What is Behaviour Management?

Introduction

Behaviour management, similar to behaviour modification, is a less-intensive form of behaviour therapy. Unlike behaviour modification, which focuses on changing behaviour, behaviour management focuses on maintaining positive habits and behaviours and reducing negative ones. Behaviour management skills are especially useful for teachers and educators, healthcare workers, and those working in supported living communities. This form of management aims to help professionals oversee and guide behaviour management in individuals and groups toward fulfilling, productive, and socially acceptable behaviours. Behaviour management can be accomplished through modelling, rewards, or punishment.

Research

Influential behaviour management researchers B.F. Skinner and Carl Rogers both take different approaches to managing behavio.

Skinner claimed that anyone can manipulate behaviour by identifying what a person finds rewarding. Once the rewards are known, they can be given in exchange for good behaviour. Skinner called this “Positive Reinforcement Psychology.”

Rogers proposed that the desire to behave appropriately must come before addressing behavioural problems. This is accomplished by teaching the individual about morality, including why one should do what is right. Rogers held that a person must have an internal awareness of right and wrong.

Many principles and techniques are the same as in behaviour modification. However, they are considerably different and administered less often.

In the Classroom

Behaviour management is often applied by a classroom teacher as a form of behavioural engineering, in order to raise students’ retention of material and produce higher yields of student work completion. This also helps to reduce classroom disruption and places more focus on building self-control and self-regulating a calm emotional state.

American education psychologist, Brophy (1986, p.191) writes:

Contemporary behavior modification approaches involve students more actively in planning and shaping their own behavior through participation in the negotiation of contracts with their teachers and through exposure to training designed to help them to monitor and evaluate their behavior more actively, to learn techniques of self-control and problem solving, and to set goals and reinforce themselves for meeting these meetings.

In general, behaviour management strategies are effective at reducing classroom disruption. Recent efforts have focused on incorporating principles of functional assessment.

Such strategies can come from a variety of behavioural change theories, although the most common practices rely on using applied behaviour analysis principles such as positive reinforcement and mild punishments (like response cost and child time-out). Behavioural practices like differential reinforcement are often used. These may be delivered in a token economy or a level system. In general, the reward component is considered effective. For example, Cotton (1988) reviewed 37 studies on tokens, praise, and other reward systems and found them to be effective in managing student classroom behaviour. A comprehensive review of token procedures to match children’s level of behavioural severity is found in Walker’s text “The Acting Out Child.”

Behaviour management systems have three main parts:

  • Whole group;
  • Table group; and
  • Individual.

Examples may include marble jars for the class, prize charts for tables, and a grid chart with 25 spaces for individual students. Many types of charts can be found to use in each situation.

Effective behaviour management depends on using tools that are appropriate to each situation. One effective tool is the High Card/Low Card system. To use a high card, the educator or instructor uses strong intervention to address the issue. Some examples of High Cards are:

  • Sending a student to the office.
  • Keeping a student after school hours.
  • Calling home to the student’s parent.

A Low Card approach is a less invasive way to address a behavioural issue and may include:

  • Speaking to a student privately.
  • Making eye contact during the issue.
  • Changing the seating arrangement.

Some student behaviours must be addressed immediately and could cause a teacher to interrupt teaching in order to resolve the issue. This is known as a direct cost situation. This typically arises in extreme behaviour situations like physical disputes between students, loud outbursts in class, or disrupting the class disrespectfully.

Purkey proposed a visualisation way to keep track of the methods used to manage student behaviour. He called it the “Blue-card, orange-card theory”. Blue cards help reinforce good behaviour and ways to encourage a student. Orange cards, in contrast, are things that may be critical, discouraging, or demeaning. Some examples of blue cards might be bringing up the good things a student has done before focusing on the behaviour that needs to change, therefore reminding the student that they have worth and causing them to feel encouraged. An orange card could list ways to critique a student’s work in front of the class, which would lower their feelings of self-worth, providing an example of what to avoid. Teachers can be aware and provide students with required critique and feedback, while reinforcing their self-image. Purkey’s theory helps teachers understand how they can edit behavioural management specifically in the classroom.

In Supported Living

When bringing behavioural management in relation with supported living the purpose of this is to keep a person’s dignity. Most of the time, residents have some behaviour that is meant to be improved in order for them to live a more normal life. Our main goal of the behavioural management is to help them become as independent as possible. Of course, it is important to recognise that not every resident will be back to being completely independent.

There are a lot of ways to help residents be more independent and we will look at some of those here.

It is important we first take a look at each resident’s history. Many of them will have gone through an experience that may have started the behaviour change in the first place. Some examples of these are child abuse, trauma, anxiety, depression, etc.

Once a person is in the behaviour management process, we have to consider their behaviour daily. We should also be meeting with them regularly in order to keep accurate data of their behaviour. In this way we can look back and make modifications to what they need during the behaviour management process.

Each resident will be different and need a variety of attention. But it is important to consider what will be needed in order to get to their success. The main goal of the behaviour management is to address the behaviour issue in order to keep them independent.

When with a resident there are a variety of behaviours you may come into contact with. You will not only need to know what to do in each situation but also how to act. Your behaviour is crucial to the progress of their behaviour. There may be situations when yourself can not handle the behaviour and will need to lead to a bigger solution. Redirecting them to a psychologist, psychiatrist, hospital, or a behaviour management centre may be beneficial.

Building Prosocial Behaviour

Behavioural management principles have used reinforcement, modelling, and punishment to foster prosocial behaviour. This is sometimes referred to as behavioural development, a sub-category of which is behaviour analysis of child development. The “token economy” is an example of behavioural management approach that seeks to develop prosocial behaviour. In this model, socially appropriate behaviours are encouraged and reinforced since these are equivalent to points that can be exchanged for rewards. Examples of situations and behaviours where tokens can be earned include attending groups, taking medication, and refraining from aggressive behaviours, among others.

Several studies have been done in this area to discover effective methods of building prosocial behaviour. Midlarsky and colleagues (1973) used a combination of modelling and reinforcement to build altruistic behaviour. Two studies exist in which modelling by itself did not increase prosocial behaviour; however, modelling is much more effective than instruction-giving (such as “preaching”). The role of rewards has been implicated in the building of self-control and empathy. Cooperation seems particularly susceptible to rewards. Sharing is another prosocial behaviour influenced by reinforcement. In a Harvard study, it was proven that acts of kindness and expressing gratitude in the classroom can cause better behaviour and increased mood overall.

Reinforcement is particularly effective in the learning environment if context conditions are similar. Recent research indicates that behavioural interventions produce the most valuable results when applied during early childhood and early adolescence. Positive reinforcement motivates better than punishment. Motivation to behaviour change is also less damaging to the relationship.

More controversy has arisen concerning behaviour management due to the role of punishment in forming prosocial behaviour. However, one study found that sharing rates of children could be increased by removing factors that caused a failure to share. The socialisation process continues by peers with reinforcement and punishment playing major roles. Peers are more likely to punish cross-gender play and reinforce play specifically to gender.

Positive reinforcement, negative reinforcement, positive punishment, and negative punishment are all forms of operant conditioning. Reinforcements are an attempt to change behaviour, either positively or negatively. Positive reinforcement attempts to increase a behaviour by adding something the target wants (e.g. awarding good behaviour with a treat). Negative reinforcement is attempting to increase behaviour by removing something unwanted from the target. (e.g. a child’s room is messy and their mother nags them to clean it up, they will eventually try to keep it clean to stop the mother from nagging them). Punishment is trying to decrease behaviour, either by using negative or positive stimuli. Positive punishment is when one adds an unwanted stimulus to decrease the target’s behaviour (e.g. spanking a child when they behave badly). Here, spanking is being added to decrease undesired behaviour. Negative punishment is when one removes something the target enjoys or likes to decrease their undesired behaviour. (e.g. a child comes home past curfew every weekend, so if their mother bans them from watching TV when they are past curfew, the child will eventually try to come home on time). This is negative punishment because the child likes to watch TV, so when the mother takes that away from them, they dislike the consequence. Thus, they will be more likely to come home in time to avoid having that privilege taken away.

Abraham Maslow is a very well-known humanist psychologist, known for his work on the hierarchy of needs, in which he states that humans must have one level of needs satisfied before attaining the next level. There are five needs that are being satisfied in sequence: physiological, safety, social, esteem, and self-actualisation. Maslow also claims that humans’ needs are never completely fulfilled and that this affects how people behave (e.g. if a person’s needs are never fully satisfied, then they might not always behave well, even if they do receive a treat for good behaviour). A related concept, the “Hawthorne Effect”, involves the manipulation of behaviour of somebody being observed. For example, if someone is being studied in an experiment, that person might perform better or work harder because they are aware of the attention they are receiving. It is this effect of observation that is called the “Hawthorne Effect”. This is interesting because if a child who is behaving very poorly, no matter what, is put in an experiment, they might increase their good behaviour. After all, they are receiving attention from the researcher. The point of operant conditioning in behaviour modification is to regulate the behaviour. This method uses different techniques and ties them all together to monitor behaviour. It can lead to problems, however, when talking about Maslow’s Hierarchy of needs because in this model Maslow goes on to explain how no one’s needs are fully met. The highest point on Maslow’s pyramid is self-actualisation which Maslow argues is the goal in which we do not reach. This can pose a problem when it comes to behaviour modification because one might think if that individual can not reach that ultimate goal, why try at all. Self-actualisation is the goal in which humans have this sense of belonging or accomplishment. Humans have an inherent need to achieve goals and attain self-satisfaction; when we do not attain those goals and needs, we feel dissatisfied. When a person does not meet that top goal, that person might feel a void, discouraged because they cannot seem to reach that ultimate step. Using these behavioural modifications or techniques, people can teach themselves how to better attain these goals.

Managing Defensive Behaviour

Understanding and dealing with defensiveness is an important personal skill. Following are some of the strategies:

  • Recognize that defensive behaviour is normal, as “defensive behaviours are intended to reduce a perceive threat or avoid an unwanted threat,” It is normal for one to be defensive when they feel that something is their fault. These actions are attempted in order to avoid blame or change of action.
  • Never attack a person’s defences. Do not try to “explain someone” to themselves by saying things like, “you know the real reason you are using that excuse is that you cannot bear to be blamed for anything.” Instead, try to concentrate on the act itself rather than on the person.
  • Postpone action. Sometimes it is best to do nothing at all. People frequently react to sudden threats by instinctively closing off and hiding their feelings. When given time the person will be able to give a more composed reaction or answer. These feelings often come from being overloaded, especially in the workplace where overload can have a taxing effect on a person’s ability to meet task expectations.
  • Recognize human limitations. Do not expect to be able to solve every problem that comes up, especially the human ones. More importantly, remember that a layman should not try to be a psychologist. Offering employees understanding is one thing; trying to deal with deep psychological problems is another matter entirely.
  • Knowing personal limits and expectations is important in helping others with defensive behaviour. Being able to have effective self-observation is important because if there is no solid idea of one’s feelings, then trying to help others will come across as too aggressive or too reserved. A smart way to start this change is by asking oneself a couple of different questions, such as “what am I feeling”, “what am I thinking”, “how else can I think about that,” etc. Then proceed to automatically notice if the feelings are winding up or down to act accordingly.

An effective strategy to dealing with defensiveness is the SCARF model which was developed by an Australian neuroscientist named David Rock. The five letters stand for status, certainty, autonomy, relatedness, and fairness. Understanding each domain will help explain the fight or flight response when someone is faced with a stressful situation; and focus on each individuals’ skills.

Status threats relate to how important the threat is to others and ourselves, looking at how the situation will help lift or put down the other people involved and forget about ego(s).

Certainty threats deal with predicting the future such as when someone says “I never get told anything in this company.” It is actually them asking to be kept in the loop about decisions that are being made.

Autonomy threats are based on the control throughout a situation; if someone is having this threat they will feel like they have not had any say or input and become frustrated as a result. In these situations, giving that person a choice is the best option.

Relatedness threats deal with how comfortable someone feels around other people. In this case, the leader of the group needs to make sure that everyone is feeling included and important. Making sure that everyone’s voice is heard and they are important individuals.

Finally, the fairness threat is the perception of both parties that the exchange of content and relation is fair and equal. No one wants to feel like they are putting in 80 percent while the other side is only putting in 20%.

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What is Malignant Narcissism?

Introduction

Malignant narcissism is a psychological syndrome comprising an extreme mix of narcissism, antisocial behaviour, aggression, and sadism.

Grandiose, and always ready to raise hostility levels, the malignant narcissist undermines families and organisations in which they are involved, and dehumanises the people with whom they associate.

Malignant narcissism is a hypothetical, experimental diagnostic category. Narcissistic personality disorder (NPD) is found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), while malignant narcissism is not. As a hypothetical syndrome, malignant narcissism could include aspects of NPD alongside a mix of antisocial, paranoid and sadistic personality disorder traits. The importance of malignant narcissism and of projection as a defence mechanism has been confirmed in paranoia, as well as “the patient’s vulnerability to malignant narcissistic regression”.

Brief History

The social psychologist Erich Fromm first coined the term “malignant narcissism” in 1964, describing it as a “severe mental sickness” representing “the quintessence of evil”. He characterised the condition as “the most severe pathology and the root of the most vicious destructiveness and inhumanity”. Edith Weigert (1967) saw malignant narcissism as a “regressive escape from frustration by distortion and denial of reality”, while Herbert Rosenfeld (1971) described it as “a disturbing form of narcissistic personality where grandiosity is built around aggression and the destructive aspects of the self become idealized.”

On 11 May 1968, psychoanalyst Otto Kernberg presented his paper Factors in the Psychoanalytic Treatment of Narcissistic Personalities, from the work of the Psychotherapy Research Project of The Menninger Foundation, at the 55th Annual Meeting of the American Psychoanalytic Association in Boston. Kernberg’s paper was first published in hard copy on 01 January 1970. In Kernberg’s 1968 paper, first published in 1970 in the Journal of the American Psychoanalytic Association (JAPA), the word ‘malignant’ does not appear once, while ‘pathological’ or ‘pathologically’ appears 25 times.

Developing these ideas further, Kernberg pointed out that the antisocial personality was fundamentally narcissistic and without morality. Malignant narcissism includes a sadistic element creating, in essence, a sadistic psychopath. In his article, “malignant narcissism” and psychopathy are employed interchangeably. Kernberg first proposed malignant narcissism as a psychiatric diagnosis in 1984. So far it has not been accepted in any of the medical manuals, such as the ICD-10 or the DSM-5.

Kernberg described malignant narcissism as a syndrome characterised by a NPD, antisocial features, paranoid traits, and egosyntonic aggression. Other symptoms may include an absence of conscience, a psychological need for power, and a sense of importance (grandiosity). Psychoanalyst George H. Pollock wrote in 1978: “The malignant narcissist is presented as pathologically grandiose, lacking in conscience and behavioral regulation with characteristic demonstrations of joyful cruelty and sadism”. Of note, M. Scott Peck uses malignant narcissism as a way to explain evil.

Kernberg believed that malignant narcissism should be considered part of a spectrum of pathological narcissism, which he saw as ranging from Hervey M. Cleckley’s antisocial character (what is now referred to as psychopathy or antisocial personality) at the high end of severity, through malignant narcissism, and then to narcissistic personality disorder at the low end. So according to Kernberg’s hierarchy, psychopathy trumps malignant narcissism as a more extreme form of pathological narcissism. Malignant narcissism can be distinguished from psychopathy, according to Kernberg, because of the malignant narcissist’s capacity to internalise “both aggressive and idealized superego precursors, leading to the idealization of the aggressive, sadistic features of the pathological grandiose self of these patients”.

According to Kernberg, the psychopath’s paranoid stance against external influences makes him or her unwilling to internalise even the values of the “aggressor”, while malignant narcissists “have the capacity to admire powerful people, and can depend on sadistic and powerful but reliable parental images”. Malignant narcissists, in contrast to psychopaths, are also said to be capable of developing:

“some identification with other powerful idealized figures as part of a cohesive ‘gang’…which permits at least some loyalty and good object relations to be internalized… Some of them may present rationalized antisocial behavior – for example, as leaders of sadistic gangs or terrorist groups…with the capacity for loyalty to their own comrades.”

Psychopathy

The terms malignant narcissist and psychopath are sometimes used interchangeably because there is little to clinically separate the two. Individuals with narcissistic personality disorder, malignant narcissism, and psychopathy all display similar traits which are outlined in the Hare Psychopathy Checklist. The test has 20 items scored on a three-point scale, with a rating of:

  • 0 if it does not apply at all;
  • 1 if there is a partial match or mixed information; and
  • 2 if there is a reasonably good match.

With a maximum score of 40, the cut-off for the label of psychopathy is 30 in the US and 25 in the UK. High scores are positively associated with measures of impulsivity and aggression, Machiavellianism, persistent criminal behaviour, and negatively associated with measures of empathy and affiliation.

Malignant narcissism is highlighted as a key area in the study of mass murder, sexual, and serial murder.

Contrast with Narcissism

The primary difference between narcissism and malignant narcissism is that malignant narcissism includes comorbid features of other personality disorders and thus consists of a broader range of symptoms than pathological narcissism (NPD). In the term “malignant narcissism”, the word “malignant” is used in the sense of the word described by the Merriam-Webster Dictionary as “passionately and relentlessly malevolent: aggressively malicious”. In malignant narcissism, NPD is accompanied by additional symptoms of antisocial, paranoid and sadistic personality disorders. While a person with NPD will deliberately damage other people in pursuit of their own selfish desires, they may regret and will in some circumstances show remorse for doing so. Because traits of antisocial personality disorder are present in malignant narcissism, the “malignant narcissist” suffers from a more pervasive lack of empathy than someone with NPD alone and will lack feelings of guilt or remorse for the damage they cause. Since sadism is often considered a feature of malignant narcissism, an individual with the syndrome may not only lack feelings of guilt or remorse for hurting others but may even derive pleasure from the gratuitous infliction of mental or physical pain on others. These traits were formerly codified in the DSM-III under sadistic personality disorder (SPD).

Therapy

Typically in the analysis of the malignant narcissist, “the patient attempts to triumph over the analyst by destroying the analysis and himself or herself” – an extreme version of what Jacques Lacan described as “that resistance of the amour-propre… which is often expressed thus: ‘I can’t bear the thought of being freed by anyone other than myself'”.