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Attention Span & Productivity – Book Recommendation

Two goldfish in a bowl, one of them reading a thick book. The other one asks: "You’re reading a book called “Attention Span”? Is this some kind of joke?"

“You’re reading a book called Attention Span? Is this some kind of joke?”

In her book “Attention Span“, Gloria Mark explores the impacts of today’s fast-paced technology on our attention spans, productivity, and happiness. She presents a lot of research done both by her own and other teams. Based on that, she offers advice, not only on how to gain more control over our attention, but also on finding balance between productivity and happiness.

Attention Span: A Groundbreaking Way to Restore Balance, Happiness and Productivity by Gloria Mark (2023). [1]

Here are just a few of the findings and insights I found helpful.

Fun facts about attention and productivity

Have our attention spans really decreased?

Maybe you are feeling it yourself? Or maybe you’ve heard humans’ attention spans compared unfavorably to those of goldfish? Well that was a bit unfair. But is it true it that we are switching our attention more often these days than we used to? As it turns out, indeed we are.

Mark reports dramatic findings from her own as well as other people’s research [1], spanning from the early 2000’s to now. In the early years they shadowed people with stop watches. Later, they used computer logging methods to record precisely how long people’s attention remained on one screen, and when they switched their screens, apps, or websites. The measured average time people spent before switching went down steadily from about two and a half minutes in their earliest studies in 2004, to less than fifty seconds in 2021.

Another change that happened along with attention spans shortening is that people were spending more time at their desks and less time in formal and informal meetings. With that, people were becoming more sedentary during their work hours. (That decline already happened pre-pandemic, when most meetings were in person.)

The three high costs of rapid attention switching

Multitasking has rightfully earned a bad rap. Because our attention cannot be divided into more than one focus, we cannot truly to two things in parallel, unless one or both of the activities require little or no attentional resources. For example, listening to an audiobook while cooking is possible if I cook something that requires minimal thinking. If I’m trying to read and follow a new recipe, I’m quickly going to lose the plot in the audiobook. Similarly, I may be able to speak on the phone while painting, but not while responding to incoming texts or emails. Even if it feels like I’m doing both things at the same time, what I am really doing is switching my attention rapidly between them.

There are three problems with rapid attention switching. All three have been well documented over decades of research:

  1. We make more errors. Whether the switching is voluntary or not, our performance on each task is worse when we switch between them, compared to when we first complete one and then the other.
  2. It takes us longer to complete both tasks (again compared to first completing one, then the other).
  3. It increases stress. Diastolic and systolic blood pressure rises, and heart rate variability increases. Those physical markers are consistent with people’s subjective experience. The faster the switching, the more stressed people report feeling.

How can we improve our attention span and productivity?

What NOT to do:

1. Don’t try to focus as long as possible

Mark aims to dispel several myths in her book. The first myth is that we should try to focus as long as possible in order to be most productive.

It turns out that focusing for lengthy periods of time, especially without breaks, is not natural for most people. Just as we are not able to lift weights all day, we can’t stay focused for long stretches throughout the day without breaks. Sustained focus is associated with stress and can only be maintained for a limited time before our performance begins to decline.

There is a physiological basis in the brain that underlies this. When we focus our attention, the regions of the brain that are involved in that task use more oxygen, and accordingly the carbon dioxide content in the blood increases. This causes blood vessels to dilate to remove that waste from the activated part of the brain. Over time, blood velocity decreases as a consequence. When that happens, and the person remains in that sustained focused state, their performance declines. This change in performance that accompanies decreased blood velocity suggests that cognitive resources are not being replenished fast enough while the task continues. [1]

In other words, our brains hit a physical, metabolic limit, and we need breaks. This leads to another recommendation:

2. Don’t try to eliminate all rote, mindless activities

In line with this, Mark challenges the myth that rote, mindless activities have no value. There is no need to cut out all mindless activity like playing silly puzzle games, browsing the web, watching movies, or other easy and non-productive things.

Mark on the contrary suggests that since our attention is limited, it makes sense to pull away when we feel that we have exhausted our cognitive resources. Letting our minds wander while taking breaks with easy tasks, both online and in the physical world, helps us replenish our scarce cognitive resources. With more resources, we are better able to then focus again and be productive.

3. Don’t feel bad if you can’t get into a flow state at work

Another myth that Mark challenges is that we should all be able to get into “flow states” at work.

Flow, a term coined by Mihaly Csikszentmihalyi, is that optimal state of attention where we are so caught up in an experience that we lose touch with the outside world and are unaware that time has passed. We feel joy and excitement, and are at our utmost creative peak. [1]

While people often have flow experiences with creative pursuits such as art, music, craft, design, or also in problem-solving tasks such as coding, Mark and her collaborators found that it rarely occurs in the knowledge workplace. Much of the nature of knowledge work is just not conducive to this kind of creative experience. This doesn’t mean we’re doing something wrong.

What can we do instead to improve our attention span, productivity, and happiness? 

Instead of falling for these myths, Mark suggests we aim for balance and well-being by finding a good rhythm for our attention and productivity.

1. Designing your day:

Design your day based on your own rhythm of attention, knowing that you have peak times for focus. Take advantage of these. Most people have peak focus times around 11 a.m. and midafternoon, but your own peak focus may differ from that. Save your hardest tasks for your peak hours.

When designing your day, recognize the value of “negative space”. In art, negative space refers to the area around a figure and is recognized as an essential part of the art work. In Japanese, the term “yohaku no bi” refers to the beauty of empty space. Design your day to include negative space, which is just as important as the work itself because it helps you achieve a sustainable balance.

2. Coping with external interruptions

Having control over interruptions helps people be more productive.

A good time to intentionally redirect your attention is when you reach a break point in a task, such as finishing writing a chapter or completing a budget—natural places to pause.

It that’s not possible and you do need to interrupt a task: externalize your memory of that unfinished task. For example, write a note about your most important unfinished tasks and a plan for the next step. Mark cites a study by Michael Scullin and colleagues, who found that people who wrote down their unfinished tasks fell asleep significantly faster than the other group. In fact, the more detailed their notes, the faster people fell asleep. [1] This finding can be explained by the Zeigarnik effect: as people lay in bed, unfinished tasks agitated around and around in their minds, stirring up tension.

3. Coping with internal interruptions

It is important to acknowledge that interruptions to our attention can be external as well as internal. We tend to self-interrupt, even when there are no outside triggers that would prompt us to switch attention.

Practice meta-awareness (awareness of your awareness). This means being conscious of what you are experiencing while it is unfolding, for example of the moment you choose to switch screens from work to opening your news browser.

Once you have that awareness, you can ask yourself: what value will I gain by interrupting my work and checking the news? If you’re already on the news site by the time you reach that meta-awareness, you can ask: How much time have I spent here already? Am I gaining any value by staying here? When you have meta-awareness, you can switch your frame of mind from being a passive to an active user of your attention.

Developing the ability to use meta-awareness takes practice. The better able you are to gain a meta-awareness of your behavior, the more intentional you can be in your actions.

Practice forethought by imagining how your current actions might affect your future. For example, before you go on social media or play an online game, spend a moment to think ahead and imagine what your end of the morning might look like if you indulge. The more detailed your visualization is, the easier it is to take an action to course-correct if you need to.

Increase friction: make it harder for your attention to switch. For example, if you know that you like to play a certain game, hide the app in a folder so that it’s harder to get to. Having to search for it will make you pause and increase the chances you’ll become aware and get the chance to make a conscious choice.

Best practices for organizations: increasing employees’ attention spans and productivity

Finally, some changes can only be accomplished on an organizational level. Two recommendations stood out to me in particular:

  • Reducing email
  • Designating quiet time, where responses are not expected

It took Gloria Mark six years to find a company that was willing to cut off email for a full work week as an experiment. When email was cut off, heart rate monitors revealed significantly less stress by the end of the week, and more enjoyment of social interactions. What’s more, people’s attention spans were significantly longer while working on their computers. In other words, they switched their attention less frequently. With the caveat that this was a quasi-experiment in the field, rather than a randomized controlled study, this finding nonetheless offers plausible evidence that email may cause attention spans to decline.

Based on her findings, Mark suggests cutting off email as a no-brainer. However, individuals alone cannot solve the email problem by simply cutting off from it. Email is a problem that needs to be tackled at the organizational and even societal level.

Disappointingly (and surprisingly to me) Mark found that batching email does not help. People who read email in batches showed no difference in stress levels compared to people who checked their email continually. In fact, batching even led to more stress, rather than less, for highly neurotic people. However, simply decreasing quantity helped. People who spent less time daily on email were less stressed—even after controlling for their job demands and job autonomy.

Final note

What I presented here is not meant to be a book summary. I selected only a few insights I gained from the book, and gave my notes a different structure than the book did. I hope you find some of it memorable and applicable.

If you would like to discuss how you or your organization could put some of these suggestions into practice, please let me know.

"Get in Touch" Button to Schedule a phone call or coaching session with Ursina Teuscher

 

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR

 

Picture Credits:

Image created with the assistance of OpenAI DALL-E and Microsoft Designer

 

Reference:

[1] Mark, G. (2023). Attention Span: A Groundbreaking Way to Restore Balance, Happiness and Productivity. Hanover Square Press.

Note: Gloria Mark cites many studies in her book, some of which I mentioned here. I have not read those original studies and am therefore not listing them as direct references for this post.

 



ADHD Tools – Part 2: Future Time Blindness

Tools and Tricks to Improve Your Executive Functioning

Part 2: Time Blindness and Impulsive Choices

In my last post, I wrote about the practice of externalizing memory as an essential part of managing ADHD. Here, I will tackle a different common challenge of ADHD: “time blindness” and impulsive choices.

How Does ADHD Affect Choices About the Future?

ADHD is often associated with difficulties in planning and time management. For example, people with ADHD find it harder than others to estimate time, and to notice how much time passes while they’re doing a task [1, 10, 13].

These practical problems seem to go together with systematic biases in time perspective [8]. For example, one study found adults with ADHD to be more present oriented, and their view of the past as well as the future to be more negative and less positive than that of control participants [2]. The strongest predictor of ADHD were low scores on future-oriented statements that involve planning, organization, and timekeeping.

In line with this, many studies have shown that people with ADHD tend to make more impulsive choices than others [5]. Even when given time to think about their choice, they tend to favor small immediate rewards over larger delayed rewards more often than people without ADHD [7, 11, 12]. These are surprisingly robust findings that have been replicated in many studies and confirmed through meta-analyses, which showed minimal evidence of publication bias [5, 7].

ADHD Hacks Part 2: Taking Care of Your Future Self

Take care of future self, as Part 2 of ADHD Tools: Future Time Blindness.

While ADHD makes planning for the future particularly challenging, very few people complain about making decisions that are too good for their future, such as saving too much money for retirement or eating too healthily.

So, whether or not you have ADHD: would you like to align your daily choices more with your longer-term goals? Here are some tricks that can help us delay gratification and act in the best interest of our future selves.

1. More immediate rewards: reduce time between your action and its consequences

If potential consequences in the future are not enough to motivate you, you may have to add immediate consequences to your actions that align with the direction you want to go in. That means that you reinforce actions that align with your future goals, and make your unwanted actions (e.g., habits you want to break) harder or less rewarding. There are many ways to do this, and it might require some creative thinking to come up with your own tricks. Here are some ideas to get you started.

Calendar and coffee cup as illustration of breaks as rewards.

Breaks as rewards

Schedule your breaks for after you complete a task, instead of taking them as a way to procrastinate before you get started. That way, your natural needs for coffee breaks, meals, relaxation, etc., act as rewards for tasks you’ve completed. After practicing this regularly, your brain will learn to associate your work with the following reward through experience, and starting the task will become a stronger (reinforced) habit. As a nice side effect, you’ll be able to enjoy your breaks more if you feel that you deserve them.

Token-systems

Rewards do not need to be physical for humans (though they can!). Even for children, token systems work really well, where desirable behaviors are rewarded with tokens, which can be saved up and exchanged for a bigger reward (such as a favorite meal, or a new toy). There is no reason to think token systems should be any less effective for grown-ups, just because we think we should not need them anymore in order to motivate ourselves. The only challenge with token systems for adults is that it is usually within our own control to withhold that bigger reward (such as a bigger purchase) until we’ve collected enough tokens. If you’re working towards a real reward, you might want to work with someone who helps you set up a specific token schedule and is “holding” that reward for you.

Symbolic rewards

Rewards can also be entirely symbolic, such as in the form of stickers or “gold stars”. Again, they work even with children, so why not use again what worked in the past? One of my clients made the astute observation that it was precisely their symbolic nature that made stickers effective for her: as opposed to “real” rewards, there was no temptation for her to give herself a sticker for a task she didn’t complete.

If stickers are not your style, maybe color-coded spreadsheets will do the trick to track your progress?

Example of a writer's word count spreadsheet as symbolic reward, as example of ADHD Tools Future Time Blindness

Fast checklists

Create “fast” checklists: break your task up into many sub-tasks that you can check off rapidly, as you work through them. This has the added benefit of making your task more specific and therefore actually easier. It also means, however, that the creation of a “fast checklist” is in itself a task, perhaps the hardest one. Acknowledge it as such, schedule it, and reward its completion. One of my clients had the most success when he added “Write Next Fast Checklist” as the last bullet to his fast checklist.

Make tasks self-rewarding

When possible, make tasks more exciting or interesting (= self-rewarding). This might require some creative thinking, and is not always possible, but might be worth some thought. Can you modify your task to make it more fun, even at the cost of some of its effectiveness? Where this works well is for activities like exercise or chores, which might be more fun when listening to music, podcasts, or audiobooks. For example, Kathy Milkman and her colleagues found that their study participants were more likely to visit the gym when they were combining their exercise with listening to the Hunger Games as an audiobook [9]. They called their trick “temptation bundling”.

Gamify your tasks

The strategy of “gamification” also uses these elements of defining, tracking and rewarding progress. In addition to that, gamification could include timed challenges or competition to make your tasks more exciting. Again, this might not work for all of your tasks, but when it does, it can be very effective.

Work with someone else

Another way to add accountability is to work with someone else. This adds an immediate consequence (someone else’s success) to your showing up for your work. Only use this strategy if you know that you WILL show up for someone else in a way that you wouldn’t for yourself. An example of this is “body doubling”, where you work on your task by yourself, while someone else is present (in real life or virtual via camera), who is also focusing on their own task. Their mere presence can help you stay on track. Additionally, it may boost your motivation and make the task more enjoyable and achievable. If you can’t think of any friends or colleagues who would benefit from this kind of work session with you, consider a virtual platform such as Focusmate, which sets you up with a stranger for virtual sessions.

2. Constrain Future Options
Pre-commitment

Consider restricting the choices of your future self, if you’re sure that your current preference will be better in the long run, but are worried your future self might lack self-control. One of the oldest examples of a pre-commitment strategy was Ulysses’ instruction to his sailors to bind him to the mast of their ship, while it was sailing past the island of the sirens. That way, he would be able hear their enchanting song, but not act on it. Meanwhile, his sailors filled their ears with wax, as a different way of shielding themselves from the same temptation [4]. In modern life, some effective forms of pre-commitments are setting up automatic savings accounts, making plans to exercise with someone else, or throwing out the sugary snacks in your pantry.

Design a strong “default option”

This is a concept from choice architecture. It is essentially a toned-down version of pre-commitment: make your desired option the easiest one. Remove obstacles, so that you will automatically do your planned action, if you don’t make any active and effortful decisions to the contrary. For example, instead of throwing out all sugary snacks, you might just put them out of sight on a higher shelf. Similarly, you might write down meal plan before going grocery shopping, and put those meals in the calendar. Without having to actually constrain any of your options, designing a healthy (but delicious!) default might already make a difference in your eating habits.

Meal plan as default-option. Take care of future self, as Part 2 of ADHD Tools: Future Time Blindness.

Routines are a special case of setting a strong default. In order to build a routine that really sticks, think it through in detail. Design your ideal routine in a way that excites you, or at least feels realistic and friendly. (Always be kind to your future self!) Schedule it, then practice it. Don’t expect it to work right away. Start practicing it as a way of collecting data of what works, and what needs to be planned differently.

3. Visualize the Future

Visualize the future in more detail. In her recent book “Attention Span”, Gloria Mark [6] recommends that we picture ourselves relaxing at the end of the day, in order to find more motivation to be productive during the day.

If you tend to run late for appointments, visualize the people who might be waiting for you, or visualize getting there early enough to greet them as they arrive.

If you want to save more money for retirement, picture yourself as an older person. Several studies have shown that people are more willing to delay monetary rewards after looking at realistic virtual images of their future selves [3]. Real-world tests even have confirmed that this would be a cost-effective, practical, and scalable intervention to nudge people to save more for their retirements [14, 15].

4. Dare to Over-Correct

Do you consistently underestimate how long something should take (even more so that other people)? First of all: recognize the problem. Be honest with yourself as to whether chronic lateness is a problem that affects your relationships, your work, or other aspects of your life. For example, when you have appointments, do others more often have to wait for you than you have to wait for them? If they – even while being polite – see this as a lack of respect for their time, it will affect your relationships.

If you’re serious about wanting to fix this, plan more transition time than you think you need, and extra buffers. Set yourself a challenge of being always early for an entire month, then evaluate whether you like your life better this way. (Bring a book, laptop or phone to keep you entertained while you wait. In case you didn’t know: that’s most likely what other people are doing too, if you rarely have to wait for them.)

Similarly, does chronic lateness affect your work? Do you miss out on opportunities by missing deadlines? If you’re a freelancer or contractor, do you short your own income with estimates that are too optimistic? Try the other extreme for a while. Under-commit and overdeliver, until your time estimation skills become more realistic. Don’t make promises if there is uncertainty.

This might require some sacrifices. It likely requires you to limit to yourself to fewer commitments. You might have to admit in advance that you can’t accomplish as much as you or others would like you to. Will that be painful? Absolutely. But that particular pain is not unique to ADHD. Remember that it’s not your fault that life is so short.

To sweeten the pain: insert buffers into your schedule that double as breaks. Enjoy the break you get when you’re done with a task earlier than you thought.

Ready to Take Care of Your Future Self?

Whether or not you struggle at all with time blindness, or impulsivity, or any other ADHD symptoms: would you like to start taking better care for your future self?

If you’d like to put some of the strategies I mentioned here into practice, or explore others with me, I’m excited to hear from you. I often see people go through astonishing transformations starting with small practical changes. It is always exciting and rewarding for me to be part of that process. I’d love to help you figure out where to start, and how to develop your own tricks that work best with your personal style and preferences.

"Get in Touch" Button to Schedule a phone call or coaching session with Ursina Teuscher

[Update: here are Parts 1 and Parts 3 of ADHD tools]

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR

Picture Credits:

Images 1, 2, and 5: created with the assistance of OpenAI DALL-E and Microsoft Designer
Image 4: picture of stickers donated by my coaching client with permission to share

References:

[1] Barkley, R. A., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L. (2001). Executive Functioning, Temporal Discounting, and Sense of Time in Adolescents with Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD). Journal of Abnormal Child Psychology, 29(6), 541–556. https://doi.org/10.1023/A:1012233310098
[2] Carelli, M. G., & Wiberg, B. (2012). Time Out of Mind: Temporal Perspective in Adults With ADHD. Journal of Attention Disorders, 16(6), 460–466. https://doi.org/10.1177/1087054711398861
[3] Hershfield, H. E., Goldstein, D. G., Sharpe, W. F., Fox, J., Yeykelis, L., Carstensen, L. L., & Bailenson, J. N. (2011). Increasing Saving Behavior Through Age-Progressed Renderings of the Future Self. Journal of Marketing Research, 48(SPL), S23–S37. https://doi.org/10.1509/jmkr.48.SPL.S23
[4] Homer. (2024). The Odyssey (W. C. Bryant, Trans.). Standard Ebooks. https://standardebooks.org/ebooks/homer/the-odyssey/william-cullen-bryant
[5] Jackson, J. N. S., & MacKillop, J. (2016). Attention-Deficit/Hyperactivity Disorder and Monetary Delay Discounting: A Meta-Analysis of Case-Control Studies. Biological Psychiatry. Cognitive Neuroscience and Neuroimaging, 1(4), 316–325. https://doi.org/10.1016/j.bpsc.2016.01.007
[6] Mark, G. (2023). Attention Span: A Groundbreaking Way to Restore Balance, Happiness and Productivity (Original edition). Hanover Square Press.
[7] Marx, I., Hacker, T., Yu, X., Cortese, S., & Sonuga-Barke, E. (2021). ADHD and the Choice of Small Immediate Over Larger Delayed Rewards: A Comparative Meta-Analysis of Performance on Simple Choice-Delay and Temporal Discounting Paradigms. Journal of Attention Disorders, 25(2), 171–187. https://doi.org/10.1177/1087054718772138
[8] Mette, C. (2023). Time Perception in Adult ADHD: Findings from a Decade—A Review. International Journal of Environmental Research and Public Health, 20(4), 3098. https://doi.org/10.3390/ijerph20043098
[9] Milkman, K. L., Minson, J. A., & Volpp, K. G. M. (2014). Holding the Hunger Games Hostage at the Gym: An Evaluation of Temptation Bundling. Management Science, 60(2), 283–299. https://doi.org/10.1287/mnsc.2013.1784
[10] Nejati, V., & Yazdani, S. (2020). Time perception in children with attention deficit-hyperactivity disorder (ADHD): Does task matter? A meta-analysis study. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence, 26(7), 900–916. https://doi.org/10.1080/09297049.2020.1712347
[11] Patros, C., Alderson, R., Kasper, L., Tarle, S., Lea, S., & Hudec, K. (2015). Choice-impulsivity in children and adolescents with attention-deficit/hyperactivity disorder (ADHD): A meta-analytic review. Clinical Psychology Review, 43. https://doi.org/10.1016/j.cpr.2015.11.001
[12] Pauli-Pott, U., & Becker, K. (2015). Time windows matter in ADHD-related developing neuropsychological basic deficits: A comprehensive review and meta-regression analysis. Neuroscience & Biobehavioral Reviews, 55, 165–172. https://doi.org/10.1016/j.neubiorev.2015.04.011
[13] Ptacek, R., Weissenberger, S., Braaten, E., Klicperova-Baker, M., Goetz, M., Raboch, J., Vnukova, M., & Stefano, G. B. (2019). Clinical Implications of the Perception of Time in Attention Deficit Hyperactivity Disorder (ADHD): A Review. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 25, 3918–3924. https://doi.org/10.12659/MSM.914225
[14] Robalino, J. D., Fishbane, A., Goldstein, D. G., & Hershfield, H. E. (2023). Saving for retirement: A real-world test of whether seeing photos of one’s future self encourages contributions. Behavioral Science & Policy, 9(1), 1–9. https://doi.org/10.1177/23794607231190607
[15] Sims, T., Raposo, S., Bailenson, J. N., & Carstensen, L. L. (2020). The Future Is Now: Age-Progressed Images Motivate Community College Students to Prepare for Their Financial Futures. Journal of Experimental Psychology. Applied, 26(4), 593–603. https://doi.org/10.1037/xap0000275

 



ADHD Executive Functioning Tools – Part 1

Tools and Tricks to Improve Your Executive Functioning

Part 1: External Memory

Would you like to get better at managing your attention and daily choices?

In this and my next post, I will describe practical tools and tricks that can help you manage your time and tasks better, especially if you have ADHD. I’ll explain why these practices are particularly essential for people who struggle with ADHD symptoms. However, many of these self-regulation tools are also good practice for everyone else.
Tools and Tricks to Improve Your Executive Functioning - Bionic Brain

Some Misunderstandings About ADHD

In order to understand how people with ADHD might benefit from specific tricks and tools, let me first address some common misunderstandings about ADHD.

1. The Scope of ADHD – a Deficit in Executive Functioning

The label “Attention-deficit/hyperactivity disorder” (ADHD) has long been criticized for being misleading and insufficient at best [47]. It highlights two specific symptoms, but falls short in describing the core or scope of ADHD.

While our understanding of ADHD as a complex phenomenon is still developing [16, 22, 26, 30, 35, 47], a big part of its core problem seems to be a deficit in self-regulation, or “executive functioning” [7, 13, 41]. This includes inefficient use of working memory, and poor engagement of reward circuits, especially for delayed rewards [39, 44, 45, 47].

Executive functions can include the following aspects [3, 6, 23], all of which ADHD can disrupt to varying degrees:

  1. self-inhibition, or self-restraint
  2. nonverbal working memory, or visual imagery
  3. verbal working memory, or self-speech such as your mind’s voice
  4. emotional self-regulation and motivation
  5. planning and problem-solving, or mental play
  6. self-managing with regard to time; anticipating and preparing for the future
2. The Cause of ADHD – Mostly Genetic

Individual differences in executive functioning are almost entirely genetic in origin, in fact it seems to be one of the most heritable psychological traits [18, 31]. ADHD, too, is highly heritable, although there are also some environmental factors, mainly of the biohazard type (such as brain injuries or toxins during pregnancy) that contribute to the risk of developing ADHD [36].

Contrary to popular belief, there is no evidence that ADHD is caused by social or other environmental factors, such as modern technologies, lifestyle, poor parenting, or not enough “rough and tumble play”.

3. The Spectrum of ADHD

Lastly: ADHD is not a pathology, in the sense of a qualitatively distinct category from neurotypicality. Instead, the differences between those who do and don’t have ADHD are quantitative and come on a spectrum. As such, there are also people on the other end of that spectrum, who have exceptional abilities to self-regulate (motor, cognitive, and emotional). A cutoff within the spectrum is needed only for practical purposes, such as qualifying for disability benefits.

How ADHD Affects All Areas of Life

If we consider how essential it is in our adult lives that we are able to manage our thoughts, as well as our emotions and behaviors, it is not surprising that poor self-regulation has far-reaching consequences throughout all areas of life.

An abundance of studies shows that people with ADHD experience more negative outcomes across many domains, including:

  • academic and professional underachievement [1, 17, 24, 27]
  • financial distress [10, 24]
  • higher divorce rates [10]
  • lower ratings of their friendships, social and leisure activities [10]
  • driving accidents and citations [5, 8, 17, 34]
  • substance abuse [1, 11]
  • arrests, convictions and incarcerations [32]
  • psychiatric disorders, including antisocial, addictive, mood and anxiety disorders [11, 12, 46]
  • recent negative life events as measured with the “Life Experience Survey” [20]

Furthermore, ADHD severity seems to be associated with negative life events, even when adjusted for – in other words, independently from – confounding factors such as psychiatric comorbidities, substance use, education, and income [10, 20].

As reflected in these studies, people with severe ADHD struggle in ways that are hard to even imagine for the rest of us, even though I’m sure we are all familiar with some degree of struggles with self-regulation. I trust we all know what it feels like to be distracted or disorganized, to be overwhelmed by a task or by too much information, to cope poorly with strong emotions, to run late for a meeting because we have misjudged or lost awareness of time, or to disappoint someone because we forgot about a commitment we made. For the luckiest among us, those are rare occurrences. For people with severe ADHD, this is every day, all day long.

But since probably all of us would prefer to become better – rather than worse – at regulating our own thoughts, emotions and actions, many of the skills and habits that make life with ADHD more manageable are good practices for all of us.

What Practical Tools and Tricks Can Help You Improve Your Executive Functioning?

ADHD Hacks – Part 1: Get Yourself a Bionic Memory

People with ADHD often experience deficits in working memory [2, 25], which is the ability to actively use or process information held in short-term memory. This impacts many everyday tasks, such as problem-solving, understanding and following instructions, or organizing and prioritizing to-dos.

Working memory capacity also suffers as we get older [14, 43], and it seems safe to say to say that we would all prefer our working memories to be better, rather than worse.

Therefore, the practice of externalizing memory as much as we can is good advice for everyone. Instead of relying on your brain, it is good practice to offload and organize all task-related information outside of our minds – on paper or electronically. If we don’t do that, we are all prone to forget things, lose clarity of what we’re working on, and become chronically stressed by all the “stuff” in our minds.

Here are some practical examples of how to externalize memory.

Calendars

You are probably already using one, or several. Are you already maximizing its usefulness, or could you put more things out of your mind if you put them into your calendar?

Physical reminders

Sticky notes or actual objects in strategic places can remind you what you of need to do when you see them. If you want to make sure you won’t leave the house forgetting that it’s trash day tomorrow, you might stick a note to the door saying “take out trash”. Make sure to remove those physical reminders as soon as you don’t need them anymore, otherwise you will very quickly stop noticing any of them.

Physical reminders as external memory (ADHD Executive functioning tools)

Worried you might forget to clear out the fridge after a night in a motel? (It’s happened to us. Oh, the sadness!) To avoid that, put an ultra-cool beer-cooler – but really anything works – as a place-holder in front of the door, to serve as a physical obstacle/reminder.

Writing things down

This one is obvious, but it goes beyond writing to-do lists. For example, one of my clients had troubles staying focused while reading. She already had made good experiences with journaling in the mornings to clear ther mind, so she decided to also try journaling right before reading. She was happy to report that this enabled her to stay focused on the plot and enjoy a novel in a way she usually couldn’t.

I also find that writing down intrusive thoughts helps many of my clients put those thoughts literally “out of their minds”, and enables them to re-focus on the task at hand.

Decision tools

For important decisions, use decision support tools that help you visualize the problem, rather trying to juggle all your thoughts and feelings in your head. This might be particularly beneficial for people with ADHD, because in tasks that measure analytic decision making competence, adults with ADHD show deficits that are no smaller than their attention deficits [28, 33]. Importantly, low analytic decision competence truly matters in real life: even when measured with hypothetical decisions, low decision-making competence is related to real negative life events [14a]. Therefore, learning how to make good decisions seems like a very worthwhile skill to acquire, not only for people with ADHD.

Task management systems

A classic example is David Allen’s “Getting Things Done” method, which proposes a system of how to offload and organize all task-related information externally. There’s no shortage of other books, programs and apps with similar purposes, and no particular system that I would recommend over any other. Try whichever you find appealing, or create your own system. Keep using whatever works and fine-tune what doesn’t. Don’t try to find the perfect app that will solve all your problems at once. Also, don’t use too many apps, especially if their purposes overlap.

You can go very high-tech, or very analogue. Whatever works for you, as long as it’s outside of your own brain.

Alarms

Again, you’re probably already using those. However, could you use a larger variety of them to start and end different kinds of tasks? If the word “alarm” sounds harsh, choosing a pleasant sound or motivating song can make a difference. But perhaps more importantly, consider how wonderful it will be to NOT have to pay any attention to the clock at all in the meantime. You can fully relax, focus, or be free, until the moment the timer goes off.

You might also consider non-auditory timers. For example, my husband and I wanted get to sleep at a more regular time. (By the way, that is also one of the most often named changes my clients want to make). So he programmed one of our lights to switch off at the same time every night. It is is not a disruptive „light’s out“, just a decorative light clicking out. But it works, since it’s a reminder of something we want to do anyway. The difference between wanting to do something and consistently doing it is sometimes just an programmed light switch.

What other tools and tricks help with executive functioning if you have ADHD?

In this post, I focused on the practice of externalizing memory, since it is such an essential part of managing ADHD. However, deficits in working memory are not the only challenge for many people with ADHD. Another hallmark of ADHD is a difficult relationship to time, especially the future [15, 30a]. This includes poor time estimation [6, 30a, 40]. But also includes a tendency towards impulsive choices, and with that, difficulties to get motivated when consequences are delayed [6, 21, 29, 37, 38].

In my next post, I will discuss these problems in more detail. I’ll provide practical examples of tools that help with delaying gratification and managing time. Whether or not you have ADHD, these practices will help you take better care of your future self.

Stay tuned!

[Update: here are Parts 2 and Parts 3 of ADHD tools]

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR

Picture Credit:

Top image created with the assistance of OpenAI DALL‑E and Microsoft Designer

References:

[1] Able, S. L., Johnston, J. A., Adler, L. A., & Swindle, R. W. (2007). Functional and psychosocial impairment in adults with undiagnosed ADHD. Psychological Medicine, 37(1), 97–107. https://doi.org/10.1017/S0033291706008713
[2] Alderson, R. M., Kasper, L. J., Hudec, K. L., & Patros, C. H. G. (2013). Attention-deficit/hyperactivity disorder (ADHD) and working memory in adults: A meta-analytic review. Neuropsychology, 27(3), 287–302. https://doi.org/10.1037/a0032371
[3] Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94. https://doi.org/10.1037/0033-2909.121.1.65
[4] Barkley, R. A. (2011). Barkley Deficits in Executive Functioning Scale (BDEFS). The Guilford Press.
[5] Barkley, R. A., & Cox, D. (2007). A review of driving risks and impairments associated with attention-deficit/hyperactivity disorder and the effects of stimulant medication on driving performance. Journal of Safety Research, 38(1), 113–128. https://doi.org/10.1016/j.jsr.2006.09.004
[6] Barkley, R. A., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L. (2001). Executive Functioning, Temporal Discounting, and Sense of Time in Adolescents with Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD). Journal of Abnormal Child Psychology, 29(6), 541–556. https://doi.org/10.1023/A:1012233310098
[7] Barkley, R. A., & Fischer, M. (2011). Predicting impairment in major life activities and occupational functioning in hyperactive children as adults: self-reported executive function (EF) deficits versus EF tests. Developmental Neuropsychology, 36(2), 137–161. https://doi.org/10.1080/87565641.2010.549877
[9] Barkley, R. A., Murphy, K. R., Dupaul, G. I., & Bush, T. (2002). Driving in young adults with attention deficit hyperactivity disorder: knowledge, performance, adverse outcomes, and the role of executive functioning. Journal of the International Neuropsychological Society: JINS, 8(5), 655–672. https://doi.org/10.1017/s1355617702801345
[10] Beauchaine, T. P., Ben-David, I., & Bos, M. (2020). ADHD, financial distress, and suicide in adulthood: A population study. Science Advances, 6(40), eaba1551. https://doi.org/10.1126/sciadv.aba1551
[11] Biederman, J., Faraone, S. V., Spencer, T., Wilens, T., Norman, D., Lapey, K. A., Mick, E., Lehman, B. K., & Doyle, A. (1993). Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. The American Journal of Psychiatry, 150(12), 1792–1798. https://doi.org/10.1176/ajp.150.12.1792
[12] Biederman, J., Monuteaux, M. C., Mick, E., Spencer, T., Wilens, T. E., Silva, J. M., Snyder, L. E., & Faraone, S. V. (2006). Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study. Psychological Medicine, 36(2), 167–179. https://doi.org/10.1017/S0033291705006410
[13] Boonstra, A. M., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005). Executive functioning in adult ADHD: a meta-analytic review. Psychological Medicine, 35(8), 1097–1108. https://doi.org/10.1017/S003329170500499X
[14] Bopp, K. L., & Verhaeghen, P. (2005). Aging and Verbal Memory Span: A Meta-Analysis. The Journals of Gerontology: Series B, 60(5), P223–P233. https://doi.org/10.1093/geronb/60.5.P223
[14a] Bruin, W. B. D., Parker, A. M., Corporation, R., & Fischhoff, B. (2007). Individual differences in adult decision-making competence (A-DMC. Journal of Personality and Social Psychology, 938–956.
[15] Carelli, M. G., & Wiberg, B. (2012). Time Out of Mind: Temporal Perspective in Adults With ADHD. Journal of Attention Disorders, 16(6), 460–466. https://doi.org/10.1177/1087054711398861
[16] Castellanos, F. X., Sonuga-Barke, E. J. S., Milham, M. P., & Tannock, R. (2006). Characterizing cognition in ADHD: beyond executive dysfunction. Trends in Cognitive Sciences, 10(3), 117–123. https://doi.org/10.1016/j.tics.2006.01.011
[17] Faraone, S. V., Biederman, J., Spencer, T., Wilens, T., Seidman, L. J., Mick, E., & Doyle, A. E. (2000). Attention-deficit/hyperactivity disorder in adults: an overview. Biological Psychiatry, 48(1), 9–20. https://doi.org/10.1016/s0006-3223(00)00889-1
[18] Friedman, N. P., Miyake, A., Young, S. E., DeFries, J. C., Corley, R. P., & Hewitt, J. K. (2008). Individual Differences in Executive Functions Are Almost Entirely Genetic in Origin. Journal of Experimental Psychology. General, 137(2), 201–225. https://doi.org/10.1037/0096-3445.137.2.201
[20] Garcia, C. R., Bau, C. H. D., Silva, K. L., Callegari-Jacques, S. M., Salgado, C. A. I., Fischer, A. G., Victor, M. M., Sousa, N. O., Karam, R. G., Rohde, L. A., Belmonte-de-Abreu, P., & Grevet, E. H. (2012). The burdened life of adults with ADHD: Impairment beyond comorbidity. European Psychiatry, 27(5), 309–313. https://doi.org/10.1016/j.eurpsy.2010.08.002
[21] Jackson, J. N. S., & MacKillop, J. (2016). Attention-Deficit/Hyperactivity Disorder and Monetary Delay Discounting: A Meta-Analysis of Case-Control Studies. Biological Psychiatry. Cognitive Neuroscience and Neuroimaging, 1(4), 316–325. https://doi.org/10.1016/j.bpsc.2016.01.007
[22] Jadidian, A., Hurley, R. A., & Taber, K. H. (2015). Neurobiology of Adult ADHD: Emerging Evidence for Network Dysfunctions. The Journal of Neuropsychiatry and Clinical Neurosciences, 27(3), 173–178. https://doi.org/10.1176/appi.neuropsych.15060142
[23] Kamradt, J. M., Nikolas, M. A., Burns, G. L., Garner, A. A., Jarrett, M. A., Luebbe, A. M., & Becker, S. P. (2021). Barkley Deficits in Executive Functioning Scale (BDEFS): Validation in a large multisite college sample. Assessment, 28(3), 964–976. https://doi.org/10.1177/1073191119869823
[24] Klein, R. G., Mannuzza, S., Olazagasti, M. A. R., Roizen, E., Hutchison, J. A., Lashua, E. C., & Castellanos, F. X. (2012). Clinical and Functional Outcome of Childhood Attention-Deficit/Hyperactivity Disorder 33 Years Later. Archives of General Psychiatry, 69(12), 1295–1303. https://doi.org/10.1001/archgenpsychiatry.2012.271
[25] Kofler, M. J., Singh, L. J., Soto, E. F., Chan, E. S. M., Miller, C. E., Harmon, S. L., & Spiegel, J. A. (2020). Working memory and short-term memory deficits in ADHD: A bifactor modeling approach. Neuropsychology, 34(6), 686–698. https://doi.org/10.1037/neu0000641
[26] Koutsoklenis, A., & Honkasilta, J. (2023). ADHD in the DSM-5-TR: What has changed and what has not. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1064141
[27] Loe, I. M., & Feldman, H. M. (2007). Academic and educational outcomes of children with ADHD. Journal of Pediatric Psychology, 32(6), 643–654. https://doi.org/10.1093/jpepsy/jsl054
[28] Mäntylä, T., Still, J., Gullberg, S., & Del Missier, F. (2012). Decision Making in Adults With ADHD. Journal of Attention Disorders, 16(2), 164–173. https://doi.org/10.1177/1087054709360494
[29] Marx, I., Hacker, T., Yu, X., Cortese, S., & Sonuga-Barke, E. (2021). ADHD and the Choice of Small Immediate Over Larger Delayed Rewards: A Comparative Meta-Analysis of Performance on Simple Choice-Delay and Temporal Discounting Paradigms. Journal of Attention Disorders, 25(2), 171–187. https://doi.org/10.1177/1087054718772138
[30a] Mette, C. (2023). Time Perception in Adult ADHD: Findings from a Decade—A Review. International Journal of Environmental Research and Public Health, 20(4), 3098. https://doi.org/10.3390/ijerph20043098
[30] Mills, S. (2022). The scientific integrity of ADHD: A critical examination of the underpinning theoretical constructs. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1062484
[31] Miyake, A., & Friedman, N. P. (2012). The Nature and Organization of Individual Differences in Executive Functions: Four General Conclusions. Current Directions in Psychological Science, 21(1), 8–14. https://doi.org/10.1177/0963721411429458
[32] Mohr-Jensen, C., & Steinhausen, H.-C. (2016). A meta-analysis and systematic review of the risks associated with childhood attention-deficit hyperactivity disorder on long-term outcome of arrests, convictions, and incarcerations. Clinical Psychology Review, 48, 32–42. https://doi.org/10.1016/j.cpr.2016.05.002
[33] Mowinckel, A. M., Pedersen, M. L., Eilertsen, E., & Biele, G. (2015). A Meta-Analysis of Decision-Making and Attention in Adults With ADHD. Journal of Attention Disorders, 19(5), 355–367. https://doi.org/10.1177/1087054714558872
[34] Murphy, K., & Barkley, R. A. (1996). Prevalence of DSM-IV symptoms of ADHD in adult licensed drivers: Implications for clinical diagnosis. Journal of Attention Disorders, 1(3), 147–161. https://doi.org/10.1177/108705479600100303
[35] Nigg, J. T., & Casey, B. J. (2005). An integrative theory of attention-deficit/ hyperactivity disorder based on the cognitive and affective neurosciences. Development and Psychopathology, 17(3), 785–806. https://doi.org/10.1017/S0954579405050376
[36] Núñez-Jaramillo, L., Herrera-Solís, A., & Herrera-Morales, W. V. (2021). ADHD: Reviewing the Causes and Evaluating Solutions. Journal of Personalized Medicine, 11(3), 166. https://doi.org/10.3390/jpm11030166
[37] Patros, C., Alderson, R., Kasper, L., Tarle, S., Lea, S., & Hudec, K. (2015). Choice-impulsivity in children and adolescents with attention-deficit/hyperactivity disorder (ADHD): A meta-analytic review. Clinical Psychology Review, 43. https://doi.org/10.1016/j.cpr.2015.11.001
[38] Pauli-Pott, U., & Becker, K. (2015). Time windows matter in ADHD-related developing neuropsychological basic deficits: A comprehensive review and meta-regression analysis. Neuroscience & Biobehavioral Reviews, 55, 165–172. https://doi.org/10.1016/j.neubiorev.2015.04.011
[39] Pollak, Y., Dekkers, T. J., Shoham, R., & Huizenga, H. M. (2019). Risk-Taking Behavior in Attention Deficit/Hyperactivity Disorder (ADHD): a Review of Potential Underlying Mechanisms and of Interventions. Current Psychiatry Reports, 21(5), 33. https://doi.org/10.1007/s11920-019-1019-y
[40] Ptacek, R., Weissenberger, S., Braaten, E., Klicperova-Baker, M., Goetz, M., Raboch, J., Vnukova, M., & Stefano, G. B. (2019). Clinical Implications of the Perception of Time in Attention Deficit Hyperactivity Disorder (ADHD): A Review. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 25, 3918–3924. https://doi.org/10.12659/MSM.914225
[41] Roselló, B., Berenguer, C., Baixauli, I., Mira, Á., Martinez-Raga, J., & Miranda, A. (2020). Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD. BMC Psychiatry, 20, 134. https://doi.org/10.1186/s12888-020-02542-y
[42] Sagvolden, T., Johansen, E. B., Aase, H., & Russell, V. A. (2005). A dynamic developmental theory of attention-deficit/hyperactivity disorder (ADHD) predominantly hyperactive/impulsive and combined subtypes. The Behavioral and Brain Sciences, 28(3), 397–419; discussion 419-468. https://doi.org/10.1017/S0140525X05000075
[43] Salthouse, T. (2009). Major Issues in Cognitive Aging. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195372151.001.0001
[44] Sonuga-Barke, E. J. S. (2002). Psychological heterogeneity in AD/HD—a dual pathway model of behaviour and cognition. Behavioural Brain Research, 130(1), 29–36. https://doi.org/10.1016/S0166-4328(01)00432-6
[45] Sonuga-Barke, E. J. S., Becker, S. P., Bölte, S., Castellanos, F. X., Franke, B., Newcorn, J. H., Nigg, J. T., Rohde, L. A., & Simonoff, E. (2023). ANNUAL RESEARCH REVIEW: PERSPECTIVES ON PROGRESS IN ADHD SCIENCE – FROM CHARACTERISATION TO CAUSE. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 64(4), 506–532. https://doi.org/10.1111/jcpp.13696
[46] Spencer, T. J., Biederman, J., & Mick, E. (2007). Attention-Deficit/Hyperactivity Disorder: Diagnosis, Lifespan, Comorbidities, and Neurobiology. Ambulatory Pediatrics, 7(1, Supplement), 73–81. https://doi.org/10.1016/j.ambp.2006.07.006
[47] Wasserman, T., & Wasserman, L. D. (2015). The misnomer of attention-deficit hyperactivity disorder. Applied Neuropsychology. Child, 4(2), 116–122. https://doi.org/10.1080/21622965.2015.1005487




Does Positive Thinking Help You Reach Your Goals?

Can “positive thinking” really help you change your life for the better and reach your goals? Many motivational speakers and writers seem to believe so, but empirical studies reveal a more complicated picture.

If you want to reach your goals, positive thinking seems to come with some pitfalls.

In particular, in her research spanning decades, Gabriele Oettingen and her colleagues have discovered a powerful link between positive thinking and poor performance [e.g., 1 – 5]. Oettingen’s book “Rethinking Positive Thinking: Inside the New Science of Motivation” [6], and her website detail many of these findings. For example, in one study [2] they asked college students who had a crush on someone to engage in future fantasies about them and a person of their romantic interest. Six months later, the students who had engaged in positive future fantasies were less likely to have started up a romantic relationship with the person. The authors found a similar effect with academic performance: the more students engaged in positive phantasies about their performance on an upcoming exam, the poorer their performance was at the time of exams.

As her book [6] and website detail, Oettingen and her colleagues have performed such studies with participants from different demographic groups, in different countries, and with a range of personal wishes, including wishes related to health, academic and professional success, and relationships [1 – 5]. Consistently, they found correlations between positive fantasies and subsequent poor performance. The more people “think positive” and imagine themselves achieving their desired future, the less they achieve. The reason for this may be that positive thoughts and fantasies can trick your brain into feeling like you have already succeeded, thereby sapping you of the motivation necessary to work hard enough to realize your dreams [1].

So if positive thinking isn’t the best strategy to help you reach your goals, then what is?

Instead of positive thinking, Oettingen suggests “mental contrasting”. This method combines dreams and reality. As Oettingen writes in her book [6], the method brings positive thinking up against a visualization of the challenges that stand in our way. The method is explained in more detail on the website woopmylife.org.

Similarly, in her book “The Positive Power of Negative Thinking” [7], Julie Norem suggests “defensive pessimism” as a cognitive strategy. By imagining worst case scenarios, we can improve problem-solving and make our worries work for us. This can help us manage anxiety and as well as perform better.  

Does mental contrasting – instead of simple positive thinking – really help you reach your goals?

On her website, Oettingen cites a number of studies that have tested the effect of this mental exercise. This page provides a list with links to each study.

More recently, an independent group of researchers conducted a meta-analysis, including a total of 21 empirical studies. They evaluated the efficacy of mental contrasting in combination with implementation intentions for goal attainment [8]. They did find some publications bias, with published studies showing on average a larger effect size than unpublished studies. This is a phenomenon that’s often revealed by meta-analyses, and it is one reason meta-analyses are so important to consider. The authors therefore caution that the actual effect sizes may be smaller than the published studies suggest. Nonetheless, their analysis showed that overall, mental contrasting is an effective strategy for goal attainment.

Do you want to try some mental contrasting on your own goals?

If you’re ready to try this method, check out the many resources (videos, worksheets, and even a free app for Android or iOS) on Gabriele Oettingen’s website. If you think you could benefit from continuing support as you move towards your goals, let’s discuss how I might help.

Contact Ursina Teuscher for help with reaching goals

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR

Picture Credit:

[1] Photo released free of copyrights under Creative Commons CC0, Public Domain via https://pxhere.com/en/photo/539762

References:

[1] Kappes, H. B., & Oettingen, G. (2011). Positive fantasies about idealized futures sap energy. Journal of Experimental Social Psychology, 47(4), 719–729. https://doi.org/10.1016/j.jesp.2011.02.003
[2] Oettingen, G., & Mayer, D. (2002). The motivating function of thinking about the future: Expectations versus fantasies. Journal of Personality and Social Psychology, 83(5), 1198–1212.
[3] Oettingen, G., & Wadden, T. A. (1991). Expectation, fantasy, and weight loss: Is the impact of positive thinking always positive? Cognitive Therapy and Research, 15(2), 167–175. https://doi.org/10.1007/BF01173206
[4] Thinking positive is a surprisingly risky manoeuvre | Aeon Essays. (n.d.). Aeon. Retrieved September 16, 2022, from https://aeon.co/essays/thinking-positive-is-a-surprisingly-risky-manoeuvre
[5] Oettingen, G. (2012). Future thought and behaviour change. European Review of Social Psychology, 23(1), 1–63. https://doi.org/10.1080/10463283.2011.643698
[6] Oettingen, G. (2014). Rethinking positive thinking: inside the new science of motivation. New York: Penguin Random House.
[7] Norem, J. K. (2001).
The positive power of negative thinking. New York: Basic Books.
[8] Wang, G., Wang, Y., & Gai, X. (2021). A Meta-Analysis of the Effects of Mental Contrasting With Implementation Intentions on Goal Attainment. Frontiers in Psychology, 12, 565202. https://doi.org/10.3389/fpsyg.2021.565202



Event Series: Procrastination and ADHD Follow-Through

Free webinar series with Vicki Lind (MS) and Ursina Teuscher (PhD) on Procrastination and ADHD.

Banner for Webinar Series on Procrastination and ADHD with Vicki Lind and Ursina Teuscher

Do you procrastinate? Do you have ADHD? Stalled on a project? 

Start 2023 with a clear plan and support by joining my colleague Vicki Lind and me in a webinar series and support hub. Do you struggle with procrastination or ADHD, or know someone who does? Learn more about procrastination and how to beat it, and get the support you need to follow through on your plans.

Vicki and I will teach three free interactive webinars together in January. Each week has a different focus:

Tue Jan 10, 9-10am PST: Support from Your Heart & Head
Tue Jan 17, 9-10am PST: Support from Others: Co-working, Bookending & Rewards
Tue Jan 24, 9-10am PST: Support from Your Tools: Your Calendar, Lists & Rewards

Following this series, Vicki will offer a February Support Hub, beginning on Jan 31st, Tuesday at 9 am. If you attend two webinars (in the past or now), you are invited to join Vicki and four other members in regular co-working sessions and ongoing encouragement as you carry out each clear, concrete task.

In our first webinar on January 10th, you will:

  • Identify the thoughts that get you off track and learn how to replace them
  • Understand some things about the brain, and what they mean for best practices
  • Get support for one or two essential action items that fit you
Are you ready to spend an hour with us to move ahead?

​Reserve your spot: vicki@aportlandcareer.com or 503-575-8217 or sign up with the form above

Vicki Lind, MS, Speaker at the Webinar on Procrastination and ADHD Ursina Teuscher, PhD, Speaker at the Webinar on Procrastination and ADHD

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR



Dealing With Regret Part II – Advanced Practice

"Signs of Regret" - Art installationPicture credit: Ted Eytan

How do we best cope with regret about our past decisions?

In response and as a complement to my last post, I want to offer an “advanced practice” tool to deal with regret.

Regret is a complicated state of mind and often involves a mix of feelings. It’s worth getting clarity about what’s what.

For example, one on my clients gave up an artistic career in favor or a more practical path. The grief she felt about giving up a dream could easily be confused with regret, but it is not the same thing. You can experience negative feelings about the consequences of your choice without regretting the actual choice. Give yourself permission to dislike some of the consequences of your choice, while acknowledging that you chose the best possible path (or what seemed the best possible path at the time you had to make the decision).

Advanced practice: a tool to deal with regrets

Here’s a tool to help with this [download the pdf here]. Whenever you feel any kind of pain with regards to your past decisions, write down how exactly you feel about it. Then, figure out which parts of the negative feelings are true regrets – as opposed to grief, sadness, anger, resentment, etc. Ask yourself: what do I truly wish I had done differently?

Advanced Practice Tool to Deal with Regret.png

Example: Did I act (or fail to act) against my own values when a better path would have been possible? For instance, did I act out of cowardice, laziness, lack of care for others, lack of kindness, or negligent short-sightedness, against my better judgment? (Laziness and cowardice can include the active avoidance of information and of critical thinking – more about this here.)

If any of this applies, think very practically about how you could act more in line with your values next time. In fact, it’s worth thinking about that anyway – even if you feel that you acted to the best of the knowledge and capability you had at that time.

A good format for this are implementation intentions (explained in more detail here):

Example: If/when I find myself on the fence on whether to reach out to someone, I will remember how much I regretted my inaction last time, and I will take the first step. If it feels awkward, I will remind myself that awkwardness is an acceptable worst-case scenario. Losing a friend is not.

“Mathilde had walked in on her once crying in the coed showers,
had recognized her beautiful alto voice, and had walked out
again, choosing to give the gift of privacy over that of comfort.
Only in retrospect was that the worse choice.”

Lauren Groff – Fates and Furies.

Extra credit practice for true regrets:

Ask yourself: is it really too late, or could I still correct my regretted action or non-actions?

Example: Could I still reach out and try to restore that friendship? Could I still apologize, even if I hurt someone decades ago?

“Through this clear window, she could see how good it all had been.
She had no regrets.

[That’s not true, Mathilde; the whisper in the ear.]
Oh. Christ. Yes, there was one. Solitary, gleaming. A regret.
It was that, all her life, she had said no.”

Lauren Groff – Fates and Furies.

You can download a pdf of the advanced practice tool [here]. If you end up using it, I would love to hear from you! Here you can get in touch and schedule a call or leave me a message.

Contact Ursina Teuscher to discuss the "advanced practice tool to cope with regret", or other topics

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR



Decision Support Tool: Instructions for Creating a “Value Tree”

Part of a value tree of one of my clients

Whenever you have a really big decision to make, the best place to start thinking about it is by identifying what really matters – that is, by clarifying your goals and values. To help with that, the exercise of constructing a “Value Tree” is a great decision support tool. Here you can download a set of instructions on how to create your very own value tree (written by myself and Barry Anderson).

The Research

Value trees (also known as “goal hierarchies” in decision theory) are an established method to support decision-making. Their effectiveness has been evaluated by several independent researchers with real career decisions. Those studies have shown that constructing a goal hierarchy leads people to process more information (Aschenbrenner et al., 1980, Paul, 1984), come up with more specific, rather than generic, goals (Teuscher, 2003), and be more satisfied with their decisions (Paul, 1984).

The Practice

It’s easy to do this exercise by yourself, but the value tree is also great decision support tool to use in a coaching setting. Therefore, a part of our instructions are addressed to counselors, coaches and facilitators who may want to start using this method. A value tree can be especially helpful for couples or groups who are tackling decisions together.

Below are a few examples of value trees that my clients or students created. While you probably won’t be able to read the content in these images, I hope the examples will encourage you to grab your own block of sticky notes and get started – and don’t hesitate to personalize this exercise.

Value Tree as a Decision Support Tool - Client Example

Value Tree Exercise (Workshop on Decision Support Tools by Ursina Teuscher)

Value Tree Exercise (Workshop on Decision Support Tools by Ursina Teuscher)

Value Tree Exercise (Student Example)

Value Tree Exercise (Student Example)

References:
Aschenbrenner, K. M., Jaus, D., and Villani, C. (1980). Hierarchical goal structuring and pupils’ job choices: testing a decision aid in the field. Acta Psychologica, 45:35–49.
Paul, G. (1984). Entscheidungshilfen im Studien- und Berufswahlprozess. Peter Lang, Frankfurt.
Teuscher, U. (2003). Evaluation of a decision training program for vocational guidance. International Journal for Educational and Vocational Guidance, 3:177–192.

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR



Who Should Make Which Decisions in Your Team?

A practical tool and downloadable template to help determine decision authority.

For the most part, my work focuses on helping people figure out HOW to make good decisions. However, in an organization (or family! or any other group of people), the more urgent and conflict-prone question is often WHO should make which types of decisions, rather than how they should make them.

During a conversation with a client lately, I realized that this, too, is a decision that we can approach with the same frameworks and questions that are helpful for other decisions. In this case, the “alternatives” are people within the organization. In other words, each potential decision-maker is one option, and the main challenge is to define which criteria the decision-maker should fulfill in order to bear that responsibility. Once you have defined those criteria, it becomes much more straightforward to assign the right person the responsibility for any type of decision.

Who should decide? How to determine decision authority in your team

I’ve created a template to illustrate and support this process. You can download it here. The spreadsheet as it is here may be too sophisticated for many situations, but you can adapt that general idea, and use it in any way you choose to guide this process within your team. (You should also adapt the set of criteria and their importance weights as you see fit, but the example may help you get started. It was among others inspired by this article.)

 

Who should decide? How to determine decision authority in your team

 

Things to consider when you use this approach to determine who gets to make which decisions in your team:

If there are no trade-offs (i.e., some people score higher than others on all criteria), the decision authority can simply go to the person with the highest total score (Column G). However, if there are trade-offs (as in the example), don’t look only at the totals. Trade-offs between criteria often suggest a way to share the decision.

For this example, given these particular criteria:

  • People with high expertise, but who are not affected by the decision (Team Member 2 in this example) could be advisors to the decision-maker.
  • People who are not affected by the decision in their regular work, if all goes well, but who might be affected by fallout of negative consequences (Team Member 3 in the example), could get a veto role. In other words, the person higher in the chain of command/responsibility might want to let someone else, who is closer to the decision, develop and propose a solution, but they might want to reserve the right to approve it before it is implemented. Criterion 3 here would justify this kind of overseeing role for Team Member 3 for this particular decision (clearly distinguishing this case from a micro-managing leadership style in general).

A possible practical solution for this example:
Team Member 1 could create a proposal, advised by Team Member 2. Team Member 3 would have to approve the proposed solution before it is implemented.

If you have faced the question of “who should make which decisions” in your team, please let me know what you think about this process. I’d love to hear about your experience!

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR



Beat Procrastination Habits With A Three-step Intervention

Do you want to give your productivity a boost? This three-step intervention can help you diagnose and beat some of your most persistent procrastination habits.

Beat Procrastination Habits: Three Step Intervention

Step 1 – Assessment: Diagnose the Problems

Each person is different. What triggers your procrastination?

Procrastination is at its worst when we’re not aware of it. The first step in this intervention is therefore to increase your awareness of what’s tripping you up. You’ll want to get as much insight into yourself as possible, recognizing any problematic habits, or any patterns in your thoughts and behaviors that are getting in your way.

With that goal, keep a productivity journal to collect some data about yourself. You can download a template here and print it out.

Beat Procrastination Habits - Step 1: Assessment with Productivity Journal

Here is how it works: the night before your workday, write a to-do list and a schedule for the following day. Make sure to schedule realistically, including breaks and transition times.
Next to the planned schedule, have an empty column. As your workday unfolds, write into the empty column what you actually did.

– Warning: this may be painful! –

Throughout that day, take notes of what happened when you did or didn’t stay on track. Were there outside interruptions or emergencies? If not, what caused any deviations from your plans? Were you aware, at any moment, that you were procrastinating? What were your thoughts and feelings in that moment?

Keep this log for at least several days (more is better, but they don’t need to be consecutive days), then start analyzing patterns. Are there things that repeatedly throw you off?

This previous post lists some of the most frequent procrastination triggers I’ve observed in my own practice.

Step 2 – Treatment: Change One Thing

After analyzing your logs and seeking patterns, choose one issue to fix: what is the one thing you could do differently that has a potential of making things better? Choose the lowest hanging fruit first. Try an intervention, targeted at one trigger at a time. See it as an experiment you do with yourself. Whatever you try, do it for at least one week, or better yet, three weeks. Keep journaling throughout this time.

If you like the change you see, stick to it for another two weeks, even if it’s hard, because it takes a while for habits to form. By that time you will likely find it easier and will be able to keep the new habit, if it is making a positive difference in your life. If you find it hard to make the change, keep the mindset of a scientist: how could you make it work?

Step 3 – Repeat: Experiment, Tweak and Practice

Remember that this is an experimental approach. Whatever you try, see it as an experiment that may succeed or fail. Either way, you learned something important that will help you fine-tune your work habits.
After going through Step 1 (Assessment) and Step 2 (Treatment), you will likely observe some changes. If you don’t like them, or if you feel that there could be even more improvement, repeat both steps. If your assessment in Step 1 gave you a lot to work with, you may only need to repeat Step 2 by trying a new intervention, or by tweaking what you tried before, to make it work even better.

Also, remember that it takes a lot of time, grit and practice to become an expert, and to truly master a difficult skill. Managing our time (and yourself!) well is an inherently difficult skill to master, so be patient with yourself and don’t give up if things don’t improve right away. Take on your next obstacle and try the next intervention.

It is also a good idea to do the entire intervention with other people, such as with a friend, in a group, or with a coach. Not only does this give you accountability, which sometimes makes all the difference, but it also adds more creative thinking power to the process. When other people are helping you think about your problems, it will be easier to diagnose your triggers and design new solutions that may work for you.

If you would like my help with any of this, schedule your first coaching session or a brief phone call to discuss options.

Set up an appointment with Ursina Teuscher

by Ursina Teuscher (PhD), Portland OR



How to Manage Stress at Work

If your job is causing you a lot of stress, you’re not alone. In a 2014 survey in the US, almost a third (31%) of the workers reported that they typically feel tense or stressed out during the work day. This number is even higher among millenials (18-34 year old workers) than among any of the older generations.

What are the most common causes for stress at work?

So many issues can cause stress at work. The survey lists the following, with the most commonly experienced stressors on top:

  1. Low salariesHow to Manage Stress at Work: Learn a technique that helps you take control and start tackling your top stressors.
  2. Lack of opportunity for growth and development
  3. Uncertain or undefined job expectations
  4. Job insecurity
  5. Long hours
  6. Too heavy of a workload
  7. Unrealistic job expectations
  8. Work interfering during personal or family time
  9. Lack of participation in decision making
  10. Inflexible hours
  11. Problems with my supervisor
  12. Commuting
  13. Physical illnesses and ailments
  14. Problems with my co-workers
  15. Unpleasant or dangerous physical conditions
  16. Personal life interfering during work hours

Does any of this sound familiar when you think or your own job?

What can you do to manage stress at work?

When you search for “stress management techniques”, you’ll mainly find different versions of relaxation techniques. While being able to relax is a good skill to develop and practice, it only gets you so far. It doesn’t really help with most of the work stressors we’ve found here. Also, since there are so many different causes of stress, there is no one remedy that will help them all. Nonetheless, here is my suggestions for a specific technique that can get you started. I call it the “Sort and Tackle” Technique. All you need to begin with is a stack of index cards.

The “Sort and Tackle” Technique

Keep a stack of index cards nearby at work. Whenever you notice that you’re stressed out or frustrated about something, write it down on one card. Once in a while (you can do this as often as you want), do a “sort and tackle”:

1. Sort the cards. There will be some cards that describe stressors you have no control over whatsoever. For example, you may not be able to negotiate your salary. However other cards will describe issues that you may be able to improve in some way, if you are willing to invest some effort, take some risks, or just try something new. For example, you may be able to resolve a conflict with your co-worker, or change some habits to improve your own time management. Move the cards to the top of the pile that describe something you may be able to change. Move the other cards to the bottom that describe issues out of your control. If there are cards about which you are not sure, leave them in the middle for now. You can revisit them later and give them some more thought.

Extra credit: Use the back of each index card to list all kinds of ideas (even bad ones) of how you could improve each stressor. There’s no need to tackle all your problems at once, but collecting your ideas whenever they occur to you will give you something to choose from, once you’re ready to take specific steps.

2. Tackle one. Once you’ve sorted your cards – with the most hopeful, potentially improvable issues on top – pick just one among your top five cards that you want to tackle next. Make a specific plan about how to deal with this issue. For example, if you want to discuss your workload with your boss, you might start by scheduling a meeting with her, or you might start by asking a friend for advice on how you might approach the issue with your boss. Whatever your next step is, define it specifically as to what you are going to do when. It’s better to have a small next step in your calendar than a big but vague “to do” in your head.

And what do you do with the rest of the cards? For now: nothing at all. Until you can come up with reasons to move them to the top of the pile, that is. As long as you have no idea how you could improve the situation from your end, there is also nothing you need to do about it.

Here’s the beauty of this technique: even though you’re only tackling a small part of your problems at any time, this often has positive side effects on all of your stressors. Namely, knowing that you are taking active steps to improve your situation where you can, will give you more peace of mind about the issues that remain out of your control. It truly helps to acknowledge that there are parts of your work that simply suck. Since you can’t do anything about them, there is no point in worrying about them. So don’t throw any of the cards away – keep the whole pile and add to it whenever something new (or old) comes up that stresses you out. However, focus your active efforts and interventions on the top of your pile: on the issues you might be able to improve and are ready to tackle next.

by Ursina Teuscher (PhD), at Teuscher Decision Coaching, Portland OR



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