Archive for the ‘Professional Issues’ Category
								
								
																			
										
										Wednesday, August 1st, 2007
										
									Sense and Nonsense about Autism: Beyond Genetics 
  “Autism is currently, in our view, the most important and the fastest-evolving disorder in all of medical science and promises to remain so for the foreseeable future.” —-Dr. Jeffrey A. Lieberman, chairman of the department of psychiatry at Columbia University’s school of medicine. 
A few months back David Kirby (author of the book “Evidence of Harm”) interviewed Katy Wright about her autistic child Christian, and more specifically the recovery that he was beginning to make with biomedical treatments that have been developed over the years by the MDs and Ph.D.s involved with the organization Defeat Autism Now (DAN). (http://www.autismmedia.org/media15.html) 
Katy makes no bones about what she believes happened to her son: “I believe that Christian’s regression and subsequent autism was the result of receiving six vaccines during one office visit at two months of age,” she wrote. “He screamed for twelve hours and had a 104 degree fever nearly the entire time. His vaccines contained thimerosal,” the mercury-based preservative. “It is devastating,” she added, “because so much of this is  preventable.”  (more…) 
										 
										 Posted in Autism, Commentary, Diagnoses, Professional Issues, Research, Scientific |   No Comments » 
									 
																	
										
										Thursday, September 21st, 2006
										
									The entire research agenda for stem cells is at this moment still based on a promise                 and an expectation for a big payoff downstream, on some uncertain timescale. There is                 nothing wrong with that. No one is putting conceptual barriers in the way with the argument                 that there is insufficient experimental support to go forward. Even the recent major                 research scandal in South Korea did not nick the halo of stem cell research. This work                 quite simply has the benefit of belief on the part of the scientific community. 
Consider now the comparable state of affairs in neurofeedback. Here we are variously                 told that the data are insufficient to support our claims. But implicitly we are also                 being told that neurofeedback is insufficiently promising to be worth pursuing in research.                 That is the real message. But to be interested in neurofeedback research going forward,                 you would not actually have to have any data at all. You would simply need an intriguing                 hypothesis, just as in the case of stem cells. All you would need is the hypothesis that                 brain function could actually be influenced by means of operant conditioning techniques,                 for which the implications are so huge that it mandates investigation. (more…) 
										 
										 Posted in Paradigm, Professional Issues, Scientific |   No Comments » 
									 
																	
										
										Thursday, July 6th, 2006
										
									An article in the current issue of “The New York Review of Books” by John Gray carries                 the above title as it surveys the intellectual legacy left by Isaiah Berlin, who died                 in 1997. Berlin was shaped by the major totalitarianisms of the twentieth century, and                 he was also shaped by a Russian liberalism that was skeptical of any monolithic system                 of values or claims of universal truth. Perhaps it takes an outsider to see so clearly                 how deeply imbedded in Western thought is the ideal of an ultimate harmony of a core                 set of values, rationally arrived at, to guide human affairs. The existence of such an                 ideal is almost a given, an assumption needing no further defense or verification. Our                 society’s contentious values debates are but imperfections and diversions on the pathway               toward greater ultimate harmony. 
The origins of this notion go back to the Enlightenment and the power of rationality                 that was its guiding light. It was believed that a society could be achieved in which                 all of the truly important values could be realized. For a rationally based set of values                 that had to be the case, in that a rational universe must be a harmonious whole. This                 utopian ideal of social harmony also drew its support from theology, in that God cannot                 embody internal contradictions. Both sides in the US civil war may have prayed fervently                 to the same God, but God himself cannot have been of two minds. (more…) 
										 
										 Posted in Diffusion of Innovation, Professional Issues, Scientific |   No Comments » 
									 
																	
										
										Wednesday, June 7th, 2006
										
									One issue in particular has been weighing on a number of people with regard to our work.             It is the question of why a single protocol should be so effective for such a variety of             conditions, and why a particular virtue seems to attach to the use of bipolar training, a             tactic that has been abandoned by many in the field who have made the transition to QEEG-based             training. This issue has come up again recently, so this is not a bad time to discuss it.             A secondary issue is why inter-hemispheric training should hold such special virtues for             us, but that issue can await its own individual treatment. 
First of all, it needs to be recalled that all of the early work of Barry Sterman and Joel             Lubar was done with bipolar placement, which is characterized by the fact that both active             leads are placed on the scalp over cortex, as distinguished from referential placement in             which one active lead is placed on a “quasi-neutral” site such as the ear. (more…) 
										 
										 Posted in Efficacy, Paradigm, Professional Issues, Scientific |   No Comments » 
									 
																	
										
										Wednesday, January 25th, 2006
										
									There is a Buddhist saying, “you can never step into the same river twice.” And it may               similarly be true that we never train the same brain twice. One of abiding mysteries about               our way of training is that the advantages of optimizing reward frequency can be so obvious               to us and yet remain so obscure to others. Many stay with the standard frequencies and               their clients appear to do fine. Indeed we used and taught those techniques for many years;               we saw nothing wrong with them then; and we got good results overall with the people who               stayed with the program. 
An answer may lie in a fairly common experience that we encounter in training, to which               attention should finally be drawn. When we walk down the reward frequency in the hunt for               the optimum, we will often end up toggling back and forth when we near the endpoint in               order to verify our observations. In taking the reward frequency back up the person will               often respond very differently than what they reported on the way down. This is not an               isolated finding. It is more typical than not. We know this phenomenon from the field of               magnetism, where it is referred to as hysteresis. The current state of the magnetization               of the lump of material is given not only by the current magnetic field in which it is               embedded, but also by the prior exposure history. The magnetic material remembers its past               history. Matters may be similar with the brain. It responds not only to what we are reinforcing               in the moment, but to a certain extent it is affected by its cumulative training history.               That is also where the analogy ends. One response to this phenomenon is for us to consider               the neurofeedback training as more of a journey, with each step to a certain extent another               venture into the unknown rather than being merely a repetition. (more…) 
										 
										 Posted in Professional Issues, Protocols |   No Comments » 
									 
																	
										
										Wednesday, January 18th, 2006
										
									There has been a lot of discussion round and about with regard to professional ethics               in the last few months, mostly as a reference standard for judging who may rightly deliver               neurofeedback services. Essentially all of the relevant ethical criteria refer to the relationship               of the clinician and the client. The only social dimension in these ethical constraints               relates to those situations where that cocoon of mutuality can be broken and the professional               may be mandated to report someone who may do injury to another, who may be responsible               for ongoing child abuse. The other social dimension relates to the obligations the professional               may have vis-à-vis other professionals. 
This is somewhat similar to what we have in law, where the attorney-client relationship               is privileged in such a manner so as to protect the client. The attorney is, however, also               an officer of the court and as such bears responsibility for the integrity of the legal               process. So most of the obligations prescribe the relationship to the client, but there               is also the social dimension. 
Consider, by contrast, the implicit obligations of the soldier in Iraq. Here there are               very few individual rights whatsoever. The officer in charge can order to soldier to do               virtually anything–even at the risk of his life–that it is somehow connected to the enterprise               of war. The soldier’s obligations are entirely in the social realm. He is laboring on behalf               of the society at large under circumstances in which his individual rights almost disappear.               He has no personal interest in being in the war theater. (more…) 
										 
										 Posted in Application of Neurofeedback, Diffusion of Innovation, Outreach, Professional Issues |   No Comments » 
									 
								
								
							
						 
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Sense and Nonsense on Autism: Beyond Genetics
Wednesday, August 1st, 2007Sense and Nonsense about Autism: Beyond Genetics
 “Autism is currently, in our view, the most important and the fastest-evolving disorder in all of medical science and promises to remain so for the foreseeable future.” —-Dr. Jeffrey A. Lieberman, chairman of the department of psychiatry at Columbia University’s school of medicine.
A few months back David Kirby (author of the book “Evidence of Harm”) interviewed Katy Wright about her autistic child Christian, and more specifically the recovery that he was beginning to make with biomedical treatments that have been developed over the years by the MDs and Ph.D.s involved with the organization Defeat Autism Now (DAN). (http://www.autismmedia.org/media15.html)
Katy makes no bones about what she believes happened to her son: “I believe that Christian’s regression and subsequent autism was the result of receiving six vaccines during one office visit at two months of age,” she wrote. “He screamed for twelve hours and had a 104 degree fever nearly the entire time. His vaccines contained thimerosal,” the mercury-based preservative. “It is devastating,” she added, “because so much of this is preventable.” (more…)
Posted in Autism, Commentary, Diagnoses, Professional Issues, Research, Scientific | No Comments »