i DECLARATION A research project submitted in partial fulfillment of the requirements for the degree of M.Ed (Ed Psych) by coursework and Research Report in the Faculty of Humanities, University of the Witwatersrand, Johannesburg, 2010. I declare that this research is my own, unaided work. It has not been submitted before for any other degree, part of degree or examination at this or any other university. .............................. ???day of????..2010 Tracey Hall ii ABSTRACT The aim of this study was to investigate psychologist?s perceptions and willingness to incorporate brain technologies, such as Neurofeedback and qEEG (quantitative electroencephalography), into everyday practice. This research was considered important as numerous studies on the benefits of using these technologies have been documented, yet despite this not many psychologists have incorporated them into their practices. The sample consisted of 50 psychologists in Gauteng who completed a self- administered questionnaire. The data collected was analysed using Thematic content analysis and the emerging themes were examined in line with the research aims. Results from the study indicate that Psychologists? knowledge and understanding of the brain technologies are limited, more so in the case of qEEG than with Neurotherapy. Resistance towards the incorporation of the technologies is present. The main causes of resistance appear to be related towards a number of concerns or reservations held by psychologists. Amongst these were the need for more research in terms of efficacy and concerns about costs of equipment, training and accreditation. Despite some of the resistance present, psychologists seem to perceive the technologies as useful in treating attention, concentration, learning, anxiety and mood disorders. Psychologists stated that they were generally open to receiving further education and training on these technologies. The study looked at the suggestions and comments made by psychologists concerning what they considered necessary to aid in the incorporation of these technologies. iii ACKNOWLEDGEMENTS The author wishes to acknowledge the efforts made by a number of people who have facilitated the process of producing this dissertation. Grizelda Coetsee?My dear friend, thank you for all your unwavering support, help and guidance, especially through many long nights! Dr. Charmaine Gordon?My supervisor, for her mentorship, encouragement and guidance in this research. Sylvia Sharbel-Faehry?Thank you for aiding me in the transcription of my data as well as for the constant affirmation. Alvina Vorster?Your assistance in editing and proof-reading was greatly appreciated. Above all Thank you to my Maker. iv DEDICATION To my parents The journey of a thousand miles begins with a single step - Lao Tzu Thank you both for always supporting me in my every step along this journey. To my dad, Graeme, for his patience, endurance and support all through my studies. In Loving Memory of my mom, Diane Hall 1958 ? 2002 v Table of Contents Declaration i Abstract ii Acknowledgements iii Dedication iv List of Figures xii List of Tables xiv Chapter One: Introduction 1 1.1 Background and Context 1 1.2 Rationale 3 1.3 Aims 5 1.4 Summary of Chapters 5 Chapter Two: Literature Review 6 2.1 Neurotherapy and qEEG 6 2.1.1 History of EEG Neurofeedback and qEEG 6 vi 2.1.2 What is Neurofeedback? 8 2.1.3 What is Quantitative Electroencephalogram? 12 2.1.4 qEEG, Neurofeedback and Evidence-Based Practice 14 2.1.5 Standards of practice for professionals Utilising qEEG and Neurofeedback in the treatment of various disorders 16 2.1.6 Who benefits from Neurofeedback Training and qEEG? 17 2.1.6a Attention Deficit Hyperactivity Disorder (ADHD) 17 2.1.6b Learning Disorders (LD) 19 2.1.6c Autistic Spectrum Disorders (ASD) 21 2.1.6d Depression 22 2.1.6e Anxiety 24 2.1.6f Neurological Disorders/Epilepsy/Seizure Disorders 27 2.1.6g Alcoholism and Substance Abuse 28 2.1.6h Traumatic Brain Injury 30 2.2 Perception 31 vii 2.3 Resistance 33 2.3.1 Psychology of innovation resistance 37 Chapter Three: Methodology 39 3.1 Research Questions 39 3.2 Method 39 3.2.1 Sample and sampling 39 3.2.2 Procedure 40 3.2.3 Research design 41 3.2.4 Instrument 42 3.3 Data Analysis 42 3.4 Ethical Considerations 45 Chapter Four: Results 46 4.1 Biographical Information 46 4.2 Emerging Themes 48 4.2.1 Main theme 48 viii 4.2.2 Sub theme one: Lack of knowledge and understanding of the Technologies 48 4.2.3 Sub theme two: Perceived utility of these technologies to the field of Educational Psychology 53 4.2.4 Sub theme three: Perceived benefits of incorporating these technologies into practices 54 4.2.5 Sub theme four: Resistance or willingness to incorporate these technologies 56 4.2.6 Sub theme five: Psychologists have many concerns regarding the use of these technologies and these are influencing their perceptions of and willingness to incorporate them into their practices 59 4.2.7 Sub theme six: Experience of benefit 60 4.2.8 Sub theme seven: Perceptions on what is needed to assist in the incorporation of these technologies 61 ix 4.2.9 Sub theme eight: Psychologists interest in receiving further training in these technologies 62 4.2.10 Sub theme nine: Psychologists suggestions 63 Chapter Five: Discussion 64 5.1 Biographical Information 64 5.1.2 Common disorders reported 64 5.2 Emerging Themes 65 5.2.1 Main theme 65 5.2.2 Sub theme one: Lack of knowledge and understanding of the Technologies 65 5.2.3 Sub theme two: Perceived utility of these technologies to the field of Educational Psychology 68 5.2.4 Sub theme three: Perceived benefits of incorporating these technologies into practices 68 5.2.5 Sub theme four: Resistance or willingness to incorporate these technologies 69 x 5.2.6 Sub theme five: Concerns regarding these technologies 70 5.2.7 Sub theme six: Experience of benefit of using these technologies 72 5.2.8 Sub theme seven: Perceptions on what is needed to assist in the incorporation of these technologies 73 5.2.9 Sub theme eight: Psychologists interest in receiving further training in these technologies 73 5.2.10 Sub theme nine: Psychologists suggestions 73 5.3 Conclusion 74 5.4 Limitations of the Study and Recommendations 75 References 77 Appendices 91 Appendix A Subject Information Sheet 91 Appendix B Consent Form 93 Appendix C Self-Administered Questionnaire 94 Appendix D Letter of Permission from Site 99 xi Appendix E Ethical Clearance Certificate 101 xii List of Figures Page Figure 2.1 EEG recordings of the various brain waves 9 Figure 2.2 The Neurofeedback training session 10 Figure 2.3 Measurements from the 19 sites are converted into a colour map showing abnormalities in brainwaves 13 Figure 2.4 A qEEG depression profile showing abnormal deviation in the right frontal lobe 14 Figure 4.1 Common problems reported 48 Figure 4.2 Psychologists knowledge and understanding of Neurofeedback 51 Figure 4.3 Psychologists knowledge and understanding of qEEG 52 Figure 4.4 Perceived utility of the technologies 54 Figure 4.5 Willingness of psychologists to incorporate these Technologies 58 Figure 4.6 Experience of benefits 61 xiii Figure 4.7 Psychologists interest in receiving further training and Education 62 xiv List of Tables Page Table 4.1 Participants biographical information 46 Table 4.2 Frequency table of perceived benefits of incorporating the technologies 55 Table 4.3 Frequency table of psychologists reasons for not incorporating the technologies 56 Table 4.4 Psychologists concerns regarding the incorporation of brain technologies 59 Table 4.5 Frequency table of perceptions on what would assist in the incorporation of the brain technologies 61