Stabilizing ADHD Part 1: Forming Habits

Struc1

Stabilizing ADHD Part 1: Forming Habits

Christian Rabhansl

 

Rituals and ADHD? At first glance, this may not quite fit together. ADHD is often associated with restlessness, impulsivity, and difficulty in self-organization, while rituals are more likely to stand for repetition, structure, and reliability. And yet this is where an exciting connection lies. Because people with ADHD often have not too little willpower, but too little stable inner structure. What others seem to simply succeed, starting a day, prioritizing tasks, taking action, often requires significantly more internal control in ADHD. It is precisely at this point that rituals can play a decisive role.

Rituals are more than just habits. They give everyday life a framework, reduce complexity and create orientation. They anticipate decisions, relieve the working memory and help to make recurring transitions – such as getting up, starting work or coming to rest – more reliably. Especially for people with ADHD, they can become a kind of external structure that supports what is often difficult to access internally. Instead of talking about rituals, one could also talk about routines, habits or structuring. But the underlying mechanisms are similar. Recurring processes relieve cognitive processes, stabilize attention and support self-regulation. Rituals thus act less like discipline, but rather like a helpful form of support, a framework that carries without constricting. The following article is about this.

Core mechanisms of habit formation

The work of Lally and Gardner (2013) shows important core mechanisms of habit formation. I would like to discuss this in more detail here. First of all, an important theoretical addition to Bargh (1994) with his model of the “four riders of automation”. Automated processes are therefore characterized by four characteristics: They often take place without conscious perception, are not started intentionally, are cognitively efficient and can only be controlled to a limited extent. It is crucial that these properties do not necessarily have to occur together, but can vary independently. Automation is therefore not a state, but a multidimensional process.

A first essence of Lally and Gardner (2013) we have herewith: Habits = Cue → Behavior → Automation. According to Lally, habits are automatic reactions to situational cues.  Behavior is no longer consciously decided but activated by a trigger in the context. Let’s take two examples: After breakfast → walk. Before breakfast → Meditation. The trigger could be something as simple as the finished porridge on the table.

The central mechanism here is the repetition in the same context. And this is crucial and thus another important essence. Repetition + stable context = habit formation. What happens? The brain links the situation with the action and alternative actions become less accessible.  The important point here is that it is not the repetition alone that works, but the always the same situation. In this context, Ouellette and Wood (1998) show that contextual stability plays a decisive role in which control mechanism becomes effective. If the context remains stable, behavior can be increasingly automatically triggered by habits. If the context changes, on the other hand, the behavior again falls more under conscious, intentional control. Context thus acts to a certain extent as a switch between automated and deliberately controlled behavior.

Wood et al. (2005) showed that habitual behaviors are highly dependent on the contextual stims that were learned with repeated execution in the same environment. Her study of students who moved to a new university showed that previously established habits (e.g. sports, reading newspapers, watching TV) were only continued if central aspects of the original execution context remained constant. On the other hand, if the situation changed significantly, such as the place where an action typically took place, the automatic triggering of the behavior was clearly disturbed, and the behavior again fell under the control of conscious intentions. This can be attributed to the fact that the associations formed in memory between stable situational features and the action could no longer be activated if these features disappeared or changed. In such cases, the execution of the behavior again required more deliberative, intentional control, since the familiar contextual triggers were missing.

Another important essence is automation. Automation is asymptotic. This means that the strength of habit increases rapidly at the beginning and then grows more and more slowly. First repetitions have a big effect, later ones bring only small gains. The repetition in the same context or after a stable trigger is particularly decisive – so the behavior can be increasingly automated. Habits do not develop suddenly, but along a continuum from conscious to automatic. In the sense of Bargh (1994), this transition means that behavior becomes increasingly less conscious, less intentional, more efficient and more difficult to control voluntarily. Therefore, it is not perfection that is important, but sufficiently consistent repetition over a longer period of time until the behavior stabilizes.

Another study by Lally et al. (2010) systematically examines for the first time how habits actually arise in everyday life. For this purpose, participants performed a self-selected behavior daily in the same context over 12 weeks and regularly reported how automatically this behavior felt. The focus is not only on repetition itself, but on the development of automatism. A central result is that habit formation does not follow a linear course, but an asymptotic curve. The automation initially increases rapidly, but then flattens down more and more until an individual plateau is reached. Earlier repetitions thus have a particularly large effect, while later repetitions mainly serve for stabilization. This makes it clear that habits do not arise suddenly, but gradually approach each other. On average, participants needed about 66 days to achieve 95% of their maximum automation. At the same time, there was a considerable range of 18 to 254 days, which clearly refutes the often cited “21-day rule”. Habit formation is therefore not a fixed time, but an individual process, which is influenced by factors such as the regularity of execution and the complexity of behavior. Simpler actions tend to be automated faster than more complex ones. Another important finding is that individual omissions hardly affect the process. The decisive factor is not perfection, but long-term consistency. Overall, the study shows that habits must be understood as a gradual transition from conscious action to automated behavior, a process that takes time but is robust against small interruptions.

Another important essence of the study (Lally and Gardner, 2013) is the intention. It’s not that important, after all. An important addition is provided by the work of Ouellette and Wood (1998). They show that intention and habit are not opposed to each other, but have different effects depending on the situation. If a behavior is not yet highly habitualized or takes place in a changing context, it is primarily controlled by intention. However, if a behavior has often been carried out in the same context, the habit takes control, and the intention loses influence. So behavior follows two different modes: a conscious, intention-guided mode and an automated, habit-based mode.

It is said that anyone who wants can achieve anything. This seems to be more of a pseudo-knowledge of pop psychology, which does not stand up in reality. After all, wanting is intention.  But the intention alone is not enough, because in the study only about 47% of the intentions were implemented. Therefore, it needs planning, concrete triggers and context. But the intentions are not completely in vain. It just depends. On what? On the if-then plans.

Gollwitzer (1999) shows that so-called if-then plans (implementation intentions) effectively close the gap between will and action. A concrete situation is mentally linked to a specific behavior: “If situation X occurs, then I do Y.” The mechanism of action lies in the targeted pre-activation of a situational clue (cue). The relevant situation is cognitively marked and more easily recognized, while the action is already prepared at the same time. If the defined context is applied, the behavior is triggered with increased probability and less conscious effort, to a certain extent semi-automatic. This shifts the control from mere intent to a context-based trigger. Intentions therefore remain significant, but only develop their effect reliably when they are translated into concrete, situationally anchored action plans.

 

 

Feature Photo by Simone Hutsch on Unsplash.

Share this post

Leave a Reply

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