhD Student at the Department of General Psychology, University of Padova, Italy. Research interests in cardiovascular activity and autonomic patterns during sleep in subjects with essential hypotension and in subjects with primary insomnia, cardiovascular psychophysiology, biofeedback and affective disorders, in particular depressive symptoms. Works in collaboration with Cardiac Surgery Department, Ca' Foncello Treviso Hospital (Italy), in particular, on prevention of postoperative cognitive and affective dysfunction in patients undergoing cardiac surgery; and in collaboration with Department of Preventive and Rehabilitative Cardiology, Motta di Livenza Hospital (Italy) on psychophysiological rehabilitation after cardiac surgery.

    Paul LehrerPaul Lehrer Dr. Paul Lehrer is Professor of Psychiatry at Rutgers Robert Wood Johnson Medical School and holds coordinated position as Professor of Psycology at Rutgers - The State University of New Jersey, where he is on the faculty for graduate programs in clinical psychology. He also teaches an on-line course on HRV biofeedback through Saybrook University. He received his Ph.D. degree in clinical psychology from Harvard University, where he received his initial training in applied psychophysiology from David Shapiro. He studied progressive relaxation with Edmund Jacobson. He is past president of AAPB, has served on the board of BCIA, and is currently president of FERB. He is senior editor of the widely used text, Principles and Practice of Stress Management. He has published over 100 articles and papers, mostly in the field of applied psychophysiology. For the past 25 years, his major research focus has been on heart rate variability and heart rate variability biofeedback. He has authored or coauthored HRV biofeedback outcome studies on asthma, anxiety, depression, fibromyalgia, insomnia, as well as studies on autonomic and immune function effects of this technique.

    Richard GevirtzRichard Gevirtz Dr. Richard Gevirtz is a Distinguished Professor of Psychology at the California School of Professional Psychology at Alliant International University in San Diego. His research and practice in recent years has focused on psychophysiological mechanisms and treatment of disorders affected by the autonomic nervous system, such as, IBS, Non-Cardiac Chest Pain, TMD, Headache, and other muscle pain syndromes. He is one of the first researchers and clinicians to explore heart rate variability biofeedback. He has presented workshops on these topics throughout the world over the last 15 years. Dr. Gevirtz is the author of numerous peer reviewed articles and chapters. He has been the chair of Biofeedback Certification Institute of America and was the president of the Association of Applied Psychophysiology and Biofeedback. He was honored with the AAPB Distinguished Scientist Award in 2008 and the Sheila Adler Service award in 2005. For the past several years he has been on the editorial board of Applied Psychophysiology and Biofeedback, and was named in 2005 as Associate Editor. .


    BOS08: Biofeedback, Acupuncture, Yoga and More: News from Professionals...

    Friday, March 21, 2014
    1:30 PM to 3:00 PM

    Title: Biofeedback, Acupuncture, Yoga and More: News from Professionals in the "Trenches" Treating Veterans with Integrative Treatment Modalities

    Several presenters (experienced in their respective fields) will share their experiences of working with Veterans. All presenters will give a brief overview of the efficacy and any common risks of utilizing their respective treatment modalities. All panelists will discuss how changes in physiology and self-regulation are important in healing / optimizing functioning. Marc Goldstein, MD, and current President New England Society of Medical Acupuncture, will discuss the four types of pain most effectively treated by acupuncture. He will provide the audience with examples of his work in the field of Medical Acupuncture with a Veteran population. Lisa Conboy, a social epidemiologist and an Instructor (Beth Israel Deaconess Medical Center, Harvard Medical School, The New England School of Acupuncture) and the primary investigator of a research study investigating the efficacy of Acupuncture for the treatment of Gulf War Syndrome, will share initial results of this study. Heidi Lilienthal, PsyD, will share several case studies where biofeedback was involved in treating Veterans with several different presenting problems/issues. Whitney Willman, Certified Yoga and Trauma Sensitive Yoga Instructor associated with the non-profit organization "There and Back Again," will discuss her work with Veterans dealing with trauma, pain and other issues. Finally, Dan Badger, Founder and Director of Badger Wilderness Guides, Inc (BWG) a 501 c (3) Non-Profit Organization that specializes in outdoor experiential education training, will discuss utilizing recreational therapy with Veterans.

    Speakers:

    • Marc Goldstein MD
    • Lisa Conboy MA, MS, ScD
    • Dan Badger BA
    • Whitney Willman BFA, Certified Yoga and Trauma Sensitive Instructure

    Learning Objectives:

    • Be able to list the four types of pain most effectively treated by acupuncture
    • Learn how biofeedback can be integrated into an overall stress management program
    • Be able recite initial findings of a research study investigating the efficacy of Acupuncture for the treatment of Gulf War Syndrome
    • Be able to describe several uses of biofeedback with a Veteran population
    • Be able to explain what trauma sensitive yoga is
    • Be able to discuss some uses of recreation therapy with a Veteran population

    Who Should Attend:
    Any conference attendee who is interested in the subject matter: Veterans, Acupuncture, Yoga / Trauma Sensitive Yoga and Recreational Therapy. Attendees who have an interest in hearing from clinicians who use these interventions with Veterans on a regular basis are particularly encouraged to attend.

    Level: Introductory

    Dan BadgerDan Badger Dan Brown To be added

    Whitney WillmanWhitney Willman Whitney Willman, BFA, is a certified Yoga Instructor with a special training in Trauma Sensitive Yoga.She works independantly and also work as a Research Assistant for the Univ of Alabama Birmingham on a Grant they received for Combat Veterans with TBI. Ms. Willman has personal experience of the impact of military deployment on families of service members. She often shares about this unique perspective from her personal life and about her personal journey in the fields of art, yoga, trauma and recovery.

    Lisa ConboyLisa Conboy Lisa Conboy MA, MS, ScD, is a social epidemiologist and a sociologist with an interest in the associations between social factors and health. She is published in the areas of Women's Health, Mind-Body Medicine, and qualitative research methodology. An Instructor Beth Israel Deaconess Medical Center, Harvard Medical School, she is also the research director and part-time faculty at the New England School of Acupuncture where she teaches research methodology. She is also a founding member of the Kripalu research collaborative which examines the mental, physical, and spiritual benefits of yoga, meditation, Ayurveda and other holistic and mind-body therapies. She recently was the primary investigator of a research study investigating the efficacy of Acupuncture for the treatment of Gulf War Syndrome.

    Marc GoldsteinMarc Goldstein Marc Goldstein Doctor Goldstein is a Family Physician employed by the Veteran's Administration. He works in Primary Care and practices Medical Acupuncture as an adjunctive treatment for chronic pain for Veterans. Dr. Goldstein is a Clinical Preceptor for Tufts University School of Medicine. He graduated from Temple University with a degree in psychology, received his M.D. from Hahnemann Medical College and has been a board certified Family Physician for over 30 years. He is currently the president of the New England Society of Medical Acupuncture and holds memberships in the American Academy of Family Physicians, Massachusetts Academy of Family Physicians, Massachusetts Medical Society, American Academy of Medical Acupuncture, and the New England Society of Medical Acupuncture.


    BOS09: The Resting Muscle Tonus: SEMG/Biofeedback Physiological and Clinical...

    Friday, March 21, 2014
    1:30 PM to 3:00 PM

    Title: The Resting Muscle Tonus: SEMG/Biofeedback Physiological and Clinical Considerations

    The resting skeletal muscle tonus potential is quintessential to the homeostasis of muscle tissue. It allows regeneration of energy and readies the muscle for any action or motion. It is a multifaceted parameter and it is a function of gravity, oxygenation, sympathetic input, metabolic & endocrine input as well as of neuro-muscular control. Lack of return to the resting tonus potential results in muscular fatigue, sub-optimal activity and pain. SEMG/biofeedback may be utilized to investigate abnormal resting tonus potentials, diagnose possible functional pathology and train/ re-educate the individual muscles to regain normal or optimal resting tonus. True muscular 'relaxation' implies a normal or optimized resting tonus potential.

    Speakers:

    • Gabriel E. Sella MD, MPH, BSc, MSc, PhD (HC)

    Learning Objectives:

    • Description and evaluation of the resting potential tonus physiology and psycho-pathology
    • Description and evaluation of the resting potential tonus of the muscles of expression, the accessory muscles of respiration, the trunk muscles and the limbs muscles.
    • Description and evaluation of SEMG/ biofeedback techniques of normalizing and optimizing the resting tonus of the muscle groups cited above.
    • Discussing specific clinical conditions involving abnormal resting tonus potentials and their SEMG aided normalization: tension headache, TMJ disease, neck and back pain

    Level: Intermediate

    Gabriel SellaGabriel Sella Gabriel E Sella MD, MPH, MSC, PHD is a clinician involved in family practice, pain management, disability evaluations and SEMG/biofeedback for over 20 years. He wrote more than ten manuals on SEMG/biofeedback methodology, including a 5,000+ muscles database on SEMG dynamic testing. He is a contributing chapter author to several textbooks on neuro-muscular rehabilitation, pain management and mind/body medicine. He wrote more than 100 peer-reviewed articles and gave more than 300 international seminars, symposia and lectures in more than 25 countries. HE continues to be active in the field, is BCIA-certified and is a longtime member of AAPB.


    Oral Presentations 2

    Infraslow EEG and Gamma: Cross-Spectral Coupling and Consciousness
    Jay Gunkelman QEEG-DiplomateThe Dynamics of Joy; Towards a Neuroscience-based Model of Cognitive-Emotional Regulation
    Thomas F. Collura PhD, MSMHC

    Cognitive Enhancement with LORETA Z-score Neurofeedback
    J. Lucas Koberda MD, PhD; Andrew Moses Student; Paula Koberda Student; Jessica Winslow Student

    Introduction to Pulsed Electro-Magnetic Field stimulation with BrainMaster's Microtesla
    John N Demos MA, LCMHC, BCIA-EEG

    Friday, March 21, 2014
    1:30 PM to 3:00 PM

    Infraslow EEG and Gamma: Cross-Spectral Coupling and Consciousness
    Jay Gunkelman QEEG-Diplomate The Dynamics of Joy; Towards a Neuroscience-based Model of Cognitive-Emotional Regulation
    Thomas F. Collura PhD, MSMHC

    Cognitive Enhancement with LORETA Z-score Neurofeedback
    J. Lucas Koberda MD, PhD; Andrew Moses Student; Paula Koberda Student; Jessica Winslow Student

    Introduction to Pulsed Electro-Magnetic Field stimulation with BrainMaster's Microtesla
    John N Demos MA, LCMHC, BCIA-EEG


    Oral Presentations 3

    Psychophysiological Applications in Sport Shooting
    Emily Ortega PhD Candidate

    To Observe the Effect of Spiritual Interventions on Physiology of Persons
    Gajanan Kelkar M.Tech (IIT Mumbai)

    Using Biofeedack and Health Coaching for Chronic Disease Self Management at the Veterans Administration
    Lamees Khorshid PsyD, BCB, BCN; Lindsay Weinstein MPH

    Friday, March 21, 2014
    1:30 PM to 3:00 PM

    Psychophysiological Applications in Sport Shooting
    Emily Ortega PhD Candidate

    To Observe the Effect of Spiritual Interventions on Physiology of Persons
    Gajanan Kelkar M.Tech (IIT Mumbai)

    Using Biofeedack and Health Coaching for Chronic Disease Self Management at the Veterans Administration
    Lamees Khorshid PsyD, BCB, BCN; Lindsay Weinstein MPH



    BCIA Recertification 101

    Friday, March 21, 2014
    2:00 PM to 2:30 PM

    Let BCIA tell you about changes in recertification policy that makes it a very user-friendly process. Come bring your questions about recertification.


    Networking Break with Refreshments

    Friday, March 21, 2014
    3:00 PM to 3:30 PM



    BCIAETHICS: BCIA Ethics Presentation
    BCIA Ethics Presentation: Professional Ethics and Standards for Biofeedback and Neurofeedback: An Overview

    Friday, March 21, 2014
    3:15 PM to 4:45 PM

    This session will review legal and ethical responsibilities of biofeedback and neurofeedback practitioners. The biofeedback professional is governed in clinical practice by state regulations under the relevant licensing act, professional codes of ethics for his or her home profession, and the Professional Standards and Ethical Principles of Biofeedback (5th rev.) of the Biofeedback Certification International Alliance (BCIA). Violation of such guidelines, even when unintended, invites the risk of lawsuit, criminal prosecution, financial penalties, loss of licensure, and expensive and stressful legal and administrative reviews. The presenter will discuss relevant guidelines governing: entry level competence; scope of practice; the delivery of experimental or non-documented therapies; the informed consent process; and questions of touch, privacy, and respect. The presenter will place emphasis on the imperative to maintain a positive treatment relationship, eliciting rapport and trust. The therapeutic relationship, along with knowledge of current standards of practice and adherence to professional guidelines, minimize the risk of misunderstanding and litigation.

    Learning Objectives:

    • Attendees will become familiar with the Professional Standards and Ethical Principles of Biofeedback, published by BCIA, and their interpretation for decisions in biofeedback practice.
    • Attendees will understand how to navigate the conflicting jurisdictions of state laws and regulations, professional codes of conduct, BCIA guidelines, and federal regulations.
    • Attendees will review and discuss practice standards governing entry level competence and scope of practice.
    • Attendees will develop an approach to educate patients about treatment options, providing cautions about potential adverse effects, and guiding patients toward an informed consent for specific therapies and treatment plan.

    Who Should Attend:
    Practitioners in biofeedback and neurofeedback.

    Level:
    All



    BOS10: HRV: Cutting Edge Research and Practice

    Friday, March 21, 2014
    3:30 PM to 4:30 PM

    The goal of this session is to address current trends and potential future trends in HRV research and practice. Cutting edge research and current applications of HRV research will be discussed. Additionally, gaps in the research literature will be addressed and what studies could be conducted to fill in those gaps. Time will be set aside to allow audience questions and for the panel experts to question each other.

    Speakers:

    • Patrick Steffen PhD
    • Ary Goldberger MD
    • Paul Lehrer PhD
    • Richard Gevirtz PhD

    Learning Objectives:

    • Learn about the latest research in HRV and HRV biofeedback
    • Learn about potential future trends in HRV
    • Describe the extraction of nonlinear components and vectors from HRV datasets
    • Learn about state of the art HRV practice

    Who Should Attend:
    Those interested in learning about HRV research and practice

    Level: Introductory

    Richard GevirtzRichard Gevirtz Dr. Richard Gevirtz is a Distinguished Professor of Psychology at the California School of Professional Psychology at Alliant International University in San Diego. His research and practice in recent years has focused on psychophysiological mechanisms and treatment of disorders affected by the autonomic nervous system, such as, IBS, Non-Cardiac Chest Pain, TMD, Headache, and other muscle pain syndromes. He is one of the first researchers and clinicians to explore heart rate variability biofeedback. He has presented workshops on these topics throughout the world over the last 15 years. Dr. Gevirtz is the author of numerous peer reviewed articles and chapters. He has been the chair of Biofeedback Certification Institute of America and was the president of the Association of Applied Psychophysiology and Biofeedback. He was honored with the AAPB Distinguished Scientist Award in 2008 and the Sheila Adler Service award in 2005. For the past several years he has been on the editorial board of Applied Psychophysiology and Biofeedback, and was named in 2005 as Associate Editor. .

    Paul LehrerPaul Lehrer Dr. Paul Lehrer is Professor of Psychiatry at Rutgers Robert Wood Johnson Medical School and holds coordinated position as Professor of Psycology at Rutgers - The State University of New Jersey, where he is on the faculty for graduate programs in clinical psychology. He also teaches an on-line course on HRV biofeedback through Saybrook University. He received his Ph.D. degree in clinical psychology from Harvard University, where he received his initial training in applied psychophysiology from David Shapiro. He studied progressive relaxation with Edmund Jacobson. He is past president of AAPB, has served on the board of BCIA, and is currently president of FERB. He is senior editor of the widely used text, Principles and Practice of Stress Management. He has published over 100 articles and papers, mostly in the field of applied psychophysiology. For the past 25 years, his major research focus has been on heart rate variability and heart rate variability biofeedback. He has authored or coauthored HRV biofeedback outcome studies on asthma, anxiety, depression, fibromyalgia, insomnia, as well as studies on autonomic and immune function effects of this technique.

    Ary GoldbergerAry Goldberger Ary L. Goldberger, MD is a graduate of Harvard College and Yale Medical School. He is Professor of Medicine at Harvard Medical School and Associate Director of the Division of Interdisciplinary Medicine and Biotechnology at Beth Israel Deaconess Medical Center/Harvard Medical School. He is a senior and founding faculty member of the Wyss Institute for Biologically Inspired Engineering at Harvard University. In addition he is the founding and current Program Director of the NIH-sponsored Research Resource for Complex Physiologic Signals. Dr. Goldberger has been internationally recognized for his role in the introduction, development and application of concepts from nonlinear dynamics and fractal analysis to biomedicine. In particular, he and his colleagues have propounded and elaborated the influential complexity loss theory of aging and disease. Dr. Goldberger, a cardiologist by training has written two widely-used ECG textbooks that have translated into multiple languages. He is also co-author of a 2012 book on critical thinking in medicine, entitled Becoming a Consummate Clinician: What Every Student, House Officer and Hospital Practitioner Needs to Know.

    Patrick SteffenPatrick Steffen Patrick Steffen's broad research interests lie in the areas of health psychology and behavioral medicine, with specific interests in culture, spirituality, and health. He is particularly interested in the Hispanic Paradox and how disadvantaged groups display resiliency and positive adaptation in spite of significant stressors. He has authored and co-authored articles in Psychosomatic Medicine, Annals of Behavioral Medicine, Journal of Behavioral Medicine, American Journal of Hypertension, Ethnicity and Disease, and Mental Health, Religion, and Culture; and co-authored chapters in the Oxford Handbook of Health Psychology and the Handbook of Primary Care Psychology. Dr. Steffen is currently an associate professor and associate director of clinical training in the Brigham Young University clinical psychology program. Before coming to BYU, Steffen was a postdoctoral research fellow in cardiovascular behavioral medicine at Duke University Medical Center. He received his PhD and master's degrees at the University of Miami in clinical health psychology, and a bachelor's degree in psychology with minors in statistics and philosophy from Brigham Young University.


    BOS11: Biofeedback & Neurofeedback Interventions for Sports Concussions

    Friday, March 21, 2014
    3:30 PM to 4:30 PM

    Of the estimated 1.6-3.8 million concussions a year, many are sports related. While most will remit, some 30% of these have prolonged post-concussive symptoms including headaches, dizziness, emotional lability, concentration difficulties and memory loss. This workshop will present the neuroscience, neurophysiology and differential diagnosis of sports concussion, and present psychophysiologic and neurophysiological interventions. This workshop will present latest empirical research in neurochemical and neurophysiology of sports concussions, typical physical, emotional and cognitive symptoms, gender differences, and usual pattern of recovery. Psychophysiologic interventions will be presented. These include breathing techniques; "peripheral" biofeedback including temperature, Electromyography, Electrodermal & Heart Rate Variability. Neurophysiologic interventions will also be presented. Integration of BFB with traditional neurocognitive assessment, cognitive-behavioral therapy and cognitive rehabilitation will be presented.

    Speakers:

    • Robert Conder PsyD, ABPP
    • Michael Linden PhD
    • Alan Strohmayer PhD

    Learning Objectives:

    • Learn the neuroscience of sports related concussions (SRCs)
    • Learn the typical patterns of symptoms, and recovery
    • Learn the indications and contraindications for psychophysiologic BFB in SRCs
    • Learn the indications and contraindications for neurophysiologic BFB

    Who Should Attend:
    Target audience is anyone interested in understanding and treating Traumatic Brain Injury, primarily "Mild" TBI, as well as anyone interested in working with athletes, as almost all athletes, especially those in collision sports, risk a concussion injury. Finally, anyone interested in creative applications of traditional psychophysiologic and neurophysiologic biofeedback should attend.

    Level: Intermediate

    Alan StrohmayerAlan Strohmayer Alan J. Strohmayer is a licensed mental health counselor and has BCIA certifications in Biofeedback and EEG Biofeedback. He has presented widely on biofeedback applications for TBI, Tourette's, and stress. He has an academic background as a researcher in basic sciences, as well as pharmacology and physiology, and human EEG, as well as an assistant professor in neurobiology. His clinical practice involves treatment of a wide variety ot psychophysiologic illnesses.

    Michael LindenMichael Linden Dr. Michael Linden is a licensed Clinical Psychologist, a licensed Marriage, Family and Child Therapist, and a Nationally Certified Biofeedback and Neurofeedback Therapist. Dr. Linden has been the director of Attention Learning Centers and Attention Performance Centers at three Southern California locations in San Juan Capistrano, Irvine, and Encinitias since 1988. He has specialized in the assessment and treatment of children, adolescents, adults with ADD and Autistic Spectrum Disorder since 1982. His studies using QEEG Based diagnosis and EEG Biofeedback with ADHD students as an alternative to medication yielded promising results and have been featured in the LA times, Orange County Register, and has been aired on specials on the Today Show, NBC Dateline, Channel 7 ABC News, KOCE PBS TV, Channel 4 NBC News, NBC special: "Autism: The Hidden Epidemic", and most recently on CBS "The Doctors". Dr. Linden was involved in the initial research studies of the Theta/Beta ratio with ADHD and published the first controlled study of the effects of Neurofeedback with ADHD. Dr. Linde has recently discovered 6 subtypes of Autism & 2 types of Aspergers based on QEEG Map research, which has greatly improved the success of Neurofeedback and other treatments for ASD (Journal of Applied Psychophysiology and Biofeedback, 2010; Autism Science Digest, 2011). He also was the author of a recent chapter entitled "QEEG Guided Neurofeedback for Autism" in the book Images in Autism (2013).

    Robert ConderRobert Conder Robert Conder Director & President of Carolina Neuropsychological Service. Board Certified in both Clinical Neuropsychology and Rehabilitation Psychology by ABPP. 30 years experience in assessing and treating Traumatic Brain Injury, at all levels. For past eight years, has been Neuropsychologist for Carolina Hurricanes and part of the National Hockey League Concussion Management Program. Assesses and treats concussed athletes at all levels of competition. Published empirical, peer-reviewed studies. NIH Grant recipient. Originally trained in Biofeedback in 1983 at the Veterans Administration Medical Center in Waco, Texas. On staff of Duke Medical Center in Raleigh. Other presenters will be Michael Linden, PhD, a very well known and respected sports psychologist and author of Biofeedback and Neurofeedback Applications in Sports Psychology (AAPB Press); and Alan Strohmayer, PhD, Senior Fellow BCIA.


    BOS12: Current Trends and New Directions in Biofeedback

    Friday, March 21, 2014
    3:30 PM to 4:30 PM

    Speakers:

    • Frank Andrasik PhD

    Learning Objectives:

      To be announced

      Who Should Attend:
      To be announced

      Level: All

    Frank AndrasikFrank Andrasik Dr. Andrasik presently serves as Distinguished Professor and Chair, Department of Psychology, University of Memphis. He previously had the title of Distinguished University Professor at the University of West Florida and was appointed as a Senior Research Scientist at the Florida Institute for Human and Machine Cognition. Frank was also on the faculty of the State University of New York at Albany where he also held the positions of Research Associate Professor in the Department of Neurology and Adjunct Associate Professor in the Department of Family Practice at Albany Medical College. Frank is the current Editor-in-Chief for Applied Psychophysiology and Biofeedback and is a past president of AAPB as well as the Association for Cognitive and Behavioral Therapies. He has numerous publications and years of clinical practice in the biofeedback treatment of headache.


    Oral Presentations 4

    The cause is not the location of the pain: SEMG and pandiculations to reduce chronic shoulder and head pain
    Erik Peper PhD

    What the Sella Protocol Can Tell Us About Muscle Functioning
    Annette Booiman

    Treating PNS Dysfunction: Vagal Nerve Stimulation vs Biofeedback
    Christine S. Moravec PhD

    Friday, March 21, 2014
    3:30 PM to 4:30 PM

    The cause is not the location of the pain: SEMG and pandiculations to reduce chronic shoulder and head pain
    Erik Pepe rPhD

    What the Sella Protocol Can Tell Us About Muscle Functioning
    Annette Booiman

    Treating PNS Dysfunction: Vagal Nerve Stimulation vs Biofeedback
    Christine S. Moravec PhD


    Networking Break

    Friday, March 21, 2014
    4:30 PM to 4:45 PM



    PRES: Presidential Lecture: Judson Brewer, MD, PhD

    Friday, March 21, 2014
    4:45 PM to 5:45 PM

    This presentation will discuss behavioral and neural mechanisms of mindfulness training. It will highlight how fMRI neurofeedback can be used to delineate and confirm neural correlates of behavior and cognitive states, which can be of use in basic cognitive neuroscience. It will also describe how source-estimated EEG neurofeedback can be used for assessing cognitive states such as mindfulness neuroscientifically and augmenting them clinically.



    Presidential and Poster Reception

    Friday, March 21, 2014
    5:45 PM to 7:00 PM

    Join the AAPB President for an evening of networking while viewing the AAPB poster presentations.


    BCIACERT: BCIA Certification Exam

    Friday, March 21, 2014
    6:00 PM to 9:30 PM

    This 3-hour time slot is reserved for all pre-approved candidates wishing to sit for their certification exams in biofeedback, neurofeedback or pelvic muscle dysfunction. Additionally, one may take their human anatomy/physiology exam as part of the "Study on Your Own" option offered by BCIA. Please be sure that you have filed your application, had it approved, and have submitted your exam registration form at least 1 week prior to the exam. Please contact info@bcia.org for more information or to check on your status. If this exam site does not work well for you, please remember there are other scheduled dates and as well BCIA offers a special exam option that uses a university or public library proctor to suit your own schedule and geography.


    SEC01: ISMA
    Dr. Ary Goldberger speaking on HRV and stress and the research

    Friday, March 21, 2014
    7:00 PM to 9:00 PM

    The purpose of the ISMA-USA Stress Management Section is to promote scientific and clinical activities in the application areas of stress management for treating psychological and physical symptoms and management of stress related disorders.



    SEC08: Neurofeedback Division Meeting
    Presentation by David Cantor, PhD

    Friday, March 21, 2014
    7:00 PM to 9:00 PM

    Neurofeedback Division Meeting

    Membership is open to members of AAPB who are interested in research and practice in neurofeedback (EEG biofeedback). We also encourage those who are not currently active in this area to join, as a way to learn about his increasingly important and growing area. The division sponsors many activities at the AAPB Annual Meeting, including key speakers and workshops. The Neurofeedback Division Newsletter includes articles of broad interest including clinical and technical interviews, topics including insurance, ethics, and medicolegal issues, and current products, systems, and approaches. Articles for the Biofeedback Newsmagazine are also submitted by division members.

    Benefits of membership include newsletters and list servs, special programs and a dinner at the annual meeting, web-listing opportunities, and access to the AAPB web site's member's only area.

    *Sustaining Member benefits include recognition in the Neurofeedback Newsletter, Certificate showing support of Division, and free web link in Member's Only Section of website.


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