The Dysponesis Hypothesis
We are always casting about for better ways to frame the work that we do in order to make it comprehensible to other professionals and lay persons. Sometime it helps to dip into past history to see how others wrestled with the same issue. One notion that has threaded its way through is that of simple inefficiency in brain regulatory function, which naturally leads to the suggestion that our training improves regulatory effectiveness through promoting higher efficiency in the regulatory mechanisms. It’s a simple concept with a certain amount of face validity, and also offers the virtue of vagueness where we are still uncertain about the details. Another slightly different theme is that the brain sometimes works against itself, that its efforts to right the ship are sometimes counter-productive.
The term dysponesis encompasses a variety of dysfunctions in which the CNS operates counter to the desired end-result. In considering the possible utility of this term in modern parlance, I am going back to an article written by George Whatmore and Daniel Kohli back in 1968 (Behavioral Science, 13(2), 102-124, (1968)), and reprinted as a book chapter in the text Mind/Body Integration (Erik Peper, Sonia Ancoli, and Michelle Quinn, editors), which was first published in 1979. The authors were two physicians in private practice.
For a number of years now I have been hearing from Leslie Coates in Florida about his work with a top-rated hitter in baseball. For reasons of client confidentiality, I never had a name to go with the story. When reporters would ask us about sports applications, the best story of all had to remain somewhat amorphous. At this year’s ISNR Conference the audience got to hear about the training directly from the person involved, Sean Casey, in a joint presentation with Leslie Coates and Wes Sime.
When health care was last dealt with in 1993, a reform proposal was sent to Congress that promised to restructure health care. But the existing interest groups managed to kill the proposal. Now that all of the stake holders are at the table in the latest effort to reform health care, it is guaranteed that nothing radically new will make its way into the final bill. Only incremental fixes will be tolerated, and only under condition that the existing interest groups will not be harmed. Yes, it is heart-warming that the AMA, big PhRMA, and the insurance industry are all on board with the reform effort, but that also means that the outcome will be well within their comfort zone.
The near-win of Tom Watson at the British Open Golf Tournament at the age of 59 gives us the impetus to address the issue of healthy aging. Everywhere the elderly are sticking around, in careers, in positions of power, and even in sports where youthful eyeballs, strength, and stamina confer an advantage. The present concern about the looming health care crisis, however, focuses us ever on the other part of the spectrum, the gradually deteriorating health status of the elderly. Our present system of health care seems to do well at keeping people alive, but often with very little quality of life. With an ever growing contingent of the elderly, the costs keep creeping up, but the return on our societal investment keeps diminishing. The movement toward healthy aging not only promises to increase the return on that investment, but it also gives hope of making inroads into the cost of health maintenance itself. Read on.
The death of Florence Wald at the age of 91 is a moment to reflect on the extraordinary change she has worked as a pioneer of hospice care. As a Dean of the School of Nursing at Yale, Wald was troubled by the exclusive focus on cures, with little regard for the wishes of the patient or his or her family about ongoing care. She became acquainted with St. Christopher’s, the first hospice in England that was established by pioneer Cicely Saunders. After quitting her position and spending time at St. Christopher’s, she then established the first hospice in the United States in 1971, which in time became the model for hospices everywhere.
The program of the Northeast Regional Biofeedback Society Fall Conference, convening on the grounds of the former Women’s adjunct college of Rutgers University in New Brunswick, NJ, quite possibly pointed the way to our near-term future, namely the mutual accommodation of the biofeedback and neurofeedback perspectives. The one-day conference was preceded by an all-day seminar on Heart Rate Variability (HRV) training, conducted by Paul Lehrer, Bronya and Evgeny Vaschillo, and Maria Karavidas.