29The Psychology of Change
Geoffrey L. Cohen and David K. Sherman, Annual Review of Psychology 65, pp. 333–371, 2014
Linked to 23 chapters: supports 8 · contradicts 2 · mechanism 17 · same claim 6 · pairing 6
Cohen and Sherman review twenty-five years of work on a small intervention with large claims attached to it. People need to see themselves as adequate, as good and capable, and when an event threatens that view an inner alarm sounds. The alarm narrows attention to the threat and sets off defences, denial, rationalisation, blame, comfort eating, drink, that protect the self in the short run and block learning and change in the long run. Self-affirmation theory, which Claude Steele set out in 1988, says the alarm can be turned down from outside the threatened domain. Ten minutes spent writing about something one values, family, friends, religion, music, reminds a person of the larger self that a bad grade or a doctor's warning does not touch, and with the alarm quieter the evidence in front of them can be seen for what it is. The review's second claim is about time. Interventions this brief have raised the grades of minority students for years afterwards, and the authors explain it by a loop in which a better outcome affirms the person, changes how the school treats them, and changes how they read the next setback, so that the effect propagates long after the writing exercise is forgotten. The review is careful about where this works and where it does not. There must be a threat to lift, and there must be something underneath it, a motive and a capacity, for the lifting to release.
The self under threat
The review opens with two old experiments. Kurt Lewin changed what wartime homemakers bought by having them talk in small groups until a new norm formed. Milton Rokeach strengthened Americans' support for civil rights, durably, by insinuating that they valued their own freedom more than other people's. Both worked on the self, and the review's premise is that the self is both the barrier and the catalyst to change.
Psychological threat is the perception that the environment challenges one's adequacy. It is easy to trigger. People rationalise a trivial choice between two records; partisans reflexively refute contrary evidence; fans eat worse after their team loses; petty insults have led to homicide. Greenwald once compared the self to a totalitarian regime that suppresses unwelcome information, but the authors prefer a storyteller, since people can also be harshly self-critical and can appraise themselves accurately at moments of truth. The goal is not to spin every threat but to keep a narrative of overall adequacy that gives enough optimism to stay in the game. Self-affirmation theory makes three points about that motive. It is global, not domain-specific: the narrative is of being a good person, not a good student, and can draw on many roles. It aims at adequacy, not excellence, so an event need only confirm competence in some valued domain. And it aims at being praiseworthy rather than praised, which is why telling low-self-esteem people to repeat that they are lovable backfires.
A self-affirmation is any act that demonstrates adequacy, and small ones count: reflecting on one's family, exercising a little control over daily visits in a nursing home, a personal note from a doctor. The most studied version has people choose from a list of values the one or few most important to them, with values in the threatened domain removed from the list, and write for about ten minutes about why the value matters and a time it did. The content is self-generated. People most often write about relationships, and also about religion, humour and kindness. The essays the review reproduces are not self-congratulation; they read as a time-out to regain perspective on what matters.
How it works
Three effects follow, in the authors' account. Affirmed people take a wider view and the threat commands less vigilance; unaffirmed students judged a caged tarantula to be closer than it was, and affirmed ones judged its distance accurately. A threat has less impact on well-being; a poor grade did less lasting damage to affirmed minority students' sense of belonging. And people approach rather than avoid: affirmed participants rated the threatened domain as more important, sought threatening health information rather than shunning it, and showed a stronger neural error signal on a cognitive task, which the authors read as greater attention to their mistakes. Two routes carry these effects. One is buffering: students who had written about a value showed no cortisol rise before a stressful speech, as people with social support feel less pain under shock. The other is reduced defensiveness: affirmed people were more open to a report linking their behaviour to cancer. Affirmation does not change anything by itself. It releases forces, cognitive aptitude or persuasive evidence, that threat was suppressing.
Why a brief effect can last
The review's most distinctive argument is about persistence. Many social-psychological interventions have lasting effects when they reach a process at the right point; teachers told to expect certain students to bloom drew better performance from them, but not if told after impressions had formed. A successful intervention is a turning point in a story rather than an isolated event. Three principles explain the propagation. Recursion: an output cycles back as an input, so better performance affirms the self and produces better performance. Interaction: the output feeds other processes in the system, so a student who does better is held to higher expectations and placed in a higher track. Subjective construal: the intervention shifts how experience is filtered, so adversity is read as an isolated event rather than a verdict. The authors' parable is the professional hockey player. Children born just after the age cut-off are the oldest in their cohort, look more talented, get more practice and better teams, and grow into the identity, so a birthday with no causal power of its own becomes life-altering by putting a child on what the authors call a cycle of adaptive potential.
Education
The first field experiments were in three racially mixed middle schools, where half the students were African American or Latino American. Teachers handed out the exercises as ordinary assignments, two to five times a year, starting in about the fourth week and usually just before a test, without knowing who was in which condition. The affirmation raised the grade point average of the minority students and not of the white students, and so closed the gap: it halved the share of African American students earning a D or F in the first term, and the closure came to about 30 per cent at two sites and 22 per cent at a third with economically disadvantaged Latino students. The effect persisted for two years and, where records allowed, into high school. It did not lift grades so much as slow the decline that is normal in middle school, so the trajectories diverged. The most threatened subgroup, those with a history of poor performance who felt least sure they belonged, gained almost a full grade point. Fewer affirmed minority students were placed in remedial tracks, 3 per cent against 9, and more took advanced mathematics. Boosters in the second year added nothing; the first year's effect explained the second's.
Later studies extended the pattern. Among first-generation college students, over nine in ten of them white, two affirmations in an introductory biology course cut the gap with their better-off peers by half, and 86 per cent went on to the next course against 66 per cent. Women in introductory physics scored higher on exams, with the largest gains among those who most wondered whether the stereotype about women and science might be true. Affirmed adolescents with grandiose self-views were less likely to respond to a blow to their self-esteem by hitting, name-calling or spreading rumours. One British study of medical students found mixed effects, which the authors attribute to instructors reading and grading the essays, which made the exercise evaluative and public.
Health
Health information threatens the self as much as a grade does, and defences block the simple steps that would save lives. Smokers who had first listed their good qualities found graphic warnings more distressing and were more motivated to quit a week later; among low-income smokers, 59 per cent of the affirmed took leaflets on quitting against 37 per cent. People at risk of diabetes who had reflected on their values were more willing to be screened. Drinkers in a bar who completed an affirmation before reading about alcohol's risks drank less a month later, and the share within recommended limits rose by 32 percentage points. Effects on attitudes tend to last; effects on behaviour have been mixed, which the authors take as a reason to pair affirmation with concrete plans and with early behavioural wins, and to place the affirmation at the moment of temptation, with a bracelet, a key chain or an if-then rule.
Affirmation also buffers stress. Students facing the exam they had named as most stressful showed no rise in adrenaline if they had written about their values, and again the effect was concentrated among the most threatened. In a reanalysis of an expressive-writing trial with breast cancer patients, the active ingredient was self-affirmation rather than reappraisal of the illness. Women concerned about their weight who wrote about a value before being weighed had lost more weight two and a half months later, with lower body mass and smaller waists, and the effect ran through improved working memory. Three large trials in 2012 combined affirmation with a standard regimen for patients with chronic conditions: medication use among hypertensive African American patients rose from 36 to 42 per cent at a year, and the share of cardiac patients reaching recommended activity rose from 37 to 55 per cent, with a null result in young asthma patients except among those who had been hospitalised. Those trials also included mood-lifting gifts, so the authors cite a cleaner double-blind study in which African American patients who wrote about a value before an appointment with a white doctor gave and asked for more information, and their exchanges were warmer, more attentive and less distressed.
Conflict and relationships
Affirmed Israelis and Bosnians were more willing to acknowledge their own side's wrongs and to support reparations. Affirmed partisans judged a presidential debate less partisanly, and affirmed Republicans expected the winner to govern more fairly ten days later. Arab American men got prejudiced listeners to consider their perspective by first asking them self-affirming questions. In negotiation, affirmation reduces the escalation of commitment that comes when identity binds to a position, and people who had been reminded of their political commitments made more concessions on abortion legislation and trusted the other side more. In marriage, defensiveness is among the strongest predictors of distress, and happy couples break the tit-for-tat spiral with a disarming compliment or a shared joke. Experiments show the spiral can be interrupted from outside: affirmed low-self-esteem partners derogated their partners less, insecure people behaved more easily with a stranger weeks later, and students asked to explain why their partner had once complimented them felt more secure two weeks on and reported their partners behaving more supportively.
When it works and when it does not
The review's closing section is a list of conditions, and the authors say plainly that affirmation is a catalyst, not a panacea. There must be resources for growth once the threat is lifted, an ability inhibited by stress or information the environment supplies; without them affirmation can produce disengagement. There must be a threat: where there is none, affirmation can raise confidence and resistance to change, and where threat and defensiveness are what produce the good outcome, affirmation reverses it, so that people whose identity as open-minded negotiators had been made salient became more closed-minded when affirmed. Timing governs everything. In the laboratory an affirmation given before threatening information, or soon after, reduces defensiveness, but once a person has rationalised, it cannot undo the rationalisation. In the schools, affirmation in the first week of term helped as much again as affirmation a few weeks later, because early outcomes compound. Values that transcend the self, compassion, service, being loved, work better than power, status or approval, and affirming oneself inside the threatened domain can increase defensiveness. The exercise loses force when people are told what it is for, unless they are also given a choice about doing it. And it is indirect: it does not address the problem, which the authors note is true of many effective interventions, from volunteering to meditation.
The authors connect the work to resilience research, whose adaptive strategies match affirmation's effects, and to the study of social ties, since most people affirm themselves through relationships and much self-affirmation is social affirmation. They see the mechanism at work in behavioural activation therapy, motivational interviewing, expressive writing, a Superman cape that tripled preschoolers' delay of gratification, and a survey that raised turnout by asking how important it was to be a voter rather than to vote. They end with Raymond Carver's baker, whose cinnamon rolls given to grieving parents are a small, good thing at precisely the right moment.
Since 2014
The review appeared at the peak of confidence in brief psychological interventions, and the decade since has tested it. Attempts to reproduce the school results at scale, across whole districts and many teachers, found effects that were smaller and more variable than the original trials, present in some sites and absent in others, and largest where the identity threat was most acute, which is what the review's own boundary conditions predict and also what makes the intervention hard to deploy as a policy. Some laboratory findings the review leans on, including the neural error signal and several health results, have been reported with smaller effects or not at all in larger replications. The response from the field has been to reframe the intervention as a seed that depends on the soil: an affirmation does nothing unless the setting affords the change it makes possible, and identifying that affordance is now treated as the first task. The theory of the self under threat, the observation that defences protect adequacy at the cost of learning, and the account of how early outcomes compound through a system have held up better than any single effect size, and the practical lesson the review ends on, that timing and the presence of a real threat decide whether a small good thing does anything, has become the standard caveat for the whole genre.