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TFN (NCM 100)

LECTURE FINAL TOPIC


CASAGRA TRANSFORMATIVE 3. A seminar-workshop on Transformative
LEADERSHIP MODEL Teaching for nursing faculty
SISTER CAROLINA S. AGRAVANTE ● Special expertise is the level of
● Has Bachelor’s Degree in Nursing in St. competence in the particular nursing
Paul College Manila in 1964 area that the professional nurse is
engaged in
● Master’s Degree in Nursing Education in
Catholic University of America in 1970 ● Retreat-workshop is the spiritual
exercise organized in an ambience of
● Doctoral degree in nursing in university of
prayer where the main theme is the
the Philippines Manila on April 2002
contemplation of Jesus Christ as a
● CASAGRA transformative leadership model Servant-leader
● Derived CASAGRA theory from her name
● “Focus on the type of leadership in ● Transformative teaching (Reflective
nursing that can challenge the values of teaching) an umbrella term covering
the changing world…” ideas, such as thoughtful instruction,
teacher research, teacher narrative, and
MAIN PROPOSITIONS
teacher empowerment.
● CASAGRA transformative leadership is a
psycho-spiritual model, was an effective
● Care complex is the nucleus of care
means for faculty to become better teachers experiences in the personality of a nurse
and servant-leaders formed by a combination of maternal
care experiences, culture based-care
● Care complex is a structure in the practices indigenous to a race and
personality of the caregiver that is people, and the professional training on
significantly related to the leadership
care acquired in a formal course of
behavior
nursing.
● The CASAGRA servant-leadership formula
is an effective modality in enhancing the WHAT PROMPTED TO DO THE
nursing faculty’s servant-leadership THEORY?
behavior
● The present day demands in the nursing
● Vitality of Care Complex of the nursing profession challenge nursing educators
faculty is directly related to leadership to revisit their basic responsibility of
behavior educating professional nurses who are
technological, educational and social
KEY CONCEPTS!!
changes happening in the Philippines
● CASAGRA model have concepts of society today. The reopening of the
leadership from a psycho-spiritual point doors of foreign market to Filipino
of view, designed to lead to radical nurses, migration made easy, attractive
change from apathy or indifference to a salaries and benefits way beyond what
spiritual person. hospitals can afford to give

● Nursing education is faced with a new


● Servant-leader formula has three
concern that is globalization of nursing
concepts of the CASAGRA
services for the international market.
transformative leadership model,
Therefore a need to develop
namely:
globalization of care with focus on
1. The care complex primer developing caring nurses

2. A retreat-workshop on Servant- ● The formation of new nursing leaders is


leadership urgently needed; leaders with new
vision who will venture new traits and
who have gone through new formation

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TFN (NCM 100)
LECTURE FINAL TOPIC
in order to serve the society as ● The conceptual framework is logical
professional nurse because the variables are very well
explained on how transformative-
THREE-FOLD TRANSFORMATIVE LEADER leadership model be applicable through
CONCEPT care complex, transformative teaching
1. Servant-Leadership Spirituality servant-leader spirituality, and servant-
leader behavior.
● The servant-leader formula prescription
includes a spiritual retreat that goes ● A person with dynamic care complex is
through the process of awareness, the cornerstone of nursing leadership.
contemplation, story telling, reflection, According to care complex of Agravante,
and finally commitment to become caring personality rests on the
servant-leaders in the footsteps of possession of a care complex within a
Jesus. person as an energy source of caring.

2. The Self-Mastery consists of a vibrant ● The framework explains and predicts the
care complex possessed to a certain continuous formation of nursing
degree by all who have been through leadership behavior in nursing faculty
formal studies in a care giving that will eventually affect their teaching
profession such as nursing. function.

3. The Special-Expertise level is shown in ● Servant-leadership formula runs parallel


a creative, caring, critical, contemplative to the generic elements of the
and collegial teaching of the nurse transformative-leadership model.
faculty who is directly involved with the ● Transformative teaching is the guide
formation of the nursing.
that desired for the modern educative
MEANING OF THE THEORY process designed to form the millennium
professional nurse.
● Based on the study, the effect of the
CASAGRA Leadership model using the ● Expertise is the practice of caring and
servant leader model on the leadership proactive in face of challenges for the
behavior of the nursing faculty, the care profession go hand-in-hand. Education
complex in the personality of the nursing and practice bring this about.
faculty is highly correlated to their
STRENGTHS AND WEAKNESSES
leadership behavior. The care complex
is necessary given as a stimulant in the STRENGTHS
performance of the leadership activities.
● It provided the task of the formation of
The leadership behavior of the faculty
the nurse leaders at the baccalaureate
after going to the servant leadership
formula was significantly higher in the level so that the profession assured the
two-post test periods than during the graduates possess the mind and heart
pre-test. It improved the leadership of a nursing leader who is of the nursing
behavior of the nursing faculty in both profession.
groups. ● It can also be use in other educational
settings not just on nursing profession.

WEAKNESSES/LIMITATIONS

● CASAGRA transformative leadership


limits only on Roman Catholic and
Christians nursing educators; it did not
consider other religion to this study. In
the Philippines we have a variety of

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TFN (NCM 100)
LECTURE FINAL TOPIC
religion present. Every religion has its 3. Relaxation-Breathing – techniques to
own traditions and practices to be encourage and elicit relaxation for the
considered. purpose of decreasing undesirable signs
and symptoms such as pain, muscle
● According to the study, the control and tension, and anxiety
study groups were selected from the
same faculty in the two schools, it is 4. Meditation - encourages an elicit form
highly possible that experience could of relaxation for the purpose of altering
have been discussed casually in faculty patient’s level of awareness by focusing
room and in some way must on an image or thought to facilitate inner
contaminated the intervention. sight which helps establish connection
and relationship with GOD. It may be
PREPARE ME done through the use of music and other
HOLISTIC NURSING INTERVENTIONS relaxation techniques
CARMENSITA ABAQUIN
5. Values Clarification – assisting another
● A nurse with Master’s Degree in Nursing individual to clarify his own values about
obtained from the University of the health and illness in order to facilitate
Philippines College of Nursing effective decision making skills. Through
this, the patient develops an open mind
● An expert in Medical Surgical Nursing that will facilitate acceptance of disease
with subspecialty in Oncologic Nursing, state or may help deepen or enhance
which made her known both here and values.
abroad
● To Nursing… may be able to provide the
● She had served the University of the care that our clients need in maintaining
Philippines College of Nursing, as their quality of life and being
faculty and held the position as instrumental in “Birthing” them to
Secretary of the College of Nursing External life”
BASIC ASSUMPTIONS AND CONCEPTS Identifying origins of the theory (what
PREPARE ME (HOLISTIC NURSING prompted)
INTERVENTIONS) ● The incidence of cancer has significantly
● Are the nursing interventions provided to increased not only in the Philippines but
address the multi-dimensional problems also worldwide
of cancer patients that can be given in EXAMINE THE MEANING OF THEORY
any setting where patients choose to be
confined. This program emphasizes a 1. Terminally-ill patients especially cancer
holistic approach to nursing care. patients require holistic approach of
PREPARE ME has the following nursing in different aspects of man
components: namely the emotional, psychological,
social and spiritual. In this premise,
1. Presence and Prayer – being with patients with incurable disease require
another person during the times of need. multidimensional nursing care to
This includes therapeutic improve quality of life
communication, active listening, and
touch 2. PREPARE ME nursing interventions are
effective in improving quality of life in
2. Reminisce Therapy – recall of past terminally-ill patients
experiences, feelings and thoughts to
facilitate adaptation to present 3. Utilization of intervention as a basic part
circumstances of care given to cancer patients,
likewise, incorporation in the basic

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nursing curriculum in the care of these University of Paris, France (Salpetriere
patients. PREPARE ME must be Hospital). Neurogerontology in
introduced and focus during training of Waterson, New York (Good Samaritan
nurse both in academe and practice Hospital) and Syracuse University, New
York.
4. Development of training programs for
care provider as well as health care ● She authored several books giving her
profession where intervention is a part of insight in the areas of Gerontology, Care
treatment modalities of Older Persons and Bioethics.

5. The nurse must be honest about the ● She is a recipient of the Metrobank
feedback on his/her condition. Nurses Foundation Outstanding Teachers
must do this so they would know what Award in 1995 and an Award for
the expectations of the patient and the Continuing Integrity and Excellence in
family in his dying days. This would help Service (ACIES) in 2004. Her religious
the patient and family address the needs community is the Notre Dame de Vie
of the patient in any manner possible. founded in France in 1932.
(physical, emotional, and spiritual)
● As a former member of the Board of
6. The nurse must help make a supportive Nursing, her legacy to the Nursing
environment for the patient and his Community is without a doubt,
family in his dying days. An environment indisputable.
like this would promote dignity in his
“RETIREMENT AND ROLE
days left thus helping the patient accept
DISCONTINUITIES”
his fate and help him/her be ready for
BASIC ASSUMPTIONS AND CONCEPTS:
the afterlife. The family is also guided in
this rough time addressing their grieving ● Physiological Age is the endurance of
process by instilling in them that death is cells and tissues to withstand the wear-
part of life and-tear phenomenon of the human
body. Some individuals are gifted with
RETIREMENT AND ROLE
strong genetic affinity to stay young for a
DISCONTINUITY MODEL
long time.
SISTER LETTY G. KUAN
● Role refers to the set of shared
● Sr. Kuan is a nurse with Master’s expectations focused upon a particular
Degree in Nursing and Guidance position. These may include beliefs
Counseling. about what goals or values the position
incumbent is to pursue and the norms
● She also holds a Doctoral Degree in
that will govern his behavior. It is also
Education. For her vast contributions to
the set of shared expectations from the
the University of the Philippines College
retiree’s socialization experiences and
of Nursing faculty and academic
the values internalized while preparing
achievements, she is now Professor
for the position as well as the
Emeritus, a title awarded only to a few
adaptations to the expectations socially
who met the strict criteria.
defined for the position itself.
● She had two Master’s Degrees, MA in
● For every social role, there is
Nursing and MS Education, Major in
complementary set of roles in the social
Guidance Counseling, culminating in
structure among which interaction
Doctor of Education (Guidance and
constantly occurs.
Counseling).
● Change of Life is the period between
● She has clinical fellowship and
near retirement and post retirement
specialization in Neuropsychology in
years. In medico-physiologic terms, this

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TFN (NCM 100)
LECTURE FINAL TOPIC
equates with the climacteric period of have a more relevant and realistic
adjustment and readjustment to another pension and benefits adjustments.
tempo of life.
3. Work Status – goes hand and hand with
● Retiree is an individual who has left the economic security that generates decent
position occupied for the past years of compensation. For the retired, it implies
productive life because he/she has that retirement should not be
reached the prescribed retirement age conceptualized as a period of no work
of has completed the required years of because capabilities of function get
service. sharpened and refined as they practice
it on a regular basis.. Work enhances
● Role Discontinuity is the interruption in the aspects of self-esteem and
the line of status enjoyed or role contributes to the feeling of wellness
performed. The interruption may be even an old age.
brought about by an accident,
emergency, and change of position or 4. Family Constellation – means the type
retirement. of family composition described either
close knit or extended family where
● Coping Approaches refer to the
three more generations of family
interventions or measures applied to
members live under one roof; or
solve a problematic situation or state in
distanced family, whose member live in
order to restore or maintain equilibrium
separate dwelling units; or nuclear type
and normal functioning. of family where only husband, wife and
● Determinants of positive perceptions in children live together.
retirement and positive reactions toward 1. Self-Preparation – which are said to be
role discontinuities: both therapeutic and recreational in
1. Health Status – refer to physiological essence pays its worth in old age; this
and mental state of the respondents, does not only account professionalism
classified as either sickly or healthy. It or expertise but also benevolent work as
dictates the capacities and type of role in charitable actions with then
one takes both for the present and for colleagues. Self-preparation is investing
the future. It fits for the everyone to not in monetary benefits but in
maintain and promote health at all ages something that gives them and dignity;
because only proper care of the mind enhance their feelings of self-worth and
and body is needed to maintain health in happiness
old age. 2. To cope with the changes brought by
2. Income – (economic level) refers to the retirement – one must cultivate interest
financial affluence of the respondent in recreational activities to channel
which can be classified as poor, feelings of depression or isolation and
moderate or rich. It has high correlation facing realities through confrontation
with both the perception of retirement with some issues
and reactions towards role 3. To perceive retirement positively – it
discontinuities. Since income is one of
requires early socialization of the
the factors that secure the outlook of various roles we take in life. The best
individual, efforts must be exerted to place to start is at home extending to
save and spend money wisely while still schools, neighborhoods, the community
actively earning in order to have some and society in general. In retirement,
reserved when one grows old. It also their fellow retirees, are their own best
implies that retirement pensions should advocates. To facilitate this, barriers to
be adjusted to meet the demands of the full participation in the areas where
elderly. This should be done in order to important decisions are rich should be

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TFN (NCM 100)
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eliminated in order to give recognition ● She worked as a head nurse at the
and appreciation of the knowledge, Philippine General Hospital (PGH) –
wisdom, experience and values which 1967
are the social assets that make the
retired age and the custodians’ folk ● Graduated BSN at University of the
wisdom. Philippines – 1970-1972

4. Government agency – to construct ● She worked at Metropolitan Hospital in


holistic pre-retirement preparation Michigan, USA – 1977-1979
program which will take care of the ● She finished her masters degree in
retiree’s finances, psychological, nursing at the University of the
emotional and social needs Philippines –1979

5. Retirement – should be recognized as ● She served as the Dean of College of


the fulfillment of every individual’s Nursing in UP Manila – 1977-1979
birthright and must be lived meaningfully
OVERVIEW

● The theory was from her study, the


THEORY OF NURSING Categorization of Nursing Activities as
PRACTICE AND CAREER Observed in Bedical-Surgical Ward
CECILIA M. LAURENTE Units in Selected Government and
Private Hospitals in Metro Manila, which
BACKGROUND
was conducted from January to June
Works year 1987.

● Published a paper titled "Categorization CONCEPTS OF THE THEORY:


of Nursing Activities as Observed in
Anxiety
Bedical-Surgical Ward Units in Selected
Government and Private Hospitals in ● A mental state of fear or nervousness
Manila". about what might happen
● Cecilia Laurente is a Filipino Nursing Categories:
theorist whose works focused primarily
on helping a patient through support 1. Mild level of anxiety
systems, specifically the family.
- If you have this, you are alert
Career
- Example: first time to speak at front of many
● She came and become an instructor at
people
the University of the Philippines College
of Nursing – 1987 2. Moderate level of anxiety

● She conducted a study entitled - Experience more frequent and persistent


"Categorization of nursing activities as symptoms
observed in medical-surgical wards/units
in selected government and private 3. Severe level of anxiety
hospitals in Metro-Manila“ – 1973-1976 - More intense
● She worked as a nursing supervisor at 4. Panic level of anxiety
the Philippine General Hospital (PGH)
- Need professional health
● She worked as a staff nurse at the
Philippine General Hospital (PGH) – - Intense fear that triggers severe physical
1968-1969 reaction.

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NURSES CARING BEHAVIOR THAT ● Member of CHED ‘s Technical
AFFECT THE PATIENT ANXIETY: committee on Nursing Education

● PRESENCE – person to person contact ● Has been lauded for developing the art
between the client and the nurses and competency of teaching nursing.

● CONCERN – development in the time ● Has been a clinic nurse, staff nurse,
through mutual trust nurse and the head nurse, instructor, assistant dean
patient. and dean

● STIMULATION – nurse stimulation ● Expert in Research and Education


through words tops the powerful
EDUCATION
resources of energy of person for
healing. ● Bachelor’s degree in Nursing at the
University of the East Ramon
ENHANCING & PREDISPOSING FACTORS
Magsaysay Memorial Medical Center in
Enhancing Factors 1962
● Master’s degree in Nursing at the
● One's caring experience, beliefs and
University of the Philippines in 1975
attitude.
● Doctorate’s degree in Nursing at the
● Feeling good about University of the Philippines in 2001

● Learning at school AWARD

● What patients tell about the nurse ● Recipient of the Anastacia Giron Tupas
coping mechanism to problems Award given by the Philippine Nursing
encountered. Association (PNA) in 2008.

● Communication

Predisposing Factors ADVANCE NURSE PRACTICIONERS’


COMPOSURE BEHAVIOR AND PATIENT’S
● Age WELLNESS OUTCOME

● Sex Objective of the study

● Civil Status Determine the effects of composure


behavior of the advance nurse practitioner on
● Educational Background
the wellness outcome of the selected cardiac
● Length of work patients

● Experience Significance of the Study

Nursing as a healthcare profession would


COMPOSURE MODEL
prove its worth of being at par in quality
CARMELITA DIVINAGRACIA performance with other healthcare
professionals.
● Filipino Nurse Theorist
Study Population
● Association of the Deans Philippine
Colleges of Nursing (ADPCN) Former Adult Cardiac Patients admitted and confined
President at the Philippines Heart center, Coronary Care
Unit.
● Dean of University of the East Ramon
Magsaysay Memorial Medical Center,
Inc. (UERMMMC) College of Nursing

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DEFINITION OF TERMS Open-mindedness

Advance Nurse Practioners ● A form of nursing measure which


means being receptive to new ideas
● BSN graduate
or to reason.
● Licensed and has a clinical experience
of at least 2 years in the clinical area Stimulation
● Has undergone special training in critical
● A form of nursing measure
area
● Set of behaviors or nursing measures demonstrated by means of providing
that the nurse demonstrates to selected encouragement
cardiac patients Understanding
Composure Behaviors ● This is manifested through
concerned and affable facial
● A condition of being in a state of
approach; this is a way of making
well-being, a coordinated and
integrated living pattern that involves the patient feel important and unique
the dimension of wellness. Respect
DIVINAGRACIA’S COMPOSURE MODEL ● Use of preferred naming in
addressing the patient, respectful
Composure
nods and recognition of the patient
-are set of behaviors of nursing measures that as someone important.
the nurse demonstrates to selected cardiac
Relaxation
patients
● Entails a form of exercise that
involves alternate tension and
relaxation of selected group of
muscles

Empathy

● Senses accurately other person’s


inner experience.

Through the COMPOSURE behaviours of


the nurse, holism is guaranteed to the
patient.
COMpetence
WELLNESS STATUS
● An in depth knowledge and clinical
● Refers to a condition of being in state
expertise demonstrated in caring for
of well being, a coordinated and
patients.
integrated living attern that involves
Presence and Prayer the dimension of wellness.

● A form of nursing measure which PATIENT WELLNESS OUTCOME


means being with another person
● This refers to the perceived wellness
during times of need.
of selected patients after receiving
nursing care in terms of physiologic
and biobehavioral

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Two categories  Intimacy versus Isolation (18-35 years)
 Generativity versus Stagnation (35-65
-Biobehavioral -Physiologic years)
PHYSIOLOGIC WELLNESS OUTCOME  Integrity versus Despair (over 65 years)

● This refers to the perceived wellness of


selected patients after receiving nursing
care in terms of vital signs, bone pain
sensation, and complete blood count.

BIOBEHAVIORAL WELLNESS OUTCOME

• This refers to the perceived wellness of


selected orthopaedic patients after
receiving nursing care in terms
physical, intellectual, emotional, and
spiritual.

PSYCHOSOCIAL THEORY
ERIK ERIKSON

Erikson believed that “each stage of life is


associated with a specific psychological
struggle, a struggle that contributes to a major
aspect of personality.”
Trust versus Mistrust (birth to 1 1⁄2 years)
PSYCHOSOCIAL THEORY – ERIKSON
 Children either learn that the world is a
- Childhood is very important in safe and nurturing place or they learn to
personality development be mistrustful and frightened
- Accepted many of Freud’s theories,
including the id, ego and superego Autonomy versus Shame/Doubt (2 to 3
- Unlike Freud, felt that personality years)
continued to develop beyond five years
 Children begin to have some control
of age
over their own bodies and to some
extent, their lives, which allows for great
 Children are not simply biological independence and self-confidence
organisms that endure
 Children develop in the context of Initiative versus Guilt (4-5 years)
society's expectations, prohibitions and
 Children expand their world; learn to
prejudices
control their new environments; acquire
 Personality is shaped over the life span;
feelings of competence and
experiences later in life can heal
independence; develop leadership skills
problems in early childhood
Industry versus Inferiority (6 - 11 years)-
 Trust versus Mistrust (birth to 1 1⁄2 SCHOOL AGE
years)  Children begin to have more social
 Autonomy versus Shame/Doubt (2 to 3 interactions; develop a sense of pride in
years) accomplishments
 Initiative versus Guilt (4-5 years)
 Industry versus Inferiority (6-11 years)
 Identity versus Role Confusion (12 - 18
years)

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Identity versus Role Confusion (12 - 18 MASLOW’S PROFESSIONAL LIFE
years)
 studied dominance in monkeys
 Main task of the adolescent is to achieve  received Ph.D. in experimental
a state of identity; to know who he/she is psychology in 1934
and wants to be  was on the Brooklyn College faculty,
1937-1951
Intimacy versus Isolation (18 - 35 years)
 was on the Brandeis U faculty, 1952-
 Exploring relationships, moving to 1969
commitment and long-term  became a fellow of Laughlin Foundation
relationships; failure brings isolation in CA
 died in 1970, age 62
Generativity versus Stagnation (35 - 65
years) Maslow's Hierarchy of Needs

 Being in the world; thoughts of future


generations. What have we done to help
those we love and the world at large?

Integrity versus Despair (over 65 years)

 Reflecting back on life; few regrets or


bitterness?

PHYSIOLOGICAL NEEDS

 Food
 Water
 Air
 Sleep

Food: A Most Powerful Need

 South American Rugby team crashed in


1970
HIERARCHY OF NEEDS  Food was the most pressing problem.
 They ate human flesh for survival
ABRAHAM MASLOW
 Even the strongest taboo was broken to
 was a leading humanistic psychologist fill the basic need for food.
(Third Force)
SAFETY NEEDS
 developed the Hierarchy of Needs
 promoted the concept of self-  From physical, emotional attack
actualization  From fatal disease
 was born in 1908, Brooklyn, New York  From invasion
MASLOW’S EARLY LIFE  From extreme loses (job, family
members, home, friends)
 was the eldest of seven siblings
SAFETY: A MOST POWERFUL NEED
 was a poor student as an adolescent
 was pressured by dad to become an  when frightened, our thoughts and
attorney energies are diverted
 took one law class, dropped out of  threat of, or actual attack creates “fight
college for one year or flight” reaction
 entered a University, one year later to
study scientific psychology

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 threats to safety can be physical or need for safety, love and belonging, and self-
emotional esteem, affects us in the same way as the
need for physical sustenance like food, water,
LOVE AND BELONGING and sleep.
(SOCIAL/EMOTIONAL)
B-Needs (B for Being) are the high-level needs
 Inclusion- part of a group: colleagues, that we are motivated to fulfil once all of our
peers, family, clubs basic needs are met. They are the peak
 Affection - love and be loved experiences that give us meaning and purpose.
 Control - influence over others and self It is what we are able to do with our strengths,
how we are able to contribute to others, once
LOVE AND BELONGING: A MOST
our needs have been sufficiently met and we
POWERFUL NEED
feel more "whole."

Basic physiological needs


ESTEEM NEEDS
 Air, food, water, shelter, clothing, rest
 Respect from others through: Awards, and sleep
honors
Safety
 Respect for self through: Mastery,
achievement, competence  Feelings of safety, ease and freedom
from anxiety
ESTEEM FROM SELF AND OTHERS: A
MOST POWERFUL NEED Love and belonging

SELF-ACTUALIZATION NEEDS  Friendships, family and intimate


relationships
 Stop cruelty and exploitation
 Encourage talent in others Esteem
 Try to be a good human being
 Self-worth, confidence, achievement
 Do work one considers worthwhile
and respect of others
 Enjoy taking on responsibilities
 Prefer intrinsic satisfaction Seek truth Self-actualization
 Give unselfish love
 Achieving who we can be; creativity,
B-NEEDS OF THE SELF-ACTUALIZED aesthetic needs and fulfilling potential

LEVEL OF MORALITY
LAWRENCE KOHLBERG

Level I - Pre-conventional (4 - 10 years)

 Stage 1: Punishment and obedience.


Children obey to avoid being caught and
Maslow broke down our types of needs into punished
two categories:  Stage 2: Naive instrumental
behaviorism. Children obey rules but
D-Needs (D for Deficit) are needs we are
only for pure self-interest. "You scratch
motivated to fulfil because without them, we
my back, I'll scratch yours."
feel some sort of longing. Any need below self-
actualization on the hierarchy is considered a Level II: Conventional (10-13 years)
D-Need. Without food we are hungry, without
shelter we feel unsafe, without love and  Stage 3: Mutual interpersonal
belonging, we lack intimacy and friendship, expectations. Children seek approval of
without autonomy we lack self-confidence. Our others and adopt the "good boy-good

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girl" mentality. They base moral
judgments on whether or not someone
meant to do well.
 Stage 4: Law-and-order mentality.
Children are concerned with authority
and maintaining the social order. Correct
behavior is "doing one's duty."

Level III: Post-conventional (13 years and


older)

 Stage 5: Social contract. Laws are


obeyed because they have been
accepted by society as a whole
 Stage 6: Universal ethical principles.
Individuals follow their own conscience
about what is right. Behavior is the same
no matter who is present.

Conclusion:

 Theories help us understand human


behavior
 Theories give us questions to ask about
human nature
 Theories offer aspects with different
views

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