Neurofeedback and the Brain


Neurofeedback is an emerging neuroscience-based clinical application, and understanding the underlying principles of neurofeedback allows the therapist to provide referrals or treatment, and provides clients with a framework for understanding the process. The brain's electrical patterns are a form of behavior, modifiable through “operant conditioning,” with the excessive brain frequencies reduced, and those with a deficit are increased. The learning curve for EEG has been described (Hardt, 1975).

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  1. Birbaumer, N., Elbert, T., Rockstroh, B., et al. (1981). Biofeedback of event-related slow potentials of the brain. International Journal of Psychology, 16, 389–415.

    Google Scholar 

  2. Budzynski, T. H. (2000). Reversing age-related cognitive decline: Use of neurofeedback and audio-visual stimulation. Biofeedback, 28, 19–21.

    Google Scholar 

  3. Chabot, R. J., & Serfontein, G. (1996). Biological Psychiatry, 40, 951–963. Sensitivity and specificity of QEEG in children with attention deficit or specific developmental learning disorders. Clinical EEG, 27, 26–34.

    Google Scholar 

  4. Cook, I. A., O'Hara, R., Uijtdehaage, S. H., Mandelkern, M., & Leuchter, A. F. (1998). Assessing the accuracy of topographic EEG mapping for determining local brain function. Electroencephalography and Clinical Neurophysiology, 107(6), 408–414.

    Article  PubMed  Google Scholar 

  5. Donaldson, S. (2002). Society for Neuronal Regulation Annual Meeting, Scottsdale, AZ.

  6. Fein, G., Galin, D., Yingling, C. D., Johnstone, J., & Nelson, M. A. (1984). EEG spectra in 9–13-year-old boys are stable over 1–3 years. Electroencephalography and Clinical Neurophysiology, 58(6), 517–518.

    Article  PubMed  Google Scholar 

  7. Gurnee, R. L. (2000). EEG Based Subtypes of Anxiety (GAD) and Treatment Implications Society for Neuronal Regulation Annual Meeting.

  8. Hardt, J. V. (1975). The ups and downs of learning alpha feedback. Proceedings, Biofeedback Research Society, Vol. 6, Monterey, California, February.

  9. Klimesch, W. (1999). EEG alpha and theta oscillations reflect cognitive and memory performance: A review and analysis. Brain Research and Brain Research Review, 29(2–3), 169–195.

    Google Scholar 

  10. Kotchoubey, B., Strehl, U., Uhlmann, C., Holzapfel, S., Konig, M., Froscher, W., Blankenhorn, V., & Birbaumer, N. (2001). Modification of slow cortical potentials in patients with refractory epilepsy: A controlled outcome study. Epilepsia, 42(3), 406–416.

    Article  PubMed  Google Scholar 

  11. Leuchter, A. F., Cook, I. A., Morgan, M. L., Witte, E. A., & Abrams, M. (2002). Changes in brain function of depressed subjects during treatment with placebo. American Journal of Psychiatry, 159(1), 122–129.

    Article  PubMed  Google Scholar 

  12. Monastra, V. J., Monastra, D. M., & George, S. (2002). The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/hyperactivity disorder. Applied Psychophysiology and Biofeedback, 27(4), 231–249.

    Article  PubMed  Google Scholar 

  13. Nelson, L. A. (2003). Neurotherapy and the challenge of empirical support: A call for a neurotherapy practice research network. Journal of Neurotherapy, 7(2), 53–67.

    Article  Google Scholar 

  14. Niedermeyer, E., & Lopes Da Silva, F. (Eds). (1999). Electroencephalography: Basic Principles, Clinical Applications, and Related Fields (4th ed.). Baltimore: Lippincott, Williams & Wilkins.

  15. Prichep, L. S., & John, E. R. (1992). QEEG profiles of psychiatric disorders. Brain Topography, 4(4), 249–257.

    Article  PubMed  Google Scholar 

  16. Prichep, L. S., Mas, F., Hollander, E., Liebowitz, M., John, E. R., Almas, M., DeCaria, C. M., & Levine, R. H. (1993). Quantitative electroencephalographic subtyping of obsessive-compulsive disorder. Psychiatry Research, 50(1), 25–32.

    Article  PubMed  Google Scholar 

  17. Rosenfeld, J. P. (1997). EEG biofeedback of frontal alpha asymmetry in affective disorders. Biofeedback, 25(1), 8–25.

    Google Scholar 

  18. Sterman, M. B. (2000). Basic concepts and clinical findings in the treatment of seizure disorders with EEG operant conditioning. Clinical Electroencephalography, 31(1), 45–55.

    PubMed  Google Scholar 

  19. Suffin, S. C., & Emory, W. H. (1995). Neurometric subgroups in attentional and affective disorders and their association with pharmacotherapeutic outcome. Clinical Electroencephalography, 26, 76–83.

    PubMed  Google Scholar 

  20. Vanathy, S., Sharma, P. S. V. N., & Kumar, K. B. (1998). The efficacy of alpha and theta neurofeedback training in treatment of generalized anxiety disorder. Indian Journal of Clinical Psychology, 25(2), 136–143.

    Google Scholar 

  21. Wright, C., & Gunkelman, J. (1998). QEEG evaluation doubles the rate of clinical success. Series data and case studies. Abstracts 6th Annual Conference, Society for the Study of Neuronal Regulation, September 10–13, Austin, TX.

  22. Yucha, C., & Gilbert, C. (2004). Evidence-based practice in biofeedback and neurofeedback. Association of Applied Psychophysiology and Biofeedback (, 2004.

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Correspondence to Jay D. Gunkelman.

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Gunkelman, J.D., Johnstone, J. Neurofeedback and the Brain. J Adult Dev 12, 93–98 (2005).

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  • neurofeedback
  • EEG
  • operant conditioning