Exercise 1: Health, stress and coping
Our behaviors stem from our intentions. Whilst intention certainly does not always translate into behaviour, it is a necessary first step. This can be applied to whether our intention to engage in healthy behaviours results in us actually doing so. When you are choosing articles for this exercise you may focus on your profession, for example as an Oral Health student you may wish to explore what the theory says about oral hygiene / oral health behaviour.
Ideally, your answer should do the following :
Identify two journal articles that explore how the Theory of Reasoned Action (TRA) can be applied to health behaviours. You will need to cite them using APA format
Zemore, S. E., Ajzen, I., “Predicting substance abuse treatment completion using a new scale based on the theory of planned behaviour”, Journal of Substance Abuse Treatment, 46 (2014), 174-182
Gastil, J., “Thinking, Drinking, and Driving: Application of the Theory of Reasoned Action to DWI Prevention”, Journal of Applied Social Psychology, 2000, 30, 11, pp. 2217-2232
Explain the relationship between Theory of Reasoned Action and health behaviours. You may wish to utilise your 2 chosen articles for this, or other sources. (250 words)
This theory, if it can be called that, of reasoned action isn’t really any sort of great rocket science. People are a product of their social and environmental surroundings, a theory claimed by Bandura, merely an extension of the great Freuds’ psychosexual theory, where he emphasized that a childs’ personality is formed by the ways his parents managed his sexual and aggressive drives. Erickson elaborated, the child acquires attitudes and skills resulting from the negotiation of the psychological conflict with poor parenting. Then came the control freaks, Pavlov, Watson, Skinner and Thorndike who got their rocks off by masochist gunplay, torturing the sexual and aggressive freaks of nature. Ajzen and Fishbein haven’t really invented the wheel, by changing a few words of someone elses’ work:
attitudes : the sum of beliefs about a particular behaviour
subjective norms : the influence of people in ones’ social environment
perceived control : f*** you a**holes !
behavioral intention : a function of both attitudes toward a behavior and the subjective norms toward that behavior, combined with perceived control, has been found to predict actual behavior
By knocking out a couple of teeth of the junkie alcoholic, the same one who went on strike due to the intervention placed by the infidels, an image of the rogue Ned Kelly is created, a modern day Australian Hero … against all odds ! By using fancy jargon, it is not possible to predict and change the ‘health’ behaviour of the deviant, just slight inconveniences. The defiant deviant ends up smoking up and drinking up, while living on the street, with anesthetics and ECT, much to the embarrassment of the gambling psychiatrist..
Why don’t our good intentions always result in action? Thinking critically, outline some of the limitations of applying the Theory of Reasoned Action to health behaviours. (250 words).
For starters, the perception of healthy behaviours may be distorted by some of the health ‘professionals’ around town. Who is to decide what is good and who is evil ? Is smoking pot really a crime that needs the teeth of the poor lad knocked out ? Does drinking a couple bottles of whiskey a week really constitute an evil deed, needing imprisonment? Was the crime the erection ? Was that not a biological condition, the poor ten year old had no idea about, a concept that was meant to be taught by the wiser elder ? Is it not because of the ‘good intentions’ of the professionals, applying the theory of reasoned action to induce ‘correct’ behavior, that we have so many homeless, unemployed, imprisoned, shackled and tortured ? Not only are values of good in question, but the intention of the health professionals. Why do they smile with glee, taking photos with their camera phone, when the ‘patient’ is forced, with gun in holster, to bend over to take his fortnightly needle ? Research shows that, when given the opportunity, an imbecile will induce more electric shocks to the lab rat … just for fun. When there are elders supporting this behaviour, reasoned by the wit of the pavlov and his lot, … we have lost the human race … reason enough for the yogi to venture into the jungle to live with fellow beast!
Exercise 2: Psychological Disorders & Therapies
I am in no position to be diagnosing people and slapping labels on them, then proceeding to apply questionable techniques, like conditioning, the behaviour control techniques used by low grade professionals, from which more harm is done than good. We, as professionals, have a duty of care for our patients and the greater community. If one does not have concrete proof of that the results of our prescribed ‘therapy’, will bring positive results, then better not try play ball with the rocket scientist. The techniques available to the psychiatrist and psychologist are slim, vague and dusty. I have done a survey of what is available, in hard copy, via the various libraries around Australia, and what is taught at the various universities around the world, via the internet. For those that get off on winning a game of poker, the likes of Pavlov and his lot, will suit those who have the energy to implement the behaviour / cognitive therapy, with the hope that they can control anothers’ actions, after a few decades. The biological treatments available, to treat suicidal depression, violent aggression and the debilitating hallucinations, are not working, leaving the poor psychiatrist, bound by law, helpless, prescribing something, anything, just to satisfy legal requirements, justifying his Beamer and Penthouse.
The Humanistic and Psychodynamic philosophies might be our only hope. We have to accept that the west has won the cold war, hence an acceptance of the ideology of liberties, including free choice to pursue the vices of drugs, alcohol and premarital, polygamous, sexual relations, be it homosexual, trans, bi or plain old straight. With freedoms, our patients have to be taught to accept responsibility for their actions, moderating themselves, while respecting the liberties of others. All our patients have a capacity of some sort of enlightenment, one that Maslow and other philosophers from the East talk of. The only psychologist who has had the ability to document over twenty volumes of in-depth complexities within the brain, was Freud, for whom I have the greatest respect for, hence highly recommend his psychoanalysis method, over the wishy washy theories of modern day mediocrity. I believe that the hour length counselling sessions dealt with competency, maturity and empathy is the only way forward. I am not willing to provide diagnosis and treatment advice from third party faulty short hand. I would need to see the patient for myself, for at least an hour, every week, for at least a year, to be able to do anything at all. To be clear, I do not believe it is possible to cure severe depression with a simple sugar pill, take away the demons of aggression by knocking out teeth, or soothe the hallucinatory mind with a needle. I do realize that the modern day psychiatrist is able to provide diagnosis and treatment from a five minute consultation, sometimes only with the over qualified nurses’ short hand, however I am not as smart as they!
Exercise 3: Indigenous and cross-cultural psychology
In this globalized world, it is necessary to be able to recognize that people come from a variety of backgrounds with different cultures, not being just different languages, but also varying adherence to strict laws on consumption of foods, drinks, drugs, sex and clothing. With histories of conflict with all, personally on an individual level and also within generations of family over the seas, unfortunately, color, religion, and economic ideologies come part and parcel of being a social worker. The bum in Rome with no teeth picks up his bumpers off the street, strips the two strings of ox and seems content ... ?
I lived quite a happy 'sheltered' life for 23 years of my life. There was drugs, alcohol and rock n roll, as well as fornication and infidelity, more than enough reason to be ushered into the penitentiary, psych, and homeless institutions of our lovely developed western state. During my travels into the slums of Sydney, I came across a 'bum', who broke the ice by asking me to share my bumpers. He is my elder, a Bosnian / Italian crossbreed, who is missing a lot of teeth, walking with a crazy limp and talking in slurs. Diplomat would be too uppity, so I would like to be called a social worker !
There is a shared understanding that there is a lot of anger with the way things have panned out. Communication is difficult for everybody. With different languages and family involved in present conflicts around the globe, the reality of illegal activities going on right under the noses of the law and the pressures from upper society to use reasonable means to bring some sort of control onto society, army medicos apply every technique they have in their arsenal, short of pulling the bullet. Utilitarianistic pain and pleasure reinforcers.
I learnt that offering a Taylor is the best way to make a friend. Offering a joint is also a good way to get the laughs in the gutter. If there's a beer to top that off, half our job is done. The most difficult thing between patient and doctor / nurse / social worker, is the environment presented and the breaking of the ice. The little office that the doctor takes one into, is not the ideal. The Taylor, joint and beer maybe not be prescribed or authorized, may even break the bank, but are the best technique to the get the man smiling.
My man already practices yoga, so I don't know who is master and who is student, however I wish to spend some time, smoking joints sitting in a variety of yoga poses for hours on end. Best way to talk (psychodynamic), in a peaceful manner (behaviorist), perception (cognitive) of pursuing pleasure (biological) and thinking (cognitive), potential for enlightenment (humanistic). The best part of our relationship ... he laughs at my jokes ! If I can make a dreary old man laugh, my job is done and over !I just hope there is enough in the budget for the joints and beers .... ?!