Author Archives: Amilka Lopez

Behaviorism

What is behaviorism and why do we study it? Behaviorism is the belief that humans learn through observing and experimentation. It is the idea that all human events and reaction are described by circumstances and controlled by discipline or a prize without free will. There are two ways in which behaviorism can unfold: Classical Conditioning and Operant Conditioning.

Classical Conditioning is when the conditioned stimulus makes a second stimulus respond towards a specific behavior. For example, John Watson and Rayner conducted an experiment with a boy named Albert. In his experiment he paired a white rat with a loud noise that was made with a hammer. Watson conditioned Albert to fear the rat, so every time he hears the noise now he becomes frightened. Operant conditioning is the understanding of the procedure where the effect of the outcomes comes after a response and it decides if the behavior will be repeated or not. For example, if a child gets good grades and his mom/dad buys them a pair of shoes, the child will keep on getting good grades in order to get more shoes. This example can also be known as positive reinforcement. One of the differences between classical and operant conditioning is that it focuses on the behavior. Whether is involuntary or voluntary. Classical conditioning requires making an alliance between an involuntary response and a stimulus, while operant conditioning is about making an alliance between a voluntary behavior and its effect. In operant conditioning, the learner is rewarded with incentives, while classical conditioning involves no such enticements. In addition, classical conditioning focuses on the involuntary part of the learner and gets automatic behaviors, while operant conditioning requires the learner to contribute and conduct some type of action in order to be rewarded or punished.

Working at a daycare most children enrolled tend to behave based on rewards and punishments rather than trying to avoid fear. In other words, the children don’t behave based on classical conditioning; children behave based on operant conditioning. For example, if it is cold outside and the children choose not to wear their coat the parents simply punish them. Parents take away their favorite toy in exchange for cooperation to the orders from the parent. If the child listens to the parent’s orders, the parent usually would give their child a candy or satisfying comments that make the child feel happy. Next time when the children cooperate, they expect the toy or the good comments from the parent, which then eliminates the bad behavior for a long period of time. On the other hand, classical conditioning does not allow the same behavior to work as operant does. With classical conditioning, kids change their behaviors because they’re trying to avoid a fear. To me that is not a good way to teach children how to behave because their fear sensitivity decreases as they get older.  Another disadvantage that classical conditioning has is that it doesn’t focus on learning. Classical conditioning makes an effort on instilling a temporary learning process. As for operant conditioning, the focus is toward long-term learning.

A child’s personality and trait depends on how their parents react to their behavior. Parents should take varying measures in different situations. Every so often, it is necessary to reward children and encourage them, and in other situations, parents should choose to be strict and punish them as well. Classical conditioning does not do this and even adults like to be rewarded and compensated for our actions. To motivate children to behave well, it is crucial to praise and inspire them to do this kind of activity more often. Therefore I believe that although both classical conditioning and operant conditioning are good when correlated with child behavior, operant works better.

Late Surprise

Since I will be spending a whole semester with you guys I basically decided to share this piece with you. I hope you guys enjoy.

Late Surprise – Amilka Lopez

“You are a very healthy girl,” my doctors said, “You have no signs of sickness everything is good conditions”. Well at least that’s what it seemed like at the time.

When I graduated high school I remember that for a totally healthy girl the doctors appeared to be more interested in my labs. I think this was when I suddenly became sick. The doctors promptly made monthly appointments for me and I was always called a day before to remind me. “Is this the parent or guardian of Amilka Lopez, we are just calling from the doctors office to let you know that you’ve got an appointment tomorrow at 2.” I really began to hate hearing this every month.

From what I recall, all I truly remember from my summer 2009, is working at the daycare and visiting the doctor’s office. Visiting the doctor’s office was not a normal thing to me anymore; I was actually anxious and a bit scared because I did not know what was wrong with me. Every time I asked the doctor, she would just say, “Something is wrong with your blood”, and when I asked the receptionist that will call me to inform me that I still have to go in and take more labs she will tell me, “You have abnormal blood”.  I didn’t know how I should of taken this but I actually thought it was pretty funny, “How can someone have abnormal blood. What am I not normal?”

The doctors kept getting the same results over and over again so they all came to a conclusion and they decided to refer me to a specialist. The Rheumatologist is a specialist who deals with blood work and many autoimmune diseases. I remember when I went into the hospital for the very first time, I saw a lot of ill children and it freaked me out because I thought I was going to die. My Rheumatologist also made monthly appointments with me and I was required to do some biopsies. Every time I went to my appointments I had my good friend Giselle or my mother there with me. Giselle was actually there when I got a biopsy and I remember when I grasped her hand because I was terrified of the big needles they were going to insert on my neck. After that the doctors said some pretty scary things because they were still unsure of what I had since my labs weren’t accurate. They said I had a thyroid problem on my neck, cancer and then lupus.

I believe it was November 2010 that I had been diagnosed with lupus. Lupus is an autoimmune disease where white blood cells attack your organs: brain, liver, kidney etc. instead of protecting them against any harm. The sickness alone cannot go away but they are treatments that can help control it. The doctor immediately told me what was best for me and then she prescribed me my first set of pills. I remember my boyfriend and his mother trying to teach me how to take my pills. His mother would give me a glass of milk and tell me to chug it and not to think of anything for that moment and I did, I took my pills for the very first time.

I never really expected last semester to be difficult on me. It all started when they referred me to the Adult Rheumatologist. Since mid June of 2009 I began seeing a rheumatologist specialist at The Children’s hospital at Montefiore (CHAM). My previous doctor Kathy-Kenneth said “It is time to let you go, but you still have couple of months till you turn twenty-one, so we will see you till then.” I was very sad and disappointed when I heard her say this to me. I mean I knew that sooner or later I had to switch doctors but it all happened so quick.

Ever since I started seeing CHAM I felt somewhat better. I still felt tired and weak most of the time but that’s one of the symptoms of Lupus. I never really got any rashes on my face only the lesions on my scalp that I hated so much “Well I still do”. The lesions are just so itchy that I always felt like yanking them out.

I always went to my monthly appointments; I never missed any of them because I believe that my health is more important than anything. The doctor’s office at CHAM will always call me before my appointments to make sure that I will be there and if not to reschedule. As I walked every month to my appointments I felt happy. I knew that I had good doctors because they will always call me just to ask me how I was and to tell me how my blood results came up.

Unfortunately, October 23rd 2012 was my last visit with Doctor Illowite (the head Dr.) and Kathy Kenneth. Now I had to go to the Adult Rheumatology. My experience at the Adult section was terrible. My insurance somehow stopped working and a week before the new appointment with my new doctors I happen to get a call from the front desk saying, “May I please speak with Amilka Lopez? It’s from the Lupus Clinic at Montefiore.” I respond and say, “Yes, you are speaking with her.” and they tell me that I apparently have no insurance and that the doctor will not be able to see me unless I paid out of my own pocket. This was when all hell broke loose because I stopped seeing CHAM and my lupus wasn’t in remission anymore. I needed to see a doctor right away. A couple of weeks later my mother tells me that I was no longer under her insurance and that I had to apply on my own now because I was considered an adult. “Thanks Obama, you made me miss my appointment- ahh”. Any who I reapplied and when I finally see the doctor they told me that regardless if I had no insurance they would have still seen me because I am sick.

In addition, I am currently seeing the Doctors at New York- Presbysterian, the #1 hospital in New York for Lupus. I believe the hospital just got so sick of seeing me every two weeks in the Emergency Room with new lesions and outbreaks that they referred me and told me to make some changes with my insurance so that I would be able to see the Nephrology, Ophthalmology, Rheumatology, and Dermatology doctors there.

So far I have three to four months seeing the doctors at Columbia and my lesions still come and go but I am so much happier than I was at Montefiore. The doctors now really do care a lot about me. My Rheumatologist has me seeing other specialist just to make sure that I have no other disease apart from the lupus. My Nephrology doctor just did a biopsy this Wednesday and I am still waiting for the results to come.

At the moment I am proud to say that I am a lupus fighter. Having Lupus has really made me stronger and opened up my mind more towards other ill patients. I can some how relate to them more since I myself am also ill. My life has completely changed ever since I was diagnosed. Some of memories can never be forgotten and this is one.