Behavior Modification and Environmental Impact
Behavior Modification and Environmental Impact
Characteristics of behavior
Covert: not observable and therefore may not be recorded directly. eg thinking is not
observable by others but only by the person involved.
Behavior Modification
pg. 1
CHARACTERISTICS OF BEHAVIOR MODIFICATION
The key figures who made immense contribution in the field of behavior modification
are4 Pavlov: Pairing a conditioned stimulus with an unconditioned stimulus to
produce a behavior change.
Behavior modification has been used in a wide variety of settings such as:
1. Developmental disabilities
B.M is used to help p-ple with serious behavioral deficits to learn functional skills to
overcone their [Link] is also used to help pple with developmental challenges to
control or eliminate self injurious behaviors ,aggressive and destructive behaviors.
2. Mental illnesses
BM has been used in institutional settings on patients with mental illnesses to modify
behaviors such as daily life skills, social behavior, aggressive behavior, treatment
compliance, psychotic behaviors, work skills etc.
pg. 2
In special education, BM has played a key role in developing teaching methods,
controlling problem behaviors, improving social behaviors and skills and promoting
self management.
4. Rehabilitation
5. Community Psychology
7. Self Management
BM procedures have been used by individuals to manage their personal habits, health
related Behaviors, professional behaviors and personal problems.
8. Child Management
Teachers and parents have used BM procedures to manage child behaviors such as bed
wetting, nail biting, improve academic performance, to reduce aggressive behaviors etc
(Learners to mention some of the ways parents and teachers used to control or change
children’s behavior at home or in school.)
9. Sports Psychology
BM procedures have been used to improve athletic performance during practice and in
competition.
pg. 3
OBSERVING AND RECORDING BEHAVIOR
Measuring of behavior that is targeted for change is one of the key aspects of behavior
modification. Measuring of their target behavior is called behavioral assessment.
1. Measuring the target behavior before assessment provides information that can
help determine whether treatment is necessary.
2. It can provide information that would help one in choosing the best treatment.
3. Measuring the target behavior before and after would help to determine
whether the behavior changed as a result of the treatment.
There are two types of behavioral assessments. These are direct and indirect
assessements.
Direct assessment
In direct assessment. A person observes and records the target behavior as it occurs.
The observer may use a video camera in close proximity to the person exhibiting the
behavior so that the target behavior can be seen or heard. The observer must also have
a precise definition of the target behavior so that it can be recorded cach time it occurs.
Example of direct assessment is when a psychologist records the number of times a
student interacts with others in the field.
Indirect assessment
Direct assessment is usually more reliable that indirect assessment. In direct assessment,
the observe is trained to observe the target behavior and record ot immediately it occurs.
In indirect assessment the information given on the target behavior depends on peoples
memories/biases. The observer may also not be competent in identifying and recording
the target behavior when it occurs.
1. Reinforcement
2. Extinction
pg. 4
3. Punishment
4. Stimulus Control
5. Respondent conditioning
Reinforcement
The person is more likely to engage in the behavior in the [Link] can say a behavior
is strengthened when there is:
Positive reinforcement
It is defined as:
pg. 5
Both positive and negative reinforcement increase the probability of occurence of a
behavior.
A stimulus is an object of event that can be detected through one of the senses and has
the potential to influence the person. In positive reinforcement, the stimulus that is
presented or appears after the behavior has occurred is called a positive reinforcer. A
positive reinforcer is usually something that is pleasant, desirable or valuable that a
person will try to get.
Examples are use of a praise, giving a gift, giving someone attention etc.
In negative reinforcement, the stimulus that is removed or avoided after the behaviour
is called an aversive stimulus. An aversive stimulus is often seen as something
unplensant, painful or annoying and a person will try to get away from ir or avoid it.
Example of a negative reinforcement: A two year old child has a tantrum in the
grocery store when his mother when he demands candy and his mother says no. His
mother eventually buys him the candy and he stops his tantrum. As a result, the
mother is more likely to give him candy when he demands it and has a tantrum. The
child is also likely to have tantrums in the grocery store because it results in receiving
candy from his mother.
In the above example, the mother’s behavior of buying her child the candy results in
termination of the child’s tantrum (an aversive stimulus) as a result, the mother is more
likely to buy her child candy when he tantrums in a store. This is an example of a
negative reinforcement. At the same time, when the child tantrums, he gets candy
(positive reinforcer); and ts more likely to tantrum in the grocery store. This is an
example of positive reinforcement.
Escape and avoidant behaviors are examples of negative reinforcement. In escape, the
occurrence of a behavior results in termination of aversive stimulus that was presented
when the behavior occurred. In avoidance, the occurrence of the behavior prevents the
aversive stimulus by engaging in a particular behavior and the behavior is strengthened.
pg. 6
CONDITIONED AND UNCONDITIONED REINFORCERS
Natural reinforcers such as food, water, sexual stimulation, escape from painful or
extreme levels of stimulation are examples of Unconditioned reinforcers. They
function as reinforcers, the first are because they serve the biological or survival value
to an organism. No previous experience with these stimuli is required for them to
function as reinforcers.
A conditioned reinforcer is a stimulus that was once neutral but became a reinforcer as
a result of pairing it with an already established conditioned reinforcer. For example: a
parent’s attention to a child is a conditioned reinforcer because attention is paired with
delivery of food, warmth and other reinforcers. Money is an example of the most
common conditioned reinforcer. It is a conditioned reinforcer as it can buy a wide
variety of unconditioned and conditioned reinforcers.
The time between occurrence of a behavior and the reinforcing consequence (reinforcer)
is very important. For a consequence to act as a reinforcer, it should occur immediately
after the [Link] longer the time between behavior occurrence and the reinforcer,
the less effective the consequence will be because the connection between the two is
weakened.
For example if you are training a dog to sit on command, if you give the treat
ummedisately the dog sits down, the sitting down behavior is likely to be reinforced.
2. Contigency
When a behavior must occur before a reinforcer is presented, we say that the reinforcer
is contigent on that behavior. For example, every time you turn a car key on the car
starts. The behavior of turning the key is contigent on the engine starting. A behavior is
likely to be strengthened any time a reinforcer is contigent on the behavior.
pg. 7
3. Motivating operations.
There are two types of motivating operations. These are; deprivation and Satiation.
Deprivation:
Instructions are specific guidelines that indicate the specific behavior will pay off in
particular situations. For example: if your instructor suggests a rule that “you will
receive an A if you learn the answers to all the questions in a book in a particular
course”. Instructions facilitate behaviour change as they may speed up the learning
process for individuals may influence an individual to work for delayed reinforcement.
Further, instructions may teach individuals to follow instructions for example; in cases
of young children or those with developmental challenges.
SCHEDULES OF REINFORCEMENT
pg. 8
Example of (CRS): Maria is hired by a furniture company to do the job of screwing
knobs on cabinet doors. The first day on the job, the supervisor watched Maria do the
job. Each time she screwed the knobs well, the supervisor praised her of CRS.
Example of (IRS): After Maria’s first few hours on the job, the supervisor left and came
beck occasionally, watched Maria screw the knobs on the door and praised her when
she did her job well. In this example, Maria’s behavior of putting knobs correctly on
the doors was reinforced only sometimes. The supervisor used an intermittent
reinforcement schedule.
A CRF schedule is used when a person is learning or engaging in a behavior for the first
time. This is called acquisition. Once a person has acquired or learned the behavior, an
intermittent reinforcement schedule is used so that the person continues to engage in
the behavior. This is called maintainance. Hence, a behavior is maintained over time by
the use of an Intermittent Reinforcement Schedule (IRS).
Example:
Each time Kamau gets home, he uses the emergency exit at the back of the apartment
because that door is close to the apartment and that saves him a lot of walking. The
apartment manager does not want people to use the back door except in emergencies,
so he installs a new lock on the door. When Kamau comes in the evening he tries to
open the door but it does not open. He turns the knob even harder but the door doesn’t
open. A week later, Kamau passes by and tries to open the door but it doesn’t open.
Finally Kamau quits trying to use the emergency door.
The above example illustrates the basic principle of extinction. In the example, a
behavior which had been reinforced for a long period was no longer being reinforced.
Therefore the behaviour stopped occurring. Kamau’s behavior of turning the door knob
and opening the emergency door was reinforced by entering his apartment at a point
closer to the apartment this behavior was reinforced on a continuous reinforcement
schedule. Once the reinforcement stopped, Kamau stopped engaging in the behavior of
using the emergency door.
When a behavior stops occurring because it is no longer being reinforced, we say the
behavior has undergone extinction or it has been extinguished.
In the Skinner’s experiment, when the pigeon no longer received food as a reinforcer.
The pigeon’s key pecking behavior stopped. When the laboratory rats no longer
received food pallets, their lever pressing behavior decreased and finally stopped.
The principle of extinction is also used with human behaviors. For example, a child
who throws tantrums at the grocery shop because the mothers has refused to buy candy,
was being reinforced by the mother finally buying the candy. The child could be helped
to decrease the tantrums through extinction by the mother refusing to buy the candy
when the child engaged in the tantrum behavior at the grocery store. The tantrums would
gradually decrease and finally disappear.
Extinction outburst
For example:
1. When Kamau found the apartment emergency door closed, he he tumed the door
handle and pulled harder on the doorknob before finally giving up. This increase
in frequency, duration or intensity of the unreinforced behavior during the
extinction process is called an extinction outburst.
2. When a parent refuses to give attention to a crying child at night, the child cries
longer and louder (increased duration and intensity) but the crying stopped after
some time. The increased duration and intensity of crying constitutes an
extinction outburst.
Spontaneous recovery
A behavior may reoccur even after it has not occurred for some time. This is called
spontaneous recovery. Spontaneous recovery refers to the natural tendency for behavior
to reoccur in situations in which it occurred and was reinforced before extinction.
However if there is no reinforcement, the behavior will not continue for long. If
spontaneous recovery occurs and the behavior is reinforced, the effect of extinction will
be lost. The old behavior gets relearnt. For example: Kamau may attempt to open the
pg. 10
emergency door occassionally and if the door opens one day, then his behavior of using
the emergency door would be resnforced. This kind of reinforcement would increase
behavioral resistance to the extinction.
There are two factors that may influence extinction. These are:
If reinforcement occurs in the course of extinction, it takes longer for the behaviour to
decrease. This is because reinforcement of a behaviour ance extacten fees serted
smowsts Ww mm intonnitient reinforcer thes makes the behaviour more resutant to
extinction. Example a child’s crying behaviour can be extinguished by removal of
attention by the mother but the father can decide that is mistreatment and start giving
the child attention. Extinction of such a behavior becomes difficult. Consequently, if a
behavior is reinforced durmg an incidence of spontaneous recovery, it may increase to
its previous level before extinction.
PRINCIPLE 3: PUNISHMENT
Examples
1. Cathy sees a friend in her sew neighbourhood. One day when the dog was near
the fence, Cathy reached over to pet the dog. At once the dog bit her hand. After
this episode, she never again tried to pet the deg.
2. On mothers day, Mwema decides to get up early to make breakfast for his
mother. He turned the cooker on and placed the pan on fire. He then mixed a
number of eggs with some milk in a bowl to make scrambled eggs. After about
5 minutes he poured the eggs into the hot pan. Immediately the eggs started to
bun and smoke rose from the pan. Mwema grabbed the handle of the pan to get
it off the burner. As soon as he did that he got burnt by the pan handle, screamed
pg. 11
and dropped it down. After that incident Mwema never again grabbed the handle
of a hot pan. He started using a hot pad to avoid getting burnt.
The two examples illustrate the principle of punishment whereby a person engages in a
behaviour and there is an immediate outcome that makes it less likely to occur in similar
situations in the future. In example 1, Cathy reached over the fence to pet a dog and the
dog immediately bit herAs a result Cathy is less likely to reach over the fence to pet that
dog or other unfamiliar dogs. In example 2, Mwema grabbed the hot handle of a pan
which resulted in painful stimulation as he burned his hand. Mwema is less likely to
grab the handle of a hot pan on a burner in future.
The two examples demonstrate that there are three parts to the definition of
punishment.
As a result, the behaviour is less likely to occur in the future. Hence the behaviour gets
weakened.
Example 3
Mwangi, a 5 year old boy teases his young sisters until they cry. His mother scolds and
spanks him each time he teases or hits his sisters. Although Mwangi stops teasing and
hitting his sisters at the moment his mother scolds him, he continues to engage in these
aggressive behaviors with his sisters day after day.
No. In the example, spanking and scolding do not function as punishers. They have not
resulted in decrease of Mwangi’s problem behaviour over time. The example illustrates
positive reinforcement. Mwangi’s behaviour of teasing and hitting his sister’s results in
the presentation of a consequence (scolding and spanking by his mother and crying by
his sisters). The outcome is that Mwangi continues to engage in the behaviour day by
day. These three steps define positive reinforcement. This example shows, that
punishment is not defined by whether a consequence appears to be unfavourable,
pg. 12
unpleasant or aversive. A particular consequence acts a punisher only if it decreases the
frequency of occurrence of a behaviour.
There are two types of punishments. These are; positive and negative punishment.
In positive punishment,
Example. In 1971, Corte, Wolf and Locke helped institutionalized adolescents with
intellectual deficits reduce self injurious behaviours by using punishment. When a
subject slapped herself on the face, the researchers immediately applied a brief electric
shock with a handheld shock device. As a result of the discomfort of the shock, the
number of tumes the adolescents engaged in the slapping behaviour reduced gradually
and finally they stopped the [Link] shock is not used today as it has unethical.
This is a positive punishment because each time an adolescent girl slapped her face,
the behaviour decreased as a result of applying the electric shock.
In negative punishment,
Example: John interrupts his parents and the behaviour is reinforced by his parents
attention. Negative punishment would involve the loss of some other reinforcers such
as pocket money, opportunity to watch a TV each time he interrupted. Note, if extinction
was to be applied in this case it would mean the parents withholding attention each time
John interrupts.
pg. 13
DIFFERENCE BETWEEN EXTINCTION SAD PUNISHMENT
Though extinction decreases behaviour, it usually takes longer for the behaviour to
decrease and an extinction burst occurs whereby the behaviour increases briefly
before it decreases. With punishment, the decresse in behaviour is immediate and
there is no extinction burst.
Punushinent is a natural process that affects human behaviour. Some events or stimuli
are naturally punishing because avoiding or minimizing contact with these stimuli has
survival value. Painful stimuli or extreme stimulation are dangerous, hence behaviours
that produce such response are naturally weakened. Such stimuli are called
unconditioned punishers. Examples are, extreme heat or cold, extreme levels of
auditory or visual stimulation or painful stimulus such as an electrict shock or a painful
blow. Each of those stimuli naturally weakens the behaviour that produces it.
Conditioned reinforcers: These are stimuli or events that function as punishers only
when paired with unconditioned punishers. For example, the word no is a common
conditioned punisher. When a punisher spells a word wrongly in class and the teacher
says no, the child is less likely to spell the word wrongly in future. The word “no” is
also considered as a generalized conditioned punisher because it has been paired
effectively with a number of unconditioned and conditioned punishers.
1. Immediacy
When a punishing stimulus follows a behaviour or when the loss of a reinforcer occurs
immediately after the behaviourthe behaviour is more likely to be weakened. Hence for
punishment to be effective, the consequence must follow [Link] more the
delay between the behaviour and the consequence, the less effective will be the
punisher.
2. Contigency
For punishment to be most [Link] punishing stimulus should occur every time the
behaviour occurs. A punishing consequence is said to be contigent if it occurs each time
the Behaviour occurs.A punisher is most likely to weaken a behaviour when it is
contigent on the behaviour. This means punishment ts less eftective when applied
inconsistently.
pg. 14
3. Motivating operations
The events that function as punishers vary from person to person Some events may act
as conditioned punishers for some people and not others because they have different
experiences. Whether a stimulus functions as a punisher depends on its magnitude.
Generally, a more intense aversive stimulus is more likely to function as a punisher for
most people. For example, a bee sting is a punisher for most people. People will stop
engaging in behaviours that resulted in a bee sting and will engage in other behaviours
to avoid a bee sting. A mosquito bite will make some people stop wearing shorts so as
to avoid the bites while others will remain wearing [Link] the degree to whch a
stimulus acts as a punisher depends on the individual.
3. The use of punishment may be reinforcing for the person using it and is
therefore likely to be misused.
Examples
1. When Wairimu wants some extra money to spend. She asks her mum and she
usually gives her. When she asks her Dad, he refuses to give her the money and
asks her to get a job. As a result, she asks her mum for some money and nor her
Dad.
The behaviour of asking for money was reinforced in one situation (with the mother)
but was not reinforced in the other situation (with the Dad). Therefore, the behaviour
continues to occur in the situation in which it was reinforced and stops occuring in the
situation in which it was not reinforced. Therefore we say her mum’s present had some
stimulus control over Wairimu’s behaviour of asking for money. So her mum’s present
is an antecedent for Wairimu’s behaviour of asking for money.
The above example illustrates the principle of stimulus control. A behaviour us said
to be under stimulus control when there is an increased probability that the behaviour
will occur in the presence of a specific antecedent stimulus.
2. When the traffic light is red, you stop when it is green, you go.
pg. 16
Antecedent (Green light) ------------------ Behaviour (Press the accelerator) -----
----Consequence (You move to where you were gueng}
The two examples show an antecedent stimulus, a behaviour and a consequence. In each
situation, the behaviour is likely to occur when the antecedent stimulus is present. The
behaviour occurs only when the antecedent stimulus is present as this ts the only time
the behaviour has been reinforced.
In an exerpt by Holland and Skinner (1961), a hungry pigeon stands in a small chamber.
The wall in front of the pigeon has a key and two lights, green and [Link] the
pigeon pecks the key, food is presented at some part of the chamber. The food reinforces
the key pecking behaviour.
To bring the key pecking behaviour under stimulus control, they turned the red light
(SD) on and if the pigeon pecked the key. They presented the food. They would also
turn on the green light (S-Delta) and if the pigeon pecked the key, they did not present
the food due to the process of discrimination training, the pigeon is more likely to peck
the key when the red light is on and less likely to peck the key when the light is green).
pg. 17
The red light signaled that the key pecking behaviour will be reinforced while the green
light signals the key pecking behaviour will not be reinforced.
Outcome: The pigeon pecks the key only when red light is on).
In similar exerpts, a rat leams to press a lever when the lever pressing behaviour is
reinforced by food. Through discrimination training a rat leams to pess the key when a
certain audible tone is presented and not to press the lever when a different tone is
presented.
Outcome: When the letters “DOG” are present, the child says “dog”, but the child does
not say “dog” when any other combination of letters is presented.
Generalization
pg. 18
Example
Edwin, a preschool child is leaning to read with the use of flash cards. When he sees a
fleshcard with the word “MEN” on it, he says man and gets praised. At the shopping
mall with his parents Edwin sees the word MEN written on the men’s bathrooms and
says, “men”. This is because the word “MEN” on the bathroom door is similar to the
MEN an the flash card that was the original SD. Generalization has occurred because
the response occurred in the presence of a different stimulus that shared the same
properties as the original SD.
Certain types of simuli typically elicit specific types of bodily responses. For example
These are called uncondaioned responess (UR). A UR occurs in all human beings when
an unconditioned stimulus (US) is presented. An unconditioned stimulus elicits an
unconditioned response (UR).
We respond to USs because the URs have survival value. E.g coughing clears the throat
of foreign objects and pupil constriction in response to bright hight helps protect the
eyes and thus prevent the loss of sight.
Respondent conditioning occurs when a previously neutral stimulus (NS) is paired with
a US.
As a result of the pairing, the NS becomes a conditioned stimulus (CS) and elicits a
Conditioned Response (CR) similar to the UR. A UR or CR is called a respondent
behaviour. Respondent conditioning is also known as classical conditioning. Ivan
Pavlov was the first to demonstrate aUS causes UR by placing meat powder in the dog’s
mouth which caused salivation. Pavlov then presented a NS (sound of a bell) just
before putting the meat powder in the mouth. He then presented the the sound of
the bell and the meat powder together a number of times. After that he presented the
sound of the bell without the meat powder and the dog salivated. The sound of the bell
became a Conditioned Response (CR) as a result of pairing with the meat powder.
pg. 19
Respondent Conditioning
Spontaneous recovery
If the CS is presented without the US later after extinction has occurred, the CR might
occuragain. In the Pavlov’s expt. He presented the sound of the bell repeatedly without
presenting themeat to the dog. Eventually the dog stopped salivating. When
he rang the bell later afterextinction had occurred, the dog again salivated though
to a lesser extent than before extinctionhad occurred. When the CS elicits the CR after
extinction has taken place, we say spontaneousrecovery has occurred. However, the
magnitude of the CR is usually smaller during spontaneousrecovery. The CR should
disappear if the US is not presented with the CS.
pg. 20
Discrimination and generalization of respondent behaviour
Example: Wanja was attacked by a German shepherd. Since the attack, the sight of a
Germanshepherd (CS) elicits autonomic response (fear). However when she walks past
other dogs shedoes not develop the fear response. The sight of the German shepherd
developed into a Csbecause of its pairing with the attack (US). The sight of other dogs
did not develop into a Csbecause they were not associated with attacks. Hence only the
sight of the German shepherdelicits the fear response.
Generalization is the tendency for the CR to occur in the presence of stimuli similar to
the Csthat was initially paired with the US. Generalization occurs when a number of
similar CSs or abroad range of CSs elicit the same CR. For example in the case of little
Albert it was found laterthat he developed fear of any white furry animals and later he
started developing fear of anything that was white in colour. The white furry animals or
colour white were close to the S1(white rat)and acted as the CSs that elicited CR (fear
response) in little Albert.
pg. 21
2. The temporal relationship between the conditioned stimulus and
unconditioned stimulus.
For conditioning to be effective, the CS should precede the US with a short
interval or nointerval in between.
1. Respondent. For a person who has fear of spiders, the presence of the spider is
a CS thatelicits a CR of autonomic nervous system arousal involving rapid heart
rate, sweating hands,muscle tension, upset stomach, light headedness and a
flushed face.
pg. 22
Operant behaviour: the operant behaviour involved in fear of spiders involves
screaming forhelp and running away when one sees the spider. Screaming and
running away is reinforced bythe removal of the spider and escape from the
spider as one gets away from where the spiderwas. When the spider is no longer
present, there is corresponding reduction in anxiety. Thus thebehaviour of
screaming and running away are negatively reinforced by the removal of or
escapefrom the spider and reduction in anxiety.
2. For a person who fears darkness, being in a dark room acts as the CS that elicits
the CR ofanxiety or autonomic arousal.
The operant behaviour may involve turning of the lights or leaving a door open so that
the room gets lit. The outcome is that darkness is decreased or eliminated and thus
anxiety is reduced.
1. Relaxation training
2. Systematic desensitization
3. In vivo desensitization
4. Flooding
5. Modeling
1. RELAXATION TRAINING
pg. 23
Progressive Muscle relaxation (PMR)
In PMR, the person systematically tenses and relaxes each of the major muscles in the
body. Tensing and relaxing the muscles leaves them more relaxed than before. Tensing
and relaxing of the muscles can be done under the instructions of a therapist or from
listening to an audiotape ofthe procedures or from reading.
Let the client sit in a comfortable position chair. The relaxation room should have no
majordistractions. Thirdly, the client should close the eyes while tensing and relaxing
each group ofmuscles. Starting with the first group of dominant muscles, the dominant
hand and arm, Theclient tenses the muscle tightly for about 5 seconds and abruptly
releases the tension allowing theclient to feel the contrast between the tension and
relaxation in that particular muscle group Ttheclient focuses on the decreased tension
level of tension in the muscle group for 5-10 seconds andthen moves to the next muscle
group as in the table below. When the exercise is done with all the muscle groups, The
muscles will more relaxed than they were at the beginning of the relaxation exercise.
1 Dominant hand and arm Make a tight fist, curl towards shoulder,
bend arm to elbow
2 Forehead and eyes Open eyes wide and raise eyebrows. Make
as many wrinkles as possible on your
forehead.
5 Shoulders, upper back, chest Shrug shoulders and pull shoulder blades
back as back, chest far as possible as if
trying to have them touch one another.
Diaphragmatic Breathing
This is also called deep breathing. A person breathes deeply in a slow rhythmic fashion
using themuscles of the diaphragm to pull oxygen deep into the lungs. Anxiety involves
shallow rapid breathing, hence diaphragmatic breathing decreases anxiety by replacing
the pattern with a more relaxed pattern.
pg. 24
To practice diaphragmatic breathing, the person should sit,stand or lie in a comfortable
positionwith the eyes closed. Then inhale slowly for 3-5 seconds until the lungs are
comfortably filled with air. The diaphragm extends the andomen as the air is inhaled.
the person then exhales slowly for 3-5 seconds. The diaphragm muscle pulls in the
abdomen as the air is exhaled. During theinhalation and exhalation, the person
should focus attention on the body sensations such asfeelings of the lungs
expanding and contacting,th air flowing in and out and the movement of the abdomen.
2. SYSTEMATIC DESENSITIZATION
The use of systematic desensitization has three important steps which are;
1. The client learns relaxation skills using the anxiety reducing techniques.
2. The therapist and the client develop a hierarchy of fear producing stimuli.
pg. 25
3. The client practices the relaxation skills while the therapist describes anxiety-
producing scenesfrom the hierarchy
Developing the hierarchy of the fear producing stimuli takes place after the client has
learnt the relaxation procedures. The client uses a fear rating scale to identify the amount
of fear that isproduced by a variety of situations related to the feared stimulus. The fear
rating scale is calledsubjective units of discomfort scale (SUDS). On a rating based on
percentage of fear, 0 representsthe absence of fear while 100 represents the maximum
amount of fear or anxiety. Using the caseof fear of spiders, the rating of 100 would
correspond to a situation whereby the client imaginesthe spider on her arm. Seeing the
spider 5 feet away would correspond to a rating of 75 andseeing one 10 feet away would
be rated at 50 ,20 feet away would rate at 25 and sitting in herhouse with no spider
present would rate at 0 signifying the absence of fear.
When a client has shown signs of relaxation, the therapist describes the first step in the
hierarchywhich produces least anxiety. The client imagines the scene while continuing
to relax. If theclient is able to maintain relaxation, the therapist continues describing
more anxiety producingsituations until the most anxiety producing scene is reached.
pg. 26
3. IN VIVO DESENSITIZATION
One advantage of in vivo desensitization is that the client is exposed to the feared
[Link] behaviour is demonstrated in real life rather than in
imagination. Thus there is no generalization from imagination to the actual fear
situation. One disadvantage of in vivo is that it is more difficult and more time
consuming and costly thansystematic desensitization. This is because the therapist has
to arrange contact with the fearproducing situations in the hierarchy. The therapist has
to leave the office to accompany theclient where the actual fear producing stimuli are.
The advt of systematic desensitization is that it is easier and more convenient for the
client toimagine the feared stimulus than getting exposed to the real one. For example
it would be mucheasier to imagine a situation where a client has fear of airplane than to
actually board [Link] disadvantage of systematic desensitization is that the results
may not be generalized toactual fear producing situation.
4. FLOODING
5. MODELING
Modeling is commonly used among children. The child observes another person
approaching thefeared stimulus or or engaging in a feared activity. The child is more
pg. 27
likely to engage in similarbehaviour. The person with the fear can observe a live model,
a film or a video model.
Shaping is used to develop a target behaviour that a person does not currently exhibit.
It isdefined as the differential reinforcement of successive approximations of a target
behaviour until the individual exhibits the target behaviour. Differential reinforcement
involves the principles of reinforcement and extinction. Differential reinforcement
occurs when a particular behaviour isreinforced and other behaviours are not
reinforced. As e result, the reinforced behaviour increases and the ones not
reinforced decrease through extinction.
pg. 28
Using shaping to rehabilitate an accident victim
Shaping was used in a medical setting to help 75 year old woman, Mrs F, to start
walking after hip replacement surgery. To resume walking she needed physiotherapy.
She had to walk between two parallel bars while supporting herself with her arms.
However she had refused to participate in the therapy. When using shaping the target
behaviour would be to walk independently with herwalker while the starting behaviour
would be to go the room where therapy was to take placeusing a wheelchair. When she
arrived at the therapy room, the therapist received her warmly by massaging her which
acted as a reinforcer. After going to therapy room several times, thetherapist
asked her to stand up between the parallel bars for one second before she could give
hera massage. Standing for one second between the bars acted as a successive
approximation towalking. After standing for one second the therapist massaged
her. The following day, thetherapist increased the duration of standing to 15 seconds
before giving massage to Mrs F. After Mrs F was successfully standing between the
parallel bars, the therapist asked her to take a fewsteps one day and then a few more
steps another day until she was able to walk the full length ofthe parallel bars.
Eventually Mrs F was able to walk independently with her walker and was then
discharged from hospital.
Mrs S, a 32 year woman often interrupted her therapy sessions for toilet visit as she had
once lostbladder control in public and did not want it to happen again. She was visiting
the toilet morethan once an hour. Shaping was used to help her increase the time
between the toilet visits,Hence decrease the frequency of urination. The target
behaviour was to wait for 2 hours beforegoing to the toilet. The starting behaviour was
taken as 1hour as she was able to wait for onehour between the visits. When Mrs S was
able to meet the target for a few days, the therapistapproved and praised her as a
reinforcer. The next approximation was to wait for 70 minutes andafter waiting
successfully for a few days, the therapist increased the duration to 90 minutes, then 105
and finally 120 minutes. Later after discharge Mrs S reported she had been able to
maintain bladder control.
SELF MANAGEMENT
From the two examples, the two are engaging in behavioural deficits. They fail to
engage indesirable behaviours. The behaviours are said to be desirable because they
will have a positiveimpact on people’s lives in future. A desirable behaviour
may not occur because it is not reinforced immediately when it occurs or there
is a competing behaviour which is reinforced immediately and interferes with the
occurrence of that other behaviour. When the positive outcome of behaviour is
in the future, it does not exert influence on the occurrence of the desirable
behaviour at the present. Murray and Annette were not engaging in the desirable
behaviours though they had positive impact in the future. The competing behaviours
were being reinforced immediately eg instead of exercising, Murray would engage in
competing behaviours; eating snacks and watching the TV that would be reinforced
immediately. Another type of a self management problem is an excess of an
undesirable behaviour. The behaviour is undesirable because it will have a
negative impact in the future. Examples of behavioural excesses include, overeating,
alcohol abuse, smoking, gambling etc. Though it willhave a negative impact on the
persons future, the undesirable behaviour continues because it is reinforced
immediately it occurs or alternative desirable behaviours are not present to competewith
it. Since the negative outcome is in the future, it does not influence occurrence of
theundesirable behaviour in the present.
In reinforcement, it is known that the longer the delay between a behaviour and its
consequence, the less likely that the consequence will function as a reinforcer for the
behaviour. Hence, self management aims to get individuals to take some action to
overcome the influence of immediate reinforcement for undesirable behaviour.
pg. 30