My Psychology Notes
My Psychology Notes
SSEKWEYAMA HASHIBU
•COURSE UNIT: APPLIED PSYCHOLOGY
•The following topics and sub topics have been selected for
semester one syllabi
1. Introduction to psychology: Meaning, Role of psychology to
a Clinical Officer and History of psychology, Goals and aims
of psychology.
2. Schools of psychology: Structuralism, Functionalism,
Humanistic, Behaviouralism, Gestaltism, Psychodynamic,
application to health care, Branches of psychology,
perspectives of psychology,
3. Human Growth and Development: Meaning of Growth and
Development, Factors that promote Growth and Development
, Factors that affect Growth and Development, Physical,
4. Mental processes
Sensation and Perception: Organs of sense and sensation
process, Principles and laws of perception
Thinking: Types of thinking, Thinking levels,
Reasoning: Types of reasoning
Consciousness: Preconscious, Sub conscious, Sleep and
sleep disorders
Intelligence: Theories of intelligence, Intelligence
measurements
Memory: Stages of memory, Levels of memory, Memory
enhancement, Forgetting
Attention and concentration: Theories of attention and
concentration
Learning: Learning theories, Factors that promote
learning, application of learning theories to health care
Emotions: Theories of Emotions, Components of
emotions
5. Personality development: Personality systems (id, ego,
superego), mental defense mechanisms, psychosocial
stages of personality development, grand theories of
personality, approaches in studying personality,
personality structure.
6. Motivation: Theories of motivation
• 7. Attitudes: Attitude formation, Types of attitudes,
Attitude change, factors that influence the formation and
development of attitude, components of attitude.
8. Sleep and Dreams: sleep disorders, stages of sleep,
neurotransmitters and sleep, mgt of sleep d/os
9. Guidance and Counseling: Concept and Principles of
Counseling, Indications for counseling, Qualities of a
good Counselor, the counseling process and the
counseling Skills.
10. Perception and Attending: perception, perceptual
constancy, attending
• Definition: psychology is the study of mind and behavior in
relation to a particular field of knowledge or activity.
• Its also termed as the science of behavior and mental
processes.
• Behaviour includes a variety of overt (obvious, explicit,
open) or clear actions such as walking and gesturing, social
interactions such as talking, emotional reactions like
laughing or frowning. Psychologists use rigorous, systematic
observation that yields comprehensive theories and reliable
knowledge, this makes it a science and different from
common sense.
• Regarding mental health, psychology can be applied to a
variety of issues that impact health and daily life including
performance, enhancement, self-help, ergonomics,
motivation, productivity, and much more.
• Etymology
• The word psychology is derived from two Greek words,
‘psyche’ meaning the mind, soul or spirit and ‘logos’
meaning discourse or to study. The two words combined
produce the ‘study of the mind’.
• History of psychology
• Psychology first appeared as a discipline in its own right
around the time in 1879 when Wilhem Wundt opened the
first ever psychology laboratory in the university of Leipzig
in Germany.
• He and his colleagues were concerned with studying the
mind via ‘introspection’ or observing their own thoughts
and feelings as they occurred.
• William James, Wilhem Wundt and other psychologists of
the time thought of psychology as the study of the mind.
• The origin of psychology is dated to 1879 when Wilhem
Wundt set up the first psychology lab in Leipzig .Most of
the world’s early scientific psychologists got their education
from Wundt.
• Edward B Titchener ( 1867-1927), Wundt’s student
expanded his teachers work and this school of thought is
called structuralism . It attempts to describe the structures
that make up the mind.
• John Dewey, James R Angell and Harvey Carr, influenced
by Dawin’s theory of evolution ,founded the school of
Functionalism which learns how the mind produces useful
behaviours.
• Functionalists ,proposed that more adaptive behavior
patterns are learned and maintained, whereas the less
adaptive ones are discontinued.
• J.B Watson the founder of behaviorism asserted that for
psychology to be a natural science , it must limit it self to
observable and measurable behavior not mental processes
• In the 1920s another school known as the Gestalt
psychologist arose in Germany. It was founded by Max
Wertheimer (1880-1943). They argued that one can't cope
to understand human nature by focusing on the
observable behavior alone.
• The Gestalts were more concerned with perceptions and to
them perceptions are wholes that give meaning to parts.
• SCHOOLS OF PSYCHOLOGY
• The emergence of psychology as a separate and
independent field of study was truly born when
Wilhelm Wundt established the
first experimental psychology lab in Leipzig, Germany in
1879.
• Wundt's work was focused on describing the structures
that compose the mind. This perspective relied heavily on
the analysis of sensations and feelings through the use of
introspection, a highly subjective process.-(careful
examination of your own thoughts, feelings and reason for
behaving in a particular way) Wundt believed that properly
trained individuals would be able to accurately identify the
mental processes that accompanied feelings, sensations
and thoughts
• Throughout psychology's history, a number of different
schools of thought have been formed to explain human
thought and behaviour. These schools of thought often rise
to dominance or supremacy for a period of time. Although
these schools of thought are sometimes perceived as
competing forces, each perspective has contributed to our
understanding of psychology. The following are some of the
major schools of thought in psychology.
Structuralism
• Structuralism was the oldest proper school of psychology.
Structuralists were inspired by the efforts of biologists,
chemists and physicists to analyze matter and categorise
them cells, molecules and atoms.
• Note: Structuralism a theory that considers any text as a
structure whose various parts have meaning when
• Considered together. It’s the school of psychological thought
that considers the structure and elements of immediate
conscious experience to be the proper subject matter of
psychology
• Following the lead of these scientists, structuralism tried to
analyze the mind break into its component elements such as
ideas and sensation and discover how these elements interact.
• It was developed by a German called Edward Titchener
( Wilhem Wundt’s student) in the years (1867-1927). He used
introspection which means looking within . It attempts to
explain behaviour by using these elements interact to form
thoughts and feelings. The inner experiences a person tells can
be interpreted in the light of the behaviour being investigated.
The method is used by doctors, lawyers, intelligence officers
and others people involved in investigative work.
Functionalism
• It’s a school that was founded by functionalists (William
James and John Dewey (1873-1954), James Angell James
(1869-1949), Harvey Carr (1873-1954)
• Note: Functionalism the idea or belief that the most
important thing of the object is not how it looks but how is
to be used (the function and not the outlook). The school
of thought that an out growth of structuralism and was
concerned with how the mind functions and how this
functioning is related to consciousness (awareness,
perception).
Functionalists preferred to study how the mind affects
what people do. Functionalists would prefer to study how
the ability to distinguish different tastes affects behaviour.
Does the person prefer a sour drink to a sweet one.
Functionalists are interested in how the mind functions and
are concerned with why people behave the way they do.
Proponents of functonalism stressed the biological
significance( the purpose and function) and natural
processes including behaviours. Among its basic ideas are
the following:
It’s concerned with mental operation and not mental
structure. For example the mind remembers but does not
contain memory.
Mental processes are not studied as isolated and
independent events but as part of the biological activity of
the organism. These processes are aspects of the organism
adaptation to the environment and are product to it’s
evolutionary history.
Functionalism studies the relationship between the
• environment and the response of the organism to the
environment. There are no meaning full differences
between mind and the body; they are part of the same
entity. The human mind is a cumulative process which can
be modified by anew experience.
• The environment influences /controls the way we behave
e.g how much we drink, how we walk ,etc.
• Human experience is continuous and evolves overtime.
• Thinking is not an end in it self. It’s function is to produce
useful elements
Behaviorism
• It was developed by Edward Thorndike, Ivan Pavlov and
John Watson). This school of psychology originated from
J.B Watson (1879-1958)
Note: Behaviorism; the theory that all human behaviour is
leant by adapting from outside conditions and that
learning is not influenced by thought and feelings. It
focuses on describing and measuring only what is
observable either directly or through assessment
instruments.
Behaviorism rejected the position shared by structuralism
and functionalism that the mind is the proper object of
study for psychology.
Behaviorism believed that because psychology is the study
of observable behaviors, mental events which cannot be
observed, are outside the realm of psychology. Behaviorism
is thus the study of relationship between people’s
environment and their behavior
• Behaviorism further emphasizes the following about
• human behavior:
Human beings are born empty slates(tabula rasa) i.e. man is
born with an empty mind. The environment , culture…
impact on it with time to form behavior such as language,
caring personality, aggression etc. In one of his works,.
• Watson wrote: Give me a dozen healthy infants, well-
informed and my own specified world to bring them up in
and I will guarantee to take any at random and train him to
become any type of specialist I might select- doctors,
lawyer, artist , and yes even beggar man and thief,
regardless of his talent, tendencies, abilities, vocations and
race of his ancestors.
• The imparted behavior can also rub off depending on
circumstances.
• Most behavior that we manifest are acknowledged through
• learning from the environment.
• Human behavior tend to be pervasive i.e we tend to behave
in a similar pattern in most cases.
• Human beings are reactive to the environment i.e the tend
to respond to the conditions around them with out much
thought i.e we abide by authority.
• Human beings are passive and deterministic i.e they wait to
be modeled by the current circumstances/ environment.
Gestalt Psychology
• Note: Gestalt psychology is a school of thought that argues
that it is necessary to study a person’s total experience, not
just part of the mind or behaviour, since conscious
experience is more than simply the sum of its parts.
• It was advanced by Marx Werthemer, Kurt Koffka, Richer
• The word Gestalt comes from a German word “Gestalten”
which can be translated to mean the whole unit, a totality,
a pattern , form or a configuration. The following key points
were stressed by Gestalt psychologists:
The mind does not respond passively to discrete external
stimuli but instead organises (actively)stimuli to form a
coherent and meaningful whole. Thus perception is more
than a series of individual sensations.
We are likely to get more meaning than simply perceiving
only parts of reality/ behavior individually. E.g Love –
( caring, kissing, romance) , classroom –( desk, chair,
white/black board, chalk, markers) etc.
Gestalt emphasizes that individuals perceive objects and
patterns as a whole unit and stressed that the whole unit of
what we perceive is different from the total/ sum of its
• different parts meaning that we perceive an object as a
unit, it is more meaningful than when we simply perceive
its parts individually.
Psychoanalytic Psychology
• It was developed in by a medical doctor called Sigmund
Freud who was practicing in Vienna Australia. He noted
through his research that some of the patients had nothing
physically wrong with them although they had symptoms
of physical illness such as headache, exhaustion , insomnia
etc.
• Psychoanalysis ; therapy, treatment, psychotherapy
psychiatric help; early 1900s a Viennese neurologist named
Sigmund Freud gained worldwide fame by promoting the
idea, that the mind consists three levels of consciousness;
the consciousness, the sub-consciousness and the
• unconsciousness.
• Freud suggested that mental conflicts were behind these
symptoms and that these conflicts had been pushed out
normal awareness into what Freud called the unconscious
part of the mind..
• He further suggested that much of human behavior is as a
result of thoughts, fears and wishes that are hidden within
the unconscious mind.
• People are often unaware of these motivating forces
though they have a strong effect on behavior.
• Freud further suggested that many of the behaviors we
show are as a result of our experience during infancy and
childhood.
• Freud’s psycho-analytic psychology challenges is to
uncover/ reveal/bring into open unconscious conflicts
since they were very deep down in our conscious mind.
1. He developed a technique called Hypnosis (putting some
one into a trace of sleep).Hypnosis was not quite
successful in revealing what was burried in a persons
memory.
2. He developed another method called free association in
which a patient was asked to lie comfortably on a couch
and requested to say whatever came to his/her mind no
matter how irrelevant/ foolish it was.
Humanism
• This school of psychology was developed by Cal Rogers.
• a system of thought that considers that solving human
problems with the help of reason is more important than
• religious beliefs.
• Basic nature of human being is good. A psychological
perspective that emphasises positive human values and
people’s inherent tendency toward personal growth
Cognitivism;
• connected with mental processes of understanding, that
involves perception, learning, memory and thinking.
• This school of psychology was developed by Jean Piaget
1936. Jean Piaget explained how a child constructs a mental
model of the world. Leon Festinger in 1957 published a book
Theory of Cognitive Dissonance.
TYPES OR BRANCHES OF PSYCHOLOGY
• Psychology is a broad and diverse field. A number of different
subfields and speciality areas have emerged.
• The following are some of the major areas of research and
Pure psychology
Applied psychology
• Pure psychology involves: general psychology, abnormal
psychology, social psychology, parapsychology,
geopsychology, developmental psychology.
• Applied psychology involves: educational psychology,
clinical psychology, industrial psychology, legal psychology,
military psychology, political psychology.
• i) Clinical Psychology: Studies; diagnosis, cause, treatment
of mental disorders. For example, clinical psychologists
have recently devised effective forms of treatment for
reducing aggression among highly assaultive children
• ii) Counselling Psychology: Assists individuals in dealing
with many personal problems that do not involve
• psychological disorder. For example counselling
psychologists assist individuals in career planning and
developing more effective interpersonal skills
• iii)Development Psychology: Studies show people change
physically. Cognitively and socially and over entire life span.
For example development psychologist have found that
patterns of attachment children form to their parents can
influence the nature of the romantic relationship they form
as adults.(Vormarock, 1993).
• Iv)Cognitive Psychology: Investigates all aspects of
cognition; memory, thinking, reasoning, language, decision
making. For example cognitive psychologists have recently
found evidence suggesting that the reason we can not
remember events that happen to us before we are about
three years old is that we lack clearly developed self
• concept of this age(Howe and Courage, 1993)
• V)Industrial/ organisation Psychology:
• Studies all aspects of behavior in work- settings selection of
employes, evaluation of performance, work motivation,
leadership. For example industrial/ organisation
psychologist have found that work performance often
decreases sharply when employees feel that they are being
treated un fairly- that they are receiving fewer benefits
than they deserve, score fewer points than those who feel
that there salaries are fair( Harder, 1992)
• Vi)Psychobiology(Physiological Psychology):Investigates
the biological bases of behaviour-the role of biological
events within our nervous systems and bodies in everything
we do, sense, feel or think. For example, psycho-biologist
have recently investigated the possible role
• gender difference in behaviour of subtle difference in the
structure of females and male brains.(Law, Pellegrino and
Hunt, 1993)
• VII) Social Psychology: Studies all aspects of social
behaviour and social thoughts. How we think about and
interact with others. For example social psychologist have
recently found that while men and women use complaints
to change others behaviour, the two genders use this
technique in slightly different ways.
• Viii) Experimental Psychology
• Studies all aspects : of basic psychological processes such
as perceptions, learning and motivation. For example
research by experimental psychologist has recently added
much to our understanding of attention- the process of
directing portions of our information processing capacity to
• specific stimuli. This knowledge in turn is now being applied
to the design of more effective warnings about various
hazards.
• Forensic Psychology is an applied field focused on using
psychological research and principles in the legal and
criminal justice system.
• Comparative Psychology is the branch of psychology
concerned with the study of animal behaviour. This type of
research can lead to a deeper and broader understanding
of human psychology.
• School Psychology is the branch of psychology that works
within the educational system to help children with
emotional, social, and academic issues.
• Personality Psychology looks at the various elements that
make up individual personalities. Well-known personality
• theories include Freud's structural model of personality and
the "Big Five" theory of personality
• Abnormal Psychology is the study of abnormal behaviour
and psychopathology. This specialty area is focused on
research and treatment of a variety of mental disorders and
is linked to psychotherapy, and clinical psychology.
GOALS AND AIMS OF PSYCHOLOGY
• To measure and predict behaviour
• To understand and explain behaviour
• To predict and control behaviour
• To improve the quality of human life
Measuring and describing behavior
• The role of a psychologist is to measure behaviour e.g
anxiety, attitudes, depression, intelligence. A major goal of
• technique for measuring these attributes. In order to
understand this context each measuring instrument must
possess two qualities i.e reliability and validity.
• Reliability of an instrument means that when that
instrument is used to measure a given behaviour or
constant or a characteristic it should give us consistent
results every time it is used or administered.eg if you are
trying to find how you weigh and you jump on a weighing
scale several times getting the same results or reading,
then that weighing scale is said to be reliable.
• However if we get different results every time we jump on
it then it is unreliable.
• Validity of an instrument means that the instrument is
measuring the characteristic that is designed or meant to
measure.
• For example , if a teacher wants to know how intelligent his
students are and he uses a tape measure around the head
of each student and decides that the one with the biggest
head or circumference is the most intelligent, he will be
very wrong.
• He may administer the instrument again and again and he
will get similar/ consistent results about the circumference
of the heads of students-in as far as the size of the students
heads are concerned it is invalidity of the results about
intelligence. Reason being that the instrument is used to
measure what it is not designed for. A tape measure is not
an instrument for measuring intelligence. If an instrument
is valid(appropriate) measuring exactly what it is supposed
to measure automatically it is expected to be reliable.
However an instrument may be reliable but not necessary
Understanding and explaining Behaviour
• The second important goal of psychology is to understand
and explain behaviour and mental processes. In this case
psychology is interested indentifying the why this or that?
The above involves the use of theories .A theory is an
attempted explanation that makes sense out of a large
number of observations. A good theory helps us to make
reasonable guess when we do not know the correct
answer. These guesses are technically called hypothesis. A
hypothesis is a tentative and testable or verifiable
explanation of the relationship between causes and
consequences or effect.
Prediction and control of Behavior
• The third goal is to be able to predict and there by control
behavior. By prediction we mean that if a given event” A” is
• always followed” B” on different occasions, then in future
whenever we witness ”A” we predict or expect “B” to
follow. By control we mean that we are able to modify and
regulate the condition such that when ”A” produces “B” we
are able to say with confidence that event “A” not any other
caused or produced B. To be able to predict and control
behavior we rely on the past or present information about
behaviour.
Improvement of quality of Human Life
• Many psychologists argue that the knowledge of
psychology should be used to improve the life of an
individual. E.g to provide better education opportunities for
citizens like UPE & USE programmes. To prevent crime in
society and others like corruption, prejudice, sectarianism
in places of work to control dehumanizing activities like
• prostitution etc All these show that there is need for
psychologists in all spheres of life
• ROLE OF PSYCHOLOGY TO A CLINICAL OFFICER
• Psychology is a science. Science implies to knowledge
which is based on scientific research.
• This knowledge is then available for others to apply.
• The subject matters to be studied in psychology are many:
Human behavior
Human experience ,language-communication
There is an important distinction to be made between
behavior and the interpretation of the meaning of behavior.
We look at the facial expression and the movement of
person.
Behaviour of some body is public and observable
behavior and the interpretation of the meaning of
behavior.
We look at the facial expression and the movement
of person.
Behaviour of some body is public and observable
Experience is however something private about patients,
we want to know what they feel, think, suffering from or
enjoy.
The study of experience in addition to the study of
behavior makes psychology interesting and relevant to a
clinical officer.
• PERSPECTIVES IN PSYCHOLOGY
• Any topic in psychology can be approached from a variety
of perspectives.
• i. Biological Perspective: This approach explains behaviour
in terms of electrical and chemical pro events taking place
in the body particularly within the brain and the nervous
system. It specifies neurobiological processes that under lie
behaviour and mental processes.
• ii. Behavioural perspective: This approach focuses on
• observable behaviour and tries to explain it in terms of it's
relationship to the environment.
• It was advanced by J.B Watson. In this psychologists study,
individuals by looking at their behaviour rather than the
brains or nervous system.
• III) Cognitive perspective: This focuses on mental processes
such as thinking, remembering, reasoning, deciding,
problem solving etc. And tries to explain behaviour in
terms of mental processes. The perspective is premised on
two assumptions.
a)Its only by studying mental processes that we can
understand what organisms do.
b) We can study mental processes by focusing on specific
behaviour but interpreting them in terms of underlying
mental processes.
• IV) Psychoanalytic perspective: This was developed by
Sigmund Freud. The basic assumptions of this is that much
of our behaviour stems from processes that are un
conscious. By the unconscious processes, Freud meant
beliefs, fears and desires a person is a un aware of but
never the less influence behaviour.
• V)Phenomenological perspective:
It is sometimes called humanistic. Unlike the other
approaches this focuses almost entirely on subjective
experience. It is concerned with the individuals personal
view of events. Phenomenological psychologists put it that
we are not acted upon by forces beyond our control but
instead we are actors capable of controlling our own
destiny. This is also called humanistic psychology.
HUMAN GROWTH & DEVELOPMENT
• Development is the study of changes in people’s lives from
conception to death( womb to tomb). The field focuses on
factors that constitute development across the life span.
There are three domains namely; physical, cognitive and
psycho-social development. The major development stages
humans go through are prenatal, infancy and childhood,
adolescence, adulthood and old age.
Principles of human development
• The process of human of growth and development tend to
be characterized by a number of aspects that are described
as principle of human growth and development. These are:
• These processes tend to be gradual and continuous
• They tend to be orderly and take certain pattern.
• are described as principle of human growth and
development. These are:
• These processes tend to be gradual and continuous
• They tend to be orderly and take certain pattern.
• The processes are not uniform in all humans
• The processes are gender related i.e Male and females tend
to have features that are unique to their respective gender
or sex.
• The processes tend to be inter-related and complex, e.g
gender Vs personality, height Vs personality
• Growth and development is affected by the environment
and heredity factors.
A. PHYSICAL DEVELOPMENT
• This refers to the biological growth or maturation. Physical
development includes changes in the body tissues and
organs, such as in terms of height, weight and size .It also
includes the ways a person uses his /her body such as
motor skills and sexual development.
• Prenatal Development
• This is the development that occurs between conception
• and the movement before birth.
• It takes place in place in the mother’s uterus and differs
from mother to mother.
• Development begins in the fallopian tube when a sperm
cell penetrates the wall of ripened ovum to form a zygote.
• The fertilized ovum develops through several stages i.e
Zygote (0=2weeks)
Embryo (2-8wks)
Foetus(8wks-birth)
• All of the organs including the brain must mature a great
deal before birth and different structures and sub
structures mature at different times.
• Although the majority of many unborn young ones follow a
normal development pattern, there are those who
• All of the organs including the brain must mature a
great deal before birth and different structures and
sub structures mature at different times.
• Although the majority of many unborn young ones
follow a normal development pattern, there are
those who
• encounter problems resulting in abnormal growth.
• Factors Affecting Prenatal Development
Teratogens: These are any agents that may pass from the
mother thru the placenta barrier and affect embryo. This
includes prescribed and unprescribed drugs, narcotics,
nicotine, alcohol, etc.
• Amore severe risk arises if the fetus is exposed to alcohol
during pregnancy. The infant may develop signs of foetal
alcoholic syndrome(FAS) a condition characterized by
stunted growth of the head, and body, malformations of
the face, eyes, ears and nervous system damage resulting in
seizures, hyperactivity, learning, disabilities and mental
retardation
• In milder cases, the child's appearance may be normal but
• learning, disabilities and mental retardation
• In milder cases, the child's appearance may be
normal but the child is still likely to have impaired
academic skills,
• deficits in language, memory and motor speed.
• The more alcohol the mother drinks and the longer she
drinks during pregnancy, the greater the risk to the foetus.
Maternal Factors
• 1.Maternal nutrition: The growing foetus receives its
nutrition from the mother. If she eats little it also receives
little. Prenatal malnutrition increases the risk of birth
defects, prolonged labour, still birth and infant mortality.
The harmful effects of prenatal malnutrition are greater
when the nutrition deficiency occurs in later pregnancy.
• 3. Maternal diseases: Many disease agents are capable of
crossing the placental barrier, thus affecting normal
prenatal development.
• 4.Mothers emotion state: Although many women are
happy to learn that they are pregnant, over a half of the
• pregnancies are un planned for and causes psychological
stress. Single women and those unhappily married are
often bitter, angry and depressed about their pregnancies.
• Such women put their babies at risk especially
miscarriage, prematurity, low birth weight.
• Stress also weakens the immune system, making pregnant
mothers susceptible to infectious diseases. More so such
women are likely to drink alcohol, and smoke cigarettes.
Environmental hazards: This may include, trauma and
radiations which can cause mutations or damage DNA.
Effects due to radiations were tragically apparent in
children born to pregnant Japanese women who survived
the bombing of Nagasaki& Yuroshima.(1945).Miscarriage,
slow growth, underdeveloped brains& malformation of
DNA. Effects due to radiations were tragically
apparent in children born to pregnant Japanese
women who survived the bombing of Nagasaki&
Yuroshima.(1945).Miscarriage, slow growth,
underdeveloped brains& malformation of
the skeletons& eyes were common.
INFANCY(0-15months)
• This is a period ranging from birth to approximately 2
years. Within this period, the child begins to learn or cope
with the new world.
• Physical development proceeds in the cephalocaudal and
proximal distal order. For example: the child can control his
head before he can control his feet and can control his fore
arms before he can control his fingers.
Reflexes that are present at birth can disappear during the
first year of life. These reflexes include;
The motor reflex (extension of limbs when startled)
Rooting (nipple seeking)
Palmar grasp (grasping objects placed in the palm)
And the Babinski reflex (dorsiflexion of the large toe when
the plantar surface of the foot is stroked.
Implication:
• Children should be given adequate care and affection from
parents and care –takers.
• They need adequate protection from parents and care
takers from external harm.
• Parents and care –takers should endeavor to provide
enough company to their children.
• Children need balanced diet if they are to grow well
healthy.
• Parents and care-takers should learn to understand the
language of their children.
Common Characteristics:
• Most of the child’s activities are controlled by reflex action .
• The child is completely dependent upon the parents and
care takers.
• The child tends to develop strong , attachment
• To parents, siblings and those that are usually around it
• It is a period for development of locomotion skills.
• The mouth is the greatest source of pleasure.
• Most of the child's communication is through ,crying,
bubbling and the phobic reactions for external objects or
strangers.
Infant Morbidity and Mortality
• These can be classified into neonatal mortality (0-4wks) and
post neonatal mortality (1-12months)
• Neonatal mortality(0-4weks) causes
Low birth weight
prematurity
Difficulty in labour
Sepsis
Congenital anomalies
Hemolytic disease of newborn
Placenta cord conditions
Diarrheal diseases
Acute respiratory diseases
• Post neonatal mortality (1-12months)
Malnutrition, congenital anomalies
Communicable diseases, diarrheal diseases
Developmental theories
1. Sigmund Freud: he described development in terms of the
parts of the body from which the most pleasure is derived
at each stage during development.
2. Erik Erikson: he described development in terms of critical
periods for the achievement of social goals, if a specific
goal is not achieved at a specific age, the individual will
never achieve that goal.
3. Jean Piaget: described development in terms of learning
capabilities of the child at each age during development.
4. Margaret Mahler: described early development as a
sequential process of separation of the child from mother
to primary care giver.
3. Margaret Mahler: described early development as a
sequential process of separation of the child from
mother to primary care giver.
1. 4. Chess and Thomas: they described the
endogenous differences among infants in
temperament, including
• activity level, cyclic behavior patterns (e.g sleeping),
approaching or withdrawing from new stimuli, reactivity to
stimuli, adaptability, responsiveness, mood, distractibility,
and attention span. These differences in temperament
remain stable through out life.
CHILDHOOD STAGE (15Months 0r 2-12YEARS)
• This is a period from approximately 2 to 12 years of age.
Developmentally this period can be sub- divided into 3 sub
stages, namely;-
a) Early childhood/ Toddler stage(2-5years)
b)Middle childhood/ Pre-school Age(5-9years)
c) Late childhood/ School Age (9-12years)
• According to growth and development process, the
characteristics of children in this period can be categorized
c) Late childhood/ School Age (9-12years)
• According to growth and development process, the
characteristics of children in this period can be
categorized
• according to physical, psychological and cognitive
dimensions.
Characteristics of childhood stage
This is a period of rapid growth of muscles and body
structures.
It is the period for rapid development
It is a period when the child is highly imitative of what
he /she sees or hears .
They rarely tell lies.
It is a period when one has to be careful with what he/she
does before the child.
The child is inquisitive- highly exploratory, they want
reasons and clear answers, that is how they learn.
There is need to be careful, not to hurt the child.
The child is inquisitive- highly exploratory, they want
reasons and clear answers, that is how they learn.
There is need to be careful, not to hurt the child.
Children never forget they revenge badly
They story of child whose doll was thrown down stairs and
how he threw a mother’s baby.
Play is their greatest source of pleasure.
They pair with peers of their sex to play games of their sex.
Children develop peer group norms. This is due to
expanded socialization.
They hate being confined in gates, they want to get out.
• There is egocentrism- basic for early childhood, they see
things from their point of view e.g if you gave them a gift, it
is no longer yours, they expect you to beg them and they
give you something small.
• Egocentrism is the inability to understand or assume any
perspective other than their own.
EARLY CHILDHOOD.
• Here an 18month old boy makes a tower using three blocks,
climbs stairs using one foot at a time and can say mama,
dada, cookie, bye-bye.
• When told to copy a circle he only makes a mark on paper.
• His mother relates that he plays well with the baby sitter as
long as she remains in the room, when the mother tries to
leave, the child cries and refuses to stay with the baby sitter.
A. Attachment
1. The major task of the second year of life is the separation
of the child from the mother or primary caregiver
2. Because of the close attachment between child and mother
at this age, hospitalized toddlers fear separation from
parents more than they fear bodily harm.
B. Physical and Social Development
1. Physical milestones: At approximately 2 years of age, a
child is half of his adult height.
2. Social development milestones
Motor characteristics noted in between this age.
a) At 1-half years. (stacks 3 blocks, throws a ball, scribbles on
paper, climbs stairs one foot at time).
b) At 2years. (stacks 6 balls, kicks a ball, undresses self, uses
a spoon).
c) At 3 years. (stacks 9 blocks, copies a circle, can partially
dress himself, climbs stairs using alternate feet)
Social and cognitive characteristics
a) At one and half years or 1.5years. (moves away from and
then towards the mother- rapprochement, uses about 10
words, says own name).
Social and cognitive characteristics
a) At one and half years or 1.5years. (moves away
from and then towards the mother-
rapprochement, uses about 10 words, says own
name).
a) At 2 years. ( plays alongside other children, uses about 250
words and 2-word sentences, names body parts and uses
pronouns, favourite word is No)
b) At 3 years. (has sense of male or female, achieves toilet
training, can comfortably spend part of the day away from
mother, speaks in complete sentences, identifies some
colors).
MIDDLE CHILDHOOD.
• Here a 5 year old boy dresses himself with little help, but can
not yet tie the shoes laces.
• He enjoys going to nursery school two days per week.
• On days when there is no school he sometimes plays with an
imaginary friend.
a) Attachment:
• Here the child is able to spend a portion of the day with
• There is no evidence that daily separation fro working
parents in a good day care setting has long term negative
consequences fro children.
• Death: the child may not be able to completely understand
the meaning of death and may expect a friend, relative, or
a pet to come back to life.
b) Physical and Social Development Milestones
Motor characteristics
• At 4 years: creates simple drawing of a person, buttons
garments, grooms self i.e brushes teeth and combs hair,
hops on one foot, throws a ball, copies a cross.
• At 5 years: draws a person in detail, skips using alternate
feet, copies a square
• At 6 years: ties shoe laces, rides a bicycle, copies a triangle
writes letters.
Social and Cognitive Development
• At 4 years: over concerned about illness and injury,
curiosity about sex, has imaginary companions, plays
cooperatively with other children, has good verbal self
expression.
• At 5 years: rivalry for the same sex parent for affection of
the opposite sex parent (oedipus complex).
• At 6 years: begins to develop moral values, understands the
finality of death, begins to read.
LATE CHILDHOOD
• Here a 9 year old boy tell his teacher that he wants to be
just like his father when he grows up.
• He does well in class and wants to collect postage stamps.
• He is vigilant about the rules. All his friends are boys and
• He does well in class and wants to collect postage
stamps.
• He is vigilant about the rules. All his friends are boys
and
• Shows little interest in spending time with girls.
a) Attachment
• Involvement with people other than the parents. Including
teachers, group leaders, friends (especially sex mates)
increase.
• Because of school age, students cope with separation from
their parents. And tolerate hospitalisation very well.
b) Physical and Social Development
• The child develops ability to perform complex motor tasks
( e.g playing, riding a bike, skipping a rope.
Motor and social characteristics
• These were explained by various developmental theories.
1. Stage of industry versus inferiority complex by Erikson:
the child is industrious, organised, and accomplished, or
Motor and social characteristics
• These were explained by various developmental
theories.
1. Stage of industry versus inferiority complex by
Erikson: the child is industrious, organised, and
accomplished, or
• feels that he is incompetent in his interactions with the
world.
• 2. Development of the super-ego by Sigmund Freud:
the child develops a moral sense of right and wrong and
learns to follow the rules.
• 3. Stage of concrete operations by Jean Piaget:
the child develops the capacity for logical thought; child can
determine that have more than one property (e.g an object
can red and metal)
• 4. concept of conservation: the child understands that the
quantity of a substance remains the same regardless of the
size of the container it is in. (e.g the amount of water is the
same whether it is in a tall, thin tube or a short, white
bowel.)
ADOLESCENCE STAGE
• Adolescence, refers to a period of transition from childhood
to adulthood extending from 12 years to late teens when
physical growth is nearly complete.
• During this period a person develops to sexual maturity
and begins to identify himself or herself as an individual
separate from family.
• Adolescence starts at puberty, the period of sexual
maturation and goes on for three to five years(3-5) with a
child developing into a biologically mature adult.
• It starts with secondary sexual characteristics. In girls,
menarche is the term used to describe the fist menstrual
period.
• The first menstrual period is irregular. Some girls attain
menarche as early as 11years and others as late as 17years,
• menstrual period.
• The first menstrual period is irregular. Some girls
attain menarche as early as 11years and others as
late as 17years,
• But on average it is 13 years. Boys on average mature 2
years later.
• Adolescence and puberty tend to have psychological effects
on the youngsters. The period is characterized by
moodiness, inner turmoil and rebellion.
• Being an early or late mature, affects the adolescent’s
satisfaction with the appearance of the body and hence self
esteem.
• The effect tends to be more negative on the side of girls
than boys .This is the stage during which most youngsters
engage or have their first sex encounters.
• Research shows that today’s adolescents engage in sexual
activities much earlier than their parents did despite the
advent of HIV/AIDS.
• Adolescents consult their peers on areas of sexual culture
• sexual activities much earlier than their parents did
despite the advent of HIV/AIDS.
• Adolescents consult their peers on areas of sexual
culture
• , like how to dress, the music to listen to, the fun to have
etc, but also seek parents advise on important matters.
• Family conflicts in form of quarrels and arguments are
common in this stage. These arguments normally involve
simple aspects of daily life like work, messy rooms, playing
radio on high volume.
• These conflicts represents an adolescents attempt to exert
control over his or her life.
• The adolescent gets caught up between two worlds- one
of dependence and another of responsibility.
• They want independence (power to decide for them selves)
but they fear the increased responsibility that accompanies
adult hood
• If parents are authoritative and un willing to grant more
autonomy to the adolescents, the conflict may escalate
• accompanies adult hood
• If parents are authoritative and un willing to grant
more autonomy to the adolescents, the conflict may
escalate
Parents who provide explanations for their decisions and
provide democratic structure of decision making give the
adolescent a sense of autonomy that reduces conflict and
leads to easy transition to adulthood.
One major task in adolescence is identity development, the
search for personal identity, involves deciding what is worth
doing gender roles, feelings about self worth and
competence.
This is search for self identity, proceeds throughout life and
is resolved in a number of ways.
1. Some young people after a period of experimentation
commit themselves to life goals and proceeds towards
them.
2. For those who accept parents values without question the
1. and proceeds towards them.
2. For those who accept parents values without
question the identity crisis may never occur
• 3. Some adopt a deviant identity, one that is at odds with
the family values.
• 4. Some go through a period of identity confusion and
others never develop a sense of personal identity even as
adults.
• NOTE: Adolescence is classified into
a) Early Adolescence (11-14 years)
• Onset of menstruation (menarche) in girls, which on
average begins at 11-12 years of age.
• First ejaculation in boys, which on average occurs at 13-14
years of age.
• Cognitive growth and formation of personality
• Sex drives, which are released through masturbation and
• Cognitive growth and formation of personality
• Sex drives, which are released through masturbation
and physical activity.
a) Middle Adolescence (14-17 years)
• There is pre-occupation with gender roles, body image and
popularity.
• Love for unattainable people *crushes* and preference of
spending time with friends rather than family are common.
• Homosexuality may occur in children who are not handled
well.
• Risk taking behaviors e.g smoking, drug use may occur.
a) Late Adolescence (17-20 years)
• Development
• The adolescent develops morals, ethics, self control, and
concerns about humanitarian issues and world problems.
• Some adolescents but not all develop the ability for
abstract reasoning ( Piaget’s stage of formal operations.)
PUBERTY
• Puberty is the period of sexual maturation and
achievement of fertility.
• Puberty is a time in life when a boy or girl becomes sexually
mature.
• It’s the period during which adolescents reach sexual
maturity and become capable of reproduction.
• The time when puberty begins varies greatly among
individuals, however, puberty usually occurs in girls
between ages of 10 and 14 and between the ages of 12 and
16 In boys.
• Central Precocious Puberty (CPP):
• This is puberty that occurs earlier than normal due to
release of hormones from the hypothalamus of the brain.
• Girls are more likely than boys to have precocious puberty.
• Puberty may also be accompanied by emotional and mood
changes
SIGNS OF PUBERTY IN GIRLS
a) First Signs of Puberty
Development of breasts
Pubic hair starts to grow
b) Later Signs of Puberty
Girls breasts continue to grow and become full
Around 2 years after beginning puberty, girls experience
their first menstruation (menarche)
Pubic hair becomes more coarser and curlier
Under arm hair begins to grow
experience their first menstruation (menarche)
Pubic hair becomes more coarser and curlier
Under arm hair begins to grow
Girls start to sweat more and smell
Girls often get acne
White vaginal discharge starts
Some weight gain is noted.
Development of the genitals
Their voices become softer
Growth spurts: their bodies start to develop quite fast
SIGNS OF PUBERTY IN BOYS
a) First Signs of Puberty in Boys
• The testicles get bigger and he scrotum begins to thin and
redden.
• Pubic hair starts to appear at the base of the penis
b) Later Signs Of Puberty in Boys
• Pubic hair starts to appear at the base of the penis
b) Later Signs Of Puberty in Boys
• The penis and testicles grow and the scrotum gradually
• becomes darker
• Pubic hair becomes thicker and curlier
• Under arm hair starts to grow
• Boys start to sweat more and smell
• Breasts can swell slightly and temporarily
• Boys may have wet dreams (involuntary ejaculations of
semen as they sleep).
• Boys often develop acne
• Boys become taller by an average of 7-8cms.
• Voices become deep and hoarse
• facial hair begins to grow
• Growth spurts: their bodies start develop quite fast.
• Voices become deep and hoarse
• facial hair begins to grow
• Growth spurts: their bodies start develop quite fast.
• It can be seen through three sub stages, i.e
a) 20-35 Early adulthood stage
b) 35-45Middle adulthood
c) 45-60 Late adulthood stage.
General characteristics of adulthood
This is a period of assuming responsibilities, social,
economic, political ,marital and civil responsibilities.
This is a period of assuming responsibilities, social,
economic, political ,marital and civil responsibilities.
Here most people have accomplished at least basic
education
The adults acquire variety of experiences from where to
learn.
This is the time for settling down, people make up their
mind on what they want to be.
This is the time for caring for the young ones, dependants
or relative or grand children.
It is time for setting goals/ laying foundation for the future
Adults should know their roles and responsibilities. If they
are to be better examples for the future generation.
The individual either maintains a continued sense of
productivity or develops a sense of emptiness. ( Erikson’s
stage of generativity versus stagnation)
Early Adulthood
Adult's role in the society is defined, physical development
peaks, and the adult develops independence.
At approximately 30 years of age there is a period of
reappraisal in one’s life
Marriage or another type of intimate relationship occurs.
(Erikson’s stage of intimacy versus isolation)
By around 30 years of life most individuals have children.
There is noted increase in the number of mothers who give
birth by cesarean section than those who give birth by
normal birth.
Many women suffer from emotional reactions after
childbirth. These include post partum psychosis and major
depression.
crisis) which may include:
i. A change in profession or life style
ii. Infidelity, separation or divorce
iii. Increased use of alcohol or drugs
iv. depression
The midlife crisis is associated with awareness of own aging
i. Increased use of alcohol or drugs
ii. depression
The midlife crisis is associated with awareness of own
aging
and mortality and or severe or unexpected life style
changes e.g death of a spouse, loss of a job or serious
illness.
Late Adulthood.
A successful 50 year old engineer tells his interns that she
just bought an expensive sports car. In explaining her
purchase she says “I realised I better get the things I
wanted now, because am not getting any younger”.
The climacterium which is the diminution in physiologic
function that occurs during late adult life
1. In men, a decrease in muscle strength, endurance, and
sexual performance occurs.
2. In women, menopause sets in; the ovaries stop
functioning, and menstruation stops at around 50.
OLD AGE
• This is approximately from 60 plus. It is usually referred to
as retirement age from civic responsibilities .
• However the social responsibilities continue.
• This is a period of looking back, either in desperation or
integrity basing on what one has done or achieved.
• Since they reached retirement age, there is need to be
assisted to fulfill their social responsibilities
• There is need to help these people appreciate them selves
on what they have done and not to despair for what they
have not done.
• In their final stage of life, they need to be assisted to die a
happy death i.e they should be helped to cope with anger,
bargaining, depression so as to accept that death is
inevitable.
• In their final stage of life, they need to be assisted to
die a happy death i.e they should be helped to cope
with anger, bargaining, depression so as to accept
that death is inevitable.
• They need to be loved and they need adequate care and
affection from care takers.
• Should be consulted because they have a wide experience.
• They should give independence to their children to run
their affairs
AGING, DEATH, AND BEREAVEMENT
A. AGING
• A 78 – year old woman appears alert and well groomed.
She tells her physician that she needs some help with food
shopping and house cleaning, but she cooks for herself and
feels that she functions well living on her own.
• She notes that although she remembers the family
members’ birthdays, she occasionally forgets the names of
the people whom she has just met.
Physical changes associated with aging include:
Impaired vision and hearing
Impaired bladder control
Impaired immune responses.
Decreased renal, pulmonary and gastrointestinal function.
Decreased muscle mass and strength.
Increased fat deposits
Osteoporosis.
Brain changes associated with aging include:
decreased cerebral blood flow and brain weight.
Enlarged ventricles and sulci
Increased presence of senile plaques
Neurofibrillary tangles( even in the normally aging brain)
Psychological changes in the elderly
Decreased learning speed and memory lapses occur
Intelligence remains approximately the same through out
life
Memory problems of normal aging do not interfere with
social functioning or self care.
The elderly experience Erikson’s stage of ego integrity
versus despair. Either he individual is satisfied and proud of
his or her accomplishments or experiences a sense of
worthlessness. Most people achieve ego-integrity.
Psychopathology in the elderly
1. Depression is the common psychiatric disorder in the
elderly;
Factors associated with depression in the elderly include:
• Loss of a spouse, family members, and friends
• loss of prestige,
• And decline in health
Note: depression may mimic Alzheimers disease because
depression in the elderly is associated with memory loss
and cognitive problems.
• 2. Sleep patterns change resulting in loss of sleep, poor
sleep quality
• 3. anxiety may be associated with insecurity and anxiety
inducing situations such as physical illness
• B. DYING, DEATH AND BEREAVEMENT
• Death: The permanent end of life of a biological organism.
• Bereavement: it’s a period of mourning after a loss,
especially of a loved one.
Stages Of Dying
• According to Elizabeth Kubler Ross, the process of dying involves
five stages that usually occur in the following order. However they
also may occur simultaneously or in another order.
1. Denial: the patient refuses to believe that she is dying. (“the lab
test was wrong”, may be they gave results of another person”)
2. Anger: the patient may become angry at the physician and
hospital staff. (“you should have made me come in more often”)
3. Bargaining: the patient may try to strike a bargain with God. (“ I
promise to go to church everyday”)
4. Depression: the patient becomes pre-occupied witjh death and
may become emotionally detached. (“ I feel so hopeless and
helpless”, I wish I knew.)
5. Acceptance: the patient is calm and accepts their fate. (“ I have
made my peace and am ready to die”)
B. COGNITIVE DEVELOPMENT
• This looks at how children develop mental processes by
which they acquire knowledge.
• It is a gradual increase in knowledge and ability to process
information. A Swiss psychologist Jean Piaget studied
children’s cognitive development and came up with the
theory of how their abilities to think and reason progress as
they mature.
• He realized that a child’s intellectual development is not
merely an accumulation of experience or maturation on
unfolding but a child constructs new mental process as he
she interacts. He came up with stages of development.
Stages Of Cognitive Development:
Sensorimotor stage, pre-operational stage, concrete
operational stage and formal operational stage.
Sensorimotor/ infancy stage (0-2years)
• During this stage infants are discovering the relationship
between their actions and the consequences.
• The stage is called so because of the interplay between and
the motor ability(motor activity) and the perception.
• The children differentiate them selves from objects and
learn that they are agents of actions.
• So they begin to act intentionally e.g a child shaking a
rattle to make noise( a rattle is a toy that makes noise when
pressed on)
Piaget divided the sensorimotor stage into 6 sub stages.
Simple reflex phase( birth - 6 weeks)
• Involves the palmar grasp, nipple seeking, Babinski reflex
Primary circular phase( 6weeks -4 months)
• Baby will repeat pleasurable actions. Baby will wiggle their
fingers, kick their legs and suck their thumbs
Secondary circular phase (4 - 8 months)
• Infants become object oriented, repeating actions that
bring interesting or pleasurable action. E.g shaking of the
rattle
Coordination of secondary circular reactions (8-12months)
• A stage which marks goal orientation, deliberate planning
steps to meet an object. Eg crawl towards a phone and
picks it. Or crawl towards a hidden rattle.
Tertiary circular reactions (12-18 months)
• Baby tries to discover consequences of actions. E.g
dropping a ball from different heights, Sound produced by
Tertiary circular reactions (12-18 months)
• Baby tries to discover consequences of actions. E.g
dropping a ball from different heights, Sound
produced by shaking a rattle.
Beginnings of symbolic representation (18 -24moths)
• Acquisition of object permanence. Baby draws a circle
without seeing it first.
Pre- Operational/toddler or early childhood (2-7years)
• In this stage children can think in symbolic terms but their
but their words and images are not yet organized in a
logical manner.
• They can't comprehend certain rules or operations as yet
and hence the name pre –operational.
• This deficit can be illustrated by experiments on
development of conservation example a child is given clay
to make it to a ball equal to another ball and after doing
this he declares them to be the same.
• Leaving one ball for reference, the experimenter rolls the
other into along sausage shape while the child watches, the
• doing this he declares them to be the same.
• Leaving one ball for reference, the experimenter rolls
the other into along sausage shape while the child
watches, the
• child plainly sees that no clay is added or subtracted but
will believe that the two no longer contain the same clay
but the longer one contains more .
• One reason why children below seven have difficulty in the
conservation principle is that their thinking is still
dominated by visual impression.
Concrete-operational(7-12years)
• In this stage children can think logically about objects and
events. They master various conservation concepts and can
perform logical manipulations e.g here they can arrange
objects basing on certain dimension say height or weight.
Formal- operational(12& above years)
• Here the child’s thinking becomes formal, a child can think
logically about abstract prepositions and can test
hypothesis systematically. The child becomes concerned
Formal- operational(12& above years)
• Here the child’s thinking becomes formal, a child can
think logically about abstract prepositions and can
test hypothesis systematically. The child becomes
concerned
• with hypothetical and future problems. Children in this
stage will experiment by changing variables, e.g they will
reason that one variable affects another, the effect will
appear only if you hold one variable constant and change
the other, if no effect appears they will rule out the
hypothesis.
• Although cognitive development is divided into stages the
quality of the child’s thinking does not change dramatically
from one stage to the next.
• Transition between stages is gradual involving consolidation
of earlier skills. Many of the differences between the
younger and the older children are due to differences in
their ability to remember..
• The younger child may be unable to hold certain concepts
because doing so is beyond what its memory capacity
• The younger child may be unable to hold certain
concepts because doing so is beyond what its
memory capacity
• permits. What changes with age is the ability to organize
knowledge and improve memory.
Basic concepts of Piaget’s theory of cognitive
development
Schemas (Building blocks of knowledge).
Adaptation processes that enable the transition from one
stage to another (equilibrium, assimilation and
accommodation).
Stages of Cognitive Development which include
sensorimotor, pre-operational, concrete operational stage
and formal operational stage.
• SOCIAL DEVELOPMENT
• Social development refers to how people develop social
and emotional skills across the life span with particular
attention to childhood and adolescence
• Social and emotional development of children depends
greatly on their experiences during their first year of life.
• Most importantly on the manner in which the care givers
respond to their needs.
• Irrespective of where they are raised from , infants begin
smiling at about the same age.
• Indicating that smiling is an innate (in born) response. By
their 4th months infants begin to show preference for
familiar family members though they are still receptive to
strangers.
• At about 8 months they begin to show distress on approach
of a stranger. This is stranger anxiety.
• The distress over separation from the parent reaches a peak
at about 1&1/2 years and then declines, such that by the age
of 2 years most children can comfortably interact with other
people in the absence of their parents.
• Two factors are responsible for the onset for the anxiety.
The first is memory growth: When the mother leaves the
infants gets aware and this leads to distress and anxiety. But
as memory of past instances of separation and return
improves the infant becomes able to anticipate return of the
mother and the anxiety declines.
The second factor is growth of autonomy as children grow
they can communicate their wants and dependence on the
and return improves the infant becomes able to
anticipate return of the mother and the anxiety
declines.
The second factor is growth of autonomy as children
grow they can communicate their wants and
dependence on the care givers declines, so the issue
of the parents presence
becomes less critical.
ATTACHMENT
• This is the intimate enduring relationship between the infant
and the care giver during infancy.
• This relationship is characterized by reciprocal affection
shared and a desire to maintain physical closeness.
• People believe that an infant’s attachment to its care giver is
primarily because of the nourishment that the care giver
provides but this is not true as studies reveal that it is for
something more than nourishment.
• The attachment provides the security necessary for the child
to explore his /her environment and it forms the basis for
interpersonal relationship later in life.
• Failure to form secure attachment to primary persons in early
years is related to in ability to develop close personal
• Attachment theory is a psychological model attempting to
describe the dynamics of long term and short term
interpersonal relationships between humans.
• This is not formulated as a general theory of relationships;
but it only addresses a specific facet on how human beings
respond within relationships when hurt, separated from
loved ones, or perceiving threat.
TYPES OF ATTACHMENT
• Mary Ainsworth(1973) found out that children will have
different patterns of attachment depending on how they
experienced their early caregiving environment.
• She identified a secure pattern of attachment and three
patterns of insecurity
1. Secure attachment: Here children play comfortably and
• environment.
• She identified a secure pattern of attachment and
three patterns of insecurity
1. Secure attachment: Here children play comfortably
and are friendly to strangers when parent is
present. They get
• distressed when the parent leaves and may cry, but when
she returns, they calm down and get comforted and go
back to play. Mothers of securely attached children are
more affectionate, caring and responsive to their needs and
cries.
• The insecure patterns of attachment involved the:
Disorganised attachment
Avoidant attachment
Resistant attachment
• 2.Avoidant attachment:(insecure)
• Here children mind less about the care givers presence and
seem not distressed when she leaves.
• If distressed they can be comforted by a stranger, they
ignore the mother when she returns or may approach her
• presence and seem not distressed when she leaves.
• If distressed they can be comforted by a stranger,
they ignore the mother when she returns or may
approach her
• briefly and get back to their play.
• Mothers of such children showed them little affection and
were generally un responsive to the infant’s needs and
cries.
• 3. Resistant attachment (insecure)
• These infants remain close to the mother before departure
but seem ambivalent (contradicting feeling) towards her
when she returns, they display resistive behavior like
hitting, biting and pushing her , they may continue crying
after being picked up and are not easily comforted.
Mothers of such children are inconsistent in their
responsiveness only attending to mood rather than when
the infants need them. i.e they only attend to the babies
when they cry but not when they need them.
• 4.Disorganised attachment (insecure)
• This is in infants who respond in a confused manner,
when re- united to parents. They might look a way while
being held by the parent or show other confused
behaviours making it difficult for the parent to give them a
concern.
• This pattern reflects the greatest insecurity, although
infant’s primary attachment is to the person providing early
care and other family members too are a source of security
ATTACHMENT & LATER DEVELOPMENT
• There is a relationship between the pattern of attachment
and the way the infant copes with new experiences in later
life. The securely attached will be more social and approach
problems with enthusiasm and will always readily seek
help from adults.
• The insecurely attached on other hand get easily frustrated
and angry, seldom ask for help, tend to ignore directions
from adults.
.
• They tend to be socially withdrawn and hesitant about
participating in activities. So the pattern of the care giver-
infant attachment has an important influence or later
development.
PARENTING
• Parenting is the act or process of promoting and supporting
the physical, emotional, social and intellectual
development of a child from infancy to adulthood.
• Types of parenting styles
Authoritative parenting
Authoritarian parenting
Permissive parenting
Neglect parenting
1. Authoritarian parenting:
• Authoritarian parents are thought of as disciplinarians.
They use a strict disciplinary style with little negotiation
possible . Punishment is common.
Communication is mostly one way: from parent to child.
Rules usually are not explained.
Parents with this style are typically less nurturing.
Expectations are high with limited flexibility
2. Authoritative parenting:
• Authoritative parents are reasonable and nurturing, and set
high, clear expectations. Children with parents who
Authoritative parenting:
• Authoritative parents are reasonable and nurturing,
and set high, clear expectations. Children with
parents who demonstrate this style tend to be self-
disciplined and think
• for themselves. This style is thought to be the most
beneficial to the children.
Disciplinary rules are clear and reasons behind them are
explained. Communication is frequent and appropriate to
the child’s level of understanding
Authoritative parents are nurturing
Expectations and goals are high but stated clearly.
3. Permissive Parenting: (indulgent parenting)
• Permissive or indulgent parents mostly let their children do
what they want, and offer limited guidance or direction.
They are more like friends than parents.
Their discipline style is the opposite of strict. They have
limited or no rules and mostly let their children figure
problems out on their own.
Their discipline style is the opposite of strict. They
have limited or no rules and mostly let their children
figure problems out on their own.
• Communication is open but these parents let their children
decide for themselves rather than giving them direction.
• Parents in this category tend to be nurturing and war.
• Expectations are typically minimal or not set by these
parents.
• Note: this type of parents are also referred to as lenient,
libertarian or non-directive parents
• 4. Uninvolved Parenting : (neglecting parenting)
• Uninvolved parents give children a lot of freedom and
usually stay out of their way, while others are less
interested in parenting or unsure of what to do.
• No particular discipline style is utilised. An uninvolved
parent lets a child mostly do what he wants, probably out
of a lack of information or caring.
• Communication is limited.
• This group of parents offers little nurturing
• There are few or no expectation of their children.
FACTORS IN HOW CHILDREN TURN OUT.
The child’s temperament and how it fits with the parents.
A teacher’s style of working with children and the match of
teaching style to parenting style.
The influence of the child’s peer group.
NOTE:
• In addition to attachment, Harry Harlow raised baby
monkeys away from their mothers: he gave them
surrogate mothers made of wire and wood, to which they
developed attachment bonds.
PSYCHO-SOCIAL DEVELOPMENT
• Erikson was interested in how social interaction and
relationship played a role in the development and growth of
human beings.
• Each stage in Erikson’s theory builds on the preceding stages
and paves the way for the following periods of development.
• Erik Erikson was an ego psychologist who developed one of
the most popular and influential theories of development.
While this theory was impacted by psychoanalyst Sigmund
Freud’s work.
Erikson’s Theory Of Psychosocial Development
1. Hope: Trust Vs Mistrust (0-2years)
• This is the first stage of Erikson’s theory of psychosocial
development. It occurs between birth and one year of life
and is the most fundamental stage of development.
• Because the child is utterly dependent on the caregivers for
everything that it needs to survive including warmth, food,
love, safety and nurturing.
• If the care giver fails to provide love and care, the
child/baby will come to feel that it can not depend or trust
the adult in her life.
• If a child successfully develops the trust, it will feel safe and
secure in the world.
2. Will: Autonomy Vs Shame/Doubt (2-4 years)
• This is the second stage of Erikson's theory of psychosocial
development and takes place in the early
childhood/toddler stage and is focused on children
developing a greater sense of personal control.
• Parents here provide a strong base of security from which
the child can venture out to assert their will.
• If caregivers encourage self sufficient behavior ( like; feed
themselves, dress themselves, bathe themselves), toddlers
develop a sense of autonomy – a sense of being able to
handle many issues on their own.
• But if caregivers demand too much too soon, or refuse let
their children perform tasks of which they are capable,
children may instead develop shame and doubt about
their ability to handle problems.
• Children who successfully complete this stage feel secure
and confident, while those who do not are left with a sense
of inadequacy and self-doubt.
3. Purpose: Initiative Vs Guilt (early childhood, 4-6years)
• This is the third stage of psychosocial development which
takes place during the pre-school years.
• At this stage the child, the child wants to begin and
• complete their own actions for a purpose.
• At this point, the child begins to assert control over the
world through directing play and other social interactions.
• The development of courage and independence are what
set preschoolers, apart from the other age groups.
• Activities sought out by a child in this stage may include risk
taking behaviors such as; crossing the road alone, riding a
bike without a helmet.
• Children who fail to acquire the skills are left with a sense
of guilt.
4. Competence: Industry Vs Inferiority (late childhood, 7-
12 years)
• This is the forth stage that takes place during the late
childhood or in the school age.
• Children who are encouraged and commended by parents
and teachers develop a feeling of competence and belief in
their skills.
• Those who receive little or no encouragement from
parents, teachers or peers will feel inferior and doubt their
abilities to be successful.
• Erikson viewed the elementary school yeas as critical for
development of self confidence.
• Note: children begin to demonstrate industry by being
diligent, persevering at tasks until completed and putting
work before pleasure while those who are punished for
their efforts will develop a feeling of inferiority about their
capabilities.
• At this stage children start recognising their talents and
continue to discover interests until education improves.
5. Fidelity: Identity Vs Role Confusion (adolescence, 13-20
years)
• This is the fifth psychosocial stage that takes place during
the often turbulent teenage years. This stage plays a big
role in the sense of a personal identity which will continue
to influence behavior and development for the rest of a
person’s life.
• In later stages of adolescence, the child develops a sense of
sexual identity. Here adolescents are struggling to know
who they are and what they want to be in the future.
• But they experience role confusion- or mixed ideas and
feelings about the specific ways they will fit into society (e.g
affiliating with certain political or religious groups,) and may
experiment with a variety of behaviors and activities.
• Note: the teenager must achieve identity in gender roles,
• politics, and in some cultures, religion.
• Dependent on this stage is the ego quality of fidelity- the
ability to sustain loyalties freely pledged in spite of the
inevitable contradictions and confusions of value systems.
6. Love or Relationships: Intimacy Vs Isolation (early
adulthood, 21-39 years)
• This is the sixth stage of Erikson's psychosocial
development.
• His stage covers a period of early adulthood when young
adults are exploring personal relationships. People at this
stage become worried about finding the right partner and
fear that if they fail to do so, they may have to spend the
rest of their lives alone.
• It is not a success for every young adult to find someone
with whom they can share lifelong commitment.
• Note: those with a poor sense of personality tend to have
less committed relationships and are more likely to suffer
emotional isolation, loneliness and depression
• Those successful at this stage are able to form lasting,
meaningful relationships with other people.
Work and Parenthood: Generativity Vs Stagnation ( 40-59
years)
• This is the seventh stage of Erikson’s psychosocial
development. Here adults continue building their lives
basically focusing on family and career. They are active in
their homes and community.
• Adults who are in their 40s and 50s tend to find meaning in
their work. They feel like at this point in their lives, they
should be able to contribute some thing meaningful to
their society and leave a legacy.
• Note: if they fail to achieve this, they feel that they have
been an unproductive member of their society.
• If they are successful, they feel proud of their
accomplishments, watching their children grow into adults
and they live a legacy in the society.
Reflection on life: Ego integrity Vs Despair (60 & above
years)
• This is the final psychosocial stage that occurs in the old age
and is focused on reflecting back on life. This is the stage
when people are retiring from their civic works.
• Note: Those who feel proud of their accomplishments will
feel a sense of Integrity meaning they have less regrets in
their lives. If they feel they have not done enough during
their life, its likely that they will experience a sense of
despair focusing on what could/should/ would have been.
MORAL DEVELOPMENT
PIAGET’S THEORY OF MORAL DEVELOPMENT
• Piaget (1932) was principally interested not in what
children do(i.e in whether they break rules or not) but in
what they think. In other words he was interested in the
children’s moral reasoning.
• Piaget was interested in three main aspects of the
children's understanding of moral issues. They were:
1. Children’s understanding of rules: this lead to questions
like; where do rules come from? Can rules be changed?
Who makes the rules?
2. Children’s understanding of moral responsibility: i.e who
is to blame for ‘bad’ things? Is the outcome of the
behavior that makes the action ‘bad’? Is there a difference
1. Children’s understanding of moral responsibility:
i.e who is to blame for ‘bad’ things? Is the outcome
of the behavior that makes the action ‘bad’? Is
there a difference between accidental and
deliberate wrong doing?
• 3. Children’s understanding of Justice: i.e should the
punishment fit the crime? Are the guilt always punished?
• Piaget found out that children’s ideas regarding rules, moral
judgments and punishment tended to change as they got
older.
• Piaget (1932) suggested two main types of moral thinking.
Heteronomous morality (moral realism)
Autonomous Morality (Moral Relativism)
Heteronomous Morality (5-8yrs)
• This stage is also known as moral realism- morality imposed
from outside. Children regard morality as obeying other
people’s rules and laws, which can not be changed.
• They accept all rules that are made by some authority figure
(e.g parents, teacher, God) and that breaking the rules will
lead to immediate and severe punishment (immanent
• The function of any punishment is to make the guilt suffer
in that the severity of the punishment should be related to
severity of wrong doing (expiatory punishment).
During this stage children consider rules as being absolute
and unchanging i.e ‘divine like’
They think that rules can not be changed.
Behavior is termed as bad in terms of the observable
consequences regardless of whether its intentional or
accidental damage.
• Immanent justice- punishment should automatically
following bad behavior.
• Note: Piaget (1932) described heteronomous morality as
morality formed out of being subject to another’s rules.
• In other words it’s the morality that comes from, unilateral
respect. i.e respect children owe to teachers, parents, etc.
Autonomous Morality (9-10yrs)
• The stage of autonomous morality is also known as moral
relativism. i.e morality based on your own rules. Children
recognise there is absolute right or wrong and that
morality depends on intentions not consequences.
• Children now understand that people make rules and they
can change them. With regards to “the rules of the game”,
older children recognise that rules are needed to prevent
quarrelling and to ensure fair play.
• Children now realise that if they behave in ways that are
not good or appear wrong, but have good intentions, they
are not necessarily going to be punished.
• Thus for them a well intentioned act that turned out badly
is less blame worthy than a malicious act that did no harm.
KOHLBERG’S THEORY OF MORAL DEVELOPMENT
• Lawrence Kohlberg (1958) agreed with Piaget’s (1932)
theory of moral development in principle but wanted to
develop his ideas further.
• He used Piaget’s story telling technique to tell people
stories involving moral dilemmas. In each case, he
presented a choice to be considered, for example, between
the rights of some authority and the needs of some
deserving individual who is being unfairly treated.
• One of the best known of Kohlberg's (19580 stories
concerns a man called Heinz who lived some where in
Europe.
Heinz’s wife was dying form a particular type of cancer.
Doctors said that a new drug might save her. The drug had
been discovered by a local chemist, and Heinz tried
desperately to buy some, but the chemist was charging ten
times the money it could cost to make the drug, and this
was much more than Heinz could afford.
Heinz could only raise half the money, even after help from
family and friends. He explained to the chemist that his
wife was dying and asked if he could have the drug cheaper
or pay the rest of the money later.
The chemist refused, saying that he had discovered the
drug and was going to make money from it. The husband
was desperate to save his wife, so later that night he broke
into the chemist’s pharmacy and stole the drug.
Kohlberg asked a series of questions such as:
• Should Heinz have stolen the drug? Would it change
anything if Heinz did not love his wife? What if the person
dying was a stranger, would it make any difference? Should
• the police arrest the chemist for murder if the woman
died?
Note
• By studying answers from children of different ages to
these questions, Kohlberg hoped to discover how moral
reasoning changed as people grew older.
• The sample comprised 72 Chicago boys aged 10-16yrs, 58
of whom were followed up at three-yearly intervals for 20
years (Kohlberg 1984). Each boy was given a 2hour
interview based on the ten dilemmas. What Kohlberg was
mainly interested in was not whether the boys judged right
or wrong, but the reasons given for the decision. He found
that these reasons tended to change as the children got
older.
• He later identified 3 distinct levels of moral reasoning.
Level 1 – Pre-conventional morality (below 9 years old)
• Here the children do not have a personal code of morality,
but instead their moral code is shaped by standards of
adults and the consequences of following or breaking the
rules.
• Stage 1: obedience and punishment orientation.; child
does good in order to avoid being punished. If person is
punished they must have done wrong.
• Stage 2: reward orientation; at this stage, children learn
that different individuals have different view points.
• For example; when a child is asked by his parents to
perform a certain chore at home, they will ask “what’s in it
for me?” and parents will offer an incentive to the child.
Level 2 – conventional morality (adolescents and adults)
• Here adolescents begin to internalise the moral standards
• of valued adult role models. Authority is internalised but
not questioned, and reasoning is based on the norms of the
group to which the person belongs.
• Stage 3: Good boy, Nice girl orientation; the adolescent is
good in order to be seen as a good person by others. Actins
are aimed at maintaining a good image.
• Stage 4: Law and Order orientation; the individual now
becomes aware of the wider rules of society, so judgments
concern obeying the rules in order to uphold the law and to
avoid guilt.
Level 3: Post conventional morality;
• Individual judgment is based on the self chosen principles,
and moral reasoning is based on individual rights and
justice.
• Stage 5: social contract and individual rights; individual
• becomes aware that while rule/laws might exist for the
good of the greatest number, there are times when they
will work against the interest of particular individuals.
• For example: Heinz's dilemma, the protection of life being
more important than breaking the law against theft. The
issues are not always clear cut.
• Stage 6: Universal principles; people at this stage develop
their own set of moral guidelines which may or may not fit
the law. People choose the ethical principles they want to
follow, and if they violate those principles they feel guilty.
• in this way the individual acts because its morally right to
do so (and not because he or she wants to avoid
punishment), it is in their best interest.
PSYCHO-SEXUAL DEVELOPMENT
• For Freud, childhood experiences shape our personalities
and behavior as adults. Sigmund Freud viewed
development as discontinuous; he believed that each of us
must pass through a series of stage during childhood, and
that if we lack nurturing and parenting during a stage, we
may become stuck in ,or fixated on, that stage.
Sigmund Freud’s Psychosexual Stages Of Development
Oral stage (0-1 year)
Anal stage (1-3 years)
Phallic stage (3-6 years)
Latency stage (6-12 years)
Genital stage. ( 12 years and above)
1. Oral stage (0-1 yr): during this stage the mouth is the
• pleasure centre for development. Freud believed that this is
why infants are born with a suckling reflex and desire their
mothers breast. If a child’s oral needs are not met in
infancy, they develop negative attitudes like nail biting,
thumb sucking to meet this basic need.
• 2. Anal stage (1-3yrs): during this stage, toddlers and pre-
school aged children begin to experiment with urine and
feces. The control they learn to exert over their bodily
functions is manifested in toilet training. Improper
resolution of this stage, such as toilet training can result in a
child who is uptight and overly obsessed with order.
• 3. Phallic stage (3-6yrs): During this stage, preschoolers
take pleasure in their genitals and, according to Freud,
begin to struggle with sexual desires and towards the
opposite sex parent. i.e Oedipus complex( boy’s desire for
• his mother and his urge to replace his father who is seen as a
rival for the mother’s attention. At the same time the boy is
afraid that his father will punish him fir feelings, so he
experiences castration anxiety.
• The Electra complex, later proposed by Freud's protégé Carl
Jung involves a girl’s desire for her fathers attention and wish
to take her mother’s place.
• 4. Latency stage (6-12yrs): During this stage, sexual instincts
subside, and children and children begin to further develop
the superego, or conscience. Children begin to behave in
morally acceptable ways and adopt the values of their parents
and other important adults
• 5. Genital stage (12 years & above):
• During this stage, sexual impulses re-emerge. If other stages
have been successfully met, adolescents engage in appropriate
sexual behavior, which may lead to marriage and childbirth.
LEARNING THEORIES AND BEHAVIORAL MEDICINE
• Learning
• This is the process of acquiring new or modifying existing
knowledge, behaviors, skills, values or preferences.
• One of the most important characteristics of human beings
is their capacity to learn. An individual starts learning
immediately after birth.
Factors Influencing Learning
• Learning is a process of bringing relatively permanent
change in behavior of the learner through experience or
practice.
• The learning process is centered on three elements:
The learner, whose behavior is to be changed or modified.
The type of experience or training required for modification
in the learner’s behavior.
The men and material resources needed for providing
desired experiences and training
Factors associated with the learner him/herself
• Learner’s physical health: Fever, sensory defects
particularly of the eyes or the ears, malnutrition, loss of
sleep and fatigue are some of the physical handicaps that
hinder effective learning
• Learner‘s mental health: Experiments have shown that
worries, fears, persistent day dreams; feelings of loneliness
and inferiority affect learning. If the learner has no self-
confidence, self-reliance or self- respect due to the
attitudes of teachers or others, it is very difficult for him or
her to learn well
• Basic potential of the learner:
Learner’s innate abilities and capacities for learning.
Learner’s general intelligence, knowledge, understanding
skills, etc.
Learner’s basic interest, aptitudes and attitudes related to
the learning of a particular thing or area.
• The level of motivation: The stronger and clearer the
motive in learning anything, the greater is the effort and
interest shown by the learner in learning it. The result is
greater and more permanent learning.
• Goals of life: The philosophy of immediate as well as
ultimate goals of one’s life affects the process and product
of learning.
• Readiness and willpower: A learner’s readiness and
willpower to learn is a great deciding factor of his results in
learning. If the learner has a will to learn a thing, he finds a
• Maturation: Maturation helps in the process of learning.
We learn things, when we are mature to learn them.
Maturation and learning are closely related to each other.
• Age: There are certain limitations that old people face in
learning new things. They are physically weak and their
ability to learn is slow. They have a poor recent memory
and their reasoning speed decreases.
• Emotions: Tension or anxiety is a double-edged emotion. It
has a positive as well as a negative effect on learning. Some
amount of stress or anxiety is essential for learning. It
provides the drive to learn.
• Sex: Although no sex is superior to the other, certain
differences in interests and aptitudes are found between
the two sexes. Females like to learn things that involve
people, while men are more object- oriented
Factors Associated with type of Learning Experience
• Nature of learning experience: Learning is influenced by
the nature of the subject matter and the learning
experiences presented to a learner, such as formal or
informal, incidental or well planned, direct or indirect.
• Methodology of learning: Learning depends upon the
methods, techniques and approaches employed for the
teaching and learning of the selected contents. Some of
these techniques are:
Linking the recent learning with those of the past.
Correlating learning in one area with that of another.
Utilization of maximum number of senses. Revision and
practice.
Provision of proper feedback and reinforcement.
• Meaningfulness of material: The more meaningful the
material, the faster it is learned.
• Amount or length of material: Learning is influenced
considerably by the amount and length of the material to
be learned. In general, more the amount of material to be
learned, more the time the person will take to learn it.
LAWS OF LEARNING
• Edward Lee Thorndike developed the first three laws of
learning i.e. readiness, effect and exercise. Since Thorndike
set down his basic three laws in early 20TH century, five
additional principles have been added: primacy, recency,
intensity, freedom and requirement.
The various laws of learning are as under:
• Law of readiness, Law of effect, Law of exercise/use, Law of
frequency, Law of disuse, Law of recency, Law of primacy,
• Law of purpose, Law of freedom, Law of requirement, Law
of intensity.
Law of Readiness
• Learning takes place best, when a person is ready to learn.
Learner’s reaction depends upon the readiness of the
sensory and motor neurons.
Law of Effect
• It stated that any response that produces a satisfying effect
in a particular situation and responses that produce a
discomforting effect becomes less likely to occur again in
that situation.
Law of Exercise/Use
• It states that in learning the more frequently a stimulus and
response are associated with each other the more likely the
particular response will follow the stimulus. The law implies
• that one cannot learns a skill for instance by watching
others but by practicing the skill because by doing so the
bond between stimulus and response strengthened.
Law of Frequency
• The law of frequency is correlated/linked to law of use. If
one response strengthens the situation-response
connection, two responses will strengthen it further, three
still further and so on. The more frequently a connection is
exercised, the stronger the connection becomes.
Law of Disuse
• Any learning process, which is not practiced for some time
gradually decays. Use strengthens a situation-response
connection. Disuse weakens the connection. Material
without any meaning like nonsense syllables is quickly
forgotten. The material with a meaning like poetry is not so
Law of Recency
• The law of recency is correlated/linked to law of disuse. The
more recent is the exercise, the stronger is the connection
between the situation and the response. The connection
between a situation and the response is weakened
gradually through disuse.
Law of Primacy
• Things learned first are usually learned easily and remain
without effort in the mind of the student.
Law of Purpose
• With a clear or definite goal in mind, the student works
towards a definite purpose.
Law of intensity
• The more intense the material taught the more likely it will
• be retained. e.g. a sharp vivid dramatic or exciting learning
experience teaches more than a routine or boring
experience.
Law of requirement
• It states that we must have something to obtain or do
something i.e. it can be ability, skill, instrument or anything
that may help us to learn or gain something.
Law of freedom
• It states that things freely learned are best learned.
THEORIES OF LEARNING
• There are three theories of learning
1. Try and error theory of learning
2. Classical Conditioning
3. Operant Conditioning
1. TRY AND ERROR THEORY OF LEARNING
• This theory was propagated by Edward Lee Thorndike
(1874-1949). According to Thorndike, learning is nothing
but the stamping/fixing in of the correct responses and
stamping/fixing out of the incorrect responses through trial
and error.
• To support his View Edward Thorndike conducted an
experiments.
A hungry cat was placed in a box. There was only one door
for exit, which could be opened by correctly manipulating a
latch. A fish was placed outside the box, which worked as a
strong motive for the cat to come out of the box.
Consequently, the cat made a number of random
movements such as biting, clawing manipulated the latch.
The door then opened and the cat came out and got its
• reward.
For another trial, the process was repeated. But this time,
it took less time in coming out. On subsequent trials, such
incorrect responses like biting and clawing gradually
diminished, until the cat reached a stage, when it
manipulated the latch as soon as it was put in the box and
came out immediately to eat the fish. In this way gradually,
the cat learned the art of opening the door. Thorndike
named the learning of his experimental cat as ‘trial and
error learning’.
2. CLASSICAL CONDITIONING THEORY OF LEARNING
The theory of classical conditioning was proposed by Ivan
Pavlov (1849-1936), a Russian physiologist. Pavlov, while
studying the physiology of digestion; found that behavior
can be classically conditioned. He experimented on a dog
and found that food placed in the mouth of a hungry dog
automatically causes salivation. In this case, salivation is an
unlearned response, or an unconditioned response and
the food is an unconditioned stimulus (natural).
Later on, a bell was rung each time before the food was
presented. Pavlov now found that the dog started to
salivate at the sound of the bell and this was termed as a
conditioned response. The bell is a conditioned stimulus
(artificial stimulus).
In later studies Pavlov noticed that if he did not provide
food after the bell was rung, the dog eventually stopped
salivating called ‘extinction’ and demonstrated that
reinforcement is essential both to acquire and maintain
respondent learning.
Pavlov also found that if the dog is given a prolonged rest
period during extinction, it will once again salivate when
the bell is rung. This phenomenon is called as spontaneous
recovery.
Prior to conditioning, the ringing of a bell does not bring
about salivation — making the bell a neutral stimulus. On
the other hand, food naturally brings about salivation,
making the food an unconditioned stimulus and salivation
an unconditioned response.
During conditioning, the bell is rung just before the
presentation of the food.
After conditioning, the ringing of the bell alone brings
about salivation. The bell which was earlier considered as
neutral stimulus is now considered as conditional stimulus
bringing about conditioned response of salivation.
So classical Conditioning is a type of learning, in which a
neutral stimulus comes to bring about a response after it is
paired with a stimulus that naturally brings about that
response.
Terms used
An unconditioned stimulus : This is a stimulus that
automatically produces a response.(E.g presence of food
automatically produces saliva).
An unconditioned response: This is a natural, reflexive
behavior that does not have to be learned. (e.g production
of saliva in presence of food).
Conditioned Stimulus: a stimulus that produces a
conditioned response after learning.(ringing a bell and the
dog salivates)
Conditioned Response: a behavioral response that is
produced after associating a conditioned stimulus (CU)
with the unconditioned stimulus (UCS). For example, a dog
salivates at the ringing of a bell).
Acquisition: this is the (acquiring)learning of the behavior
in response to an unconditioned stimulus(UCS). E.g
salivating in response to hearing a bell.
Extinction: This is when a conditioned response (CS)
decreases and eventually fades if the conditioned stimulus
is not followed by an unconditional stimulus.(e.g a dog
stops salivating on hearing the bell when food is not
brought.)
Spontaneous Recovery
• This is when a conditional stimulus regains the ability to
elicit a conditional response
Stimulus Generalization
• A response to a new stimulus (any sound) that resembles
• the conditioned stimulus (sound of a bell ringing) resulting
in the conditioned response (salivating of the dog).
Stimulus discrimination.
• Here the object learns to differentiate between the
conditioned stimulus (CS) to any other stimulus similar to it.
(i.e the dog learns to differentiate sound of a car hooting to
sound heard from the bell so as to salivate).
Related Concepts.
1. Aversive Conditioning: an unwanted behavior (e.g
drinking alcohol) is paired with painful or aversive stimulus
((e.g medication that causes nausea). Ideally, this pairing
creates an association between the unwanted behavior
and the aversive stimulus and alcohol drinking ceases.
• Assignment/Qn: Define- learned helplessness and
imprinting in terms of behavior.
CLASSICAL CONDITIONING
Bell ?
(N)
Meat Salvation
(UCS) (UCR)
Bell + Meat Salivation
(N) (UCS) (UCR)
Bell Salivation
(CS) ( CR)
Higher Order Conditioning
• Here a conditioned stimulus is trained to serve as an
unconditional stimulus, i.e using is to clap, disturb call
some one, etc.
• Clapping
• Coughing
• Beating Fear Response.
Conditional Emotional Response.
• Emotional responses can be aroused by some stimuli e.g
feelings can be associated to certain stimuli e.g location,
time of the day, etc. that were originally neutral but
through conditioning, they take on the same property of
the unconditioned stimulus e.g presence of asexual
partner………sexual feeling, going through a dark place
…..fear which when during day there is no fear.
• Many people are troubled by behavior like phobia: A phobic
person was probably at some point in in life subjected to a
fearsome object in conjunction with a stimulus that elicited
the pain.
Drug tolerance
• Classical Conditioning can take place outside the laboratory
and one example is drug tolerance.
• This refers to a situation where by certain drug users
experience a progressively weaker effect after taking the
drugs for a long time.
• In many cases his is learnt. When a drug user injects self, the
injection procedure is a stimulus that reliably predicts
another stimulus which is the entry of the drug into the
brain. The drug triggers a variety of body responses of
defenses against its effects like change in hormone
• Injection entry into body change in experience
(UCS) (UCR)
• Injection bodily reactions
(CS) (CR)
Information
Incoming Initial
SENSORY
information REGISTER processing STM Rehearsal LTM
Retrieval
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
SLEEP DISORDERS
• There are various sleep disorders which can be classified
into two divisions, i.e
• Dyssomnias
1. Insomnia
2. Hypersomnia
3. Disorders of sleep wake schedule
• Parasomnias
1. Stage 4 sleep disorders (sleep talking, sleep walking,
bedwetting, night terror/ sleep terrors, teeth grinding)
2. Other sleep disorders ( night nares/ night dream anxieties,
nocturnal angina, nocturnal asthma, nocturnal seizure).
DYSSOMNIAS
• These are sleep disorders that are characterised by
• disturbances in the amount, quality or timing of sleep.
• The commonest disorders of sleep are:
Insomnia
• Its also known as the sleep Disorder of Initiation or
Maintenance of sleep. (DIMS).
• Insomnia is a sleep disorder characterised by difficulty in
falling asleep and or staying asleep.
• Insomnia means one or more of the following:
Difficulty in initiating sleep
Difficulty in maintaining sleep(remaining asleep):
characterised by frequent awakenings during the night.
Non restorative sleep where despite an adequate duration
of sleep, there is feeling of not having rested fully (poor
quality of sleep)
Hypersomnia
• This is also known as the Disorder of excessive Somnolence
(DOES). Hypersomnia means one or more of the following:
1. Excessive day time sleepiness
2. Sleep attacks during day time( falling asleep
unintentionally)
3. ‘Sleep drunkenness’, i.e a person needs much more time
to awaken: and during this period is confused or
disoriented.
Note: A few important causes of hypersomnia are
discussed below:
• (narcolepsy, sleep apnoea, Kleine-levin syndrome)
Narcolepsy: this a disorder characterised by the excessive
day time sleepiness, often disturbed night time sleep and
• The hallmark of this disorder is decreased REM Latency.
• In narcolepsy, the REM usually occurs within 10 minutes as
opposed to the normal REM latency of about 90-100
minutes.
• The common age of onset is 15-25yrs of age, with usually a
stable course through out life.
The classical tetrad of symptoms of narcolepsy
• Frequent sleep attacks or naps
• Cataplexy
• Hypnagogic hallucinations.
• Sleep paralysis
Sleep Apnoea: This is a condition that is characterised by
presence of repeated sleep apnoea. Apnoea is the
cessation of airflow at the nostrils(and mouth) for 10
• When such people manage to sleep they snore.
• One reason for this is that the brain fails to send a breath
signal to the diaphragm muscles. The other reason could
be that muscles at the top of the throat become too
relaxed allowing the wind pipe to close particularly.
• During sleep apnoea, oxygen levels in blood drop
dramatically leading to secretion of emergency hormones
that make the sleeper awaken to breath again. The sufferer
actually sleeps for less than half of the time sleep in bed.
Kleine-Levin Syndrome: This is a rare syndrome
characterised by:
• Hypersomnia(usually present), occurring recurrently for
long periods of time.
Kleine-Levin Syndrome: This is a rare syndrome
characterised by:
• Hypersomnia(usually present), occurring recurrently
for long periods of time.
• Hyperphagia (usually present), with voracious
appetite
• Hypersexuality (associated at times), consisting of sexual
disinhibition, masturbatory activity, and inappropriate sexual
advances.
Disorders of the Sleep-wake Schedule
• These are characterised by the disturbance in the timing of
sleep when he wishes to, although at other times he is able to
sleep adequately .
• This is due to the mismatch between a person’s circadian
rhythm and the normal sleep-wake schedule demanded by the
environment.
• Aetiology of the sleep-wake disorder.
1. Rapid change of the time zone: this usually occurs during the
international flights which involve crossing many time zones
2. Work-shift from day to night and vice-versa
3. Unusual sleep phases: some persons sleep late at night and
get up late in the morning.
PARASOMNIAS
• Parasomnias are dysfunctions of episodic nocturnal events
occurring with sleep, sleep stages or partial arousals. Most
parasomnias are common in childhood though they may
persist in adulthood.
Stage 4 Sleep Disorders.
• These disorders occur during deep sleep, i.e stages 3 & 4 of
the NREM sleep.
• The common stage 4 Parasomnias are:
Sleep-Walking (somnambulism): the patient carries out
automatic motor activities that range from simple to
complex. He ,may leave the bed, walk about and even leave
the house. Accidents may occur during sleep-walking.
Sleep-terrors/night terrors (pavor nocturnus): the patient
• suddenly gets up with automatic arousal (tachycardia,
sweating and hyperventilation). He may be difficult to
arouse and rarely recalls the episode on awakening. (in
contrast, nightmares which occur in the REM sleep are
clearly remembered).
Sleep- related enuresis (bedwetting): this is the repetitive
voiding of urine, either during day or at night while in sleep,
at inappropriate places. Majority of children(80%) with
enuresis have nocturnal bed wetting only.
• The exact cause enuresis is idiopathic(not known).
Bruxism (teeth grinding): the patient has an involuntary
and forceful grinding of teeth during sleep. The patient is
usually unaware of the episode even when destruction of
the tooth enamel is obvious.
and forceful grinding of teeth during sleep. The
patient is usually unaware of the episode even when
destruction of the tooth enamel is obvious.
Sleep-talking (somniloquy): the patient talks during
stage 4
• &3 of sleep but does not remember anything about it in the
morning on awakening.
Other Sleep Disorders.
1. Night mares (dream anxiety disorder) occur during REM
sleep. They are characterised by fearful dreams occurring
most commonly in the last one-third of sleep. The person
wakes up frightened and remembers the dream vividly.
2. Other sleep disorders include: nocturnal angina,
nocturnal asthma, nocturnal seizures, nocturnal head
banging and familial sleep paralysis.
PSYCHOACTIVE DRUGS
• People use drugs to alter consciousness; to stimulate or
relax, to bring sleep or prevent it and to produce
hallucinations. Such drugs that affect the consciousness are
called psycho active drugs.
• With repeated use the individual becomes physically
dependant on the drug, or psychological dependant on the
drug. Physical dependency(addiction involves tolerance.
Categories Of Psychoactive Drugs.
1. Depressants: These depress the nervous system, they
include Barbiturates, tranquilizers and alcohol.
2. Opiates: Opium and its derivatives correctively called
opiates diminish physical sensation and capacity to
respond to stimuli by depressing the CNS. They are
1. Opiates: Opium and its derivatives correctively
called opiates diminish physical sensation and
capacity to respond to stimuli by depressing the
CNS. They are
• commonly called narcotics and are widely consumed
because of their ability to alter mood and reduce anxiety.
They include Heroin, Morphine ,Codeine and Pethidine
• 3. Stimulants: In contrast to depressants and opiates this
increases arousal, their immediate effect is that they
increase alertness and decrease in feelings of bore dom.
Their ability to alter mood and decrease self confidence is
the principal reason for their use. Or getting euphoria,
elated or high mood. They affect the CNS by prolonging the
activity of dopamine synapses. They include
Amphetamines, Caffeine and Cocaine.
• 4.Hallucinogens:
• These changes perceptional experiences. They change the
users perception of both his internal and external world.
The user may experience visual, auditory and tactile
• hallucinations. Some of these drugs derived from plants like
cactus and mushrooms, while others are synthesized in the
laboratory like; Lysergic acid
Diethylamide(LSD),Phencyclidine(PCP).LSD is very potent
and causes hallucinations even at low doses.
• The cannabis plant has been harvested for long because its
psychoactive effects. The dried leaves and flowers is the
form used in most countries. The psycho active substance
contained is Tetrahydrocannibinol (THC).It interferes with
the performance of complex tasks. It intensifies with
sensory experiences, distorts perception and impairs
learning and memory.
• After some one has taken a drug repeatedly it s effects
grow weaker unless he increases the doze . This is called
tolerance.
• When the habitual user suddenly stops using the drug he
enters a state of withdrawal characterized by a variety of un
pleasant symptoms .
• He is therefore compelled to use the drug again to reduce
un pleasant withdraw symptoms and is said to be physically
dependant on the drug
PERSONALITY AND PERSONALITY
DISORDERS
SSEKWEYAMA HASHIBU
Definition: In a lay man’s language or in an ordinary way,
personality refers to a person’s qualities that make him
unique.
Definition: Personality refers to a pattern of characteristics,
thoughts, feelings and behaviors that persist over time and
situation and distinguish one person from the other.
• It encompasses intelligence, emotions, cognition, motivation,
learning ,abnormality and social interactions.
• Therefore no two people have the same personality. The
study of personality is the most important field, for it
answers questions like “WHO” the person is, “WHY” he or
she does things he or she does, why his behavior seems
some times unusual.
• “Why different people behave different to the same
situation i.e why does the same fire that hardens the egg
• A number of forces shape an individual’s personality
throughout the course of life, these include: the genetic,
environment and cultural influence.
• Many characteristics are passed on to children from
parents and genetic in heritance is very important
determinants of personality.
• Though the genetical factors account for as much as 50%
of variability in many personality characteristics. The
environment to accounts for a higher percentage, i.e
identical twins reared together are just as similar to each
other as those reared apart.
• The highest heritage/heritability is found in measures of
abilities, intelligence, sociability, emotional ability.
• Many people irrespective of the genetic makeup will show
• of abilities, intelligence, sociability, emotional ability.
• Many people irrespective of the genetic makeup will
show the differences in behavior due to the
differences in the
• environment they are in.
• The cultural differences too can account for differences in
our personality characteristics and there is enough
evidence that culture shapes personality traits or
characteristics.
PERSONALITY THEORIES
• What makes one person different from another?
• Greeks thought the body was made of four body fluids;
blood, phlegm or black and yellow bile.
• According the Greek physician, Hippocrates(460-
371BC),there are Four possible personality types:
Personality Types (According To Hippocrates)
• Sanguine: individuals who had an abundance of blood; they
tended to be cheerful, optimistic and active.
• Phlegmatic: people who are listless, sluggish and tired,
because they had less phlegm.
• Melancholic: People who were always sad, brooding with
melancholic temperaments resulting from too much bile.
• Choleric: People who were easy to excite and also easy to
anger, because of excess yellow bile
Personality Type(according To Friedman & Rosenman)
TYPE A PERSONALITY
These are at risk of developing cardiovascular disease(CVD).
They are: Aggressive, Usually in a hurry
Have high levels of competitiveness and ambition
Live under great pressure
Demanding of themselves and others
They are: Aggressive, Usually in a hurry
Have high levels of competitiveness and ambition
Live under great pressure
Demanding of themselves and others
Have an exaggerated sense of time urgency
Become very irritated at delays or failure to meet their
dead lines.
TYPE B PERSONALITY
• These individuals tend to be coronary-disease resistant.
They are: More relaxed, more agreeable
Have far less sense of time urgency.
TYPE C PERSONALITY
• These have a cancer-prone personality.
They are: Highly sociable and nice people
Very inhibited in expressing negative emotions. Bottling up
such emotions.
Tend to feel less hopeless in the face of severe stress.
They are passive and uncomplaining
• PERSONALITY APPROACHES
• There are four approaches in personality: i.e
Psychodynamics approach
Learning approach
Trait approach
Phenomenological approach.
1.Psychodynamic approach:
• This relates personality to the interplay of conflicting forces
within an individual including those that the individual may
not recognize( un conscious). The conflicting forces include:
wishes, rewards, fears, ambitions
• The approach based on the theories of Sigmund Freud and
Carl Jung. Which asserted that behaviour is guided by the
un consciousness.
• ambitions
• The approach based on the theories of Sigmund
Freud and Carl Jung. Which asserted that behaviour
is guided by the un consciousness
• So the approach claims that many of the influences behind
ones personality are hidden and that much of her
behaviour is a result of competing motivation.
2. Traits Approach:
• This emphasizes that people have consistent personality
that can be measured and studied. It takes into account
traits e.g friendliness, politeness, honesty, words that
people often use to describe others.
• However psychologists often try to make the descriptions
accurate and systematic and specify situations in which
they apply.
• i.e if a girl greets their parents while kneeling down. The
behavior portrayed can be described as being polite.
3.Learning approach:
• This assumes that the behaviour that constitutes
• The behavior portrayed can be described as being
polite.
3.Learning approach:
• This assumes that the behaviour that constitutes
• personality are learnt. They can be learnt through
individual experience or as social learning psychologists
• emphasize, they can be learnt by imitation or vicarious
(second hand learning) reinforcement and punishment.
• So though genetics and other biological factors influence
development of personality traits, some specific ones must
be learnt.
• E.g gender roles( pattern of behaviour a person is expected
to display by virtue of sex). Because of people’s experience
and the variation they can have very specialized
characteristics showing a trait in one situation and not in
another.
4.Humanistic Approach
• This deals with consciousness, values and beliefs including
• situation and not in another.
4.Humanistic Approach
• This deals with consciousness, values and beliefs
including spiritual experiences and beliefs people
live by and die for.
According to humanists, personality depends on what
people believe and the way they perceive the world.
Humanistic psychology emerged in 1950’s as a protest
against behaviorism and psychoanalysis which were
dominant at that time.
They determined behavior in terms of Determinism and
Reductionism
Determinism: this is the belief that every behavior has
been aroused for i.e behavior exhibited out of conscious
decisions
Reductionism: this is an attempt to describe behavior in
terms of each component,
Humanistics review people as good and striving as
perfectionists. They claim that people make deliberate
conscious decisions about what to do with their lives.
• Humanistics review people as good and striving as
perfectionists. They claim that people make
deliberate conscious decisions about what to do
with their lives
THE GRAND THEORIES OF PERSONALITY
SSEKWEYAMA HASHIBU
PERCEPTION
• When we look around we see shapes, figures, shadows,
bank ground area of light etc.
• Our knowledge of these objects and their relative location
is extensive and gives an idea of what they feel like even if
you have not touched them.
• We don’t perceive an object as increasing in size as you
approach it though the image it casts on the Retina gets
larger.
• All perception begins with a stimulus, information is
transmitted in the brain when its organized and
interpreted.
• It is the organization and interpretation of the sensory
experience that we term as perception. The direct effect of
• stimulation of receptor cells by stimulus is referred to as
sensation
• Our five senses provide us with important information about
the outside world. Perception is a rapid automatic and
conscious process i.e we don’t see an object and then
perceive it. We are presented with a finished product and
not details of the process.
ATTENDING
• The process of attending is a readiness to perceive. It’s an
active process and most times we perceive only those aspects
of the environ meant to which we attend.
Factors that influence our attention
1.State of the perceiver.
• Attending is based on the interest & motivation and it arises
through past experience as well as present stimulation. When
• food.
2. Perceptual set
• A person can attend with specific expectancy in mind.
Perceptual set is a readiness to perceive, and in certain
manner. Example a husband who is expecting an important
phone call will hear the phone ring in the night while the
wife may not. She is instead more likely to hear the baby
cry.
3. Stimulus characteristics.
• We can respond to only few of the many stimuli of which
we are exposed. We attend to stimuli that are in
accordance with our lives and expectation. We are
motivated by some internal factors however the stimulus
may catch our attention not because of our needs or
internal factors but because it is unique characteristics.
• 4.Intensity
• By intensity , we mean strength of the stimuli. Advertisers
attempt to capture our attention by using high intensity
stimulus eg the tune on Radio changes in loudness when a
commercial plays.
• The best location for a visual stimulus is directly in front of
the eye, the upper position receives more attention than
the lower .
• Colored is more attention getting than plane black & white.
Elements of the visual scene can combine in different
ways(various) to produce different forms.
Gestalt psychologist observed that several principles of
grouping can predict the combination of these elements
• These principals can be referred to as laws of grouping.
THE LAWS OF GROUPING
1.The law of proximity
• This states that elements that are closest together will be
perceived as belonging together.
• E.g. . . . .
. . . . . . . .
.. . . . . . . . . . .
.. . . . . . . . . . .
.. . . . . . . . . . .
2. The law of similarity:
• This states that elements that look similar will be perceived as
part of the same form
• XXXXXXXXXXXXXXXXXXXX
• XXXXXXXXXXXXXXXXXXXX
• XXXXXXXX XXXXXXX
3.Law of closure:
• This states that our visual system often supplies missing
information and closes the outline of an incomplete figure.
•
SSEKWEYAMA HASHIBU
COUNSELLING AND GUIDANCE
• Guidance and counselling:, concept and principles of
counselling, indications for counselling, qualities of a good
counselor, the counselling process.
• Guidance: help and advice about how to do something or
about how to deal with problems connected with your
work, education, or personal relationships ss and the
counselling skills.
• Counselling: Is the job or process of listening to someone
and giving them advice about their problems
• Counselling is a helping relationship to help a person help
himself or herself out of a difficult situation.
• Definition: Counselling is a process , where by one person
listens to the other in order to help him /her to work
through or resolve specific problem.
• OR Counselling is a helping relationship between a helper
and a client, where by the client is assisted to gain insight
into his / her problem and works towards coping /
resolving with the problem.
• OR . Counselling is a process of enabling distressed people,
recognize their feelings , define their problems and helping
them find their own solutions or begin to resolve their
dilemma.
• In summary counseling is about creating anew perspective
and change may be inside the individual about a situation
or that change may be in behaviour e.g giving up drinking
alcohol or the change may be in the environment e.g
setting up support groups.
• Counselling is a process and it takes time
• Counselling involves having a dialogue with a person
• Counselling involves helping the person share out his or
her problems and expressing his or her concerns.
• Counselling involves exploring all the possible plan of
action
• Counselling involves guiding a person through various
possibilities.
• Counselling is not advising& not suggesting for a person
what to do
AIMS OF COUNSELLING
• Counseling aims at helping people to:
• 1.Understand their situations more clearly
• 2.Identify a range of options for improving the situation
• 1.Understand their situations more clearly
• 2.Identify a range of options for improving the
situation
• 3 Make their own decisions and work on them
• 4. Make choices which fit their values, their feelings
and needs.
• 5 Cope better with the problem
• 6. Develop life skills and coping strategies to deal with
eventual/similar problems and be bold enough to discuss
their issues with a partner or friend.
• 7. Provide support for others while preserving their own
strength
APPROACHES TO COUNSELING
Psychological
Psychodynamic
Behavior
Cognitive
Humanistic
Gestalt
Goals Of Counselling
• To help a person make an informed decision about hi/her
concern
• To achieve the counselling goal
Why Is Counselling Important
• Helps clients to make informed decisions
• Helps client to make appropriate planning\
• Helps clients to cope with difficult situations
• To enable a client get continuation support e.g HIV
infection situation which is chronic.
Who Should Counselling?
• Some is good in counselling with basic skills such as:
Active listening
Paraphrasing
Reflecting
Summarising
Some one with good communication skills and positive
attitude
Some one who is presentable.
some one with interest and time to help a person with a
problem.
QUALITIES OF AGOOD COUNSELOR
• 1.Empathetic
• 2.Being an active listener
• 3.Being knowledgeable
• 4.Being courageous
• 5Being observant
• 6.Being objective and impartial
4.Being courageous
5Being observant
6.Being objective and impartial
• 7.Exemplary
• 8. Having patience
• 9.Evaluates ones own thought, behavior and practice
• 10.Enjoying working with people
• 11.Pleasant personality:
Basic Principles Of Counseling
1.The client knows what is best for him/ her:
• We all perceive the world differently as we all had
personal histories that influence or affect our views.
• Through out our lives we develop a variety of coping
strategies and ways of managing that we use when
troubled by personal problems.
• According to client- centered counseling if given the
space and time we are the judges of what is right for
us.
• We can listen to other people but in the end we as
individuals have to decide our own courses of action
2.Interpretation by the counselor is likely to be in accurate
and is best avoided.
• To interpret is to offer the client an explanation of his
thinking, feeling and action.
• Interpretation is useful as it can help us clarify and offer a
frame work on which the client may make future decisions.
However, they are best left to the client to make.
• Since we all live in different perceptual worlds, another
person’s interpretations of my thinking, feeling or actions is
likely to be best on that person’s experiences.
• Very often interpretation are put together with moral
injunctions like ‘oughts'’ and ‘ and shoulds’ and as a result
such interpretation turns into moralistic advice that may
• lead the client to feel guilty or rejecting the advice as it
does not fit in with his own belief or value systems.
3. Advice is rarely helpful
• Advice is rarely directly asked for and rarely appropriate.
• A counselor who offers a lot of advice is asking for a client
to become dependent and when the advice turns out to be
wrong the counselor- client relationship degenerates.
• However, there are exceptions where giving advice could be
appropriate e.g advice about caring for wounds, taking
medication or health education.
• But in areas of personal problems, giving advice is rarely
appropriate.
4.The client occupies a different personal world from that
of the counselor and vice versa.
• But in areas of personal problems, giving advice is
rarely appropriate.
4.The client occupies a different personal world
from that of the counselor and vice versa.
• The fact that we have had varied experiences, have
different belief and value system, means that we
• perceive the world through different frames of reference.
• We tend to act according to our particular beliefs about
how the world is.
• So it is important for the counselor to realize her own
belief system may not be shared by the client and the client
may not see the world the way he she does.
• This realization forms the basis of development of empathy
in the relationship.
• Initially therefore the counselor has to explore her own
belief and value systems. Thereafter he/she can attempt
to enter and share the personal world of the client.
• Initially therefore the counselor has to explore her
own belief and value systems. Thereafter he/she
can attempt to enter and share the personal world
of the client.
5.Listening is the basis of the counseling
relationship
• Listening involves giving up completely to the other person
in order to fully understand them.
• To really listen to another person is the most caring act of
all and takes skill and practice.
• We cannot listen properly if we are constantly judging what
we hear.
• We must learn to set aside our own beliefs and values and
to suspend judgments.
• We must develop the ability to listen to the changing flow
of the client’s verbalizations and not to rush to pull them
back to a particular topic.
• What the client is talking about is what is important.
• Listening is a process of offering free floating attention of
accepting, totally the other person’s story, accepting that
• What the client is talking about is what is important.
• Listening is a process of offering free floating
attention of accepting, totally the other person’s
story, accepting that their version of how the world
may be different but just as
• valid as our own.
• We need to listen to metaphors, the descriptions, the
value judgments and the words that the client uses: they
are all indicators of their personal world. So are facial
expressions, body movement, eye contacts and other
aspects of non verbal communication.
6. Counseling technique should not be overused:
• Many techniques are taught in counseling but the
counselor should be careful not to over use them as
he/she may be perceived as being artificial, cold or even un
caring.
• Much attention may be to techniques and compromises
listening and communication. Techniques such as use of
questions, reflections summary, probing etc are very
important
• however must be used discretely and the human side of
the counselor must show through the techniques at all
times
7. Counseling can be learned.
• All individuals are capable of developing their listening skills
and their ability to communicate clearly with other people
and these are the basis of counseling.
• The skills can be learned through personal experience and
lots of practice, which may be gained in learning workshops
for the development of counseling skills and through actual
process of doing counselling.
Indications For Counseling
Chronic illness
New challenging situations
Family planning
Couple counseling
Pre treatment counseling
Substance abuse
THE PROCESS OF COUNSELING
• Introduction
• Each counselee is unique, with problems, attitude, values,
expectations and experience that are un like any other.
The counselor must, there fore approach each individual a
little differently. The course of counseling will vary from
person to person
• There are several steps or phrases in every counseling
relationship. Some of these steps may be repeated several
times as problems are considered and reconsidered.
1.Connecting:
• This involves initiating , building and maintaining a
relationship. Between the counselor and counselee. The
counselor listens attentively and shows sincere concern and
caring as the counselee begins to share feelings, concerns
or problems.
2. Exploring:
• Counselees need to tell their stories i.e revealing details of
problem situations, missed opportunities and frustrating
experiences.
• This is the time when counselee are encouraged to share
their feelings, talk about their thoughts, and describe their
• actions.
• The counselor listens attentively asks periodic probing
questions and responds with respect, empathy and
sensitivity.
• This exploration of the issues enables building of rapport
and promotes a clear understanding of the problem
situation.
3. Planning.
• With time the counselee begins to see the problem in
different light and discussion moves toward goals and
actions that help to find solutions. How could the
counselee change? Are there things that can be done to
make matters better?
• Must some things be accepted because they can not
change? Are there actions to be taken, attitudes to be
• changed, goals to be reached , and / or skills to be learned?
• Together, the counselor and counselee develop plans for
taking actions
• 4.Progressing:
• After deciding what needs to be done, the counselees
must be encouraged to start moving toward their goals .
The counselor gives support, direction, encouragement and
sometimes gentle probing.
• Some times the counselee will take action and experiences
failure.
• The counselor then helps the counselee evaluate what
went wrong and together they re- plan.
• 5. Stopping
• Counseling does not last forever. Time has to come when
• the problem solving relationship has to end. Often there is
summarizing what has been learned and /or accomplished
• There may be discussion of ways in which the counselee
can be able to cope more effectively with future problems
the door is left open for future counseling contacts if they
are ever needed.
Questions to consider before counseling
• 1. Am I the appropriate person to counsel?
• 2.Have I the time to counsel?
• 3.Have I the client’s permission to counsel?
• 4. Where will the counseling take place?
Qualities of a good counselor
Empathetic and understanding: the ability to emotionally
and cognitively experience the world from another persons
perspectives and help them cope and be able to stand up
on their own feet as soon as possible.
Genuine/sincerity: the ability and willingness to be open,
real and consistent in the relationship with the client. To be
prepared to give time and attention and to be real, a
person is not just some one in a professional role.
Unconditioned positive regard
• The ability to communicate with the client with out blame
or negative feelings, expelling all fear from the clients and
making them that they are adapted to the way they are and
wanted despite the weakness they may feel.
• If a counselor respects the client, this conveys love, care,
• break down resistance from a client and brings about
healing.
Emotional stability and maturity
• A counselor should be a mature person who can handle his
or her problems effectively: is aware of his or her own
feelings and motives, free from unnecessarily anxiety and
insecurity so that the help they offer can be objective,
unbiased, wise & supportive .
Warmth: showing a true welcoming posture, expression
and readiness to offer.
Knowledgeable: a counselor should be well trained and
equipped with basic skills such as:
• Active listening, clarifying, paraphrasing, reflection,
Summarising.
GENERAL TIPS ON COUNSELLING
• Remain calm even when the client is upset, angry and
crying during counselling. If you are completely overtaken
by emotions, don’t deny it, but stop a bit and explain.
• Show interest in the client as a person
• Show some understanding for what a person has to say.
• Focus on the most important problem if any.
• Listen for the cause of the problem.
• Accept the client’s feelings and whatever they are.
• Help clients talk about their feelings.
WHAT COUNSELLORS SHOULD NOT DO.
• Interrupting the person/client while s/he is taking.
• Arguing with the client about their views or feelings
• Passing judgment onto the client
• Giving advise unless requested (rather give information).
• Never jump to conclusions
• Moralize, preach or patronize
• Giving unwanted assurances
• Finding out the client’s motivations, fears and anxiety.
• Try to solve all the clients to take responsibility for the
client.
EMOTIONS, STRESS AND HEALTH
SSEKWEYAMA HASHIBU
EMOTIONS
• Much of our motivations to act is funded by our emotional
state. Our emotions may lead us to cry, laugh, shy away or
even engage in some other behaviors common in human
experience.
• By definition:
Emotion is the complexity of feelings involving
psychological arousal and cognitive appraisal of a situation .
Emotion is also an outward expression of a feeling/state.
Alternatively, an emotion is a positive or negative
experience that is associated with a particular pattern of
physiological activity
• Emotions prepare us to respond adaptively and to a
number of situations.
• Emotions enable us to communicate our feelings and
intentions more effectively than just words.
• We normally describe emotions in terms of feeling states,
for example: feeling happy, angry, embarrassed, afraid, etc;
but psychologists studied emotions according to their
components.
Physical component
Cognitive component
Behavioral component
PHYSICAL COMPONENT
• This is a physiological arousal; The internal body state that
accompanies the emotions. Without the physiological
• arousal, we could not feel the emotion in its intensity. That
is to say; the emotions give rise to many physiological
processes in cardiovascular system and produce increased
blood pressure, changes in sexual urge, nervous system
activities such as increase in blood sugar levels, increased
rate of respiration, dilatation of pupils, changes of
frequency in brain waves, decrease in the GI tract action.
COGNITIVE COMPONENT
• This is the way we perceive a stimulus. That is to say: a
situation and perception determine the specific emotion
we feel.
• E.g if you are at home alone at night and the wind is hitting
a tree branch on your roof, you may become nervous,
fearful, scared and you might perceive the knocking as a
thief breaking into the house.
BEHAVIORAL COMPONENT
• This is an outward expression of a component. This
component involves facial expressions, postural/body
posture, gestures and vocal responses.
• All of which convey the emotions we feel within. Some of
the facial expressions that accompany our emotions are
innate (inborn) and some are influenced by our cultures.
• The component process principle of emotions says that;
“Removal of a stimulus that causes our emotions causes a
swing to the opposite emotion”.
• The knowledge of emotions is a basis behind detecting lies
by use of a polygraph (lie-detector). Its known that people
get nervous when they are telling lies but if they tell the
truth they are calm.
THEORIES OF EMOTION
• There are 4 theories of emotions, and these include:
James-Lange theory
Cannon-Bard theory
Schachter -Singer theory
JAMES-LANGE THEORY
• This was proposed by William James(1884 and Carl
Lange(1885). Which suggests that
• “Different patterns of arousal in the autonomic nervous
system (ANS) produce different emotions and that the
physiological arousal appears before the emotions is
perceived”.
• Example:
• According to this theory, “when a growling dog approaches
you, your heart begins to pump faster and you run, you
therefore perceive the physiological arousal first and your
behavior of running starts but as an emotion of fear”.
CANNON BARD THEORY
• Proposed by Walter Cannon(1927) and Phillip Bard(1934).
• According to Cannon1927, we often feel an emotion before
we notice a physiological state of our body.
• He argued that we would not be able to experience certain
fear if we had to wait for a particular pattern of
physiological reaction.
• Cannon’s work was endorsed by Phillip Bard in 1934 and
their theory endorses a chain of events.
• Thus the Cannon-Bard theory states that,
• “emotion occurs when the thalamus in the brain sends
signals simultaneously to the cortex(creating the
conscious experience of emotion) and to the autonomic
nervous system(creating visceral arousal)”.
• i.e from thalamus to the cerebral cortex which gives a
cautious mental experience of emotions and down though
the ANS to the body organs that produce a physiological
state.
• Many theorists agree with this theory that emotions
originate in sub cortical brain structures and assert that
people do not discern their emotions from different
patterns of autonomic activation.
SCHACHTER-SINGER THEORY
• Schachter concluded that the earlier theories left out a
critical component. i.e our own cognitive interpretation of
why we have been aroused.
• Schachter and Singer proposed a two factor theory
suggesting that both James Lange and Cannon were partly
right .
• According to their theory two things must happen in order to
feel the emotions.
• “ first, a person must experience a physiological arousal.
Second, there must be a cognitive interpretation of a
physiological arousal so that a person can label it a specific
emotion”.
• Therefore according to this theory, the true emotion can
occur if we are physically aroused and we can find a reason
• He proposed that when you experience visceral
arousal, you search your environment for an
explanation.
– e.g. if you are stuck in a jam, you will probably label
your arousal as anger, celebrating your birthday, you will
label the arousal as happiness.
• Although this theory has received vast support many
studies have refuted it due to the fact that situations can’t
mold emotions in just any way at any time and in searching
to explain arousal individuals don’t limit themselves to the
immediate situation.
STRESS
• Definition: This refers to the physical or psychological strain
lasting a long time and threatens the ability of a person to
cope with a given situation.
• Various events that cause stress are referred to as stressors.
Some stressors produce a temporary stress while others
produce chronic health problems, physical handicap,
poverty, etc.
Sources Of Stress
Choice
• Sometimes conflicting motives can be a source of stress
when we must take a choice between two desirable
alternatives, which may result into stress.
• For example:
Approach- approach conflict; whether to continue with a
nice job or interrupt it to go for further studies.
Avoidance-avoidance conflict: we must choose between
two undesirable alternatives e.g you want to avoid going to
school at the same time you want to avoid doing house
work when you stay home.
Approach-avoidance conflict: it includes both the desirable
and undesirable features at the same time. For example;
wanting to take a wonderful vacation but having to empty
your savings account to do so.
Unpredictability and lack of control
• Our physical and psychological well being are basically
influenced by the degree we feel a sense of control over
our lives.
• We are less subjected to stress when we have the power to
do something about it or when we exercise the power or
not.
• E.g If you lose one of your dear one to death, you will have
the stress and no power over it.
• Another example: if you had the power to remove
President Museveni from power/presidency when he
orders for the beating and torture of your favourite singer
Bobi Wine. That is; it would not stress you if you had the
ability to remove him from presidency but now that you
can not it will have to stress you.
Catastrophic events
• Environmental, social, body and emotional stressors are a
fact of life to most people. But some people also
experience catastrophic events like earthquakes, floods,
• wars, fires, accidents, genocides, violent riots and
displacements.
• As victims begin to travel, shock is replaced by generalised
anxiety, characterised by recurrent nightmares and they
feel a compulsive need to retell the story of the event over
and over with hope to recover through retelling the story.
• This results into Post Traumatic Stress Disorder (PTSD)
which is a prolonged severe stress reaction to a
catastrophic event. The disorder may show up immediately
or months after the experience.
REACTIONS TO STRESS
Depression or reduced responsiveness (it happens when a
person feels nothing seems to make a difference).
Aggression and anger
Apathy
Regression
Repression
Restlessness and tension
Fantasy (illusional thinking and dreams of your wishes and
what you want to be).
BODY REACTIONS TO STRESS.
General Adaptation Syndrome
• When a person is experiencing stress, the body responds by
initiating various responses including dumping a variety of
chemicals into our body stream.
• This gives a momentum boost to do whatever is needed for
survival. If left unchecked however, the person can have a
heart attack or stroke. Many people start drinking alcohol,
• they get depressed, and find it difficult to sleep or eat.
• Definition: General adaptation Syndrome (GAS) is a term
used to describe the body’s short term and long term
effects to stress.
• Stressors in humans include examples such as starvation,
severe weather, being hit buy a car.
• Originally as described by HANS (1907-1982) an Austrian
physician. GAS was described as a 3 stage reaction to
stress. Namely:
Alarm Reaction
Stage of Adaptation or Stage of Resistance
Stage of Exhaustion
Alarm Reaction
• During this first stage , there is an immediate reaction to a
• stress. The body releases adrenaline and a variety of some
other psychological mechanisms to combat the stress and
stay in control.
• Humans exhibit a “fight or fright” response in the initial
phase of stress which prepares the body for the physical
reactions (activities). However this initial response also
decreases the effectiveness of the immune system.
Stage Of Resistance/Adaptation
• During this phase, if the stress continues the body adapts to
the stressors. Changes at main levels take place in order to
reduce the effect of the stress. Over use by the body’s
defense mechanism at this stage eventually leads to
cardiovascular diseases.
Stage Of Exhaustion
• At this stage the stress ahs continued for some time and
the body’s resistance to the stress may gradually reduced
or may collapse quickly.
• Generally this means that the immune system and the
body’s ability to resist diseases may almost be totally
eliminated.
• Patients who experience to long term stress may succumb
to heart attack or severe depression. The body experiences
adrenaline exhaustion thus the blood sugar levels decrease
leading to decreased stress tollness, progressive mental
and physical exhaustion, illness or collapse.
• Example; a person with stressful job, may experience long
term stress, high blood pressure and finally a heart attack.
HEALTH
SICK ROLE
• It is a term used in medical psychology concerning, the
social aspects of falling ill and the privileges and obligations
that accompany it.
• This concept was created by an American psychologist
called Parsons in 1951. Parsons was a functionalist
psychologist who urged that being sick means that the
sufferer enters a role of “Sanctioned Deviance”.
• This is because from a Functionalist psychologist, a sick
individual is nota productive member of the society.
• Therefore the deviance needs to be arrested/policed which
is the role of medical professionals.
• The general idea is that the person who has fallen sick is
• not only physically ill but now adheres to the specifically
patterned social role of being sick.
• ‘Being Sick’ is not simply a state of ‘Fact’ or ‘Condition’, it
contains within its self customary rights and obligations
based on the social norms that surround it. The theory
outlined 2 rights of a sick person and 2 obligations.
RIGHTS OF A SICK PERSON
1. The sick person is exempted from normal social roles
2. A sick person is not responsible for his or her condition.
OBLIGATIONS OF A SICK PERSON
3. The sick person should try to get well, i.e try to exercise,
ask for food, reject the medication if irritating, ask for
drinks.
4. Sick person should seek technically competent help and
There are three (3) versions of sick role
Conditional
Unconditional legitimate
Illegitimate role (condition that is stigmatized by others e.g
HIV, epilepsy, etc.)
CRITICISM OF SICK ROLE
Rejecting of the sick role
• This model assumes that the individual voluntarily accepts
the sick role
• The individual may not comply with the expectations of the
sick role, may not to give out social obligations, resists on
dependency, avoid public sick role since the sickness is
stigmatized.
• Individual may not accept passive (assisted to do
Chronic illness
• This model only fits acute illnesses/severe illnesses, such
as- measles, appendicitis
• It does not fit chronic/long term/ permanent illnesses
easily since getting well is not an expectation- such as
blindness
Doctor –patient sick role
• This model assumes ideal patient and ideal doctor roles
• Differential treatment of patient and differential patient
doctor relationship variations depend on the social class,
gender and ethnicity.
• Going to the doctor to consult is usually the last resort as a
lay people first consult people around them,