Behavioral psychophysiological intervention in a mentally retarded epileptic patient with brain lesion

S. Holzapfel, U. Strehl, B. Kotchoubey, N. Birbaumer

Research output: Contribution to journalArticlepeer-review

Abstract

Behavioral psychophysiological treatment entailing Slow Cortical Potential (SCP) biofeedback training and behavioral self-control training was conducted with a 27-year-old male epileptic patient (seizures for 23 years) with Wechsler IQ 64 who underwent callosotomy. The patient had 12/week secondary generalized tonic-clonic seizures. The treatment, consisting of 43 SCP training sessions and 22 behavioral control sessions, yielded a highly significant reduction of seizure frequency to about 7.5/week; such a decrease had never been observed after administration of new anticonvulsant drugs, nor after the callosotomy. During SCP feedback training, the patient was able to produce highly-significant cortical differentiation of SCPs of about 4 μV. In addition, he developed several new behaviors indicating growing ability of self-perception and self-regulation. These findings suggest that a combination of SCP biofeedback with behavioral treatment of epilepsy can be used even in mentally retarded patients with organic brain disorders.

Original languageEnglish
Pages (from-to)189-202
Number of pages14
JournalApplied Psychophysiology Biofeedback
Volume23
Issue number3
DOIs
Publication statusPublished - 1998

Keywords

  • Behavioral therapy
  • Biofeedback
  • Epilepsy
  • Mental retardation
  • Self- regulation
  • Slow cortical potentials (SCP)

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

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