1 Psychology and human development1.6 Thought and higher cortical functions

1.6.2 Executive functions

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Written by Resident Doctor Committee · Published

New in the 2027 syllabus

The College added this topic for exams from January 2027.

Basic control processes

Miyake's model splits executive control into three processes: inhibition, updating and shifting. They are separate, but performance on them is correlated.

Process

What it does

Example

Inhibition

Holds back a strong, automatic response

Not reading the word when asked to name its ink colour

Updating

Tracks and revises what is in working memory

Replacing an out-of-date running total

Shifting

Moves between task rules or mental sets (ways of thinking)

Switching to a new sorting rule

Complex behaviour

  • Planning and multitasking draw on several control processes plus memory and knowledge. So a difficult task is not a pure measure of one executive function.

  • Initiation is getting goal-directed activity started. Someone with poor initiation may know what they should do and still not do it, so everyday function suffers.

  • Judgement is using information and the likely consequences to make a decision. It is not a single, separate executive skill.

  • Assessment combines test performance with examples from everyday life. Fatigue, mood, language and the motor demands of a task can all change scores.