The Acquaintance stage

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The Acquaintance stage

• Information for the therapist
• Verbal intake
• Physiological intake
• Information for the patient
• Understanding the Dialogue between his emotional
  state and physiological state
• Educational Phase explaining the problem to the
  patient in new terms that reflects both
  physiology and psychology.

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Acquaintance Stage

• During this stage the therapist becomes
  acquainted with the patients psychological and
  physiological responses. Via the
  psychophysiological intake two aspects are
  evaluated
• The patients rate of reactiveness the rate of
  physiological change in response to a specific
  stimulus.
• The patients rate of recovery the path by which
  the psychophysiological reading regains balance
  proceeding arousal caused by a stimulus

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Some Examples of types of EDA Graph
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Liability and Stability

• Labile line

• Stable line I
• Stable line II

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dialogue between the therapist, patient, and
computer

• The patient is introduced, for the first time,
  to the technique of dialogue between the
  therapist, patient, and computer.
• He learns how to correlate between physical
  responses and emotional responses that
  accompany him throughout the treatment.

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Psychophysiological demonstrations.

• The therapist will show the patient how specific
  external stimuli effect his physiological
  responses.
• How deviations in modes of behavior create
  different physiological responses, how ones
  thoughts and imagination are a powerful component
  in creating physiological changes.

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The decision

• The basic assumption Do biofeedback therapy is
  when a mind-body approach is needed
• We will take to therapy any problem that include
  clear elements of stress/anxiety/high arousal
• It is our job to find a way to ingrate the
  psychological information with the physiological
  data into one comprehensive psychophysiolgical
  approach.

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The intake

• The intake should include two aspects
• Understanding of the problem as experienced by
  the subject
• Understand the physiological side of the problem
  as detected by the biofeedback parameters

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The verbal intake

• Understanding the exact details of the problem
• When (before what? After what?)
• How (how does it look like? How does it feels
  like?)
• How does it affect the patient
• What internal explanations does the patient
  attach to the problem

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Example

• The insecurity term could have been understood
  in one way before the verbal intake and is
  understood differently after the therapist asked
  more question and specifically asked for
  examples.
• Give me few examples is a very useful question.
• I want to know how does it feel like to be you
  at that moment
• is it more like feeling X or like feeling Y

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Another Example

• The eating problem could have been understood
  differently before the intake and afterwards.
• At the beginning it could be understood as
  inability to say no when one faces certain
  foods
• Later in the intake one could hypothesize that
  the food is the remedy for some emptiness

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The Physiological intake

• Learning what physiological variables are related
  to the problem.
• Learning about the stability or the variability
  of the readings
• Learning how does the patient level of reactivity
• Learning How well does he adapt after the
  stressor has been introduced.

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Liability and Stability

• Labile line

• Stable line I
• Stable line II

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Some Examples of types of EDA Graph
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Steps in psychophysiological profile

• Let the line graph run without any interpretation
• Test the effect of various factors
• Breathing
• Muscle

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• Going to a physician
• Focus on the symptom

• Going to psychotherapist
• Focus on the person

SMWB
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Defining a problem

• Symptom focused

• Person focused

Integrative focus
18
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