Review: A Course on Interoception and Self-Regulation

Review: A Course on Interoception and Self-Regulation

By: Jamie Emerson

I recently found myself taking a short online course on interoception and self-regulation. This was a happy accident, stemming from some thinking and writing I’d been doing on the subject of restorative practice. Here, I’ll outline how my view of learner autonomy has shifted, before reviewing the course. 

I once viewed learner autonomy as mostly intrapersonal, or within the individual, at the level of behavior or cognition: “a student uses a homework diary effectively,” or “a student notices that they’re getting distracted when revising vocabulary and takes a break.” I came to see learner autonomy’s interpersonal side, connected to the relationships between people, while writing an article for an upcoming issue of Modern English Teacher about “restorative practice,”. 

In short, restorative practice is an approach to classroom management that supports students in expressing the harm they have suffered as a result of somebody else’s behavior and then in restoring their relationship so that learning can resume. Classroom management informed by restorative practice therefore emphasizes relationships over abstract rules or codes of conduct. 

Imagine: a student, Akira, tells her teacher that she refuses to work with a classmate, Bara, because Bara previously laughed at Akira’s pronunciation in a mini-presentation. The teacher facilitates a conversation, and Akira explains how embarrassed she felt seeing Bara laughing. The teacher asks Bara what happened, and Bara says she didn’t mean to laugh—she just felt awkward because of the difficult technical vocabulary in Akira’s presentation. She empathized with Akira. The teacher explains that although Bara didn’t intend any harm, she still had a bad impact on Akira. The teacher then asks Akira what should happen next so that the two can work together, and Akira asks for an apology. Bara says sorry and the two return to their task. 

To me, this clearly relates to learner autonomy because it is about how individuals express themselves, take responsibility for their actions, and make amends. Crucially, much depends on how Akira initially responds to her hurt feelings. Refusing to work with Bara is not ideal, but it’s a better option than physically attacking her, or insulting her, or turning her anger on the teacher or other classmates, or plotting revenge. And this brings us back into the intrapersonal world and the way that Akira understands what she’s feeling.

A photo of a father and child lying on a bed, the father upside-down and the child right-side up. The child has a comically disappointed expression on their face.
photograph by Ketut Subiyanto from Pexels

Big feelings, little people

My interest in the overlap between the intrapersonal and interpersonal is boosted by having a two-year old daughter. Unlike Akira, she cannot say “I’m feeling _______ because of _______.” Like Akira, she can certainly feel things. Big things.

There’s a whole neighborhood of popular culture about the extreme feelings of little children, like this webpage and this book. As a parent, I can differentiate between “moaning and groaning” children and those acting as the “lead character in a Shakespearean tragedy.” What usually works in response to the former (e.g. a hug, a toy) does not work with the latter (e.g. a caregiver’s arm bitten, a toy hurled to the floor). What can I expect from my daughter as she grows? What should I do when she’s turned into an Incredible Hulk? 

The course

Some Internet searching led me to an intriguing resource from the Student Wellbeing Hub, funded by the Australian Government’s Department of Education. I signed up to a free, online, asynchronous course called Interoception and Self-Regulation. Aimed at “educators with an interest in supporting children and young people with emotional self-regulation, mental health and wellbeing, and social and emotional skills”, the course consists of six units, each estimated to take around 20 minutes to complete. Course completion is registered by scoring 75% or above in embedded quiz questions. Units are outlined below:

Much is praiseworthy from a learning-design perspective. The units are consistently structured, with clear learning outcomes presented at the beginning and a review at the end. Each session starts with helpful “you are here” signposting, showing how the session fits with the others. Information is concisely presented in text or video. Multiple choice quiz questions are interspersed throughout to check learning, and there are reflective activities, too. A couple of criticisms here. Firstly, the questions sometimes suffer from having some obviously wrong answers. Secondly, I would have valued some example answers for the reflective questions. Nevertheless, citations are frequent and each session has a reference list. The overall user experience is very smooth, and I completed the course in two sittings, receiving a PDF certificate.

I found the sequencing of course content refreshing: individual differences, neurodiversity, and mental health are not tacked on at the end. With this content coming before the practical classroom interoception activities, it acts as a frame for what comes later. However, at times I sensed loose ends and missed connections between early and later modules. In a classroom setting, this is where a teacher steps in to remind learners of previous content. In asynchronous courses, the developers need to work especially hard to do so, and I think this was lacking in places. 

I also felt the absence of a teacher’s explanation and signposting in Module 5, which combines information on the effects of trauma with content about emotional dysregulation. Rather than lack of linking, here the problem is lack of differentiation. Not enough was done to separate trauma from other causes of emotional dysregulation, such as autism. Nurturing parents of autistic children might feel that they are being lumped in with the neglectful or violent parents whose actions have traumatized their children. The module could be redesigned as “Emotion dysregulation: causes and consequences”, with subsections on trauma and autism spectrum disorders as possible causes and then a subsection on responding to dysregulation, regardless of its cause. 

The course content on interoception draws on Dr Emma Goodall’s work, which formed the basis of a Master’s degree thesis in 2021 and her book Interoception and Regulation: Teaching Skills of Body Awareness and Supporting Connection with Others, co-authored by Charlotte Brownlow. 

Interoception is the ability to notice bodily markers of emotions, which is key to monitoring and managing them. The premise here is that we can experience a feeling without conscious awareness, only to have it take us by surprise. Have you ever not noticed hunger until you started eating, or tiredness until you sat down? This anecdotal evidence, combined with research on the misattribution of arousal, suggest that, in the words of the psychologist Daniel Gilbert in Stumbling on Happiness, “Just as the decoupling of awareness and visual experience can give rise to blindsight, so the decoupling of awareness and emotional experience can give rise to what we might call numbfeel. Apparently, it is possible—at least for some of the people some of the time—to be happy, sad, bored, or curious, and not know it.” 

So it seems possible for us to experience a feeling without realizing we are doing so. Last year, in the middle of a weekend morning I developed the sensation of butterflies in my stomach. It took me a moment to realize that this was connected to an imminent football (a.k.a. soccer) match between my team and our local rivals. Similarly it’s possible for us to experience a feeling and mislabel it. For a brief period in my teenage years I’d awake in the night with a feeling of dread. After a few nights I realized that my dread was alleviated when I went to the toilet. In both cases, my interoception skills were being tested. My hypothetical student, Akira, has well-developed interoception skills, while my daughter currently does not. 

The Student Wellbeing Hub course proposes that interoception skills can be deliberately practiced and trained, resulting in improved engagement and better classroom behavior. This is where the course offers the most promise for teachers trying to help learners develop their autonomy. Unit 4 links to activities for younger and older students, letting you try them before the general structure of the activities is explicitly explained. First, the learner completes a physical movement intended to cause a change in body state, such as a stretch or a breathing exercise, for 30 seconds. Then comes scaffolded reflection on how the activity felt using adjectives such as “cold,” “hot,” “hard” and “soft.” The next question encourages reflection on the location of the change, using nouns for parts of the body. The movement is then repeated, with the learner paying attention to the sensations described in the previous questions (an activity referred to as “active noticing”). The simple productivity of the format is very well-established by the course, enabling teachers to devise their own activities or to download some from the library of activities provided.

To help students understand and communicate their emotional states in the classroom, the course encourages the use of Dan Siegal’s hand model of the brain (described here in a brief introduction, here in a more detailed one and illustrated below. 

    • Brain stem (left) – this, according to Siegal and the course, is where our fight, flight, or freeze responses come from. 
    • Limbic system/amygdala (center) -– depicted as the source of “‘big feelings.”’.
    • Neocortex (right) – described this as our “‘thinking cap,”’, enabling calm and reason.

The model’s simplicity and practicality (it literally fits in the palm of your hand!) is very appealing, although some of the language used in the course presents a pretty outdated view of the evolution of the human brain (see the excellent Cesario et al., 2020). It’s arguably best to treat the hand model as a helpful metaphor enabling us, whether old or young, to talk quickly about our emotional states and to do something about them.

Interoception and classroom behavior: The evidence

Goodall’s research, which underpins the course, studied the outcomes of interoception activities in Australian schools. The study had two phases across two academic years. In the first, a single primary school pilotted a programme of interoception activities. All teachers ran two interoception activities per day and a spare classroom was used as a space where students could freely visit to participate in additional activities. 

The pilot model of two or more daily activities and a dedicated additional space became one of the conditions in the second phase of the study. In this phase, all schools in a town (three high schools, seven primary schools and one special school) participated in one of four programmes: 

    1. Individual classes participating in a minimum of two interoception activities per day
    2. All classes participating in a minimum of two interoception activities per day
    3. All classes participating in a minimum of two interoception activities per day, with “additional specific groups of intensive interoception”
    4. All classes participating in a minimum of two interoception activities per day, with a dedicated space for additional, self-access interoception activities. 

Frustratingly, the paper’s findings aren’t disaggregated to analyze any differences in outcome between these four conditions. Moreover, there is no control condition, in which no intervention was offered. This is a missed opportunity, as it could have been created by looking at the classes from the first programme which did not run the activities. The study is therefore not a Randomised Controlled Trial (challenging, but certainly not impossible to run in education, as shown by Andrew Leigh’s book Randomistas). 

A photo of students in a classroom, taken from the back. A teacher is crouched down and helping a student at their desk.
photo by Arthur Krijgsman from Pexels

Goodall sought to measure students’ interoceptive awareness, engagement with learning, and behavioral interventions (such as suspensions from school, exclusions from class, ‘take homes’ where a student spends the remainder of a school day at home, and less serious consequences like time outs) in each school. Interoceptive awareness was measured with a tracking sheet created for the study, learning engagement was recorded with a time trial observation sheet also created for the study, and serious behavior interventions were recorded as usual by the participating schools. 

Generally, Goodall found that interoceptive awareness and learning engagement among participating increased. Numbers of behavior issues and their severity tended to decrease too, but results here were more mixed and seem to have been confounded by other factors. 

Think Tank readers can look at the original research and judge it for themselves. Like me, some will be confident in evaluating the study’s methodology. Unlike me, others will be confident to scrutinize the results and the statistical techniques used to analyze them. The main point though is that the presence of reference lists and links to sources used in creating the course, including Goodall’s research, is very commendable. 

Joining the dots: autonomy, interoception, and restoration

Autonomous learners manage their own learning, both within their own minds and in their relationships with others. Ideally, learners with well-developed interoceptive abilities can notice when an emotional state is interfering with their learning. This may help them get learning back on track by self-regulation. Our imaginary student Akira might think to herself: “I know Bara annoyed me last week, and I feel a bit tense about working with her, but I really want to practice this vocab”.  

If self-regulation fails, then restorative practice offers another way to restart learning. By bringing interoceptive activities into the class, language teachers can help students to express their feelings more fully, enhancing restorative conversations. Akira might say to Bara: “I feel tense working with you, because I’m worried you’ll laugh at me again and I’ll feel embarrassed”.  

Ultimately, I’d recommend the course to virtually anyone with an interest in learner autonomy, young learners, teenagers, neurodiversity, and mental health. With a few caveats, it’s a well-designed asynchronous course. Its content encourages teachers to reflect on the role that emotion plays in the classroom, and gives practical suggestions for supporting learners to both notice and articulate their emotional states so that learning can continue. The transparency of its evidence-base is laudable. 

In short, I learned things, enjoyed doing so, and it has helped me react to my daughter’s recent “Hulk smash” moments. For that, I suspect, I’ll be eternally grateful. 

References

  • Cesario, J., Johnson, D. J., & Eisthen, H. L. (2020). Your Brain Is Not an Onion With a Tiny Reptile Inside. Current Directions in Psychological Science, 29(3), 255-260. https://doi.org/10.1177/0963721420917687

  • Gilbert, D. (2006). Stumbling on happiness. Knopf.

  • Goodall, E. (2021). Facilitating interoceptive awareness as a self-management and self-regulation tool to increase engagement in learning and education. Masters Thesis Master of Science (Research). University of Southern Queensland. https://doi.org/10.26192/F91Y-SX08

  • Hariton, E., & Locascio, J. J. (2018). Randomised controlled trials – the gold standard for effectiveness research: Study design: randomised controlled trials. BJOG : an international journal of obstetrics and gynaecology, 125(13), 1716. https://doi.org/10.1111/1471-0528.15199

  • Leigh, A. (2018). Randomistas: How radical researchers are changing our world. Yale University Press.

Jamie Emerson (MA, DELTA) has taught, designed, and managed English courses since 2012 in the UK, Europe, South America, and Asia. He has written for a variety of academic and trade publications and spoken at numerous conferences. He works for Advance HE, a member-led charity for the Higher Education sector.

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