Biofeedback as therapy: Some theoretical and practical issues.

Gives examples of the use of biofeedback in individual therapy from basic research on self-regulation of blood pressure and heart rate and from clinical research on essential hypertension and Raynaud's disease. Patient motivation is a critical variable, since its absence may hamper long-term success in therapy, as indicated by case histories. The use of cognitive and somatic mediators as an aid to self-regulation, both with and without feedback, is illustrated. It is concluded that biofeedback, in conjunction with other medical and psychological techniques, may prove effective for a selected group of motivated patients having acute rather than chronic organ damage. A combined behavioral-biological model, emphasizing (a) the natural relations between responses; (b) the exact manner in which the feedback and reward is given; and (c) biological, cognitive, and environmental constraints, is offered as a potential means of predicting whether biofeedback training will be clinically significant for a given patient. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)