Social and Behavioral Development Flashcards
Behavioral Development: Conditioning
types (3)
- Classical
- Operant
- Observational learning
Classical Conditioning
• Pavlov’s dogs-
Salivated at the sound of a bell b/c food
was always served in association with the ringing bell.
• Classical conditioning occurs readily in
children
• White coat syndrome
Classical Conditioning
• Take home:
(2)
• Make the office look and feel as little like a pediatrician’s
office or hospital as possible – develop discrimination
• Make the first visit/visits “happy visits” especially if there has
already been a negative experience. (May need to
convince parents to make multiple appointments)
Operant Conditioning
• Extension of
Classical
conditioning
Operant Conditioning
• Consequence of a behavior is
itself a stimulus that can
influence future behavior.
Operant Conditioning
• Reinforcement
increases
likelihood of behavior.
Operant Conditioning
• Punishment
decrease
likelihood of behavior
Positive Reinforcement
• Desired behavior is rewarded (likelihood of behavior increased)
- Toy given to a child for good behavior.
- Giving praise or compliment for good behavior
- Noticing and complimenting improved hygiene.
Negative reinforcement
• Unpleasant stimulus is removed as result of behavior (likelihood of
behavior increased).
Negative reinforcement
• Can go two ways.
- Tantrum gets you out of the situation- throw a bigger one next
time. - Appointment time shortened due to good behavior.
a. May need to help patient recognize the association.
Negative punishment (omission/timeout)
• Something is taken away as a result of the behavior
- Toy is taken away after a tantrum.
- The punishment is the removal of a pleasant stimulus.
Positive Punishment
- Behavior results in an unpleasant stimulus being presented.
- Speeding ticket
Operant conditioning in the dental office
2
• Positive and negative reinforcement are most appropriate for the
dental office.
• Be careful to not inadvertently use negative reinforcement of
unwanted behavior.
• Punishments should be used with caution.
• Voice control may sometimes be used but must be followed
by positive reinforcement when behavior improves.
• Careful not to introduce fear- (classical conditioning creating
association between the dental office and fear).
Observational Learning (Modeling)
• Acquisition of behavior by imitation.
Observational Learning (Modeling) • 2 stages
- Acquisition
* Performance
Observational Learning (Modeling)
• Behavior moves from acquisition to
performance if
the model is
liked/respected/trusted.
Observational Learning (Modeling)
• Take home:
(2)
• Let younger siblings see older siblings
behaving and being rewarded
• Open treatment areas.
Emotional Development: 8 ages of man
• Presented by
• Associated with
Erik Erikson
chronological age
but more important
and constant is the
sequence.
Step 1: Development of basic trust (mistrust)
0-18 months
(3)
• Basic trust or lack of trust is developed.
• Child is usually very attached to parent at this stage.
• If patient hasn’t developed basic trust, they may be fearful and
uncooperative.
Step 1: Development of basic trust (mistrust)
0-18 months
Take home:
(2)
- Best to treat patient with parent, knee to knee is a good option.
- Be patient with children. Try to find clues about parental relationship.
Step 2: Autonomy (or shame)
18 months to 3 years old
(3)
• Terrible Twos
• Child is finding independence and ability to
choose.
• If it’s not their idea, it likely won’t happen.
Step 2: Autonomy (or shame)
18 months to 3 years old
• Take home:
(3)
- Give choices
- Yellow or green napkin,
- Two kinds of sunglasses
- Still good to have parent present
- Complex treatment best done under sedation of general anesthesia.
STEP 3: Development of Initiative (or Guilt)
3-6 years old
(3)
- Physical activity and motion
- Tons of questions, very curious.
- Important to succeed- perceived failure is detrimental.