
A few days ago I found myself in a hotel room outside of Chicago with my 19 year old daughter moaning and sometimes howling in pain. She’d been sick for a week, each day with a new symptom, and this morning her eardrum felt like it was going to burst. We decided that I should cancel my client meeting and take her to an urgent care clinic instead. Of course, we don’t have universal health care here in the States, so first I had to call my insurance provider to find out if there were “in network” doctors we could go to and still be covered by our plan. The insurance company told me to go to a particlar web site, and said that any doctor we picked through that site would be considered in network.
Using a web site under stress — By now 10 minutes have passed and my daughter is still sitting on the bed behind me moaning and wailing. Instead of helping her, I have to go to a web page and fill out forms and look at maps. The first thing that happens is that I encounter a drop down menu that is meaningless to me:

When I look at this web page now (days later, crisis has passed), it doesn’t seem too confusing, but when I was trying to fill it out, trying to get my daughter some help, the web page was daunting and impossible, and not at all intuitive.
Stress changes your perceptions — Research on stress shows that a little bit of stress (called arousal in psychology terms) can help you perform a task, because it heightens awareness. Too much stress, however, degrades performance. Two psychologists, Robert Yerkes and John Dodson first postulated this arousal/performance relationship, and hence it has been called the “Yerkes-Dodson law” for over a century.
Arousal helps up to a point — The law states that performance increases with physiological or mental arousal, but only up to a point. When levels of arousal become too high, performance decreases. Research on the law shows that the amount of stress/arousal that is optimal depends on how difficult the task is. Difficult tasks require less arousal to reach optimal performance, and will start to break down if the arousal level is too high. Simpler tasks require more arousal and don’t fall off as fast.

Tunnel vision — When arousal first goes up then there is an energizing effect, as the person is paying attention. But as the stress increases there are negative effects. Attention gets unfocused, people have trouble remembering, problem solving degrades and “tunnel vision” sets in. Tunnel vision is where you keep doing the same task over and over even though it isn’t working.
Glucocorticoids — More recent research has shown a similar curve when studying the presence of glucocorticoids. These are the hormones that are released when we experience stress, so the Yerkes-Dodson law appears to have direct physical evidence.
Maximum frustration — As I tried to use the web page to find a doctor I kept getting errors, and typical of someone under stress, I kept doing the same task over and over even though it wasn’t working (tunnel vision). At one point I was crying tears of frustration, cursing over the lack of usability of the web site, and upset that I could not just find the name and address of a clinic we could go to.
Patient care, not computer care — I finally turned away from the computer, got my daughter some tylenol, gave her warm washclothes to hold against her ear, and got us both calmed down. Then I found a clinic at the website (where we went later that day, only to have them say she was fine. By the way, our insurance didn’t work and we had to pay cash after all — i.e., I didn’t need the web site). My daughter is better, and I didn’t even have to cancel the client meeting.
Test under stress — If you might have people using your site when they are under stress, keep in mind that too much stress will change the way they see and use the web site. And here’s a plea to BeechStreet.com… test your website thoroughly assuming that people are tense, stressed, and with howling children in the background. It’s a totally different experience.
If you’d like to read the research —
Yerkes RM, Dodson JD (1908). “The relation of strength of stimulus to rapidity of habit-formation”. Journal of Comparative Neurology and Psychology 18: 459–482. http://psychclassics.yorku.ca/Yerkes/Law/.
Lupien, SJ, Maheu F, Tu M, Fiocco A, Schramek TE (2007). “The effects of stress and stress hormones on human cognition: Implications for the field of brain and cognition”. Brain and Cognition 65: 209–237. PMID 17466428.
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