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Timestamps are as accurate as they can be but may be slightly off. We encourage you to listen to the full context.
In this episode of Hidden Brain, psychologist Stuart Ablon from Harvard Medical School challenges the conventional belief that people misbehave or resist change simply because they lack motivation. Through his research and clinical experience, Ablon reveals that challenging behaviors often stem from skill deficits rather than willfulness. He introduces the concept of collaborative problem solving as a more effective alternative to traditional reward-and-punishment approaches. (00:40)
Host of Hidden Brain, NPR's award-winning podcast that explores the unconscious patterns that drive human behavior. Vedantam is also a correspondent for NPR's newsmagazines and has written extensively about psychology and social science.
Clinical psychologist at Harvard Medical School and Massachusetts General Hospital who specializes in helping people change challenging behaviors. He has spent over a decade working with psychologist Ross Green developing collaborative problem-solving approaches and has conducted extensive research on skill-based interventions in various settings including psychiatric hospitals and correctional facilities.
When people consistently struggle with certain behaviors, the problem is often a lack of specific cognitive or emotional skills rather than a lack of motivation. Ablon's core principle "people do well if they can" suggests that if someone could perform better, they would. This challenges our default assumption that challenging behavior stems from defiance or laziness. (30:20) Instead of asking "How can I make them want to change?" we should ask "What skills might they be lacking?" This reframe opens up possibilities for skill-building rather than punishment-based approaches.
True empathy means working hard to understand another person's perspective, not simply showing that you care. Ablon emphasizes that empathy is about understanding, not agreeing or disagreeing. (39:51) This involves four key components: asking clarifying questions, making educated guesses when information isn't forthcoming, reflecting back what you've heard in your own words, and providing reassurance that this isn't a disguised form of control. When we genuinely understand someone's concerns, they become more willing to listen to ours.
Effective behavior change happens through a structured three-step process. First, understand the other person's concerns, perspective, or what's difficult about the situation (empathy ingredient). Second, share your own concerns or perspective (only after truly understanding theirs). Third, invite them to collaborate on solutions that address both parties' concerns. (37:05) Crucially, let the other person suggest solutions first - this gives them ownership and helps develop their problem-solving skills.
Many behavioral challenges stem from difficulties with working memory and executive functioning - the "CEO skills" of the brain that help us organize, plan, and manage multiple pieces of information simultaneously. (22:47) A child who can't clean their room might struggle with sequencing and prioritizing tasks, not defiance. Adults who miss deadlines might have attention and organization challenges. Recognizing these as skill deficits allows us to provide appropriate support rather than increasing pressure, which often makes performance worse.
When adults use collaborative problem-solving approaches, both parties develop better skills. Research shows that not only do children improve their self-regulation and cognitive flexibility when adults use this approach, but the adults also become better problem-solvers with improved empathy and perspective-taking abilities. (60:07) This creates a positive cycle where both people grow more skilled at handling future challenges together.