Inner Critic

Why we struggle with self-talk. Stay motivated without letting self-criticism run your life.

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Lilli Cooper’s no fluff newsletter.

Helping surgeons perform, and feel, better.

Lilli Cooper’s no fluff newsletter.

Helping surgeons perform, and feel, better.

Lilli Cooper’s no fluff newsletter.

Helping surgeons perform, and feel, better.

Key insights:

The 'inner critic', 'saboteur', or 'committee' refers to our self critical inner voice.

We constantly judge ourselves in relation to others, in the context we find ourselves, and tend to have signature behaviours that we deploy if we find ourselves lacking, e.g. take control, work harder, seek reassurance, avoid the situation or self-sabotage.

These behaviour patterns are often based on what worked for us as children, or what we learned were of value through observing others then, or since.

Many surgeons feel indebted to their inner critic - I wouldn't have got to where I am without it - but evidence suggests that self compassion supports performance and learning better than self criticism, both in the moment and over time.

Often simply becoming aware of it can help us reevaluate and appraise automatic self-referential judgements and habitual, self limiting or unsustainable behaviour patterns that we later resent, regret or feel ashamed of.

Characterisation and psychological distancing techniques can help us notice it in action, pause, and choose to respond more in line with our current reality, identities and goals.

Building our intrinsic sense of self worth, and supporting our general health and recovery, can reduce our reactivity and vulnerability to self-criticism. Interestingly, developing self-compassion also affects how compassionate we are with others.

References:

  • Festinger L. A theory of social comparison processes. Human Relations 1954:7:117-140

  • Sokova Bet al. Breaking the vicious cycles of self-criticism: a qualitative study on the best practices of overcoming one's inner critic, BMC Psychology 2025;13:266

  • Kuchar AL et al. Resilience and Enhancement in Sport, Exercise, & Training (RESET): A brief self-compassion intervention with NCAA student-athletes. Psych Sport Ex. 2023,67:102426-

  • Neff KD, PommierE. The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity 2013;12:160-176

Key insights:

The 'inner critic', 'saboteur', or 'committee' refers to our self critical inner voice.

We constantly judge ourselves in relation to others, in the context we find ourselves, and tend to have signature behaviours that we deploy if we find ourselves lacking, e.g. take control, work harder, seek reassurance, avoid the situation or self-sabotage.

These behaviour patterns are often based on what worked for us as children, or what we learned were of value through observing others then, or since.

Many surgeons feel indebted to their inner critic - I wouldn't have got to where I am without it - but evidence suggests that self compassion supports performance and learning better than self criticism, both in the moment and over time.

Often simply becoming aware of it can help us reevaluate and appraise automatic self-referential judgements and habitual, self limiting or unsustainable behaviour patterns that we later resent, regret or feel ashamed of.

Characterisation and psychological distancing techniques can help us notice it in action, pause, and choose to respond more in line with our current reality, identities and goals.

Building our intrinsic sense of self worth, and supporting our general health and recovery, can reduce our reactivity and vulnerability to self-criticism. Interestingly, developing self-compassion also affects how compassionate we are with others.

References:

  • Festinger L. A theory of social comparison processes. Human Relations 1954:7:117-140

  • Sokova Bet al. Breaking the vicious cycles of self-criticism: a qualitative study on the best practices of overcoming one's inner critic, BMC Psychology 2025;13:266

  • Kuchar AL et al. Resilience and Enhancement in Sport, Exercise, & Training (RESET): A brief self-compassion intervention with NCAA student-athletes. Psych Sport Ex. 2023,67:102426-

  • Neff KD, PommierE. The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity 2013;12:160-176

Key insights:

The 'inner critic', 'saboteur', or 'committee' refers to our self critical inner voice.

We constantly judge ourselves in relation to others, in the context we find ourselves, and tend to have signature behaviours that we deploy if we find ourselves lacking, e.g. take control, work harder, seek reassurance, avoid the situation or self-sabotage.

These behaviour patterns are often based on what worked for us as children, or what we learned were of value through observing others then, or since.

Many surgeons feel indebted to their inner critic - I wouldn't have got to where I am without it - but evidence suggests that self compassion supports performance and learning better than self criticism, both in the moment and over time.

Often simply becoming aware of it can help us reevaluate and appraise automatic self-referential judgements and habitual, self limiting or unsustainable behaviour patterns that we later resent, regret or feel ashamed of.

Characterisation and psychological distancing techniques can help us notice it in action, pause, and choose to respond more in line with our current reality, identities and goals.

Building our intrinsic sense of self worth, and supporting our general health and recovery, can reduce our reactivity and vulnerability to self-criticism. Interestingly, developing self-compassion also affects how compassionate we are with others.

References:

  • Festinger L. A theory of social comparison processes. Human Relations 1954:7:117-140

  • Sokova Bet al. Breaking the vicious cycles of self-criticism: a qualitative study on the best practices of overcoming one's inner critic, BMC Psychology 2025;13:266

  • Kuchar AL et al. Resilience and Enhancement in Sport, Exercise, & Training (RESET): A brief self-compassion intervention with NCAA student-athletes. Psych Sport Ex. 2023,67:102426-

  • Neff KD, PommierE. The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity 2013;12:160-176

More about this here:

You can read more about The Inner Critic in this article I've written for the Bulletin of the Royal College of surgeons.

More about this here:

You can read more about The Inner Critic in this article I've written for the Bulletin of the Royal College of surgeons.

More about this here:

You can read more about The Inner Critic in this article I've written for the Bulletin of the Royal College of surgeons.

Listen on the move

Too busy to watch, or consuming on your commute? Listen to audio on the theme of The Inner Critic, here!

Listen on the move

Too busy to watch, or consuming on your commute? Listen to audio on the theme of The Inner Critic, here!

Listen on the move

Too busy to watch, or consuming on your commute? Listen to audio on the theme of The Inner Critic, here!

Fancy a takeaway?

There is an exercise in the Bulletin article, to get to know your inner critic and what they are worried about. A further exercise is here...

Fancy a takeaway?

There is an exercise in the Bulletin article, to get to know your inner critic and what they are worried about. A further exercise is here...

Fancy a takeaway?

There is an exercise in the Bulletin article, to get to know your inner critic and what they are worried about. A further exercise is here...

Spotlight on

Below are a few (affiliation-free featured resources that might that might help you get to know, and even leverage, your inner critic.

PQ assessment

Find out more about your inner critic, here, with the Positive Intelligence® PQ assessment score.

Cultivating Self-Compassion

Take some time out and for a loving-kindness meditation with clinical psychologist, Tara Brach.

Turn criticism into momentum

Channel competitiveness into motivation with tools like competitive to-do list apps.

Spotlight on

Below are a few (affiliation-free featured resources that might that might help you get to know, and even leverage, your inner critic.

PQ assessment

Find out more about your inner critic, here, with the Positive Intelligence® PQ assessment score.

Cultivating Self-Compassion

Take some time out and for a loving-kindness meditation with clinical psychologist, Tara Brach.

Turn criticism into momentum

Channel competitiveness into motivation with tools like competitive to-do list apps.

Spotlight on

Below are a few (affiliation-free featured resources that might that might help you get to know, and even leverage, your inner critic.

PQ assessment

Find out more about your inner critic, here, with the Positive Intelligence® PQ assessment score.

Cultivating Self-Compassion

Take some time out and for a loving-kindness meditation with clinical psychologist, Tara Brach.

Turn criticism into momentum

Channel competitiveness into motivation with tools like competitive to-do list apps.

Good Thinking

"In life, we cannot always control the first arrow; However, the second arrow is our reaction to the first. The second arrow is optional."

Gautama Buddha

Good Thinking

"In life, we cannot always control the first arrow; However, the second arrow is our reaction to the first. The second arrow is optional."

Gautama Buddha

Good Thinking

"In life, we cannot always control the first arrow; However, the second arrow is our reaction to the first. The second arrow is optional."

Gautama Buddha

I am looking for 5 surgeons to pilot The Surgeon's MDT
I am looking for 5 surgeons to pilot The Surgeon's MDT
I am looking for 5 surgeons to pilot The Surgeon's MDT

The next newsletter will be about ADHD for surgeons

The next newsletter will be about ADHD for surgeons

The next newsletter will be about ADHD for surgeons

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Disclaimer: This newsletter is provided for educational and informational purposes only and does not constitute medical advice or professional services. The information shared should not be used for diagnosing or treating any health conditions. For personalised medical advice, please consult with a licensed healthcare professional.

Disclaimer: This newsletter is provided for educational and informational purposes only and does not constitute medical advice or professional services. The information shared should not be used for diagnosing or treating any health conditions. For personalised medical advice, please consult with a licensed healthcare professional.

Disclaimer: This newsletter is provided for educational and informational purposes only and does not constitute medical advice or professional services. The information shared should not be used for diagnosing or treating any health conditions. For personalised medical advice, please consult with a licensed healthcare professional.

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A monthly letter sharing insights, reflections, and resources for clinicians and high stakes professionals who want to perform or feel better, or both!

Thoughtful content, no spam. Unsubscribe anytime.

Sign up for Lilli's Newsletter

A monthly letter sharing insights, reflections, and resources for clinicians and high stakes professionals who want to perform or feel better, or both!

Thoughtful content, no spam. Unsubscribe anytime.

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Copyright Lilli Cooper © 2026, All Rights Reserved

Copyright Lilli Cooper © 2026

All Rights Reserved