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    9 - BCIA VIII - Intervention - 3printout

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    Natasha Pereira
    This document discusses biofeedback interventions and treatment. It covers topics like psychophysiological profiling using assessments like galvanic skin response, electromyography, and thermal measurements. Case studies are presented to show how patterns in these readings can provide insight into a patient's experiences and personality. Treatment involves both biofeedback training to gain voluntary control over physiological processes and psychotherapeutic approaches to address underlying issues. The goal is to help patients learn self-soothing skills and reduce stress reactivity through applying psychophysiological principles.

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    9 - BCIA VIII - Intervention - 3printout

    Uploaded by

    Natasha Pereira
    8 views10 pages
    This document discusses biofeedback interventions and treatment. It covers topics like psychophysiological profiling using assessments like galvanic skin response, electromyography, and thermal measurements. Case studies are presented to show how patterns in these readings can provide insight into a patient's experiences and personality. Treatment involves both biofeedback training to gain voluntary control over physiological processes and psychotherapeutic approaches to address underlying issues. The goal is to help patients learn self-soothing skills and reduce stress reactivity through applying psychophysiological principles.

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    This document discusses biofeedback interventions and treatment. It covers topics like psychophysiological profiling using assessments like galvanic skin response, electromyography, and thermal measurements. Case studies are presented to show how patterns in these readings can provide insight into a patient's experiences and personality. Treatment involves both biofeedback training to gain voluntary control over physiological processes and psychotherapeutic approaches to address underlying issues. The goal is to help patients learn self-soothing skills and reduce stress reactivity through applying psychophysiological principles.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    8 views10 pages

    9 - BCIA VIII - Intervention - 3printout

    Uploaded by

    Natasha Pereira
    This document discusses biofeedback interventions and treatment. It covers topics like psychophysiological profiling using assessments like galvanic skin response, electromyography, and thermal measurements. Case studies are presented to show how patterns in these readings can provide insight into a patient's experiences and personality. Treatment involves both biofeedback training to gain voluntary control over physiological processes and psychotherapeutic approaches to address underlying issues. The goal is to help patients learn self-soothing skills and reduce stress reactivity through applying psychophysiological principles.

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    of 10

    9/3/2018

    Biofeedback Interventions:
    Assessment & Treatment

    BCIA VIII
    Interventions/Intake
    Based on the didactic requirements for BCIA
    certification in biofeedback

    Psyche Physiology

    mind body

    The Psychophysiological Principle


    “Every change in the physiological state
    is accompanied by an appropriate
    change in the mental-emotional state,
    conscious or unconscious, and
    conversely, every change in the
    mental-emotional state, conscious or
    unconscious, is accompanied by an
    appropriate change in the
    physiological state.”
    Elmer Green

    1
    9/3/2018

    Initial Psychological Evaluation


    Psychophysiology Orientation
     PP - onset - symptoms - severity
     What was happening in patient’s life at the
    time of onset
     Current stressors
     Life-style
     Exercise
     Sleep patterns
     Diet
     Support network
     Trust, self-disclosure

    Psychological states & the Soma

     Profiling
     Patterns in the body
     Skeleto-muscular
     Vascular
     Cardio-vascular and respiratory

     Somatic anxiety

     Psychophysiological typology

    The PSP
    Psychophysiological Stress Profile
     Effective use of the PSP as a treatment
    guide and prognostic index

     Biofeedback and Psychophysiology:


    Exploring and integrating the mind and body

    2
    9/3/2018

    Typology

     Typos (Greek) - an impression

     Typology - the study of types


     Representational
     Symbolic meaning

    Typology:
    Historical Background
     The Greeks & Romans
     Hippocrates and Galen

    Blood ruddy, outgoing, vibrant health


    Phlegm phlegmatic, sluggish
    Yellow bile choleric, angry
    Black bile melancholy, sad

    Ayurvedic Doshas
     Vata
     Dry, light, cold, active
     Nervous, anxious, very active, light sleeper
     Pitta
     Hot, light, sour, sharp
     Organized, driven, easily irritated, competitive
     Kapha
     Heavy, dense, cool, slow, static
     Relaxed, compassionate, slow, deep sleeper,
    steady energy

    3
    9/3/2018

    Jungian Typology

     Personality Correlates
     Extravert/Introvert
     Intuitive/Sensing
     Thinking/Feeling
     Judging/Perceiving

    Profiling

     A window not a door into a patient’s soul


     Generalizations
     What are the likely characteristics of this
    person

     What can we infer (based on correlated


    observations)

    The Standard PSP


    Basic design: Baseline, Stressor, Recovery
     Baseline: Research baselines cp. Clinical baselines

     Performance stress - Mental Stressor

     Recovery
     Emotional stress – talk about what brought you in to
    treatment/training

     Recovery
     Anticipatory stress – usually EC – I’m going to do
    something…

     Recovery

    4
    9/3/2018

    Analysis of the PSP

    1. Reactivity

    2. Recovery

    3. Patterns: sEMG, Thermal, GSR,


    breath holding or thoracic
    breathing, etc.

    The Art & Science of Profiling


    Patterns, Personality And Profiling

     BioBehavioral aspects of psychophysiology


     Hunches
     Incorporating other information
     Interactive Investigation

    EMG (Electromyograph)

    Skeletal muscles activate by contraction.


    The physiological bases for activation
    involves some of the following
    motivations:
     preparation for movement,
     movement itself,
     protective guarding, and
     communication.

    5
    9/3/2018

    EMG Patterns Guards &


    Gladiators

     Fighters & Protectors


     Active - Shoulders
     Passive Bitters - Jaw

     Body Armor - guarded - diffuse

    Case Study - EMG

    Nature/Nurture and EMG activation


     110% ers: driven, perfectionist
     Anger issues
     Abuse issues

    Right Shoulder tensing during


    Anticipation Challenge

    46 year old female diagnosed with TMJ

    6
    9/3/2018

    Peripheral Blood Flow - Thermal

     An indirect measurement of visceral


    muscle constriction

     Occurs as part of sympathetic


    arousal

    Thermal Patterns
    Chihuahuas & Cheerleaders

     Hypervigilent
     Fear
     Perpetual worry
     Perfectionism, Persistence, Pressure
     “constricted” personality

    Case Study - Thermal

     Nature-Nurture Issues
     First-born
     Abuse in childhhood - especially sexual
    abuse
     Patient forms a “coat of armor” and a
    hypervigilent stance
     PTSD

    7
    9/3/2018

    Vasoconstriction following Performance


    Challenge-poor recovery

    32 year old female diagnosed with TMJ and neck pain


    Alcoholic father

    GSR (Galvanic Skin Response)

     Sweat gland activity

     Used in the lie detector

     Measures emotional stress

    GSR Pattern:
    Chicken Littles & Sensitive Souls

     Anxious

     Ruminating

     Weak self-soothing mechanisms

     Trust issues

    8
    9/3/2018

    Case Study - GSR

     Nature/Nurture Issues

     family history ETOH/Drugs

     hindered development of self-soothing


    capacity - inadequate childhood
    relationship with primary caretaker

     Existential angst

    Reactive GSR following a motor vehicle


    accident resulting in death of a friend

    21 year old female diagnosed with PTSD after a motor vehicle


    accident in which her passenger friend died

    High and reactive GSR levels


    seen in this phobic patient

    54 year old female diagnosed with fibromyalgia and IBS

    9
    9/3/2018

    Treatment
    Applied psychophysiology

    1. Feedback vs. monitoring


    2. Criteria training
     EMG: balance and appropriate activation
     Thermal: 90ºF and above
     GSR: centering oneself mentally;
    emotional self-soothing skills
     Respiration: HRV smooth, engages
    respiratory diaphragm

    Treatment
    Education
     Present a basic understanding of the automonic
    nervous system

     Explain how biofeedback works - both treatment


    and training aspects

     Develop handout/informational literature on diet,


    exercise, mindfulness, breathing, work/leisure
    balance, etc.

    Treatment
    Psychotherapeutic
     Systematic desensitization (external stimuli)
     Decrease perceptions of threat (internal stimuli)
     Supportive counsel
     Interjection of soothing capacity of therapist
     Altering perceptions
     Cognitive-behavioral therapies
     Altering memory storage
     Debriefing in a safe, supportive environment

    10

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