Neurofeedback: principles, appraisal and outstanding issues

D. Papo  

European Journal of Neuroscience, 00:1–16, (2019); arXiv:1805.05303

Neurofeedback is a form of brain training in which subjects are fed back information about some measure of their brain activity which they are instructed to modify in a way Avatar Invthought to be functionally advantageous. Over the last twenty years, NF has been used to treat various neurological and psychiatric conditions, and to improve cognitive function in various contexts. However, in spite of a growing popularity, NF protocols typically make (often covert) assumptions on what aspects of brain activity to target, where in the brain to act and how, which have far-reaching implications for the assessment of its potential and efficacy. Here we critically examine some conceptual and methodological issues associated with the way NF’s general objectives and neural targets are defined. The neural mechanisms through which NF may act at various spatial and temporal scales, and the way its efficacy is appraised are reviewed, and the extent to which NF may be used to control functional brain activity discussed. Finally, it is proposed that gauging NF’s potential, as well as assessing and improving its efficacy will require better understanding of various fundamental aspects of brain dynamics and a more precise definition of functional brain activity and brain-behaviour relationships.

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