The Slight Edge Approach to Executive Dysfunction Treatment One Step at a Time


Dr. Lara Honos-Webb

Dr. Lara Honos-Webb

Ph.D. and Clinical Psychologist

Feb 16, 2024

The Slight Edge Approach to Executive Dysfunction Treatment One Step at a Time

Navigating through life with executive dysfunction can often feel like a relentless battle against a cascade of “don’ts”—don’t procrastinate, don’t get distracted, don’t lose focus. Traditional advice, while well-intentioned, can sometimes miss the mark, feeling like an oversimplified solution in a complex world. However, embracing the concept of “the slight edge” (Jeff Olson, 2013) offers a profound and effective strategy for those grappling with executive function challenges.

What Is Executive Dysfunction

executive dysfunction

Ah, executive dysfunction—it’s like having a mischievous gremlin in your brain’s control room, randomly pushing buttons and flipping switches. Imagine trying to captain a ship where the steering wheel keeps locking up and the compass spins whimsically. That’s executive dysfunction for you. It’s not about lacking intelligence or willpower, but more about the struggle to organize tasks, manage time, and follow through on intentions. It’s the brain’s version of trying to herd cats. For folks navigating this whirlwind, everyday tasks can feel like assembling a jigsaw puzzle without the picture on the box. But fear not, understanding this quirky companion is the first step in mastering the art of steering your ship, even if the compass does like to dance.

Understanding the Slight Edge

The slight edge is the understanding that small, seemingly insignificant actions, when consistently applied, can lead to significant and profound changes over time. True success comes from daily, small steps towards our goals, not one giant leap. You may decide to add one vegetable to your diet and suddenly feel like Neil Armstrong – “That’s one small bite for me, one giant leap for my nutritional well-being. Next stop, actually using my gym membership.”

For those dealing with the complexities of executive function disorders, the slight edge approach is a beacon of hope. This approach aligns with the Pareto Principle, which posits that 80% of outcomes often stem from 20% of efforts.

The Slight Edge and the Pareto Principle

Using the Pareto Principle, parents might find that gently reminding their child about the perks of less screen time—like better sleep and more shooting hoops time —works wonders most of the time, proving the “Parental Principle”: clever persuasion equals happier households. This does require parents to trust the process and practice patience which can sound like a dirty word for those with ADHD or parents who are at the end of their rope.

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Applying the slight edge in the realm of executive dysfunction involves a shift in perspective—from a focus on eliminating negative behaviors to an emphasis on cultivating positive ones. Instead of fixating on the habits we need to stop, we turn our attention to the habits we can start—those small, positive actions that will crowd out the unproductive ones. This is not about denying the challenges of executive dysfunction but about acknowledging them and then choosing to take proactive, manageable steps forward.

Shifting Perspectives: From Negatives to Positives

The journey with executive dysfunction requires a perspective shift – focusing not on eliminating negative behaviours but on fostering positive ones. By concentrating on the habits we can start, we naturally diminish the unproductive ones. This isn’t about ignoring the challenges of executive dysfunction but about acknowledging them and taking proactive, manageable steps forward.

The Metaphor of Planting Seeds

A helpful metaphor is to embrace the process of “planting seeds”—taking small actions today that will yield significant benefits tomorrow. It’s a strategy that resonates deeply with those who find following complex advice or making drastic changes daunting. By focusing on planting these metaphorical seeds, individuals can experiment and observe, identifying what works best for them and nurturing those habits that lead to success.

Practical Applications of the Slight Edge

In practice, applying the slight edge to executive dysfunction could mean:

  1. Setting a timer for a few minutes of focused work instead of attempting hours of unbroken concentration.
  2. Organizing just one small area of your workspace instead of overhauling your entire office.
  3. Reading a few pages of a book each night, gradually building knowledge and understanding, rather than trying to digest an entire volume in one sitting.

The one step at a time approach acknowledges that each person’s journey with executive dysfunction is unique and that the strategies for managing it should be equally personalized. What’s important is not the specific action taken but the underlying principle: consistent, incremental progress.

Conclusion

It’s about making the choice, day after day, to take one small step forward, understanding that each step, no matter how small, is a crucial part of the journey. By embracing this philosophy, individuals can transform their approach to life’s challenges, moving away from the paralysis of the “don’ts” and toward the empowering, incremental progress of the “do’s.”

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