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Purdue Conference on the Human–Animal Bond

Training Veterinary Students in Animal Behavior


to Preserve the Human–Animal Bond
Barbara L. Sherman g James A. Serpell

ABSTRACT
Knowledge of animal behavior is an extremely important component of modern veterinary practice. Appreciation of species-
typical behavior helps to ensure that veterinary patients are handled safely and humanely, and plays a pivotal role in the
diagnosis of health and welfare problems in animals, including the recognition of pain and distress. Veterinary students who
acquire a good understanding of animal behavior will be better clinicians and will be best able to promote and repair the
‘‘human–animal bond,’’ that important connection between people and their pets. Animal behavior problems can negatively
impact this critical relationship, leading to abandonment, re-homing, relinquishment to an animal shelter, and sometimes
premature euthanasia of the animal. Therefore, identifying, preventing, and treating behavior problems is important
in maintaining the human–animal bond. Education in animal behavior should be an essential part of the veterinary
curriculum; a board-certified veterinary behaviorist should be an integral member of the veterinary college faculty.

Key words: human–animal bond, animal behavior education, veterinary medicine, veterinary behavior, animal behavior
problems

INTRODUCTION veterinary handling signal that the HAB has been broken.
As noted by Eyre, ‘‘The entire basis of the veterinary Recognizing behaviors that signal fear, and appropriately
profession is a partnership between people and animals— attenuating these responses, are skills that should be taught
the so-called human–animal bond.’’1 In recent years, to veterinary students.20 Students should also be taught
veterinary medical education curricula have expanded to basic behavior-modification techniques that use positive
include topics relevant to the human–animal bond (HAB), methods to train animals to cooperate with veterinarians.
including animal behavior,2–7 although the rate of expansion Furthermore, offering behavior services to clients conveys
has been slow.8 How does animal behavior education the veterinarian’s interest in the important relationship
enhance understanding of the HAB? The HAB, and the between pet and owner.
benefits that people derive from their relationships with Ideally, veterinary student training in the HAB and clinical
their animal companions, is forged by the behavior of
aspects of veterinary behavior should be taught by
the animals.9–11 Well-behaved pets enrich people’s lives diplomates of the American College of Veterinary
and enhance their health and sense of well-being.12 Animal
Behaviorists in collaboration with members of university
behavior problems can negatively impact these sensibilities
centers that specialize in the study of human–animal
and erode the relationships between pets and their
interactions, humane ethics, public policy, and animal
owners.4,11,13 This can lead to abandonment, relinquish-
welfare. Currently, only one third of veterinary colleges
ment, or even euthanasia of the pet. The prevention and
address training in animal behavior.8
treatment of animal behavior problems by veterinarians can
avoid this scenario. Thus, training veterinary students in the
field of animal behavior can positively impact the HAB.
In addition, veterinarians serve the HAB by maintaining the BENEFITS OF ANIMAL BEHAVIOR EDUCATION
health of the animal.14 Understanding normal behavior
Training Astute Clinicians
helps veterinarians to recognize abnormal behavior that
Veterinary students will become veterinarians who support
might signify a pathologic state.15 Animal behavior educa-
the continuation of the HAB by maintaining the health
tion helps future veterinarians to become astute clinicians,
of each animal. Many clients present their pets to their
recognizing that behavioral complaints made by pet owners
veterinarian because of behavioral changes that signify an
may signal a medical abnormality or indicate that an
underlying medical problem, such as lethargy, excessive
animal’s welfare is at risk.
water consumption, or poor appetite. Interpreting such
Veterinarians can demonstrate their respect for the animals behavioral complaints is an important aspect of good
in their care, and enhance the veterinarian–patient–client clinical practice. Diagnostic acumen in physical and
relationship, by restraining and managing animals in such neurological examinations involves an assessment of behav-
a way that their fear and stress responses are reduced.16–20 ior. Behavioral concomitants of disease and poor health
Using fear and intimidation to manage animals alienates should be presented in didactic veterinary lectures on
them from humans and is diametrically opposed to internal medicine, endocrinology, and other subjects integral
optimizing the HAB. Fearful displays in response to to veterinary medical education.

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Behavioral assessment can be used to monitor response to a dog that presents a fearful posture is being rewarded
treatment, improvement or worsening of chronic disease when the client speaks to it in a cooing voice and gives it
states, and quality of life. For example, clients can document pats. Clients can be taught to ignore fearful behavior and
increased willingness to play in a dog being treated for reward calm, obedient behavior by asking the dog to follow
cardiac disease, a behavioral change that may signify an a simple, familiar command such as ‘‘sit.’’ Such trained
improvement in cardiac output; decreased house-soiling (positive) responses can inhibit spontaneous (negative,
incidents may be associated with the successful manage- ‘‘keep away’’) responses. Verbal praise and tasty tidbits
ment of diabetes-associated polyuria/polydipsia in a cat. may be used as rewards and lures.
Several authors have developed useful matrices of beha-
vioral domains that are relevant to the assessment of chronic Animal Welfare
conditions in companion dogs, including various indicators The HAB is not restricted to companion animals and their
of activity, comfort, appetite, introversion/extroversion, owners. Our commitment to the welfare and humane
aggression, anxiety, alertness, dependence, contentment, treatment of animals in our care, both as veterinarians
agitation, posture-mobility, and compulsiveness.3,21–23 and as members of a compassionate society, is an expression
Pain levels may also be evaluated using behavioral criteria, of the HAB. Behavior is a critical indicator of welfare
such as the animal’s willingness to rise in the morning in farmed,34,35 laboratory,30,36 and captive animals.37 Under-
or negotiate stairs and its posture, tendency to vocalize, standing the normal behavior of the animals in our care is
response to touch, and overall demeanor.24–26 Relatively required for the design of appropriate animal housing and
sophisticated quality of life and welfare-assessment techni- the development of optimal management protocols.38 For
ques of this kind are likely to grow in importance as example, what is the appropriate cage size for a laboratory
treatments for life-threatening and critical conditions dog? Should a particular species of primate be housed alone
become increasingly technologically advanced and heroic. or in a social group?
Similarly, standardized behavioral assessments of physical Recognizing abnormal behavior is important in the assess-
and cognitive decline among aging veterinary patients will ment of housing and management, as well as in the
help with end-of-life care decisions for this growing expression of pain, illness, or distress. An appreciation of
population of companion animals. abnormal behavior requires knowledge of the range of
individual expression of species-typical behavior. Medical
Humane, Safe, and Effective Handling of Animals problems can underlie or result from behavioral problems;
In animal behavior classes in the veterinary medical thus, behavioral issues are in the purview of the veterinar-
curriculum, normal species-specific behavior should be ian. Training in behavior should not be restricted to
taught in both didactic and clinical settings. Humane and companion animal courses; it should also be a component
safe handling of animals requires a thorough knowledge of of food-animal, laboratory-animal, avian, and exotic-animal
normal behavior, including normal fear responses.27,28 courses.
Humane handling avoids fear responses and attempts to
reduce anxiety with each subsequent visit to the veterinary Reducing the Incidence of Behavior Problems
hospital. Often, fear responses can be managed by non- Behavioral issues are probably the most common causes of
confrontational behavioral techniques and desensitization premature death among pets in the United States, because
protocols.20,29 For example, a dog that ‘‘freezes’’ in a pets with unresolved behavior problems are likely to
defensive threat when rapidly approached face-on by be relinquished to animal shelters where the majority will
an unfamiliar veterinarian can be repositioned before it be euthanized.39 By this unfortunate process, millions of
displays defensive ‘‘keep away’’ aggression. Then, it can animals are euthanized each year on the basis of their
be approached in a less threatening, parallel manner. behavior and as a result of disruption of the HAB. In
A strategy to reward calm, cooperative behavior can veterinary medical education, the prevention and treatment
be initiated and even practiced at home by the client. of problem behavior should be taught in the curriculum as a
The incidence of submissive urination, fear-motivated means to help companion animals live long, healthy, and
(defensive) aggression, and escape behavior by dogs can happy lives, and to enhance their relationships with
be reduced by recognizing the subtle signs of anxiety, and humans. Teaching these principles to veterinary students
using gentle handling and protocols that reward calm, can help them be more effective in preventing and
obedient behavior. With positive training, cats can be taught managing behavior problems in practice.40 There are two
to accept crate confinement and transport, reducing the risk main components to a clinical veterinary behavior program:
of injury and the threat of defensive aggression in the prevention of behavior problems in young animals, and
veterinary hospital. Similar principles may be applied to the treatment of existing behavior problems in animals of
handling of laboratory animals,30 pet birds,31 and nontradi- all ages.
tional pets.32,33
In an animal behavior course, veterinary students have the
opportunity to learn basic applied behavior-modification PREVENTION OF BEHAVIOR PROBLEMS
principles, including the humane use of training aids. Since There are a number of ways that the risk of behavior
animals learn from every interaction with humans, our problems that disrupt the HAB can be prevented by
goal should be to create a positive learning experience veterinarians. One way is to emphasize the importance
that contributes to the HAB and facilitates completion of providing for the behavioral needs of the animal by
of veterinary medical tasks. Unknowingly, humans can introducing the concept of ‘‘behavioral wellness’’17,41,42 to
reinforce (reward) undesirable behaviors. For example, veterinary students in animal behavior classes. Daily play,

JVME 35(4) ß 2008 AAVMC 497


exercise, positive interactions, and ‘‘manners’’ are critical to acceptable chew toys. Behavior problems that develop, such
behavioral health and the HAB. as chewing, house soiling, excessive vocalizing, and biting,
disrupt the HAB and cause young dogs to be relegated to
Another way to prevent behavior problems is to implement
the outside or relinquished to an animal shelter. Many such
puppy and kitten socialization programs during the critical
behavior problems can be avoided with proper socialization
first four months of life. In animal behavior courses,
and training.
veterinary students should learn how starting young
animals ‘‘off right’’ with regard to behavior enhances the
Kitten Socialization
HAB. As adults, well-socialized animals are more likely
In an animal behavior course, veterinary students should
to be retained by their owners.
learn that, like puppies, kittens have a socialization period
during which learning is enhanced.46,47 The socialization
Puppy Socialization period in domestic cats is from approximately two to seven
Many studies have documented the existence of a weeks. If possible, kittens should remain with their dam and
special learning period in dogs, often called the primary siblings during this period, with exposure to people as well.
socialization period.43 This stage, from approximately three Studies have shown that kittens that are handled for a few
to 14 weeks of age, is a time of rapid brain development and minutes each day are more affectionate and learn more
plasticity. Positive and negative experiences acquired quickly as adults compared to unhandled kittens.47
during this time may have effects during the dog’s entire
lifetime. As adults, well-socialized dogs exhibit increased Key points in the socialization of cats are as follows:46,47
exploratory behavior, increased learning ability, and . The primary socialization ‘‘window’’ for cats is from
increased sociability toward people and other animals.44 In approximately two to seven weeks of age.
contrast, pups who are isolated from people and novel
. Kittens benefit from social interaction with other
situations during the critical socialization period will tend
kittens as well as from gentle handling by people.
to be fearful and retreat from unfamiliar persons and
circumstances. In extreme cases, this fearfulness can be very . Hand-reared kittens that don’t have exposure to
difficult to overcome and the dog may be handicapped for conspecifics may exhibit behavior problems as adults.
its entire life. . For ‘‘mousers,’’ leave kittens with their dams for as
Key points in the socialization of dogs are as follows:43,44 long as possible so that they can learn effective
predatory behavior.
. The primary socialization ‘‘window’’ for dogs is
approximately three to 14 weeks of age.
. Socialization increases exploratory behavior, learning TREATMENT OF ANIMAL BEHAVIOR PROBLEMS
ability, confidence in unfamiliar situations, and In animal behavior classes, veterinary students can learn
sociability toward people and other dogs. how to recognize and manage common behavior problems
. If isolated from people and novel situations for the that disrupt the HAB.40,48 Up to 90% of owners report
first 14 weeks, pups may become as fearful as wild behavior problems with their pets; some of these problems
or feral dogs. are minor, while others can be fatal to the HAB. For
example, urine marking by cats in the home can lead to the
In a didactic animal behavior course, veterinary students cat being relegated to the outside (where the mean life span
can learn the importance of the primary socialization period is diminished), re-homed, or euthanized.49,50 Providing
in normal canine development so that they, in turn, can behavioral counseling to clients about pet behavior pro-
educate clients. When clients adopt a new puppy at seven to blems is one of the most effective methods by which
eight weeks, they need to dedicate the next six to eight veterinarians can influence the number of animals surren-
weeks to appropriate socialization. The puppy should be dered to animal shelters.51 Furthermore, in light of the
exposed in a positive way to people and other animals, growing influence of media-savvy dog trainers, it is
including children and other dogs. The veterinary hospital important that veterinary students be made aware of
should be part of this socialization experience. Dogs should outmoded, ineffective, and often inhumane behavioral-
be handled in positive ways and given rewards (praise, modification techniques and training aids so that they can
small treats) when they exhibit calm, friendly behavior. steer their clients toward better and more humane alter-
Gentle handling should characterize all experiences so natives. Without education during their tenure as veterinary
that the puppy does not become fearful or defensive. After students, attitudes toward animal welfare may be shaped
16 weeks of age, positive socializing experiences do not largely by previous experience.52–54
need to be as frequent or intensive, but they do need to be
Behavior problems should be noted on the patient’s record
regularly reinforced until the dog is at least a year old.
and triaged according to the nature of the problem and its
Veterinary students should be exposed to activities that severity. A simple complaint, such as a dog digging under
maximize the probability of a long-term bond between the the backyard fence, may be addressed with a handout, a few
client, their family, and the puppy. During puppy vaccina- questions to determine the cause, and (in the case of a
tion visits, basic instruction in puppy care and handling roaming male) an appointment to have the pet neutered. If
should be given and questions related to behavior the patient does not respond to this first-line approach then
answered. In educating clients, the need for appropriate a separate behavior appointment should be scheduled to
exercise and play should be emphasized. Many problems evaluate underlying medical and behavioral conditions,
can be avoided if a puppy is properly housetrained,45 taught such as separation anxiety or cognitive dysfunction. Some
to be alone in a confined area, and taught to recognize problems, such as a dog that jumps up to greet children,

498 JVME 35(4) ß 2008 AAVMC


may be referred to a competent, reward-based dog trainer. management of the environment, behavior-modification
More complex problems may need to be referred to a techniques, and pharmacotherapy. In some cases, surgical
behavior specialist. procedures, such as castration, can be part of the manage-
ment plan. An introduction to behavioral pharmacology56
The standard protocol for addressing behavior problems is
should be part of a veterinary medical education. Clinical
to first rule out medical causes, since many presumptive
rotations in animal behavior can demonstrate to veterinary
behavior problems have an underlying medical etiology (see
students how to collect a behavioral history, and how to
Table 1). For example, pain can alter the threshold of
develop and implement a treatment plan for common
expression of problem behaviors, leading to irritable
behavior problems. While most behavioral history forms
aggression.55 Ruling out medical etiologies is accomplished
tend to be lengthy and too cumbersome to be useful to
with a behavioral and medical history, physical examina-
nonspecialist veterinarians, shorter, standardized, and vali-
tion, neurological examination, and appropriate laboratory
dated behavioral assessment techniques are now available
tests and diagnostic procedures.
that may provide veterinary practitioners with new oppor-
The next goal is to establish a behavioral diagnosis. Finally, a tunities for screening their patients for the presence and
treatment program is initiated. Treatment modalities include severity of common behavior problems (e.g., C-BARQ).39

Table 1: Protocol for addressing behavioral problems


Rule Out Medical Etiologies

Interview the client How does your pet seem to be feeling? Do you have any concerns about the health or behavior of
your pet?
Are there any changes in activity (e.g., willingness to get up from bed, go up and down stairs, play,
exercise) or sleep patterns?
Are there any changes in patterns of eating, drinking, urinating, or defecating?
Review the data Consider signalment (breed, sex, age), medical history, physical and neurological examination
findings, indicated laboratory tests, and diagnostic procedures.
Develop a medical diagnosis or proceed to establish a behavioral diagnosis.
Establish a Behavioral Diagnosis

Collect a detailed A preprinted data-collection form is helpful. Requested information should include a description of
behavioral history the nature of the problem, detailed descriptions of recent incidents, a video record of the problem
behavior (if possible), the duration of the problem, specifics of when and where the problem
behavior occurs, a list of family members and other pets in the home, and a simple description and
map of the environment, indicating where the problem behavior occurs.
Make a risk assessment A risk assessment should consider the ability of family members to comply with behavioral
recommendations. In cases of aggression, the size of the animal, propensity to cause physical injury,
age and competence of family members, and control of people and animals in and out of the home
should be considered.
The risk assessment should include the probability that euthanasia or re-homing will be
recommended, and the ability of the clinician to treat the problem. Referral to a veterinary behavior
specialist should be considered.
Schedule a behavior During the consultation, the clinician should review the behavior history form, discuss the problem
consultation and make with family members, observe the pet’s behavior, observe interactions between the pet and family
a behavioral diagnosis members, and evaluate submitted video/audio recording (if available).
From the data collected, a behavioral diagnosis should be made.
Develop a Treatment Plan

Set goals The goals are to immediately reduce the frequency or intensity of the problem behavior and to
develop a treatment plan for long-term change.
These goals are accomplished by management of the environment, specific behavior-modification
techniques, and pharmacotherapy (if indicated). Castration may be recommended for certain
behaviors.
Schedule Follow-up Communications and Appointments

Follow-up Follow-up appointments are integral to successful treatment.


If psychotropic medications are prescribed, an emergency contact number should be provided.
A telephone number or e-mail address for a veterinary technician or clinician who is familiar with the
case should be provided, and a follow-up appointment in the office should be scheduled.

JVME 35(4) ß 2008 AAVMC 499


DISCUSSION Clinical experience in the treatment of animal behavior
Courses in animal behavior teach veterinary students to be problems, particularly of companion animals, should
sensitive to the HAB53,57 with regard to both client–animal be available for interested students in the fourth year
and veterinarian–animal relations.58 These courses should of veterinary medical education. In addition, humane
be didactic and clinical,54 and should be taught by a board- handling and behavior-modification techniques can be
certified veterinary behaviorist.8 demonstrated during clinical experiences and taught to
veterinary students.
A didactic course should be offered in the first or second
year that emphasizes behavioral development, the normal
behavior of juvenile and adult animals, learning principles,
and behavioral pharmacology. Discussion of normal behav- CONCLUSION
ioral development should emphasize the importance of The strength and quality of the HAB are to a large extent
early handling and socialization. Positive socialization dependent on the behavior of the animal and the behavioral
reduces fear responses and enhances learning in adult life, interactions between a pet and its owner. Given the central
traits that enhance the HAB. Because of these effects, importance of the HAB to the veterinary profession, it
good puppy and kitten socialization programs should be would seem self-evident that veterinary medical education
integrated into veterinary practice models. should provide students with didactic and clinical courses
Recognition of normal versus abnormal behavior is critical in animal behavior, train them to recognize normal and
to the assessment of health in clinical veterinary practice. In abnormal behavior, and incorporate behavioral knowledge
addition, veterinarians in training need to become familiar and principles into the routine handling and treatment of
with normal behavior so that they can recognize behavioral animals. Unfortunately, according to a recent survey,
signals that communicate information about an animal’s only slightly more than a third of US veterinary
internal state and predict future responses. Animals use colleges appear to be attaining this goal.8 The ability to
many of the same signals to communicate with humans recognize and interpret behavioral signs is critical to good
that they use to communicate with each other.28 Thus, diagnostic skills, and the safe and humane handling of
understanding animal communication signals can enable us animals. Prevention and treatment of behavior problems
to interpret their behavior, handle them more effectively and can prevent the dissolution of the HAB and save the lives of
safely, and lead to more accurate assessments of behavior many patients. For these reasons alone, animal behavior
problems. education should play a central role in veterinary medical
education.
Understanding behavior-modification concepts helps veter-
inary students learn how to most effectively teach animals
to accept handling and procedures, minimizing fear, ACKNOWLEDGMENTS
defensive, and escape responses. Behavioral concepts, We thank Alan Beck for organizing the heuristic Centers
including habituation, reinforcement, classical, and operant for the Human–Animal Bond Conference, May 15–17, 2006,
conditioning can be taught to clients as part of a behavioral Purdue University.
treatment program. Veterinarians who emphasize behav-
ioral education and training in their practices will enhance
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AUTHOR INFORMATION
marking by cats as a model for understanding veterinary
diagnostic and treatment approaches and client attitudes. Barbara L. Sherman, PhD, DVM, DACVB, is Clinical Associate
J Am Vet Med Assoc 221:1282–1286, 2002. Professor, Department of Clinical Sciences & Program in Animal
Welfare, Ethics, and Public Policy; and Director, Animal
50 McMillan FD. Rethinking euthanasia: death as an
Behavior Service of the Veterinary Teaching Hospital, North
unintentional outcome. J Am Vet Med Assoc 219:1204–1206,
Carolina State University, College of Veterinary Medicine, 4700
2001.
Hillsborough St., Raleigh, NC 27606-1499 USA.
51 Scarlet JM, Salman MD, New JG, Kass PH. The role E-mail: barbara_sherman@ncsu.edu.
of veterinary practitioners in reducing dog and cat
James A. Serpell, PhD, is the Marie A. Moore Professor of
relinquishments and euthanasias. J Am Vet Med Assoc
Humane Ethics & Animal Welfare; and Director, Center for the
220:306–311, 2002.
Interaction of Animals and Society, Department of Clinical
52 Serpell JA. Factors influencing veterinary students’ Studies, University of Pennsylvania, School of Veterinary
career choices and attitudes to animals. J Vet Med Educ Medicine, 3900 Delancey Street, Philadelphia, PA 19104-6010
32:491–496, 2005. USA. E-mail: serpell@vet.upenn.edu.
53 Martin F, Ruby K, Farnum J. Importance of the
human–animal bond for pre-veterinary, first-year, and

502 JVME 35(4) ß 2008 AAVMC

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