metro west chadd
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David D Nowell PhDwww.DrNowell.com
STRATEGIC BEHAVIORAL INQUIRYHow Exactly Did You Do That?
5/9/13 MetroWest CHADD monthly meeting
David D Nowell PhD
DavidNowell
DavidNowellSeminars
5 minute overview
04/10/2023 © 2011 David D. Nowell, Ph.D. All rights reserved.
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…and How Exactly Did You Do That?
…and How Exactly Did You Do That?
• What bad habit persists? And How Exactly Do You Do That?
Assumptions of SBI
• Everybody’s doing the best they can• Behavior is not incomprehensible or random• Behavior follows patterns which reveal
themselves to the curious observer free of prejudice or blame or theory
04/10/2023 © 2011 David D. Nowell, Ph.D. All rights reserved.
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04/10/2023 © 2011 David D. Nowell, Ph.D. All rights reserved.
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Objectives of SBI
• Specific behavioral strategy• What was the feeling-goal?• Motivational level on a scale from 1-10
04/10/2023 © 2011 David D. Nowell, Ph.D. All rights reserved.
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04/10/2023 © 2011 David D. Nowell, Ph.D. All rights reserved.
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Benefits of SBI
• Affirms the value of clients’ unique internal experience
• Emphasizes the culture of self-regulation• Encourages metacognition
How to do SBI
“How exactly did you do that?”
How exactly did you do that?
• How (a technology)• Exactly (a precise “recipe,” a sequence of
actions and thoughts and images)• Did (post-mortem)• You (accountability, reality-based)• Do (behavioral, practical)• That (situation-specific)• ? (open, genuinely curious inquiry)
ADHD and Insight
Fall in Love with the Truth
• Self-monitor and collect data:– How long does your morning routine take,
exactly?– How much time – exactly – do you need to
complete expense forms?– How, exactly, do you follow through on
commitments to others and not to yourself?
Yoga / read
Staff meeting
Planningsession
Phone calls
billing
Learn from your To-Do list
Learn from your To-Do list
• Which things are not getting completed?• How – exactly – are these not getting
completed? How do you do that?
Clinical Application
• Who in your clinic or classroom is demonstrating remarkable “resilience” – persistence despite significant obstacles? And how, exactly, does he/she do that?
• What recurring behavioral problem is showing up in your clinic or classroom?
• Note: we aren’t asking “why did you do that,” but rather “how exactly did you do that.”
Living in The Gap
• Compassion• Self-compassion