Behaviourism Application to H&SC

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Managing Challenging Behaviour

  • Maladaptive Behaviour
    • Refers to behaviour that is unhelpful to the individual, and may result in unpleasant situations.
      • Example. A child being naughty may lead to a punishment.
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Changing Behaviour

  • Conditioning explains that maladaptive behaviour is learned.
  • Behaviour Modification
    • A method of changing behaviour that involves reinforcing desired behaviour and ignoring or punishing undesired behaviour.
  • Some people may find some aspects of everyday life difficult to deal with.
    • Example. A small boy may be unable to go to the park due to an overwhelming fear of dogs, which he is likely to encounter at a park.
    • Classical conditioning explains how phobias develop but can also be useful in changing behaviour.
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Coping with Phobias

  • Systematic Desensitisation
    • A technique in which an individual is trained, over time, to substitute a feare response with a relaxed response.
    • It is often used to unlearn behaviours.
  • Individuals will often create a "hierarchy of fears" from lowest to highest anxiety level.
  • They will also create a list of aspects that they associate with the phobia.
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Hierarchy of Fears

  • Patients work their way up a virtual ladder until they are able to face the feared object with no signs of anxiety.
  • The four stages:
    • One - the patient is taught relaxation techniques.
    • Two - the patient creates their "hierarchy of fears".
    • Three - the patient will practise some of the lower level fears with the relaxation techniques.
    • Four - the patient will move up onto the next level once the previous level has been satisfactorily overcome. This will continue until they reach the top. If a level is too much for the patient, they will move back down again.
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Shaping Behaviour

  • We can learn inappropriate or unhelpful behaviours.
  • We can use the principles of operant conditioning to create new, more helpful behaviours and eliminate the unhelpful ones.
  • Behaviour modification can be used with autistic children to help them interact socially. Target behaviours such as making eye contact are identified.
    • Example. The child is initially reinforced (e.g. with a sweet) for looking in the general area of the adult.
    • Once this behaviour is established, more specific behaviours (looking at the face) are reinforced until the target behaviour of making eye contact is achieved.
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