5

Annual Conference

and Workshops

2009

Welcome to the

2010 Annual Conference and Workshops

of

Applied Neuroscience Society of Australasia (ANSA)

&

Australasian Academy of Functional Neurology (AAFN)

12–17 August 2010

Mantra at Salt Beach, Kingscliff, Gold Coast – New Tweed Coast

Brain Health in the 21st Century Evidence Based Interventions and Emerging Neuro-technologies

featuring

One Day Symposium on PTSD, Brain Injury and

Post-concussion Syndrome

With thanks to our supporters at STARRTS and also:

&

Visit the new ANSA Website at

www.appliedneuroscience.org.au/

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ANSA Membership

Full, Associate, Student, and Partner memberships are available to all suitably qualified professionals.

Benefits of membership:

Access to a professional forum for ANSA members

Discount on conferences and workshops

Newsletter and On-line access to The Journal of Applied Psychophysiology and Biofeedback

& Journal of Neurotherapy

Online access to Psych-Visual

Sponsors

The Applied Neuroscience Society of

Australasia is a non-profit professional

organisation that relies on financial

support to help reach its goals and

objectives in promoting the advances of

neuroscience in clinical practice.

Sponsors receive recognition for their

contributions on the ANSA website, in

printed material, and on location at

conferences and meetings. There is also

the exhibition option – a chance for the

sponsor to showcase their organisation

during the conference.

Please contact secretary@ansa.au.com

for a detailed sponsorship package.

Keynote Speakers

Prof. Alexander (Sandy) McFarlane

Prof. Richard Clark

Sebern Fisher

Jay Gunkelman

Prof. Jury Kropotov

Drs. Roger & Mary deBeus

Presenters

Dr. Randy Beck | Dr. Matthew Holmes

Dr Stephen Sexton | Dr Kathleen Lawson

Dr. Jacques Duff | Dr Moshe Perl

Mirjana Askovic | Dr Ian Niven

Brookes G Folmli | Jon Hegg

Thursday 12/08/10: Pre-Conference Options

Workshop A: Sebern Fisher

Psychotherapy and Neurofeedback in

Trauma & Recovery

Workshop B: Australian Academy of Functional Neurology –

Drs Randy Beck, Stephen Sexton, Matthew Holmes & Kathleen Lawson

Introducing Functional Neurology –

from theory to practice

Morning Program: Basic Concepts in Functional Neurology

Afternoon Program: The Brain & Its Environment

Australian Academy of Functional Neurology AGM

1-2pm Sunday 15/08/10

Monday/Tuesday 16/17th

August:

Post-Conference Workshop

presented by

Drs. Roger and Mary deBeus

Functional QEEG: How to Integrate Client Symptoms

with Brain Mapping to Improve

Neurotherapy Outcomes

Australian Psychological Society Neurofeedback & Psychology

Interest Group meeting

1-2pm Sunday 15/08/10

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Thursday 12 August 2010

Pre-conference Workshops

8:00 Workshop Participants’ Registration 9:00 Workshop A: Trauma and Recovery: Integration of Psychotherapy and Neurofeedback

Presenter: Sebern Fischer, M.A. BCIA (located in the Pavilion Room)

This will be a pragmatic workshop on treating survivors of trauma using neurofeedback and psychotherapy. We’ll focus on clinical assessment, initial and ongoing, affect regulation and protocol development. Neurofeedback practice sheds new light on many aspects of trauma recovery including the centrality of fear, abreaction, repressed memory, and affect regulation and it also changes the role of the therapist in the therapeutic endeavor. We’ll look at therapeutic practices that can enhance neurofeedback outcomes. We’ll discuss what we can expect from neurofeedback with patients with trauma histories as well as those with personality disorders. This workshop will include lecture, group interaction and ample time for case discussion.

Sebern Fisher has practiced psychodynamic psychotherapy for nearly thirty years; she was the first person to

implement Dialectical Behavior Therapy in a milieu setting and for the past eleven years has been using

neurofeedback as an essential component of her treatment approach. She is presently serving as a consultant to

Bessel van der Kolk and his team at the Trauma Center in Boston, as well as to the Sandhill Residential Treatment

Center for attachment disordered children in Albuquerque, New Mexico. Her chapter, “Neurofeedback and

Attachment Disorder; Theory and Practice” was recently published in Introduction to Quantitative EEG and

Neurofeedback, Advanced Theory and Applications, Second Edition (Academic Press). She has trained nationally

and internationally on neurofeedback, on fear and psychopathology, on attachment theory and neurofeedback

and on the integration of psychotherapy and neurofeedback. Her courses always receive high ratings and

enthusiastic reviews.

Workshop B: Introducing Functional Neurology: From Theory to Practice

Presented by the Australasian Academy of Functional Neurology (in the Board Room)

Dr. Randy Beck, Dr. Stephen Sexton, Dr. Matthew Holmes, Dr. Kathleen Lawson

Functional neurology offers a unique way to evaluate and treat our patient's nervous system. Rather than

simply providing information from cortical structures, functional neurology evaluates all levels of the nervous

system, from receptors to the cortex and back to the motor system. After determining the region of

dysfunction, functional neurology utilises neuroplastic mechanisms to raise nervous system function and

produce a greater expression of humanity for our patients.

This seminar will introduce participants to this exciting approach. Starting with the underlying concepts of

functional neurology, the seminar will move on to discuss the clinical methodology used in determining brain

functional integrity. Clinical applications including qEEG specific to brain based treatments will also be explored.

Morning Program: Basic Concepts in Functional Neurology

An investigation into the anatomy, functional neurophysiology, clinical analysis and treatment protocols

pertaining to receptors, axons, synaptic excitation/ inhibition, neurons, the spinal cord and its reflexogenic

pathways.

Afternoon Program: The Brain & Its Environment

Review of the internal and supportive structures of the brain with emphasis placed on the major afferent and

efferent projections associated with brain activity. Lesions of the supportive structures of brain and the clinical

methodology used in determining brain functional integrity will be discussed. Clinical applications including qEEG

specific to brain based treatments will be explored in detail.

See biographies next page ……..

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Pre-Conference Workshop – presenters from the Australasian Academy of Functional Neurology Dr Randy Beck is a senior lecturer in Clinical Neurology, Clinical Diagnosis and Anatomy at Murdoch University, Perth and Associate Professor in Clinical Neurology at the Carrick Institute for Graduate Studies in Florida, USA. Dr Beck has completed a PhD on Psychoneuroimmunology and is undertaking a second PhD in Functional Neurology. He has been involved with post graduate and undergraduate education of Chiropractors and Medical students for over 15 years. Dr Beck is the author of the landmark text, “Functional Neurology for Practitioners of Manual Therapy”, numerous textbook chapters, and articles and reviews in peer-reviewed journals. He is currently working on international collaborative projects on Clinical education in healthcare and the effects of movement on brain function. Dr Holmes is in private practice at the Diamond Valley Brain Centre in Greensborough, Melbourne, a specialist neurology centre treating functional neurological disorders. Dr Holmes is also the Senior Clinician and lectures in neuroscience and neurology for the Discipline of Chiropractic at RMIT University, Melbourne since 2006. He graduated from RMIT University in Melbourne, Australia in 1996 before working in the United Kingdom for a decade. Whilst there he undertook his training in functional neurology with the Carrick Institute for Graduate Studies (USA). Dr Holmes is a Diplomate of the American Chiropractic Neurology Board, a Founding Fellow and current Secretary of the Australasian Academy of Functional Neurology, and a Fellow of the American College of Functional Neurology. Dr Holmes has run several workshops on functional neurology and its integration into practice for primary care practitioners. Dr Kathleen Lawson has been in private practice in Melbourne for 9 years, using a functional neurological approach in her care of patients from paediatric to geriatric, and everyone in between. She heads a multi-disciplinary practice where the common focus is on giving patients back some power, and helping them to become pro-active in their health. She has recently accepted a position as Associate Professor in Clinical Neurology with the Carrick Institute for Graduate Studies in Florida, USA. Dr. Lawson graduated from RMIT University, Melbourne in 1999 as graduate of the year, receiving awards for clinical, chiropractic and academic excellence. She has subsequently completed her studies to become Diplomate of the American Chiropractic Neurology Board and is a Founding Fellow and the current treasurer of the Australasian Academy of Functional Neurology (FFAAFN), as well as gaining fellowship status with the American College of Functional Neurology (FACFN). Most recently, she has gained her fellowship status in the specialist field of Functional Neurological Vestibular Rehabilitation FACFN(Vestib. Rehab). Dr Stephen Sexton is a chiropractic neurology, QEEG & IT consultant. He has several years experience in lecturing clinical neurology to chiropractors throughout Australia and New Zealand. He is a Diplomate of both the QEEG Board and the American Chiropractic Neurology Board and has completed a Masters degree in Neurological Science with a thesis concerning the neurophysiology of tinnitus.

Date Claimer

2011 Annual Conference and Workshops of the

Applied Neuroscience Society of Australasia (ANSA)

11 – 16 August 2011*

SYDNEY, New South Wales, Australia

Expressions of Interest to: secretary@ansa.au.com

*to be ratified by incoming executive committee

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Friday 13 August 2010: Australian International Symposium

PTSD, Traumatic Brain Injury & Post-concussion Syndrome

7.30-8:30 Registration

8:30-9:00 Official Opening - President of ANSA Nerida Saunders

9-10am Keynote Address: Prof. Alexander (Sandy) McFarlane, PTSD and mild Traumatic Brain Injury The war in Iraq and Afghanistan has created a flurry of interest in mild traumatic brain injury and its spectrum of symptoms. One of the challenges bedeviling the field is the lack of specificity of the symptoms of post-concussion syndrome. Furthermore, post-traumatic stress disorder and major depressive disorder are two common psychiatric conditions that occur in settings where head injuries are common such as motor vehicle accidents and combat. Both of these disorders frequently present with non-specific somatic symptoms as well as symptoms of irritability, difficulties with concentration, and fatigue, highlighting the overlap with post-concussion syndrome. Data from a study of 1,000 motor accident and workplace injuries will be presented highlighting the contribution of mild TBI and posttraumatic stress disorder to the complex symptomatic picture which occurs in this setting. This highlights that underlying psychosocial disorders have a much greater impact on the symptomatic presentations than does mild traumatic brain injury. This highlights the need to develop diagnostic approaches that have a greater specificity including the use of various forms of neuroimaging and electrophysiological measures of cognitive functioning to better define these conditions. The significant overlap of these syndromes emphasises the importance of a treatment approach that assesses cognitive functioning, psychological symptoms, and somatic distress simultaneously. Sandy McFarlane is currently Professor Psychiatry and Head of the University of Adelaide Node of the Centre of Military and Veterans Health. He is an international expert in the field of the impact of disasters and posttraumatic stress disorder; Past President of both the International Society for Traumatic Stress Studies and the Australasian Society for Traumatic Stress Studies; recipient for the Robert Laufer Award for outstanding scientific achievement in the study of the effects of traumatic stress; and is a recipient of the Founders Medal of the Australasian Society for Psychiatric Research, awarded to individuals for their contributions of significance to psychiatric research over their entire career.

10-11am International Speaker Jay Gunkelman (via Skype from U.S) Clinical Utility of MTBI Discriminant analysis: A Case Series demonstrating Type 1 and Type 2 Error

Prior studies using discriminants report a very low false positive rate, and a reasonably low false negative rate (20%) using the MTBI discriminant (Thatcher, et al.). Others previously reported a 30% false negative and over 50% false positive rate using the discriminant (K. Thornton). This random case series attempts to replicate one of these prior reported outcomes. A case series of EEGs from a multi-site practice group with a heterogeneous referral population mix was analyzed with the NeuroGuide MTBI discriminant over a six week period in early 2008. The images of the discriminant output for the known false negative (4) and false positive (20) cases are included for completeness, and so that any further patterns may be seen within the divergent data. The false negative rate was intermediate between the two prior studies, at 25% (20% reported by Thatcher, and 30% by Thornton), and with a replication of the 50% rate of false positive identification using the MTBI discriminant with this mixed clinical population. The data collected in this open case series provides replication of previously reported rates of Type 1 and Type 2 errors, generally replicating the findings of Kirtley Thornton of higher than generally acceptable rates of false TBI identification for the clinical application of this software to the general population for TBI screening purposes. The false negative rate was intermediate between the two previously reported rates, at 25%. Starting in 1972 with the first State Hospital based biofeedback laboratory, and then specializing in EEG for decades, Jay is an experienced Clinical and research EEG/qEEG specialist and consultant. Author of many scientific papers, and a mounting list of books, his depth of understanding of the mind/brain's function is helpful in communicating the underlying mechanisms and systems of the brain, mind, and consciousness. Jay is a popular lecturer world-wide, and he has occupied leadership positions in the field's professional societies. Now with Q-Pro, an international EEG/qEEG services group, he provides services worldwide.

11:00-11.25 Morning tea

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11:30-12:15 Dr Roger de Beus, Improving Clinical Outcomes of MTBI and PTSD: Identification of Neuromarkers

for Assessment and Neuromodulation for Treatment Mild traumatic brain injury (MTBI) and posttraumatic stress disorder (PTSD) are complicated pervasive disorders that have both overlapping and different symptom profiles. Further, each patient presents with a unique set of symptoms which highlights the need for individualized treatment. In addition to established assessment and treatments, using neuropsychological (NP) and quantitative electroencephalogram (QEEG) profiling can help generate an individualized approach to assess and subsequently treat these disorders. This presentation will identify various NP and QEEG profiles specific to MTBI and PTSD, and then present how neuromodulation modalities such as neurofeedback and computerized training may help these populations improve functioning. (see post-conference workshop for Dr de Beus’s biography…)

12:15 Introduction to Focus Groups – Prof Sandy McFarlane

12:30 -1:00 Focus Group Discussions toward guidelines for future clinical applications of emerging neurotechnologies

13.00-13.30 Panel Reflection: Guidelines for treatment of TBI & Post-concussion – Facilitator, Prof Sandy McFarlane 13:30-14.30 Lunch Break 14.30-15.10 Mirjana Askovic, STARRTS: Emotional Modulation in PTSD

This paper aims to present the clinical and neurobiological features of two subtypes of emotional modulation issues in PTSD: dissociative and re-experiencing/hyperaroused subtype. The recent research findings and its implications for treatment of PTSD will be discussed.

15.10-16.00 Dr Jacques Duff, Dietary Omega 3 Fatty Acid requirements following minor Traumatic Brain Injury

Abnormal profiles of polyunsaturated fatty acids in the plasma phospholipids were observed in patients with closed head injuries, indicating that the metabolic response to injury encompasses changes in the metabolism of polyunsaturated fatty acids which are rapid in onset and qualitatively similar to those seen in essential fatty acid deficiency (Alden, Svingen et al. 1987). …. Learning and attention deficits and other neurodegenerative damage following TBI are ameliorated by supplementation with the Omega 3 fatty acid DHA from fish oils Supplementation with fish oils and co-factors has been found to be an effective treatment to ameliorate attention. Consequently it makes sense to treat patients with TBI as if there are Omega 3 EFA deficiencies.

Dr. Jacques Duff, Psychologist, is the founder and Clinical Director of the Behavioural Neurotherapy Clinic. He was awarded a PhD from the Brain Sciences Institute (Swinburne University) for his investigation of the Brain Electrical Activity of Boys with ADHD following Neurotherapy. He has postgraduate training in Clinical Neuroscience and Nutritional & Environmental Medicine.

16:00-16:30 Afternoon Tea

16:30 – 17:00 Concurrent Options: [1] Dr. Steven Sexton - QEEG in TBI - The Gap between Expectation & Outcome

(see biography with pre-conference workshop overview)

Stephen will outline some important considerations concerning interpretation of the QEEG in patients that have suffered head trauma.

OR [2] Sebern Fisher – Approaching the Back of the Head: Beta Reset Protocol (see biography with pre-conference workshop overview) This presentation will be an introduction of a new protocol, its implications and its use with different disorders. Beta reset protocol was used successfully to treat refractory PTSD and refractory migraines, with clients that did not respond well to other protocols. Few case vignettes will be used to describe the treatment process.

18: 00 WELCOME RECEPTION - PLEASE BRING YOUR DRINK VOUCHER TO THE SALT BAR

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Saturday, 14 August 2010

7:30-8:30 Registration Desk Open 8:30-8:45 Acknowledgement of the Traditional Owners of the Land, Ossie Armstrong Welsh 8:45-9:00 Official Welcome from the President of ANSA and President of AAFN 9:00 -10:00 Prof. Richard Clark, Working Memory Systems in Health and Disease

An important task of the human central nervous system is to link sensory information to appropriate response. This is the defining characteristic of adaptive behaviour in humans. Such adaptability is presumed to be mediated by working memory systems that process and respond to detected stimuli according to experience, needs, context and intention, and underpins the capacity to realize goals and plans. The neurobiological basis of this system has been studied intensively over the last twenty years, with significant knowledge now accrued in relation to both health and disease. This paper will discuss aspects of the development of working memory theory, the functional anatomy of this system and its demise in many psychopathological conditions. Richard Clark is a Professor at the School of Psychology at Flinders University in Adelaide South Australia. He is internationally recognised for his contributions to neuropsychology and the related field of cognitive neuroscience. His work is characterised by the innovative application of multimodal measures of brain structure and function. In particular, he has applied synergistic approaches to neuroimaging of the spatial and temporal dynamics of cortical networks, including high resolution topographic EEG and ERP recordings and MRI-based morphometry. His technical developments have been complemented by his innovative use of experimental paradigms that have drawn upon an expertise in psychometrics, psychophysiology, psychopharmacology and psychopathology. In addition to his primary research, Richard Clark has made significant contributions to the advancement of cognitive science including advocacy in the community and extensive service as an office bearer in national and international societies.

10:00-11:00 Dr. Randy Beck, Clinical Correlates of Traumatic Brain Injury

(see biography with pre-conference workshop overview)

Traumatic Brain injury can manifest clinically in a wide variety of physical and mental presentations. The neuropathology and neuroanatomy underlying a number of these clinical manifestations will be presented and discussed with specific references to treatment approaches.

11:00-11:30 Tea Break 11:30-12:30 Keynote Presenter Sebern Fisher, Who Am I? State, Trait and Brain Wave Training

After several months of neurofeedback, a young woman said, “I have never been more myself and never known less who I am.” Although her statement is exceptional, her experience is not. By its nature, neurofeedback affects the nature of those who train. In discussions of neurofeedback, we tend to focus on the alleviation of symptoms. This talk seeks to extend the discussion to the effects neurofeedback has not only on symptoms, but also over time, on personality and identity. The proposal here is that frequencies in the brain underlie arousal, that arousal gives rise to state, that states practiced become traits, and that an accumulation of traits become who we think we are. As we address the frequencies at which the brain fires, we begin to affect the end point of this entire construction, the sense of self. This presentation will outline this process using clinical and personal vignette and discuss the implications for clinical work. The implications, however, extend far beyond the clinic. This intimate connection between how the brain fires and the identity we assume challenges the way we think about what it is to be human.

12:30- 13:15 Lunch

13:15-14:15 Keynote Presentation: Drs. Roger and Mary deBeus, Functional qEEG Reports: Converging Clinical Applications into Neurofeedback Protocols

The quantitative electroencephalogram (qEEG) is becoming a viable assessment tool for neurofeedback practitioners. The qEEG information is obtained with comparisons to norm-referenced databases which can be overwhelming to many practitioners. To simplify understanding of the data and improve clinical applicability, we have developed a unique approach to the interpretation of the qEEG. First, EEG data are

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Saturday 14th August continued…

collected in both the eyes open and the eyes closed states. Second, database comparisons are done to identify persistent abnormalities from average functioning. Possible functional consequences are identified based on information from research literature that relates Brodmann’s areas and 10-10 placements to functions and dysfunctions. Third, once these areas are identified correlation to functional behaviors can be made; similar to the way a neuropsychologist can hypothesize about possible behavioral correlates when areas of brain dysfunction are identified. Driven by the client’s symptom presentation, this approach allows the reduction of thousands of variables into a more manageable handful of significant findings which are clinically meaningful to the practitioner and client. This presentation will discuss the Functional qEEG model, 10-20 sites and related functions, and present case study examples.

(See biographies attached to post-conference workshop description…) 14:15-14:45 Brookes G Folmli: Effect Of Transcranial Magnetic Stimulation on Grip Strength

Research has shown inconsistent evidence for the use of Transcranial magnetic stimulation (TMS) being able to induce significant effects on behavioural measures of motor output in healthy subjects (Huang et al., 2005; Muellbacher et al., 2000; Urbach & Awiszus, 2001). No research has yet compared the effects of different rTMS paradigms on the maximal voluntary contraction (MVC) of an isometric hand grip strength task in a healthy male adult population. This study was designed to examine the differences in maximal voluntary isometric grip strength before and after two rTMS paradigms, namely high frequency (HFS) (pulses in each train repeated every 5Hz) and intermittent theta burst stimulation (iTBS) (burst of 3 pulses at 30Hz repeated every 5Hz in each train).

14:45-15:00 Afternoon Tea Break 15:00-16:30 Certification Committee presentation 16:30 -18:00 ANSA AGM (all reports submitted in advance, via email through the Chair to the Secretary) 19:00 Conference Dinner - Mantra Resort Come prepared for fun, frivolity & fellowship among friends! Evening to include our annual fund-raising Auction & Entertainment by singer, Linda Capewell

Sunday, 15 August 2010

8:00am Registration Desk Open 9:00-9:30 Past President: 2008-2010 in Brief ; New President: 2010 & Beyond 9:30-10:30 Jay Gunkelman (via Skype) - TBI: EEG analysis done as a participatory demonstration.

An EEG review will be performed, with simultaneous processing by any participant with dongle-less access to the WINEEG software, demonstrating the de-artifacting using ICA extraction and semi-automated epoch elimination, and subsequent spectral processing including coherence and bispectral analysis will be performed to demonstrate the TBI’s effect on the EEG.

10:30-11 Tea break 11:00-1:00 Concurrent Options: Strand One - Jon Hegg, MA & Moshe Perl, PhD: Case Presentations & Discussion - Towards a Comprehensive Model for Neurofeedback - Utilising the Work of Jay Gunkelman and others

This joint presentation will examine clinical cases using the theoretical framework and practical EEG analysis as taught by Jay Gunkelman. Steps in this analysis involve: Looking at raw EEG and determining its most prominent features; linking those features to presenting symptoms and pretreatment testing; and

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Sunday 15th August continued…

Concurrent Options: Strand One, Hegg & Perl, continued... reviewing some derived analyses and data summaries, ie. Spectral Displays, Topographic Displays, and Coherence analyses, and their relationship to presenting symptoms. After reviewing several cases which highlight this method, some background of the Phenotype Model, as developed by Jay Gunkelman, Martijn Arns and others, will be given, as neurofeedback intervention is implemented. Results of NFB in these cases will be presented. Discussion will focus on the strengths and limitations of the model. Jon Hegg is a psychologist and has been in private practice from 1988 following 10 years with the Inner Metropolitan Health Service in Sydney. From an Experiential background, Jon played a significant role in promoting Experiential therapies in NSW and trained many therapists during the seventies and eighties. As a psychotherapist first and a neurotherapist second he brings a very Humanistic perspective to this work. He has been using NFB in a country practice for the last ten years and has recently opened a QEEG service in Canberra. He has a broad understanding of the applications of NFB to the human condition. “In this field, Jon is quoted as saying, it pays to loyal to everyone!” Moshe Perl is a clinical and forensic psychologist in private practice in Melbourne, Australia. He holds a PhD in Clinical Psychology from the University of North Texas (1982), and has worked extensively with the Children's Courts, both in the United States and in Australia. His major focus has been ADHD, but during the past 12 years, since adding neurofeedback to his practice, he has worked with a wide spectrum of childhood and adult disorders, using neurofeedback in combination with traditional psychotherapies and behavioural interventions. He has been giving seminars and trainings in neurofeedback to professionals, nationally and internationally, for eight years, and is a recognised trainer in this field.

OR Strand Two (3 x 40 mins each):

Dr. Matthew Holmes, Cervical dystonia following central nervous system injury - a case study

highlighting the functional neurology approach.

Dystonia is known to be caused by trauma, due to the activation of the DTY1 gene. However in this individual we theorise that the development of dystonia was due to diaschisis secondary to injury to the upper spinal cord and medulla, which led to visually mediated posture changes, culminating in the dystonic presentation. Unique case features, mechanisms and treatment approaches will be discussed.

Dr. Kathleen Lawson – TBI: Small Traumas in the Everyday World, Affecting Brain Function In our busy world, the incidence of cognitive disorders affecting the population at large is ever-increasing. Modern living seems to equate to trauma for brains - especially tired and /or developing ones! The brain and nervous system must constantly adapt, and our most constant demand is gravity. Without full adaption to gravity, a person loses their sense of where they fit in their world - both physically and metaphorically. This presentation considers the effect of poor proprioception on overall function of the neuraxis, and relates this to the physical manifestations that we see all too often in practice, such as overt and subclinical balance disorders, mood disorders, and the host of anxiety profiles which are prevalent in our day-to-day practices. We will consider which clinical tools, parameters, and strategies might be employed in the evaluation and management of such cases, and in the absence of expensive technology, using vestibulo-cerebellar rehabilitation as our focus.

Dr Ian Niven – Light induced suppression of the Vestibular System Light onto the retinas induces changes in six primary pathways of the brain, three in each hemisphere. These are the hypothalamic pathways, accessory optic tracts and geniculostriate pathways. Visual axis misalignment as simple as a phoria can produce functional vestibular asymmetry. This can be recognised with simple examinations and addressed with in-clinic and at-home exercises. With appropriate care, remarkable improvements in multiple systems throughout the body and brain can be obtained.

13:00-14:00 Lunch break [Working lunches - AAFN AGM; & APS NFB & Psychology Interest Group AGM]

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Sunday 15th August continued…

14:00-15:00 Dr. Roger deBeus, ADHD Double-Blind Placebo-Controlled Neurofeedback Studies

There has been an abundance of ADHD neurofeedback (NF) studies in the past decade in an effort to show NF’s efficacy on reducing the cardinal symptoms of ADHD. A recent meta-analysis concluded that NF was an efficacious treatment of ADHD, with a large effect size for inattention and impulsivity and a medium effect size for hyperactivity. Most studies, including the ones in the meta-analysis, have used a wait-list or active control as comparison groups. More recently, there have been a few NF studies using a blinded placebo-controlled design. These studies have shown equivocal results, indicating NF and placebo NF produced similar outcomes. In our randomized double-blind placebo-controlled study we found no significant differences between conditions on parent and teacher ratings, and children’s IVA scores. However, when EEG learning was used as a moderating variable there were significant differences between groups for the teacher ratings and IVA scores. This presentation will review the ADHD NF research highlighting studies using placebo as a comparison, and how learning to change EEG can impact results in a NF placebo-controlled study of ADHD children.

15:00: 15:45 Dr. Jacques Duff - Changes in Brain Electrical Activity of Boys with ADHD following Neurotherapy

This research is the first to demonstrate that Neurotherapy resulted in the dynamic neuromodulation of the dopamine-mediated frontal and norepinephrine-mediated parietal components of the attentional system, as proposed by Tucker and Williamson’s (1984) model of the attentional system. It provides further support to the recent controlled studies and meta-analysis that suggest that Neurotherapy is an effective and efficacious treatment for ADHD. Changes in the brain electrical activity of seventeen boys with ADHD aged 7 - 15 years, was investigated before and after Neurotherapy Treatment to measure changes in: (a) Steady-state Visually Evoked Potentials (SSVEP), while performing the CPT-AX version of the continuous performance task; (b) behavioural measures of attention, derived from analysis of key-presses during the CPT-AX task; (c) parent and teacher reports of DSM-IV ADHD symptoms, as assessed by the Australian Twin Behaviour Rating Scale (ATBRS); and (d) performance on a Continuous Performance Task, the Test of Variables of Attention (TOVA).

15:45-16:00 Tea break 16:00-17:00 International Speaker: Prof Juri Kropotov (by Skype from St Petersburg), ICA based analysis of ERPs

This paper describes results of application of Independent Component Analysis (ICA) for decomposing a collection of ERPs into independent components associated with different psychological operations (such processing in dorsal and ventral visual streams, orienting response, engagement, motor suppression and conflict monitoring operations). More than 1000 healthy subjects and more than 1000 patients with ADHD and other brain disorders participated in a multi-center European study including laboratories from Switzerland (Mueller et al.), Norway (Hollup et al.), Macedonia (Pop-Jordanova et al), Russia (Kropotov et al). The results of application of the ERP ICA for diagnosis (discrimination) ADHD, schizophrenia, TBI from healthy subjects will be presented, as will a methodology for constructing protocols of neurofeedback and tDCS on the basis of comparing the individual ERP parameters with the normative data (HBI reference data base). Recently developed methods of neurotherapy such as sLORETA-based, ERP-based neurofeedback and local source tDCS will be also introduced.

Prof. Dr. Kropotov has three higher education qualifications in theoretical physics, philosophy, and in neurophysiology; and defended two dissertations: “Infra slow electrical and metabolic processes in the human brain”, and “Neurophysiological mechanisms of human memory”. In 1970-1990 he worked in psychiatric clinics of the Institute of Experimental Medicine and Institute of the Human Brain of Russian Academy of Sciences. His current interests are in Quantitative EEG and normative data bases, event-related potentials (ERPs), neurotherapy (neurofeedback, tDCS, DBS), QEEG/ERP markers of ADHD and other brain disorders. His book “Quantitative EEG, event related potentials and neurotherapy” (2009) was awarded as the most significant publication in the field of neurofeedback from the Foundation for Neurofeedback and Applied Neuroscience. He has published more than 200 papers including 8 books. He is currently Director of laboratory of the Institute of the Human Brain of The Russian Academy of Sciences and Professor at Institute of Psychology of Norwegian University for Science and Technology.

17:00 – 17:15 Conference Close: Conference Chair 2010 handover to Conference Chair 2011. See you in Sydney!

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Post-Conference Workshop, 9am-5pm, Monday 16 & Tuesday 17 August 2010

Functional QEEG: How to Integrate Client Symptoms with

Brain Mapping to Improve Neurotherapy Outcomes

Presented by Drs Roger & Mary DeBeus

8:30 am Workshop registration, both Monday and Tuesday This course will summarize relevant research as it relates to localization and networks of functions in the brain. There are many areas or networks of the brain involved in various functions including attention, memory and learning, emotions, sensory, and sleep/wake patterns. The workshop will start with an overview of brain basics, EEG and QEEG, followed by identifying functions of the brain. Using a client’s symptoms to guide the interpretive process, we will show participants how to identify relevant functional QEEG findings. Combining the symptoms and findings will be used to identify neurotherapy treatment protocols. At the end of this course, participants will be able to:

1. Distinguish basic types of artifacts in EEG tracings

2. Differentiate EEG & QEEG

3. Discuss the use of databases for statistical analysis of QEEG

4. Generate QEEG database results for functional analysis

5. Identify general functions assigned to each lobe of the brain

6. Describe two nomenclature systems for identifying brain locations

7. Name major functional “systems” and at least one site associated with each system

8. Discuss effects of drugs on EEG/QEEG and how this might affect interpretation

9. Create neurofeedback protocols given QEEG results

Day1 1. Basics of the Central Nervous System 2. Organization of the Cortex 3. Understanding the EEG 4. Understanding the QEEG 5. Case Examples of Crunching the Q

Day 2: 1. Functional Systems 2. Functional Patterns Associated with Disorders 3. Drug Signatures – Effects of Drugs on EEG/QEEG 4. Developing Neurofeedback Protocol

About the Presenters: Drs. Roger and Mary deBeus both received a doctorate in Health Psychology/Behavioral Medicine from the University of North Texas. During graduate school they both were employed at one of the few neurotherapy clinics housed at a university. Drs. deBeus are Licensed Clinical Psychologists and BCIA-EEG Fellows, and have been practicing for over 20 years combined with inpatient and outpatient populations. They have used QEEG as part of an assessment battery to help guide neurofeedback protocols with several hundred patients during this time. These doctors have utilized a strong scientific background combined with clinical expertise to help many clinicians improve their clinical neurofeedback outcomes. They both provide QEEG consulting services that analyzes EEG/QEEG data, generates Functional QEEG reports, and provides neurofeedback recommendations. Dr. Roger deBeus started his EEG career at New York Hospital/Cornell Medical Center in the Chronobiology Lab. He has been funded on several grants to conduct research on neurofeedback with AD/HD, substance abuse, and traumatized female adolescents. He is a Past-President of the International Society of Neurofeedback and Research, Consulting Editor for the Journal of Neurotherapy, QEEG and Neurofeeback Associate Editor for the Biofeedback journal. He currently holds a Clinical Assistant Professor position in the department of Psychiatry, Quillen College of Medicine, at East Tennessee State University. Dr. Roger deBeus is also a Site Principal Investigator for the International Study to Predict Optimised Treatment (iSPOT) for both depression and AD/HD. Dr. Mary deBeus graduated from the Health Psychology/Behavioral Medicine program at the University of North Texas with a program specialty in neurobiology. While at UNT she was Training Coordinator at the Neurotherapy Lab that is part of the first college program focusing on neurofeedback. She assisted with training over 100 professional practitioners in basic and intermediate neurofeedback techniques. Internship at Samaritan Rehabilitation Institute in Phoenix, Arizona gave Dr. deBeus experience with adult neuropsychology. Experience teaching included positions as Assistant Professor at Hampton University in Hampton, Virginia and as Adjunct faculty at Western Carolina University in Cullowhee, North Carolina. Dr. deBeus is BCIA certified for EEG biofeedback. Currently she does psychological evaluations including neuropsychology, psychopathology, parental competency, and QEEG.