Biofeedback and applied psychophysiology at the crossroads.

Biofeedback and applied psychophysiology, as tools, as objects of scientific inquiry, and as clinical interventions, have progressed from speculative experiment to data-based research, from trial clinical intervention to efficacy studies and accountability. These are multidisciplinary approaches, crossing the boundary between traditional professions such as medicine, psychology, physical therapy, occupational therapy, and other health care related fields. Along the way we as an Association, our members both scientists and practitioners, have encountered the many hurdles and stumbling blocks that stand in the way of developing new technologies. How we deal with these obstacles shapes us as a group and shapes the perceptions of others who view us. An attempt will be made to place the current development of the field within the context of the rapidly changing health care environment, and to address the challenges, and sometimes conflicting demands, of experimental science and clinical practice.