Body doubling

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Body doubling or parallel working [1] is a strategy used to initiate and complete tasks, such as household chores or writing and other computer tasks. [2] It involves the physical presence, virtual presence through a phone call, videotelephony or social media presence, [2] [3] of someone with whom one shares their goals, which makes it more likely to achieve them. [1] For some people, it works best to both do similar tasks, while for others, just being in the same (virtual) room is enough. [2]

Contents

It was partially popularized by those with Attention deficit hyperactivity disorder (ADHD) to help manage symptoms. [4] Its usefulness has also been noted by those with autism, [2] but efficacy is not clearly known as long term studies have not been conducted on the topic. [2] In 2023, J. Russel Ramsay, professor of clinical psychiatry at the Perelman School of Medicine and co-director of the ADHD treatment and research program of the University of Pennsylvania, noted that, while extensive research on the strategy's effect on productivity doesn't exist, "the idea of externalizing motivation is a longstanding evidence-based mechanism for managing ADHD." [4]

ADHD body doubling comes into play allowing individuals with ADHD to perform and complete tasks easier and with less distractions, where otherwise they might struggle more. "ADHD body doubling is a productivity strategy used by individuals with ADHD to finish possibly annoying jobs while having another person beside them." [5]

Body doubling is said to aid individuals with focus and productivity while working. Another person, known as a 'body double' sits alongside the individual with ADHD to help them focus while completing a certain task. [6] The role of this individual is to not partake in the task but, more importantly, serve as a support system and create a welcoming environment that allows the individual to focus by reducing any distractions. The idea of body doubling allows for specific reminders to the individual to stay on task which helps alleviate the symptoms of ADHD. [4]

History

The notion of body doubling derives from the cognitive behavioral therapy (CBT) techniques which focus on assisting those with cognitive disorders.[ citation needed ] Body doubling was first used to alleviate anxiety and improve concentration; recently, it has gained popularity as a way to promote concentration in multiple settings such as schools, home-working environments, and occupations. [6] [ failed verification ] Typically, in the 20th century, treatments for ADHD include methylphenidate (Ritalin) and amphetamine mixtures (Adderall). [7]

However, recent studies suggest that body doubling could be a viable alternative rather than the widely used medications. [5] Additionally, individuals with ADHD oftentimes have educational accommodations such as extra time on exams, preferred seating, and breaking down tasks into various steps. The concept of body doubling has been recognized as a new viable option for these pre-existing accommodations. [5] The concept of having an individual close by to provide clear guidance and encouragement will allow the individual with ADHD to stay focused on a particular task should they be partaking in more than one task. It is important that the body double does not distract the other person with conversation or anything else. [4]

Methodology

The individual and body double list specific tasks that they want to complete in a certain amount of time. The body double does not necessarily need to sit shoulder to shoulder with the individual but should provide a calming, nurturing, and quiet presence.  The individual is advised not to switch tasks and solely stay focused and work on the task that was assigned. [5]

Some benefits of body doubling include increasing the individual's accountability, less feelings of isolation, and an increase in motivation. [8] It allows for subtle reinforcement to prevent procrastination and create consistency towards their goals. According to one director of an ADHD counseling practice, "The idea is that the presence of another is essentially a gentle reminder to stay on task (...) For folks (with) ADHD whose minds tend to wander and get off task, the body double somehow works as an external motivator to stay on task." [4]  Most importantly, the body double creates a safe and accepting environment where the individual feels the symptoms of ADHD much less; such as criticism or failure. [9]

Applications

Body doubling is not used solely for individuals with ADHD. It is now widely used as part of therapeutic settings to assist individuals with autism, anxiety disorders, and other conditions influenced by functioning deficits. [4]

This concept is not structured solely for students but for professionals and any individuals who are looking to enhance and optimize their performance. Asking for and applying a body double may come across as awkward however, one could say, "It's something I heard can help with productivity. Would you mind just being around me while I work on this? Maybe you have something you could work on, too." [4]

Examples of body doubling could include someone asking a person to be on Zoom while they work on something, doing chores while on a phone with their friend, or joining a study group while preparing for a test. [9]

Criticism and limitations

While body doubling has been seen as an effective tool for alleviating the symptoms of ADHD, many factors come into play in determining whether it is as effective as it is said to be. A variety of factors such as personality types, individual preferences, and the types of tasks at hand can influence the effectiveness of body doubling. Additionally, relying solely on a body double to complete tasks may impact the individual's ability to develop individual working and coping strategies in the future.[ citation needed ] It is important and necessary for the individual to balance between individual and body double work. [8] [ failed verification ]

See also

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References

  1. 1 2 Berger, Chloe (March 5, 2023). "Remote workers are adopting a new practice called 'body doubling,' in which they watch strangers work online". Fortune . Archived from the original on March 5, 2023. Retrieved February 14, 2024.
  2. 1 2 3 4 5 Broadwater, Ashley (February 7, 2023). "How 'Body Doubling' Can Help You Start And Complete Tasks". HuffPost . Archived from the original on February 14, 2024. Retrieved February 14, 2024.
  3. Quinn, Patricia (December 28, 2022). "Get More Done with a Body Double". ADDitude . Archived from the original on February 5, 2024. Retrieved February 14, 2024.
  4. 1 2 3 4 5 6 7 Rogers, Kristen (February 13, 2023). "The benefits of 'body doubling' when you have ADHD, according to experts". CNN Health . Archived from the original on February 4, 2024. Retrieved February 14, 2024.
  5. 1 2 3 4 "The Body Double: A Unique Tool for Getting Things Done". ADDA - Attention Deficit Disorder Association. October 24, 2022. Retrieved April 16, 2024.
  6. 1 2 Lovering, Nancy (May 11, 2022). "ADHD Body Doublin". Psych Central. Retrieved April 16, 2024.
  7. Connolly, JJ (2015). "ADHD & Pharmacotherapy: Past, Present and Future". Therapeutic Innovation & Regulatory Science. 49 (5): 632–642. doi:10.1177/2168479015599811. PMC   4564067 . PMID   26366330. The most common and effective medications are methylphenidates and amphetamines.
  8. 1 2 "Could a Body Double Help You Increase Your Productivity?". Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD). Retrieved April 16, 2024.
  9. 1 2 Kim, Donna (August 30, 2023). "Body doubling for ADHD: What it is and how it works". Understood. Retrieved April 16, 2024.