This document discusses different behavior modification techniques used to help children overcome fear and anxiety related to dental treatment. It describes behavior shaping, which uses reinforcement to change inappropriate behaviors. Three key techniques are then outlined: 1) Desensitization works to remove fears by teaching relaxation and gradually exposing children to more stimulating elements, 2) Modeling allows children to observe appropriate behaviors in others, and 3) Contingency management modifies behavior through use of positive or negative reinforcers like praise or withdrawal of an aversive stimulus. The Tell-Show-Do technique is also explained as a popular method that involves explaining, demonstrating, and then performing a procedure.
This document discusses different behavior modification techniques used to help children overcome fear and anxiety related to dental treatment. It describes behavior shaping, which uses reinforcement to change inappropriate behaviors. Three key techniques are then outlined: 1) Desensitization works to remove fears by teaching relaxation and gradually exposing children to more stimulating elements, 2) Modeling allows children to observe appropriate behaviors in others, and 3) Contingency management modifies behavior through use of positive or negative reinforcers like praise or withdrawal of an aversive stimulus. The Tell-Show-Do technique is also explained as a popular method that involves explaining, demonstrating, and then performing a procedure.
Original Description:
Description of behavior shaping by VIVEK SHARMA (RUNGTA COLLEGE OF DENTAL SCIENCE & REASERCH)
This document discusses different behavior modification techniques used to help children overcome fear and anxiety related to dental treatment. It describes behavior shaping, which uses reinforcement to change inappropriate behaviors. Three key techniques are then outlined: 1) Desensitization works to remove fears by teaching relaxation and gradually exposing children to more stimulating elements, 2) Modeling allows children to observe appropriate behaviors in others, and 3) Contingency management modifies behavior through use of positive or negative reinforcers like praise or withdrawal of an aversive stimulus. The Tell-Show-Do technique is also explained as a popular method that involves explaining, demonstrating, and then performing a procedure.
This document discusses different behavior modification techniques used to help children overcome fear and anxiety related to dental treatment. It describes behavior shaping, which uses reinforcement to change inappropriate behaviors. Three key techniques are then outlined: 1) Desensitization works to remove fears by teaching relaxation and gradually exposing children to more stimulating elements, 2) Modeling allows children to observe appropriate behaviors in others, and 3) Contingency management modifies behavior through use of positive or negative reinforcers like praise or withdrawal of an aversive stimulus. The Tell-Show-Do technique is also explained as a popular method that involves explaining, demonstrating, and then performing a procedure.
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BEHAVIOR SHAPING
It involves the use of selected reinforcers that being
learned with hopefully change a childs behavior from an inappropiate to an appropiate form.It is based on the stimulus response theory and principes of social learning. For example When the child enter the reception room and associates this with a previous dental experiences which was unpleasant,the childs internal response is fear and anxiety while the external response would be crying. BEHAVIOR MODIFICATION INVOLVES THREE TECHNIQUES 1. Desensitization 2. Modeling 3. Contingency management DESENSITIZATION It is also known as reciprocal inhibition. Joseph wolpe (1975) used to remove fears and tension in children who have had previous unpleasant dental experience or negative behavior. Desensitization is accomplished by teaching the children a competing response such as relaxation and the introducing progressively more threatening stimuli.
It ia an effective method for reducing a maladaptive behavior. Systemic desensitization is effective because the patient learn to substitute an appropriate or adaptive emotional response (relaxation) for an inapropriate or maladaptive response anxiety TELL-SHOW-DO Introduced by addleslon (1959). Method popularly used nowadays for modifying the behavior by desensitization in children is TELL-SHOW-DO technique. In this technique the child is told about the treatment showed the instrument and than the treatment is actually performed.Thus a child who requires a restoration is told that his teeth are to be brushed and cleaned.
While taking radiographs the x-ray machine is introduced as a camera that takes the photo of the teeth. TELL-SHOW-DO technique needs to be modified while treating a child who is visually impaired.TELL-SMELL-DO or TELL-TOUCH- DO should be used. This is effective in children more than 3 years of age. MODELING Introduced by Bandura (1969). This procedure involves,allowing a patient to observe one or more individuals (model) who demostrate appropriate behavior in a particular situation.The patient will frequently imitate the models behavior when placed in a similar situation. MODEL CAN BE - A. LIVE B. FILMED C. POSTERS D. AUDIOVISUAL AIDS CONTINGENCY MANAGEMENT It is a method of modifying the behavior of children by presentation or withdrawal of reinforcers. These reinforcers can be A) Positive reinforcer It is the one whose contingent presentation increases the frequency of behavior (Henry W Fields,1984) B) Negative reinforcer It is the one whose contingent withdrawal increases the frequency of behavior (stokes and kenndy,1980) Negative reinforcer is usually a termination of an aversive stimulus . E.g withdrawal of the mother. TYPES OF REINFORCEMENTS :- Social e.g positive facial expression,praise,holding hand,physical contact by shaking hand and patting shoulder or back. Material May be given in the form of toys,games.sweets are not given as reward since it causes caries. Activity reinforcers Involving the child in some activity like watching television show/special programmes with him.For the benefits of contingency management social reinforcers are the most effective,
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