200 _ Psychology for Graduate Nurses
wsencler’s words and phrases. A nurse worked with
rious cultures who speak different languages. Those
ly fun
or a favourite cress or try. Adolescents often use words in unique
‘ways that are unfamil
Clarity and brevity: Effective communication is simple, shor
to the point to mi i
words that express an idea simply and directly.
Denotative aid conmotative meaning: A single word can have several
meanings. The denotative meaning is shared by individuals
who use a common language. The word baseball has the same
‘meaning for all individuals who speak English, but the word
“code” denotes cardiac arrest to health care staff. The connotative
‘meaning is the interpretation of a word’s meaning by the
thoughts, feeling orideas people have about that word. Families
‘who are told a loved one is in serious condition may behave
that death is near but to nurses the term “serious” simply describe
the nature of the illness.
Hon: Tone of voice affects the meaning of a message and,
emotions directly influence tone of voice. A simple question
rent can express enthusiasm, anger or concern. Talking
using awkward pauses can convey an unintended
‘message. Long pauses and rapid shift to another subject m:
the impression that one is trying to hide the truth. Speak
ly to enunciate clearly and use pauses to stress a particular
‘Timing is critical in communication: The best time for interacti
is when a client expresses an interest in communicating. Whi
a client is facing emergency surgery, discussing the risk
smoking is less relevant than explaining preoperative procedures
The Learning Process
MEL
One of the most import
Sr characteristics of human being is their
learn. Our personality—our habits, skills, kn
‘abits, skills, knowledge,
ests and characteris largely the result of learning,
DEFINITION
Gearing has been defined as a permanent change in beha
That occurs as a of practice or experience
le girl, being indlisposed is taken to a h
Prepares the syringe which the little
‘nurse injects the medicine and the gil
istakentothe urge next time, she stars :
‘akes the syringe. She had learned by experience th
painful ing caused changes inher behavior.
is central to all our behavior as we learn to spéa
think and perceive. Ouratttudes and emotional expressions
dhe dun leamed behaviors. (There are three important factor» 1
the definition of lenin: @ a _
Learning brings change in behavior (usually for the better)
2: Change takes place through practice or experience and vet ces
to maturation
2 be relatively permanent lasting
3. The change in behavior sl
for years, months or weel
MODES, METHODS OR THEORIES OF LEARNING
1, Trial and error
2. Theory of conditioned reflexes
a. Classical conditioning
b. Operant conditioning.
3. Cognitive learning
a. Insight leaming
b. Sign learning.202 _ Psychology for Graduate Nurses
Trial and Error Method
Edward Lee Thorndike (1874
considered as the father of educs
series of experiments (19117 on tiaTand error method of
by animals.
Experiment
ry rat was set free at the entrance of a wooden maze which
contained many pathways from the entrance to the centre. But
1 Ways except one were blocked somewhere in the middle.
‘A piece of bread was placed in the center of the maze. Seeing
he bread, the hungry rat rushed to g happened to enter
ith which was obstructed in
was able to identify the righ:
very first glance ying out other parts. Thorndike
ted similar experiments on a number of animals, e.g, monkeys,
dogs, hens and cats. The errors were reduced as the trials were
repeated, ie. SR connections were made.
B rai's experiment and several other similar experiments.
‘Thorndike formulated certain laws of learning, According to
‘Thorndike all learning is trial and error.
Laws of Etfective Learning
. Law of effect Any response followed by a reward (Food) will
“be strengthened. Any response which is unsuccessful will be
‘weakened.
Law of exercise ‘The law of exercise states that there is a direct,
relationship between repetition and the strength of the stimulus-
response bond. The Jaw of exerci ‘on the law of use
and law of disuse. @s perthe law of use, any task thatis repeated.
shows a tendency for the strengthening of the bond and as
ted shows a
per the law of disuse any task that is not 72
tendency for the weakening of the bon:
(reading, writing, typing, singing, drawing, dancing, et
learned by constant practice over a long period,
3. _Law of readiness Learning takes place best when a person is
Teady to learn. If a person is ready to act, acting gives him
———________TheLeaming Process _203
satisfaction. A person cannot learn if he i
mnot ¢ is not ready to learn,
Readiness incies motivation, inclination, tide ceamindet
lige ight learning.
discoveries have taken place suddenly without
eae land errr. Quit oft individuals lar suddenly
rather than by trial and error which is e
consuming process, een
Learning by Trial and Error
The method of trial and error is used when:
& The leamer is completely motivated and sees the goal cléaiy,
e ze only because it is hungry and
the maze.
ies alone are not suffici
tion to the problem throt
perception, understanding, intelligence and language. Then he
Proceeds blindly, tries in various directions, commits errors,
eliminates them and finally arrives at the correct responsé)
Classical Conditioning
we study of classical conditioning began i re
had already won the Nobel prize (1904) for research on digestion,
{umed his attention to learning. While studying digestion Paviow,
oticed that a dog began to salivate at the mere sight of the food.
Aish. Pavlov decided to see whether a dog could be taught to associate
food with other things, such as a light or a tone’
Baton Experiments
lov's experiment, a researcher first attached a capsule to
4 dog’ salivary gland wo measure salivary fow. Abas sone
every time, the dog Sam was given the meat powder. This wae
repeated several times. Later Pavlov observed thatthe dog salivated
atthemere sound ofthe bell, without the meat powder being followed.
the dog had been conditioned to respond to a new stimulus
ilus (CS) and salivation at the sound of the
conditioned response (CR).204 _ Psychology for Graduate Nurses
Pavlov's theory is that CS (bell) simply as a result of pairing
with the UCS (meat powder) acquires
for the UCS in evoking the response. This me: anass
is formed between the CS and the UCS, so that CS becomes
equivalent of the UCS in eliciting response.
Pavlov believed that this association took place in the brain.
Two areas of the brain, one for the UCS and the other for the CS
became activated during classical conditioning and the activation
of UCS area resulted in a reflex or automatic response.
Pavlov showed us how a significant internal process such as
learning can be studied objectively.
tinction and Spontaneous Recovery
(When a CS is presented alone without the UCS for a number of
Trials, the strength of the CS gradually decreases. This process is
the meat powder for a number of trials, salivation gradually
decreases(A fter a response has been extinguished, it recovers some
ofits strength with the passage of time. This is nown agspontaneous
recover} This implies thatthe extinction procedure whi decreasing
the strength of a conditioned response does not entirely remove
the tendency to respond to CS. Reconditioning is more rapid than
original conditioning, Recon« ig occurs when CS and UCS.
from original conditions is paired again.
lar in some way to the conditioned stimulus
but have never been paired with the unconditioned stimulu$)The
Stimulus generalizations are responsible for developing phobias
in people. Ad lop a fear
for furred animal
beard. These irrational fears can be
of extinction,
nated by the principle
Deserimination 2
This is a process that is complimentary to generalization. It occurs
‘when the individual learns to distinguish between similar stimuli
Piven te fect a Jeet feist Sh been Sela ea
————yy_—
The Leaming Process 206
and to respond different While generalization occurs
ue to similarities, discrimination rests due to differenees Selects
reinforcement and extinction cause discrimination. For example,
inan experiment with animals, lights, and S, on adjacent windows
llowed by an air puff
first day only S, was presented and
When on the second day trials with $, and S; intermingled
and presented when only 5; was reinforced, conditioned blinking,
occurred only for S,. This shows that the animal has discriminated
betyeen S, and S,. Discrimination i the opposite of
(Crocesses like extinction, spontaneous recovery, get
and discrimination are being successfully used in behavior therapy
Many of the unpleasant emotional responses that are the causati
factors for many abnormal behavior can be
the principles of classical conditioning,
e
Learning by Classical Condhtioning (Table 20.1)
‘The principles of classical conditioning can be used in the followin
areas of animal and human leaming:
Developing good habits Good habits such as cleanliness, respect
Tor elders, and punctuality, etc. can be brought about by using
principles of classical cond
Breaking of bad habits and elimination of conditioned fears All
learnings acquired in the social environment. Acquired leaning
may be deconditioned by using the principles of classical
conditioning, e.g. for deconditioning anxiety and fear in
maladjusted children,
Animals trainers have been using the
Principle of classical conditioning for long without being much
aware of the underlying mechanism.
4. _Use in psychotherapy In deconditioning emotional fears in mental
"patients ———
5. Used to develop favorable or unfavorable attitude towards
learning and the school.
i ich is a common symptom of emotional disorder
‘fear thatis induced through classical conditioning. Forfxample)
person develops fear of automobiles because of his painful
experience of an accident)206 _ Psychology for Graduate Nurses
#Fthe behaviorist school, showed.
iren in the same way as dogs.
child Albert to become afraid
of furry animals by frightening him with a loud noise, every time
he ple wk previ bred fry to
‘A number of activities we perform in our day-to-day life are
merely conditioned reflexes learned through the process of
conditioning, Some psychiatric symptoms may be the result of
conditioning, Fear of open undefined spaces, of sharp objects, of
blood, of carrying out certain treatments may have occurred as
a result of conditioning without the person’s knowledge.
Operant Conditioning or Instrumental Conditioning (Table 20.1)
Instrumental conditioning is associated with the works of EL.
‘Thorndike (1874-1947) and BESkinner (1904-
the first to conduct
0) Thorndike was
bboratory experiments (1898) on operant
to the formulation of the Jaw of effect whiel
formed thebasisof the principle of reinforcement Butt was Skinner
conditioning popular with experiments on
pige beings.
(Su de a glass box (Skinner box) containing,
a lever and food tray. The animal was free to explore the box.
Whenever the ever in the box was pressed, automatically a pellet
of food was dropped on the tray. By a mechanical device the number
of times the rat pressed on the lever was recorded, Pressing of
was the response to be learned (the operant response)
3 food was the stimulus consequence (reinforcement). The
rate of presses increased notably with the rewarding of the rat
pressed the lever. By reinforcement the
I response. Reinforcement can be either
re (rewards) or negative (unishmend)
Operants are actions which animals and human beings do like
walking, smiling, watching televisions, etc. The learner has to
“operate” on his environment. The term “instrumental” points to
some control over his circumstances
trumental
the fact that the learner
His action is instrumental to what happens to him.
action. Intention and achievement are important in this kind of
learning,
The Leaming Process 207
"a Gp
i os lw pt en
Classical coma es
Operant
Response is. elicited
Response is emitted or not
UCS ‘wil be presented "™*
Time interval between C$ and the
Bane CS and th Time interval depends on the
‘organism's ‘own behavior
‘The reward is contingent upon the
ocurrence of response
‘Association between stimulus response
Seettin Nee i Association between stimulus
‘nd space’ get assocated)
‘There is pairing of UCS and CS No pairing of UCS and CS but
Pairing of a response and the
‘einforcing stimulus which follows
Reinforcement comes firt as food Reinforcement is provided ater the
fst to elicit the response response is made by the organism
ne is Stiuts i preted
resented regardless of ver the organs th co
{Gi condoned pone ocean SEN mA the si
Stimulus oriented Response orieated
Jeaming is stimulus ‘The essence of learning is response
Voluntary response
Involves autonomic nervous system Involves central nervous system
Organism is_passive Organism is active
Types of Instrument Conditioning
By this method,
-ment is used in reward training.
wl his due allowance when he
mn rewards are used to withhold
is called omission training. For
a response that is not desired,
ample) if a child is offered a candy for giving up nail by ing)
For Bampla giving an
makes the desired respon:208 Psychology for Graduate Nurses
training refers tothe use of negative reinforcement to increase
response. For example,
«Shaping. Shaping refers to the reinforcing of closer approximation
Yor performing a desired response, This consists of learning
graduated steps, when each following step has a resemblance to
known as the method of successive
approximations. For example, in language teaching, the child may
atthe beginning say “Maaa”—Mrr—
the desired performance andit
‘Maar—and finally “mother”
Behavior Modification
Operant conditioning is used in a form of treatment known as
‘ion. Patients with behavior disorders have
successfully leamt to use socially acceptable behavior within a
relatively short time, Mentally retarced children have learnt self-
help skills such as use of toilet and dressing and undressing
previously considered too difficult.
There are many techniques which can be used and their
application to specific patients has to be so carefully planned that
many colleges of nursing now offer many post basic courses in
behavior therapy. For behavior modification, one must
complex the desired behavior is. To eat with a spoon, for example,
putting the hands on
the table and not into the soup, holding the spoon by the handle
such as sitting down,
scan be separately rewarded without waiting u
of soup has been eaten. This is known as “behavis
‘While nurses should know what reward pleases a patient most,
he must also learn to ignore inappropriate responses of her patients,
‘A systematic attempt to decondition by making new associ
‘with pleasure stimuli is being done in psychotherapy.
have been helped by this method to overcome disabl
open spaces, sharp objects and other phobias. Alcoholism and
sexual deviation have bee
process, of establishing, @ c
drinking or sexually deviant bel
ated by the reverse
nk betweer! nausea and
Principle of instrument conditionin,
'§ and in personalized system
is used in program
of instruction,
Cognitive Theories of Learning
tami complex forms of lea
cognition process
theorist ean eatnod be
Perception and knowledge or
role. According to cognitive
meee explained in terms of SR (stimulus.
Tpnene, [They propose that a lexmer forms
gute stu memo which organizes information into
Rintorsips and meanings without any kaown reinforcers]
wrong lations are formed and new relationships are perceived
ngs ents simply a aresult of having experienced these events,
§ are made among stimuli so that stimulus-stimulus (6:
associations are learned. Een
heat of Leaming by Insight
developed by a group of Gestalt
estalt psychologists, Kurt Kot
and Max Wertheimer who concided thet the
known as insight and not by blind.
2m, a person can deduce thesolution
on asa whole The sl
iewed a awhdle wll dainty lok dufent om tet oe ot
object or situation is not merely
«quite different from ts elements
of the parts may create a new
sum total ofits parts like water
hydrogen and oxygen. Sum tot
entity which is called as Gestalt. The emergence
Jn an individual an insight into the problems TOOE®
‘The most famous experiments conducted by Kohler i
insight were those conducted wit if
Some bananas were placed
was then given two sticks 80 cor
together,
he hungry Sultan tried to
4 red to get the bananas by extending out
his Pands. Then he took up one ofthe sticks and tied to pull
ee eamgnas, an effort which hé kept up for one hour Thad e
and started to play with the sticks. Meanwhi
of one stick got incidentally fast "rng Bas on es
len tened i in
Ga of other stick with the result that both te sic nese eg
together. Now Sultan used this joi
acs used this joined stick to pull210 Psychology for Graduate Nurses
‘The Gestalt psychologists made a number of such experiments
and concluded that individuals learn by insight which emerges
Suddenly asa result of perceiving the situation asa whole, Sultan's
sudden learning was due to insight developed from his perception
Of the total situation consisting of the cage, sticks and bananas
as a whole
‘The gestalists tried (o interpret learning as a purposive,
exploratory and creative enterprise instead of trial and error or
simple stimulus response mechanisms.
Characteristics of Learning by Insight
1 sudden.
2. ‘ue fo understanding.
3. Insight yerception.
4, Old neat pes ‘new patterns and organization due to
insight.
5. Higher species of animals including man has mote insight than,
members of lower 5
6. Insight develops usually after some trial and error
While classical conditioning and operant conditionin;
and error) belong to the stimulus-response (S-R) theories
ing, insight learning belongs to the cognitive learning stinmulus-
ulus (SS) theories.
Insight is often used in problem solving, puzzles and riddles.
“To emphasise the suddenness of the solution, itis also called as
“Aha experience” or Archimedes’ “Ureka”.
sl
‘Tolman’s Theory of Sign Learning
‘Aucording to Tolman, (1930) learning, i a total process. It takes
Pic copntin ognon es cng ke ow
inking, planning, inference and Rae
‘The learner through his experience recognise some gles or signs
and then relationships with goals. Learning consists in the
recognition of signs and their meanings in relation to. goals.
Tolman argued thal ‘organism follows certain signs and
clues to-reach a goal, It learns its ways by following a sort of
mental map and it does not learn only some movements but also,
their significance and meanings. Hence, this théory is called sign
learning theory.
The Leaming Process 211
In a typical ex
: periment by investi ;
comparison was madebetween torre ree eaening, a
" two groupsot hus
Jone group eachsubjectreceived eodoniimaite ns
steady improvementwas noticed. Intheother, cache
Access o the maze withoutfindinga food reward and
mmentoceuredin time oreror sce cena
lowever, when food was introduced atthe tenth t
mance soon approxi iy
Tastee anges ee
Social Leaming: Albert Bandura
Dies ie many forms of learr
conditioning, we also leam thro
and Richard Walters (1963) focus
ofleaning isons cboavatonalesninger inion
is defined a5 a response that is like the stimu
"Ponse; a person or animal watches or hears
something; then responds in the same wai
that nearly all learni
i ing that can tak
instrument le Ene
ig which cannot be explained by
h observation, Albert Bandura
lus triggering
another do or say
Bandura maintains
ice direct
behaviot§ like aggression is
é + Television ca ave go a8 well as bed
— ‘cial behavior through positive