Page 112 - Journal of Special Operations Medicine - Winter 2014
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Mental skills can be trained and called upon to most   Another goal could be set for marksmanship. If one’s
          efficiently control, influence, and/or accept experiences.   overall goal is to hit the target perfectly every time, and
          Behaviors that can be controlled include goal-setting   currently one is at 80%, then one might set a SMART
          processes. Cognitive functions that can be influenced   goal: “I want to hit the target perfectly 95% of the time
          include the cultivation of adaptive self-talk, rehearsal   by practicing 3 days per week and improve my accuracy
          through mental imagery, and mindful engagement     by about 3% to 5% each week over the next 5 weeks.”
          of different forms of attention. 32,36  Physiologic activ-  An advantage of setting measurable goals is that doing
          ity can also be influenced through a number of energy   so helps to foster clear, immediate feedback that is con-
          management techniques, such as biofeedback-assisted   ducive to flow. With SMART goals, it is important to
          self-regulation and paced diaphragmatic breathing.    not let goals stifle innovation; setting goals too rigidly
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          Finally, emotions can be experienced without being all   has the potential to limit risk taking, but some risks
          consuming, partially through effective communication   (e.g., doing extra repetitions on a day when one is feel-
          to express and validate feelings. 29,31  This range of skills   ing sharp) are key to success. On the other hand, strict
          can assist SOF personnel in the process of performing at   devotion to outcomes or performance benchmarks can
          high levels with some consistency.                 also lead to recklessness. It is vital that goal setting be
                                                             centered on processes associated with optimal perfor-
                                                             mance rather than outcomes (e.g., footwork, aiming a
          Executing a Goal-Setting Process
                                                             weapon, or assessing potential threats).  Quantifiable
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          Goal setting maximizes resetting or initiation of various   benchmarks can fuel motivation and help monitor prog-
          behaviors that are within one’s control. Performance   ress toward larger goals. Almost anything can be quan-
          psychology literature (lay and empirical) often refers to   tified, even “how well threats were assessed on a scale
          “SMART” goals, a checklist for effective goal setting   of 1–5.” The actual numbers matter less than the fact
          procedures. 39–41  Professionals range on their preferred   that SMART process goals bring attention to elements
          SMART acronym, but one common translation of       of performance that are under one’s control.
          SMART is goals that are: Specific, Measurable, Action-
          Oriented, Relevant, and Time-Based.  Goal setting typi-  Goal setting is a process that can apply to many parts of
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          cally centers on processes such as skill development and   work and life. Another goal may relate to dietary patterns.
          behavior changes: They enable achievement of desired   Everyone knows how important it is to eat healthily, and
          outcomes through focusing on specific, attainable, and   so eating more fresh fruits and vegetables (FFV) could be
          controllable variables.                            a specific goal in line with this mission. For someone who
                                                             only eats FFVs twice a week now, then a relevant goal
          Setting specific goals can direct attention, mobilize ef-  may be to eat them 5 days per week. This can be further
          fort, increase persistence, and assist with developing   transformed into an action-oriented and time-based goal:
          desired strategies. Specific goals are unambiguous; SOF   “I will increase my intake of FFVs over the next 4 weeks
          personnel know exactly what the aim is. Following are   by eating a salad and one extra piece of fruit one addi-
          three examples of goal setting.                    tional day each week.” Not only is this goal SMART, it is
                                                             also centered on the processes generally under the opera-
          The first goal is to “enter and clear rooms successfully.”   tor’s control and it is easily adjustable: One can have six
          This is somewhat vague and requires a more narrow   or seven FFVs in a week when it feels “right.”
          focus. The overall goal could be transformed into “I
          want to improve my situational awareness for room
          clearing.” Next, one would set a specific and measur-  Using Mental Imagery to Rehearse
          able goal, such as “I will try to assess potential threats   Technical, Tactical, and Strategic Tasks
          and clear a room within 3 seconds of entry.” But the   Mental imagery, popular in performance psychology, is
          language can be subtly tweaked to make it more action   a skill/technique wherein conscious thoughts that pos-
          oriented: “I am assessing potential threats and clearing a   sesses sensory properties (e.g., visual, tactile, acoustic,
          room within 3 seconds of entry.” Before moving further,   and/or somatic) are engaged to mentally rehearse perfor-
          check in with one’s self, asking “Is this goal relevant for   mance of a skill or activity, as if one were actually doing
          me?” If it currently takes 20 seconds now then perhaps   it. Therefore, it resembles actual perceptual experiences.
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          not, but if it only takes 4 to 6 seconds, then it may be   Mental imagery can help maintain or even surpass cur-
          possible. One should also ask how long will it take to   rent skill level when one is sick, injured, or unable to
          achieve the goal. Next, transform this into a SMART   train, or it can help to simply augment actual training. It
          goal that is time based: “I am assessing potential threats   has been used successfully in professional, collegiate, and
          and clearing a room within 3 seconds of entry, by prac-  Olympic sports for skills acquisition and performance en-
          ticing 4 days a week for 3 weeks, trimming about 0.5 to   hancement 44–47  and is now being used by surgeons and
          1 second per week.”                                others. Appropriately engaged, mental imagery can assist



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