Ethical and Professional Issues for Psychologists and Counselors Employing Biofeedback in Counseling Settings

Biofeedback training is a relatively new procedure that is being incorporated into the counseling services of psychologists and counselors. If the highest professional standards and the appropriate safeguards for clients' welfare are to be maintained, careful attention should be given to the ethical and professional issues involved. The American Psychological Association's (1977) ethical standards for psychologists are the basis of the discussion. It is hoped that the discussion will stimulate further consideration of ethical and professional issues of the clinical application of biofeedback among practitioners.     

Regional cerebral blood flow response in a patient with remitted global amnesia

A case of remitted global amnesia, believed to have residual left medial temporal lobe damage, is tested by the same recognition memory paradigm used by Wood, Taylor, et al. in the previous paper. On two different testing occasions, once using an intentional and once an incidental memory procedure, the patient's right occipital flows were inversely correlated with memory accuracy and the values were very close to the regression line for 10 normals relating occipital flow to memory accuracy. The left occipital flows did not fit the regression line, however. The results were interpreted as consistent with the notion that occipital flow is inversely related to medial temporal lobe activation. Another surprising feature of this case is the unexpected persistence of amnesia for a period from about 5 to 10 years before her episode to about 2 weeks after the episode, with recovery of memory functioning for the period since that time.     

Regional cerebral blood flow response during rest and memory activation in a patient with global amnesia

A college professor with a classical amnesic syndrome is described. He has a WAIS IQ of 130, but dramatic memory loss for episodes ranging from a few seconds ago all the way back to portions of his childhood. The amnesia was of sudden onset, 2 years prior to the current memory tests and regional cerebral blood flow measurements. The etiology is believed, though not conclusively proven, to be medial thalamic infarction. rCBF measurements were taken on six separate occasions, four resting baseline, one memory activation, using the previous procedure of Wood, Taylor, et al., and one carbon dioxide activation. The resting baseline showed extremely low flows throughout the cortex, with some hyperfrontal response on the first baseline. With CO₂ activation, however, there was brisk, uniform reactivity, with all sites showing increased flow. This suggested that there were no prominent areas of impaired vasomotor control or probable ischemic damage in the cortical surface. During memory activation, there was also a generalized increase in flow, especially in the frontal areas. This was in sharp contrast to the pattern for normals, described by Wood, Taylor, et al., which shows a slight overall decrease in flow from baseline to memory activation. The results are interpreted in light of Talland's proposal that the amnesic syndrome reflects an arousal failure, with premature closure and shutdown of memory processing, especially at retrieval. Here the arousal failure is interpreted as an inadequate restriction or focusing of cortical activation, with resulting pathologically diffuse flow increases.     

Age-related invariance of abilities measured with the Wechsler Adult Intelligence Scale--III

Examination of measurement invariance tests the assumption that the model underlying a set of test scores is directly comparable across groups. The observation of measurement invariance provides fundamental evidence for the inference that scores on a test afford equivalent measurement of the same psychological traits among diverse groups. Groups may be derived from different psychosocial backgrounds or different clinical presentations. In the Wechsler Adult Intelligence Scale-III (WAIS-III)/Wechsler Memory Scale-III (WMS-III) Technical Manual (Psychological Corporation, 2002), there appears to be a breakdown in factor structure among the standardization cases in older adults. In this study, the authors evaluated the invariance of the measurement model of the WAIS-III across 5 age bands. All components of the measurement model were examined. Overall, the evidence pointed to invariance across age of a modified 4-factor model that included cross-loadings for the Similarities and Arithmetic subtests. These results support the utility of the WAIS-III as a measure of stable intelligence traits across a wide age range.     

Predicting cognitive control from preschool to late adolescence and young adulthood

In this longitudinal study, the proportion of time preschoolers directed their attention away from rewarding stimuli during a delay-of-gratification task was positively associated with efficiency (greater speed without reduced accuracy) at responding to targets in a go/no-go task more than 10 years later. The overall findings suggest that preschoolers' ability to effectively direct their attention away from tempting aspects of the rewards in a delay-of-gratification task may be a developmental precursor for the ability to perform inhibitory tasks such as the go/no-go task years later. Because performance on the go/no-go task has previously been characterized as involving activation of fronto-striatal regions, the present findings also suggest that performance in the delay-of-gratification task may serve as an early marker of individual differences in the functional integrity of this circuitry.     

A test of the moderating role of importance of appearance in the relationship between perceived scar severity and body-esteem among adult burn survivors

This study tested the hypothesis that the relationship between subjective burn scar severity and body-esteem is moderated by importance of appearance. Three hundred and forty-six adult burn survivors completed a mailed or online survey. The three subscales of the Body-Esteem Scale for Adolescents and Adults (BE-Appearance [satisfaction with general appearance], BE-Weight [weight satisfaction], BE-Others [others' evaluations of one's body and appearance]) were regressed onto sex, subjective burn scar severity, importance of appearance and their two- and three-way interactions. With one exception, the hypothesized main effects were significant in each of the regression equations. As hypothesized, importance of appearance moderated the relationship between subjective burn scar severity and body-esteem for BE-Appearance and BE-Other but not BE-Weight. The results of this study are consistent with the cognitive model of body-esteem. Clinical implications are discussed.     

Programming strategies for rapid aiming movements under simple and choice reaction time conditions

Increases in reaction time (RT) as a function of response complexity have been shown to differ between simple and choice RT tasks. Of interest in the present study was whether the influence of response complexity on RT depends on the extent to which movements are programmed in advance of movement initiation versus during execution (i.e., online). The task consisted of manual aiming movements to one or two targets (one- vs. two-element responses) under simple and choice RT conditions. The probe RT technique was employed to assess attention demands during RT and movement execution. Simple RT was greater for the two- than for the single-target responses but choice RT was not influenced by the number of elements. In both RT tasks, reaction times to the probe increased as a function of number of elements when the probe occurred during movement execution. The presence of the probe also caused an increase in aiming errors in the simple but not choice RT task. These findings indicated that online programming was occurring in both RT tasks. In the simple RT task, increased executive control mediated the integration between response elements through the utilization of visual feedback to facilitate the implementation of the second element.