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2007 Update

Where it all began

Academic Qualifications

Clinical Practice

Cassel Centres

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Awards

Honours and
Distinctions


Publications and
References 1969-2001


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Dr R. H. Brian Costello

Introduction

 

Dr Costello is a Fellow of the American College of Forensic Examiners, Member of the National Faculty of the United States Sports Academy and Chairman of the International Council of Integrative Medicine.  He was certified as a clinical psychologist in 1975 and has practised for 32 years holding a Ph.D. in Clinical Psychology International College of Los Angeles; Diplomates in Neuropsychology, Psych Impairment Evaluation and Rehabilitation. He is a Fellow of the American Psychotherapy Association and American Association of Integrative Medicine. Additionally he holds the postgraduate fellowship degree FCP by thesis in the Psychology of Special Education, London Institute of Teachers and remains certified as an Elementary, Special Education, Swimming and Secondary Teacher with the Victorian Institute of Teachers.

 

Brian conducts a moderate private practice and works with patients internationally on-line and over the phone in complimentary but (not) Alternative Medicine. His work is in immune system strengthening, physical fitness rejuvenation, rehabilitation and cancer and heart risk factor reduction,. in consultation with the patient’s medical practitioner.  He teaches undergraduate and postgraduate Sports Science degree courses as a supervising professor and as the Australian Distance Learning Coordinator for the United States Sports Academy.

Brian uses clinical cognitive behavioural management to treat emotional trauma for psychological and medically related conditions. His specialties encompasses many of the techniques he originated and published when overcoming critical illnesses since 1998.

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Awards and distinctions  

In NOV 2000, Dr Costello was nominated to the Wisdom Award of Honour for the title of Eminent Fellow but declined this after 9/11 when the Wisdom Hall of Fame offices were destroyed. Through exceptional accomplishments in serving humanity, Brian was considered as a very worthy and qualified individual whose life was consistent with other great recipients. Earned during a lifetime of full-time employment spanning 44 years in teaching, clinical practice and research, Brian's colleagues view his professional career, and outstanding research break-throughs in self-treatment as triumphant.

Acclaimed international contributions were nominated for his advancement of knowledge, learning and research in psychology and education. He is featured with admired Americans from many fields of intellectual achievement in the past 50 years.

Honors, Distinctions and Memberships

1966 Award of Merit, Australian Royal Life Saving Society; 1969 Victorian Chamber of Manufacturers Dinstinction; "Electronic Talking Typewriter and Language Translator" Tri-Modality Toy for Teaching Reading ; 1971 Member of the Australian College of Education; 1978 Director at Large, International Council of Psychologists and Australian Area Chairman: ICP (Est in  New York, 1943); 1979 Cambridge International Dictionary of Biographies; 1980 Special Recognition Award in Biofeedback for Genesis Management Services; 1981 Australian National Award for Service to Children; 1985 Project Innovation CA Postdoctoral Fellowship in Computerized Biofeedback Clinical Support Systems; 1987 Meritorious Award in Health Delivery Services, Cassel Institute; 1991 Psych Specialty Executive Board Member of Advisers; Scientific ALMT Achievement of The Year, Project Innovation; 1995 Australian Naval Task Force Award for Service to Veterans; 1996 Member of the National Faculty, United States Sports Academy; 1996 Chairman Forensic Neuropsychology division of the American Board of Psychological Specialties; 1996 Fellow and Diplomate, American Board of Medical Psychotherapists; 1997 US Golden Eagle Award of Excellence; 1997 Award of Distinction for International Forensics Education University of Alabama; 1997 Chief Australian Liaison Officer for the American College of Forensic Examiners and San Diego Crimes Commission Award; Visiting Professor of the University of South Alabama; 1998 Special Award of Merit for Clinical Applications in Brain Laterality; 1998 ACFEI Outstanding Service Award in Computerized Biofeedback; 1999 Chairman, American Board of Psychological Specialties; 2000 Chairman, International Council of Integrative Medicine. 2003 Ambassador of the International Council of Psychologists (Est. New York 1943); 2005 Monash University outstanding contribution for mentoring in Mental Health Services.

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Introduction



Cancer Kill or Cure?

Who's Who Entries

Pain Control Experiment

Distance Learning

Presentations

Pain Control

Integrative Medicine

   

 

Cancer Kill or Cure?

During painful tribulation from JUL 2 1998 onwards, Brian constructed many clinical treatment programs but this time for himself personally, as his own doctor. These programs facilitated of reversal of inoperable, terminal cancer.  

During two years Brian and his wife Jan lived through the hell of four life expectancy use-by dates. The tumour however RE-GREW on two occasions after chemotherapy and his second gastroscopy. Finally, he entered the experimental chemotherapy drug stage but withdrew after two attempts.

On JUL 2 1998 the Biopsy, Gastroscopy, CT and FBP confirmed an advanced oesophageal adeno-carcinoma. This was too extensive in mass for acute surgery or radiotherapy.

 

The CAT Scan report stated: "The tumour measured 13 x 8 x 6 cm, deforming his heart and dislodging the trachea. The soft tissue mass was noted in the posterior aspect of the hilar region and the upper part of the heart in the central mediastinum. The oesophageal lumen was deformed and narrowed throughout this mass and the more proximal oesophagus in the upper thorax was considerably and abnormally dilated. Several enlarged lymph nodes were present on the left side of the mass beneath the aortic arch and on its right side. The mass appeared to end just before the region of the oesophago-gastric junction.

A slightly enlarged lymph node on the right side of the aorta just above the cross of the right hemi-diaphragm and a further slightly enlarged lymph node lay just below the cross of the right hemi-diaphragm with several tiny lymph nodes which were not normally seen lower down beneath the cross of the right hemi-diaphragm on the right side of the aorta".

On SEP 27 2000, his recovery was ratified with corroborated pathology results beyond statistical probability. His General practitioner with three independent specialists reiterated their opinions that no further treatment was necessary. They concluded that, "Whatever was included in the self-help-programs originated as his own doctor, achieved successful facilitation for chemotherapy and radiotherapy". Historically, no one on record suffering a similarly advanced massive tumour had lived this long or achieved these results post diagnosis. Dr Costello's comparative N=1 case study is medically documented from the initial diagnosis, to his full recovery.

   
    Ongoing medical and pathology test summaries were documented with 30 weekly CBC/FBP's, 10 CT's, 2 Biopsies, 2 Gastroscopies, 4 Hospital Discharge reports, 3 Neurology EMG's, 8 X-Rays and 7 Medical reports.
In retrospect from JUL 1998 he was given three months to live and prescribed 24hr slow release morphine, which respectfully he declined.

Being an experienced research scientist and educationalist, Brian developed and implemented over twenty-five self-help-treatment programs. Psychophysiological techniques were originated during: Six months Chemotherapy; Daily intravenous 5-FU (Fluorouracil); Twenty weekly catheter PIC line transfusion pump replacements; Three weekly heavy chemotherapy doxirubicin, Cisplatin and Carbiplaten transfusions for 5 months.

On concluding chemotherapy in SEP 1999, Brian was given five weeks daily palliative radiotherapy of magnitude 6M Volts with two extra chemotherapy courses and in excruciating pain flew to New York to attend executive meetings and chair forensic seminars at the Waldorf Astoria.

Recovery

Fifty-six pathology and medical reports were chronicled from JUL 1998. On 26 JUN 2000 his doctors explained that no additional treatment was necessary.

On 26 SEP 2000, Brian awoke from a lucid-state-dream. He quickly telephoned the Oncologist requesting an immediate CT and also a few more unexpected tests. Pathology report summaries follow:

1. Earlier, the massive tumour had re-grown TWICE after chemotherapy.
2. CT confirmed "neither evidence of active disease nor any form of metastases."
3. FBP/CBC was "essentially normal".
4. Dexa Scan bone mineral density: "normal at 84% of the young male population and femoral neck at 90% of the young adult mean value 0.85 SD" Curiously, Brian was then aged 57.
5. EMGS revealed "no abnormalities except ankle jerk reflex absence due to chemotherapy neuropathy".
6. On 28 DEC 2000, for reassurance Brian requested another complete blood analysis. The FBP pathology results were reported again as "essentially within normal limits".
7. On 19 FEB 2001, chronic numbness and pain to fingers and toes due to chemotherapy neuropathic damage had spontaneously, disappeared.

Un-Expected Positive Side Effects

As a direct result of newly devised integrative techniques, unique side effects ensued during ongoing treatment:

(a) Hand & Foot syndrome neuropathic damage repaired for fingers and toes, previous numbness and pain.
(b) Manometer strength ratio 9:1 pre-post physical ergic strength and agility.
(c) Increased psychological endurance accompanied by insatiable appetite with heightened physical energy.
(d) Increased swimming skill breathing capacity, 30-150 meters.
(e) Elevated spirometry in respiration.
(f) Controlled relaxation: Heart rate 80 to 40 at rest in 30 secs.
(g) Mixed cerebral dominance.
(h) Sharpened kinaesthetic responses and fine-tuned rapid ambidexterity.
(i) Luria Nebraska psychomotor and accelerated finger-thumb touching visual motor speed and accuracy.
(j) Enhanced visual acuity perception and Wepman auditory closure.
(k) Improved vigilance and senses of hearing, vision, flavour and tactile response.
(l) Augmented night vision with spatial relations, figure-ground perception.
(m) Concentration and attention span elevated with minimal fatigue.
(n) Remote memory expansion.



Dr Costello in 2001

(o) Increased written expression skills.
(p) Index finger ring size enlargement for RH from Q to size S and LH from Q to size R, during winter.
(q) Right hand increased size and span; index finger 1.3 cm larger than left.
(r) Super-sensitivity to analgesics and most forms of drugs.
(s) Significantly low alcohol tolerance with delightfully increased affect.
(t) Increased thematic, continuous and recurrent lucid-state-dreaming.
(u) Dream material retrieval from EEG ranges 11-17 Hz.
(v) Private clinical psychology practice was limited but continued throughout courses of chemotherapy and radiotherapy treatment with unusual endurance.
(w) Increased and outrageous humour.
(x) Improvement in singing, whistling, dancing and balance.
(y) Heightened sense of ethics related to placebo surgery, sham risk factor research projects and cross-cultural social mores.
(z) Motivated leisure and hard physical work: Swimming skills, Reading; Shakespeare; Classics; Australian poetry; Folklore and lineage; Design and architectural evolution; Modern and Ancient history; Mythology and Ancient languages; Physics; Microscopy; Astronomy; Cytology; Pathology; Histology; Genetics; Endocrinology; Non-verbal animal communication; Demystification through Sential cognition to explain
things that went bump in the night; Techno nusic, Dancing; Ballroom dancing; Classical music; Golf; Archery; Javelin; Horticulture; Barbecue and Gourmet specialty cooking.

Negative Side Effects

Cramping, nausea and acute dysphagia, backache, baldness, sleep disturbance, bleeding toes including neuropathy ceased. Presently remaining symptoms:

(a) Allergic reactions to most medication.
(b) Moderate tingling sensations to the back.
(c) Inability to perceive time limits if occupied with strenuous/enjoyable physical exertion,work/ sport.
(d) Involuntary arousal responses to visual cues with tangential thinking and embarrassment.

Harvard Alumnus Recognition

On SEP 18, 2000 at the University of New York and in Harvard medical circles, he was considered literally triumphant. Forensic psychiatrist Dr Albert Crum, MD, FRCS wrote in the Harvard Alumni bulletin

"On examination, the saga of his illness as documented by detailed medical records and physician's notes were viewed as an illustration of how Faith and Hope could help an individual to be sustained. What Dr Costello had experienced was classified as a catastrophic crisis, no less significant than that endured by Dr Tenzin Choedra, physician to His Holiness. "Triumph over Torture", Harvard Medical Alumnus 1989 Vol 63 NO1. Dr Costello's mind remained at peace, his body calm, and his immune system stayed vigorous. It was explained to Brian that he had this same Faith and Hope similar to Mother Theresa, and remained socially and intellectually open, highly creative and intensely engaged spiritually.

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Who's Who Entries

1978 International Council of Psychologists Who’s Who; 1979 Cambridge Dictionary of Biographies; 1991 Australian Writers; 1997 International Authors; 1998 ABI Entry in the Directory of Distinguished Leadership; 1998 Man of the Year for Contributions to Society; 2000 Wisdom Hall of Fame nomination for education and research contributions; 2001 NY Empire Whose Who. 2006 Cambridge Who’s Who, 2007 Great Minds of the 21st Century. American Biographical Institute  

 
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  Pain Control Experiment #1
24 Hour Slow Release Morphine

At the onset of treatment, he declined prescribed 24-hour slow release Morphine after taking this for a week simply because he didn't like it.

At later oncology consultations, radical aesophagectomy was recommended "if this possibility was a later option", after intensive chemotherapy. The tumour however re-grew twice aggressively following the second gastroscopy and chemotherapy treatment.

On reflection, telephoning his own undertaker was very awkward so one of Dr Costello's 1965 former students was chosen reluctantly from that profession for the upcoming potential job.

Against all odds, Dr Costello who was diagnosed with inoperable oesophageal cancer in 1998 and given three months to live explained, "Imminent demise may be averted in some cases". Unequivocally he stated firmly that, "Hopefully these new Integrative approaches will facilitate conventional radiotherapy and chemotherapy. Acute pain perception may be controlled optimally by sharp psychophysiological techniques in individualized programs".

Brian continued, "Necessarily remedial programs must be scientifically supported with comprehensive psychological and medical diagnostic assessment. Methods enhance and increase positive neurotransmitter production and stimulate autoimmune strengthening to give measured changes."

Pain Control Experiment #2
ICP Convention 1998

Prior to diagnosis, Dr Costello invited two colleagues from the University of South Alabama to present their papers at the Annual International Council of Psychologists Melbourne conference. Reciprocity was in respect for their Education faculty's hospitality in hosting his 1997 visit and special meetings with the Mobile DA, Forensic labs and Police.  

Although knowing of his inoperable diagnosis, Dr Costello decided not to mention this to his US guests who would otherwise cancel their visit.so he secreted the 5FU PIC transfusion pump in his shirt successfully without detection. During his own presentation on 25th August, he collapsed with dehydration and gave the remaining time allocation to his visiting US colleagues and former co-author and friend John Cheetham. In preference to hospitalisation he signed the hotel's indemnity authority and then spent three hours drowsing in a secured emergency room.

As former ICP Australian Chair and later Director at Large 1979, although suffering excruciating pain to his back, dehydration and painful dysphagia, on recovery that evening, Brian attended the four-hour Annual Banquet accompanied by his loving wife, family and friends.

Pain Control Experiment #3
MELB-NY Return Flight

Forensic psychiatrists, psychologists, pathologists and neurologists were astonished how Brian survived the long Melb-NY return flight for the OCT American Board of Forensic Examiners 1999 AGM convened at the Waldorf Astoria. His acute pain was almost beyond endurance. The NY voyage however, was achieved in agony and against his doctor's advice.

Straight after five weeks 6 Million Volts daily radiotherapy and two weeks adjunct chemotherapy, return tickets were booked. The long air flights were taken against medical advice and his life expectancy use-by-date was extended for the fourth time. To their shock on returning from the US, it was explained that his five weeks intensive radiotherapy and chemo before NY were for" acute symptom palliation". Brian and his wife had not accepted his initial use-by-date from JUL 1998 was "only three months" post-diagnosis, although this was based on gastroscopies, biopsies, weekly FBP's and monthly CT's. It was naturally thought that he was in denial. The anticipated use- by-date had passed but he was not presumed to live much longer.

At an executive meeting, on arrival in NY after the excruciatingly painful air trip from Melbourne, he suffered acute dehydration. Still he managed to encounter some colleagues in not meeting their professional roles as psychologists. Earlier that year he had proposed pro-bono supportive email counselling for Australian servicemen and women serving in the East Timor arena and especially for their families at home. Also, he recommended a completely new Forensic Psychology Military Board. When challenged by an opposing clinician, who asked Dr Costello to speak in more simple terms, Brian curtly retorted, "Can you spell, simply, the word "machete" and in simple terms estimate the number of East Timor killings since this meeting began?" He asked politely to be excused from the remaining meeting which was adjourned for the next day.

Pain Control Experiment #4
Head-butted By His Pet Camel

During radiotherapy and just after withstanding a terrible local bushfire in December, on FEB 6th 2000, Brian sustained a crack-fracture to his T6 vertebra. He was "head-butted" by Jemma, his two-year-old pet camel. Jemma as a surprise Christmas gift from his daughter for the farm's blackberry and bracken weed clearing.

Previously, the poor young camel was conditioned with rough handling so instead Brian then introduced Jemma to new TLC training programs. However, while cleaning out her paddock one afternoon after practice, he bent down to pick up fallen tree branches after a light storm. Without warning he was fiercely head-butted from behind at full gallop, a distance of 20 feet.

Flying mid-air with the ground looming up below, he decided instantly to land "on all fours" through cybernetic imagery for shock absorption, the way a cat cushions a fall. The visualisation worked but landing, hurt terribly. In hot pursuit by Jemma, snorting with flaying feet, in terror Brian sprinted 30 yards to the gate, powered by pure adrenalin.

 

On fast self-examination flat on his back, he was unable to wiggle his toes or even stand up. He remembers thinking, "Please God help me, I've bloody well beaten cancer, survived being killed by a camel and potential brain damage, only to cross the finish-line as a paraplegic".

The strange epitaph imagery as he recollects "Death by Camel", did not seem very amusing at the time. After scrambling to shut the gate he fell over, got up in agony but fell down more heavily, again. Distributive shock ensued rapidly although this he counter-acted because of experience with near-death emergencies. For example, the bushfire nearby the Ibis Lodge farm on DEC 5, 1999.

Pain Control Experiment #5
Escaping from Intensive Care

On FEB 6th 2000, Dandenong hospital emergency staff members were confused on examining admission X-Rays, because Dr Costello discharged himself. Pleading to phone an ambulance to return home, he was told almost humorously, "The only way you can leave hospital is to walk un-assisted" and that besides, he was incontinent and could not walk to the toilet. A well-intended lecturette on pain management ensued during which Brian responded sheepishly with disparaging non-verbals. Controlling tears with a modicum of patience, indignantly he replied that his damp trolley sheet was due to the crushed ice he packed beneath his back, before the Cranbourne ambulance drove him to hospital.  

Considering almost depleted finances due to deliberately reduced caseload because of lengthy chemotherapy treatment, Brian feared the foreboding consequences of prolonged intensive care hospitalisation and also that his immune system was too weak for good recovery.

Encouraged by his loving wife and son while praying he agonized in standing up from the trolley and "walked un-assisted as required" from the emergency ward. This was a very difficult task but preferable to automatic intensive care admission with accompanying medication for six weeks standard pain management.

   




 

Pain Control Experiment #6
Tibetan Religious Festival

Early the next morning with his wife Jan drove Brian to a Tibetan Buddhist Festival in Prahran but mentioned feeling unusually grumpy, fatigued, sad and sore that day.Brian promised he would be there. Coincidentally one of his former patients attended and on seeing Brian who looked like death warmed up, in pain and very grey, cheerfully she offered a Raki-type back massage. Although singularly unimpressed with the festival under pervading circumstances, enlightened understanding of old fashioned friendship was the real lesson of the day.


Dalai Lama Monks Delegation

As a consequence of the head butting, a few weeks later, Brian suffered shingles with radiating intercostal pain following a symmetrical ellipse pattern marking from his chest to T6 vertebra. Happily the FBP administered for Shingles was an unexpected bonus because, metastases was not revealed. He quarantined himself from seeing patients for six weeks at the clinics and in discomfort, learned much more about Shingles.

Pain Control Experiment # 7
Kinetic Disinhibition or Implosion

During recuperation, an undergraduate working in clerical administration was considerately offered a gentle warning to withdraw from potential confrontation but did not heed Brian's several expressed cautions. Consequently abrasive verbal disinhibition resulted out of character with his cheerful demeanour. Although he apologised and was forgiven by the lady in question, a reactive support network conflagration ensued rapidly.

Dr Costello explains that, "Invariably, if provoked whenever trying to control excessive pain build-up, psychophysical reactions implode or explode with accompanying involuntary eruptive externalisation". Gently he continues to explain, "This is one of the most difficult problems for patients to resolve due to adrenergic and involuntary sympathetic fight-flight reactions". The unexpected experiment illustrates with impact, "People suffering acute and chronic pain have limited patience and greatly diminished response repertoire alternatives, so watch out for recoil!".

Pain Control Experiment #8
Jacobs Ladder Re-Visited Backwards

In APR 2000, Brian fell backwards from a stepladder onto a concrete floor but medical attention and analgesics were not sought. Instead, pain control techniques were used with his newly developed methods.

On FEB 26 after the head-butting injury, the hospital admission X-Ray revealed a T6 spinal crack-fracture.

On JUL 4, his X-Ray follow-up revealed a new fresh T5 crack-fracture This was completely unexpected but coincidentally auspicious on that date and equally bewildering to Dr Costello, his friends and doctors,

Some techniques included; Highly sophisticated computerized biofeedback; Percept techniques; Altered-states in EEG perceptual afterimage induction focus; Electrolytic diffusion; Strenuous swimming and water skills training exercises. Most pain responses were desensitized/extinguished without biofeedback and EEG equipment reliance. Entrained biofeedback stimulus response was conditioned for visual imagery

Pain Control Experiment #9
The Second Spinal Fracture

During self-treatment Brian confessed to being unusually crusty and abrasive, as normal frustration reactions without medical treatment/analgesics being sought. No one, including Brian himself had understood how serious his accidental fall from the kitchen sink really was or that he had fractured his spine, yet again. He was reproved solidly by his son and daughter for strenuous work on the farm. Friends joked about his apparent superhuman strength and adolescent accident proneness. Everyone had forgotten how serious the injury was because he meditated more frequently with intense introspection and contemplative techniques. He used advanced pain control exercises, computerized biofeedback, buoyancy with breathing exercises and finally co-piloted turbulence with Stress Relief Percept Techniques.

Pain Control Experiment #10
Swimming For His Life

Withstanding excruciating pain was relentless in eating and drinking during intensive chemotherapy and radiotherapy. This he described as severe "inside-out sunburn." Cancer related stressors were experienced for three years. Dr Costello's self-taught techniques were learned the hard way and evolved urgently with bitter and sometimes even humorous experiences for pain tolerance and threshold endurance.

Without detection but against doctor's orders during chemotherapy recuperation, he camouflaged intravenous PIC dressings with a muscle strain bandage. Disguised carefully with watertight gladwrap, he went swimming.

 

Although taught to be cautious, finally Dr Costello was "virtually sprung" by his endearing chemotherapy nurses because in a hurried mistake, by error he used a different brand of adhesive chemo dressing. Until then his oncologist and nurses presumed he was just plain clumsy with chemo dressings while showering.

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The 1956 Australian Olympics Aperitif for Distance Learning

Timed for the Melbourne Olympics, TV landed in Australia from the US, enhancing our international and Commonwealth spirit through America's good neighbour concept.
Currently, Brian is Chairman for the International Council of Integrative Medicine combining education and research. He is writing five books and developing new courses for the United States Sports Academy.

Early Distance Learning

The advent of informal distance learning originated rapidly with intense enjoyment and free involuntary interest attention for Australian youngsters. A whole New World opened up for Brian while glued to the set for enthralling lessons telecast from Sydney University hosted by our cheerful visiting American physics professors; Julius Sumner-Miller and Harry Messel.

In hindsight, the Epoch of Elementary Distance Learning began with serialised programs such as, "The Mickey Mouseketeers". Exciting discovery learning and story telling occurred via Walt Disney's enlightened "Tomorrow Land, Fantasy and Adventure Land programs". 

Maybe by coincidence a quarter century later in 1982, Brian received the prestigious National Distinguished Service to Children Award previously awarded to Walt Disney and in 1983, won by the Australian Victorian State Police Force for their outstanding community work in originating the nationally famous teenager Blue Light Discotheques.

Again maybe just by coincidence in 1999, Brian was elected Chairman of the American Board of Psychological Specialties for the 20 divisions of the American Board of Forensic Examiners and the following years wrote the Foreword for Dr Albert Crum's acclaimed Percept Stress Relief Techniques used internationally by Police and Law Enforcement agencies.

As a qualified forensic examiner and psychologist, Brian's emphasis in practical Law Enforcement deception detection, embraces strategic programs for "Police and community working together" to achieve exemplary landmarks. Considering one of Dr David Wechsler's legion WAIS IQ subtest items, "Why is a free press important in a democracy?"

Dr Costello states, "Practical notions of fortified liaison should be applied responsibly by professional editorial policy through local press reporting, the international media including TV and Radio interventions. This process should be powered by police agencies through investigative journalism. He says that the media must work mutually with our Police and Law Enforcement agencies to achieve incisive prevention coupled with solid community conscience reinforcers.

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Presentations at Scientific Colloquiums

and Conferences

1975 Australian National University,
1976 Chinese University of Hong Kong,
Tokyo. Itineraries arranged by the
Australian Trade High
Commission later called, Austrade 1978 Itineraries arranged by the UN for Govt and NGO's:
Geneva.
Munich,
Frankfurt,
London,
Paris,
Lyons,
Amsterdam,
Rome,
Stockholm,
Geneva.
1978 Los Angeles,
Sydney
1979 Melbourne
1980 San Diego,
New York
Washington,
Princeton,
1981 New York,
Los Angeles, Tahiti,
1982 Adelaide, South Australia,
1982 Brisbane, Queensland,
1984 Canberra,
1985 The UCLA (Los Angeles).
1987 Melbourne,
Sydney,
New York,
1988 New Zealand,
1990 Moscow,
1990 Chernogolovska,
1994 San Francisco,
1995 Singapore,
1996 San Diego,
Florida,
1997 The UK, Singapore,
Mobile South Alabama,
Del Coronado San Diego,
1999

LA and New York

2001 LA, San Diego, Mobile and Alabama

2002 LA, NY, WDC, Alabama

2003 -- Los Angeles, San Diego, Chicago, Boston,Toronto, London, Scotland, Amsterdam.

2006 LA, San Francisco, San Diego, Alabama.

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Re-Inventing the Wheel For Pain Control?

Burdensome psychological stressors must be removed efficiently and as quickly as possible. However the solitude of pain is indescribable, especially while suffering or even identifying an onlooker's embarrassment with veiled, but empathic discomfort. Frequently this happens in public for example, when shopping. As children we are taught correctly to avoid staring at physically/intellectually impaired people.

Arduously, Brian employed thousands of hours in research, self-observation and record keeping, experimental research, introspection, study and prayer to abate countless reactive stressors. These would have otherwise entailed overwhelming feelings of futility, which in reality is simply a descriptive term for depression.

In Dr Costello's case, sympathy from loved ones and long standing friends was a very positive dynamism. Brian's wife and family alleviated much inevitable despair. But this was difficult when the tumour started to re-grow on two occasions and also, during the unsuccessful experimental chemotherapy drug trials. Stressors need identification for removal/transformation. For example, some people knowing of Dr Costello's increasingly very difficult financial predicament although still persisting with his work throughout treatment. Sadly he remembers those with ambivalence. In particular, a few isolated solicitors and insurance companies left his medicolegal reports unpaid for several years were viewed as a wanting, callous indictment of immature professionalism. When running late with a medicolegal report but informed of his relapse, an officious young lawyer requested immediate reimbursement. There are some pernicious stressors that inevitably need acceptance and these may be extremely difficult to manage in a pitiless society, without caring friends.

Practical thought stopping is considered one of the most essential constructs in effective pain control. This process averts fixation and tangential or concentric thinking because ponderous thoughts create even more burdensome feelings. Reactive depression and frustration undoubtedly increase pain perception through insidiously reduced tolerance. Likewise when seen sobbing, the sufferer unfortunately carries an added burden of worrying even more about those who are worrying about them. Suffering in silence sometimes has merit.

Depression like hostility is a natural frustration outlet but these episodes can be deliberately kept short, for a maximum of 3-5 minutes, "as a tight rule". Following routinely scheduled breaks; depressions can be minimised through purposeful distraction, especially with humour as the best medicine. At other times pre-occupation with hobbies and deliberately self-enforced practical or sometimes menial humdrum work, is in essence exceptional occupational therapy for the wounded psyche.

Hostility frustration reactions like depression may also be dis-inhibited with simple techniques in preference to Hard-targeting those we love or innocent bystanders with open or covert aggressive laser like focus.
Deliberate projective compensation or identification for the wounded psyche can be achieved through logical conflict resolution or even comical slapstick video movies. Tearing up paper/material, or enjoyably smashing unwanted and already cracked crockery releases pent-up anger. Screaming or primal shouting, occasionally silently, likewise offers much relief. The practice golf driving range is an affordable advantage to vent unwanted hostility displacement due to physical and especially emotional pain.

Most of the above techniques including additionally novel methods evolved with urgency through much quiet contemplation; interfacing metaphysics with projection and playing with imaginative syllogisms, lucid dreaming and twilight learning. Brian employed detailed diagnostic assessment data from pathology reports and combined cognitive behavioral programs with advanced computerised biofeedback skills developed and refined since 1979 with his former mentor and research colleague, Dr Russell N.

When suffering chronic and acute pain, basic forms of psychological treatment are appropriately suited to one's personality make-up. Dr Costello contends that this feature as a maxim relies on carefully thorough personality assessment. While benefiting from all of the methods re-discovered and originated,
Brian found induced lucid-dream-states through afterimage perception projection with disinhibition techniques favourable. In particular he made time for being preoccupied with his loved ones and animals. Routinely enforced occupational therapy and menial work was solidly applied with accompanying physical exercise, deliberately motivated interests and leisure.

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Integrative Medicine

As Chairman elected by the International Council of Integrative Medicine, the executive and Board of Governors encourages and support innovative R&D projects. The scientific mission and credo for ICIM's independent role embraces international exemplary membership aspired standards. Without reservation, Brian explains in simple practical terms:  

"Through strengthened research and education, ICIM is tax-exempt non-profit society, established to facilitate the exchange of scientific information for continuous professional development. Our formal mission encourages mainstream medical and complementary management including technologies. With R&D sponsorship, these innovations serve the international community while improving availability. ICIM's independent role embraces an internationally exemplar membership. Our code of ethics generates a creed of open communication to empower a collective spirit of benevolent democratic scholarship."

Previously a cancer sufferer himself, he cautions strenuously and wisely if not vehemently against any forms of pseudo instant miracle cures. This includes un-trialed drugs/treatments not substantiated by empirical research and formal scientific publications with authentic peer-review.  

As a former victim he experienced first-hand with indignant contempt; insidious misrepresentation and even at best much cruel naivety. Unequivocally, he adheres to general maxims of clinical treatment in supporting conventional medical oncology surgery, chemotherapy and radiotherapy.

As ICIM Chairman , Dr Costello urges preventative education and asserts strongly that legislation must be enacted to prevent unbridled wholesale quackery.

Suffering cancer was not easy when given three months to live, against all probabilities Brian continues, "Imminent breakthroughs do occur and death may be averted in some cases. He says that, "Pain perception has an important influence and can be improved if not controlled, through psychophysiological techniques. These approaches increase and thereafter rejuvenate autoimmune system strengthening with resulting feelings of wellbeing".

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