What's New in Neurofeedback

A Monthly Summary of News and Events

Vol. 4 No. 6 - June 2001

This newsletter is sponsored by EEG Spectrum International Intl, Inc.,
a leader in providing clinical service and training professionals.

Past issues are available at www.eegspectrum.com/newsletter/
Information on how to subscribe or cancel a subscription appear at the end.
The opinions related in this newsletter reflect those of the author only.
Copyright (C) 2001 by EEG Spectrum International Intl, Inc. All rights reserved.



  • Announcements  - Are we ready to wear EEG nets everyday?
  • In the Spotlight   - Fight the Power
  • News & Reviews - Books, journal papers, of interest
  • Events & Locations - Conferences, Courses
  • Last Word               - None this month

  •  

    Announcements


     

    In the Spotlight

    Fight the Power

    Power is ever stealing from the many to the few.
    -Wendell Phillips

    New Year's Eve, 1984. New York City. Three hours before midnight. Thirty feet underground. The subway car squealed slowly to a stop at the 96th Street Station. As the side doors opened to receive passengers, the air erupted with sound. Someone was shouting on the platform, or perhaps they were singing. The same few sounds over and over. Whoever it was, he was loud enough to attract my attention. I glanced up from the book I was reading, but there was nothing out of the ordinary from what I could see. Passengers seated here and there, waiting patiently for the subway to move on. From my angle it was hard to see what the disturbance was on the platform. A few seconds passed and the doors shut with a bang. The subway pulled away and drew into the tunnel, the interior lights flickering on and off. Even though I could still hear the shouting, I thought nothing more about the disturbance, expecting it would all fade away as we picked up speed. Instead the shouts grew ever louder.

    Nine days before, Bernard Goetz had shot four teenagers in this very subway.

    I could hear chanting clearly now. Two or three cars away, and coming this way. My sole escape route, if I needed one, would be through the flimsy sliding door behind me. It connected to the next car -- not much of an escape.

    The far door crashed open and in they marched, in they stormed. Jackets and caps, flailing arms, pounding fists, angry faces. A twisting hydra of fury and rebellion, spitting and screaming at every person they passed:

    "Fight the power! Fight the power! Fight the power that be!"

    Here I sat alone, in an empty corner of the train, white, male, college-educated -- easily mistaken for the "power that be." Albeit, in larval form. ... but before I complete my (true) account, I'd like to explain the reason why I was reminded of this night long since past. Australian psychologists recently published a report on QEEG differences in children based on sex and age. EEG data was acquired from forty boys and forty girls, age 8 to 12 years old. It ought to be a remarkable paper, well worth citing, but because they applied power transforms to the spectral estimates, the paper was nearly useless to me.

    Fight the power. You gotta fight the power!

    Power transforms are a vestige of our clinical history. This distribution-distorting technique, entirely unsuited for statistical inquiries, served the initial investigators of brain waves well, when rulers and VAX machines were used to make sense of squiggly lines. Squaring spectral means emphasizes extreme data points in a sample. It launches fringe events far away from the central tendency of a sample's distribution so that they can be easily identified and circled with red ink by the psychologist on duty. It is a technique to assist eyeballs, not computers. It is a geometric transformation that should not be embraced in the linear world of inferential statistics, but people continue to leave the welcome mat out.

    Although power transformations and power distributions are essential functions in engineering and other sciences (perhaps even including psychology), they should be applied sparingly and after careful consideration of a data's sampled distribution. QEEG data, if anything, should be geometrically compressed or compacted in order to make it correspond readily with psychological phenomena. Power geometrically expands it.

    Let's take a fresh look at what we are doing when we convert magnitude values to power. Here are some examples:

    Comparing squared values makes little sense in most endeavors. Not so far off in QEEG. Let's look at what power transforms do to the simplest case, the mean of two values:

    RawPower
    Value A.11 sq units
    Value B.24 sq units
    Mean1.52.5 sq units
    Converted back to Raw1.51.58
    Error -- 5.4%

    Always keep close to the raw. It's a good rule of thumb in measurement; the farther one gets away from actual measurements, the more likely error has crept in. This adage is doubly appropriate when statistics are to be used, because statistics, as we all know, are the tools of the devil, a formalized scheme to confound and to confuse and occasionally illuminate.

    Power is a geometric function; averaging is linear. When the two are combined, as is commonly done in QEEG analysis (mean power for a task or subject), results vary depending upon when and where each step was performed. QEEG analysis includes a whole lot of averaging along the way. It's not always clear which average was squared to produce power values. As epoch size varies, so does results, unfortunately.


    32 seconds of alpha activity from site Pz, one subject. Data was analyzed using four different epoch lengths:

    Epoch LengthMagnitudePower
    1 s2.125.18
    2 s2.124.78
    4 s2.124.57
    32 s2.124.49

    Notice how mean power varies in response to epoch duration. This is not good. Only when the epoch encompasses the entire dataset is there no difference between magnitude and power (4.49 is 2.12 squared). I don't know about you, but I don't like to see the EEG changing once the subject has gone home.

    Finally, let's show why it's not good for your analysis. Which figure of alpha activity during eyes closed baselines (n=275) looks more normally distributed, more like a bell-shaped curve?

    During active tasks, QEEG values are generally attenuated, which reduces the skewing, but despite this reduction, power transforms produce highly skewed distributions (Dmax= 0.17, p <.01; cf. Kolmogorov, 1941) whereas magnitudes are only moderately skewed (Dmax= 0.12, p <.05) (n=20).

    Little more can I do to show the distortion inherent in power values, so I guess I can return to my tale.

    When the mob descended on my lonely seat, I acted like any New Yorker would: I ignored them, pretended that this was a normal everyday occurrence (what did I know; perhaps it actually was). I never looked up from my book. The chanting men passed me by and moved onto the next car. Perhaps they realized that anyone riding the subway was unlikely to hold any power. Perhaps I had been perfectly safe all along. Nevertheless, after the ball dropped and the throng of thousands sang a drunken round of Auld Lang Syne in Times Square, I conjured up some of that elusive power, pulled out a twenty, skipped the subway entrance, and hailed a taxicab home.

    DK

    Related reading:
    Clarke AR, Barry RJ, McCarthy R, Selikowitz M. (2001). Age and sex effects in the EEG: development of the normal child. Clinical Neurophysiology, 112, 806-14. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11336896

     


    News & Reviews NEW BOOKS

    Seized: Temporal Lobe Epilepsy as a Medical, Historical, and Artistic Phenomenon
    by Eve LaPlante

    Describes temporal lobe epilepsy, its impact on personality and behavior. Discusses famous characters in history who may have had TLE. A thoroughly enjoyable book. - http://www.amazon.com/exec/obidos/ASIN/0595094317/top100

    Neuropsychology for Health Care Professionals and Attorneys
    by Robert J. Sbordone
    Analysis of neuropsychological testing, notably for brain injuries, including critiques of widely used tests. - http://www.amazon.com/exec/obidos/ASIN/0849302048/top100

    Chronic Fatigue Syndrome: The Facts
    by Frankie Campling
    Practical guide to this illness based on the best available scientific evidence. - http://www.amazon.com/exec/obidos/ASIN/0192630490/top100

    Handbook of Psychophysiology
    by John T. Cacioppo
    Comprehensive guide to the field of Psychophysiology - http://www.amazon.com/exec/obidos/ASIN/052162634X/top100

    Brain Plasticity and Epilepsy
    by Jerome Engel Jr.
    Explains neuronal mechanisms involved in plasticity and how it relates to problems of diagnosis, treatment, and prevention of neurological disorders, particularly epilepsy. - http://www.amazon.com/exec/obidos/ASIN/0122388607/top100

    The Addictive Personality : Understanding the Addictive Process and Compulsive Behavior
    by Craig Nakken
    The process of addiction. Up to date information on how an individual becomes an addict, including cultural influences and genetic factors, and the progressive nature of the disease. - http://www.amazon.com/exec/obidos/ASIN/1568381298/top100

    Developmental Disabilties: A Neuropsychological Approach
    by David Freides
    Examines how the CNS functions normally, then reviews disorders such as motor disorders, visual disorders, and learning disabilities. - http://www.amazon.com/exec/obidos/ASIN/1557865795/top100

    Shattered Nerves: Doctors, Patients, and Depression in Victorian England
    by Janet Oppenheim
    How British doctors and patients in made sense of the problem of depression prior to Freud's revolution in psychology. - http://www.amazon.com/exec/obidos/ASIN/0735103534/top100

     


    JOURNAL PAPERS

    Can parents accurately perceive hyperactivity in their child? : Parents perceived hyperactivity in their children was accurate only half the time for hyperactive children but 89% of the time for non-hyperactive children. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11350452

    Emergence of tics in children with ADHD treated with stimulant medications. : 7.8% of 555 ADHD subjects treated with stimulants developed tics (8.3% treated with methylphenidate, 6.3% with dextroamphetamine, and 7.7% with pemoline). Subjects who developed tics were generally younger. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11349243

    Brain activity (PET) during biofeedback relaxation : Relaxation was associated with increases in left anterior cingulate and globus pallidus activity. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11335702

    Relationship of psychiatric illnesses and seizures. : Depression is the most prevalent seizure comorbidity. Anxiety and panic attacks may resemble complex partial seizures, and their diagnosis and treatment may be confusing and should be re-examined. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11353588

    Association between childhood depression and adulthood body mass index. : As one might expect, incidence and duration of depression at childhood predicts eventual adult body mass index (higher for those depressed for longer periods) www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11331685

    Neuropsychological frontal lobe tests in bipolar depressed patients : Compared to unipolar patients, bipolar patients performed poorly in the non-verbal part of WAIS-R, in the Stroop test, in the verbal fluency test and in the Wisconsin Card Sorting Test, altogether indicating frontal lobe dysfunction. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11333068

    Comparison of the basal ganglia and cerebellum in shifting attention. : Attentional deficits due to presumably cerebellar dysfunction (due to autism or neurological insult) may be secondary to problems related to coordinating successive motoric responses. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11371307

    Age and sex effects in the EEG: differences in two subtypes of ADHD : Relative alpha, theta/alpha & theta/beta ratios during eyes closed differentiated ADHD subtypes and controls. Authors conclude hyperactive/impulsive component matures with age but inattentive component remains stable. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11336897

    Age and sex effects in the EEG: normal development : Developmental reduction in slow wave activity is readily observed in children's QEEG, though the authors concluded that females showed a developmental lag in the EEG compared with males (this seems unlikely). www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11336896

    Age-related changes in frontal and temporal lobe volumes in men : The adult brain continues to develop until the late 40s. White matter volume increase until age 44 years for the frontal lobes and age 47 years for the temporal lobes; then they decline. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11343525

    Flexyx neurotherapy system in the treatment of traumatic brain injury: an initial evaluation. : Using a wait-list control group, neurotherapy was evaluated in 12 TBI patients. Self-reports of depression, fatigue, and other problematic symptoms, as well as for some measures of cognitive functioning improved after therapy. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11346448

    Attention-deficit disorder in adults with or without hyperactivity: fMRI : Significant reduction of N-acetylaspartate (NAA) concentration was found in the left dorsolateral prefrontal cortex in ADHD adults but not in ADD or controls. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11335068

    Brain MRI abnormalities and physical functional status in CFS : Presence of brain abnormalities in CFS are related to subjective reports of physical function. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11328679

    13-year follow-up of children with chronic fatigue syndrome. : Chronic fatigue syndrome in children occasionally results in persistent somatic symptoms and disability. Amount of school missed correlated with illness severity and perceived social impact of the illness. www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?form=6&db=m&uid=11331676

     


     

    Events & Locations

    Upcoming Courses

      Woodland Hills, CA
    • 4-Day Beta/SMR - July 19-22
    • 1-Day Systems Admin. Troubleshooting - July 23
    • 2-Day Adv. Practicum - Aug 4-5
    • 4-Day Beta/SMR - Aug 16-19
    • 1-Day Systems Admin. Troubleshooting - Aug 20
      Alberta, Canada
    • 4-Day Beta/SMR - Sep 6-9
    • 1-Day Systems Admin. Troubleshooting - Sep 10
      Newport News, VA
    • 4-Day Beta/SMR - Sep 20-23
    • 1-Day Systems Admin. Troubleshooting - Sep 24
    • 2-Day Alpha-Theta - Sep 24-25

    Prerequisites: All Adv. classes require successful completion of the 4 Day Comprehensive Beta/SMR.
    * Advanced Practicum requires 150 hours direct NF clinical experience.


    More info at www.eegspectrum.com/course

    Conferences for Neurofeedback Clinicians & Researchers

    CONFERENCELOCATIONDATES
    SNRMonterey, CA Oct 27-30


     

    Last Word

    None this month