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​Intentions and Stages of Setting Goals

2/11/2021

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By Joseph Duong (Team Member)
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When it comes to procrastination there are many ways that psychology could help in improving how to set goals and hopefully stick to. The process of making a goal can be daunting but know that goal setting is an essential life skill and is universally transferrable to other aspects such as work and studies. One way of increasing motivation is to be mentally prepared and create an intention.

There can be two intentions to goal setting. A goal intention is knowing when, where and how a goal is to occur. An implementation intention helps goal intentions by pairing behaviours as cues with an environment and serves as a stimulus for the behaviour. By doing implementation intentions you’d find that you won’t have to remind yourself about goals anymore, with more practice it will become an association and in psychology associations equal habits.

Goal intentions are the first step in making goals feel less daunting as well as getting you mentally prepared. Goal intentions should be made with a behaviour, time and location. Some examples can include:
  • I will use a guided meditation app and meditate for 30 minutes at 6 am on the floor beside my bed.
  • I will work out at 7 am at my local gym.
  • I will make myself coffee at 11 am in my kitchen.
  • I will study for my upcoming exam at 11:30 am until 1 pm on my study desk in my bedroom.

​Implementation intentions will supplement your goal intentions in supporting concrete behavioural change. Implementation intentions are mostly used for additional behaviours or triggers that would impede your achievements. For these examples I will use “if-then” strategies as it is the most effective form of implementation intention.
  • If my mind wanders while I meditate, then I will focus on mindfully breathing.
  • If I open my door to get ready for gym, then I will check my pockets to see if I’ve brought my gym card.
  • If I turn my coffee machine on, then I will prepare the sugar and cup while the machine heats.
  • If I don’t study, then I will clean my desk for 15 min.
  • If I don’t want to study, then I will open my calendar and organise events.

There are four stages to goal setting and at each stage goal and implementation intentions can be very effective.
  1. Initiating goal action: Goal and implementation intentions can help to cue behaviours as signals with the environment and thus making it easier to establish habit. Additionally, it can help with emotional regulation in getting you better prepared through dealing with uncomfortable emotions as well as prevention from temptation.
  2. Staying on track: monitoring for distractions can be difficult and as a student they can start by writing a first essay sentence to then spend the next three hours on Facebook. Implementation intention will help in minimising maladaptive behaviours that lead to temptation and distraction. Implementation intentions have also been shown to be independent of motivation, that is, implementation intention can have effects that are over and above motivation.
  3. Disengaging from ineffective strategies: it is important to monitor your own strategies and to stop if they have shown no results. Implementation would help in forming detailed approaches to “if” a negative situation arises “then” a different approach could be taken. This will minimise uncertainty surrounding tasks and help with mental clarity.
  4. Keeping willpower strong: this is an important step to self-regulatory management in making sure to not overextend and deplete resources. As Wieber and Gollwitzer identified, willpower is like a muscle, overextending can lead to burning out. Implementation intentions have been shown to bypass burn outs and boost willpower. This is true as it is supported that implementation intentions are independent of motivation. Even on a wet day or a long workday, your implementation intention will get you to still pursue going to the gym. A couple of studies have resulted in a group that have used the implementation intention “If I solve an anagram, then I will immediately start to work on the next one” to solve more anagrams than a control.

Overall, goal and implementation setting are one proven psychological way to fixing the problem of procrastination as well as help us maintain healthy behaviour and reduce problematic procrastinating. There have been many ways to help you achieve. Goal intention has been the most effective way in doing so by specifying behaviour, time and location and drawing associations to habit building. Implementation intention will then assist in difficult tasks by preventing distractions and increasing willpower.
 
References:
Clear, J. (2021, January 6). Achieve your goals: The simple trick that doubles your odds of success. James Clear. https://jamesclear.com/implementation-intentions
Pychyl, T. A. (2010, January 20). Overcoming procrastination: Four potential problems during goal pursuit. Psychology Today. https://www.psychologytoday.com/au/blog/dont-delay/201001/overcoming-procrastination-four-potential-problems-during-goal-pursuit
Pychyl, T. A. (2010, January 21). Implementation intentions facilitate action control. Psychology Today. https://www.psychologytoday.com/au/blog/dont-delay/201001/implementation-intentions-facilitate-action-control
 


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Selective Mutism

2/4/2021

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By Lily Phan (Psychologist)
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What is selective mutism?
Selective mutism is a debilitating condition where an individual, most commonly a child, persistently fails to speak in social situations where speech is expected (Diliberto & Kearney, 2016; Krysanski, 2003; Viana et al., 2009). Associated selective mutism features include excessive shyness, social isolation, and clinging (American Psychiatric Association, 2013). Children with selective mutism often refuse to speak at school, leading to academic or educational impairment (American Psychiatric Association, 2013).

How common is selective mutism and how long does it occur for?
Beesdo, Knappe and Pine (2009) state that childhood is the core risk phase for the development of anxiety symptoms and syndromes, ranging from transient mild symptoms to full-blown anxiety disorders. Typically diagnosed in childhood, selective mutism can last from a few months to several years (Krysanski, 2003). Selective mutism is relatively rare and has not been included as a diagnostic category in epidemiological studies of the prevalence of childhood disorders (American Psychiatric Association, 2013).

Is selective mutism an anxiety disorder?
Yes, as per the
Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-V; American Psychiatric Association, 2013), selective mutism is listed among anxiety disorders. The current review of literature confirms that anxiety is a prominent symptom in many children with selective mutism (Hua & Major, 2016; Muris & Ollendick, 2015). Further, research on the etiology and treatment of selective mutism also corroborates the conceptualisation of selective mutism as an anxiety disorder (Muris & Ollendick, 2015).

Why is selective mutism a thing, and what can be done?

Selective mutism is a heterogeneous disorder associated with a number of individual and family factors including developmental disorders or delay and particular temperamental, personality, environmental, developmental, genetic and physiological factors (American Psychiatric Association, 2013; Hua & Major, 2016; Standart & Couteur, 2003). 

Several randomised studies in the past few years have supported the efficacy of psychosocial interventions based on a graduated exposure to situations requiring verbal communication (Hua & Major, 2016). Less data is available regarding the use of pharmacologic treatment, though some studies suggest a potential benefit (Hua & Major, 2016).

What are the criteria for diagnosis of selective mutism?
The diagnostic criteria for Selective Mutism 312.23 (F94.0), as per the DSM-V (American Psychiatric Association, 2013) are:
Criteria A. Consistent failure to speak in specific social situations in which there is an expectation for speaking despite speaking in other situations. 
Criteria B. The disturbance substantially interferes with the individual's education, occupational achievement, and social communication.
Criteria C. The duration of the disturbance is at least one month and is not limited to the first month of school or kindergarten. 
Criteria D. The failure to speak within the context of an environment is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
Criteria E. The disturbance is not better explained by a communication disorder and does not occur exclusively during the course of Autism Spectrum Disorder, schizophrenia, or another psychotic disorder.

What are differential diagnoses that may be considered?
  • Social Anxiety Disorder;
  • Communication Disorders;
  • Neurodevelopmental disorders and schizophrenia and other psychotic disorders; and
  • Oppositional Defiant Disorder (American Psychiatric Association, 2013; Diliberto & Kearney, 2016).

If you believe you or your child may have selective mutism, you may find it helpful to speak to your General Practice or contact a psychologist.

 

References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Beesdo, K, Knappe, S, & Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatry Clinics of North America. 32(3), 483–524. doi: 10.1016/j.psc.2009.06.002
Diliberto, A. R., & Kearney, C. A. (2016). Anxiety and oppositional behaviour profiles among youth with selective mutism. Journal of Communication Disorders. 56. 16-23. https://doi.org/10.1016/j.jcomdis.2015.11.001
Hua, A. & Major, N. (2016). Selective mutism. Current opinion in pediatrics. 28(1), 114-120. doi.org/10.1097/MOP.0000000000000300
Krysanski, V. L. (2003). A Brief Review of Selective Mutism Literature, The Journal of Psychology, 137(1), 29-40, DOI: 10.1080/00223980309600597
Muris, P., & Ollendick, T.H. (2015). Children who are anxious in silence: A review on selective mutism, the new anxiety disorder in DSM-5. Clinical Child and Family Psychology Review. 18, 151–169. https://doi.org/10.1007/s10567-015-0181-y
Standart, S. & Couteur, A. L. (2003). The quiet child: A literature review of selective mutism. Child and Adolescent Mental Health. 8(4): 154-160. doi.org/10.1111/1475-3588.00065
Viana, A. G., Beidal, D. C., & Rabian, B. (2009). Selective mutism: A review and integration of the last 15 years. Clinical Psychology Review. 29(1), 57-67.
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    Lily Phan Psychology

    Lily has almost a decade of field experience working with children and parents, adolescents, adults, and families in private practice, hospital, and community settings. ​Lily is passionate about her work as a psychologist and believes in the value of therapy not only for reducing symptoms and improving mental health, but also for clients to learn skills and tools to create more fulfilling and meaningful lives. 

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