SCOTT D Miller - For the latest and greatest information on Feedback Informed Treatment

  • About
    • About Scott
    • Publications
  • Training and Consultation
  • Workshop Calendar
  • FIT Measures Licensing
  • FIT Software Tools
  • Online Store
  • Top Performance Blog
  • Contact Scott
scottdmiller@ talkingcure.com +1.773.454.8511

Getting in the Deliberate Practice HABIT

July 22, 2021 By scottdm Leave a Comment

Type the words, “Old habits …” into Google, and the search engine quickly adds, “die hard” and “are hard to break.”  When I did it just now, these were followed by two song titles — one by Hank Williams Jr., the other by Mick Jagger — both dealing with letting go of past relationships.  Alas, in love and life, breaking up is hard to do.

Like it or not, and despite our best intentions, we often end up returning to what we know.  What are generally referred to as, “habits,” researchers in the field of expert performance label, “automaticity,” literally meaning thoughts and behaviors engaged in reflexively, involuntarily or unconsciously.

The evidence shows more than 40% of what we do on a daily basis is habitual in nature; that is, carried out while we’re thinking about something else (1).   While such data might generate concern for most — “that’s a lot of acting without thinking” — the expertise literature indicates its absolutely essential to improving performance.  Simply put, automaticity frees up our limited cognitive resources to focus on achieving performance objectives just beyond our current abilities — a process known as deliberate practice.

So, what’s your sense?  How long does it typically take for new behaviors to be executed without a high degree cognitive effort?

A. 14 days
B. 21 days
C. 36 days
D. 56 days
E. 66 days

Please jot down your answer before reading further.

Did you do it?

Now, before I provide a research-based answer, would you watch the video below?  (It’s fun, I promise)

Having watched the video, would you care to change your answer?  With a self-reported 5-minutes of practice per day, it took Destin 8 months to achieve automaticity on his “backwards bicycle.”  His experience is far from unique.  Turns out, most of us — like many of those in the video who confidently seated themselves on the bike, then failed — seriously underestimate the amount of time and effort required for establishing new, more effective habits.new and old habit

Somehow, somewhere, sometime, someone asserted the road to automaticity was about 21 days (3).  Research actually shows it takes, on average, three times as long and, in many instances, up to 8 months (2)!  Does that latter figure sound familiar?   Complicating such findings is the fact that many of the “habits” studied by researchers are relatively simple in nature (e.g., drinking a bottle of water with lunch, running 15 minutes after dinner).  Imagine a more complex behavior, such as learning to respond empathically to the diverse clients presenting for psychotherapy — and, just so you know, soon to be published research shows such abilities do not improve with experience nor correlate with clinicians’ estimates of their ability — and the challenge involved in improving clinical performance becomes even more apparent.

And did I mention the sense of failure, even incompetence, that frequently accompanies attempts to establish new habits?  It’s understandable why so many of our efforts to improve are short lived.  Frankly, its far easier to see oneself as getting better than to actually  do what’s necessary long enough to improve.  The evidence, reviewed previously on this blog, documents as much (4).

Better Results CoverIn our latest book, Better Results (APA, 2020), we identify a series of evidence-based steps for helping therapists develop a sustainable deliberate practice plan.  Known by the acronym A.R.P.S. (5), it includes:

  • Automated: If you are asking yourself when, you likely never will.
  • Reference point:  Count your steps, not your achievements.
  • Playful: Give in, let go, have fun.
  • Support: Go alone and you won’t go far

Following these steps, we’ve found, helps clinicians maintain their momentum as they apply deliberate practice in their professional development efforts.   To these, I add a precursor: Change your mindset.  Yeah, I know, that results in C.A.R.P.S, meaning “to find fault or complain querulously or unreasonably; be niggling in criticizing minor errors,” but that’s precisely the point.  Recalling that deliberate practice is about reaching for performance objectives just beyond our current abilities, think “small and continuous improvement” rather than “achieving proficiency and mastery.”

Filed Under: deliberate practice, excellence, Feedback Informed Treatment - FIT, FIT, Top Performance

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *


The reCAPTCHA verification period has expired. Please reload the page.

SEARCH

Subscribe for updates from my blog.

[sibwp_form id=1]

Upcoming Training

Oct
01

Training of Trainers 2025


Nov
04

Delberate Practice Café (PLUS) Fall 2025


Nov
20

FIT Implementation Intensive 2025

FIT Software tools

FIT Software tools

LinkedIn

Topics of Interest:

  • Behavioral Health (111)
  • behavioral health (5)
  • Brain-based Research (2)
  • CDOI (14)
  • Conferences and Training (67)
  • deliberate practice (31)
  • Dodo Verdict (9)
  • Drug and Alcohol (3)
  • evidence-based practice (67)
  • excellence (63)
  • Feedback (40)
  • Feedback Informed Treatment – FIT (243)
  • FIT (29)
  • FIT Software Tools (12)
  • ICCE (26)
  • Implementation (7)
  • medication adherence (3)
  • obesity (1)
  • PCOMS (11)
  • Practice Based Evidence (39)
  • PTSD (4)
  • Suicide (1)
  • supervision (1)
  • Termination (1)
  • Therapeutic Relationship (9)
  • Top Performance (40)

Recent Posts

  • Agape
  • Snippets
  • Results from the first bona fide study of deliberate practice
  • Fasten your seatbelt
  • A not so helpful, helping hand

Recent Comments

  • Typical Duration of Outpatient Therapy Sessions | The Hope Institute on Is the “50-minute hour” done for?
  • Dr Martin Russell on Agape
  • hima on Simple, not Easy: Using the ORS and SRS Effectively
  • hima on The Cryptonite of Behavioral Health: Making Mistakes
  • himalaya on Alas, it seems everyone comes from Lake Wobegon

Tags

addiction Alliance behavioral health brief therapy Carl Rogers CBT cdoi common factors conferences continuing education denmark evidence based medicine evidence based practice Evolution of Psychotherapy excellence feedback feedback informed treatment healthcare holland icce international center for cliniclal excellence medicine mental health meta-analysis Norway NREPP ors outcome measurement outcome rating scale post traumatic stress practice-based evidence psychology psychometrics psychotherapy psychotherapy networker public behavioral health randomized clinical trial SAMHSA session rating scale srs supershrinks sweden Therapist Effects therapy Training