Metacognition and action: a new pathway to understanding social and cognitive aspects of expertise in sport

Understanding the performance-related psychological characteristics and skills of doctors: A sport psychology perspective

INTRODUCTION

Doctors need to consistently maintain their clinical performance across a range of different situations by managing the stress response provoked by these situations. Six performance-related adaptive and maladaptive psychological characteristics and psychological skills can distinguish between how athletes manage their stress response and consistently maintain an optimal level of performance across a variety of situations. The aim of the study was to understand how the performance-related psychological characteristics and skills identified in athletes are applied by doctors.

METHODS

An exploratory qualitative study was conducted with semi-structured interviews. A purposive sample of 10 doctors were interviewed and the data were analysed by template analysis.

RESULTS

Doctors have similar performance-related psychological characteristics and skills as identified in athletes for managing their stress response to consistently maintain optimal clinical performance. The importance of maladaptive characteristics was also identified, especially in junior doctors.

CONCLUSIONS

The findings of this pilot study can be used for informing the design of performance-related educational interventions for doctors to manage their stress response for consistently maintaining optimal clinical performance. An important consideration will need to be a focus on specific groups in their career journey and the development of a multi-dimensional, reflective, and problem-solving approach.

Unveiling the Impact of Metacognition on Academic Achievement in Physical Education and Activity Settings: A Comprehensive Systematic Review and Meta-Analysis of Qualitative Insights

Purpose

The purpose of this study is to unveil the impact of metacognition on academic achievement in physical education and activity settings by conducting a comprehensive systematic literature review with a meta-analysis of qualitative findings.

Patients and Methods

Systematic searches identified English-language, peer-reviewed journal articles reporting the results of qualitative or mixed-methods studies of the emerging themes of metacognition on academic achievement in sports. PubMed, Web of Science, Scopus, ProQuest, and SPORTDiscus were searched from inception to June 2023.

Results

Data from 20 studies were included in the review. Thematic meta-analysis identified descriptive themes: 1) Metacognitive performance during the learning process in different sports disciplines; 2) Domains of metacognitive skills related to academic performance; 3) Self-regulation strategies related to academic performance; 4) Influencing factors of metacognition; 5) Metacognitive interventions on motor learning and academic performance. Generate an analytical theme based on five descriptive themes.

Conclusion

In-depth descriptions of the emerging themes related to metacognition and academic performance during motor learning were provided by different students and athletes. The conclusions reported in the study align with the theoretical models of metacognition. The research findings will provide strategies for physical education teachers, coaches, and trainers to enhance both physical and academic performance.

Embodied metacognition as strengthened functional connection between neural correlates of metacognition and dance in dancers: exploring creativity implications

Introduction

Dance education fosters embodied metacognition, enhancing student's creativity. This study examines the crucial role of functional connectivity (FC) between the neural correlates of metacognition (NCM) and dance (NCD) as the neurological foundation for dancers' embodied metacognition. The investigation also explores whether these consolidated FCs inform the general creativity in dancers.

Methods

The research involved 29 dancers and 28 non-dancer controls. The study examined resting-state connections of the NCM through seed-based FC analysis. Correlation analyses were employed to investigate the connections between the targeted NCM-NCD FCs, initiated from the a priori NCM seed, and general creativity.

Results

Dancers demonstrated heightened FC between NCM and NCD compared to non-dancer controls. The targeted regions included the putamen, globus pallidus, posterior cerebellum, and anterior insula of NCD. The dancers exhibited higher originality scores. In dancers, the enhanced FC showed a negative correlation with originality and a positive correlation with flexibility. Conversely, the controls exhibited no significant correlations.

Discussion

Extended dance training enhances the NCM-NCD connection signifying embodied metacognition. This interconnectedness may serve as the neural predisposition for fostering general creativity performance in dancers. Dancers with heightened levels of originality could leverage the relatively weaker NCM-NCD FCs to facilitate better integration and coordination of creative cognitive processes. Our findings suggest that the consolidated functional connections as sculpted by domain-specific training may inform general creativity.

Decision Making in Moral Judgment Context is Modulated by Individual Metacognition

Metacognition refers to the human capacity to access and monitor one's own mental states. Recent research suggests that this capacity expands to the social world, e.g., when individuals explicitly share their cognitive processes with others. Additionally, metacognition is also linked to cognitive flexibility, and the latter to ideologically radical behaviors. Indeed, the absence of control over one's own mental activity could be at the base of different phenomena linked to social cognition. We investigate the metacognitive capacity of individuals in relation to the radicality with which they make a moral choice (utilitarian vs. deontological). For this purpose, 76 participants were submitted to 24 hypothetical situations, with the aim of evaluating the consistency (i.e., the radicality) of their moral choices. Then, in an independent experimental session, we evaluated the participants' metacognitive efficiency. We managed to demonstrate that individual metacognition scores are correlated with the radicality of a moral choice. We discussed the impact and relevance of metacognition in ecological contexts, particularly where subjective evaluation of the environment involves individual choices with social consequences.

PE augmented mindfulness: A neurocognitive framework for research and future healthcare

Various well-controlled studies have suggested that practitioners in mindfulness can be prone to patient drop-out (e.g., due to chronic stress, pathology, cognitive reactivity), despite researchers having identified the underlying mechanisms that link mindfulness to mental health. In this article, a framework for physical exercise (PE) augmented mindfulness is proposed, which posits that consistently practiced PE before meditation can support (early-stage) mindfulness. Neurocognitive research shows PE (aerobic exercises or yoga) and mindfulness to impact similar pathways of stress regulation that involve cognitive control and stress regulation, thereby supporting the proposed synergistic potential of PE augmented mindfulness. Research focused on the psychophysiological impact of PE, showed its practice to promote short-term neurocognitive changes that can promote both cognitive control and the attainment of mindful awareness (MA). In order to chart dose responses required for protocol development, further research will be presented. Together these findings are discussed in light of future research on this multidisciplinary topic, protocol development, mindful walking, and further application in healthcare and beyond.

Evaluating the Impact of Advanced Pharmacy Practice Experiences on Student Pharmacist Metacognition

Objective. To assess factors impacting metacognition during the advanced pharmacy practice experience (APPE) year (final year of the Doctor of Pharmacy program) for student pharmacists at five different institutions.Methods. Student pharmacists completed a pre- and post-APPE year survey that collected data on demographics, curricular and co-curricular experiences, and the 19-item modified metacognition assessment inventory (MAI). Additionally, the post-APPE survey collected data on learning activities completed during the APPE year. Matched survey responses were analyzed to identify associations between change in MAI score and individual experiences.Results. One hundred thirty-nine matched responses were analyzed. A significant improvement in overall student pharmacist metacognition was seen in matched pre- vs post-APPEs surveys. Several significant, moderate to weak correlations were associated with a change in MAI score over the APPE year.Conclusion. The APPE year resulted in a significant change in student pharmacists' metacognition at five institutions. This improvement was multifactorial as individual factors had minimal association with the change in metacognition.

Impact of Early-Commenced and Continued Sports Training on the Precuneus in Older Athletes

Intervention studies on sedentary older adults have demonstrated that commencing physical exercise at an older age has a positive effect on brain structure. Although this suggests that older athletes with lifelong sports training have larger gray matter volume (GMV) in some brain regions compared to age-matched non-athletes, evidence in the literature is scarce. Moreover, it remains unclear whether a larger GMV is associated with training intensity or period of training in life. To address these gaps in the literature, we compared regional brain GMV between 24 older athletes (mean age, 71.4 years; age at the commencement of sports training, 31.2 years, continuous sports training, 40.0 years; current training time, 7.9 h/week) and 24 age-matched non-athletes (mean age, 71.0 years). The period of sports training and the current training time of the athletes were assessed. Both groups were evaluated for physical activity intensity as well as cognitive and motor performance. Although no group differences were noted in cognitive and motor performance, athletes reported higher physical activity intensity than non-athletes. Whole-brain structural analysis revealed a significantly larger GMV in several brain regions in athletes. Notably, the GMV of the precuneus in athletes was positively correlated with earlier commencement of sports training and training duration but was negatively correlated with current training time. Our findings demonstrate that early-commenced and continued sports training predicts structural maintenance of the precuneus in old age. Our results also suggest that excessive training time in old age may have a negative impact on the GMV of the precuneus; thereby delineating how the precuneus is associated with lifelong sports training in older athletes.

The Knowledge Map of Sport and Exercise Psychology: An Integrative Perspective

The present work contains a personal perspective on what sport and exercise psychology (SEP) is today. It is a global synthesis of research about psychological aspects related to the context and practice of sport and exercise. The intended impact was to positively influence teaching SEP to students, to promote interdisciplinary research and practice, and to assist the development of SEP as an applied science by helping experts develop a more holistic view of the field. Over 650 theoretical and review articles about psychological concepts in connection to sport and exercise were read in the process of creating a conceptual model that reflects the essence of SEP and leads to a conceptualization of SEP based on research topics. The result was a knowledge map of SEP made up of four main research clusters: biopsychological descriptors, external variables, psychological skills, and applied SEP practice. In terms of interdisciplinarity, the present perspective on SEP suggests that sport and exercise can be used as a research paradigm or natural laboratory to study psychological aspects relevant to various scientific fields, and that sport and exercise can be used as a therapeutic framework in response to challenges that researchers and practitioners in these fields are typically addressing.

Using Insights From Sports Psychology to Improve Recently Qualified Doctors' Self-Efficacy While Managing Acutely Unwell Patients

PROBLEM

Doctors experience a range of negative reactions when managing acutely unwell patients. These may manifest as emotions or behaviors. Without appropriate coping strategies, these emotions and behaviors can impede optimal clinical performance, which directly affects patient care. Athletes use performance enhancing routines (PERs) to minimize the effect of their negative emotions and behaviors on competitive performance. The authors investigated whether PERs could similarly improve recently qualified doctors' emotional and behavioral control while managing acutely unwell patients and whether the doctors perceived any effect on clinical performance.

APPROACH

Twelve doctors within 2 years of graduation from medical school recruited from 2 sites in Sheffield and Chesterfield, United Kingdom, implemented PERs using the PERFORM (Performance Enhancing Routines For Optimization of Readiness using Metacognition) model over a 4-month period between April and December 2017. The doctors' perceptions of PERFORM's effect on their ability to manage patients was evaluated using self-reported mixed-methods data, including think-aloud commentaries, semistructured interviews, and self-efficacy scores.

OUTCOMES

Doctors reported that PERFORM improved their ability to control negative emotions or behaviors during an acutely unwell patient in situ simulation, showing a statistically significant improvement in self-efficacy scores (P = .003, effect size = 0.89). Qualitative data revealed perceived improvement in aspects of clinical performance such as enhanced knowledge recall and decision making. These performance attributes appeared to positively impact interprofessional relationships and patient care. Doctors individualized their PERs and supported the wider implementation of PERFORM in health care education.

NEXT STEPS

This is the first study to employ individualized PERs based on sports psychology in a medical context. The PERFORM model could be introduced into existing acute patient management courses to provide emotional regulation coaching alongside clinical skills training. Further research might investigate PERFORM's effect in other environments where emotional and behavioral control is paramount, such as surgery.

Performance monitoring for sensorimotor confidence: A visuomotor tracking study

To best interact with the external world, humans are often required to consider the quality of their actions. Sometimes the environment furnishes rewards or punishments to signal action efficacy. However, when such feedback is absent or only partial, we must rely on internally generated signals to evaluate our performance (i.e., metacognition). Yet, very little is known about how humans form such judgements of sensorimotor confidence. Do they monitor their actual performance or do they rely on cues to sensorimotor uncertainty? We investigated sensorimotor metacognition in two visuomotor tracking experiments, where participants followed an unpredictably moving dot cloud with a mouse cursor as it followed a random horizontal trajectory. Their goal was to infer the underlying target generating the dots, track it for several seconds, and then report their confidence in their tracking as better or worse than their average. In Experiment 1, we manipulated task difficulty with two methods: varying the size of the dot cloud and varying the stability of the target's velocity. In Experiment 2, the stimulus statistics were fixed and duration of the stimulus presentation was varied. We found similar levels of metacognitive sensitivity in all experiments, which was evidence against the cue-based strategy. The temporal analysis of metacognitive sensitivity revealed a recency effect, where error later in the trial had a greater influence on the sensorimotor confidence, consistent with a performance-monitoring strategy. From these results, we conclude that humans predominantly monitored their tracking performance, albeit inefficiently, to build a sense of sensorimotor confidence.

Does the "surprisingly popular" method yield accurate crowdsourced predictions?

The “surprisingly popular” method (SP) of aggregating individual judgments has shown promise in overcoming a weakness of other crowdsourcing methods—situations in which the majority is incorrect. This method relies on participants’ estimates of other participants’ judgments; when an option is chosen more often than the average metacognitive judgments of that option, it is “surprisingly popular” and is selected by the method. Although SP has been shown to improve group decision making about factual propositions (e.g., state capitals), its application to future outcomes has been limited. In three preregistered studies, we compared SP to other methods of aggregating individual predictions about future events. Study 1 examined predictions of football games, Study 2 examined predictions of the 2018 US midterm elections, and Study 3 examined predictions of basketball games. When applied to judgments made by objectively assessed experts, SP performed slightly better than other aggregation methods. Although there is still more to learn about the conditions under which SP is effective, it shows promise as a means of crowdsourcing predictions of future outcomes.

Antecedents and Consequences of Outward Emotional Reactions in Table Tennis

The purpose of the present study was to shed light on the behavioral component of emotions by investigating antecedents and consequences of outward emotional reactions during table tennis competitions. With regards to the antecedents of outward emotional reactions, in line with appraisal theories, we considered the importance and the controllability of the situation as two important constructs. Fifteen table tennis matches, involving in total 21 players (7 females) with a mean age of 16.71 (SD = 0.70), were video recorded during the finals of the youth National Championship in Greece. Based on the footage, outward emotional reactions after every point were classified as neutral, positive, or negative. Situational factors in relation to the scoring system, bearing the importance and the controllability of the situation, were formed to assess antecedents of outward emotional reactions. To measure the consequences of outward emotional reactions, the impact on the outcome of the next point was assessed. Generalized linear models with a logit link were computed separately for positive outward emotional reactions after having won a point and negative outward emotional reactions after having lost a point. In general, the results show that while situational factors bearing the importance of the situation could predict positive and negative outward emotional reactions, the effects of situational factors bearing the controllability of the situation were less conclusive. In addition, the results also showed interactive effects between the two constructs for both positive and negative outward emotional reactions. With regard to the consequences of outward emotional reactions, negative and positive outward emotional reactions could not predict the outcome of the next point. To conclude, this study highlights the behavioral component of emotions as a viable alternative to enhance our understanding of the role of emotions in sport.

Benefits of Motor Imagery for Human Space Flight: A Brief Review of Current Knowledge and Future Applications

Motor imagery (MI) is arguably one of the most remarkable capacities of the human mind. There is now strong experimental evidence that MI contributes to substantial improvements in motor learning and performance. The therapeutic benefits of MI in promoting motor recovery among patients with motor impairments have also been reported. Despite promising theoretical and experimental findings, the utility of MI in adapting to unusual conditions, such as weightlessness during space flight, has received far less attention. In this review, we consider how, why, where, and when MI might be used by astronauts, and further evaluate the optimum MI content. Practically, we suggest that MI might be performed before, during, and after exposure to microgravity, respectively, to prepare for the rapid changes in gravitational forces after launch and to reduce the adverse effects of weightlessness exposition. Moreover, MI has potential role in facilitating re-adaptation when returning to Earth after long exposure to microgravity. Suggestions for further research include a focus on the multi-sensory aspects of MI, the requirement to use temporal characteristics as a measurement tool, and to account for the knowledge-base or metacognitive processes underlying optimal MI implementation.

Motor imagery, performance and motor rehabilitation

Motor imagery has been central to adzvances in sport performance and rehabilitation. Neuroscience has provided techniques for measurement which have aided our understanding, conceptualization and theorizing. Challenges remain in the appropriate measurement of motor imagery. Motor imagery continues to provide an impetus for new findings relating to our emotional network, embodied cognition, inhibitory processes and action representation. New directions are proposed which include exploring the physical setting and conditions in which imagery occurs and investigating if short term impairments to the motor system detract from motor imagery ability and the potential application of motor imagery for recovery.

How accurate are runners' prospective predictions of their race times?

Metacognition is a domain which has illuminated our understanding of the regulation of cognition, but has yet to be applied in detail to more physical activities. We used half marathon finish time predictions from 7211 runners to investigate the factors that influence running performance metacognitive accuracy. In particular, we were concerned with the effects of experience, gender, and age on calibration. We expected more experienced runners to be better calibrated than less experienced ones. Given analogous findings in the domain of metacognition, we expected women to be less overconfident in their predictions, and better calibrated than male runners. Based on the metacognition literature, we expected that if older runners have effectively learned from previous experience, they would be as well-calibrated as younger runners. In contrast, uninformed inferences not based on performance feedback would lead to overestimating performance for older compared to younger runners. As expected, experience in terms of both club membership and previous race completion improved calibration. Unexpectedly though, females were more overconfident than males, overestimating their performance and demonstrating poorer calibration. A positive relationship was observed between age and prediction accuracy, with older runners showing better calibration. The present study demonstrates that data, collected before a test of physical activity, can inform our understanding of how participants anticipate their performance, and how this ability is affected by a number of demographic and situational variables. Athletes and coaches alike should be aware of these variables to better understand, organise, plan, and predict running performance, potentially leading to more appropriate training sessions and faster race finish times.

Proactive and Reactive Motor Inhibition in Top Athletes Versus Nonathletes

We examined proactive (early restraint in preparation for stopping) and reactive (late correction to stop ongoing action) motor response inhibition in two groups of participants: professional athletes ( n = 28) and nonathletes ( n = 25). We recruited the elite athletes from Belgian national taekwondo and fencing teams. We estimated proactive and reactive inhibition with a modified version of the stop-signal task (SST) in which participants inhibited categorizing left/right arrows. The probability of the stop signal was manipulated across blocks of trials by providing probability cues from the background computer screen color (green = 0%, yellow =17%, orange = 25%, red = 33%). Participants performed two sessions of the SST, where proactive inhibition was operationalized with increased go-signal reaction time as a function of increased stop-signal probability and reactive inhibition was indicated by stop-signal reaction time latency. Athletes exhibited higher reactive inhibition performance than nonathletes. In addition, athletes exhibited higher proactive inhibition than nonathletes in Session 1 (but not Session 2) of the SST. As top-level athletes exhibited heightened reactive inhibition and were faster to reach and maintain consistent proactive motor response inhibition, these results confirm an evaluative process that can discriminate elite athleticism through a fine-grained analysis of inhibitory control.

Applying sport psychology to improve clinical performance. MEDICAL TEACHER 2017;39:1205-1213. [PMID: 28784016 DOI: 10.1080/0142159x.2017.1359523]

Preparedness for practice has become an international theme within Medical Education: for healthcare systems to maintain their highest clinical standards, junior doctors must "hit the ground running" on beginning work. Despite demonstrating logical, structured assessment and management plans during their undergraduate examinations, many newly qualified doctors report difficulty in translating this theoretical knowledge into the real clinical environment. "Preparedness" must constitute more than the knowledge and skills acquired during medical school. Complexities of the clinical environment overwhelm some junior doctors, who acknowledge that they lack strategies to manage their anxieties, under-confidence and low self-efficacy. If uncontrolled, such negative emotions and behaviors may impede the delivery of time-critical treatment for acutely unwell patients and compound junior doctors' self-doubt, thus impacting future patient encounters. Medical Education often seeks inspiration from other industries for potential solutions to challenges. To address "preparedness for practice," this AMEE Guide highlights sport psychology: elite sportspeople train both physically and psychologically for their discipline. The latter promotes management of negative emotions, distractions and under-confidence, thus optimizing performance despite immense pressures of career-defining moments. Similar techniques might allow junior doctors to optimize patient care, especially within stressful situations. This AMEE Guide introduces the novel conceptual model, PERFORM, which targets the challenges faced by junior doctors on graduation. The model applies pre-performance routines from sport psychology with the self-regulatory processes of metacognition to the clinical context. This model could potentially equip junior doctors, and other healthcare professionals facing similar challenges, with strategies to optimize clinical care under the most difficult circumstances.

What can medical educators learn from the Rio 2016 Olympic Games?

Medical Educators face an ongoing challenge in optimizing preparedness for practice for newly qualified doctors. Junior doctors have highlighted specific areas in which they do not feel adequately equipped to undertake their duties, including managing the acutely unwell patient. In these highly stressful, time-critical scenarios it might be assumed that a lack of knowledge underpins these feelings of apprehension from junior medics; however, having studied, trained and passed examinations to demonstrate such knowledge, perhaps other factors should be considered. The recent Olympic Games in Rio demonstrated the impact of sport psychology techniques in allowing athletes to achieve their optimum performance in the face of adversity. The use of mental and behavioral strategies to control feelings of anxiety and low self-efficacy are pivotal for athletes to deliver their best performance under extreme pressure. We consider whether such techniques could improve the preparedness of the newest recruits to the healthcare system, and the impact this could have on patient care. Finally, suggestions for potential research directions within this area are offered to stimulate interest amongst the research community.

Altering Pace Control and Pace Regulation: Attentional Focus Effects during Running

PURPOSE

To date, there are no published studies directly comparing self-controlled (SC) and externally controlled (EC) pace endurance tasks. However, previous research suggests pace control may impact on cognitive strategy use and effort perceptions. The primary aim of this study was to investigate the effects of manipulating perception of pace control on attentional focus, physiological, and psychological outcomes during running. The secondary aim was to determine the reproducibility of self-paced running performance when regulated by effort perceptions.

METHODS

Twenty experienced endurance runners completed four 3-km time trials on a treadmill. Subjects completed two SC pace trials, one perceived exertion clamped (PE) trial, and one EC pace time trial. PE and EC were completed in a counterbalanced order. Pacing strategy for EC and perceived exertion instructions for PE replicated the subjects' fastest SC time trial.

RESULTS

Subjects reported a greater focus on cognitive strategies such as relaxing and optimizing running action during EC than during SC. The mean HR was 2% lower during EC than that during SC despite an identical pacing strategy. Perceived exertion did not differ between the three conditions. However, increased internal sensory monitoring coincided with elevated effort perceptions in some subjects during EC and a 10% slower completion time for PE (13.0 ± 1.6 min) than that for SC (11.8 ± 1.2 min).

CONCLUSIONS

Altering pace control and pace regulation impacted on attentional focus. External control over pacing may facilitate performance, particularly when runners engage attentional strategies conducive to improved running efficiency. However, regulating pace based on effort perceptions alone may result in excessive monitoring of bodily sensations and a slower running speed. Accordingly, attentional focus interventions may prove beneficial for some athletes to adopt task-appropriate attentional strategies to optimize performance.

Thinking and Action: A Cognitive Perspective on Self-Regulation during Endurance Performance

Self-regulation reflects an individual's efforts to bring behavior and thinking into line with often consciously desired goals. During endurance activity, self-regulation requires an athlete to balance their speed or power output appropriately to achieve an optimal level of performance. Considering that both behavior and thinking are core elements of self-regulation, this article provides a cognitive perspective on the processes required for effective pace-regulation during endurance performance. We also integrate this viewpoint with physiological and performance outcomes during activity. As such, evidence is presented to suggest that what an athlete thinks about has an important influence on effort perceptions, physiological outcomes, and, consequently, endurance performance. This article also provides an account of how an athlete might control their cognition and focus attention during an endurance event. We propose that effective cognitive control during performance requires both proactive, goal-driven processes and reactive, stimulus-driven processes. In addition, the role of metacognition—or thinking about thinking—in pace-regulation will also be considered. Metacognition is an essential component of self-regulation and its primary functions are to monitor and control the thoughts and actions required for task completion. To illustrate these processes in action, a metacognitive framework of attentional focus and cognitive control is applied to an endurance performance setting: specifically, Bradley Wiggins' successful 2015 Hour record attempt in cycling. Finally, future perspectives will consider the potentially deleterious effects of the sustained cognitive effort required during prolonged and strenuous endurance tasks.

The Perils of Automaticity

Classical theories of skill acquisition propose that automatization (i.e., performance requires progressively less attention as experience is acquired) is a defining characteristic of expertise in a variety of domains (e.g., Fitts & Posner, 1967 ). Automaticity is believed to enhance smooth and efficient skill execution by allowing performers to focus on strategic elements of performance rather than on the mechanical details that govern task implementation ( Williams & Ford, 2008 ). By contrast, conscious processing (i.e., paying conscious attention to one's action during motor execution) has been found to disrupt skilled movement and performance proficiency (e.g., Beilock & Carr, 2001 ). On the basis of this evidence, researchers have tended to extol the virtues of automaticity. However, few researchers have considered the wide range of empirical evidence which indicates that highly automated behaviors can, on occasion, lead to a series of errors that may prove deleterious to skilled performance. Therefore, the purpose of the current paper is to highlight the perils, rather than the virtues, of automaticity. We draw on Reason's (1990) classification scheme of everyday errors to show how an overreliance on automated procedures may lead to 3 specific performance errors (i.e., mistakes, slips, and lapses) in a variety of skill domains (e.g., sport, dance, music). We conclude by arguing that skilled performance requires the dynamic interplay of automatic processing and conscious processing in order to avoid performance errors and to meet the contextually contingent demands that characterize competitive environments in a range of skill domains.