The challenges of teaching students to reflect on experience and, thus, learn from it, are better understood with the application of constructs from cognitive psychology. The present paper focuses on two such constructs–self-schemas and scripts–to help educators better understand both the threats and opportunities associated with effective reflection. Emotion is presented as an important accompaniment to reflection. Suggestions are presented, using the notions of self-schemas and scripts, to help students manage the emotion associated with reflection and to enhance the value of that reflection.
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Abelson, R. P. (1963). Computer simulation of “hot cognitions”. In S. Tomkins & S. Mesick (Eds.), Computer simulation of personality. New York: Wiley.
Abelson, R. P. (1976). Script processing in attitude formation and decision making. In J. S. Carroll & J. W. Payne (Eds.), Cognition and social behavior. Hillsdale, NJ: Lawrence Erlbaum.
Aronson, L. (2011). Twelve tips for teaching reflection at all levels of medical education. Medical Teacher, 33(3), 200–205.
Aronson, L., Niehaus, B., Lindow, J., Robertson, P. A., & O’Sullivan, P. S. (2011). Developing and pilot testing a reflective learning guide for medical education. Medial Teacher, 33(1), e515–e521.
Atkins, S., & Murphy, K. (1993). Reflection: A review of the literature. Journal of Advanced Nursing, 18, 1188–1192.
Bordage, G., & Zacks, R. (1984). The structure of medical knowledge in the memories of medical students and general practitioners: Categories and prototypes. Medical Education, 18, 406–416.
Charlin, B., Boshuizen, H. P. A., Custers, E. J., & Feltovich, P. J. (2007). Scripts and clinical reasoning. Medical Education, 41(12), 1178–1184.
Cranton, P. (1996). Professional development as transformative learning: New perspectives for teachers of adults. San Francisco: Jossey-Bass.
Cranton, P., & Carussetta, E. (2004). Developing authenticity as a transformative process. Journal of Transformative Education, 2, 276.
Croskerry, P. (2009). Clinical cognition and diagnostic error: Applications of a dual process model of reasoning. Advances in Health Science Education, 14, 27–35.
DeNisi, A., & Kluger, A. N. (2000). Feedback effectiveness: Can 360-degree appraisals be improved? Academy of Management Executives, 14(1), 129–139.
Dewey, J. (1993). How we think. Buffalo, NY: Prometheus Books.
Feltovich, P. J., & Barrows, H. S. (1984). Issues of generality in medical problem solving. In H. G. Schmidt & M. L. De Volder (Eds.), Tutorials in problem-based learning: A new direction in teaching the health professions (pp. 128–142). Assen: Van Gorcum.
Henderson, C., & Dancy, M. H. (2008). Physics faculty and educational researchers: Divergent expectations as barriers to the diffusion of innovations. American Journal of Physics, 76(1), 79–91.
Kahneman, D. (2011). Thinking fast and slow. New York: Farrar, Straus and Giroux.
Kember, D., Jones, A., Loke, A., McKay, J., Sinclair, K., Tse, H., et al. (1999). Determining the level of reflective thinking from students’ written journals using a coding scheme based on the work of Mezirow. International Journal of Lifelong Education, 18(1), 18–30.
Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall.
Ledoux, T., Winterowd, C., Richardson, T., & Dorton Clark, J. (2010). Relationship of negative self-schemas and attachment styles with appearance schemas. Body Image, 7(3), 213–217.
Lerner, M. (1980). The belief in a just world: A fundamental decision. New York: Plenum.
Loughran, J. J. (1996). Developing reflective practitioners: Learning about teaching and learning through modelling. London: Falmer.
Mamede, S., & Schmidt, H. G. (2004). The structure of reflective practice in medicine. Medical Education, 38, 1302–1308.
Mann, K., Gordon, J., & MacLeod, A. (2009). Reflection and reflective practice in health professions education: A systematic review. Advances in Health Sciences Education, 14, 595–621.
Mezirow, J. (1990). Fostering critical reflection in adulthood. San Francisco: Jossey-Bass.
Norman, G., Young, M., & Brooks, L. (2007). Non-analytical models of clinical reasoning: The role of experience. Medical Education, 41(12), 1140–1145.
Pee, B., Woodman, T., Fry, H., & Davenport, E. S. (2002). Appraising and assessing reflection in students’ writing on a structured worksheet. Medical Education, 36, 575–585.
Perry, R. P. (2003). Perceived (academic) control and causal thinking in achievement settings. Canadian Psychology/Psychologie Canadienne, 44(4), 312–331.
Plank, M. M., Driscoll, M., Marquez, M., Cuppernull, L., Maring, J., & Greenberg, L. (2007). Assessing reflective writing on a pediatric clerkship by using a modified bloom’s taxonomy. Ambulatory Pediatrics, 7(4), 285–291.
Rogers, R. R. (2001). Reflection in higher education: A concept analysis. Innovative Higher Education, 26(1), 37–57.
Sargeant, J., Mann, K., Sinclair, D., van der Vleuten, C., & Metsemakers, J. (2008). Understanding the influence of emotions and reflection upon multi-source feedback acceptance and use. Advances in Health Sciences Education, 13, 275–288.
Schön, D. A. (1983). The reflective practitioner: How professionals think in action. New York: Basic Books.
Young, J. (Ed.). (1994). Cognitive therapy for personality disorders: A schema-focused approach (2nd ed.). Sarasota, FL: Professional Resource Press.
Zajonc, R. (1980). Feeling and thinking: Preferences need no inferences. American Psychologist, 35, 151–175.
Zink, T., Halass, G. W., Finstad, D., & Brooks, K. D. (2008). The rural physician associate program: The value of immersion learning for third-year medical students. Journal of Rural Health, 24(4), 353–359.
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Poole, G., Jones, L. & Whitfield, M. Helping students reflect: lessons from cognitive psychology. Adv in Health Sci Educ 18, 817–824 (2013). https://doi.org/10.1007/s10459-012-9373-0