Post on 21-Jul-2020
Cognition, Mindsets, and Well-beingStuart Slavin, MD, MEd
Senior Scholar for Well-being Accreditation Council for Graduate
Medical Education (ACGME)
©2019 ACGME
Problematic Mindsets
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Problematic Mindsets
• Viewing performance as identity
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Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
• Negativity bias
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
• Negativity bias• Pessimistic explanatory style
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
• Negativity bias• Pessimistic explanatory style• Maladaptive perfectionism
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
• Negativity bias• Pessimistic explanatory style• Maladaptive perfectionism• Impostor phenomenon
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
• Negativity bias• Pessimistic explanatory style• Maladaptive perfectionism• Impostor phenomenon• Fixed versus growth mindset
©2019 ACGME
Problematic Mindsets
• Viewing performance as identity
• Personalization and self-blame
• Feelings of inadequacy, embarrassment, and shame
• Negativity bias• Pessimistic explanatory style• Maladaptive perfectionism• Impostor phenomenon• Fixed versus growth mindset• Cognitive distortions
(multiple)
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But There’s Hope!!!
©2019 ACGME
But There’s Hope!!!
It’s up to you to create meaning from experience.
©2019 ACGME
But There’s Hope!!!
It’s up to you to create meaning from experience.
And you can do that more positively by cultivating metacognition skills and mindful awareness
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Cognitive Restructuring
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Cognitive Restructuring
ADVERSE EVENT = OUTCOME
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Cognitive Restructuring
ADVERSE EVENT = OUTCOME
False!!
ADVERSE EVENT + YOUR COGNITIVE/EMOTIONAL REACTION = OUTCOME
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Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing
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Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking
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Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision• Fortune-telling
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision• Fortune-telling• Personalization and blame
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision• Fortune-telling• Personalization and blame• Mind-reading
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision• Fortune-telling• Personalization and blame• Mind-reading• Perfectionistic thinking
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision• Fortune-telling• Personalization and blame• Mind-reading• Perfectionistic thinking• I’m the only one struggling this
much (Stanford Duck)
©2019 ACGME
Cognitive Restructuring
Common Cognitive/Emotional Distortions
• Magnifying or catastrophizing• All or nothing thinking • Overgeneralization• Tunnel vision• Fortune-telling• Personalization and blame• Mind-reading• Perfectionistic thinking• I’m the only one suffering this
much (Stanford Duck) • Disbelief if anyone tries to
counter one’s distortions
©2019 ACGME
Cognitive Restructuring
How to Counter
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Cognitive Restructuring
How to Counter
Notice
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Cognitive Restructuring
How to Counter
NoticeLabel
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Cognitive Restructuring
How to Counter
NoticeLabel
Dispute
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Well-being Toolbox
Cognitive restructuring
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Well-being Toolbox
Cognitive restructuringCultivating mindful awareness
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Cultivating Mindful Awareness
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Cultivating Mindful Awareness
Informal practice
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Well-being Toolbox
Cognitive restructuringCultivating mindful awarenessCombating negativity biasCultivating optimismCultivating positive emotions
Emotional self-regulationDealing with difficult peopleInvesting in well-beingAvoiding learned helplessness
Generosity and gratitudeFinding meaning
©2019 ACGME
Viktor Frankl
©2019 ACGME
Viktor Frankl
There is nothing in the world, I venture to say, that would so effectively help one to survive even the worst conditions as the knowledge that there is a meaning in one’s life.
©2019 ACGME
There is nothing in the world, I venture to say, that would so effectively help one to survive even the worst conditions as the knowledge that there is a meaning in one’s life. There is much wisdom in the words of Nietzsche, “He who has a why to live for can bear almost any how.”
Viktor Frankl
©2019 ACGME