Rewards and PunishmentThis is a featured page

"...the anxiety children feel at constantly being tested, their fear of failure, punishment, and disgrace,
severely reduces their ability both to perceive and to remember, and drives them away
from the material being studied into strategies for fooling teachers
into thinking they know what they really don't know."
- John Holt


Punishment

  • Punishment embeds in the psycheresearch has shown it doesn't increase learning over time
    • punishment becomes associated with learning, so simplistically you avoid punishment by avoiding learning
  • increases dependency or rebellion
    • when you can't avoid punishment learning, you watch your teacher very carefully and conform to what they want or you do the opposite and constantly challenge the teacher in order to defeat them. These behaviours can become habitual even when the threat is removed.
  • decreases self-directed learning
    • in both of the above situations, the desire to learn is motivated by fear not intrinsic curiosity or desire to improve patient care; remove the fear, remove the motivation to learn
  • embeds deeply in person and is difficult to shake
    • years later, the punished sometimes becomes the perpetual victim or the punisher even when they say they would never do this to others (like abused children and spouses)
    • years later, the punished continues to avoid learning, a dangerous habit for a practicing physician
    • years later, the emotional scars linger even in wonderful, productive physicians

Rewards

  • useful with animals and very young children
    • children need dependency to feel safe and to learn to behave in socially accepted ways
  • builds dependency on reward/reward giver
    • the learner can spend a lot of time and energy concentrating on what will please the instructor instead of reflecting on what they personally need to learn next
  • decreases self directed learning
    • once again intrinsic desire to learn is lost when you need an external reward or punishment in order to motivate yourself to learn
  • increases competition
    • rewards only work when they are perceived to be in short supply. If a group of individuals want a limited number of rewards (marks, placements, attention), then someone is going to do whatever they can to win.
  • decreases effective team work
    • medical students have been competing successfully all their school lives and this competition decreases their ability to be team players. Competitive people prefer to work alone, be in charge or continue the competition into the workplace. The more competition is expressed in passive/aggressive behaviour, the less effective the medical team becomes at problem solving and planning.


References


A jury yesterday awarded $1.6 million to a female neurosurgeon at Brigham and Women's Hospital, finding that she was subject to a hostile work environment and that, when she complained, the hospital retaliated against her.

Dan Pink lecture on the surprising science of motivation at TED or this animated video if you want a quick overview.

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DeirdreB
DeirdreB
Latest page update: made by DeirdreB , Aug 2 2012, 7:07 PM EDT (about this update About This Update DeirdreB Edited by DeirdreB

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DeirdreB Rewards and Punishment 0 May 31 2008, 1:09 PM EDT by DeirdreB
Thread started: May 31 2008, 1:09 PM EDT  Watch
What do you think about the concept of eliminating rewards and punishment from medical education?
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