AL-barrak 2008 King Saud University Faculty of Nursing Master program Transaction analysis program for clinical instructors at king Saud University, College of nursing Course no\ 523 Under supervision of Prof. Dr\ Elham Fayad Prepared by \ Mofida AL-barrak 1429 H -2008G 1 AL-barrak 2008 Introduction The teaching-learning situations in the class-room involve interaction between the teachers & the students. The success of a teacher may be judged through the degree of effectiveness of her teaching which may be objectively assessed through her classroom behavior or interaction. Transactional Analysis is a practical educational psychology that offers a way of transforming educational philosophy and principles into everyday practice. TA concepts provide a flexible and creative approach to understanding how people function and to the connections between human behavior, learning and education. Teaching them to both teachers and students is a process of empowerment, enhancing effective methods of interaction and mutual recognition. Any transaction has two parts: the stimulus and the response. Individual transactions are usually part of a larger set. Some of these transactional sets or sequences can be direct, productive and healthy or they can be devious, wasteful and unhealthy. Thus a systematic or objective analysis of the teacher’s classroom interaction may provide a reliable assessment of what goes on inside the class-room in terms of teaching and learning. 2 AL-barrak 2008 Overall aim Design a program for clinical instructors to apply transaction analysis in their performance. Intermediate objectives After completion of this module the clinical instructors should be able to : 1-Establish program of transaction analysis for clinical instructors, college of nursing. 2- Apply transaction analysis in their relationship with the students. Competences: To achieve the objective the clinical instructor should be possess the following competences. 1. Cognitive competences. 2. Emotional competences. 3. Concealing competences 4. Communication competences. 5. Observation competences. 6. Assertiveness competences. 7. Competences in attitude. 3 AL-barrak 2008 8. Application competences. 9. Evaluation competences Specific objectives (Task) Objective At the end of this program the clinical instructor will be to: 1. Discuses Eric Berne theoretical basis of transaction analysis. (Cognitive ) 2. Relate that everyone can think & any behavior can change. (Attitude) 3 Apply the influential model in the class that is related to deferent ego states. (Application, communication,) 4. Engage students in transaction analysis based on adult-to-adult interaction cues (Observation ,communication& application) 5. Criticize destructive game playing . (Observation &communication) 6. Appraise to lead students to a ‘Winner’s Life Script’. ( Assertiveness &communication) 7. Design strokes as a motivational technique. (Observation &communication& application ) 8-Evaluate the nature of their transactions with students.( Observation &Evaluation) 9.Operate the concept I’m OK; you’re OK on dealing with students.(Communication, assertiveness) 10.Propose that anyone can change through interactions.(attitude and emotional) 4 AL-barrak 2008 Group Size All students enrolled in master degree at KSU .College of Nursing Time Required Time requirements for the Module should be described in three ways. 1. The lead time required to announce or publicize the Module's program or activity One month 2. The time required to set up, or stage the Module's program or activity. Two months 3. The time required to actually implement the Module's program or activity. Two months Materials Needed Posters Data show Flip chart Pictures 5 AL-barrak 2008 Films (video) Simulation scenario overhead projector markers , handouts newsprint work sheets Physical Setting At King Saud University, Colleges of Nursing ,Community & Psychiatric Nursing Department The seating must be arranged, well lighting, and numbers of tables or chairs required for the comfort and security of the participants must be prepared. Resources Experienced trainer Computers Data shows White boards Flip chart Video tape Brochures Bibliography of resource materials used List of reference materials that may be consulted for followup activities. These listings also may be made available in the form of a facilitator's guide or a participant handout. 6 AL-barrak 2008 Promotions Provide the reader with examples of Local newspaper articles Letters to participants Brochures -------etc. attached to the back of the Module. Evaluation Pre-post test evaluation must be done. PROCESS 1. Preparation and Pre-planning Prepare a sequential plan of all steps necessary to complete the Module. Restate the necessary time Requirements. And indicate how the program or activity should progress. 2. Volunteer Group Activities The plans for refreshments, 7 AL-barrak 2008 Lunches Name tags Room signs Brochure development News releases Guides for facilitator and Posters. Handouts. The duties should be listed within a time sequence. 3. Activities Five sessions will be implemented Session one 1. Eric Bern theory of transaction Aim of session After implementation of this session the participant will be able to: Discuss theoretical bases of Eric Bern. Criticize destructive game playing Time required Two hours. 8 AL-barrak 2008 Lectures Computer Simulation Discussion Role playing Methods of teaching Contents Key Concepts 1. Ego states Parent: part of the personality that is an interject of the parents and parental substitutes. “Shoulds” & “oughts”. We each have both a Nurturing Parent & a Critical Parent. Adult: The processor of data. Objective. Not emotional or judgmental; without passionate convictions. Child: consists of feelings, impulses, and spontaneous acts. The Natural Child- impulsive, spontaneous expressive infant The Little Professor- unschooled wisdom of a child. Manipulative, Egocentric and creative. Intuitive. The Adapted Child- modifications of the Natural Child’s inclinations. 9 AL-barrak 2008 Whines, complies, and rebels. Clients taught how to recognize which ego state they are in. 2. Injunctions and early decisions Injunctions are messages given to the child by the parents’ internal Child out of the circumstances of the parents’ own anxiety, anger, frustration, and unhappiness. Early decisions are responses to the injunctions, motivated by the need to be recognized by our parents, to be stroked by them, and by sheer need for physical or psychological survival. These early decisions may have been appropriate in certain situations in childhood, but are inappropriate in adulthood. As adults, we can examine these decisions and determine if we will continue living by them. Decision- “I’ll get you to love me if it kills me.” “I’ll disappear or kill myself.” Don’t be close ( or trust or love) Decision- “I won’t get close and then I won’t be hurt.” Don’t grow: don’t grow up and leave me. Stay a child. Decision- “I’ll stay little and helpless.” (Anorexia Nervosa) 3. Strokes- a form of recognition Positive strokes say, “I like you.” (words and gestures) Negative strokes say, “I don’t like you.” (words and gestures) 10 AL-barrak 2008 Conditional strokes say, “I will like you if or when...” Unconditional strokes say, “I like you for being who you are.” 4. Games An ongoing series of transactions that ends with a bad feeling for at least one player. Games are designed to prevent intimacy. The life script supports early decisions & brings people the kinds of strokes to which they are accustomed. Games are exchanges of strokes that lead to payoffs of bad feelings and advance the script. TA helps people become aware of the nature of their transactions with others so they can respond to others with directness, wholeness, and intimacy. Common games: 1. Poor me 2. Martyr 3. Yes, but 4. If it weren’t for you 5. Look what you made me do 6. Harried 7. Uproar 11 AL-barrak 2008 Karpman Drama Triangle: Persecutor, Rescuer; Victim (What distinguishes a game from a transaction is the fast “switch” from one position in the triangle to another.) 5. Rackets Unpleasant feelings that we experience after a game. The chronic feelings we hold on to are often the ones we experienced with our parents. They support early decisions and are part of a life script. (Anger racket, guilt racket, depression racket, etc.) 6. Life scripts Includes parental injunctions, early decisions that resulted, games played to maintain the early decisions, resulting rackets, and expectations of the way we think our story will end. As children we decide is we are “O.K.” or “not O.K.” 7. Redecisions We can make new decisions to replace early decisions. Go back to early childhood scenes, then from Child ego state client makes a new decision both emotionally and intellectually. 12 AL-barrak 2008 Session two Aim of session After implementation of this session the participant will be able to: 1. Engage students in transaction analysis based on adult-toadult interaction cues. 2. Appraise to lead students to a ‘Winner’s Life Script’ 3. Evaluate the nature of their transactions with students Time required 2 hours. Brainstorming Discussion Role playing Methods of teaching Contents Clinical instructors become aware on content and functioning of her Parent, Adult, and Child. It allows them to find out which ego state their behavior is based on. Examples Contamination- when contents of one ego state are mixed with those of another. (Parent or Child intrudes on Adult.) 13 AL-barrak 2008 Contamination by Parent prejudiced ideas and attitudes Contamination by Child distorted perception of reality Exclusion- when rigid ego-state boundaries do not allow for free movement between ego states, i.e. the Constant Parent (duty bound; judgmental; moralistic) A description (in Ego state language) of what people do and say to themselves and to each other. Complementary- message sent from a specific ego state gets predicted response from a specific ego state of the other person. Crossed- When message gets response from unexpected ego state. Ulterior- When overt and covert message sent at same time. (More than two ego states involved. 14 AL-barrak 2008 Session three Aim of session After implementation of this session the participant will be able to: 1. Operate the concept I’m OK; you’re OK on dealing with students. 2. Propose that anyone can change through interactions 3. Design strokes as a motivational technique. Time required Two hour. Brainstorming Discussion Role playing Methods of teaching Contents It is a humanistic psychological framework that, like many such perspectives, offers ways of understanding; How people grow up How people communicate How people see the world The distinctive features of TA are the core beliefs 15 AL-barrak 2008 underpinning the theoretical concepts. To summaries these are: that people are essentially OK, hence the ‘I’m OK - You’re OK’ catch-phrase that everyone can think; make sense of information, consider options and make choices that anyone can change, learn and grow For the most part TA has been practiced in the context of psychotherapy and counseling. 16 AL-barrak 2008 Session four Aim of session After implementation of this session the participant will be able to: 1. Relate that everyone can think & any behavior can change 2-Apply the influential model in the class that is related to deferent ego states. Time required 2 hours. Brainstorming Discussion Role playing Video Methods of teaching Contents Role Playing Another group member becomes the ego state with which the client is having problems. Analysis of Games and Rackets Berne identified dozens of games, noting that, regardless of when, where 17 AL-barrak 2008 or by whom they were played, each game tended towards very similar structures in how many players or roles were involved, the rules of the game, and the game's goals. Each game has a payoff for those playing it, such as the aim of earning sympathy, satisfaction, vindication, or some other emotion that usually reinforces the life script. The antithesis of a game, that is, the way to break it, lies in discovering how to deprive the actors of their payoff. Students of transactional analysis have discovered that people who are accustomed to a game are willing to play it even as a different "actor" from what they originally were. Analysis of a game One important aspect of a game is its number of players. Games may be two handed (that is, played by two players), three handed (that is, played by three players), or many handed. Three other quantitative variables are often useful to consider for games: Flexibility: The ability of the players to change the currency of the game (that is, the tools they use to play it). In a flexible game, players may shift from words, to money, to parts of the body. Tenacity: The persistence with which people play and stick to their games and their resistance to breaking it. Intensity: Easy games are games played in a relaxed way. Hard games are games played in a tense and aggressive way. Based on the degree of acceptability and potential harm, games are classified as: First Degree Games are socially acceptable in the players' social 18 AL-barrak 2008 circle. Second Degree Games are games that the players would like to conceal, though they may not cause irreversible damage. Third Degree Games are games that could lead to drastic harm to one or more of the parties concerned. Games are also studied based on their: Aim Roles Social and Psychological Paradigms Dynamics Advantages to players (Payoffs) 4. Post Activities Made post test Provide examples of review questions for both the facilitator and the participants to assist in any follow up sessions as attachments to the Module. Provide examples of thank you letters written to facilitators, their employers, and all community sponsors. Suggest criteria to justify repeating the program or activity. 19 AL-barrak 2008 References Lawrence L. Applying Transactional Analysis and Personality Assessment to Improve patient Counseling and Communication Skills American Journal of Pharmaceutical Education 2007; 71 (4) Article 81. Seligman, M., & Csikszentmihalyi, M. (2000). Positive psychology. American Psychologist, 55(1), 5-14. McAdams, D. P., Reynolds, J., Lewis, M. L., Patten, A., & Bowman, P. T. (2001). When bad things turn good and good things turn bad: Sequences of redemption and contamination in life narrative, and their relation to psychosocial adaptation in midlife adults and in students. Personality and Social Psychology Bulletin, 27, 472-483. Persons, J. B., Davidson, J., & Tompkins, M. A. (2001). Essential components of cognitive-behavior therapy for depression. Washington, DC: American Psychological Association. Novey, T. (2002). Measuring the effectiveness of transactional analysis: An international study. Transactional Analysis Journal, 32, 8-24. Loffredo, D. A., Harrington, R., Munoz, M. K., & Knowles, L. R. (2004). The ego state questionnaire-Revised. Transactional Analysis Journal, 34, 9095. Franken D. (2008): LIFESKILLS TRAINING 303: Skills for Optimum Personal Relations Wellness Pub. Chapter 1 20 AL-barrak 2008 21