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Regarding Mari Swingle's Editorial on Neurofeedback Practice

Regarding Mari Swingle's Editorial on Neurofeedback Practice Biofeedback | Spring 2022 Biofeedback Association for Applied Psychophysiology & Biofeedback Volume 50, Issue 1, pp. 23–23 www.aapb.org DOI: 10.5298/1081-5937-50.1.04 LETT LETTER ER TO TO THE THE EDIT EDITOR OR Regarding Mari Swingle’s Editorial on Neurofeedback Practice 1 2,3 Eric K. Willmarth, PhD, Cynthia Kerson, 2(PhD), QEEGD, BCN, BCB Senior Fellow, BCB-HRV, 4,5 6,7 Richard A. Sherman, PhD, and Jerry R. DeVore, PhD, ABPP, BCB, BCN 1 2 Chair, Department of Applied Psychophysiology, College of Integrative Medicine and Health Sciences, Saybrook University, Pasadena, CA; Founder and Director, Applied Psychophysiology Education (APEd), www.aped.training, City, ST; Faculty, Department of Applied Psychophysiology, Saybrook University, Pasadena, CA; 4 5 Faculty, Department of Psychophysiology, College of Integrative Medicine and Health Sciences, Saybrook University, Pasadena, CA; Director, Behavioral Medicine 6 7 R&T Foundation, Port Angeles, WA; Clinical Psychologist, Tacoma, WA; Adjunct Faculty, Department of Applied Psychophysiology, Saybrook University, Pasadena, CA It was encouraging to read Dr. Swingle’s article, ‘‘Neuro- getting meaningful funding for studies that do not contain feedback, Where Are We and Where Are We Going?’’ control, and especially blinded ones, is very difficult; (c) (2021, Biofeedback, Vol. 49, No. 3, pp. 59–70). Dr. Swingle many nascent fields such as contact thermography have believes that well-trained and well-informed providers are died on the vine or become vestigial due to a lack of necessary in order to provide appropriate neurofeedback convincing evidence supporting their assertions or were services. She notes that providers should be well informed dropped because properly performed studies showed their about research, presumably applied research. We would like techniques were ineffective; and (d) many fields such as to elaborate that providers should be skilled in the critical rTMS have become widely accepted because they provide assessment of research, including why different research adequate evidence of efficacy using accepted techniques designs are necessary to draw valid conclusions. such as placebo-controlled studies or longitudinal studies One disappointment in Dr. Swingle’s otherwise excellent with objective outcome measures. Such techniques are not article is that she implies that double-blind randomized tools of the pharmacological industry nor were they controlled trials are not necessary. She suggests that there developed by it. Rather, the pharmacological industry has are imperatives to perform double-blind controlled research adopted placebo-controlled studies because they are the best that are spurred by the pharmaceutical industry, and she designs to show that a technique, process, medication, and additionally discounts the use of placebo controls. She does so forth may work better than placebo factors alone. not consider that research designs are not imperatives or Graduate programs, such as the Applied Psychophysiol- laws, they are ways to reduce threats to validity, especially ogy program at Saybrook University, the Applied Psycho- in cases of biofeedback and neurofeedback study, where physiology program at the College of Certified nonspecific factors can play a huge role in outcomes. In Psychophysiologsts, or the Clinical Psychophysiology addition, treatment providers can subtly (and not so subtly) elective diploma program at the Advance Education influence the outcome of an experiment if they know which Institute and Research Center (AEIRC), would be major condition a subject received. Applied psychophysiology is vehicles for accomplishing the objectives of developing already thriving in neurology and psychiatry in the form of clinicians and trainers who are broadly knowledgeable in electroencelphogram assessments for seizure disorders and anatomy and physiology and the fundamentals of psycho- polysomnography for sleep staging and sleep disorders. In physiology, as well as what research designs are available the area of treatment, electroconvulsive therapy and and why they are important. Students are expected to repetitive transcranial magnetic stimulation (rTMS) have demonstrate their critical reasoning and research skills in thousands of controlled research articles accessible in papers, theses, and dissertations. With this rich background PubMed. The question is whether people who want to providing tools for critical thinking, students proceed to have a meaningful role in behavioral healthcare and optimal master skills at applying psychophysiology for assessment, functioning would be interested in including neurofeedback stimulation, and biofeedback/neurofeedback training. In among their efforts. that light, Dr. Swingle’s article seems to be making a good Consider the following: (a) people will not believe that case for graduate-level education as the next step in the neurofeedback works simply because we believe it does; (b) applied science of neurofeedback. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Biofeedback Allen Press

Regarding Mari Swingle's Editorial on Neurofeedback Practice

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Biofeedback , Volume 50 (1): 1 – May 31, 2022

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Allen Press
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© Association for Applied Psychophysiology & Biofeedback
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1081-5937
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2158-348X
DOI
10.5298/1081-5937-50.1.04
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Abstract

Biofeedback | Spring 2022 Biofeedback Association for Applied Psychophysiology & Biofeedback Volume 50, Issue 1, pp. 23–23 www.aapb.org DOI: 10.5298/1081-5937-50.1.04 LETT LETTER ER TO TO THE THE EDIT EDITOR OR Regarding Mari Swingle’s Editorial on Neurofeedback Practice 1 2,3 Eric K. Willmarth, PhD, Cynthia Kerson, 2(PhD), QEEGD, BCN, BCB Senior Fellow, BCB-HRV, 4,5 6,7 Richard A. Sherman, PhD, and Jerry R. DeVore, PhD, ABPP, BCB, BCN 1 2 Chair, Department of Applied Psychophysiology, College of Integrative Medicine and Health Sciences, Saybrook University, Pasadena, CA; Founder and Director, Applied Psychophysiology Education (APEd), www.aped.training, City, ST; Faculty, Department of Applied Psychophysiology, Saybrook University, Pasadena, CA; 4 5 Faculty, Department of Psychophysiology, College of Integrative Medicine and Health Sciences, Saybrook University, Pasadena, CA; Director, Behavioral Medicine 6 7 R&T Foundation, Port Angeles, WA; Clinical Psychologist, Tacoma, WA; Adjunct Faculty, Department of Applied Psychophysiology, Saybrook University, Pasadena, CA It was encouraging to read Dr. Swingle’s article, ‘‘Neuro- getting meaningful funding for studies that do not contain feedback, Where Are We and Where Are We Going?’’ control, and especially blinded ones, is very difficult; (c) (2021, Biofeedback, Vol. 49, No. 3, pp. 59–70). Dr. Swingle many nascent fields such as contact thermography have believes that well-trained and well-informed providers are died on the vine or become vestigial due to a lack of necessary in order to provide appropriate neurofeedback convincing evidence supporting their assertions or were services. She notes that providers should be well informed dropped because properly performed studies showed their about research, presumably applied research. We would like techniques were ineffective; and (d) many fields such as to elaborate that providers should be skilled in the critical rTMS have become widely accepted because they provide assessment of research, including why different research adequate evidence of efficacy using accepted techniques designs are necessary to draw valid conclusions. such as placebo-controlled studies or longitudinal studies One disappointment in Dr. Swingle’s otherwise excellent with objective outcome measures. Such techniques are not article is that she implies that double-blind randomized tools of the pharmacological industry nor were they controlled trials are not necessary. She suggests that there developed by it. Rather, the pharmacological industry has are imperatives to perform double-blind controlled research adopted placebo-controlled studies because they are the best that are spurred by the pharmaceutical industry, and she designs to show that a technique, process, medication, and additionally discounts the use of placebo controls. She does so forth may work better than placebo factors alone. not consider that research designs are not imperatives or Graduate programs, such as the Applied Psychophysiol- laws, they are ways to reduce threats to validity, especially ogy program at Saybrook University, the Applied Psycho- in cases of biofeedback and neurofeedback study, where physiology program at the College of Certified nonspecific factors can play a huge role in outcomes. In Psychophysiologsts, or the Clinical Psychophysiology addition, treatment providers can subtly (and not so subtly) elective diploma program at the Advance Education influence the outcome of an experiment if they know which Institute and Research Center (AEIRC), would be major condition a subject received. Applied psychophysiology is vehicles for accomplishing the objectives of developing already thriving in neurology and psychiatry in the form of clinicians and trainers who are broadly knowledgeable in electroencelphogram assessments for seizure disorders and anatomy and physiology and the fundamentals of psycho- polysomnography for sleep staging and sleep disorders. In physiology, as well as what research designs are available the area of treatment, electroconvulsive therapy and and why they are important. Students are expected to repetitive transcranial magnetic stimulation (rTMS) have demonstrate their critical reasoning and research skills in thousands of controlled research articles accessible in papers, theses, and dissertations. With this rich background PubMed. The question is whether people who want to providing tools for critical thinking, students proceed to have a meaningful role in behavioral healthcare and optimal master skills at applying psychophysiology for assessment, functioning would be interested in including neurofeedback stimulation, and biofeedback/neurofeedback training. In among their efforts. that light, Dr. Swingle’s article seems to be making a good Consider the following: (a) people will not believe that case for graduate-level education as the next step in the neurofeedback works simply because we believe it does; (b) applied science of neurofeedback.

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BiofeedbackAllen Press

Published: May 31, 2022

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