Pub Date : 2018-09-01DOI: 10.5298/1081-5937-46.3.04
Richard Harvey, E. Peper, Annette Booiman, A. Cedillo, Elizabeth Villagomez
Slouching posture may be observed when people interact with digital devices such as sitting at a computer screen or looking downwards at a smartphone while sitting or walking. The study investigated two procedures: the effect of head position on perceived head rotation and the effect of neck scrunching on symptom development. In the first study, 87 students sat in either a head-erect or head-forward position and rotated their heads from side to side. Ninety-two percent of the participants reported that they significantly increased their head rotation range during the head-erect position as comparted to the head-forward position, and that it was much easier to rotate their head in the erect position (M = 8.5; SD = 2.4) than in the slouched position (M = 4.3; SD = 1.9), F(1, 171) = 152, p < 0.001. In the second study, 125 students were asked to scrunch their neck for 30 seconds. After neck scrunching, 98.4% of participants reported experiencing an average pain rating of 5.3 on a scale from 0 (none) to 10 (severe), which consisted of pressure in the head (M = 6.7), stiff neck (M = 5.9), eye tension (M = 4) and headaches (M = 3.8). For a subset of 12 students, the effects of head-forward position and neck scrunching (compression) on cervical and trapezius muscles was monitored with electromyography. The average cervical surface electromyography (sEMG) was higher during head-forward position and neck scrunching than during pre- and post-baseline, and the average trapezius sEMG was higher during the neck scrunching than during pre- and post-baseline. For most participants, the effect of their head/neck position on rotation and neck scrunching on symptom development was a total surprise. Experiential practices can provide somatic feedback as an education tool to teach awareness and thus motivate participants to change their body posture so that they reduce slouching and neck scrunching.
{"title":"The Effect of Head and Neck Position on Head Rotation, Cervical Muscle Tension, and Symptoms","authors":"Richard Harvey, E. Peper, Annette Booiman, A. Cedillo, Elizabeth Villagomez","doi":"10.5298/1081-5937-46.3.04","DOIUrl":"https://doi.org/10.5298/1081-5937-46.3.04","url":null,"abstract":"Slouching posture may be observed when people interact with digital devices such as sitting at a computer screen or looking downwards at a smartphone while sitting or walking. The study investigated two procedures: the effect of head position on perceived head rotation and the effect of neck scrunching on symptom development. In the first study, 87 students sat in either a head-erect or head-forward position and rotated their heads from side to side. Ninety-two percent of the participants reported that they significantly increased their head rotation range during the head-erect position as comparted to the head-forward position, and that it was much easier to rotate their head in the erect position (M = 8.5; SD = 2.4) than in the slouched position (M = 4.3; SD = 1.9), F(1, 171) = 152, p < 0.001. In the second study, 125 students were asked to scrunch their neck for 30 seconds. After neck scrunching, 98.4% of participants reported experiencing an average pain rating of 5.3 on a scale from 0 (none) to 10 (severe), which consisted of pressure in the head (M = 6.7), stiff neck (M = 5.9), eye tension (M = 4) and headaches (M = 3.8). For a subset of 12 students, the effects of head-forward position and neck scrunching (compression) on cervical and trapezius muscles was monitored with electromyography. The average cervical surface electromyography (sEMG) was higher during head-forward position and neck scrunching than during pre- and post-baseline, and the average trapezius sEMG was higher during the neck scrunching than during pre- and post-baseline. For most participants, the effect of their head/neck position on rotation and neck scrunching on symptom development was a total surprise. Experiential practices can provide somatic feedback as an education tool to teach awareness and thus motivate participants to change their body posture so that they reduce slouching and neck scrunching.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81479816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.5298/1081-5937-46.3.02
{"title":"Biofeedback Certification International Alliance Update","authors":"","doi":"10.5298/1081-5937-46.3.02","DOIUrl":"https://doi.org/10.5298/1081-5937-46.3.02","url":null,"abstract":"","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"79 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87949411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.5298/1081-5937-46.3.03
Yossi Ehrenreich
Traditional biofeedback generally focuses on individual therapy that serves one of two purposes: (a) treating a functional health disorder that stems from an organic source or a mental disorder caused by high levels of stress or (b) improving performance. The author describes a therapy model that was developed based on biofeedback to treat interpersonal challenges such as parent–child relationships and spousal relationships. The author begins by describing the principles of the interpersonal biofeedback model and continues with practical examples.
{"title":"Attachment-Informed Biofeedback—The Next Generation of Biofeedback Therapy","authors":"Yossi Ehrenreich","doi":"10.5298/1081-5937-46.3.03","DOIUrl":"https://doi.org/10.5298/1081-5937-46.3.03","url":null,"abstract":"Traditional biofeedback generally focuses on individual therapy that serves one of two purposes: (a) treating a functional health disorder that stems from an organic source or a mental disorder caused by high levels of stress or (b) improving performance. The author describes a therapy model that was developed based on biofeedback to treat interpersonal challenges such as parent–child relationships and spousal relationships. The author begins by describing the principles of the interpersonal biofeedback model and continues with practical examples.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89825957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.5298/1081-5937-46.3.01
A. Baldwin
Colectomy is psychologically very stressful, but little information is available to help patients manage stress. The client presented with anxiety, high heart rate, and apparent arrhythmias 9 months after colectomy. After 7 weeks of daily practice of controlled breathing and positive visualization, she showed no apparent arrhythmias and felt less anxious. She then suffered a stroke and underwent ileostomy surgery, but she was soon feeling less anxious, and her blood pressure and heart rate variability resumed normal values. This case demonstrates the effectiveness of autoregulatory practices for controlling stress after colectomy.
{"title":"Case Report: Control of Heart Rate Variability to Cope with Stress and Pain After Colectomy","authors":"A. Baldwin","doi":"10.5298/1081-5937-46.3.01","DOIUrl":"https://doi.org/10.5298/1081-5937-46.3.01","url":null,"abstract":"Colectomy is psychologically very stressful, but little information is available to help patients manage stress. The client presented with anxiety, high heart rate, and apparent arrhythmias 9 months after colectomy. After 7 weeks of daily practice of controlled breathing and positive visualization, she showed no apparent arrhythmias and felt less anxious. She then suffered a stroke and underwent ileostomy surgery, but she was soon feeling less anxious, and her blood pressure and heart rate variability resumed normal values. This case demonstrates the effectiveness of autoregulatory practices for controlling stress after colectomy.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73096189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.5298/1081-5937-46.1.03
D. Moss
Patients today frequently present with conditions caused by or aggravated by stress, lifestyle, and behavior. The number of patients with one or more chronic illnesses has increased worldwide, and lifestyle and behavior frequently contribute to these chronic conditions. Biomedical care fails to address many of the behavioral, lifestyle, and environmental factors causing and aggravating these conditions. The article proposes that integrative healthcare is better suited than biomedicine to address the biopsychosocial aspect of modern illness. In addition, mindfulness-based coping and mindfulness meditation are introduced as valuable tools for integrative medicine and integrative practitioners. The article introduces the concepts of the mindful practitioner, the mindful treatment encounter, mindful engagement of the patient, and mindfulness as treatment.
{"title":"The Role of Mindfulness Approaches in Integrative Medicine","authors":"D. Moss","doi":"10.5298/1081-5937-46.1.03","DOIUrl":"https://doi.org/10.5298/1081-5937-46.1.03","url":null,"abstract":"Patients today frequently present with conditions caused by or aggravated by stress, lifestyle, and behavior. The number of patients with one or more chronic illnesses has increased worldwide, and lifestyle and behavior frequently contribute to these chronic conditions. Biomedical care fails to address many of the behavioral, lifestyle, and environmental factors causing and aggravating these conditions. The article proposes that integrative healthcare is better suited than biomedicine to address the biopsychosocial aspect of modern illness. In addition, mindfulness-based coping and mindfulness meditation are introduced as valuable tools for integrative medicine and integrative practitioners. The article introduces the concepts of the mindful practitioner, the mindful treatment encounter, mindful engagement of the patient, and mindfulness as treatment.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86773051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.5298/1081-5937-46.1.06
S. Rosenthal
Chronic pain has a significant impact on the quality of lives for millions of people. Because it is resistant to traditional medical intervention, the optimal approach to chronic pain management relies on a biopsychosocial understanding of health and treatment. To date, cognitive behavioral therapy (CBT) has been the treatment of choice. However, CBT's emphasis on active control can prove counterproductive because the cognitions, behaviors, and emotions related to pain are difficult to directly confront. More recently, CBT has begun to integrate mindfulness, shifting toward paradigms of accepting sensations rather than trying to change them. This is difficult for individuals with chronic pain, who frequently spend significant resources avoiding and trying to minimize sensations. Biofeedback can be a useful tool for shaping mindfulness because it allows a focus on an external signal that in fact reflects the internal process. Over time, individuals can learn to integrate mindfulness techniques in their daily life that minimize the influence of pain, allowing them to focus on other aspects of their lives.
{"title":"“Watch the Screen”: Biofeedback Can Improve Mindfulness for Chronic Pain","authors":"S. Rosenthal","doi":"10.5298/1081-5937-46.1.06","DOIUrl":"https://doi.org/10.5298/1081-5937-46.1.06","url":null,"abstract":"Chronic pain has a significant impact on the quality of lives for millions of people. Because it is resistant to traditional medical intervention, the optimal approach to chronic pain management relies on a biopsychosocial understanding of health and treatment. To date, cognitive behavioral therapy (CBT) has been the treatment of choice. However, CBT's emphasis on active control can prove counterproductive because the cognitions, behaviors, and emotions related to pain are difficult to directly confront. More recently, CBT has begun to integrate mindfulness, shifting toward paradigms of accepting sensations rather than trying to change them. This is difficult for individuals with chronic pain, who frequently spend significant resources avoiding and trying to minimize sensations. Biofeedback can be a useful tool for shaping mindfulness because it allows a focus on an external signal that in fact reflects the internal process. Over time, individuals can learn to integrate mindfulness techniques in their daily life that minimize the influence of pain, allowing them to focus on other aspects of their lives.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81185571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.5298/1081-5937-46.2.01
I. Khazan, D. Moss
{"title":"Special Issue: More Mindful, More Accepting, More Compassionate, and More Self-Regulation","authors":"I. Khazan, D. Moss","doi":"10.5298/1081-5937-46.2.01","DOIUrl":"https://doi.org/10.5298/1081-5937-46.2.01","url":null,"abstract":"","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90537842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.5298/1081-5937.46.1.01
I. Khazan, D. Moss
{"title":"Special Issue: Mindfulness, Compassion, and Biofeedback Practice","authors":"I. Khazan, D. Moss","doi":"10.5298/1081-5937.46.1.01","DOIUrl":"https://doi.org/10.5298/1081-5937.46.1.01","url":null,"abstract":"","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78371082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.5298/1081-5937-46.02.03
Yuval Oded
Teaching mindfulness skills as part of psychological rehabilitation for PTSD patients can be highly beneficial. However, certain factors must be considered such as determining at what stage of therapy to introduce mindfulness training, the length of the practices, and the focal point of the training (e.g., attention, open focus, loving kindness). This article will address these considerations and outline ways in which psychophysiological monitoring and biofeedback can assist therapists in guiding their clients through the process. Specifically, it will highlight how the elevated arousal levels typical of PTSD and the lack of physiological habituation result in rigid and negatively biased attention, which in turn propels the elevated arousal levels into a vicious cycle. Mindfulness practices and approach may help achieve increased flexibility; however, the process must be tailored for each client in accordance with the severity of his or her PTSD symptoms.
{"title":"Integrating Mindfulness and Biofeedback in the Treatment of Posttraumatic Stress Disorder","authors":"Yuval Oded","doi":"10.5298/1081-5937-46.02.03","DOIUrl":"https://doi.org/10.5298/1081-5937-46.02.03","url":null,"abstract":"Teaching mindfulness skills as part of psychological rehabilitation for PTSD patients can be highly beneficial. However, certain factors must be considered such as determining at what stage of therapy to introduce mindfulness training, the length of the practices, and the focal point of the training (e.g., attention, open focus, loving kindness). This article will address these considerations and outline ways in which psychophysiological monitoring and biofeedback can assist therapists in guiding their clients through the process. Specifically, it will highlight how the elevated arousal levels typical of PTSD and the lack of physiological habituation result in rigid and negatively biased attention, which in turn propels the elevated arousal levels into a vicious cycle. Mindfulness practices and approach may help achieve increased flexibility; however, the process must be tailored for each client in accordance with the severity of his or her PTSD symptoms.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88176555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.5298/1081-5937-46.1.07
Nimrod Tom Oren, Dror Gronich, Arnon Rolnick
This paper proposes an integration of three therapeutic languages—biofeedback, mindfulness, and multiple-person oriented therapy (family, couple, etc.)—using a novel narrative we call the “Stairway to Togetherness.” Relying on recent theoretical and empirical developments, we present a model that combines these three languages into a single coherent therapeutic approach. This approach points to a new direction for multiperson therapy, emphasizing mindfulness interventions, conflict de-escalation, and psychophysiological mutual-regulation patterns, as opposed to content-based and behavioral interventions that have so far been the norm. We suggest that mindfulness and biofeedback practices and insights can find a proper place in the context of multiperson therapy, by making the intersubjective space between individuals the object of mindful attention. We show how mindfulness principles apply to this relational space, and how biofeedback can support this endeavor. A metaphor of a four-story home is provided to help couples navigate their relationship as they attempt to reach a place of felt togetherness—a therapeutic goal that goes beyond problem solving or communication training. Although this paper focuses on couples therapy, it can easily encompass other forms of multi-person therapy.
{"title":"Stairway to Togetherness: Taking Mindfulness and Biofeedback into the Intersubjective Realm","authors":"Nimrod Tom Oren, Dror Gronich, Arnon Rolnick","doi":"10.5298/1081-5937-46.1.07","DOIUrl":"https://doi.org/10.5298/1081-5937-46.1.07","url":null,"abstract":"This paper proposes an integration of three therapeutic languages—biofeedback, mindfulness, and multiple-person oriented therapy (family, couple, etc.)—using a novel narrative we call the “Stairway to Togetherness.” Relying on recent theoretical and empirical developments, we present a model that combines these three languages into a single coherent therapeutic approach. This approach points to a new direction for multiperson therapy, emphasizing mindfulness interventions, conflict de-escalation, and psychophysiological mutual-regulation patterns, as opposed to content-based and behavioral interventions that have so far been the norm. We suggest that mindfulness and biofeedback practices and insights can find a proper place in the context of multiperson therapy, by making the intersubjective space between individuals the object of mindful attention. We show how mindfulness principles apply to this relational space, and how biofeedback can support this endeavor. A metaphor of a four-story home is provided to help couples navigate their relationship as they attempt to reach a place of felt togetherness—a therapeutic goal that goes beyond problem solving or communication training. Although this paper focuses on couples therapy, it can easily encompass other forms of multi-person therapy.","PeriodicalId":75596,"journal":{"name":"Biofeedback and self-regulation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90257628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}