Volume : (2) 1-4
Subject : Sebuah Jurnal Teori Kaunseling : Mengubah Pemikiran, Emosi dan Tindakan Harian dengan Fokus terhadap Pembangungan Diri, University of UNITAR
Dunia tanpa sempadan, pengetahuan dan mentality memberikan kesinambungan kepada pengalaman yang menakjubkan dalam dunia pemikiran World without borders, knowledge and mentality provide continuity to the amazing experience in the world of thought
Journal 1
Persuasion
Knowledge in the Marketplace: A Meta-Analysis
Written by: Martin Eisend & Farid Tarrahi
First published: 09 June 2021 https://doi.org/10.1002/jcpy.1258 Citations: 4
Introduction – Case Study
This study relies on the notion of persuasion
to anticipate reactions to marketers' attempts to convince customers with
varying levels of persuasion expertise. The report includes a meta-analysis of
the findings from 148 studies and 171 separate data sets. Persuasion knowledge
effects are significant when compared to persuasion attempts, but it cannot
suppress or eliminate persuasion effects in the marketplace since it only
reaches roughly 50% of the explanatory power of persuasion. The impacts of
persuasion knowledge on assessments and coping are dependent on the parameters
of the persuasive process. All persuasion factors assist customers in
identifying and better understanding benefits not just for themselves, but also
for marketers and how marketers realize those benefits.
Discussion
According to Campbell & Kirmani in their 2008 research in terms of the substance and structure of persuasion knowledge effects, research shows that persuasion knowledge enhances consumers' coping reactions and leads to fewer positive ratings. Additionally, other studies indicate that the persuasive impact is not as positive. However, other studies claim that they have discovered a wide range in the impact of persuasive information and that in some circumstances, it may even result in a favourable assessment of the persuasive agent.
Other than that, we go to another side of researchers said consumers' understanding and opinions about marketers' attempts at persuasion, as well as their motivations and strategies behind those efforts, are referred to as their level of persuasion knowledge. It is the notion of persuasion is at the heart of persuasion knowledge, thus knowing what persuasion comprises is necessary to define persuasion knowledge. The prevalent understanding of persuasion is that it is a deliberate attempt through communication to influence a recipient who has some degree of freedom of choice, despite the fact that there are several definitions, conceptualizations, and persuasion models. In conclusion, persuasiveness in business is advantageous to all parties involved, including the sender and the influencer This, together with persuasive expertise, is a typical assumption in persuasion models.
After that, we also want to take you to another angle to think about the definition of the concept of persuasion, knowledge of persuasion can apply to and have an impact on results that the influencer either intends or does not intend. This means the judgments, intentions, behaviour, and recollections of customers that are connected to a brand, a channel, or a company are referred to as the influencers' desired results in a marketing setting. If customers learn persuasive strategies that are advantageous to both them and the marketer, and if they notice that marketers employ potentially manipulative tactics and may even be trying to limit consumers' options. Finally, they found out that This overwhelming response is the result that the marketer did not intend. they develop resilience and response to persuasion results.
Article critique
From the Journal sentence criticism 1: In this study, we refer to the concept of persuasion to systematize consumer responses triggered by persuasion knowledge and to identify relevant moderators of persuasion knowledge effects.
In my point of view, this journal should provide a comprehensive study, in terms of the response of persuasion in marketing. This is because it can happen in many forms and persuasive advertising can be quite impersonal, unlike direct sales, when the salesperson often talks one-on-one with the consumer. Advertisers can only customize advertising so much without compromising their mass appeal because they want their ads to reach as many potential customers as possible.
From the Journal sentence
criticism 2: Insights about persuasion knowledge effects are of interest to
researchers, marketers, consumers, and public policymakers because they carry
major implications for marketing actions’ effectiveness and consumers’
susceptibility to these actions.
This is because in my perception this kind of action is not
professional and It will attempt to influence the most fundamental human
emotions and utilize that manipulation to take advantage of unsuspecting
clients. An illustration of an unethical commercial is one that exploits
people's fears. It can appear that if customers do not buy the offered goods,
their health would be in jeopardy.
In conclusion, the persuasive strategy plays on the buyer's fears and emphasizes what they would lose if they didn't buy the good or service. In my opinion, I would like to suggest some things for improvement in this strategy without jeopardizing their investments to buy goods from marketers. To provide a basis for future research ideas on persuasion knowledge is very necessary to ensure the quality of goods and public knowledge. Limitations in giving persuasion can reduce pressure on buyers and anxiety about the situation.
▪ DSM-IV-TR recognizes two broad types of mood disorders: those that involve only depressive symptoms (depressive disorders) and those involve manic symptoms (bipolar disorders).
▪ The symptoms of depression include profound sadness and/or an inability to experience pleasure.
▪ When people develop a depressive disorder, their heads may reverberate with self-recriminations. They may become focused on their flaws and deficits.
▪ Paying attention can be so exhausting that they have difficulty absorbing what they read and hear. They often view things in a very negative light, and they tend to lose hope.
▪ Physical symptoms of depression are also common, including fatigue and low energy as well as physical aches and pains. Depressive disorders
▪ Although people with depression typically feel exhausted – they may find it hard to fall asleep and may wake up frequently. Other people sleep throughout the day.
▪ They may find that food tastes bland or that their appetite is gone, or they may experience an increase in appetite.
▪ Sexual interest disappears.
▪ Thought and movement may slow for some (psychomotor retardation), but others can’t sit still – they pace, fidget, and wring their hands (psychomotor agitation).
▪ When people become utterly dejected and hopeless, thoughts about suicide are common. Depressive disorders
▪ Under depressive disorders, there are another two types of disorders as mentioned in DSM-IV-TR. They are:
1. Major depressive disorder (MDD)
2. Dysthymic disorder (also called dysthymia).
▪ The DSM-IV-TR diagnosis of major depressive disorder (MDD) requires depressive symptoms to be present for at least 2 weeks.
▪ As shown in the DSM-IV-TR criteria, at least 4 additional symptoms must be present. They are:
i. Changes in sleep
ii. Changes in appetite;
iii. Changes in concentration and decision-making
iv. Feeling of worthlessness; v. Suicidal
vi. Psychomotor agitation or retardation.
▪ MDD is called an episodic disorder – because symptoms tend to be present for period of time and then clear. Even though episodes tend to dissipate over time, an untreated episode may stretch on for 5 months or even longer.
▪ Major depressive episodes tend to recur – once given episode clear, a person is likely to experience another episode.
▪ Dysthymic disorder shares many of the symptoms of major depressive disorder but differ in its course. The symptoms are somewhat milder but remain relatively unchanged over long period of time, sometimes 20 or 30 years or more.
▪ Dysthymic disorder is defined as a persistently depressed mood that continues at least 2 years, during the patient cannot be symptom free for more than 2 months at a time.
▪ Dysthymic disorder differs from a major depressive episode only in the severity, chronicity, and number of its symptoms, which are milder and fewer but last longer.
▪ Typically, dysthymic disorder develops first, perhaps at an early age, and then one or more major depressive episodes occur later.
Bipolar disorders
▪ DSM-IV-TR recognizes 3 forms of bipolar disorders:
1. Bipolar I disorder
2. Bipolar II disorder
3. Cyclothymic disorder.
▪ Manic symptoms are the defining feature of each of these disorders.
▪ These disorders are labelled “bipolar” because most people who experience mania will also experience depression during their lifetime
▪ What is mania?
▪ People may experience with abnormally exaggerated elation, joy, or euphoria.
▪ In mania, individuals find extremely pleasure in every activity: they become extraordinary active (hyperactive), require little sleep, and may develop grandiose plan, believing they can accomplish anything they desire.
▪ Speech is typically rapid and may become incoherent (attempting to express so many exciting ideas at once: flight of ideas)
▪ Hospitalization may require – if individual was engaging self-destructive activities.
Bipolar I disorder
▪ In DSM-IV-TR, the criteria for diagnosis of bipolar I disorder (formerly known as manic-depressive disorder) include a single episode of mania or a single mixed episode during the course of a person’s life.
Bipolar II disorder
▪ DSM-IV-TR also includes a milder form of bipolar disorder, called bipolar II disorder.
Cyclothymic disorder
▪ A milder but chronic version of bipolar disorder called cyclothymic disorder is similar in many ways to dysthymic disorder.
▪ Cyclothymic disorder is a chronic alternation of mood elevation and major depression that does not reach the severity of manic or major depressive episodes.
▪ Individual who have this tend to be in one mood state or the other years with relatively few periods of neutral mood.
▪ Neurotransmitters:
▪ 3 neurotransmitters have been studied the most in terms of their possible roles in mood disorders:
▪ Norepinephrine;
▪ Dopamine;
▪ Serotonin.
▪ Original models suggested that depression would be tied to low levels of norepinephrine and dopamine.
▪ Mania would be tied to high levels of norepinephrine and dopamine
▪ Mania and depression were also both posited to be tied to low levels of serotonin.
▪ Researchers initially believed that mood disorders would be explained by absolute levels of neurotransmitters in the synaptic cleft that were either too high or too low.
▪ Brain imaging studies suggest that episodes of MDD are associated with changes in many of the brain systems that are activated when a person without symptoms of depression experiences strong emotions.
▪ As one might expect, many different brain structures become involved when a person experiences emotion: the person needs to attend to and interpret the stimuli that are causing the emotion and then must make plans to deal with those stimuli.
▪ Various aspects of personality and its development appear to be integral to the occurrence and persistence of depression.
▪ Although depressive episodes are strongly correlated with adverse events, a person's characteristic style of coping may be correlated with his or her resilience.
▪ In addition, low self-esteem and self-defeating or distorted thinking are related to depression.
▪ Social:
▪ Poverty and social isolation are associated with increased risk of mental health problems in general.
▪ Child abuse (physical, emotional, sexual, or neglect) is also associated with increased risk of developing depressive disorders later in life.
▪ Abuse of the child by the caregiver is bound to distort the developing personality and create a much greater risk for depression and many other debilitating mental and emotional states.
▪ Disturbances in family functioning, such as parental (particularly maternal) depression, severe marital conflict or divorce, death of a parent, or other disturbances in parenting are additional risk factors.
▪ Medications:
▪ The effectiveness of antidepressants is none to minimal in those with mild or moderate depression but significant in those with very severe disease.
▪ The effects of antidepressants are somewhat superior to those of psychotherapy, especially in cases of chronic major depression.
▪ Antidepressant medication treatment is usually continued for 16 to 20 weeks after remission, to minimize the chance of recurrence, and even up to one year of continuation is recommended
- Electroconvulsive therapy (ECT) is a procedure whereby pulses of electricity are sent through the brain via two electrodes, hospital psychiatrists may recommend ECT for cases of severe major depression that have not responded to antidepressant medication or, less often, psychotherapy or supportive interventions.
- ECT can have a quicker effect than antidepressant therapy and thus may be the treatment of choice in emergencies such as catatonic depression where the person has stopped eating and drinking, or where a person is severely suicidal.
▪ Psychological treatments for depression:
▪ Cognitive-Behavioral Therapy:
- Dealing with interpersonal role disputes – marital conflicts;
- Adjusting to the loss of a relationship;
- Acquiring new relationships;
- Identifying and correcting deficits in social skills.
Ethical quandaries develop when individuals or
communities are forced to make difficult judgements involving moral principles
or values that are in contradiction with one another. These quandaries
frequently give rise to challenges and disputes. Because they require
individuals to make decisions between opposing interests, ethical dilemmas can
offer substantial problems. However, there is not always a straightforward
answer to these conundrums. Its include decision-making conflicts, stakeholder
conflicts, legal and regulatory conflicts, public perception and reputation and
emotional distress.
It is essential to confront ethical conundrums in a
methodical and reflective manner, taking into account a variety of viewpoints,
ethical frameworks, and the potential outcomes of one's actions. Participating
in open discourse, looking for ethical counsel, and fostering a culture of
ethical awareness are all things that may help reduce the likelihood of
disputes and make it easier to deal with these issues. The decision to put an
end to one's life presents complicated obstacles and tensions since it requires
one to make challenging choices regarding medical treatment, care, and the
preservation of human life in the face of severe circumstances or terminal
sickness. This moral conundrum emerges when individuals, families, and
healthcare professionals are put in a position where they must make decisions
that will have an effect on the persons' quality of life, autonomy, and dignity
as they draw closer to the end of their lives.
Communication that is both open and empathic is necessary to address the problems and tensions that are inherent in end-of-life choice dilemmas. This communication must involve patients, their families, healthcare providers, and other stakeholders. Access to palliative care, advance care planning, and ethical frameworks, such as shared decision making models can all be helpful in navigating these issues and promoting compassionate decision-making in end of life circumstances.
1. Case Study 1
Adam was a 2-year-old child with congenital acute myeloid leukemia. He was admitted to the pediatric intensive care unit (PICU) after receiving an allogeneic bone marrow transplant. One week after the transplant, a severe pulmonary infection developed, resulting in irreversible lung injury; he was ventilator dependent. Adam was a patient in the PICU for 2 months and he had good and bad days. On his bad days, the PICU staff struggled to manage his hypoxemia, hypercapnia, and hemodynamic instability. He had several close calls to death, including being resuscitated twice after having cardiac arrests. Neurologically at times, he opened his eyes; he had limited motor ability. When he became restless, he was given sedative drugs.
Several family meetings
occurred over his 2-month PICU stay. The palliative care team was consulted 5
weeks into his stay. At the most recent meeting, the palliative care APRN
reviewed Adam’s illness trajectory, discussed his current condition and told Adam’s
parents that the team would like to consider a change in the focus of Adam’s
care.
The pediatric intensivist
discussed Adam’s poor prognosis and his parents were given time to ask
questions. The palliative care APRN discussed the possibility of focusing
Adam’s care on comfort and suggested that it was time to consider decisions
such as withholding cardiopulmonary resuscitation (CPR) if Adam’s heart were to
stop again. She asked Adam’s parents whether they would support this decision.
Adam’s mother said that she agreed that CPR should not be started if her son’s
heart stopped. Adam’s father became angry and stated that the staff was giving
up on his son. He absolutely wanted all treatment continued, including CPR. He
got up and stormed out of the conference room.
Adam’s PICU nurse was not sure whether to stay in the meeting or leave. She decided to leave and look for Adam’s father. She found him sitting at his son’s bedside crying. He told her that he needed a little time alone, so the nurse left and gave him time with his son. When she returned, she acknowledged how difficult it must be to participate in these types of decisions. Adam’s father told her that he did not want to give up on his son. The nurse reinforced what good parents both he and his wife were. Adam’s father said that he needed time to think about everything. He had hoped that his son would recover and he was just starting to realize that he might not. The PICU nurse emphasized that Adam would continue to receive the best care possible, regardless of what decision was made, and that the team was there to help not only Adam but also his family. (Wiegand, 2015, pg. 145)
This case study presents a
conflicting decision between both parents of a terminally ill 2-year-old boy
with acute myeloid leukemia. Despite a poor prognosis as well as multiple
resuscitations from cardiac arrests, the father refused to discontinue resuscitation
attempts with the perception that the medical team is giving up on his son. The
mother, however, was accepting of the decision due to the condition of her son.
The medical team, however, was adhering to the ethical principle of autonomy,
by allowing both of the parents, the autonomous legal guardian of their son, to
give their final decision on this end-of-life matter. Despite wanting to
provide the best treatment that may benefit the patient (beneficence), the
medical team also would like to reduce and minimize any harm that may be
inflicted on the 2-year-old boy (non-maleficence).
One of the dilemmas that
may be seen here is the contradiction between the father’s decision from the
medical team’s advice. Other than the literal physical definition of ‘alive’
towards the patient, the decision-maker, in this case, the parents, must also
consider the weight of their son’s quality of life should the treatment and
resuscitation be continued, apart from the consideration of their cultural and
religious norm. The process of end-of-life decision-making should consider the
well-being of the patient from all aspects; physical, emotional, religious, and
even personal beliefs (Puteri, 2015). Though admittedly, a 2-year-old may have
less consideration for religion and personal beliefs, the consideration of
end-of-life decisions should also include the immediate family and guardian.
The counsel team did a
praiseworthy job in assuring the parents that they will strive in providing the
best care possible for whichever path the parents choose to decide. Should the
parents choose the continue treatment, the medical team will work hard in
providing the best treatment that benefits the patient, and if the parents
choose to discontinue treatment and resuscitation, the medicals team will also
give as much effort in maximizing comfort and care if the provision of the best
palliative care for their son, Adam.
Ethically, this end-of-life
decision may only be made by the parents and should not be interfered with by
any other party. However, the medical team and the psychological support team,
if any, should be ready to be transparent and honest (veracity) in providing a
full, detailed explanation of Adam’s condition to both parents. The parents
should be able to make a fully informed decision and psychological and
emotional support services should be made available to the parents should they
need them. End-of-life care is an all-hands-on-deck situation where every party
serves a huge role in ensuring the best outcome for the patient, the parents as
well as the medical team. Despite everyone’s involvement, both decisions of
continuing or discontinuing treatment are not ethical violations as long as all
information is given and received by all parties involved
2. Case Study 2
The case of Ms. Rahimah is
a hypothetical case study of a 65-year-old woman with end-stage chronic
obstructive pulmonary disease (COPD), a condition characterized by the
progressive deterioration of the airways in the lungs. Despite undergoing
various treatments for her condition over the years, her COPD has continued to
worsen, and she has now reached a point where her doctors have determined that
there are no more viable treatment options available. They have explained that
her condition will ultimately lead to her death, and they have suggested that
she and her family begin to think about her end-of-life care.
Rahimah has expressed to
her doctors and family that she does not want to prolong her suffering any
further, and she has decided to elect hospice care. Hospice care is a form of
palliative care that provides comfort and pain relief to patients who are dying,
and it often involves the withdrawal of life-preservation interventions such as
intubation or resuscitation. Ms. Rahimah's decision to elect hospice care
reflects her desire to prioritize comfort and quality of life overextending her
life at all costs.
While Ms. Rahimah's decision may be a difficult one for some family members to understand, it is ultimately her right to self-determination, as she is entitled to make decisions about her healthcare based on her values and preferences. Her decision is an example of the importance of open and honest discussions about end-of-life care and the role that patients, families, and healthcare professionals play in these discussions. By taking an approach to end-of-life care, we can help patients and families make informed decisions that prioritize comfort, dignity, and quality of life.
End-of-life decisions are complex and require careful consideration of the patient's preferences and values. The case of Ms. Rahimah illustrates the importance of respecting a patient's autonomy in making these decisions, and providing care that prioritizes comfort, relief from suffering, and an increase in quality of life.
Autonomy is a fundamental principle in ethics and is especially important in end-of-life care. It involves allowing a patient to make their own healthcare decisions, including decisions about their end-of-life care. By treating a patient as autonomous person, we respect their dignity and agency, and we help to ensure that their values and preferences are considered in care planning.
In the case of Ms. Rahimah, it was important to respect her autonomy in making her decision to elect hospice care. She had the right to make this decision, and it was not appropriate for others to impose their own beliefs or values on her. Healthcare professionals should provide information, support, and guidance to help patients make informed decisions, but they should not pressure patients to choose a particular course of care.
Aside from respecting autonomy, it is also important to provide care that is non-maleficent or that does not cause harm. Hospice care is designed to provide comfort and relief from suffering, rather than to prolong life at all costs. Healthcare professionals should ensure that they are not providing treatments or interventions that could cause harm or prolong suffering and should instead focus on providing palliative care that addresses the patient's needs and aims to improve their quality of life.
In addition to non-maleficence, it is also important to provide care that is beneficial or that brings about good. End-of-life care should not only be about avoiding harm but should also be about providing benefits to the patient, such as relief from pain and distress, and an increase in their quality of life. Palliative care is designed to do just that, and healthcare professionals should take a holistic approach to care that addresses the patient's physical, emotional, and spiritual needs.
Finally, justice is a principle that requires individuals to be treated fairly and equitably and not be subjected to discrimination or bias. In the case of Ms. Jones, it is important that healthcare professionals do not discriminate against her based on her age, or gender.
3. Case Study 3
John Anderson, a 68-year-old man, has been living with end-stage heart failure for the past two years. Current Condition severe shortness of breath, fluid retention, declining organ function. Despite various medical interventions, his condition has progressively worsened. John's heart function has significantly declined, leading to severe shortness of breath and fluid retention. He is frequently hospitalized for complications related to his heart failure. The medical team believes that John is approaching the end stages of his illness.
John's family and
healthcare providers are facing an ethical dilemma regarding end-of-life
decisions. John's condition is unlikely to improve, and his quality of life is
greatly compromised. The medical team and family members have different
opinions on the best course of action. Some family members advocate for
continuing
aggressive interventions, while others believe that
focusing on comfort care and ensuring a peaceful end is more appropriate.
Continue with advanced
medical treatments, such as cardiac interventions, mechanical circulatory
support, or transplantation, with the goal of extending John's life. Engage in
ongoing discussions with the medical team to assess the potential benefits, risks,
and burdens of these interventions. Understanding these factors will help John
and his loved ones make informed decisions regarding the continuation of
aggressive treatments. Ensure that John's goals and preferences are considered
in the decision-making process.
Transitioning to palliative
care signifies a shift in the treatment approach, placing emphasis on improving
John's quality of life. Instead of pursuing aggressive interventions, the focus
now shifts to providing holistic care that addresses his physical, emotional,
and spiritual well-being. Palliative care aims to alleviate symptoms, manage
pain, and enhance overall comfort, allowing John to make the most of his
remaining time. Symptom management is a vital aspect of palliative care.
Medications are commonly used to alleviate symptoms such as pain, nausea,
anxiety, and shortness of breath. The palliative care team, in collaboration
with John, will develop an individualized plan tailored to his specific needs.
This approach ensures that medication regimens are optimized, providing
effective relief while minimizing potential side effects. Shortness of breath
is a distressing symptom often experienced by individuals with advanced medical
conditions. In palliative care, oxygen therapy and non-invasive ventilation can
significantly improve John's breathing and enhance his comfort. These
interventions aim to alleviate breathlessness, allowing him to engage in
activities that bring joy and maintain a sense of independence.
Shared decision-making is crucial in the continuation of aggressive interventions. It involves collaboration between John, his family, and the medical team. By providing comprehensive information about the available treatment options, their potential outcomes, and associated risks, the medical team can empower John and his family to actively participate in the decision-making process. This collaborative approach ensures that the final decision aligns with John's values, preferences, and long-term goals.
4. Conclusion
From the case study presented, there are 3 prong conflicts that can be observed regarding decision-making for end-of-life care; the patient’s advocate vs healthcare worker, the patient vs her family member, and the patient’s family member vs the healthcare worker.
In this dire situation,
everyone involved does have their best intention at heart, aiming for the best
outcome for the patient, but when it concerning the end of life care, the
willingness to participate in the conversation is varied, both for the patient’s
themself and their relatives as it is emotionally challenging (Gjerberg, E. et
al, 2015) and it poses communication challenge even with the healthcare
provider (Naomi, R. et al. 2016). Adding the weight of the situation is when
the patient can’t exercise their autonomy, the responsibility to make the
decision will fall onto their legal next-of-kin, as this has always been part
of hospital policies.
However, many of the
patient’s relatives did not really know what the patient’s needs were, despite
the patient’s belief in them (Georg Bollig et al. 2016).
Since all the case studies
happen in hospital settings and involve palliative care, referring to
Palliative Care Services Operational Policy 2010 by the Ministry of Health
(MOH) is essential as it provides ethical guidelines for handling the
situation. As palliative care is generally a new medical specialty recognized
by MOH in 2005, another guideline that can be helpful to assist in the
decision-making for the professional parties is Handbook in Palliative Medicine
in Malaysia, developed in 2015. The reasons this was emphasized was that this
policy and handbook can assist in making better solutions for the case studies,
as it is coherence with Principal A: Beneficence and Non-Maleficence, of APA
General Principle (2010) when the psychologists' scientific and professional
judgments and actions may affect the lives of others, they need to be alert and
guarded against personal, financial, social, organizational, or political
factors that might lead to misuse of their influence.
According to the policy,
effective communication skills are essential tools in palliative care and
healthcare providers must develop these skills, including effective listening,
providing information, facilitating decision making and coordinating care among
the patient, family, and other healthcare providers, as this has proven to
better prepare the patient for their final outcome and reduce moral distress
for their relatives (Georg Bollig et al. 2016). This provision is aligned with
Principle E: Respect for People's Rights and Dignity, of APA General Principle
(2010), where individual differences are respected and taking these differences
into consideration when working with others.
Managing end-of-life care
decision’s making can also be guided by the Resolution on Palliative Care and
End-of-life Issues, adopted by the APA Council of Representatives, which
“endorses the principles that care for individuals with advanced serious illness
should be comprehensive, high quality, integrated, interdisciplinary,
patient-centered and family oriented, coordinated across all providers and
settings; accessible, and available through governmental and private health
insurers and care delivery programs. Individuals should have the opportunity to
engage in conversations about their health care, the results of which should be
incorporated into ongoing care plans.” (2017, para 74).
5. Reference
Classical
conditioning it
is how one learns to associate stimuli or connect with the thinking brain.
According to Ivan Pavlov (1927) gave a theory to two
types of stimuli and two types of responses namely unconditioned stimulus
(UCS), unconditioned response (UCR), conditioned stimulus (CS), and conditioned
response (CR). And furthermore, when a neutral stimulus gets linked with a
significant stimulus, it gains the ability to trigger a comparable reaction.
This is an example of associative learning.
Pavlov
gave the example of a dog as a response for example unconditional stimulus
(UCS) which shows the dog only listens to the door without responding while
conditioned response (CR) is a learned response to a conditioned stimulus that
occurs after the UCS-CS pair example gives sound as well as followed by feeding.
According to him again, Involved
in both good and bad experiences of youngsters in the school. Like favorite
songs and the perception that the classroom is a secure and enjoyable
environment are two examples of items in children's learning that have become
classics and so provide hours of entertainment. To be clear in classical
conditioning is included:
UCS is anything
that elicits an instant or somewhat instinctive reaction might be defined as
automatic reaction.
UCR is a
response which is elicited by an unconditioned stimulus.
CS is
when a conditioned stimulus is offered repeatedly for a period of time prior to
an unconditioned stimulus, it is said to have been conditionally presented. At
the conclusion of the experiment, it will produce the same reaction as the
conditioned stimulus.
CR is
described as a reaction that occurs as a consequence of exposure to a
conditioned stimulus
So operant conditioning is a learning process in which purposeful activities are rewarded by the consequences of those behaviours. If the dog then improves his or her ability to sit and remain in order to earn the reward, this is an example of operant conditioning. Other than that, positive reinforcement, such as giving a dog a treat or providing food to a rat, may be used in operant conditioning experiments. Furthermore, negative reinforcement is used to reward a dog for staying close to its human by relieving the uncomfortable strain on the leash. Opportunistic training might include punishment in certain cases. Each and every example of operant conditioning shows how a desired behaviour is reinforced via the use of consequences.
In
operant conditioning, the concepts of reinforcement and punishment are used to
achieve the desired results. You are enhancing a behaviour when you reinforce
it. A consequence or result that raises the probability of a certain
behavioural response is defined as reinforcement. The behavior-strengthening
impact may present itself in a variety of ways, including increased frequency,
longer duration, larger amplitude, and shorter latency in response. It is any
consequence or event that reduces the chance of a behavioural reaction that is
defined as a kind of punitive action.
Furthermore,
both reinforcement and punishment might be positive and negative and have the
potential to be effective. Positive and negative may not always imply good or
bad behaviour in operant conditioning. Instead, positive implies that you are
adding something, while negative implies that you are subtracting something.
All of these techniques may be used to affect the behaviour of a subject, but
each one operates in a different way.
For
example, when in class, students like to run around in class. This thing cannot
be saved because it is the nature of boys to do such a thing. But when they
hear the rattan they will automatically stop. This is an example where the UCS
response occurs. However, if this matter continues to be practiced then
indirectly the students will recognize the sound and continue to respond then
this matter is CR. At the same time, it can happen if the teacher makes an
angry face at the students then automatically UCR happens. It is customary if
done then they will understand if the teacher looks with a sharp gaze it
signals to reprimand and the students will be silent. If this happens
repeatedly then it has been embedded in the brains of the pupils. For example,
the conditional stimulus arises when it is presented repeatedly for some time
before the unconditional stimulus. Eventually, it will give the same response
as the conditioned stimulus. So, the students have become accustomed to the
conditions and react naturally when it happens. So, this is included in CS
conditional stimuli.
Other than that, it can also have a positive
impact on behavior when operant conditioning applied. For example,
Positive
reinforcers add desired or pleasant stimuli to increase or maintain the
frequency of a behavior. For example, students not running around in class will
get candy.
Negative
reinforcers emit unpleasant or unpleasant stimuli to increase or maintain the
frequency of the behavior. For example, a student if he does not run in class,
can return early.
Positive
punishment adds an unpleasant stimulus to reduce a behavior or reaction. For
example, a student running around in class will be fined for having to memorize
the numbers 1 through 12 in front of an assembly for four consecutive days.
Negative
punishment eliminates pleasant stimuli to reduce behavior or reactions. For
example, a student running in class will get a fine of all not being able to go
home early at the end of the school day.
These two things are very related to connect a
situation. Stimuli that are used to promote a certain behaviour may be
classified as either primary or secondary. The main reinforcer, also known as
an unconditional reinforcer, is a stimulus that has a naturally reinforcing
effect on the subject's behaviour. There has been no research on such
reinforcers. At the sometime, it may include with generalization which is can
generalize similar things and respond the same. For all students know, a bell
rings to signal a break time. And finally is discrimination is an opportunistic
conditioning occurs when an organism reacts differentially to two comparable
but not identical stimuli in the context of different way. Like at an assembly
when the teacher has finished speech, half the students some applaud and some are
silent. This shows different ways of responding from the same context.
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