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An Empirical Investigation
Into the Effect of
Beta Frequency Binaural-beat Audio Signals on Four Measures of Human Memory
By Richard Cauley Kennerly
Abstract
Beta
frequency binaural-beat audio signals were utilized to investigate facilitation
of human performance on two memory tasks and two memory related tasks.
Subjects were 50 college students randomly assigned with a double-blind
methodology to the control or experimental groups. The control group listened
to instrumental music. The experimental group listened to the same music
with binaural-beat audio signals bedded under the music.
The
four dependent variables used were a 25 item word list recall test, a
25 item word list recall/recognition test, and from the WAIS-R the digit
symbol and digit span subtests. The experimental group displayed statistically
significant (p>.05) increases in mean scores with the word list recall
test, the digit symbol subtest, and the digit span subtest.
No statistically significant increases in the experimental mean over the
control mean were noted in the word list recognition/recall subtest. The
results indicate that beta frequency binaural-beat audio signals are an
effective method for facilitating simple free recall memory, ability to
attend, and the ability to persevere at routine motor tasks.
Preface
This
thesis is the culmination of a long personal struggle with the educational
system. I have always loved questioning and learning. Yet before graduate
school I never enjoyed, or did well in school. I have spent a lifetime
on the edge of academic failure where every mediocre grade was a struggle.
As a child, adults told me that I was smart and that there was no reason
I shouldn't be able to make excellent grades. The unspoken judgement being
that I just didn't want to, that there was something wrong with me or
worse, that I just didn't try hard enough. I know I frustrated many people,
yet I was the most frustrated one of all.
As
an adult I worked my way through college, and graduated out of luck and
shear persistence. If I failed a class, I took it over until I made the
grade I needed. In graduate school I knew I would need a new strategy,
since I could no longer take classes over with the new grade replacing
the old. I could not afford to work so hard for such mediocre results.
I was still very frustrated, and I turned that frustration into a search
for answers.
To
my joy, I found a combination of dimethylaminoethanol (DMAE), a nutrient
found in seafood, and binaural-beat signals worked well to offset my learning
disabilities. What had been an academic Sisyphean struggle became a genuine
pleasure. The effect was one of personal transformation and excellent
grades. I felt as though I had been set free from a life long prison.
The
thesis you now hold arises out of my personal success with, and interest
in, binaural-beat signals. This thesis is dedicated to Elisabeth Schumacher,
my mother. Without her unfailing love and devotion, none of my life achievements
would have been possible. She has believed in me when I didn't believe
in myself. She has given me support when I needed it, without regard for
herself. She has loved me beyond all reason, and that has sustained me
down a long and rocky road.
Introduction
This
study is an empirical inquiry into the facilitation of human memory with
the use of beta frequency binaural-beat audio signals (BBS's) under conditions
designed to control for confounding variables. Previous studies have not
controlled for confounding variables, preventing any definite conclusions
on the extent to which BBS's may facilitate memory.
Were the observed results with BBS's in previous research the result of
placebo effects, a confounding variable, or the binaural-beat signals?
It is not an answerable question until research is done demonstrating
the effectiveness of BBS's in facilitating memory under more controlled
conditions.
The
hypothesis and experimental design of this study are constructed to be
able to answer the question of the effectiveness of BBS's in facilitating
memory under controlled conditions. Statistically significant results
in this study would support earlier non-empirical research which has found
BBS's to be useful in facilitating improved academic performance among
mainstream and Attention Defict/Hyperactive Disorder (ADHD) populations.
The results of the earlier studies, and more tightly controlled studies
with other brain wave training techniques, suggest that beta frequency
BBS's should significantly facilitate memory.
Hypothesis
and Operational Definition of Memory
There
were four hypothesis used in this research, each postulating that in a
study controlling for confounding variables the experimental group would
display a statistically significant improvement in mean scores over the
control group at a .05 or less significance level.
Hypothesis
1 (H1) postulated a statistically significant higher mean score for the
experimental group as measured by a 25 item word list recall test.
Hypothesis 2 (H2) postulated a statistically significant higher mean score
for the experimental group as measured by a 25 item word list recall/recognition
test.
Hypothesis
3 (H3) postulated a statistically significant higher mean score for the
experimental group as measured by the WAIS-R digit symbol subtest.
Hypothesis 4 (H4) postulated a statistically significant higher mean score
for the experimental group as measured by the WAIS-R digit span subtest.
The
statistically significant improvement in the mean scores of the experimental
group over the control group on any of the tests allows one to infer that
facilitation of test performance occurred. If there were no confounding
variables, this facilitation of test performance can be assumed to be
the result of the independent variable.
The
free recall word list test and the combined recognition/recall test are
the two most memory related tasks out of the four presented and thus the
two most relevant to drawing any conclusions about the facilitation of
memory. Generally memory can be characterized as "the ability to reproduce
or recount information that was experienced at an earlier time" (Domjan
& Burkhard, 1982, p. 308).
For
the purposes of this study memory was operationally defined as a subject's
ability to reproduce the information presented on a test within the limited
time allocated for reproduction of that information.
The
Four Dependent Variables
Four
tests were administered to each of 50 undergraduates participating in
the study to obtain data on the effect of binaural-beat signals on memory.
The
first test, word list free recall, was a simple free recall memory task
given to obtain data on the facilitation of memory with beta-frequency
binaural-beat signals.
The
second test was a German vocabulary combined recall-recognition test given
to obtain data on the facilitation of memory with a more complex associative
recognition/recall task.
The
third and fourth tests were the digit span and digit symbol subtests of
the WAIS-R. These two tests were administered in order to gain clarity
on the observations of teachers who have used binaural-beat signals in
their classrooms. These teachers have reported increases in grades, student
attention, and decreased hyperactivity while using binaural- beat audio
signals in their classes (Edrington, 1985). The two WAIS-R subtests were
used to determine if binaural-beat audio signals could facilitate the
ability to attend and persevere at routine tasks. Facilitation of these
two features of cognitive performance may be in part, or in whole, the
underlying factors in the facilitation of memory by binaural-beat signals.
What
Are Binaural-Beat Audio Signals?
Binaural-beat
audio signals are a specific audio entrainment technique for altering
a subject's brain waves. Alteration of a subject's brain wave frequency
or amplitude produces changes in the subject's performance level on some
cognitive tasks (Hutchinson, 1994). Brain-wave training is the utilization
of brain-wave altering equipment (usually biofeedback equipment) to produce
durable changes in a subject's brain waves (Peniston, & Kulkosky 1989).
Brain-wave training has been found to yield excellent results in the facilitation
of human memory, attention span, and relaxation (Hutchinson, 1994). Furthermore,
this research has been demonstrating brain-wave training as an effective
intervention in impaired levels of functioning due to ADHD, learning disabilities
(LD), physical brain trauma, and psychological trauma (Ochs, 1993).
As
a specific technique of brain-wave training, BBS's have not been empirically
studied to produce statistically significant data on how comparable they
are to other forms of brain-wave training. Such results would lay a more
solid groundwork for clinicians and clinician researchers who are using,
or interested in using, binaural-beat brain-wave training.
It
is hoped that this study will be one of the first bricks in the laying
of a solid research foundation for support of clinicians and organizations
interested in applied research and application of binaural-beat brain-wave
training.
Review of Related Literatures
There
has been a quiet revolution occurring in the study of human cognitive
functioning and its associated brain wave activity. Breakthroughs have
been occurring whose application may rival the introduction of drug therapies
to psychiatry. This new wave of therapies involves non-drug interventions
capable of rapidly healing previously resistant pathologies and improving
cognitive performance in normal subjects.
These new interventions have arisen out of ongoing research in Electroencephalographic
(EEG) feedback. In the sixties, EEG feedback was used primarily to control
stress. However the interest of serious researchers waned as EEG biofeedback
was embraced in the popular culture as a cure all and was tainted with
a somewhat disreputable air by association with the human potential movement.
Clinical interest in biofeedback returned with the decline of popular
attention to biofeedback and the publication of controlled studies showing
the effectiveness of biofeedback in chemical and psychometric tests with
up to three years of follow-up (Ochs, 1993).
As
new generations of EEG equipment became available, researchers developed
an expanding understanding of brain wave patterns. Associations were found
between specific patterns of brain wave activity and pathological, normal,
and optimal cognitive performance/states.
Utilizing
this information, biofeedback researchers have been training subjects
who have frequency patterns associated with various disorders to alter
their brain wave patterns to match those associated with normally functioning
individuals (Hutchinson, 1994). This technique has been found to be a
rapid and effective intervention for many severe and resistant pathologies
including, "depression, sleep disorders, seizures, chronic fatigue, headaches,
mood swings, anxiety" (Hutchison, 1994, p. 361), alcoholism, (Peniston,
& Kulkosky, 1989), addiction, attention deficit hyperactive disorder (ADHD),
epilepsy, post-traumatic stress, paralysis and cognitive impairment as
a result of a stroke or head injury (Ochs,1993).
On
the Million Clinical Multiaxial Inventory (MCMI) brain-wave training (BWT)
resulted in significant decreases on the "scales labeled schizoid, avoidant,
passive-aggressive, schizotypal, borderline, paranoid, anxiety, somatoform,
dysthymia, alcohol abuse, psychotic thinking, psychotic depression, and
psychotic delusion" when used with vietnam veterans suffering from post-traumatic
stress (Peniston, & Kulkosky, 1990, p. 37).
Possible
Mechanisms Underlying Brain-wave Training
Triggering
of Neurotransmitters
Why
should helping individuals retrain their brain wave frequency patterns
be so helpful? A suggestion might be found in the work of Patterson and
Capel (1983) in Surrey, England. They found that different neurotransmitters
were triggered by different frequencies and wave forms. For example, a
10-hertz signal boosts production and turnover rate of serotonin. "Each
brain center generates impulses at a specific frequency, based on the
predominant neurotransmitters it secretes," says Dr. Capel. "In other
words, the brain's internal communications system--its language, if you
like--is based on frequency..." (Ostrander & Schroeder, 1991, p. 264).
The
implications of Capel's & Patterson's work is that one can alter the brain's
neurochemistry, and thereby it's functioning, with modifications of brain
wave frequency.
The
popular drug Prozac alleviates depression by increasing serotonin levels.
The serotonin levels are elevated through the selective chemical inhibition
of the brain's serotonin-reuptake enzymes (Kramer, 1993). The positive
effect of Prozac on a depressed subject's mood and social functioning
can be profound, effects which are generated by elevating the subject's
serotonin levels.
According
to Patterson and Capel, a similar increase in the level of serotonin in
the brain could be achieved through the induction of a 10-hertz signal.
Could we alleviate depression and other impairments associated with low
serotonin levels as effectively with brain wave training as with Prozac?
What about other forms of impaired mental functioning for which we have
no effective chemical interventions? According to many researchers we
can, and the triggering of the release of beneficial neurotransmitters
may be why.
Return
of the Brain to Pre-Trauma Neurochemical State
The
direct release of desirable neurotransmitters through an increase in amplitude
of specific brain wave frequencies might not be the only mode of action
for brain-wave training. A somewhat related theory of why helping subjects
retrain their EEG patterns could be helpful is postulated by Len Ochs,
a California therapist and researcher. Dr. Ochs speculates that the neurochemical
response to trauma may become entrained as a permanent state, limiting
normal functioning, and that brain-wave training may allow a return to
the pre-trauma neurochemical state.
Dr.
Ochs postulates that psychological or physical trauma induces such a high
level of neurochemical excitement that a seizure may be imminent. In order
to protect itself, the brain responds with inhibitory chemicals. One could
visualize it as the neurochemical equivalent of curling up in a ball.
In a protective stance, the inhibited brain has lost function, just as
person curled up in a ball cannot walk or function normally in their protective
posture.
Dr.
Ochs postulates that these inhibitory chemicals may linger in the brain
for an extended period of time (one supposes for lack of activation of
the proper janitorial reuptake enzymes) or, that the brain mechanism responsible
for the production of the seizure protecting neurotransmiters does not
reset itself to the pre-trauma state, creating a new homeostatic state
of impaired functioning.
If
brain-wave training resets the neurochemistry to its pre-trauma state,
such a mechanism would explain why it is helpful, and why it works with
pathologies resistant to other interventions.
EEG
Disentrainment Feedback
Dr.
Ochs created an EEG biofeedback device which operates directly on the
subjects EEG patterns through light and sound drivers. Normally in EEG
biofeedback a subject must attend to, and attempt to respond to a signal
which provides information about their brain wave frequencies.
Unlike traditional EEG biofeedback, in Dr. Ochs' device there is no need
for the subject to be consciously in the loop or attempting to do anything.
The overall brain waves respond to and match the frequency and amplitude
of the signals delivered via strobe glasses and headphones. The audio
and visual stimuli in turn are generated by the overall amplitude and
frequency of the EEG. A computer monitors both and allows the clinician
to intervene and sweep the frequencies upward or downward.
Dr.
Ochs calls his form of biofeedback "EEG disentrainment feedback (E.D.F.)"
(Ochs, 1993). The equipment is actually entraining the brainwave frequencies,
yet he refers to it as disentrainment feedback. The disentrainment is
for the hypothesized intervention of disentraining a protection mechanism
gone awry, a locked in state of emergency brain functioning.
Ochs
has been having remarkable results with victims of both psychological
trauma and physical brain trauma. He has successfully treated victims
of closed head injury, stroke, post-traumatic stress, depression, and
addiction. Many of these patients had conditions which were very resistant
to treatment with other interventions.
If
Dr. Ochs hypothesis is true, then the EDF and all other brain wave retraining
devices either activate the proper inhibitory enzyme reuptake mechanism,
or they disrupt the seizure inhibition responses which have taken over
as the day to day standard for neurochemical functioning.
In
either case, brain-wave training would be helping because it allows the
brain to reset itself to its normal unimpaired state of functioning. The
brain-wave training would not be directly repairing what is impaired,
but would be enabling the brain to heal itself (Ochs,1993).
The
observations and speculations of Ochs, Patterson and Capel provide some
insight into why such "physical therapy" for the brain may work. They
illustrate why we might be as effective using brain wave training to improve
some individual elements of functioning, such as memory, as well as working
on broad fields of impaired functioning such as depression, head injury,
addiction, ADHD, ect..
The
Peniston Protocol
Perhaps
the most famous research to date using EEG biofeedback training has been
the work of Peniston and Kulkosky for their procedure, the Penniston protocol.
Peniston and Kulkosky used alpha-theta brain-wave training to increase
the amount and amplitude of the subjects alpha and theta brain waves.
Dr. Eugene Peniston and Dr. Paul Kulkosky randomly assigned alcoholics
to a control group which received conventional medical treatment (Minnesota
Model (12 Step)), and an experimental group for which the only interventions
were fifteen twenty minute sessions of Alpha-Theta brain wave training.
They also included in the study a second control group of non-alcoholics.
The results sent a shockwave through every segment of the alcohol treatment
community aware of the study (Hutchison, 1994).
The
control group, who received traditional medical treatment, demonstrated
an 80 percent relapse rate during the thirteen month post treatment follow-up
period. The experimental group, who received 15 twenty minute brain- wave
training (BWT) sessions (and no other treatment) demonstrated only a 20
percent relapse rate during the same follow-up period. "Depression, as
indexed by Becks's Depression Inventory, was significantly reduced to
control (nonalcoholic) level after BWT" (Peniston, & Kulkosky, 1989, p.
276). The alcoholic control group did not demonstrate any significant
change in depression as measured by Beck's Depression Inventory.
Lack
of Success with Standard Medical Treatment
Only
a twenty percent success rate with traditional intervention techniques
in the Peniston & Kulkosky study is not an unusual finding on the effectiveness
of currently available alcohol treatment.
At
the Washington University Department of Psychiatry, John Helzer and colleagues
concluded in their study that "Less than 10 percent of those treated specifically
for alcoholism survived and were not drinking alcoholically five to eight
years after receiving treatment" (Peele, 1989, p. 78).
In
a study of the Minnesota Model at Cambridge following up 100 patients
across eight years, researchers concluded "there is compelling evidence
that the results of our treatment were no better than the natural history
of the disease" (Peele, 1989, p. 74).
Peniston
and Kulkosky also note that "major outcome studies that have used specific
therapeutic interventions such as controlled drinking, abstinence, compulsory
AA attendance, and an active follow-up program yielded results after 2
and 8 years that were no better than those of the natural history of the
disorder" (Peniston, & Kulkosky, 1989, p. 271).
Advantage
of Brain-wave training Over Standard Medical Treatment
If alcoholism does involve impaired brain function, then the above statistics
and results would not be surprising. The subjects who received the traditional
medical treatment are fighting against there own physiology, whereas those
who are receiving the alpha-theta brain-wave training are not.
Beta-endorphine
has been linked to internal control mechanisms for eating and ethanol
consumption (Peniston, & Kulkosky, 1989). Based upon an existing literature,
Peniston and Kulkosky observe, "If Beta-endorphin is elevated in alcoholics,
a return to consumption of ethanol calories would be inevitable" (Peniston,
& Kulkosky, 1989, p. 276).
Peniston
and Kulkosky did find significantly elevated levels of beta-endorphine
in the group who received traditional medical treatment. They did not
find elevated levels of beta-endorphine in the group who received the
brain-wave training.
Just
as a painter with no arms must struggle to overcome the limitations of
his physiology to pursue what he wants to do, so might an alcoholic need
to struggle against his physiology to pursue his own choices for his life.
Within the traditional model of treatment, a basic physiological impediment
is not being addressed. According to the findings of Peniston & Kulkosky,
that basic physiological impediment is being addressed with brain-wave
training; a physiological impediment addressed not with drug therapy,
but with a non-invasive technique which allows elevated brain chemistry
to return to normal values. This is a technique which in essence allows
the brain to heal itself.
The
implications of the Penniston protocol are not just for the alcoholic,
but also for any victim of the class of impaired brain functioning Dr.
Ochs discusses. Under his model anyone with impaired neurochemistry (such
as elevated beta-endorphine) would receive the same benefit of normalized
brain chemistry after the brain-wave training.
EEG Beta Brain-wave training
While
the Peniston protocol focuses on Alpha and Theta brain-wave training,
other researchers have been looking into the benefits of using brain-wave
training for beta frequencies. Beta training is another brain-wave training
technique which trains the subjects to increase the amplitude and frequency
of their mid-range beta frequencies. Beta training has been found to be
an effective tool for treating ADHD and dyslexia (Hutchison, 1994, p.
360) and would seem to be significant particularly in the area of education.
In
a controlled study, (Dr. Siegried) Othmer has found that this beta training
produces average IQ increases of 23 percent. In cases where the starting
IQ value was lower than 100, the average IQ increase was 33 points. Othmer
has also found dramatic improvements in visual retention and auditory
memory, and the subjects showed major gains in reading and arithmetic.
In a one-year follow-up study, the trainees showed major improvements
in self-esteem and concentration and significant improvements in such
areas as handwriting, school grades, sleep, irritability, organization,
hyperactivity, verbal expression, and headaches...Amazingly the improvements
seem to be permanent. (Hutchison, 1994, p. 360-361).
These
results warrant further research and beckon for educational application.
How many special education classes and special education students could
benefit from significant improvements in levels of hyperactivity, irritability,
organization, and self-esteem? How many mainstream classes and students
would appreciate and benefit from increased auditory memory and visual
retention, IQ gains of 23 percent and improvements in verbal expression,
reading and arithmetic? Pursuit of beta brain-wave training is clearly
warranted for its potential to help students and teachers alike in achieving
the goals of quality education.
Barriers of Cost to EEG Brianwave Training
As
a tool to facilitate education, Beta training would seem to hold the same
promise as alpha-theta training does for alcoholism. Indeed considering
the proliferation of destructive drug use among current student populations,
alpha-theta training might also be of significant interest in an educational
setting. Unfortunately, in an educational environment financial resources
limit making available EEG biofeedback brain-wave training to those who
could benefit from it.
A
major limitation in the application of EEG biofeedback training has been
the cost of the equipment and the limited context under which it can be
used. It is hard to imagine a classroom where all twenty students are
seated with electrodes on their heads and a biofeedback therapist attending
to each of them. Even as a lab where the students may go for one period
a day, the cost would be prohibitive. The EEG biofeedback equipment can
cost between $4,000 and $20,000 (Hutchison, 1994) per machine. Furthermore,
EEG biofeedback requires the one on one attention of highly trained personnel.
Cost for the therapists and equipment precludes EEG biofeedback training
from practical use for most educational settings.
Alternatives
to EEG Biofeedback Training
Fortunately,
EEG biofeedback training is not the only way to accomplish the EEG training.
Audio and visual driving of brain wave frequencies without a feedback
loop has been found to be an effective method of performing the same brain-wave
training. Currently available to the public for prices ranging from $99
to $350 (Tools for Exploration Vol. V, No. 2 Summer/Fall 1994), are Light
and Sound (LS) machines.
These
devices use audio and photic driving to alter the users brain waves to
the desired frequency and amplitude patterns. Dr. Ochs EEG biofeedback
device uses an LS machine as the part of the equipment which drives the
alterations in brain-wave frequencies. His device becomes a form of EEG
BWT because of the feedback loop through the computer and EEG machine.
An
LS machine consist of set of headphones, blackout glasses with small lights
placed over each eye, and a small computer. The computer controls the
strobe frequency of the lights, matching them with the frequency of auditory
monaural and binaural beats. The LS machines are not only cheaper to purchase
than EEG BWT training equipment, but are also cheaper to operate. Unlike
EEG biofeedback BWT training they do not require the one on one attention
of highly trained personnel (Hutchison, 1994).
Comparable Results with Light and Sound Brain-wave Training and EEG Brain-wave
Training
Russell,
and Carter, have been using LS brain-wave training with learning disabled
(LD), and ADHD children for beta brain-wave training (Russell & Carter,
1990). The purpose of the LS beta training is to increase the amplitude
and frequency of beta brain wave activity in the frontal lobes. ADHD has
been found to be "linked to abnormally slow brain-wave activity in specific
parts of the brain, including the premotor cortex and the superior prefrontal
cortex, which are used when people pay attention, or keep still" (Hutchison,
1994, p. 358).
A
significant difference in the verbal and performance subtests of the Weschler
Intelligence Scale for Children is a diagnostic indicator of possible
organicity, ADHD or learning disability (Aiken, 1988). What Dr. Russell
and Dr. Howard noted in their LD or ADHD subjects was that whichever subtest
was suppressed in the pre-test was significantly raised in the post-test
(after the Beta training). Groups that began with low verbal IQ scores
had pronounced gains in verbal IQ, spelling, and arithmetic.
Groups
that began with high verbal but low performance IQ showed significant
gains in non-verbal IQ, reading, spelling and memory...they concluded
that the degree of significant improvement in functioning is related to
the number of treatment sessions. (Hutchison, 1994, p. 362)
It
can be seen that this intervention is normalizing the spread of the WISC
subtest scores and apparently following Dr. Ochs hypothesis. The brain-wave
training is permitting an individual with impaired functioning to be normalized
and enter a state of unimpaired functioning on measures normally associated
with organicity.
Russell
and Carter suggest that use of LS devices and EEG training "may stimulate
either the successful establishing of new neural pathways in the brain
or re- establishing of old pathways that have been disrupted" (Hutchison,
1994, p. 363).
The
re-establishment of old disrupted neural pathways sounds in essence the
same as the primary mode of action for brain wave training hypothesized
by Ochs. But if beta, and perhaps all brain-wave training, is doing more
than just re-establishing old pathways (if it is actually creating new
neural pathways as Russell and Carter suggest) then might it also be of
value to expand normal mental capacities?
In
the study of ADHD children conducted by Russell and Carter, significant
increases in IQ scores were noted as the result of beta training raising
the depressed subtest on the WISC. Othmer also found in his beta training
biofeedback that ADHD subjects IQ scores rose significantly. These were
both populations with impaired functioning whose rise in IQ scores can
be viewed as the probable result of gaining an unimpaired level of functioning
where before there had been an impaired level of functioning.
But
if beta, and perhaps all brain wave training, is actually creating new
neural pathways as a secondary mode of action, and if, as a tertiary mode
of action, is stimulating the production of beneficial neurotransmitters
as suggested by the work of Dr. Meg Patterson and Dr. Ifor Capel, then
it would be reasonable to assume that brain-wave training might actually
increase the level of functioning of an unimpaired subject.
Cranial
Electrical Stimulation
Research
suggestive of just such a hypothesis may be found in the investigation
of cranial electrical stimulation (CES). CES is a technique which introduces
the desirable frequencies by low level electrical currents applied to
the cranium. The medical college at the University of Wisconsin conducted
a study on a commercially available CES device, the BT-5. The purpose
of the study was to determine if the BT-5 would reduce student anxiety
during final exams. The unexpected results were increases in IQ by twenty
to thirty points and a conclusion by the researchers that the "BT-5 (CES)
stimulation appears to enhance neural efficiency..." (Ostrander & Schroeder,
1991, pp. 265-266).
As
with the other forms of brain wave training, CES has a history of research
showing significant improvements in individuals with an impaired level
of functioning. Like the Peniston protocol, CES brain wave training has
had profound beneficial effects on the impaired mental and social functioning
of alcoholics and addicts. CES has enabled some addicts and alcoholics
to go cold turkey without any withdrawal symptoms, apparently through
the stimulation of the production of beneficial endorphins (Ostrander
& Schroeder, 1991). CES brain wave training has been found to be effective
in the treatment of impaired short term memory in alcoholics. With severe
alcoholism, it can take as long as eight years of total abstinence before
short term memory returns to its unimpaired level of functioning. With
CES brain wave training, it can take as little as five days (Ostrander
& Schroeder, 1991).
If neural efficiency is increased, if new neural pathways can be created
and if an impaired state of homeostatic functioning can be reset to a
fully functional one, then all of these technologies and interventions
represent a staggering opportunity to improve the opportunities and quality
of life for broad populations of individuals through brain-wave training.
The
results that Russell and Carter have obtained with a form of beta brain-wave
training which does not involve EEG biofeedback is apparently of the same
calibre as Othmer has received with beta brain-wave training involving
EEG biofeedback. The demonstrated effectiveness of both approaches validates
that one does not need the EEG feedback loop for the brain-wave training
to be effective.
This
demonstration of comparable results means that the significant potential
of brain-wave training does not have to be limited by the fiscal constraints
of EEG biofeedback brain-wave training. Despite the lowered cost of the
LS brain-wave training devices verses the EEG biofeedback equipment, the
LS machines are expensive enough that in an educational setting access
may be a significant problem.
There
is one other more cost effective method of conducting brain-wave training:
binaural- beat audio signals. In the LS machines, the brain waves are
altered through the use of light and sound drivers. In binaural-beat audio
signal brain-wave training, only sound driving is used to alter brain
waves. Binaural-beat audio signals are the final technology we will discuss
and the technology under investigation in this study.
Binaural-Beat
Audio Signals
Binaural-beat
signals utilize a powerful form of audio driving to alter brain- wave
frequencies. In specific forms of intervention, frequencies could be presented
to individuals for brain-ave training in essentially the same manner as
LS brain wave training.
Binaural-beats
signals (BBS's) were first observed by the German scientist H.W. Dove
in 1839. In its simplest form BBS's consist of two pure tones of different
pitch being presented to each ear. Before the advent of electronic occilators,
researchers used tuning forks to produce the tones. Heard in the open
air (monaural beats), the sound will wax and wane due to wave interference.
A subject can hear these monaural beats with just one ear if need be.
Binaural beats occur when the tones are presented separately to each ear.
The sound no longer waxes and wanes in the room, but is heard inside the
subject's head as a tone synthesized by the brain which does not exist
outside of the subject's head (Oster, 1973).
The
brain synthesizes the two sounds into a single experienced tone which
seems to originate from the center of the subjects head. The synthesizing
of the two tones into one experienced tone produces a phenomena known
as hemispheric synchronization, where the electrical activity of the two
hemispheres of the brain unite into a single synchronous pattern with
an overall frequency at the frequency of the difference between the two
original tones. If the difference between the two tones matches a particular
brain wave state, such as 4-8 Hz (Theta), then the overall brain activity
will tend to match that frequency, and hence enter that brain wave state.
This phenomena is referred to as the Frequency-Following Response (FFR)
and is a powerful form of brai-wnave entrainment (Edrington, & Allen,
1985). The FFR can easily take a subject into Beta, Alpha, Theta, or Delta
brain wave states and help them maintain those states.
By
using only audio stimulation for brain wave training, the financial access
to the benefits of brain-wave training is improved. Equipment is reduced
to a simple tape and personal stereo tape player. In the classroom, access
is improved by use of open air speakers which prevents the subjects from
having to wear any equipment at all and thus does not interfere with the
normal structure of a class (Edrington, 1985). But are BBS's as effective
as other means of brain-wave training? In an educational setting, if one
did want to facilitate memory and learning, how effective would BBS's
be?
Existing
research has shown that teachers who have used BBS's in their classrooms
have reported a decrease in student distractibility and an increase in
academic performance (Owens, 1984). A study conducted with an introductory
psychology class found significantly higher scores in the experimental
group on five out of six tests (Edrington 1983). A study conducted at
a government training center found an increase in scores by 30% for Morse
code students (Waldkoetter, 1982a) and 75% on mental-motor skills (Waldkoetter,
1982b) using BBS's in addition to standard teaching procedures. The US
Army has also reported positive results in using BBS's, in this case to
improve acquisition of a second language (Pawelek, & Larson). Such findings
would seem to indicate that in these settings the BBS's are an effective
and worthwhile intervention for improving a student's educational level
functioning.
Variables
in This Study
The
Independent variable was the presence of BBS's on the instrumental music
tape the experimental group listens to; and the absence of the BBS's on
the same instrumental music tape heard by the control group.
Four
dependent variables were used to obtain more data on the types of memory
facilitated by BBS's. These dependent variables were tests administered
to 50 undergraduate students of West Georgia College. The students were
randomly assigned with a double-blind methodology to the experimental
or control groups. Each student listened to a tape of music (Independent
Variable) while being administered a free recall word list test, a novel
word recognition/recall test, and two subtests of the WAIS-R (the digit
symbol, and digit span). The four tests administered were the Dependent
Variables measuring an effect of the Independent Variable on memory.
For
the purposes of this study, memory will be defined as "the ability to
reproduce or recount information that was experienced at an earlier time"
(Domjan, M., & Burkhard, B., 1982, p. 308). Operationally, memory will
be defined by the subject's ability to reproduce on each of four subtests
the information that was presented to them. The more information a subject
is able to reproduce, the higher the subject's score on that test, and
the more "memory" that will be considered to have been recorded.
Based
upon the existing research, I hypothesized that the experimental group
would display a statistically significant improvement in recall over the
control group. I made this hypothesis on the basis of the success of previous
less rigorous studies on BBS's and on the basis of the success of other
forms of beta brain-wave training in the facilitation of human memory
and learning.
Purpose
and Rationale of This Study
None
of the previous research on BBS's have provided adequate controls for
other variables, which might account for the improvement in performance
on memory and learning tasks. Improvements in memory have been demonstrated
with proper controls with other forms of brain-wave training, but this
data is lacking for binaural-beat signals. This study is a step toward
filling in that gap.
Were
the observed results with binaural-beat signals in previous research the
result of placebo effects, a confounding variable or the binaural-beat
signals? If the BBS's do facilitate memory, do they also facilitate an
increased ability to attend as reported by Edrington?
This
study is an attempt to demonstrate, in a repeatable manner, the facilitation
of memory with the use of BBS's under conditions which attempt to control
for confounding variables.
Method
Subjects
50
undergraduate students at West Georgia College participated in the study.
Some, if not most of the students participated for extra credit, or to
meet a course requirement. Five graduate students also participated in
the study but the results of their tests were discarded to prevent skewing
of the results.
Design
A
between-groups design, also known as an independent subject design was
used in the study. Subjects were randomly assigned with a double-blind
methodology to experimental and control groups. A .05 or less significance
level was used to determine whether or not to accept the null hypothesis
(p>.05) or reject it (p<=.05) in favor of the research hypothesis. The
experimental group contained 27 subjects who were presented with a music
tape bearing binaural-beat audio signals while performing four different
learning tasks.
The
control group contained 23 subjects who performed the same four learning
tasks as the experimental group. The music tape that the control group
listened to did not contain the BBSs but was otherwise identical to the
tape the experimental group was presented with.
Latin
Squares
In order to counterbalance any effect of practice or fatigue, the order
of the four learning tasks was presented on a rotating basis known as
"Latin Squares" (Puff, 1982). This was done to insure the even distribution
of any carryover effects from one learning task to another.
Subject
five was returned to the test order presented for subject one, subject
six the same as subject two, ect.. Each group had its own supply of test
packets. This was to maintain rotation of the learning tasks within each
group to ensure the even distribution across subjects of any carryover
effects from one task to another.
Apparatus
The
Independent Variable
The
BBS's used in the study for beta brain- wave training were provided by
The Monroe Institute. There were two tapes, an instrumental music tape
for the control group, and the same tape with BBS's for the experimental
group. The presence or absence of the binaural-beat audio signals was
the Independent Variable. The tapes were presented via headphones and
stereo tape player at a low volume. The researcher maintained control
over the tape volume to prevent any possible confounding of the results
by varied volume levels.
The
Dependent Variables
The
subjects were presented with four different learning tasks: word list
recall (appendix B), German vocabulary list recognition/recall (appendix
C), and from the WAIS-R (1981) the Digit Span, and Digit Symbol subtests.
There are 25 items on both the word list recall, and the German language
vocabulary recognition/recall. The scores on the Digit Span and Digit
Symbol subtests were scaled by age in accordance with the procedures given
in the WAIS-R manual. These four subtests were the dependent variables
in the study.
Procedure
Informed
Consent of Research Subjects
The
experimenter presented each subject with a consent form in compliance
with the West Georgia Institutional Review Board procedure for research
with human subjects. Each subject was instructed to completely read the
consent form, including the description of the experiment, before signing
and proceeding with their participation in the study.
It
was explained to the subjects that the purpose of the experiment was to
determine what effect, if any, listening to these tapes at a low volume
has on memory tasks. It was explained that the tapes do not contain any
subliminal messages, that there will be four separate memory tasks, and
that the whole process should take no more than 45 minutes.
The subjects were also informed that if they were interested in the results
of the study or their personal scores, those would be available to them
after the completion of the study.
Each
subject was instructed to ask the experimenter if they had any questions,
and if not, to sign the consent form if they were still interested in
participating in the study.
Assignment
of Subjects and Pre-Test Period
Each
subject was then randomly assigned to the control or experimental group
by a coin toss. The tapes were labeled K1 and K2 for experimental and
control group respectively. A result of heads resulted in the subject
being assigned to K1, and a result of tails in their being assigned to
K2. At the time of the collection of the data, neither the experimenter
nor subject knew which tape was for the experimental group, and which
was for the control group.
Once
the subject was assigned to a group, the appropriate tape was placed in
the tape player, and the subject was asked to listen to the tape for fifteen
minutes. The fifteen minute period of listening to the tape was to allow
time for the entrainment of the brain waves of the subjects in the experimental
group.
While
the subject was listening to the tape their name was placed on a list
for their professor if they were participating in the study for extra-credit.
They were given a subject number which was placed on the front of their
test packet. Each test packet was also marked for the sex of the subject,
position in latin square rotation, and group.
Presentation
of the Four Tests
At
the end of the fifteen minutes of listening to the tape, each subject
was instructed to continue listening to the tape while being presented
with each of the four subtests. Each subject was presented with the learning
tasks in as uniform a manner as possible.
The
Word List Recall Test
For
the word list recall subtest (appendix B), the subject was told, "I would
like you to take two minutes and look at the words I am about to give
you. When I say "stop" please turn the sheet over. I will provide you
with a second sheet of paper on which I would like for you to reproduce
as many of the words as you can. After five minutes I will again say "stop,"
at which time I would like for you to stop working. If you have any questions
I can repeat these instructions, would you like for me to do that, or
do you want to proceed?"
If needed the researcher repeated the instructions. When the subject indicated
their understanding of the directions the researcher stated, "Ok, let's
proceed." The researcher then presented the subject with the word list,
and timed for three minutes. At the end of three minutes the researcher
stated "stop," and replaced the word list with a blank piece of paper.
At the end of five minutes the researcher again stated "stop," and collected
the recalled list from the subject.
The German Vocabulary Recognition/Recall Test For the German vocabulary
recognition/recall list (appendix C), the subject was told "I would like
you to take three minutes and look at the words and definitions I am about
to give you. When I say "stop" please turn the sheet over. I will provide
you with a second sheet of paper on which I would like for you to fill
as many definitions of the words as you can. After three minutes I will
again say "stop," at which time I would like for you to stop working.
If you have any questions I can repeat these instructions. Would you like
for me to do that, or do you want to proceed?" If requested to do so,
the researcher repeated the instructions.
When the subject indicated their understanding of the directions the researcher
stated, "Ok, let's proceed." The researcher then presented the subject
with the German vocabulary recognition/recall list and timed for three
minutes. At the end of three minutes the researcher stated "stop" and
placed a list of the words without definitions in front of the subject
while retrieving the original word and definition list. At the end of
five minutes the researcher again stated "stop," and collected the recalled
list from the subject.
The
Digit Span and Digit Symbol Tests
The
experimenter presented the Digit Span and Digit Symbol subtests in accordance
with standard test administration procedures for the Wechsler Adult Intelligence
Scale, as outlined in the WAIS-R manual.
Scoring
of Tests
The
Word List Recall and the German vocabulary recognition/recall tests were
scored with one point being assigned for each correct answer. These were
25 item tests yielding a possible score of 0 to 25 points for each subject.
The
Digit Symbol and Digit Span subtests of the WAIS-R were scored and scaled
before being analyzed, in accordance with the procedures outlined in the
WAIS-R manual.
Limitations
In
an attempt eliminate confounding variables a simple posttest-only design
was employed. Each subject was seen in a single interview to be assigned
to a group, be exposed to one of the two levels of the independent variable,
and finally to have the effect of the independent variable measured. While
this design maximized the isolation of the independent variable it did
not provide the independent variable an opportunity to exert a cumulative
effect upon the dependent variable.
This
is an important limitation in this study because of the noted cumulative
effect of brain-wave training. Russell and Carter observed "that the degree
of significant improvement in functioning is related to the number of
treatment sessions" (Hutchinson, 1994, p. 362). Peniston and Kulkosky
also note "Time course analysis of the EEG effects of brain-wave training
revealed that increases in alpha and theta rhythms occurred gradually
across the 15 treatment sessions" (Peniston, & Kulkosky, 1989 p. 276).
The
studies which evaluated student performance over a period of weeks or
months have had the benefit of the cumulative effect of brain-wave training.
The cumulative effect of the binaural-beat audio signals is a part of
the brain-wave training process which was not included in the design of
this study and may have a significant impact on the strength of the response
as measured by the dependent variable.
This
study did not provide for repeated exposures to the dependent variable
due to limitations in resources. A logical next step might be to conduct
this study again with a longitudinal dimension to observe any increase
of performance across repeated sessions, and to observe the effect of
binaural audio signals on learning as well as memory.
Placebo and suggestion effects were deliberately filtered out with a double-blind
design, in order to gain clarity on what role the layered binaural-beat
audio signals play in the positive results obtained with binaural-beat
audio signals. Some of the positive results of previous studies may have
been the result of just such effects, thus the positive results of this
study may not be as profound as in previous research.
Results
There
were four hypothesis used in this research, each postulating that in a
study controlling for confounding variables the experimental group would
display a statistically significant improvement in mean scores over the
control group at a .05 or less significance level.
Hypothesis 1 (H1) postulated a statistically significant higher mean score
for the experimental group as measured by a 25 item word list recall test.
Hypothesis
2 (H2) postulated a statistically significant higher mean score for the
experimental group as measured by a 25 item word list recall/recognition
test.
Hypothesis
3 (H3) postulated a statistically significant higher mean score for the
experimental group as measured by the WAIS-R digit symbol subtest.
Hypothesis
4 (H4) postulated a statistically significant higher mean score for the
experimental group as measured by the WAIS-R digit span subtest.
In
reviewing the data the experimental group does display statistically significant
higher mean scores on three of the four dependent measures, allowing for
the rejection of the null hypothesis for H1, H3, and H4. The obtained
data does not allow for the rejection of the null hypothesis with H2.
Figures one through four display the mean scores with histograms and significance
level.
Word
List Free Recall Results
On
the Word List Recall subtest, the control group displayed a mean score
of 14 correct responses, and the experimental group displayed a mean score
of 15.93 correct responses out of a possible 25. When evaluated with a
t-test for the statistical significance of the result, the value of t(2.5)
is found to fall between a probability of .02 and .01 (df=48). Since this
is less than the minimum significance level of .05, the result is considered
statistically significant.
Word
List Recognition Results
On
the Word List Recognition subtest, the control group had a mean score
of 12.61 correct responses, and the experimental group had a mean score
of 15.04 correct responses out of a possible 25. When evaluated with a
t-test for the statistical significance of the result, the value of t(1.76)
is found to fall between a probability of .10 and .05 (df=48). Since this
is greater than the minimum significance level of .05 the result is not
considered statistically significant.
Digit Symbol Results
The
scaled Digit Symbol subtest displayed a mean score of 9.46 for the control
group, and a mean score of 11.44 for the experimental group. When evaluated
with a t-test for the statistical significance of the result, the value
of t(2.83) was found to be greater than the critical value for a probability
of .01 (df=48). Since this is less than the minimum significance level
of .05, the result is considered statistically significant.
Digit
Span Results
The
scaled Digit Span subtest displayed a mean score of 7.69 for the control
group and 9.85 for the experimental group. When evaluated with a t-test
for the statistical significance of the result, the value of t(2.4) was
found to fall between a probability of .02 and .01(df=48). Since this
is less than the minimum significance level of .05, the result is considered
statistically significant.
Discussion
For
H1 the Word List Recall test, H3 the Digit Symbol test, and H4 the Digit
Span tests, the data does permit the rejection of the null hypothesis
in favor of the research hypothesis. For H2 the Word List Recognition
test, the data does not allow for the rejection of the null hypothesis.
The
data does support binaural-beat audio signals facilitating memory as measured
by the word list recall test. The results of the digit span and digit
symbol tests support the reports of Edrington, who found a decrease in
student hyperactivity and an increased ability to pay attention in class
while using BBS's.
It is reasonable to infer, given the current data, that beta-frequency
BBS's are helpful for those individuals seeking help in free recall memory,
attention and completion of routine tasks.
The
Four Dependent Variables
The
Word List Recall is a simple free recall test, and thus was considered
by the experimenter to be the core dependent variable for examining any
facilitation of memory with binaural-beat audio signals. The facilitation
of memory as measured by higher mean scores on this test in the experimental
group demonstrate that binaural-beat audio signal beta brain-wave training
did facilitate memory.
The
German vocabulary recognition list is more of a combined free recall and
cued recall task and was also expected to be facilitated by the beta-frequency
BBS's. Surprisingly the results for this subtest did not show a statistically
significant increase in memory as the other three subtests did. Since
a Latin Squares rotation of the tests was used, this data is not the result
of the order of presentation.
The
results may mean that the associative memory mechanisms behind remembering
the meanings for a novel set of words were not reinforced as strongly
as the mechanisms behind the pure recall of a word list. These results
are not expected to be a reflection of previous knowledge of German by
some of the subjects. All subjects stated that they did not know German,
and the words used were not similar in sound to the English equivalent.
Given
that previous work in the comparable task of second language acquisition
has reported success with BBS improving performance (Pawelek, & Larson,
1985), the lack of statistically significant mean scores may be an artifact
of the single session limitations of this study. As noted in the limitations
section, brain-wave training has been shown to increase in effectiveness
with repeated sessions.
It
would be interesting to see if the data from administering a foreign language
vocabulary test would have statistically significant outcomes in a longitudinal
study, which would provide for a repeated exposures to beta-frequency
BBS brain-wave training.
The
Digit Span subtest is not only an indication of an ability to recall and
repeat back a series of rote numerical digits, but also of an individuals
ability to attend. The increase in Digit Span should be of interest for
assisting those populations, such as ADHD, with an impaired ability to
maintain their attention on rote memory tasks.
This
data supports the anecdotal reports of teachers and other professionals
who have reported an increased ability to attend (or a decrease in student
distractibility) among their students when using binaural-beat audio signals
(Edrington, 1985). The binaural-beat audio signals should, as reported
by Edrington, reported, be of use in the classroom to increase the students'
ability to attend to the lesson and instructor at hand.
The
Digit Symbol test is timed, and the more the subject must look up the
meaning of a symbol, the less time he has for filling out the meanings.
Heightened memory should facilitate higher scores on this test due to
less time spent going back to the list of symbols and their numerical
equivalents.
However,
the Digit Symbol subtest is not characterized in psychological assessment
as a memory test, but as a performance subtest, measuring the subject's
ability to persevere at routine tasks.
The
increase in performance of the experimental group over the control group
at this task may be significant in its implications for assisting those
populations who have academic difficulty due to an impaired ability to
persevere at routine motor tasks, such as an ADHD child.
Relation
of Obtained Results with Previous Research
The
results support the ability of BBS's to function as an effective stand
alone form of brain-wave training. The research does provide support for
the observations of teachers who have reported increased grades and fewer
behavioral problems with their students while utilizing binaural-beat
audio in the classroom.
The
data is able to support the conclusions of previous research that binaural-beat
audio signals increase a subject's ability to perform free recall tasks,
attend (reduced student distractibility) and persevere at routine tasks
(as measured by the Digit Span and Digit Symbol subtests); three important
dimensions for success in the classroom.
The
beta-frequency BBS brain-wave training did have a positive impact on dimensions
of mental performance known to be impaired in ADHD. This opens the possibility
that beta frequency BBS's may yield comparable results to the beta frequency
brain-wave training conducted with EEG biofeedback and light and sound
machines.
The
results for the German vocabulary recognition/recall list are not able
to support the data on a similar task as reported by Pawelek and Larson
in the BBS facilitation of second language acquisition. This may be an
artifact of the number of brain-wave training sessions used. It would
be interesting to see if the data from administering a foreign language
vocabulary test would have statistically significant outcomes in a longitudinal
study.
A
secondary question of the study was the effect of beta frequency BBS on
attention. Could BBS's be used to help ADHD populations? Striking research
exists with other forms of brain-wave training (Othmer, Russell, & Carter)
facilitating improved performance in ADHD populations. While this study
was not designed to answer the question of how effective beta frequency
BBS's could be with ADHD subjects, its design was organized to look at
one element of ADHD; attention.
In order to gain clarity on the relevance of binaural-beat brain-wave
training for use with ADHD populations, the digit span and digit symbol
subtests of the WAIS-R were administered. The two WAIS-R subtests were
included in the study in order to determine if binaural-beat audio signals
could facilitate the ability to attend and persevere at routine motor
tasks.
Statistically
significant results on the free recall word list test, digit span, and
digit symbol tests, provide support for the conclusion that beta-frequency
BBS's do facilitate improved attention. By inference the BBS form of brain-wave
training should be helpful to ADHD subjects. Based upon the success of
biofeedback brain- wave training, non-empirical BBS research and this
study, further research seems warranted in applied empirical follow-up
studies on the facilitation of memory with beta-frequency BBS's among
both mainstream and ADHD populations.
Recommendations
It would be rewarding to pursue the effect of binaural-beat audio signals
into broader applications. Of particular interest would be the use of
binaural-beat audio signals to help ADHD and unimpaired students function
at a higher level in mainstream classes.
Another study seems to be in order to properly address the question of
whether or not the BBS's can facilitate learning as well as memory. The
differentiation being that learning refers to "enduring effects of prior
experience" (Domjan, & Burkhard, 1982, p. 309) and memory may be a short
lived effect of prior experience. An empirical longitudinal investigation
of BBS brain-wave training on learning would clarify the applicability
of the BBS brain-wave training technology toward learning in normal and
ADHD populations.
Due to the unexpected lack of significant results with the German vocabulary
recognition/recall list, a longitudinal study with foreign language vocabulary
recognition/recall lists would be of interest. Such a study could determine
if this is a task not facilitated by beta frequency BBS brain-wave training,
or if it is facilitated only with repeated brain-wave sessions.
Finally it would be of interest to investigate alpha-theta BBS brain-wave
training in the treatment of alcoholism and drug abuse. If the results
of such a study find comparable benefits to the Peniston protocol, then
the social and educational impact would be wide ranging. Access to an
effective intervention may be opened up to the alcoholic or addict student.
A student may be able to simply go to the school counselor's office to
receive effective, lasting treatment for an acute social and educational
impairment.
Conclusions
Having found binaural-beat audio signals to be an effective method of
facilitating memory on three of the four dependent variables in this study,
it may be inferred that they are a viable form of brain-wave training
and could provide a portable inexpensive method of assisting students
and other individuals in memory tasks. This suggests that the observed
results with binaural-beat signals in previous research were the result
of the binaural-beat signals and not the result of placebo effects or
a confounding variable.
Binaural-beat
audio signal brain-wave training could provide a cost effective non- drug
alternative to those individuals and educational systems seeking to augment
standard techniques. Not only special populations, but mainstream education
could benefit from making widely available a form of brain-wave training
which makes the learning environment more enjoyable and productive.
It is hoped that this research demonstrated binaural-beat audio signal
brain-wave training as a viable alternative to other more expensive and
cumbersome methods of brain-wave training.
Furthermore,
it is hoped that this project will have layed part of the groundwork for
more conclusive applied studies with binaural-beat brain-wave training
in a variety of student populations and educational environments. Continuing
applied research in brain-wave training holds promise to have a profound
positive impact on the learning disabled, special education classes and
the educational system in general.
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