Homework answers / question archive /   Behavioral Medicine Research and Training Foundation PEP003 EEG Biofeedback: Assessment and Intervention Cynthia Kerson, PhD, QEEGD, BCN, BCB   REVIEW QUESTIONS         Instructions: Cut and paste each section’s questions to a new document and respond to the questions

  Behavioral Medicine Research and Training Foundation PEP003 EEG Biofeedback: Assessment and Intervention Cynthia Kerson, PhD, QEEGD, BCN, BCB   REVIEW QUESTIONS         Instructions: Cut and paste each section’s questions to a new document and respond to the questions

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  Behavioral Medicine Research and Training Foundation

PEP003

EEG Biofeedback: Assessment and Intervention

Cynthia Kerson, PhD, QEEGD, BCN, BCB

 

REVIEW QUESTIONS

 

 

 

 

Instructions:

• Cut and paste each section’s questions to a new document and respond to the questions.
• Name the file YourName Section number.doc or .docx
• (ex: Kerson 3.docx)
• Do not send more than 1 section and send them as you succeed in the previous one. As well, these modules are designed in progression, don’t wait till the end of the course to send them all at once.
• If you resubmit a quiz, please do so on the document that I commented on so I can easily follow your progress.

 

 

SECTION 1: INTRODUCTION AND HISTORY

Assignments:

View either the PPT in your DropBox folder or (both are the same): https://youtu.be/tTN9VQQ1osE

Read: all documents in the Documents 1 folder

 

1. Explain the analogy of hardware and software as it pertains to psychophysiology.
2. Name one of the ‘neurofeedback’ experts from slides 8-10 and discuss the impact of his work on the field of neuromodulation (feel free to Google search).
3. Dhindsa (paper in your document folder) reports improved outcome with a new form of automatic thresholding. What are your thoughts about this? How might any automatic thresholding compare to active coaching?
4. Discuss how one or many researcher(s) work led another prominent person to discover/develop what he/she did.
5. What are some of the main differences of classical and operant conditioning?
6. Provide an example of negative reinforcement.
7. Discuss the 4 non-continuous reinforcement schedules. Which is the best one for NFB? If you are doing neurofeedback, what schedule does your system use?
8. Explain the difference between 12-15 Hz, SMR and Mu.

 

 

SECTION 2: NEUROIMAGING AND THE EEG 10 20 SYSTEM

Assignments: View videos: http://www.youtube.com/watch?v=REcNVlpdOnQ

https://www.youtube.com/watch?v=xEbSjapRJoo

Read all documents in Documents 2 folder

View Wikipedia pages for each of the Brodmann areas (example: https://en.wikipedia.org/wiki/Brodmann_area_22 )

 

1. If the length of a client’s inion to nasion is 37.5 cm, the circumference is 55 cm and the width between the preauricular points is 30 cm where is Cz?
2. Using the same measurements in question 1, where is Pz?
3. Explain the difference between spatial and temporal resolution and describe one imaging tool of each.
4. Name and describe 2 EEG interpretation tools and include what you would consider to be their pros and cons and under what conditions you would use them.
5. Describe Broca’s and Wernicke’s areas function. Include their brain, Brodmann, and 10 20 locations. What deficits would present if there were damage to them?
6. Discuss one Brodmann area. Include how a deficit in that area would present itself (except Broca’s and Wernicke’s since they are discussed above).
7. Based upon its functionality what deficits would someone have if the parietal area were compromised?
8. The frontal lobes?

 

 

SECTION 3: NEUROANATOMY AND PHYSIOLOGY

View Slide Presentation 3 in DropBox folder (some have been unable to hear this presentation on a Mac. If possible, please view on a PC)

Or view here: https://youtu.be/J_Fj-_RSA7A

 

When prompted in the slides, watch:

http://www.anatomyzone.com/tutorials/neuro/brain/basic-parts-of-the-brain/ Parts 1 and 2 (approx. 20 mins combined)

http://www.youtube.com/watch?feature=player_detailpage&v=eZundDVPIYw (approx. 10 minutes)

https://youtu.be/yy994HpFudc

(11 seconds)

 

 

View documents in Documents Folder 3

 

 

 

 

 

1. Please name and describe the numbered/lettered areas of the above drawing

1.

2.

3.

4.

5.

6.

7.

8.

A.

B.

 

2. Explain induction and maintenance from the viewpoint of long-term potentiation.

3. What does “Cells that fire together, wire together” mean?

4. Name two neurotransmitters, their functions and what behavioral presentation a deficit of them would have.

5. What is the default mode network? Where is it located in the brain?

6. What makes white matter white?

7. At which point in the action potential does the neuron revert to negative polarity?

            a. depolarization

            b. refractory period

            c. hyperpolarization

            d. repolarization

 

8. Depolarization occurs until the neuron reaches ____________ and repolarizes until it reaches the resting potential of _______________.

            a. -70mV / +40 mV

            b. +40 mV / -70 mV

            c. -75 mV / +70mV

            d. -55 mV / +30 mV

9. There is a difference between deeper cortical and subcortical structures. Explain the difference and name three deeper structures of the cortex and list their functions.

10. The pons is indicated in

            a. movement

            b. satiety

            c. mood

            d. memory

11. Name the 6 layers of the cortex. In which layers are pyramidal cells found?

12. Damage to the left temporal lobe would cause issues with face recognition. True or False?

 

SECTION 4: ELECTRICITY AND BIOELECTRICAL CONCEPTS

Assignments: MP4 video in the DropBox

(There are no documents to read for this section)

 

 

1. Name the two types of resistance, how they’re measured and for what type of electrical signal.
2. Remember Ohms Law: V = IR or I = V/R or R = V/I. Please solve these two equations:
   1. Example #1: A 9-volt battery supplies a toaster with 20 ohms resistance. What is the amperage?
   2. Example #2: A 110-wall outlet supplies a computer with a current of .01. What is the resistance?
3. Explain some advantages to using a sequential montage and include how potentials can be localized using and/or comparing different sequential montages?
4. Number these in correct order:

Electrical conductive paste

Fast Fourier Transform (FFT)

Common mode rejection

Din connector

Shielded wire

Differential amplifier

Scalp

Analog input to computer

Digital display

Active and reference electrodes that are a conductive property

         5.    Explain volume conductance and field potentials. Please include the concept of attenuation.

         6.    Describe referential and sequential montages and how they relate to the channels of a recording.

        7.    What is a transient waveform? Include 2 examples.

        8.     There are 3 artifacts in this image. Can you spot 2 and tell why they are usually found in the sites they are in.

 

 

 

 

 

SECTION 5: NEUROFEEDBACK AND NEUROMODULATORY APPROACHES: THEIR HISTORY AND PURPOSE

Assignments: Slide Presentation 5 in the DropBox (approx. 45 mins)

Read documents in the Documents 5 folder

 

1. When (with what population) would you use alpha theta training? Explain in detail the protocol. How has it evolved?
2. Explain why SCPs (slow cortical potentials) are considered self-regulation.
3. Define neurofeedback and neuromodulation. What are the similarities and differences?
4. Write a description of tDCS that you would use for prospective clients on a web page or in a flyer. Think of it as a “sales pitch.”
5. In rTMS, how is the magnetic stimulation affecting the brain at a cellular level? Explain.
6. According to Hammond and Kirk, what are the most prevalent adverse reactions? List them and choose one to further discuss your actions as the clinician to avoid or resolve.
7. According to Walker, explain why coherence up or down would affect behavior.
8. This image has 3 sections: blue, red, green. Choose from [SCP, TBR, alpha theta, SMR, or tDCS] to name the protocol that would traditionally be used in each.

RED:

BLUE:
GREEN:

 

 

 

 

 

 

SECTION 7: ASSESSMENT AND REASSESSMENT

Assignments: Slide Presentation in DropBox folder
CNSVS test | Chapter 5 in Soutar & Longo

View all intake and related forms in Documents Folder 7

 

1. Explain the difference between competency and legal right to treat a disorder.
2. You can use one free CNSVS assessment from http://www.cnsvs.com.  Click Sign in (upper right) and choose Administer Cognitive Tests and Rating Scales. UN and PPW are both Saybrook. Enter the Patient ID I gave you and click Test. (If I have not given you a code for the Patient ID, please ask me for it.) If you have any problems, please DO NOT contact CNSVS, check with me. Once the test is completed, write a brief report similar to one you would provide a client. Provide both the CNSVS report and your clinical report as an attachment to your section seven response email.
3. Why is your observed impression as important (or more) as other measures?
4. Explain the difference between subjective and objective measures. Give 2 examples of each.
5. What questions are answered primarily from the QEEG?

 

 

SECTION 8: EFFICACY AND RESEARCH HISTORY

 Assignments: Slide Presentation 8 in the Dropbox folder
Neurofeedback Bibliography (link can be found at the bottom of any page of the www.aped.training website)

View: https://youtu.be/JKHUaNAxsTg

View: Academic Research (8 mins)

Study definitions in Research Definitions

Read 7 all documents in Documents Folder 8

 

 

1. List and describe the most important features of each of the AAPB 5 levels of efficacy.
2. Write your reaction to the TedTalk by Erica Stone on academic research.
3. Pick three pairs of definitions from your Research Terminology document and compare and contrast them.
4. In your own words, answer the following questions from any study abstract (not a meta-analysis) from the Neurofeedback Bibliography (be sure to include its citation for my easy reference):
   1. What is the objective?
   2. What is the methodology?
   3. Based upon the rules of the AAPB 5 guidelines, what level of efficacy would you rank it (this would be a guess)? Why?
5. Explain what evidence-based treatment is.
6. Explain the difference between post-hoc and primary outcomes.

 

SECTION 9: PSYCHOPHARMACOLOGICAL EFFECTS ON THE EEG

Assignments: MP4 Presentation 9 in the Dropbox folder

View Mynd Analytics in the DB folder or view it online here (4 mins):

Readings in Documents Folder 9 | Read the following article online: http://www.townsendletter.com/FebMarch2013/whattodo0213.html

 

1. How does titration affect half-life?
2. According to the Townsend Letter article by Prousky you read online, what is the best formula for discontinuing psychotropic medications? Do you agree/disagree with this method?
3. Explain why washout time is important when discussing whether a client should go off a medication.
4. Discuss why medication effects are individual.
5. Choose 2 medications from your reading material name their class and discuss their possible effects on an ADHD child who presents with a high theta/beta ratio.
6. Discuss your experience with a client, personal relation in which getting an EEG assessment may have relieved a lot of time and energy in finding the right medication.
7. Describe the mechanism of reuptake inhibitors.

 

 

SECTION 10: PROFESSIONAL CONDUCT

Assignments: Slide presentation 10 Ethics found here: https://www.youtube.com/watch?v=9ucphLllP-g

Read all documents in Documents Folder 10

 

1. Discuss the issues in obtaining true informed consent.
2. Discuss the problems inherent in dual relationships and conflict of interest.
3.  Look up one of the research theses (such as hormone replacement, Omega 3, soy for sleep dx) mentioned in the Bad Medical Research Nov 10 document (or choose any other topic of your choice) and provide a short paragraph on the ensuing and current status of research for it. Think of this as a sort-of mini meta-analysis , looking at the scientific trends of any one supplement, drug, or psychological modality.
4. There are many licensing Boards throughout the States and Internationally and they all consider biofeedback/neurofeedback differently. Research how your licensing Board allows biofeedback/neurofeedback to be performed. What are your rights and limitations under your licensure? If you don’t have licensure, look up one that you choose.
5. What is the duty to protect?
6. Discuss the need to keep records private and how to get and release information important to a patient’s care.
7. What data relevant to biofeedback evaluations and interventions need to be kept?
8. Discuss the issue of using insurance codes that inaccurately reflect the treatment provided.
9.  Explain beneficence according to the Belmont Report.
10. List and explain the 5 steps that will eliminate any concern/vulnerability to lawsuits.
11. Discuss why biofeedback devices are mostly used off-label.
12. List the three exceptions to licensure issues regarding touching your client.

           

Also required:

 

Fill out (a) the BCIA evaluation form at https://www.surveymonkey.com/r/2YXJKHN

and (b) the Foundation evaluation form (BFB course & instructor evaluations.doc file) and send it to the Foundation at rsherman@behavmedfoundation.org).

           

When you have successfully completed all of these requirements, we will send you your certificate via email. Please use this certificate to provide proof of completion of the 36-hour didactic to BCIA.

 

You’re done!