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Tutorial - Behavioral Approach

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Applied

Psychology and
Sociology
Tutorial: Discussion on
Behavioral approach on
health care professional
Learning Theories
1. Classical Conditioning
2. Operant Conditioning
3. Observational Learning
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Classical Conditioning

• Classical conditioning: learning to make a reflex


response to a stimulus other than the original,
natural stimulus that normally produces the reflex
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Operant Conditioning
• Operant Conditioning refers to the learned
association between voluntary actions and their
consequences or outcomes.
• Operant conditioning applies to voluntary
behaviors – those over which we normally have
conscious control
• Learning takes place as a result of reinforcement
and punishment
The Concept of Reinforcement &
Punishment
Positive - delivery Negative - removal
Reinforcement Positive Negative
To  the probability reinforcement reinforcement
of a behaviour
Or

Punishment Positive Negative punishment


To  the probability punishment
of a behaviour

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The Concept of Reinforcement

• Reinforcement: any event or Stimulus, that when


following a Response, increases the probability
that the response will occur again
– Primary reinforcer: any reinforcer that is
naturally reinforcing by meeting a basic
biological need, such as hunger, thirst, or touch
– Secondary reinforcer: any reinforcer that
becomes reinforcing after being paired with a
primary reinforcer, such as praise, tokens, or
gold stars
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Schedules of Reinforcement

• Continuous reinforcement: reinforcement of each


and every correct response

• Partial reinforcement effect: a response that is


reinforced after some—but not all—correct
responses tend
• to be very resistant to extinction
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Schedules of Reinforcement

• Fixed interval schedule


• Variable interval schedule
• Fixed ratio schedule
• Variable ratio schedule
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Applications of Operant Conditioning:
Shaping and Behavior Modification
• Behavior modification: use of operant conditioning
techniques to bring about desired changes in
behavior
• Token economy: use of objects called tokens to
reinforce behavior in which tokens can be
accumulated and exchanged for desired items or
privileges
• Contingency contract: a formal, written agreement
between the therapist and client in which goals for
behavioral change, reinforcements, and penalties
are clearly stated
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Applications of Operant Conditioning:
Shaping and Behavior Modification

• Self-modification: Anna finds it difficult to get out


of bed in the mornings. She needed to address
this urgently. She decided to get in some special
treats for breakfast to tempt herself out of bed
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Observational learning
Learning new behavior by watching a model
who performs that behavior
• Attention: the learner must first pay attention to
the model.
• Memory: the learner must also be able to retain
the memory of what was done
• Imitation: the learner must be capable of
reproducing, or imitating, the actions of the
model.
• Desire: the learner must have the motivation to
perform the action.
Lifestyle and behavior
• Taking up a new health-related behaviour such
as exercise requires extra time and space within
an individual’s lifestyle, therefore, another activity
will need to be displaced.
• If exercise is to be maintained, it must be more
reinforcing for the individual than alternative
ways of using their time.
• It is easier to diet if foods that increase weight
are exchanged for similar quantities of food that
are just as desirable but do not put on weight
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Group Exercise 1: Exercise
Regimen
• The patient is a 20y/o college student who has type
1 diabetes and normally walks each evening as part
of her exercise regimen. She now plans to enroll in a
swimming class to meet her physical education
requirement.
• Based on concepts of Operant conditioning, what
adjustment in her intervention plan should the
nurse make to help this patient?
Group Discussion
Group Exercise 2: Exercise
Regimen
• The patient is a 10y/o boy who is extremely obese.
To avoid the risk of type 2 diabetes in childhood or
cardiovascular disease in adulthood, his parents
sent him to our hospital.
• As his case nurse, based on concepts of operant
conditioning, design an intervention plan for this
patient.
Group Discussion
END

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