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What you need to know before choosing online therapy

Become an informed consumer of telepsychology services—learn factors to take into account when considering online therapy and explore additional resources.


With the click of a mouse or the tap of an app, you can have instant and inexpensive access to a therapist, or so make the claims of many new tools and technologies that want to take psychotherapy out of the therapist’s office and into whatever location you are connected to the Internet. Using the Web can be convenient for the many people who are comfortable using the Internet and looking for help.

But before you sign up, log in, and start chatting, there are points to consider about telepsychology.

Psychologists commonly refer to any therapy delivered by telecommunication tools or devices as telepsychology. You may hear it called Web therapy, phone therapy, text therapy or online therapy. Anytime you’re interacting with a psychologist using a website, a phone or a mobile app, you could be taking part in telepsychology services.

Technology can contribute to an evolution in how people receive psychotherapy or work with a psychologist. Researchers are taking great interest in telepsychology and telehealth, evaluating how well it works, especially compared to in-person, in-office psychotherapy sessions. But much like the technology, the research is still new, and there is a lot science doesn’t yet know.

There are a few points to consider before signing up for any services that are offered exclusively online or by telephone.

Why people like Web therapy
Web therapy has a lot of promise and offers benefits compared to in-person psychotherapy.

It can be convenient. Online therapy can take less time away from the office or your workday or worry about traffic. No need to travel miles to meet up with your psychologist. Dial a number or log in to a site, and the session can happen wherever you are comfortable.Compared to traditional in-person therapy, it can sometimes appear less expensive. Some apps will advertise pricing that provides unlimited use for a weekly or monthly fee. Or the online session may seem significantly lower than in-office visits. If you’re not interested in using health insurance for psychotherapy, this can be a benefit. More about insurance and online therapy is discussed in the next section.Online communication is very comfortable for many people, especially younger adults or those who use technology often. More people are using email, webinars and text messaging to communicate, and it can seem more comfortable or easier than talking to someone in person, especially when revealing personal or private information.It can provide access to those who can’t get to an office. In some rural communities, the nearest psychologist office may be an hour or two drive away. Some people with chronic illnesses or disabilities may not be able to drive or easily able to leave their home. In these situations, Web- or telephone-based therapy may be their only option for help.
What you need to think carefully about regarding Web-based therapy
Despite the potential benefits, psychologists caution that Web-therapy may not be the best option for everyone or every situation in need of professional support. Here are a few points to consider or ask before signing up:

Is this the right tool to help me? The research hasn’t yet shown that stand-alone therapy online or via texting is effective for everyone in every situation. Some sites advertise that they offer therapy, but those claims may be misleading or false. For example, the people behind the apps may not be licensed or qualified to provide therapy.Is the therapist licensed? Licensing protects you. Therapist and psychotherapist are not legally protected words in most states, meaning anyone can claim to be a therapist and offer services that may appear as therapy. It may not always be easy to know that you are receiving evidenced-based psychotherapy.

All psychologists and other professional health providers must be licensed by the state in which they practice. Licensure laws protect you by ensuring only those who are trained and qualified to practice receive a license. It also ensures that you have recourse if there are problems with your treatment. Before you sign up for any Web services, find out who you are working with, if he or she has a license, where that license is held and the license number. Most states offer an online, searchable directory of professionals licensed in their state.Is the psychologist licensed in the state you live? Licenses are granted by each state with their own laws and rules, much like each state determines what residents must know to earn a driver’s license. But unlike driver’s licenses, which allow you to legally operate a car in all states, a health care provider is limited to providing services in the state in which they are licensed. The provider must be licensed in the jurisdiction where you are located, and making that determination may be difficult to do if you don’t know where he or she is physically located.Is the site or app secure? Will the information I provide remain confidential? Psychotherapy works in part because psychologists ensure that clients have a safe, private space to share deeply personal and sometimes difficult stories, thoughts or emotions. What happens and is said in a therapy office stays there, with the exception of a few situations. The site or app you use should, at a minimum, be HIPAA-compliant and have the ability to verify your identity and your therapist’s identity.How will you pay for the service? Many insurance companies cover the treatment of mental health and substance abuse disorders—treatment that includes in-person psychotherapy. If you work with a psychologist in her office, your insurance could cover most or all of the fee, depending on whether you need to meet a deductible or have a co-pay. Psychologists will often provide an invoice that you can submit to your insurance company for reimbursement. But online therapy or web therapy services are often not covered or reimbursable by most insurance providers. If you plan to be reimbursed, check with your insurance company first. Otherwise, prepare to pay for the full cost yourself.
More psychologists are exploring online sites and apps just as more patients are interested in using them. Research does show that some technological tools can help when used in conjunction with in-office therapy.

Many psychologists and patients are finding text messages helpful for quick check-ins or reminders. Some apps can help track and log moods or thoughts. Web-conferencing and streaming in real time can offer continuity when a patient is on vacation or not able to make a regular session.

There are cases in which Web-conferencing or therapy via telephone does seem to be a viable option on its own for some people. But for now, with the current research and with the current technology, mobile apps and text messaging are best used as complementary to in-person psychotherapy.

reference: APA
Link:https://www.apa.org/topics/telehealth/online-therapy
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Traumas in children and adolescents can be treated effectively

Psychotherapeutic treatment based on trauma-focused therapy is highly effective for children and adolescents who have experienced repeated traumatic events such as sexual, physical or emotional abuse.


Around 25 percent of children and adolescents exposed to traumatic events develop post-traumatic stress disorder (PTSD). Repeated physical, sexual and emotional traumatization in childhood in particular carries a high risk of PTSD. The cases of sexual abuse in the Catholic church and the Russian war against Ukraine are two current examples that illustrate the scope of mass trauma events.

"PTDS is a serious, usually chronic, illness which creates severe functional impairment in everyday life of those affected," says Thole Hoppen who is the lead author of the study in collaboration with psychologists at the University of East Anglia (UK) and the University of Oslo (Norway).

There had previously been strong reservations in clinical practice as regards using trauma-focused psychotherapy to treat children and adolescents suffering PTSD from multiple traumas. This form of therapy aims at changing patients' patterns of thought and behavior that have arisen as a result of the trauma. The aim is to enable patients to confront the trauma they have experienced, under the supervision of a therapist, and thereby process the memories and their consequences.

"The widespread argument is that this therapy demands too much of patients, and that it is not very promising, inappropriate, or even dangerous," Hoppen comments. "Our analysis has enabled us to prove the opposite."

In a so-called meta-analysis, the researchers evaluated the results of all randomized controlled psychotherapy trials published so far relating to PTSD in children and adolescents. For the first time in a meta-analysis, the authors distinguished between individual and multiple trauma exposures in children and adolescents.

"Psychotherapy is highly effective for children and adolescents with PTSD—and not only after a single traumatisation," says Hoppen. "The evidence base shows that this is also the case for multiple traumas."

The results of the study are important not only for outpatient psychotherapy but also for inpatient treatment in psychiatric wards, as well as for the training of psychotherapists. The results provide hope and guidance for people affected, for their families and for those treating them.

link: https://medicalxpress.com/news/2023-03-traumas-children-adolescents-effectively.html
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Meta cognition for children

Active monitoring and modifying of thought processes help us for self-regulation, involving self-awareness, critical analysis skills, and the ability to problem-solve.


For students, having metacognitive skills means that they are able to recognise their own cognitive abilities, direct their own learning, evaluate their performance, understand what caused their successes or failures, and learn new strategies. It can also help them learn how to revise. This is because it optimises their basic cognitive processes, including memory, attention, activation of prior knowledge, and being able to solve or complete a task. It makes them learn more efficiently and more effectively, and so they are able to make more progress.
Why is Metacognition Beneficial in Student Learning?
The potential benefits of metacognition in learning are as follows:

Higher achievement levels for the students. Metacognitive practices can also compensate for any cognitive limitations that a student might have, according to research such as this.
Increased ability to learn independently. Being able to monitor their own progress lets them take control of their own learning, inside and outside the classroom.
Improved resilience. Identifying their successes and failures, and which strategies work best for them – or which have failed – increases students’ perseverance in getting better at their work.
It aids disadvantaged students. According to this report, and research by the EEF, teaching in a way that supports metacognition is beneficial for students who are at a disadvantage to their peers.
Cost-effectiveness. This method of teaching does not require specialist equipment, nor any other large purchases – it only requires teachers to be trained in the method effectively.
Transferable knowledge. Metacognition helps students to transmit their knowledge and understanding across tasks and contexts, including reading comprehension, writing, mathematics, memorising, reasoning, and problem-solving.
Effective for all ages of students. Research has looked at both primary and secondary students – and even those who have not yet started school – and found benefits in all cases.
Emotional and social growth. Gaining awareness of their own mental states allows students to think about how to be happy, respected, and confident in themselves. They are also better able to understand other people’s perspectives.

Link:https://www.highspeedtraining.co.uk/hub/metacognition-in-the-classroom/
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Metacognition in practice

A metacognition checklist

If you are new to meta-cognition, it will help to ask yourself the following questions about your teaching practice.


1. Have I included clear learning objectives?
Students need to understand what their learning objectives are so that they can plan how to achieve them. The process of planning should involve learners identifying which strategies they already know that could be applied in this new situation.

2. How am I going to encourage my students to monitor their learning?
Effective learners commonly use metacognitive strategies whenever they learn. However, they may fail to recognise which strategy is the most effective for a particular learning situation. Teachers can ask questions to prompt learners to monitor the strategies that they are using.

For example, before learners begin a task, prompt them to identify where the task might go wrong and how they could prevent this from happening. During the task encourage them to focus on the learning objectives and get them to think about how they can maintain that focus. This will encourage learners to think more actively about where they are now, where they are going and how to get there.

3. How can I create opportunities for learners to practise new strategies?
When you introduce your learners to a new strategy, give them the opportunity to use it both with support and independently. It is important to monitor your learners’ progress and provide them with feedback on the specific strategies they are using to help shape their learning process. (For further ideas for giving feedback and effective questioning, see Getting started with Assessment for Learning.)

4. How can I allow time for learner self-reflection?
Personal reflection enables learners to critically analyse their performance in relation to a particular task and consider what they might do differently to improve their performance in future tasks. It is important that teachers dedicate time for learners to reflect, and provide them with the tools to do so. One way of doing this is to use thinking journals as mentioned in the previous section.

5. Does the classroom environment support metacognitive practices?
Teachers are instrumental in shaping the culture of learning in a classroom. By establishing a supportive learning environment that fosters and anticipates metacognitive practices, these practices will become an integral part of the learning process. Check that you are modeling metacognitive practices effectively, giving your learners plenty of opportunity to work collaboratively with their peers, encouraging reflection and evaluating their progress.

Metacognitive Strategies

Having this skill is essential for improving your own productivity and effectiveness 


Self-Questioning
Self-questioning involves pausing throughout a task to consciously check your own actions.

Without self-questioning, we may lack humility and awareness of our own faults.

Most importantly, we would not be able to improve because we never took the time to ask ourselves important questions like:

Is this the best way to carry out this task?
Did I miss something? Maybe I should check again.
Did I follow the right procedure there?
How could I do better next time?
Am I looking at this task the right way?
How can I do a better job at thinking about what I’m doing?
Good students question their actions both while they’re completing the task and after finishing it (see also: ‘reflection’).

 Meditation
Meditation involves clearing your mind. We could consider it to be a metacognitive strategy because meditators aim to:

Clear out the chatter that goes on in our heads.
Reach a calm and focused state that can prime us for learning.
Be more aware of our own inner speech.
Meditation for children is becoming increasingly popular in schools because educators can see the value of this task for helping students achieve greater self-awareness in the classroom.

 Reflection
Reflection involves pausing to think about a task. It is usually a cyclical process where we reflect, think of ways to improve, try again then go back to reflection.

Reflection is metacognitive only if you consciously reflect on what your thought processes were and how to improve upon them next time.

There are many models of reflection with varying steps. Most reflective cycles have at least the following phases:

A task is planned.
You attempt the task.
You look at how you did the task.
You come up with things you did well and areas for improvement.
You plan the next task, with a focus on improving on your weaknesses.
You try again …
You reflect again …
And so on.
Once you become skilled at reflection, you may also reflect while doing a task so that you can make adjustments to your thinking processes as you go. We call this sort of reflection reflection in action (as opposed to reflection on action).

 Awareness Of Strengths And Weaknesses
Central to metacognition is a person’s capacity to see their own strengths and weaknesses. Only through looking at yourself and making a genuine assessment of your weaknesses can you achieve self-improvement.

One way to start looking at your strengths and weaknesses is to use a SWOT chart.
A SWOT chart is a chart with four sections:

Strengths: write down what you perceive to be your strengths as a learner.
Weaknesses: write down what you perceive to be your weaknesses as a learner.
Opportunities: identify opportunities you may have to improve your cognitive skills in the coming weeks or months.
Threats: identify potential threats that may prevent you from improving your cognitive skills in the coming weeks or months.

Writing Down Your Working
Most people will recall in high school math classes their teacher saying: “I want to see your working so I know how you got to your answer.”

This teacher is ensuring you are employing the right thinking processes and can show others how you went about thinking about the task.

When you become an expert at a topic you tend not to think about your thinking. We sometimes call this “unconscious competence”, which is the fourth stage of learning in the learner competence model.

 Thinking Aloud
Lev Vygotsky (a central figure in the sociocultural theory of education) argues beginner learners tend to think aloud before learning to think inside their heads.

The benefit of sociocultural theory‘s strategy of thinking aloud is that it makes you really think. You have to talk through what your brain is doing, making those thinking processes explicit.

Teachers will often ask students to speak out loud about what they’re thinking. It not only helps the student be more conscious of their cognitive processes, it also helps the teacher identify areas where the student is going astray.
Regulation Checklists
A regulation checklist can either be task-based or generalized.

A task-based regulation checklist is usually created before a task begins. It will:

List the thought processes required to succeed in the task.
List the observable outcomes of higher order thinking linked to the task.
List the checkpoints during the task where people should pause to reflect on their thinking.
A general regulation checklist provides regulation strategies that can be used across any normal task, such as:

Reminders to pause and reflect-in-practice at regular intervals.
Prompts to remind students to think about what strategies they are using and whether they are appropriate for the task.
Self-questioning prompts to remind students to question their choices.
Quick charts and questionnaires to help people focus on their developments such as KWL charts.
Planning Ahead
When we plan ahead, we often have to think about how we’ll go about a task. We might call it our “plan of attack”.

Planning ahead involves thinking about what we’re going to do in order to complete a task. During your planning phase, you might make decisions such as:

Deciding what strategies you’ll use when your task, competition or activity begins.
Tossing up a range of different thinking skills you might use when approaching a task.
Reminding yourself not to make the same mistakes you made last time.
Preparing some tools that will help you keep your thinking on track, such as preparing graphic organizers.

Link:https://helpfulprofessor.com/metacognitive-strategies/
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Metacognition: How Thinking About Thinking Can Help Kids

A powerful skill for building resilience

Metacognition is a big word for something most of us do every day without even noticing: Thinking about our own thoughts. Reflecting on our thoughts is a big part of understanding our feelings and learning new things.When kids hit challenges — a hard math test, a fight with a friend — it can be tempting for them to give up. But in order to thrive, kids need to be able to go from “I can’t” to “How can I?” Metacognition can help.


When kids hit difficult problems — the seemingly insurmountable English essay, a math test that takes on epic proportions, social struggles that leave them feeling frustrated — it can be tempting to give up and resort to four words no parent ever wants to hear: “I can’t do it.”

In order to thrive, kids need to be able to make the transition from the negative “I can’t” to the proactive  “How can I?”

To do that, they need to think about why they’re stuck, what’s frustrating them, what they would need to get unstuck. They need to think about their own thinking.

There’s a word for that, and it’s metacognition.

Metacognition is a big word for something most of us do every day without even noticing. Reflecting on our own thoughts is how we gain insight into our feelings, needs, and behaviors — and how we learn, manage, and adapt to new experiences, challenges, and emotional setbacks. It’s the running conversation we have in our heads, mentally sounding ourselves out and making plans. Training kids to use it proactively to overcome obstacles, it turns out, can be a powerful tool.

More and more studies are suggesting that kids who are taught to use metacognitive strategies early on are more resilient and more successful, both in and out of school.

“I view metacognition as a goal,” says Marc Gladstone, alearning specialist. “Getting into the habit of using metacognitive strategies early on helps kids become more independent learners and bolsters self-advocacy skills.”
What is metacognition and how does it work?
“Metacognitive thinking teaches us about ourselves,” says Tamara Rosier, a learning coach who specializes in metacognitive techniques. “Thinking about our thinking creates perspective — perspective that leaves room for change.”

She gives an example: “Instead of saying, ‘Math tests make me anxious,’ we’re asking ourselves, ‘What is it about math tests that makes me feel anxious and what can I do to change that?’ ”

Kids who are taught to think of themselves as being “good” or “bad” at a particular task can have a fixed mindset that makes them passive in approaching a challenge: either they can do it or they can’t, but they aren’t likely to think they can change that outcome.

Teaching kids to become more metacognitive helps them move from a mindset that leaves little room for change to a mindset which promotes self-awareness and resilience.

Help for kids with learning issues
Helping your child learn to work through difficult situations (or homework assignments, as the case may be) without becoming overwhelmed or giving up is especially valuable for kids with learning issues who may need to come up with different strategies than other students in the class.

For example:

A child with ADHD who struggles to stay on task is likely to feel frustrated and anxious when he’s assigned a long essay. If he’s unable to reflect on why the project upsets him he might think, “Everyone else is having an easy time. I’m just bad at writing.”
A kid who’s learned to reflect on his own learning process, on the other hand, could look at the situation and say, “I always feel like this when I have to work for a long time. Maybe if I take breaks every hour or so I’ll feel less stressed out.” By taking a metacognitive approach, he’s able to manage his frustration and find a better way to approach big assignments in the future.
Great for self-regulation
Metacognitive skills are not only excellent tools for kids who learn differently, and often find themselves struggling to keep up. They also enable kids to self-regulate when faced with challenges, especially unexpected ones.

“One of the most powerful byproducts of metacognitive thinking is increased self-regulation,” says Gladstone.

Being able to self-regulate helps kids manage experiences that might otherwise overwhelm them. For example, take two girls who have to audition for a school play, both of whom are struggling with unusually difficult material.

A girl who is regularly told how talented she is and is used to being praised for her performances is likely to get frustrated and overwhelmed at the sheer thought of performing badly.

But a girl who is praised for her ability to work hard and persevere when she’s faced with a challenge can draw on her metacognitive skills to help her manage her nerves and help her figure out a way of rehearsing that works better for her.

Quieting negative self-talk
Fallout from a fixed mindset often takes the form of self-criticism. The negative feelings kids experience when they feel frustrated easily turn into negative self-talk. “If I’m so smart, why did I fail the test? I’m not smart. I’m useless.”

“When you place your value on being ‘smart,’ anything that makes you feel less than smart is devastating,” says Rosier. “A lot of kids develop a negative inner voice, and they develop it in place of metacognition.”

This negative voice is sneaky, she explains, often masquerading as a coach. “You can mistake self-criticism for motivation. What we want to do is get rid of the negative inner voice and replace it with metacognitive thinking that helps your child find new ways to manage her challenges instead of beating herself up about them.”

How to encourage metacognition 
How do you help your child start becoming more meta?” Metacognitive questions, says Rosier, will help your child begin thinking in a more reflective way. Questions should be:

Open-ended. Give your child some space to reflect on his thinking: Can you tell me more about why you think that?
Non-blaming. It can be hard to stay open when kids are acting out, but asking them to think about their behavior can help them learn to manage difficult situations in a better way: Why do you think you got so upset when Dad changed the channel?
Solution-focused. Encourage him to think about how he can use his understanding to change things in the future: How could you handle that differently next time?
Process-oriented. Ask questions that help your child get a better idea of how his thought process works: How will you know when this drawing is finished?
Be patient
“When you teach kids to think about their behavior differently, they begin to behave differently,” says Rosier. But she warns that it’s important not to expect instant results. Learning to think metacognitively is a process, and parents may have to accept that a lot of the work is happening behind the scenes.

“Of course we want to see progress, but our children — especially teenagers — don’t always share their thinking with us and that’s okay.”

Just asking the questions gets the metacognitive work going internally, even if it’s not visible to the parental eye, Rosier explains. The benefits are the same, she says, even if all you get is a grunt in return.

Learning to learn
Asking questions at home will help kids begin to use metacognitive strategies in their schoolwork, too. For many kids — especially those with learning differences  — this can be harder than it sounds. It’s easy to get bogged down by poor study habits, procrastination, homework meltdowns, and test stress.

If your child is struggling to work through a long paper, ask questions that help him use his metacognitive skills to try a different approach.

What do you think is making it hard for you to work on this paper right now?
What are some strategies that have helped you do well on similar papers in the past?
Can you use those insights to help you with the work you’re doing now?
Asking metacognitive questions will help him clarify his process, manage his anxiety, and find a better way to approach his paper, but the benefits don’t end when the assignment is done.

The more your child is able to understand his learning process the easier it will be for him to figure out what strategies and supports work best for him — knowledge that will help him succeed — both now and as he grows up.

Link:https://childmind.org/article/how-metacognition-can-help-kids/
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Teaching for Effective Learning

Metacognition is the process of thinking about one’s own thinking and learning.


It involves knowing when you know, knowing when you don’t know, and knowing what to do when you don’t know. In other words, it involves self-monitoring and correcting your own learning processes. For example, you engage in metacognition if you notice that you are having more trouble learning concept A than concept B, or if you realize that your approach to solving a problem is not working, and you decide to try a different approach.

Metacognition also involves knowing yourself as a learner; that is, knowing your strengths and weaknesses as a learner. For example, if you can explain what your strengths are in academic writing, or exam taking, or other types of academic tasks, then you are metacognitively aware. Metacognitive processes can be applied to learning and thinking in all disciplines and contexts. It is an essential skill for life-long learning, and therefore, metacognitive skills need to be taught and discussed with students.
Metacognitive approach to supporting student learning involves promoting student metacognition – teaching students how to think about how they think and how they approach learning. Why is this important? It makes thinking and learning visible to students

Link:https://www.queensu.ca/teachingandlearning/modules/students/24_metacognition.html

Putting Metacognition into Practice

Apply basic research on clinical and educational setting


In “Promoting Student Metacognition,” Tanner (2012) offers a handful of specific activities for biology classes, but they can be adapted to any discipline. She first describes four assignments for explicit instruction (p. 116):

Preassessments—Encouraging Students to Examine Their Current Thinking: “What do I already know about this topic that could guide my learning?”
The Muddiest Point—Giving Students Practice in Identifying Confusions: “What was most confusing to me about the material explored in class today?”
Retrospective Postassessments—Pushing Students to Recognize Conceptual Change: “Before this course, I thought evolution was… Now I think that evolution is ….” or “How is my thinking changing (or not changing) over time?”
Reflective Journals—Providing a Forum in Which Students Monitor Their Own Thinking: “What about my exam preparation worked well that I should remember to do next time? What did not work so well that I should not do next time or that I should change?”
Next are recommendations for developing a “classroom culture grounded in metacognition” (p. 116-118):

Giving Students License to Identify Confusions within the Classroom Culture:  ask students what they find confusing, acknowledge the difficulties
Integrating Reflection into Credited Course Work: integrate short reflection (oral or written) that ask students what they found challenging or what questions arose during an assignment/exam/project
Metacognitive Modeling by the Instructor for Students: model the thinking processes involved in your field and sought in your course by being explicit about “how you start, how you decide what to do first and then next, how you check your work, how you know when you are done” (p. 118)
To facilitate these activities, she also offers three useful tables:

Questions for students to ask themselves as they plan, monitor, and evaluate their thinking within four learning contexts—in class, assignments, quizzes/exams, and the course as a whole (p. 115)
Prompts for integrating metacognition into discussions of pairs during clicker activities, assignments, and quiz or exam preparation (p. 117)
Questions to help faculty metacognitively assess their own teaching (p. 119)
Weimer’s “Deep Learning vs. Surface Learning: Getting Students to Understand the Difference” (2012) offers additional recommendations for developing students’ metacognitive awareness and improvement of their study skills:

“[I]t is terribly important that in explicit and concerted ways we make students aware of themselves as learners. We must regularly ask, not only ‘What are you learning?’ but ‘How are you learning?’ We must confront them with the effectiveness (more often ineffectiveness) of their approaches. We must offer alternatives and then challenge students to test the efficacy of those approaches.” (emphasis added)

She points to a tool developed by Stanger-Hall (2012, p. 297) for her students to identify their study strategies, which she divided into “cognitively passive” (“I previewed the reading before class,” “I came to class,” “I read the assigned text,” “I highlighted the text,” et al) and “cognitively active study behaviors” (“I asked myself: ‘How does it work?’ and ‘Why does it work this way?’” “I wrote my own study questions,” “I fit all the facts into a bigger picture,” “I closed my notes and tested how much I remembered,” et al).  The specific focus of Stanger-Hall’s study is tangential to this discussion,1 but imagine giving students lists like hers adapted to your course and then, after a major assignment, having students discuss which ones worked and which types of behaviors led to higher grades. Even further, follow Lovett’s advice (2013) by assigning “exam wrappers,” which include students reflecting on their previous exam-preparation strategies, assessing those strategies and then looking ahead to the next exam, and writing an action plan for a revised approach to studying. A common assignment in English composition courses is the self-assessment essay in which students apply course criteria to articulate their strengths and weaknesses within single papers or over the course of the semester. These activities can be adapted to assignments other than exams or essays, such as projects, speeches, discussions, and the like.

As these examples illustrate, for students to become more metacognitive, they must be taught the concept and its language explicitly (Pintrich, 2002; Tanner, 2012), though not in a content-delivery model (simply a reading or a lecture) and not in one lesson. Instead, the explicit instruction should be “designed according to a knowledge construction approach,” or students need to recognize, assess, and connect new skills to old ones, “and it needs to take place over an extended period of time” (Zohar & David, p. 187).  This kind of explicit instruction will help students expand or replace existing learning strategies with new and more effective ones, give students a way to talk about learning and thinking, compare strategies with their classmates’ and make more informed choices, and render learning “less opaque to students, rather than being something that happens mysteriously or that some students ‘get’ and learn and others struggle and don’t learn” (Pintrich, 2002, p. 223).

Metacognition instruction should also be embedded with the content and activities about which students are thinking.  Why?  Metacognition is “not generic” (Bransford, Brown, & Cocking, p. 19) but instead is most effective when it is adapted to reflect the specific learning contexts of a specific topic, course, or discipline (Zohar & David, 2009).  In explicitly connecting a learning context to its relevant processes, learners will be more able to adapt strategies to new contexts, rather than assume that learning is the same everywhere and every time.For instance, students’ abilities to read disciplinary texts in discipline-appropriate ways would also benefit from metacognitive practice.  A literature professor may read a passage of a novel aloud in class, while also talking about what she’s thinking as she reads: how she makes sense of specific words and phrases, what connections she makes, how she approaches difficult passages, etc.  This kind of modeling is a good practice in metacognition instruction, as suggested by Tanner above.  Concepción’s “Reading Philosophy with Background Knowledge and Metacognition” (2004) includes his detailed “How to Read Philosophy” handout (pp. 358-367), which includes the following components:

What to Expect (when reading philosophy)
The Ultimate Goal (of reading philosophy)
Basic Good Reading Behaviors
Important Background Information, or discipline- and course-specific reading practices, such as “reading for enlightenment” rather than information, and “problem-based classes” rather than historical or figure-based classes
A Three-Part Reading Process (pre-reading, understanding, and evaluating)
Flagging, or annotating the reading
Linear vs. Dialogical Writing (Philosophical writing is rarely straightforward but instead “a monologue that contains a dialogue” [p. 365].)
What would such a handout look like for your discipline?

Students can even be metacognitively prepared (and then prepare themselves) for the overarching learning experiences expected in specific contexts. Salvatori and Donahue’s The Elements (and Pleasures) of Difficulty (2004) encourages students to embrace difficult texts (and tasks) as part of deep learning, rather than an obstacle.  Their “difficulty paper” assignment helps students reflect on and articulate the nature of the difficulty and work through their responses to it (p. 9).  Similarly, in courses with sensitive subject matter, a different kind of learning occurs, one that involves complex emotional responses.  In “Learning from Their Own Learning: How Metacognitive and Meta-affective Reflections Enhance Learning in Race-Related Courses” (Chick, Karis, & Kernahan, 2009), students were informed about the common reactions to learning about racial inequality (Helms, 1995; Adams, Bell, & Griffin, 1997; see student handout, Chick, Karis, & Kernahan, p. 23-24) and then regularly wrote about their cognitive and affective responses to specific racialized situations.  The students with the most developed metacognitive and meta-affective practices at the end of the semester were able to “clear the obstacles and move away from” oversimplified thinking about race and racism ”to places of greater questioning, acknowledging the complexities of identity, and redefining the world in racial terms” (p. 14).

Ultimately, metacognition requires students to “externalize mental events” (Bransford, Brown, & Cocking, p. 67), such as what it means to learn, awareness of one’s strengths and weaknesses with specific skills or in a given learning context, plan what’s required to accomplish a specific learning goal or activity, identifying and correcting errors, and preparing ahead for learning processes.

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1 Students who were tested with short answer in addition to multiple-choice questions on their exams reported more cognitively active behaviors than those tested with just multiple-choice questions, and these active behaviors led to improved performance on the final exam.

Link: https://cft.vanderbilt.edu/guides-sub-pages/metacognition/

Metacognition

Thinking about One’s Thinking


Metacognition is, put simply, thinking about one’s thinking.  More precisely, it refers to the processes used to plan, monitor, and assess one’s understanding and performance. Metacognition includes a critical awareness of a) one’s thinking and learning and b) oneself as a thinker and learner.
Initially studied for its development in young children (Baker & Brown, 1984; Flavell, 1985), researchers soon began to look at how experts display metacognitive thinking and how, then, these thought processes can be taught to novices to improve their learning (Hatano & Inagaki, 1986).  In How People Learn, the National Academy of Sciences’ synthesis of decades of research on the science of learning, one of the three key findings of this work is the effectiveness of a “‘metacognitive’ approach to instruction” (Bransford, Brown, & Cocking, 2000, p. 18).

Metacognitive practices increase students’ abilities to transfer or adapt their learning to new contexts and tasks (Bransford, Brown, & Cocking, p. 12; Palincsar & Brown, 1984; Scardamalia et al., 1984; Schoenfeld, 1983, 1985, 1991).  They do this by gaining a level of awareness above the subject matter: they also think about the tasks and contexts of different learning situations and themselves as learners in these different contexts.  When Pintrich (2002) asserts that “Students who know about the different kinds of strategies for learning, thinking, and problem solving will be more likely to use them” (p. 222), notice the students must “know about” these strategies, not just practice them.  As Zohar and David (2009) explain, there must be a “conscious meta-strategic level of H[igher] O[rder] T[hinking]” (p. 179).

Metacognitive practices help students become aware of their strengths and weaknesses as learners, writers, readers, test-takers, group members, etc.  A key element is recognizing the limit of one’s knowledge or ability and then figuring out how to expand that knowledge or extend the ability. Those who know their strengths and weaknesses in these areas will be more likely to “actively monitor their learning strategies and resources and assess their readiness for particular tasks and performances” (Bransford, Brown, & Cocking, p. 67).

The absence of metacognition connects to the research by Dunning, Johnson, Ehrlinger, and Kruger on “Why People Fail to Recognize Their Own Incompetence” (2003).  They found that “people tend to be blissfully unaware of their incompetence,” lacking “insight about deficiencies in their intellectual and social skills.”  They identified this pattern across domains—from test-taking, writing grammatically, thinking logically, to recognizing humor, to hunters’ knowledge about firearms and medical lab technicians’ knowledge of medical terminology and problem-solving skills (p. 83-84).  In short, “if people lack the skills to produce correct answers, they are also cursed with an inability to know when their answers, or anyone else’s, are right or wrong” (p. 85).  This research suggests that increased metacognitive abilities—to learn specific (and correct) skills, how to recognize them, and how to practice them—is needed in many contexts.

Link:https://cft.vanderbilt.edu/guides-sub-pages/metacognition/

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How Metacognition, or Thinking About Thinking, Can Improve the Mental-Health Crisis

Researchers report metacognition therapies, or directing personal thoughts and emotions for the benefit of mental wellbeing, can have positive effects on the treatment of anxiety, depression, and addictions.


In these times of virtual meet-ups, negative news overload and widespread uncertainty, it’s fair to say it has been a tough time for our brains. If you’ve been feeling mentally subpar, you may be floating around the edges or caught in the middle of the cognition crisis. And don’t worry, you’re not alone.

Our world is facing a global mental health crisis, one that is unique to modern times. Neuroscientist and neurologist Adam Gazzaley calls this a problem of “ancient brains in a high-tech world.”

Our brains evolved for a very different environment, and our biological instincts are struggling to keep pace with a sea of information, artificial stimulation and smartphone pings. This has contributed to a worldwide surge in anxiety, depression, addiction and other cognitive issues.

As is often the case, technology comes first and society adapts second. We are learning that surviving and thriving in the modern world requires a better understanding of our mind. This need for “cognition about cognition” brings us to the science of metacognition.
The successes of metacognitive therapy
Computer simulations of cognition are a large focus of the Cognitive Modeling Lab at Carleton University where I work as a researcher while pursuing a PhD in cognitive science. The theme of my research is the use of computational modelling to clarify metacognition. Metacognitive strategies can be thought of as a kind of mental software that can help to improve our cognitive functioning.

From my experience, it is worth looking at the successes of metacognitive therapy. It is unique in the sense that it involves the development of beneficial metacognitive beliefs. In many cases, it has shown to be more effective than cognitive behavioural therapy, another dominant approach taken by therapists.

For example, it can be helpful for someone to believe “I can direct my thoughts and emotions, and it is beneficial for me.” Believing in this possibility is a necessary precursor to action. Metacognitive therapy focuses on building this foundation, and it’s from this firm grounding that people can reach for the specific tools of metacognition.

We are already aware of many of these tools. And yet our practical minds require evidence before committing to them. The improving of attention through mental training or meditation practice works. Likewise, the strategies offered by cognitive behavioural therapy are among the most effective for learning emotional regulation. Particularly useful is the practice of “detached mindfulness” for treating depression and anxiety. Memory strategies have also shown to be productive, including the famous mind palace technique.

It’s time we take care of our minds
Overcoming the cognition crisis partly depends on getting around our mind’s automatic pleasure-seeking. Internally, we can avoid falling into the trap of instant gratification by being mindful of the information and entertainment we consume. Externally, we can craft a physical environment that improves our efficiency and mental welfare. Distraction blocking software offers just one example of how to do this.

We exercise, control what we eat and buy ergonomic desk chairs to take care of our bodies — it’s long past time we take the same care of our minds. There are so many evidence-based actions we can take to design a personalized toolkit of mental habits and strategies. Doing so will allow us to be more deliberate with our thoughts, attention and emotions, which can then improve every aspect of our lives.

Just as human health depends on mastering our own physical systems, the future of cognition depends on understanding and controlling our own psychological states. Solving the cognition crisis requires we get smart about our own minds, and there’s never been a more vital time to do that.

Link:
https://neurosciencenews.com/metacognition-mental-health-19649/
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Metacognition: How Thinking About Thinking Can Help Kids

Metacognition is a big word for something most of us do every day without even noticing: Thinking about our own thoughts. Reflecting on our thoughts is a big part of understanding our feelings and learning new things.When kids hit challenges — a hard math test, a fight with a friend — it can be tempting for them to give up.


When kids hit difficult problems — the seemingly insurmountable English essay, a math test that takes on epic proportions, social struggles that leave them feeling frustrated — it can be tempting to give up and resort to four words no parent ever wants to hear: “I can’t do it.”

In order to thrive, kids need to be able to make the transition from the negative “I can’t” to the proactive  “How can I?”

To do that, they need to think about why they’re stuck, what’s frustrating them, what they would need to get unstuck. They need to think about their own thinking.

There’s a word for that, and it’s metacognition.

Metacognition is a big word for something most of us do every day without even noticing. Reflecting on our own thoughts is how we gain insight into our feelings, needs, and behaviors — and how we learn, manage, and adapt to new experiences, challenges, and emotional setbacks. It’s the running conversation we have in our heads, mentally sounding ourselves out and making plans. Training kids to use it proactively to overcome obstacles, it turns out, can be a powerful tool.

More and more studies are suggesting that kids who are taught to use metacognitive strategies early on are more resilient and more successful, both in and out of school.

“I view metacognition as a goal,” says Marc Gladstone, alearning specialist. “Getting into the habit of using metacognitive strategies early on helps kids become more independent learners and bolsters self-advocacy skills.”

What is metacognition and how does it work?
“Metacognitive thinking teaches us about ourselves,” says Tamara Rosier, a learning coach who specializes in metacognitive techniques. “Thinking about our thinking creates perspective — perspective that leaves room for change.”

She gives an example: “Instead of saying, ‘Math tests make me anxious,’ we’re asking ourselves, ‘What is it about math tests that makes me feel anxious and what can I do to change that?’ ”

Kids who are taught to think of themselves as being “good” or “bad” at a particular task can have a fixed mindset that makes them passive in approaching a challenge: either they can do it or they can’t, but they aren’t likely to think they can change that outcome.

Teaching kids to become more metacognitive helps them move from a mindset that leaves little room for change to a mindset which promotes self-awareness and resilience.

Help for kids with learning issues
Helping your child learn to work through difficult situations (or homework assignments, as the case may be) without becoming overwhelmed or giving up is especially valuable for kids with learning issues who may need to come up with different strategies than other students in the class.

For example:

A child with ADHD who struggles to stay on task is likely to feel frustrated and anxious when he’s assigned a long essay. If he’s unable to reflect on why the project upsets him he might think, “Everyone else is having an easy time. I’m just bad at writing.”
A kid who’s learned to reflect on his own learning process, on the other hand, could look at the situation and say, “I always feel like this when I have to work for a long time. Maybe if I take breaks every hour or so I’ll feel less stressed out.” By taking a metacognitive approach, he’s able to manage his frustration and find a better way to approach big assignments in the future.
Great for self-regulation
Metacognitive skills are not only excellent tools for kids who learn differently, and often find themselves struggling to keep up. They also enable kids to self-regulate when faced with challenges, especially unexpected ones.

“One of the most powerful byproducts of metacognitive thinking is increased self-regulation,” says Gladstone.

Being able to self-regulate helps kids manage experiences that might otherwise overwhelm them. For example, take two girls who have to audition for a school play, both of whom are struggling with unusually difficult material.

A girl who is regularly told how talented she is and is used to being praised for her performances is likely to get frustrated and overwhelmed at the sheer thought of performing badly.

But a girl who is praised for her ability to work hard and persevere when she’s faced with a challenge can draw on her metacognitive skills to help her manage her nerves and help her figure out a way of rehearsing that works better for her.

Quieting negative self-talk
Fallout from a fixed mindset often takes the form of self-criticism. The negative feelings kids experience when they feel frustrated easily turn into negative self-talk. “If I’m so smart, why did I fail the test? I’m not smart. I’m useless.”

“When you place your value on being ‘smart,’ anything that makes you feel less than smart is devastating,” says Rosier. “A lot of kids develop a negative inner voice, and they develop it in place of metacognition.”

This negative voice is sneaky, she explains, often masquerading as a coach. “You can mistake self-criticism for motivation. What we want to do is get rid of the negative inner voice and replace it with metacognitive thinking that helps your child find new ways to manage her challenges instead of beating herself up about them.”

How to encourage metacognition 
How do you help your child start becoming more meta?” Metacognitive questions, says Rosier, will help your child begin thinking in a more reflective way. Questions should be:

Open-ended. Give your child some space to reflect on his thinking: Can you tell me more about why you think that?
Non-blaming. It can be hard to stay open when kids are acting out, but asking them to think about their behavior can help them learn to manage difficult situations in a better way: Why do you think you got so upset when Dad changed the channel?
Solution-focused. Encourage him to think about how he can use his understanding to change things in the future: How could you handle that differently next time?
Process-oriented. Ask questions that help your child get a better idea of how his thought process works: How will you know when this drawing is finished?
Be patient
“When you teach kids to think about their behavior differently, they begin to behave differently,” says Rosier. But she warns that it’s important not to expect instant results. Learning to think metacognitively is a process, and parents may have to accept that a lot of the work is happening behind the scenes.

“Of course we want to see progress, but our children — especially teenagers — don’t always share their thinking with us and that’s okay.”

Just asking the questions gets the metacognitive work going internally, even if it’s not visible to the parental eye, Rosier explains. The benefits are the same, she says, even if all you get is a grunt in return.

Learning to learn
Asking questions at home will help kids begin to use metacognitive strategies in their schoolwork, too. For many kids — especially those with learning differences  — this can be harder than it sounds. It’s easy to get bogged down by poor study habits, procrastination, homework meltdowns, and test stress.

If your child is struggling to work through a long paper, ask questions that help him use his metacognitive skills to try a different approach.

What do you think is making it hard for you to work on this paper right now?
What are some strategies that have helped you do well on similar papers in the past?
Can you use those insights to help you with the work you’re doing now?
Asking metacognitive questions will help him clarify his process, manage his anxiety, and find a better way to approach his paper, but the benefits don’t end when the assignment is done.

The more your child is able to understand his learning process the easier it will be for him to figure out what strategies and supports work best for him — knowledge that will help him succeed — both now and as he grows up.

Link:
https://childmind.org/article/how-metacognition-can-help-kids/