I would like to use this forum to express my appreciation to the ISNR leadership for my selection to receive the M.B. Sterman Career Achievement Award that was presented at this year’s annual meeting. I accepted it also on behalf of my late wife, Sue Othmer, my professional partner and source of inspiration for 38 years.
I also want to invite conference attendees who did not hear my talk at the conference to take the opportunity to watch the video. The ISNR is still in search of a defining identity, and I am persuaded that it is not to be found in emulation of the medical model in its deficit and disorder focus. Our natural turf is core self-regulatory competence, and in that pursuit the traditional biofeedback modalities are our natural complements. Biofeedback goes “up the down staircase” to train brain function by way of measures of peripheral physiology, whereas we go to the source, but our respective approaches are organically complementary.
The goal of biofeedback is self-regulatory competence, and that is ours as well. Barry’s cats did not qualify by dysfunction. Barry was training a mechanism, motoric excitability, with beneficial fallout broadly for brain function. Dysfunction subsides by virtue of better function. It is more straight-forward to target mechanisms, as nature is simple in design, even as it is complex in execution.
This has been our approach over all these years, and the payoff has been abundant. It should be well worth your while to acquaint yourself with what has been accomplished. The health professions are blind to the centrality of self-regulatory competence to both mental and somatic health. With enhanced self-regulatory competence as the core mission, we can seize the high ground.
Siegfried Othmer, Ph.D.
Board Chair, the Brian Othmer Foundation
Chief Scientist, The EEG Institute, Los Angeles
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List members:
For those who don’t have access to my presentation, here’s a brief description of the method:
The mere expedient of lowering the threshold on the discrete rewards in the original Sterman SMR-beta protocol (i.e., bipolar montage on the sensorimotor strip) turned an operant conditioning design into what we call Endogenous Neuromodulation. Instead of the burden of teasing out the reward contingency, the brain could now simply recognize itself in the unfolding signals, the dynamics within the training band, and the low-frequency dynamics. These became its action item. This shifted the burden from the practitioner to the brain, and left the practitioner in an observational mode so that the parameters (placement and training frequency) could be steered to their most propitious outcome.
In the late nineties, this led to Sue’s discovery of the Optimal Response Frequency Paradigm, namely the existence of particular frequencies that effectively organize the frequency spectrum. The search for the ORFs in each case led us to encompass the entire EEG spectrum, albeit with an obvious bias toward the low frequencies. This was particularly so for our most challenging clients, which turned out to be those with a history of early childhood trauma. In 2006, this took us into the infra-low frequency (Slow Cortical Potential) domain. The same placements that had been found useful in the EEG range just carried over into the ILF regime. Frequency rules that governed the relationship of ORFs between different placements gave us a prediction model that made a hard science out of the entire enterprise.
On the principle that the lower frequencies establish the context for the higher ones, we were now training the EEG regime indirectly by way of astrocyte dynamics that govern neuronal excitability. Clinical results drove us ever lower in target frequency over the years, until we were in the ultra-low frequency regime of micro-Hz. Effectively, by way of the ultra-low frequency ORFs we had gravitated to the top of the regulatory hierarchy in the frequency domain, where training in core state regulation should be most efficiently conducted, with the broadest clinical footprint. The application to early childhood trauma and developmental delay is obvious, but the benefits of this approach are essentially universal. We are all on the disregulation spectrum, and only the training itself can reveal what our brains are capable of.
The above approach is always accompanied by an inhibit protocol, and complemented with other, more conventional protocols.
Siegfried Othmer, Ph.D
Chief Scientist, The EEG Institute
References:
Endogenous Neuromodulation at Infra-Low Frequency: Method and Theory
Siegfried and Susan F. Othmer
https://www.preprints.org/manuscript/202310.1085/v2
Endogenous Neuromodulation at Infra-Low Frequencies (2023)
Siegfried Othmer
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On Nov 20, 2025, at 7:29 AM, John Anderson <qeeg...@gmail.com> wrote:
Siegfried,
I think what throws people when thinking about these concepts is that they don't fit well into the 'frequency' paradigm and most hardware and software isn't designed to work within these ranges. I've come to think of it as gradient training. Giving the client feedback about cortical gradient changes gives them access to one of the most fundamental functions that influence brain activity. However it is done, as long as the information is accurate, the client can self regulate the most basic mechanism we currently have access to.John S Anderson, MA, BCB, BCN, QEEG-DMinnesota NeuroTraining Institute
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The system that generates the signal
also perceives the signal,
and modifies itself in relation to it.
This is a reflexive loop, a hallmark of conscious systems.
This is the same structure seen in meditation:The mind becomes aware of its own contents — and stabilizes.
I am wondering if we should have this as a separate topic for wider discussions on Theory of Neurofeedback?
Kindly
Rustam Yumash
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Rustam Yumash, BMed, Dip. Neurology
Director, Brain Mind & Memory Institute
Authorised representative for BEE Medic in Australia
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I have a strong feeling that there is a need for a comprehensive theory of Neurofeedback. If neurofeedback works because the brain “observes itself,” then we are automatically in the domain of consciousness.
The system that generates the signal
also perceives the signal,
and modifies itself in relation to it.
This is a reflexive loop, a hallmark of conscious systems.
This is the same structure seen in meditation:The mind becomes aware of its own contents — and stabilizes.
I am wondering if we should have this as a separate topic for wider discussions on Theory of Neurofeedback?
Kindly
Rustam Yumash
On Fri, Nov 21, 2025 at ie14 AM John Anderson <qeeg...@gmail.com> wrote:Siegfried
The Sterman cat model may not be sufficient to resolve whether endogenous neuromodulation is truly “non-conscious,” because the experimental context strips the animals of the full spectrum of natural agency:
• they were in captivity
• movement was restricted
• electrodes were surgically implanted
• the reward structure was externally imposed
• the brain was operating in an artificially simplified environment
• the animal had no alternative behavioral affordances
In such conditions, the organism is not expressing the full repertoire of what we would call a sentient, self-regulating system with access to naturalistic interoception, environmental coupling, social signalling, or spontaneous exploratory behavior.
I believe that further theory of Neurofeedback should involve consciousness models more sophisticated exploration of how brain hypernetwork produce mind and consciousness.
Should we really say that endogenous neuromodulation “does not involve consciousness,” or should we say it operates at the pre-reflective and pre-attentive levels of consciousness?
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On Nov 22, 2025, at 11:13 AM, Rustam Yumash <ryu...@gmail.com> wrote:Thank you Siegfried!!. This opens up further questions. Many people notice how much reward they get and comment if their brains are doing well. So some agency is present and I am not sure how we can measure that.
Dear Siegfried,
Thank you for the clarification regarding intentionality versus agency.
I agree with your description that EN operates at the level of intrinsic biological agency, especially when the trainee’s conscious attention is engaged
However, I wonder whether we may be dealing with multiple layers of agency rather than a binary distinction between “conscious” and “non-conscious.” Modern neuroscience — from Anokhin to Friston and Michael Levin’s work on cellular agency — suggests that biological systems exhibit goal-directed behavior based on predictive models long before these processes enter conscious awareness.
In that sense, the brain’s “agency” during EN is still part of the same functional architecture from which conscious experience eventually emerges. Infra-slow dynamics, interoceptive loops, and global regulatory networks strongly shape the conscious state, even if the training itself is covert.
In clinical practice, I find that involving the conscious agent — through awareness of state shifts, HRV feedback, or reflective integration — greatly improves transfer into real-world behavior. This suggests that biological agency and conscious agency are not separate but nested within each other.
My question, therefore, is whether we can conceptualize EN as tuning the intrinsic regulatory substrate, with consciousness acting as an emergent layer that can engage with, amplify, or stabilize these shifts. This would align EN with current theories of consciousness and functional systems, rather than positioning it as purely non-conscious.
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“Success is not the key to happiness. Happiness is the key to success. If you love what you are doing, you will be successful.”
- Albert Schweitzer
"Success has nothing to do with what you gain in life or accomplish for yourself. It's what you do for others. "
= Danny Thomas
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Dave—
Your post inspires a number of lines of thought. I am reminded of Einstein’s dictum, “It is the theory that tells us what we may believe.” And in the history of our field, it has always been the existing models in our heads that have kept us from embracing the full implications of what we have had the opportunity to discover. In our own case, the journey to the ultra-low frequency range invites incredulity, and my only answer is that I cannot ignore the data. So there is the feeling of not quite having your feet on the ground, but we move forward anyway.
In matters of consciousness, we don’t have our feet on the ground…Consciousness is our lived experience, so that all we can do ‘scientifically’ is to try to understand its mechanization. Roger Penrose first speculated about the involvement of quantum entanglement in 1989. But we don’t need to speculate about this. The reality that scientists have hesitated to confront is that mental telepathy exists, and that means consciousness is non-local. The only known mechanism that can explain communication between brains at a large distance is quantum entanglement. For that mechanism to exist at all, it must persist across time, by the nature of entanglement—no interrupts. And that means we cannot understand the mechanisms underlying consciousness until we incorporate quantum entanglement in our models. And now I am with Penrose in saying that we simply to not have the physics to fully explain this… I am going to be sitting in the bleachers and wait for somebody else to figure this out.
I am willing to speculate that a certain level of complexity is needed for quantum entanglement to sustain itself. I doubt entanglement is operative in the sea squirt or in the nematode C. elegans, with its 302 neurons. We also cannot simply identify consciousness with the existence of entanglement, because the latter must be sustained during states of sleep, anesthesia, and the near-death experience—by virtue of the principle of no interrupts. Entanglement may be the key to understanding savant behavior, photographic memory, and the rare phenomenon of being able to recall one's entire past history in detail. For the rest of us, it is probably key to the quality of consciousness that we get to experience.
Siegfried
On Nov 26, 2025, at 6:58 AM, David Cantor <can...@mindmotioncenters.com> wrote:
Thank you for this thread - I have been following it as I have invested a fair bit of time over the years on the idea of Consciousness and how this is represented in the brain - this is what brought me to my workshop at ISNR in Chicago - my mentor, E Roy John also was very much interested in this topic and published on this topic as part of his pursuits looking at what happens in the transition from "unconsciousness" to "consciousness" with patients emerging from the effects of anesthesia. In all such discussions, the ambiguities of defining consciousness obfuscates arriving at applying this term in the world of neuroscience and even at philosophical discussions. I think the path to understanding this process is much the way Roy John was approaching and indeed the work that has been done by Penrose & Hammeroff because there are "metrics" in neurophysiology that we can use to examine "consciousness" to correlate to our understanding of "consciousness" - assuming we have a common definition. Still the process has been elusive even with such brilliant minds as these have yet to confirm - so much so that Penrose, a Noel Laureate in Physics has come to declare that we simply do not have the "physics" to fully explain the process. Classical conditioning models themselves evidence that the particular state of the nervous system can yield new adaptive behaviors - without "awareness" to yield adaptive behaviors. I think no less true when doing biofeedback or neurofeedback - this will happen whether we are "aware" or not of the such process underlying these adaptive processes - the fact that adaptability takes place in so called "placebo" effects does not negate this - it only illustrates our ignorance of not fully understanding the mechanisms of adaptability and such can take place without the presence of a particular change agent like a drug or stimulation techniques or introducing any sensory events upon the organism. The reality is we don't know what we don't know - the key issue is whether achieved adaptability does indeed take place and that is measurable - is what is really important - I suppose in this context, I would have to agree with Siegfried - our understanding of exactly how this happens is still undiscovered territory but we should maintain scientific rigor to continue to guide our journey and paradigms of RCT does not necessarily apply in this context.Just some thoughts -Dave
At the same time, recent work in theoretical biology and neuroscience suggests that agency may not be a single-level phenomenon, and this may help us resolve the tension in our discussion.
Levin's paper provides a biological and theoretical foundation showing that organisms possess intrinsic, adaptive, memory-bearing control systems, which directly supports your concept of Endogenous Neuromodulation — the idea that therapeutic change emerges by engaging the organism’s own self-regulating intelligence.
In my therapeutic experience I perceive this from my conscious perspective as being in touch with Nature , its wisdom and deep evolutionary algorithms of living systems.
Intrinsic biological agency (Michael Levin; cellular & network homeostasis)
Levin’s work shows that biological systems — from tissues to organs — exhibit intrinsic goal-directedness, error-correction, and predictive capacity even far below the level of consciousness. This sort of agency:
does not require awareness
operates through internal models
maintains coherence across time
reacts immediately to perturbation
This level of agency maps well onto your description of Endogenous Neuromodulation:
the brain engages with the signal directly, covertly, and with exquisite context-sensitivity.
This is agency-without-consciousness.
And EN is an intervention at this level.
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On Nov 27, 2025, at 6:23 AM, Rustam Yumash <ryu...@gmail.com> wrote:
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Rustam—
Yes, Levin’s paper implicitly supports the case for Endogenous Neuromodulation, but it is also not above criticism. As Ian McGilchrist has pointed out, the biological literature imputes directed agency—intentionality, effectively—at all levels by its very language. Indeed, it seems awkward to avoid doing so. This holds true in the way we talk about the immune system, with mission-oriented T-cells and B-cells, all the way down to the level of DNA repair. To impute intentionality/agency down to the cellular and even molecular level is clearly problematic. We do have cytokine storms. Our models should be as parsimonious as possible, and it suffices to claim that the neural network model supports the prediction model, and hence agency, in the service of self-regulatory competence. It is integrative in character and instantiates top-down-control by way of hierarchical architecture. We have autonomy at the top; servitude at the bottom.
Let’s back up. Richard Feynman set out on a science career early in life in order to get at the essence of things. He later realized that science never gets to the essence of things. As a physicist, he joked that all we get is ‘equations of motion’—the rules of behavior. As human beings, however, we do get to encounter essence with respect to one entity—our own consciousness. It is our lived experience. But if we now wish to pursue the study of consciousness in the scientific model, we are back to studying mechanisms…
Barry (who taught for us for five years) used to bring up the simple example of deciding to raise one’s arm. We experience the radical divide between the intention and the implementation. There is a gap twixt one and the other that we do not know how to fill in. How does consciousness, that amorphous, ethereal reality, come to direct physical behavior? In the evolutionary perspective on brain function this divide does not exist. Sensation begets awareness, and the emergence of recursive neural networks opens the door to self-awareness, awareness of awareness. We have consciousness. The entire system is unitary in character, seamlessly organized to implement intentionality by way of top-down control. Consciousness is the brain’s means of expanding the scope of intentionality. There is no gap to be filled. With respect to the conceptual gap high-lighted by Barry, just as ’science’ does not get us to ‘essence,’ it also cannot shed light on anything related to essence.
The dual perspective of NF in a top-down and bottom-up framing could hardly be better illustrated than by our own forty-year journey in NF. It is only after we ventured into the ILF range in 2006 and had no more use for the discrete rewards that the model of endogenous neuromodulation fully took shape: We had arrived at bottom-up NF in which the brain assumed a controlling role. Prior to that transition, we could still make the case for the relevance of the operant conditioning model even as we were violating its rules by having substantially raised the reward incidence. It was a simple matter of interpreting our new approach as a paradigm reversal. With the dropouts of the beeps becoming rare, they had become the attended event! (“Where did my beeps go?”) Peace was restored in the theory department.
Meanwhile, the brain was on its own journey, lunching on the low-frequency information stream that we had provided—by way of endogenous neuromodulation. (“Give the brain any information about itself, and it will make sense out of it”— Paul Bach-y-Rita.) While the trainee was attentive to the dropout of the beeps, the brain was engaged with the signal it was actually getting. With client and practitioner living in one worldview, the brain was inhabiting another reality entirely. We had been doing bottom-up NF all along.
By virtue of endogenous neuromodulation being entirely covert, intentionality on the part of the trainee can play no useful role in the particulars of the training process. This does not hold true just because the trainee is typically distracted by a movie or game. Rather it holds true more categorically. Quite simply, the trainee is not in a position to attach valence to the unfolding signal. The low-frequency dynamics reflect such system-level complexity—and contextual specificity—that the signal is meaningful only to the brain itself. Intentionality at the volitional level has no way to engage. In consequence, nothing is lost in terms of training efficiency by distracting the trainee with more engaging fare. What drives the process forward is agency at the brain level—agency in support of the prediction model that is organized to subserve our survival needs and optimal functioning imperatives.
With respect to the practice of NF, the salient distinction between operant conditioning and endogenous neuromodulation lies in training efficiency. In the former, the brain has to discern the relevant contingency that underlies the occasional appearance of odd-ball events, the discrete rewards. The process stretches across time, and involves events that occur only sparsely. By contrast, endogenous neuromodulation is a continuous process, all essential elements of which occur in real time (“circular causality”). Training-induced state shifts may be come observable within minutes, allowing the protocol optimization procedure to begin.
When the brain takes over the mission, its priority becomes core state regulation (arousal, affect, autonomic; cerebral stability). It’s just what happens, and we defer to the brain’s wisdom in that regard. To this task, endogenous neuromodulation is uniquely suited. However, we acknowledge also that this is a matter of priority rather than of exclusivity. There is a lot that we now know about failure modes in the brain that justify our assuming a controlling role with respect to remediation, and that has led to the proliferation of methods in our field. No argument about that. The import of this discussion is to shift our perspective on priorities, as we have an inherent tendency to take charge, even when it would be better to yield primacy to the brain in its journey to self-recovery.
Siegfried
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Adam noted that the subjective dimension is not an error — it is an intrinsic limitation of third-person scientific method.
At the same time, it’s important to emphasise that conscious experience is an emergent phenomenon — built upon multi-layered regulatory processes, most of which operate below awareness. ILF Neurofeedback seems to work precisely because it interfaces with these foundational processes while allowing conscious awareness to play a modulatory, integrative role.
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Salvatore Barba—
You write: “If we as clinicians don't pause the system from time to time to support the client to attend the experience they are having, we support them to by-pass the living wisdom in their bodily experience.”
With operant conditioning, the felt response of the trainee early in the process is likely to revolve around the training process itself, as the rewards have been elevated to be central in the process. So we may find ourselves talking about engagement, frustration level, boredom, staying awake, etc., rather than about progress toward the clinical objectives, which only enters the conversation later.
With Endogenous Neuromodulation, it is imperative to establish quite early that we are heading in a positive direction. We have to initiate the process to learn how to guide it going forward. The first observables are state shifts induced by the training. This is most likely to be in the direction of greater calmness and diminished arousal level. If that is not the case, then immediate intervention is called for to change protocol. So it is in fact obligatory to pause the training at six to ten minutes and inquire into the trainee’s experience.
If we are on a positive trajectory, one can relax a bit going forward and increase the training epoch length. Later in the training, other protocols may be introduced, making for brief training epochs throughout the process in the general case. Inquiry follows at every break in the training, roughly every ten to fifteen minutes. There is no other basis for moving the agenda forward than what the client is reporting, plus observations by the clinician and reports from caregivers.
The conversation focuses on the principal regulatory domains: arousal regulation, affect regulation, and autonomic regulation. They yield observables on which the trainee can readily report: alertness, vigilance, calmness, agitation, irritability, fatigue, etc. Even subtle shifts in these parameters suffice to guide the journey. Additionally, there is the obvious focus on symptoms on which the trainee is able to report.
So we have three learning curves: 1) the brain is getting acquainted with the feedback loop, learning to extract ever more salient information from the signal stream at each placement; 2) trainees are learning to tune into their internal state by way of the conversations; and 3) the clinician develops an ever better sense of what protocols are needed, and in what sequence. The linchpin in all of this is the quality of the interaction between the clinician and the trainee. This is all the more important because in our work we do not routinely rely on information in the EEG spectrum except perhaps to optimize the accompanying inhibit protocol.
Endogenous Neuromodulation compels one to orient toward a systems-level conception, by virtue of the focus on core state regulation, as well as the nature of the process of getting there. The training does not target symptoms per se; rather, symptoms are seen as indicators for more basic patterns of dysregulation. These map into protocols. In the final analysis, we have a pairing here of a training process that is entirely covert, and may well lie outside the realm of awareness of the trainee, with feedback to the clinician that depends on conscious appraisal of the prevailing status.
Siegfried
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Anokhin proposed that behavior is not produced by isolated reflex arcs or separate neural centers, but by functional systems—dynamic coalitions of neural and bodily processes organized around achieving an adaptive result.
✔ A functional system integrates afferent information, decision processes, action programs, results of action, and feedback (reafferentation) into one whole cycle.
— Evidence: “A functional system is any organization… ending with a useful adaptive effect for the body”.
✔ These systems are holistic, not tied to localized anatomy but spanning many neural and humoral processes.
✔ Anokhin emphasized that this model bridges the gap between physiology and psychology.
— “We will never be able to cross the bridge… if we do not reveal principles characteristic only of holistic organization.”
Anokhin formalized the universal architecture of any behavioral act:
Afferent synthesis → collecting internal & external signals
Decision-making
“Action acceptor” → internal model of the desired result
Action program formation
Execution of action
Receiving results of action (reafferentation)
Comparison with the action acceptor
Modification of the system
This entire cycle is referred to as the operational architectonics of behavior.
— Described clearly:
✔ Importantly, all behavioral acts share this same architectonic structure—from reflexes to complex conscious actions.
— “Fundamental isomorphism of the operational architectonics of all behavioral acts.”
A key concept in Anokhin’s theory is the action acceptor—a neural model of the expected result of action.
✔ It is the predictive, anticipatory mechanism guiding behavior.
— “The adaptive result is the model of a familiar event… anticipatory reflection of future relationships with the environment.”
This is the first explicitly predictive model in Russian neurophysiology.
✔ Subjective experience = stored anticipatory models
Thus behavior is driven by mental representations, not just physiological reflex chains.
Behavior is continuously updated by comparing:
predicted result (action acceptor)
actual result (reafferent feedback)
✔ This is a closed-loop, self-correcting architecture.
— “…recurrent afferentation… confrontation with the action acceptor… modification of the initial systems.”
This anticipatory + feedback structure is central to your ILF framework.
Anokhin rejected both Pavlovian reflexology and “center-based” explanations (e.g., neural correlates of consciousness).
✔ Consciousness is not reducible to physiology.
✔ But it is also not an independent metaphysical entity.
Instead:
Consciousness is a process within the hypernetwork of functional systems.
The article states:
— “Subjective phenomena must be related not to physiological processes in a neural network but with cognitive processes in the neural hypernetwork – the cognitome.”
This “hypernetwork” is the collection of all functional systems.
Anokhin’s central breakthrough is that biological systems operate according to adaptive outcomes, not stimulus–response chains.
✔ Behavior is determined by future-oriented goals (“anticipated results”), not past stimuli.
— “Behavior determined by subjective experience, not reflex processes.”
✔ This introduces biological agency at the systems level (not at the molecular level).
This is exactly the conceptual space where your model of endogenous neuromodulation belongs.
Shvyrkov extended the theory to show:
✔ Neurons are not specialized for one specific “function.”
✔ Instead, they belong to many functional systems as elements of subjective experience.
— “Individual neurons… are integral elements of subjective experience.”
This supports your idea of distributed agency and the ILF nested oscillatory integration model.
Anokhin’s Functional Systems Theory states that behavior and consciousness arise from dynamic, goal-oriented, predictive, self-correcting coalitions of neural and bodily processes—that is, functional systems—organized around achieving adaptive results through anticipatory modeling and feedback-driven refinement.
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On Dec 1, 2025, at 11:42 PM, Rustam Yumash <ryu...@gmail.com> wrote:Thank you Siegfried, this is certainly a well defined position. I have some difficulties with the statement “The trainee cannot attach valence to the ILF signal itself", but they do attach valence—consciously or implicitly—to the state changes that ILF induces. This subtle registration is essential: it guides meaning-making, supports the predictive self-model, and becomes part of the therapeutic integration. The mechanism may be covert, but the phenomenology is not.
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Sal—
Thank you for your generous sentiments. My vantage point is that of a (recovering) physicist. In the 38-year professional partnership with Sue, she was the clinician and I was involved more on the theory and engineering side. So I don’t feel competent to engage you on the matters that you bought up. I am in narrow focus by virtue of my skill set, and mission-oriented by virtue of the dire state of mental health, which is in precipitous decline in the US and in peer countries. Over the two-year period of 23-24, inpatient mental health claims ramped up by 80%; outpatient claims climbed by 40%. This is cataclysmic. The greatest increase was for claims due to anxiety, depression and developmental disorders. These are in our wheelhouse. By the age of seven, some 20% of Medicaid-covered children are on psych meds. This does not bode well for their future. Every age category is now declining in health status.
Our society lacks resilience by virtue of dysregulation of core regulatory networks. Just consider for a moment all the measures undertaken in our society to manage physiological state, from coffee in the morning to the cornucopia of licit and illicit drugs. The problems begin in infancy (or before), and are best redressed with a move to a prevention and optimal functioning model starting in infancy, for which endogenous neuromodulation in the ILF constitutes the uniquely appropriate remedy. I call this the “Healthy Start” model. We face no competition on that turf. The clinical focus would be on developmental disorders and attachment issues, including in particular the autism spectrum.
With respect to your interest in Z-score training, a bit of history: That may well have emerged out of discussions I had with Tom Collura in the 2002-4 time frame, but we didn’t then discuss the Z-score aspect. Conceptually, I felt more attracted to the totally dynamic approach that was taken by Val Brown. We ended up with something in-between—dynamic thresholding to restrict focus to the extremes, with adjustable level of overall aggressiveness of the inhibits.
In the perspective of control system theory in application to self-regulating systems, unconditional system stability is the prime directive, and inhibit schemes are front-line approaches in pursuit of that objective. It has been a key constituent in the three generations of systems we helped to design.
The centrality of cerebral stability in mental health is not fully appreciated, and I cover this topic in my talk at the conference. What I call the macro-instabilities—seizures, migraines, dysautonomia, restless leg syndrome— are well recognized, but we are dealing with a continuous distribution that goes all the way down to where the instabilities seem more innocuous but clearly place limits on performance.
For example, the discrete errors we track in the CPT can be thought of in the frame of cerebral instability. I call them micro-instabilities. The intermediate range is the most problematic in one sense, in that it can be easily over-looked as a mechanism—in schizophrenia, Tourette Syndrome, autism, rage behavior, the dementias, PTSD and other trauma syndromes—because we have competing narratives in the conventional mental health frame.
The instability model should be considered whenever we encounter episodic bizarre or extreme behavior that doesn’t fit with the person we know. This is the story of our son Brian that got us into NF. Finally, we also have the behaviorally triggered instabilities, such as the disasters that may be unleashed by hypocapnia induced by over-breathing, and hypoglycemic episodes following a dollop of glucose. Hormonally triggered instabilities in PMS also lie within our clinical reach. PMS is an index to brain dysregulation.
The most potent remedy for the instabilities, including those that are behaviorally or hormonally triggered, remains our ILF NF, with reliance on inter-hemispheric placement on homotopic sites, and operation at the person’s Optimal Response Frequency. Training is by way of Endogenous Neuromodulation, which allows for the necessary subtlety for the brain to finds its way toward stability. Cerebral stability also depends on calming hyper-excitability, which is pursued with the arousal level training. The inhibit protocol is the third leg of the stool.
Siegfried
On Dec 2, 2025, at 1:10 PM, 'Salvatore Barba' via ISNR_Members_Forum <isnr_memb...@googlegroups.com> wrote:Siegfried!
On Dec 3, 2025, at 10:28 AM, 'Siegfried Othmer' via ISNR_Members_Forum <isnr_memb...@googlegroups.com> wrote:
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