Applied behavior analysis

Applied behavior analysis (ABA), also called behavioral engineering,[1][2] is a psychological intervention that applies approaches based upon the principles of respondent and operant conditioning to change behavior of social significance.[3][4] It is the applied form of behavior analysis; the other two forms are radical behaviorism (or the philosophy of the science) and the experimental analysis of behavior (or basic experimental laboratory research).[3]

The name applied behavior analysis has replaced behavior modification because the latter approach suggested attempting to change behavior without clarifying the relevant behavior-environment interactions. In contrast, ABA changes behavior by first assessing the functional relationship between a targeted behavior and the environment.[5][6][7] Further, the approach often seeks to develop socially acceptable alternatives for aberrant behaviors.[7]

Although service delivery providers overwhelmingly specialize in utilizing structured and naturalistic early behavioral interventions for individuals with autism,[8] ABA has also been utilized in a range of other areas.[9][10][11][12]

ABA is controversial, especially among members of the autism rights movement, for a number of reasons.[13] Some ABA interventions emphasize normalization instead of acceptance, and there is a history of, in some forms of ABA and its predecessors, the use of aversives, such as electric shocks.[14][15][16] ABA is also controversial due to concerns about its evidence base.[17][18][19] In the last few years, there have been reforms in some types of ABA interventions to address these criticisms and concerns, especially regarding masking.[15]

Definition

ABA is an applied science devoted to developing procedures which will produce observable changes in behavior.[3] It is to be distinguished from the experimental analysis of behavior, which focuses on basic experimental laboratory research,[9] but it uses principles developed by such research, in particular operant conditioning and classical conditioning. Behavior analysis adopts the viewpoint of radical behaviorism, treating thoughts, emotions, and other covert activity as behavior that is subject to the same rules as overt responses. This represents a shift away from methodological behaviorism, which restricts behavior-change procedures to behaviors that are overt, and was the conceptual underpinning of behavior modification.

Behavior analysts also emphasize that the science of behavior must be a natural science as opposed to a social science.[20] As such, behavior analysts focus on the observable relationship of behavior with the environment, including antecedents and consequences, without resort to "hypothetical constructs".[21]

History

The beginnings of ABA can be traced back to Teodoro Ayllon and Jack Michael's study "The psychiatric nurse as a behavioral engineer" (1959) that they published in the Journal of the Experimental Analysis of Behavior (JEAB). Ayllon and Michael were training the staff at a psychiatric hospital how to use a token economy based on the principles of operant conditioning for patients with schizophrenia and intellectual disability,[2] which led to researchers at the University of Kansas to start the Journal of Applied Behavior Analysis (JABA) in 1968.[22][23]

A group of researchers at the University of Washington, including Donald Baer, Sidney W. Bijou, Bill Hopkins, Jay Birnbrauer, Todd Risley, and Montrose Wolf,[24][25] applied the principles of behavior analysis to manage the behavior of children and adolescents in juvenile detention centers and organize employees who required proper structure and management in businesses. In 1968, Baer, Bijou, Risley, Birnbrauer, Wolf, and James Sherman joined the Department of Human Development and Family Life at the University of Kansas, where they founded the Journal of Applied Behavior Analysis.[26]

Notable graduate students from the University of Washington include Robert Wahler, James Sherman, and Ivar Lovaas.[22][26] Lovaas established the UCLA Young Autism Project while teaching at the University of California, Los Angeles. In 1965, Lovaas published a series of articles that described a pioneering investigation of the antecedents and consequences that maintained a problem behavior,[27] and relied on the methods of errorless learning which was initially used by Charles Ferster to teach nonverbal children to speak. Lovaas also described how to use social (secondary) reinforcers, teach children to imitate, and what interventions (including electric shocks) may be used to reduce aggression and life-threatening self-injury.[27][28]

In 1987, Lovaas published the study, "Behavioral treatment and normal educational and intellectual functioning in young autistic children".[22] The experimental group in this study received an average of 40 hours per week in a 1:1 teaching setting at a table using errorless discrete trial training (DTT).[29] The treatment is done at home with parents involved, and the curriculum is highly individualized with a heavy emphasis on teaching eye contact, fine and gross motor imitation, and language. The use of aversives and reinforcement were used to motivate learning and reduce non-desired behaviors.[22] Early development of the therapy in the 1960s involved use of shocks and the withholding of food.[18] By the time children were enrolled in this study, such aversives were abandoned, and a loud "no" or a slap to the thigh were used only as a last resort to reduce aggressive and self-stimulatory behaviors. The outcome of this study indicated 47% of the experimental group (9/19) went on to lose their autism diagnosis and were described as indistinguishable from their typical adolescent peers. This included passing education without assistance and making and maintaining friends. These gains were maintained as reported in the 1993 study, "Long-term outcome for children with autism who received early intensive behavioral treatment". Lovaas' work went on to be recognized by the US Surgeon General in 1999, and his research were replicated in university and private settings.[30][31] The "Lovaas Method" went on to become known as early intensive behavioral intervention (EIBI).

Over the years, "behavior analysis" gradually superseded "behavior modification"; that is, from simply trying to alter problematic behavior, behavior analysts sought to understand the function of that behavior, what reinforcement histories (i.e., attention seeking, escape, sensory stimulation, etc.) promote and maintain it, and how it can be replaced by successful behavior.[7] This analysis is based on careful initial assessment of a behavior's function and a testing of methods that produce changes in behavior.

While ABA seems to be intrinsically linked to autism intervention, it is also used in a broad range of other situations. Recent notable areas of research in the Journal of Applied Behavior Analysis include autism,[11] classroom instruction with typically developing students, pediatric feeding therapy,[10][11][32] and substance use disorders.[10][11] Other applications of ABA include applied animal behavior, consumer behavior analysis, forensic behavior analysis, behavioral medicine, behavioral neuroscience, clinical behavior analysis,[10][11] organizational behavior management,[10][11] schoolwide positive behavior support,[10][33][34][35] and contact desensitization for phobias.

Characteristics

Baer, Wolf, and Risley's 1968 article[36] is still used as the standard description of ABA.[23][37] It lists the following seven characteristics of ABA. Another great resource for the characteristics of applied behavior analysis is from a textbook called, “Behavior Modification: Principles and Procedures.” [38]

  • Applied: ABA focuses on the social significance of the behavior studied. For example, a non-applied researcher may study eating behavior because this research helps to clarify metabolic processes, whereas the applied researcher may study eating behavior in individuals who eat too little or too much, trying to change such behavior so that it is more acceptable to the persons involved. It is also based on trying to improve the everyday life of clients that are receiving it.
  • Behavioral: ABA is pragmatic; it asks how it is possible to get an individual to do something effectively. To answer this question, the behavior itself must be objectively measurable and observable. This is designed so that when someone is trying to determine a target behavior, it is able to be observed and understood by anyone. Verbal descriptions are treated as behavior in themselves, and not as substitutes for the behavior described.
  • Analytic: Behavior analysis is successful when the analyst understands and can manipulate the events that control a target behavior. This may be relatively easy to do in the lab, where a researcher is able to arrange the relevant events, but it is not always easy, or ethical, in an applied situation.[36] In order to consider something to fall under the spectrum of analytic, it must demonstrate a functional relationship and it must be provable. Baer et al. outline two methods that may be used in applied settings to demonstrate control while maintaining ethical standards. These are the reversal design and the multiple baseline design. In the reversal design, the experimenter first measures the behavior of choice, introduces an intervention, and then measures the behavior again. Then, the intervention is removed, or reduced, and the behavior is measured yet again. The intervention is effective to the extent that the behavior changes and then changes back in response to these manipulations. The multiple baseline method may be used for behaviors that seem irreversible. Here, several behaviors are measured and then the intervention is applied to each in turn. The effectiveness of the intervention is revealed by changes in just the behavior to which the intervention is being applied.
  • Technological: The description of analytic research must be clear and detailed, so that any competent researcher can repeat it accurately.[36] The goal is to make sure that anyone can implement and understand what is being explained. Cooper et al. describe a good way to check this: Have a person trained in applied behavior analysis read the description and then act out the procedure in detail. If the person makes any mistakes or has to ask any questions then the description needs improvement.[23][39]
  • Conceptually Systematic: Behavior analysis should not simply produce a list of effective interventions. Rather, to the extent possible, these methods should be grounded in the principles of applied behavioral analysis. This is aided by the use of theoretically meaningful terms, such as "secondary reinforcement" or "errorless discrimination" where appropriate.
  • Effective: Though analytic methods should be theoretically grounded, they must be effective. Interventions also must be relevant to the client and/or culture. An analyst must ask themselves if the intervention is working. The intervention must also contain a positive change. If an intervention does not produce a large enough effect for practical use, then the analysis has failed
  • Generality: Behavior analysts should aim for interventions that are generally applicable; the methods should work in different environments, apply to more than one specific behavior, and have long-lasting effects. This generalizability should be implemented from the very beginning of the intervention. When first starting a new intervention, it is a good idea for that to take place in a natural environment for the client.

Other proposed characteristics

In 2005, Heward et al. suggested that the following five characteristics should be added:[40]

  • Accountable: To be accountable means that ABA must be able to demonstrate that its methods are effective. This requires the repeatedly measuring the effect of interventions (success, failure or no effect at all), and, if necessary, making changes that improve their effectiveness.[41]
  • Public: The methods, results, and theoretical analyses of ABA must be published and open to scrutiny. There are no hidden treatments or mystical, metaphysical explanations.
  • Doable: To be generally useful, interventions should be available to a variety of individuals, who might be teachers, parents, therapists, or even those who wish to modify their own behavior. With proper planning and training, many interventions can be applied by almost anyone willing to invest the effort.[40]:205
  • Empowering: ABA provides tools that give the practitioner feedback on the results of interventions. These allow clinicians to assess their skill level and build confidence in their effectiveness.[42]
  • Optimistic: According to several leading authors , behavior analysts have cause to be optimistic that their efforts are socially worthwhile, for the following reasons:
    • The behaviors impacted by behavior analysis are largely determined by learning and controlled by manipulable aspects of the environment.
    • Practitioners can improve performance by direct and continuous measurements.
    • As a practitioner uses behavioral techniques with positive outcomes, they become more confident of future success.
    • The literature provides many examples of success in teaching individuals considered previously unteachable.

Use as therapy for autism

A large majority of ABA practitioners specialise in autism,[8] although BCBA certification does not require any autism training.[43] ABA-based techniques are often used to teach adaptive behaviors[44] or to diminish behaviors associated with autism, so much that ABA itself is often mistakenly considered to be synonymous with therapy for autism.[9] According to a paper from 2007, it was considered to be an effective "intervention for challenging behaviors" by the American Academy of Pediatrics.[45] A 2018 Cochrane review of five studies that compared treatment vs. control showed that ABA may be effective for some autistic children, but noted that the evidence for this is weak.[46] The effectiveness of ABA therapies for autism may be overall limited by diagnostic severity, age of intervention, and IQ.[47][48]

2007–2009 reviews

A 2007 clinical report of the American Academy of Pediatrics concluded that the benefit of ABA-based interventions in autism spectrum disorders (ASDs) "has been well documented" and that "children who receive early intensive behavioral treatment have been shown to make substantial, sustained gains in IQ, language, academic performance, and adaptive behavior as well as some measures of social behavior".[49] In 2008, Researchers from the MIND Institute published an evidence-based review of comprehensive treatment approaches. On the basis of "the strength of the findings from the four best-designed, controlled studies", they were of the opinion that one ABA-based approach (the Lovaas technique created by Ole Ivar Løvaas) is "well-established" for improving intellectual performance of young children with ASD.[50]

A 2009 review of psycho-educational interventions for children with autism whose mean age was six years or less at intake found that five high-quality ("Level 1" or "Level 2") studies assessed ABA-based treatments. On the basis of these and other studies, the author concluded that ABA is "well-established" and is "demonstrated effective in enhancing global functioning in pre-school children with autism when treatment is intensive and carried out by trained therapists".[51] However, the review committee also concluded that "there is a great need for more knowledge about which interventions are most effective". A 2009 paper included a descriptive analysis, an effect size analysis, and a meta-analysis of 13 reports published from 1987 to 2007 of early intensive behavioral intervention (EIBI, a form of ABA-based treatment with origins in the Lovaas technique) for autism. It determined that EIBI's effect sizes were "generally positive" for IQ, adaptive behavior, expressive language, and receptive language. The paper did note limitations of its findings including the lack of published comparisons between EIBI and other "empirically validated treatment programs".[52] In a 2009 systematic review of 11 studies published from 1987 to 2007, the researchers wrote "there is strong evidence that EIBI is effective for some, but not all, children with autism spectrum disorders, and there is wide variability in response to treatment". Furthermore, any improvements are likely to be greatest in the first year of intervention.[53]

A 2009 meta-analysis of nine studies published from 1987 to 2007 concluded that EIBI has a "large" effect on full-scale intelligence and a "moderate" effect on adaptive behavior in autistic children.[54] A 2009 systematic review and meta-analysis by Spreckley and Boyd of four small-n 2000–2007 studies (involving a total of 76 children) came to different conclusions than the aforementioned reviews.[55] Spreckley and Boyd reported that applied behavior intervention (ABI), another name for EIBI, did not significantly improve outcomes compared with standard care of preschool children with ASD in the areas of cognitive outcome, expressive language, receptive language, and adaptive behavior.[55] In a letter to the editor, however, authors of the four studies meta-analyzed claimed that Spreckley and Boyd had misinterpreted one study comparing two forms of ABI with each other as a comparison of ABI with standard care, which erroneously decreased the observed efficacy of ABI.[56] Furthermore, the four studies' authors raised the possibility that Spreckley and Boyd had excluded some other studies unnecessarily, and that including such studies could have led to a more favorable evaluation of ABI.[56] Spreckley, Boyd, and the four studies' authors did agree that large multi-site randomized trials are needed to improve the understanding of ABA's efficacy in autism.[56]

2010–2019 reviews

In 2011, investigators from Vanderbilt University under contract with the Agency for Healthcare Research and Quality performed a comprehensive review of the scientific literature on ABA-based and other therapies for autism spectrum disorders; the ABA-based therapies included the UCLA/Lovaas method and the Early Start Denver Model (the latter developed by Sally Rogers and Geraldine Dawson).[57] They concluded that "both approaches were associated with ... improvements in cognitive performance, language skills, and adaptive behavior skills".[57]:ES-9 However, they also concluded that "the strength of evidence ... is low", "many children continue to display prominent areas of impairment", "subgroups may account for a majority of the change", there is "little evidence of practical effectiveness or feasibility beyond research studies", and the published studies "used small samples, different treatment approaches and duration, and different outcome measurements".[57]:ES-10

A preliminary 2014 study indicated that there might be a publication bias against single-subject research studies that show that ABA is ineffective. Publication bias could lead to exaggerated estimates of intervention effects observed by single-subject studies.[58]

A 2019 meta-analysis found some evidence in favour of behavioral interventions, but noted that "methodological rigor remains a pressing concern in this area of research" and, when they limited their scope to RCT designs and outcomes for which there was no risk of detection bias, found no significant effects on any outcome, for any of the approaches they looked at.[19]

Reviews since 2020

The results of two studies surveying autistic adults who went through ABA as a child found that a majority perceived ABA to have a detrimental impact on their lives, although in common with most ABA research,[59][17] the studies had methodological concerns and a risk of bias.[60] Two 2020 reviews found that very few studies directly reported on or investigated possible harms; although a significant number of studies mentioned adverse events in their analysis of why people withdrew from them, there was no effort to monitor or collect data on adverse outcomes.[61][62][63]

Implementation reviews

There is a growing body of literature regarding the proficient implementation of and adherence to behaviour support plans which stress the importance of service factors such as staff training, staff attitudes, resource availability, quality of communications, staff matching, supervision, access to specialist clinicians, etc.[64][65] Understanding the impact of these factors using tools such as Behavior support systems review and others is an important step in the overall quality improvement and maintenance strategy of any service system implementing applied behaviour analysis programs.[66][67]

Criticism

Researchers and advocates have critiqued the ABA ethical code as being too lenient,[68] discussing how it does not restrict or clarify the "appropriate use of aversives", does not require competency as ABA therapists are "not required to take even a single class on autism, brain function or child development", and its view of the client as the parent meaning that requiring "client consent" only requires parental consent, not the person receiving services.[43][69] Similarly, it is argued that because the parent is seen as the client, the goals that are set under the ethical code are according to the client's needs, which often means that focusing on changing autistic behaviors for the benefit of the parent and not the child is considered ethical.[69] Furthermore, studies have argued that ABA may be abusive and can increase symptoms of post-traumatic stress disorder (PTSD) in patients.[14][43][69][70][71][72] The Autistic Self Advocacy Network campaigns against the use of ABA in autism.[73][74]

Another criticism of the Lovaas Method is Lovaas's connection with gay conversion therapy, using his own behavior modification techniques seen in ABA in The Feminine Boy project.[75] Similarities in gay conversion therapy to making boys indistinguishable from their heterosexual peers have been drawn with Lovaas' belief that ABA makes "autistic children indistinguishable from their normal friends."[75] According to social worker and researcher Jake Pyne, ableism is the reason why ABA continues to be practiced in some jurisdictions where conversion therapy is prohibited, despite underlying similarities.[76] Others have rejected these comparisons between ABA and gay conversion therapy,[77] arguing that such comparisons are harmful to both the autistic community and the LBGTIQA+ community.[78]

One study revealed extensive undisclosed conflicts of interest (COI) in published ABA studies. 84% of studies published in top behavioral journals over a period of one year had at least one author with a COI involving their employment, either as an ABA clinical provider or a training consultant to ABA clinical providers. However, only 2% of these studies disclosed the COI.[59]

Some bioethicists argue that employing ABA violates the principles of justice and nonmaleficence and infringes on the autonomy of autistic children, and their parents as well.[69]

Another concern is that ABA research only measures behavior as a means of success, which has led to a lack of qualitative research about autistic experiences of ABA, a lack of research examining the internal effects of ABA and a lack of research for autistic children who are non-speaking or have comorbid intellectual disabilities (which is concerning considering this is one of the major populations that intensive ABA focuses on).[14][43][47][48] Research is also lacking about whether ABA is effective long-term and very little longitudinal outcomes have been studied.[43]

One more area of critique has been the "ideological warfare" surrounding ABA and TEACCH, despite the philosophies and practices of the two approaches not necessarily being in opposition.[79] The rhetoric surrounding ABA was criticized by The British Institute of Learning Disabilities, including parents and professionals that claim that ABA "cured" their child's autism, like one parent who "claims that ABA had saved her children's lives, likening it to chemotherapy as a treatment for cancer."[80]

Justin B. Leaf and others examined and responded to several of these criticisms of ABA in a 2021 paper,[81] in which they questioned the evidence upon which these criticisms are based, and concluded that in the published literature there is limited to no validity to the claim that all ABA is abusive. Others have published similar responses.[82][83][84]

Views of the autistic community

The value of eliminating autistic behaviors is disputed by proponents of neurodiversity, who maintain that it forces autistic people to mask their true personalities on behalf of a narrow conception of normality.[85] Masking is associated with suicidality and poor long-term mental health.[86][87] Some autism advocates contend that it is cruel to try to make autistic people "normal" without consideration for how this may affect their well-being.[13] Instead, these critics advocate for increased social acceptance of harmless autistic traits and therapies focused on improving quality of life.[88]

A 2020 study examined perspectives of autistic adults that received ABA as children and found that the overwhelming majority reported that "behaviorist methods create painful lived experiences", that ABA led to the "erosion of the true actualizing self", and that they felt they had a "lack of self-agency within interpersonal experiences".[14]

In response to many of the criticisms towards ABA from members of the autistic community, some behavior analysts have referenced Damian Milton's theory of the double empathy problem, saying that behavior analysts are "just different" and "think differently from most other people", consequently feeling misunderstood and discriminated against by members of the autistic community.[89]

Use of aversives

Some embodiments of applied behavior analysis as devised by Ole Ivar Lovaas used aversives such as electric shocks to modify undesirable behavior in their initial use in the 1970s, as well as slapping and shouting in a 1987 study. Over time the use of aversives lessened and in 2012 their use was described as being inconsistent with contemporary practice.[90] However, aversives have continued to be used in some ABA programs. In comments made in 2014 to the US Food and Drug Administration (FDA), a clinician who previously worked at the Judge Rotenberg Educational Center claimed that "all textbooks used for thorough training of applied behavior analysts include an overview of the principles of punishment, including the use of electrical brain stimulation."[91]

Concepts

Behavior

Behavior refers to the movement of some part of an organism that changes some aspect of the environment.[92] Often, the term behavior refers to a class of responses that share physical dimensions or functions, and in that case a response is a single instance of that behavior.[23][93] If a group of responses have the same function, this group may be called a response class. Repertoire refers to the various responses available to an individual; the term may refer to responses that are relevant to a particular situation, or it may refer to everything a person can do.

Operant conditioning

Operant behavior is the so-called "voluntary" behavior that is sensitive to, or controlled by its consequences. Specifically, operant conditioning refers to the three-term contingency that uses stimulus control, in particular an antecedent contingency called the discriminative stimulus (SD) that influences the strengthening or weakening of behavior through such consequences as reinforcement or punishment.[94] The term is used quite generally, from reaching for a candy bar, to turning up the heat to escape an aversive chill, to studying for an exam to get good grades.

Respondent (classical) conditioning

Respondent (classical) conditioning is based on innate stimulus-response relationships called reflexes. In his famous experiments with dogs, Pavlov usually used the salivary reflex, namely salivation (unconditioned response) following the taste of food (unconditioned stimulus). Pairing a neutral stimulus, for example a bell (conditioned stimulus) with food caused the dog to elicit salivation (conditioned response). Thus, in classical conditioning, the conditioned stimulus becomes a signal for a biologically significant consequence. Note that in respondent conditioning, unlike operant conditioning, the response does not produce a reinforcer or punisher (e.g., the dog does not get food because it salivates).

Reinforcement

Reinforcement is the key element in operant conditioning[95] and in most behavior change programs.[96] It is the process by which behavior is strengthened. If a behavior is followed closely in time by a stimulus and this results in an increase in the future frequency of that behavior, then the stimulus is a positive reinforcer. If the removal of an event serves as a reinforcer, this is termed negative reinforcement.[97] There are multiple schedules of reinforcement that affect the future probability of behavior. "[H]e would get Beth to comply by hugging him and giving her food as a reward"[98]

Punishment

Punishment is a process by which a consequence immediately follows a behavior which decreases the future frequency of that behavior.[99] As with reinforcement, a stimulus can be added (positive punishment) or removed (negative punishment). Broadly, there are three types of punishment: presentation of aversive stimuli (e.g., pain), response cost (removal of desirable stimuli as in monetary fines), and restriction of freedom (as in a 'time out').[100] Punishment in practice can often result in unwanted side effects.[101] Some other potential unwanted effects include resentment over being punished, attempts to escape the punishment, expression of pain and negative emotions associated with it, and recognition by the punished individual between the punishment and the person delivering it. "He would use loud sounds of 100 decibels on two 5-year-old autistic twins" [98]

Extinction

Extinction is the technical term to describe the procedure of withholding/discontinuing reinforcement of a previously reinforced behavior, resulting in the decrease of that behavior.[102]:102 The behavior is then set to be extinguished (Cooper et al.). Extinction procedures are often preferred over punishment procedures, as many punishment procedures are deemed unethical and in many states prohibited. Nonetheless, extinction procedures must be implemented with utmost care by professionals, as they are generally associated with extinction bursts. An extinction burst is the temporary increase in the frequency, intensity, and/or duration of the behavior targeted for extinction.[102]:104 Other characteristics of an extinction burst include an extinction-produced aggression—the occurrence of an emotional response to an extinction procedure often manifested as aggression; and b) extinction-induced response variability—the occurrence of novel behaviors that did not typically occur prior to the extinction procedure. These novel behaviors are a core component of shaping procedures.

Discriminated operant and three-term contingency

In addition to a relation being made between behavior and its consequences, operant conditioning also establishes relations between antecedent conditions and behaviors. This differs from the S–R formulations (If-A-then-B), and replaces it with an AB-because-of-C formulation. In other words, the relation between a behavior (B) and its context (A) is because of consequences (C), more specifically, this relationship between AB because of C indicates that the relationship is established by prior consequences that have occurred in similar contexts.[103] This antecedent–behavior–consequence contingency is termed the three-term contingency. A behavior which occurs more frequently in the presence of an antecedent condition than in its absence is called a discriminated operant. The antecedent stimulus is called a discriminative stimulus (SD). The fact that the discriminated operant occurs only in the presence of the discriminative stimulus is an illustration of stimulus control.[104] More recently behavior analysts have been focusing on conditions that occur prior to the circumstances for the current behavior of concern that increased the likelihood of the behavior occurring or not occurring. These conditions have been referred to variously as "Setting Event", "Establishing Operations", and "Motivating Operations" by various researchers in their publications.

Verbal behavior

B. F. Skinner's classification system of behavior analysis has been applied to treatment of a host of communication disorders.[105] Skinner's system includes:

  • Tact – a verbal response evoked by a non-verbal antecedent and maintained by generalized conditioned reinforcement.
  • Mand – behavior under control of motivating operations maintained by a characteristic reinforcer.
  • Intraverbals – verbal behavior for which the relevant antecedent stimulus was other verbal behavior, but which does not share the response topography of that prior verbal stimulus (e.g., responding to another speaker's question).
  • Autoclitic – secondary verbal behavior which alters the effect of primary verbal behavior on the listener. Examples involve quantification, grammar, and qualifying statements (e.g., the differential effects of "I think..." vs. "I know...")

Skinner's use of behavioral techniques was famously critiqued by the linguist Noam Chomsky through an extensive breakdown of how Skinner's view of language as behavioral simply cannot explain the complexity of human language.[106] This suggests that while behaviorist techniques can teach language, it is a very poor measure to explain language fundamentals. Considering Chomsky's critiques, it may be more appropriate to teach language through a Speech language pathologist instead of a behaviorist.

For an assessment of verbal behavior from Skinner's system, see Assessment of Basic Language and Learning Skills.

Measuring behavior

When measuring behavior, there are both dimensions of behavior and quantifiable measures of behavior. In applied behavior analysis, the quantifiable measures are a derivative of the dimensions. These dimensions are repeatability, temporal extent, and temporal locus.[107]

Repeatability

Response classes occur repeatedly throughout time—i.e., how many times the behavior occurs.

  • Count is the number of occurrences in behavior.
  • Rate/frequency is the number of instances of behavior per unit of time.
  • Celeration is the measure of how the rate changes over time.

Temporal extent

This dimension indicates that each instance of behavior occupies some amount of time—i.e., how long the behavior occurs.

  • Duration is the period of time over which the behavior occurs.

Temporal locus

Each instance of behavior occurs at a specific point in time—i.e., when the behavior occurs.

  • Response latency is the measure of elapsed time between the onset of a stimulus and the initiation of the response.
  • Interresponse time is the amount of time that occurs between two consecutive instances of a response class.

Derivative measures

Derivative measures are unrelated to specific dimensions:

  • Percentage is the ratio formed by combining the same dimensional quantities.
  • Trials-to-criterion are the number of response opportunities needed to achieve a predetermined level of performance.

Applied behavior analysis is a goal discipline and spotlights on the dependable measurement and objective assessment of noticeable way of behaving. Without measuring behavior and assessing the information, behavior analysts would not know whether to change the program we are chipping away at, when to switch or add new targets or when to change strategies to gain more noteworthy progress.

Behavior Analysts utilize a few distinct techniques to gather information. A portion of the ways of collect data information include:

Frequency

This technique refers to the times that an objective way of behaving was noticed and counted.[108]

Rate

Same as frequency, yet inside a predefined time limit.

Duration

This estimation alludes to how much time that somebody participated in a way of behaving.

Fluency

This estimation refers to how rapidly a student can give reactions inside a timeframe.

Response latency

Latency refers to how much time after a particular boost has been given before the objective way of behaving happens.[108][109]

Analyzing behavior change

Experimental control

In applied behavior analysis, all experiments should include the following:[110]

  • At least one participant
  • At least one behavior (dependent variable)
  • At least one setting
  • A system for measuring the behavior and ongoing visual analysis of data
  • At least one treatment or intervention condition
  • Manipulations of the independent variable so that its effects on the dependent variable may be quantitatively or qualitatively analyzed
  • An intervention that will benefit the participant in some way (Behavioral Cusp)

Methodologies developed through ABA research

Task analysis

Task analysis is a process in which a task is analyzed into its component parts so that those parts can be taught through the use of chaining: forward chaining, backward chaining and total task presentation. Task analysis has been used in organizational behavior management, a behavior analytic approach to changing the behaviors of members of an organization (e.g., factories, offices, or hospitals).[111] Behavioral scripts often emerge from a task analysis.[112][113] Bergan conducted a task analysis of the behavioral consultation relationship[114] and Thomas Kratochwill developed a training program based on teaching Bergan's skills.[115] A similar approach was used for the development of microskills training for counselors.[116][117][118] Ivey would later call this "behaviorist" phase a very productive one[119] and the skills-based approach came to dominate counselor training during 1970–90.[120] Task analysis was also used in determining the skills needed to access a career.[121] In education, Englemann (1968) used task analysis as part of the methods to design the Direct Instruction curriculum.[122]

Chaining

The skill to be learned is broken down into small units for easy learning. For example, a person learning to brush teeth independently may start with learning to unscrew the toothpaste cap. Once they have learned this, the next step may be squeezing the tube, etc.[123][124]

For problem behavior, chains can also be analyzed and the chain can be disrupted to prevent the problem behavior.[125] Some behavior therapies, such as dialectical behavior therapy, make extensive use of behavior chain analysis, but is not philosophically behavior analytic.[126]

There are two types of chain in the ABA world: forward chain and backward chain. Forward chain is when you start with the first step and continue until you get to the final step. While backward chain is when you start with the last step and move backward until you reach the first step.[127]

Prompting

A prompt is a cue that is used to encourage a desired response from an individual.[128] Prompts are often categorized into a prompt hierarchy from most intrusive to least intrusive, although there is some controversy about what is considered most intrusive, those that are physically intrusive or those that are hardest prompt to fade (e.g., verbal).[129] In order to minimize errors and ensure a high level of success during learning, prompts are given in a most-to-least sequence and faded systematically.[130] During this process, prompts are faded as quickly as possible so that the learner does not come to depend on them and eventually behaves appropriately without prompting.[131][132]

Types of prompts Prompters might use any or all of the following to suggest the desired response:

  • Vocal prompts: Words or other vocalizations
  • Visual prompts: A visual cue or picture
  • Gestural prompts: A physical gesture
  • Positional prompt: e.g., the target item is placed close to the individual.
  • Modeling: Modeling the desired response. This type of prompt is best suited for individuals who learn through imitation and can attend to a model.
  • Physical prompts: Physically manipulating the individual to produce the desired response. There are many degrees of physical prompts, from quite intrusive (e.g., the teacher places a hand on the learner's hand) to minimally intrusive (e.g., a slight tap).[130]

This is not an exhaustive list of prompts; the nature, number, and order of prompts are chosen to be the most effective for a particular individual.

Fading

The overall goal is for an individual to eventually not need prompts. As an individual gains mastery of a skill at a particular prompt level, the prompt is faded to a less intrusive prompt. This ensures that the individual does not become overly dependent on a particular prompt when learning a new behavior or skill.

One of the primary choices that was made while showing another way of behaving is the manner by which to fade the prompts or prompts. An arrangement should be set up to fade the prompts in an organized style. For instance, blurring the actual brief of directing a kid's hands might follow this succession: (a) supporting wrists, (b) contacting hands softly, (c) contacting lower arm or elbow, and (d) pulling out actual contact through and through. Fading guarantees that the kid does not turn out to be excessively subject to a specific brief while mastering another expertise.[109]

Thinning a reinforcement schedule

Thinning is often confused with fading. Fading refers to a prompt being removed, where thinning refers to an increase in the time or number of responses required between reinforcements.[133] Periodic thinning that produces a 30% decrease in reinforcement has been suggested as an efficient way to thin.[134] Schedule thinning is often an important and neglected issue in contingency management and token economy systems, especially when these are developed by unqualified practitioners (see professional practice of behavior analysis).[135]

Generalization

Generalization is the expansion of a student's performance ability beyond the initial conditions set for acquisition of a skill.[136] Generalization can occur across people, places, and materials used for teaching. For example, once a skill is learned in one setting, with a particular instructor, and with specific materials, the skill is taught in more general settings with more variation from the initial acquisition phase. For example, if a student has successfully mastered learning colors at the table, the teacher may take the student around the house or school and generalize the skill in these more natural environments with other materials. Behavior analysts have spent considerable amount of time studying factors that lead to generalization.[137]

Shaping

Shaping involves gradually modifying the existing behavior into the desired behavior. If the student engages with a dog by hitting it, then they could have their behavior shaped by reinforcing interactions in which they touch the dog more gently. Over many interactions, successful shaping would replace the hitting behavior with patting or other gentler behavior. Shaping is based on a behavior analyst's thorough knowledge of operant conditioning principles and extinction. Recent efforts to teach shaping have used simulated computer tasks.[138]

One teaching technique found to be effective with some students, particularly children, is the use of video modeling (the use of taped sequences as exemplars of behavior). It can be used by therapists to assist in the acquisition of both verbal and motor responses, in some cases for long chains of behavior.[139][140]

Another example of shaping is when a toddler learns to walk. The child is reinforced by crawling, standing, taking a few steps, and then eventually walking. When a child is learning to walk, they are praised by a lot of claps and excitements.[141]

Interventions based on an FBA

Functional behavioral assessment (FBA) is an individualized critical thinking process for tending to address problem behavior. An evaluation is led to distinguish the reason or capability of a problem behavior. This evaluation interaction includes gathering data about the ecological circumstances that go before the issue conduct and the resulting rewards that reinforce the way of behaving. The data that is collected is then used to recognize and execute individualized interventions pointed toward lessening issue ways of behaving and expanding positive ways of behaving.

Critical to behavior analytic interventions is the concept of a systematic behavioral case formulation with a functional behavioral assessment or analysis at the core.[142][143] This approach should apply a behavior analytic theory of change (see Behavioral change theories). This formulation should include a thorough functional assessment, a skills assessment, a sequential analysis (behavior chain analysis), an ecological assessment, a look at existing evidenced-based behavioral models for the problem behavior (such as Fordyce's model of chronic pain)[144] and then a treatment plan based on how environmental factors influence behavior. Some argue that behavior analytic case formulation can be improved with an assessment of rules and rule-governed behavior.[145][146][147] Some of the interventions that result from this type of conceptualization involve training specific communication skills to replace the problem behaviors as well as specific setting, antecedent, behavior, and consequence strategies.[148]

Careers in applied behavioral analysis

There is a wide range of job opportunities someone can get in the field of applied behavior analysis. These fields also require a range of schooling which can be beneficial for many people seeking a job in this field.

  • Behavior technician – A behavior technician is someone who can provide clinical instruction to children or adults with developmental disabilities. This therapy can be provided in a school, home, clinic, or community setting.
  • Clinical director – A clinical director is someone who oversees the therapy that is being given to clients.[149]
  • Special education – In the special education system, someone can use ABA skills to modify a child's or adult's behavior that is disruptive or may cause harm to children or peers around them.[150]
  • Addictions – ABA skills can be used to treat and reduce addictions that may be destructive to someone.[151]
  • Animal behavior analyst – By using the same skills taught in how to help people using ABA, they can also help animals. This is used by finding effective reinforcers in order to modify animal behavior. This can benefit both the animal and the owner.[152]
  • Correction treatment specialist (criminal rehabilitation) – Criminal rehabilitation is seen both inside and outside of prisons. By using ABA, someone will be able to reduce or eliminate incorrect behaviors that are detrimental to clients.[153]
  • Criminal profiler – Criminal profilers can use the skills of ABA to catch criminals, create profiles of people, and train other agents on how to recognize dangerous warning signs in people.[154]

Major journals

Applied behavior analysts publish in many journals. Some examples of "core" behavior analytic journals are:

  1. Applied Animal Behaviour Science
  2. Behavioral Health and Medicine[155]
  3. Behavior Analysis: Research and Practice[156]
  4. Behavior and Philosophy[157]
  5. Behavior and Social Issues[158]
  6. Behavior Modification[159]
  7. Behavior Therapy
  8. Journal of Applied Behavior Analysis
  9. Journal of Behavior Analysis of Offender and Victim: Treatment and Prevention[155]
  10. Journal of Behavior Analysis of Sports, Health, Fitness, and Behavioral Medicine[155]
  11. Journal of Contextual Behavioral Science[160]
  12. Journal of Early and Intensive Behavior Interventions[155]
  13. Journal of Organizational Behavior Management[161]
  14. Journal of Positive Behavior Interventions[162]
  15. Journal of the Experimental Analysis of Behavior
  16. Perspectives on Behavior Science (formerly The Behavior Analyst until 2018)
  17. The Behavioral Development Bulletin[155]
  18. The Behavior Analyst Today[155]
  19. The International Journal of Behavioral Consultation and Therapy[155]
  20. The Journal of Behavioral Assessment and Intervention in Children[155]
  21. The Journal of Speech-Language Pathology and Applied Behavior Analysis[155]
  22. The Psychological Record

Other species

ABA has been successfully used in other species.[163] Morris uses ABA to reduce feather-plucking in the black vulture (Coragyps atratus).[163]

See also

References

  1. Pierce WD, Cheney CD (16 June 2017) [1995]. Behavior Analysis and Learning: A Biobehavioral Approach (6 ed.). New York: Routledge. pp. 1–622. ISBN 978-1138898585. Archived from the original on 3 June 2021. Retrieved 1 December 2018.
  2. Ayllon T, Michael J (October 1959). "The psychiatric nurse as a behavioral engineer". Journal of the Experimental Analysis of Behavior. 2 (4): 323–334. doi:10.1901/jeab.1959.2-323. PMC 1403907. PMID 13795356.
  3. Baer DM, Wolf MM, Risley TR (1968). "Some current dimensions of applied behavior analysis". Journal of Applied Behavior Analysis. 1 (1): 91–97. doi:10.1901/jaba.1968.1-91. PMC 1310980. PMID 16795165.
  4. See also footnote number "(1)" of [and the whole "What is ABA?" section of] Olive M. "What is ABA?". Applied Behavioral Strategies. Archived from the original on 7 October 2015. Retrieved 6 October 2015. Where the same definition is given, (or quoted), and it credits (or mentions) both [i] the source "Baer, Wolf & Risley, 1968" (Drs. Donald Baer, PhD, Montrose Wolf, PHD and Todd R. Risley, PhD, (Professor Emeritus of Psychology at the University of Alaska) were psychologists who developed science of applied behavior analysis) and [ii] another source, called "Sulzer-Azaroff & Mayer, 1991". Beth Sulzer-Azaroff is a psychologist at University of Massachusetts Amherst, Department of Psychology
  5. Mace FC (1994). "The significance and future of functional analysis methodologies". Journal of Applied Behavior Analysis. 27 (2): 385–392. doi:10.1901/jaba.1994.27-385. PMC 1297814. PMID 16795830.
  6. Pelios L, Morren J, Tesch D, Axelrod S (1999). "The impact of functional analysis methodology on treatment choice for self-injurious and aggressive behavior". Journal of Applied Behavior Analysis. 32 (2): 185–195. doi:10.1901/jaba.1999.32-185. PMC 1284177. PMID 10396771.
  7. Mace FC, Critchfield TS (May 2010). "Translational research in behavior analysis: historical traditions and imperative for the future". Journal of the Experimental Analysis of Behavior. 93 (3): 293–312. doi:10.1901/jeab.2010.93-293. PMC 2861871. PMID 21119847.
  8. "BACB CERTIFICANT DATA". Behavior Analyst Certification Board. Retrieved 14 May 2022.
  9. Dillenburger K, Keenan M (June 2009). "None of the As in ABA stand for autism: dispelling the myths". Journal of Intellectual & Developmental Disability. 34 (2): 193–195. doi:10.1080/13668250902845244. PMID 19404840. S2CID 1818966.
  10. Madden G, ed. (2013). APA Handbook of Behavior Analysis. APA Handbooks in Psychology Series; APA Reference Books Collection. Washington, DC: American Psychological Association. ISBN 978-1-4338-1111-1. OCLC 771425225. Retrieved 24 December 2014.
  11. Roane H, Ringdahl JE, Falcomata T (20 June 2015). Clinical and organizational applications of applied behavior analysis. pp. 1–682. ISBN 9780124202498. {{cite book}}: |work= ignored (help)
  12. U.S. Army. (2007, August 30). Psychological operations process, tactics, techniques, and procedures (FM 3-05.301). https://ia601704.us.archive.org/16/items/usarmy-psy-ops-tactics/USArmy-PsyOpsTactics.pdf The book Applied Behavior Analysis is recommended on page 2-10.
  13. Cernius Y (13 May 2022). "Commentary: The autistic community is having a reckoning with ABA therapy. We should listen". Fortune. Retrieved 15 May 2022.
  14. McGill O, Robinson A (October 2020). ""Recalling hidden harms": autistic experiences of childhood applied behavioural analysis (ABA)". Advances in Autism. 7 (4): 269–282. doi:10.1108/AIA-04-2020-0025. ISSN 2056-3868. S2CID 225282499.
  15. Schuck RK, Tagavi DM, Baiden KM, Dwyer P, Williams ZJ, Osuna A, et al. (October 2022). "Neurodiversity and Autism Intervention: Reconciling Perspectives Through a Naturalistic Developmental Behavioral Intervention Framework". Journal of Autism and Developmental Disorders. 52 (10): 4625–4645. doi:10.1007/s10803-021-05316-x. PMC 9508016. PMID 34643863. S2CID 238744698.
  16. Ne'eman A (July 2021). "When Disability Is Defined by Behavior, Outcome Measures Should Not Promote "Passing"". AMA Journal of Ethics. 23 (7): E569–E575. doi:10.1001/amajethics.2021.569. PMC 8957386. PMID 34351268.
  17. Reichow B, Hume K, Barton EE, Boyd BA (May 2018). "Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD)". The Cochrane Database of Systematic Reviews. 5 (5): CD009260. doi:10.1002/14651858.CD009260.pub3. PMC 6494600. PMID 29742275.
  18. Kirkham P (1 April 2017). "'The line between intervention and abuse' – autism and applied behaviour analysis". History of the Human Sciences. 30 (2): 107–126. doi:10.1177/0952695117702571. ISSN 0952-6951. S2CID 152017417.
  19. Sandbank M, Bottema-Beutel K, Crowley S, Cassidy M, Dunham K, Feldman JI, et al. (January 2020). "Project AIM: Autism intervention meta-analysis for studies of young children". Psychological Bulletin. 146 (1): 1–29. doi:10.1037/bul0000215. PMC 8783568. PMID 31763860.
  20. Marr M (2009). "The natural selection: behavior analysis as a natural science" (PDF). European Journal of Behavior Analysis. 10 (2): 103–118. doi:10.1080/15021149.2009.11434313. S2CID 218768283. Archived from the original (PDF) on 29 November 2014.
  21. Skinner BF (July 1950). "Are theories of learning necessary?". Psychological Review. 57 (4): 193–216. doi:10.1901/jeab.1984.41-211. PMC 1348034. PMID 15440996.
  22. Eikeseth S, Smith T, Jahr E, Eldevik S (May 2007). "Outcome for children with autism who began intensive behavioral treatment between ages 4 and 7: a comparison controlled study". Behavior Modification. 31 (3): 264–278. doi:10.1007/BF03392239. PMC 3089401. PMID 17438342.
  23. Cooper JO, Heron TE, Heward WL (2007). Applied Behavior Analysis (2nd ed.). Prentice Hall. ISBN 978-0-13-142113-4.
  24. Lovitt TC (1993). "A brief history of applied behavior analysis at the University of Washington". Journal of Applied Behavior Analysis. 26 (4): 563–567. doi:10.1901/jaba.1993.26-563. PMC 1297893. PMID 16795814.
  25. "Identifying applied behavior analysis interventions" (PDF). Association of Professional Behavior Analysts. 25 July 2016. Retrieved 3 December 2018.
  26. Baer DM (1993). "A brief, selective history of the Department of Human Development and Family Life at the University of Kansas: The early years". Journal of Applied Behavior Analysis. 26 (4): 569–572. doi:10.1901/jaba.1993.26-569. PMC 1297894. PMID 16795815.
  27. Smith T, Eikeseth S (March 2011). "O. Ivar lovaas: pioneer of applied behavior analysis and intervention for children with autism". Journal of Autism and Developmental Disorders. 41 (3): 375–378. doi:10.1007/s10803-010-1162-0. PMID 21153872. S2CID 207159059.
  28. Chance P (January 1974). "After you hit a child, you can't just get up and leave him; you are hooked to that kid interview with Ole Ivar Lovaas" (PDF). Psychology Today: 76–84. Retrieved 3 March 2022 via Neurodiversity. (excerpt from Psychology Today)
  29. Lovaas OI (February 1987). "Behavioral treatment and normal educational and intellectual functioning in young autistic children". Journal of Consulting and Clinical Psychology. 55 (1): 3–9. doi:10.1037/0022-006x.55.1.3. PMID 3571656.
  30. Sallows GO, Graupner TD (November 2005). "Intensive behavioral treatment for children with autism: four-year outcome and predictors". American Journal of Mental Retardation. 110 (6): 417–438. doi:10.1352/0895-8017(2005)110[417:IBTFCW]2.0.CO;2. PMID 16212446. S2CID 12305283.
  31. Cohen H, Amerine-Dickens M, Smith T (April 2006). "Early intensive behavioral treatment: replication of the UCLA model in a community setting". Journal of Developmental and Behavioral Pediatrics. 27 (2 Suppl): S145–S155. doi:10.1097/00004703-200604002-00013. PMID 16685181. S2CID 15927226.
  32. "Pediatric Feeding Therapy & ABA: General Info & Systematic Review". Nevada Autism Center, 7730 West Sahara Avenue #115, Las Vegas, NV 89117, (702) 660-2005. 3 April 2021. Retrieved 3 July 2022.
  33. Anderson CM, Freeman KA (Spring 2000). "Positive behavior support: Expanding the application of applied behavior analysis". The Behavior Analyst. 23 (1): 85–94. doi:10.1007/BF03392001. PMC 2731369. PMID 22478340.
  34. Anderson CM, Kincaid D (2005). "Applying behavior analysis to school violence and discipline problems: Schoolwide positive behavior support". The Behavior Analyst. 28 (1): 49–63. doi:10.1007/BF03392103. PMC 2755344. PMID 22478439.
  35. Waasdorp TE, Bradshaw CP, Leaf PJ (February 2012). "The impact of schoolwide positive behavioral interventions and supports on bullying and peer rejection: a randomized controlled effectiveness trial". Archives of Pediatrics & Adolescent Medicine. 166 (2): 149–156. doi:10.1001/archpediatrics.2011.755. PMID 22312173.
  36. Baer DM, Wolf MM, Risley TR (1968). "Some current dimensions of applied behavior analysis". Journal of Applied Behavior Analysis. 1 (1): 91–97. doi:10.1901/jaba.1968.1-91. PMC 1310980. PMID 16795165.
  37. Cooper, Heron & Heward 1987, p. 16
  38. Miltenberger R, Virues-Ortega J (1 May 2020). Modificación de conducta: Principios y Procedimientos (6th ed.). doi:10.26741/2020/miltenberger6e. S2CID 218936697.
  39. Cooper, Heron & Heward 1987, p. 17
  40. Heward WL, Heron TE, Neef NA, Peterson SM, Sainato DM, Cartlege GY, Cardner III R, Peterson LD, Hersch SB, Dardig JC, eds. (2005). Focus on behavior analysis in education: Achievements, challenges, and opportunities. Upper Saddle River, NJ: Prentice Hall/Merrill. ISBN 978-0-13-111339-8.
  41. Stokes T, Budd KS (2003). A small matter of proof: the legacy of Donald M. Baer. Reno, NV: Context Press. ISBN 978-1-878978-43-1.
  42. Cooper, Heron & Heward 1987, p. 19
  43. Sandoval-Norton AH, Shkedy G, Shkedy D (June 2021). "Long-term ABA Therapy Is Abusive: A Response to Gorycki, Ruppel, and Zane". Advances in Neurodevelopmental Disorders. 5 (2): 126–134. doi:10.1007/s41252-021-00201-1. ISSN 2366-7540. S2CID 234848417.
  44. Matson JL, Hattier MA, Belva B (January–March 2012). "Treating adaptive living skills of persons with autism using applied behavior analysis: A review". Research in Autism Spectrum Disorders. 6 (1): 271–276. doi:10.1016/j.rasd.2011.05.008.
  45. Myers SM, Johnson CP (November 2007). "Management of children with autism spectrum disorders". Pediatrics. 120 (5): 1162–1182. doi:10.1542/peds.2007-2362. PMID 17967921.
  46. Reichow B, Hume K, Barton EE, Boyd BA (May 2018). "Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD)". The Cochrane Database of Systematic Reviews. 5 (5): CD009260. doi:10.1002/14651858.CD009260.pub3. PMC 6494600. PMID 29742275.
  47. Shreck KA, Metz B, Mulick JA, Smith A (2000). "Making it fit: A Provocative Look at Models of Early Intensive Behavioral Intervention for Children with Autism". The Behavior Analyst Today. 1 (3): 27–32. doi:10.1037/h0099886.
  48. Weiss MJ, Delmolino L (2006). "The Relationship Between Early Learning Rates and Treatment Outcome For Children With Autism Receiving Intensive Home-Based Applied Behavior Analysis". The Behavior Analyst Today. 7 (1): 96–105. doi:10.1037/h0100140.
  49. Myers SM, Johnson CP (November 2007). "Management of children with autism spectrum disorders". Pediatrics. 120 (5): 1162–1182. doi:10.1542/peds.2007-2362. PMID 17967921.
  50. Rogers SJ, Vismara LA (January 2008). "Evidence-based comprehensive treatments for early autism". Journal of Clinical Child and Adolescent Psychology. 37 (1): 8–38. doi:10.1080/15374410701817808. PMC 2943764. PMID 18444052.
  51. Eikeseth S (2009). "Outcome of comprehensive psycho-educational interventions for young children with autism". Research in Developmental Disabilities. 30 (1): 158–178. CiteSeerX 10.1.1.615.3336. doi:10.1016/j.ridd.2008.02.003. PMID 18385012.
  52. Reichow B, Wolery M (January 2009). "Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA young autism project model". Journal of Autism and Developmental Disorders. 39 (1): 23–41. doi:10.1007/s10803-008-0596-0. PMID 18535894. S2CID 6932830.
  53. Howlin P, Magiati I, Charman T (January 2009). MacLean, Jr., William E. (eds.). "Systematic review of early intensive behavioral interventions for children with autism". American Journal on Intellectual and Developmental Disabilities. 114 (1): 23–41. doi:10.1352/2009.114:23-41. PMID 19143460.
  54. Eldevik S, Hastings RP, Hughes JC, Jahr E, Eikeseth S, Cross S (May 2009). "Meta-analysis of Early Intensive Behavioral Intervention for children with autism". Journal of Clinical Child and Adolescent Psychology. 38 (3): 439–450. CiteSeerX 10.1.1.607.9620. doi:10.1080/15374410902851739. PMID 19437303. S2CID 205873629.
  55. Spreckley M, Boyd R (March 2009). "Efficacy of applied behavioral intervention in preschool children with autism for improving cognitive, language, and adaptive behavior: a systematic review and meta-analysis". The Journal of Pediatrics. 154 (3): 338–344. doi:10.1016/j.jpeds.2008.09.012. PMID 18950798.
  56. Smith T, Eikeseth S, Sallows GO, Graupner TD (July 2009). "Efficacy of applied behavior analysis in autism". The Journal of Pediatrics. 155 (1): 151–52, author reply 152–53. doi:10.1016/j.jpeds.2009.01.065. PMID 19559310.
  57. Warren Z, Veenstra-VanderWeele J, Stone W, Bruzek JL, Nahmias AS, Foss-Feig JH, et al. (2011). Therapies for children with autism spectrum disorders (PDF). AHRQ Publication No. 11-EHC029-EF, Comparative Effectiveness Review No. 26. Rockville, MD: Agency for Healthcare Research and Quality. Archived from the original (PDF) on 2 October 2011. Retrieved 15 July 2011.
  58. Sham E, Smith T (2014). "Publication bias in studies of an applied behavior-analytic intervention: an initial analysis". Journal of Applied Behavior Analysis. 47 (3): 663–678. doi:10.1002/jaba.146. PMID 24990802.
  59. Bottema-Beutel K, Crowley S (2021). "Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature". Frontiers in Psychology. 12: 676303. doi:10.3389/fpsyg.2021.676303. PMC 8131529. PMID 34025538.
  60. Davis R, den Houting J, Nordahl-Hansen A, Fletcher-Watson S (March 2022). "Helping autistic children". The Wiley-Blackwell Handbook of Childhood Social Development: 729–746. doi:10.1002/9781119679028.ch39. ISBN 9781119678984.
  61. Rodgers M, Marshall D, Simmonds M, Le Couteur A, Biswas M, Wright K, et al. (July 2020). "Interventions based on early intensive applied behaviour analysis for autistic children: a systematic review and cost-effectiveness analysis". Health Technology Assessment. 24 (35): 1–306. doi:10.3310/hta24350. PMC 7397479. PMID 32686642.
  62. Bottema-Beutel K, Crowley S, Sandbank M, Woynaroski TG (February 2021). "Adverse event reporting in intervention research for young autistic children". Autism. 25 (2): 322–335. doi:10.1177/1362361320965331. PMC 7870528. PMID 33076682.
  63. Dawson M, Fletcher-Watson S (February 2022). "When autism researchers disregard harms: A commentary". Autism. 26 (2): 564–566. doi:10.1177/13623613211031403. PMC 8814944. PMID 34291651.
  64. Lowe, Kathy; Jones, Edwin; Allen, David; Davies, Dee; James, Wendy; Doyle, Tony (December 2006). "Staff Training in Positive Behaviour Support: Impact on Attitudes and Knowledge". Journal of Applied Research in Intellectual Disability.
  65. Webber, Lynne; McVilly, Keith; Fester, Tarryn; Chan, Jeffrey (2011). "Factors influencing quality of behaviour support plans and the impact of plan quality on restrictive intervention use". International Journal of Positive Behavioural Support.
  66. "Behaviour support systems review practice guide, Jack Dikian". Academia. 25 February 2014. Retrieved 26 June 2015.
  67. La Vigna (1994). The Periodic Service Review: A Total Quality Assurance System for Human Services and Education. Brookes Publishing. ISBN 1557661421.
  68. "Professional and Ethical Compliance Code for Behavior Analysts" (PDF). Behavior Analyst Certification Board. 7 August 2014. Archived (PDF) from the original on 12 August 2020. Retrieved 15 November 2021.
  69. Wilkenfeld DA, McCarthy AM (2020). "Ethical Concerns with Applied Behavior Analysis for Autism Spectrum "Disorder"". Kennedy Institute of Ethics Journal. 30 (1): 31–69. doi:10.1353/ken.2020.0000. PMID 32336692. S2CID 216557299.
  70. Kupferstein H (2 January 2018). "Evidence of increased PTSD symptoms in autistics exposed to applied behavior analysis". Advances in Autism. 4 (1): 19–29. doi:10.1108/AIA-08-2017-0016. ISSN 2056-3868. S2CID 4638346.
  71. Sandoval-Norton AH, Shkedy G, Shkedy D (1 January 2019). Rushby JA (ed.). "How much compliance is too much compliance: Is long-term ABA therapy abuse?". Cogent Psychology. 6 (1): 1641258. doi:10.1080/23311908.2019.1641258. ISSN 2331-1908. S2CID 199041640.
  72. Bottema-Beutel K, Crowley S, Sandbank M, Woynaroski TG (January 2021). "Research Review: Conflicts of Interest (COIs) in autism early intervention research - a meta-analysis of COI influences on intervention effects". Journal of Child Psychology and Psychiatry, and Allied Disciplines. 62 (1): 5–15. doi:10.1111/jcpp.13249. PMC 7606324. PMID 32353179.
  73. Autistic Self Advocacy Network. "Autistic Self Advocacy Network – Nothing About Us Without Us". www.autisticadvocacy.org.
  74. DeVita-Raeburn E (11 August 2016). "Is the Most Common Therapy for Autism Cruel?". The Atlantic.
  75. Gibson M, Douglas P (16 October 2018). "Disturbing Behaviours: Ole Ivar Lovaas and the Queer History of Autism Science". Catalyst: Feminism, Theory, Technoscience. 4 (2): 1–28. doi:10.28968/cftt.v4i2.29579. ISSN 2380-3312. S2CID 149599653.
  76. Pyne J (2020). ""Building a Person": Legal and Clinical Personhood for Autistic and Trans Children in Ontario". Canadian Journal of Law and Society / La Revue Canadienne Droit et Société. 35 (2): 341–365. doi:10.1017/cls.2020.8. S2CID 228807154.
  77. "Statement on Conversion Therapy and Practices, 2022". Association for Behavior Analysis International. 2022. Retrieved 20 May 2023.
  78. "Applied behaviour analysis, autism, and a response to recent controversies". Monash University. 24 June 2022. Retrieved 20 May 2023.
  79. Callahan K, Shukla-Mehta S, Magee S, Wie M (January 2010). "ABA versus TEACCH: the case for defining and validating comprehensive treatment models in autism". Journal of Autism and Developmental Disorders. 40 (1): 74–88. doi:10.1007/s10803-009-0834-0. PMID 19649699. S2CID 15092779.
  80. Damian M (1 October 2014). So what exactly are autism interventions intervening with?. The British Institute of Learning Disabilities. OCLC 1005017347.
  81. Leaf JB, Cihon JH, Leaf R, McEachin J, Liu N, Russell N, et al. (June 2022). "Concerns About ABA-Based Intervention: An Evaluation and Recommendations". Journal of Autism and Developmental Disorders. 52 (6): 2838–2853. doi:10.1007/s10803-021-05137-y. PMC 9114057. PMID 34132968. S2CID 235449575.
  82. Leaf JB, Ross RK, Cihon JH, Weiss MJ. Evaluating Kupferstein’s claims of the relationship of behavioral intervention to PTSS for individuals with autism. Advances in Autism. 2018;10(4):352. doi: 10.1108/AIA-02-2018-0007.
  83. Leaf JB, Townley-Cochran D, Cihon JH, Mitchell E, Leaf R, Taubman M, McEachin J. Descriptive analysis of the use of punishment-based techniques with children diagnosed with autism spectrum disorder. Education and Training in Autism and Developmental Disabilities. 2019;54(2):107–118.
  84. Kathryn A. Gorycki, Paula R. Ruppel & Thomas Zane | (2020) Is long-term ABA therapy abusive: A response to Sandoval-Norton and Shkedy, Cogent Psychology, 7:1, 1823615, DOI: 10.1080/23311908.2020.1823615
  85. Soloman A (23 May 2008). "The Autism Rights Movement". New York Magazine. Retrieved 8 March 2016.
  86. Cassidy S, Bradley L, Shaw R, Baron-Cohen S (2018). "Risk markers for suicidality in autistic adults". Molecular Autism. 9: 42. doi:10.1186/s13229-018-0226-4. PMC 6069847. PMID 30083306.
  87. Cook J, Hull L, Crane L, Mandy W (November 2021). "Camouflaging in autism: A systematic review". Clinical Psychology Review. 89: 102080. doi:10.1016/j.cpr.2021.102080. PMID 34563942. S2CID 237942158.
  88. Dillenburger K, Keenan M (March 2023). "No Irish, No Behavior Analysts, No Dogs!". International Electronic Journal of Elementary Education. 15 (3): 199–208. doi:10.26822/iejee.2023.292. ISSN 1307-9298. S2CID 258395524.
  89. Spreat S (2012). "Chapter 10: Behavioral treatments for children with ASDs". In Reber M (ed.). The Autism Spectrum: Scientific Foundations and Treatment. Cambridge University Press. pp. 239–257. doi:10.1017/CBO9780511978616.011. ISBN 9780511978616. (subscription required)
  90. Cameron M (14 April 2014). Aversive comments - part 1 (PDF) (Report). United States Food and Drug Administration. p. 4. FDA-2014-N-0238. Archived from the original (PDF) on 14 January 2017. Retrieved 10 October 2020.
  91. Johnston JM, Pennypacker HS (1993a). Strategies and tactics of behavioral research. Hillsdale, NJ: Erlbaum Associates. p. 23. ISBN 978-0-8058-0905-3.
  92. Cooper, Heron & Heward 1987, p. 26
  93. Cooper, Heron & Heward 1987, p. 33
  94. Flora SR (2004). The power of reinforcement. Albany: State University of New York Press.
  95. Northup J, Vollmer TR, Serrett K (1993). "Publication trends in 25 years of the Journal of Applied Behavior Analysis". Journal of Applied Behavior Analysis. 26 (4): 527–537. doi:10.1901/jaba.1993.26-527. PMC 1297882. PMID 16795803.
  96. Cooper, Heron & Heward 1987, p. 27
  97. Rubino S (17 March 2021). "The man behind ex-gay "conversion therapy" started out trying to make autistic children "normal"". LBGTQNATION. Retrieved 25 December 2022.
  98. OpenStax; Learning, Lumen. "Reinforcement and Punishment". {{cite journal}}: Cite journal requires |journal= (help)
  99. Cooper, Heron & Heward 1987, p. 355
  100. Reese EP (1966). The analysis of human operant behavior. Dubuque, Iowa: Brown.
  101. Miltenberger RG (2008). Behavior modification: Principles and procedures (4th ed.). Thomson/Wadsworth. ISBN 978-0-495-09153-0.
  102. Moxley RA (2004). "Pragmatic selectionism. The philosophy of behavior analysis". The Behavior Analyst Today. 5: 108–25. doi:10.1037/h0100137.
  103. Cooper, Heron & Heward 1987, p. 41
  104. Peterson P (2007). "Promoting generalization and maintenance of skills learned via natural language teaching". The Journal of Speech and Language Pathology – Applied Behavior Analysis. 4 (1): 90–131. doi:10.1037/h0100252.
  105. Skinner BF (17 November 2014). Verbal behavior. Echo Point Books and Media. ISBN 978-1-62654-014-9. OCLC 931706319.
  106. Johnston JM, Pennypacker HA (1993). Readings for Strategies and tactics of behavioral research (2nd ed.). Hillsdale, HF: Erlbaum. ISBN 978-0-8058-0906-0.
  107. "Module 5: Measurement". Applied Behavior Analysis (PSYCH 581). University of Massachusetts Amherst.
  108. Prince K (13 March 2013). "The importance of measuring behavior". Behavioral Consulting of Tampa Bay, Inc. Archived from the original on 9 February 2023. Retrieved 3 July 2022.
  109. Cooper, Heron & Heward 1987, p. 422
  110. Crowell CR, Anderson DC, Abel DM, Sergio JP (1988). "Task clarification, performance feedback, and social praise: Procedures for improving the customer service of bank tellers". Journal of Applied Behavior Analysis. 21 (1): 65–71. doi:10.1901/jaba.1988.21-65. PMC 1286094. PMID 16795713.
  111. MacDuff GS, Krantz PJ, McClannahan LE (1993). "Teaching children with autism to use photographic activity schedules: maintenance and generalization of complex response chains". Journal of Applied Behavior Analysis. 26 (1): 89–97. doi:10.1901/jaba.1993.26-89. PMC 1297722. PMID 8473261.
  112. Krantz PJ, McClannahan LE (1993). "Teaching children with autism to initiate to peers: effects of a script-fading procedure". Journal of Applied Behavior Analysis. 26 (1): 121–132. doi:10.1901/jaba.1993.26-121. PMC 1297725. PMID 8473251.
  113. Bergan JR (1977). Behavioral Consultation. Merrill. ISBN 978-0-675-08488-8.
  114. Kratochwill TR, Van Someren KR, Sheridan SM (1989). "Training behavioral consultants: a competency-based model to teach interview skills". Professional School Psychology. 4: 41–58. doi:10.1037/h0090570.
  115. Ivey AE, Normington CJ, Miller CD, Morrill WH, Haase RF (1968). "Microcounseling and attending behavior: an approach to prepracticum counselor training". J Couns Psychol. 15 (5, pt. 2): 1–12. doi:10.1037/h0026129.
  116. Ivey AE, Ivey MB (1998). Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society (4th ed.). Brooks/Cole. ISBN 978-0-534-35756-6.
  117. Iwata BA, Wong SE, Riordan MM, Dorsey MF, Lau MM (1982). "Assessment and training of clinical interviewing skills: analogue analysis and field replication". Journal of Applied Behavior Analysis. 15 (2): 191–203. doi:10.1901/jaba.1982.15-191. PMC 1308264. PMID 7118753.
  118. Littrell JM (2001). "Allen E. Ivey: transforming counseling theory and practice". J Couns Dev. 79 (1): 105–18. doi:10.1002/j.1556-6676.2001.tb01949.x. Retrieved 4 January 2008.
  119. McLennan J (1994). "The skills-based model of counselling training: a review of the evidence". Aust Psychol. 29 (2): 79–88. doi:10.1080/00050069408257328.
  120. Krumboltz JD, Mitchell AM, Jones GB (1980). "A social learning theory of career selection". In Wentling TL (ed.). Annual Review of Research in Vocational Education. Vol. 1. Office of Vocational Education Research, University of Illinois. pp. 259–82.
  121. Englemann S (1968). "Relating operant techniques to programming and teaching". J Sch Psychol. 6 (2): 89–96. doi:10.1016/0022-4405(68)90002-2.
  122. Cooper, Heron & Heward 1987
  123. Weiss KM (March 1978). "A comparison of forward and backward procedures for the acquisition of response chains in humans". Journal of the Experimental Analysis of Behavior. 29 (2): 255–259. doi:10.1901/jeab.1978.29-255. PMC 1332753. PMID 16812053.
  124. Walker HM (1995). The Acting-Out Child: Coping With Classroom Disruption (2nd ed.). Sopris West. ISBN 978-1-57035-047-4.
  125. Linehan MM (1993). Skills Training Manual for Treating Borderline Personality Disorder. The Guilford Press. ISBN 978-0-89862-034-4.
  126. Malott RW, Kohler KT (2021). Principles of Behavior.
  127. Ontario Ministry of Education (2007). Effective Educational Practices for Students with ASD. Queen's Printer for Ontario.
  128. Barnett D, Bauer A, Bell S, Elliott N, Haski H, Barkley E, Baker D, Mackiewicz K (2006). "Preschool Intervention Scripts: Lessons from 20 years of Research and Practice". Journal of Speech-Language Pathology and Applied Behavior Analysis. 2 (2): 158–81. doi:10.1037/h0100216.
  129. Martin G, Pear J (2003). Behavior Modification: What is it and how to do it? (7th ed.). Upper Saddle River NJ: Pearson Education.
  130. VanDerHeyden AM, Snyder P, DiCarlo CF, Stricklin SB, Vagianos LA (2002). "Comparison of within-stimulus and extra-stimulus prompts to increase targeted play behaviors in an inclusive early intervention program". Behav Analyst Today. 3 (2): 188–97. doi:10.1037/h0099967.
  131. Chesnut M, Williamson PN, Morrow JE (2003). "The use of visual cues to teach receptive skills to children with severe auditory discrimination deficits". Behav Analyst Today. 4 (2): 212–24. doi:10.1037/h0100120.
  132. LeBlanc LA, Hagoplan LP, Maglieri KA, Poling A (2002). "Decreasing the intensity of reinforcement-based interventions for reducing behavior: conceptual issues and a proposed model for clinical practice". Behav Analyst Today. 3 (3): 289–300. doi:10.1037/h0099991.
  133. Cautilli J (2005). "Brief report: application of proposed model of decreasing reinforcement intensity". Int J Behav Consult Ther. 1 (1): 21–36. doi:10.1037/h0100731.
  134. Bailey JS, Burch MR (2005). Ethics for behavior analysts. Lawrence Erlbaum Associates.
  135. Alberto P, Troutman AC, Axe JB (2006). Applied behavior analysis for teachers (7th ed.). Upper Saddle River NJ: Pearson Education.
  136. Osnes PG, Lieblein T (2003). "An explicit technology of generalization". Behav Analyst Today. 3 (4): 364–74. doi:10.1037/h0099994.
  137. Kemp SM, Eckerman DA (2002). "Simulating a shaping task". Behav Analyst Today. 3 (2): 166–78. doi:10.1037/h0099975.
  138. D'Ateno P, Mangiapanello K, Taylor BA (2002). "Using video modeling to teach complex play sequences to a preschooler with autism". J Posit Behav Interv. 5 (1): 5–11. doi:10.1177/10983007030050010801. S2CID 146586695.
  139. Corbett BA, Abdullah M (2005). "Video modeling: why does it work for children with autism?". J Early Intensive Behav Interv. 2 (1): 2–8. doi:10.1037/h0100294. S2CID 14762829.
  140. Gilmore H (20 February 2020). "Shaping, Chaining, & Task Analysis with an Example from Everyday Life".
  141. Tryon WW (1976). "A system of behavioral diagnosis". Prof Psychol. 7 (4): 495–506. doi:10.1037/0735-7028.7.4.495.
  142. Kanfer FH, Saslow G (1969). "Behavioral diagnosis". In Franks CM (ed.). Behavior Therapy: Appraisal and Status. McGraw-Hill. pp. 417–44. OCLC 24223.
  143. Romano JM, Jensen MP, Turner JA, Good AB, Hops H (2000). "Chronic pain patient-partner interactions: further support for a behavioral model of chronic pain". Behav Ther. 31 (3): 415–40. doi:10.1016/S0005-7894(00)80023-4.
  144. Malott RW (1992). "A theory of rule-governed behavior and organizational behavior management". J Organ Behav Manage. 12 (2): 45–65. doi:10.1300/J075v12n02_03.
  145. Malott RW, Shimamune S, Malott ME (1992). "Rule-governed behavior and organizational behavior management: an analysis of interventions". J Organ Behav Manage. 12 (2): 103–16. doi:10.1300/J075v12n02_09.
  146. Hayes SC, Brownstein AJ, Zettle RD, Rosenfarb I, Korn Z (May 1986). "Rule-governed behavior and sensitivity to changing consequences of responding". Journal of the Experimental Analysis of Behavior. 45 (3): 237–256. doi:10.1901/jeab.1986.45-237. PMC 1348236. PMID 16812448.
  147. Gerhardt PF, Weiss MJ, Delmolino L (2003). "Treatment of severe aggression in an adolescent with autism: non-contingent reinforcement and functional communication training". Behav Analyst Today. 4 (4): 386–94. doi:10.1037/h0100124.
  148. "What Is a Clinical Director?". Regis College Online. 5 October 2020. Retrieved 27 March 2023.
  149. Cummings E (29 September 2022). "The Role of Applied Behavior Analysis in Special Education". Behaviorist. Retrieved 27 March 2023.
  150. "Applied Behavior Analysis Careers in Substance Abuse and Addiction Treatment". www.appliedbehavioranalysisedu.org. 22 December 2016. Retrieved 27 March 2023.
  151. "Animal Behavior Training | Animal Behaviorist Careers". www.appliedbehavioranalysisedu.org. 14 December 2016. Retrieved 27 March 2023.
  152. "Applied Behavior Analysis in Penology and Criminal Rehabilitation". www.appliedbehavioranalysisedu.org. 5 January 2017. Retrieved 27 March 2023.
  153. "Behavior Analysis in Criminal Profiling | Criminology | Forensic Behavior Analysis". www.appliedbehavioranalysisedu.org. 10 January 2017. Retrieved 27 March 2023.
  154. "BAOJournals Have Moved". baojournal.com. Retrieved 15 January 2016.
  155. "Behavior Analysis: Research and Practice". APA.
  156. "Cambridge Center for Behavioral Studies". Behavior.org. Retrieved 2 October 2013.
  157. "Behavior and Social Issues". Uic.edu. Archived from the original on 15 January 2020. Retrieved 2 October 2013.
  158. "Behavior Modification". SAGE Publications. Retrieved 13 February 2023. {{cite journal}}: Cite journal requires |journal= (help)
  159. "Journal of Contextual Behavioral Science". Elsevier. Retrieved 13 February 2023. {{cite journal}}: Cite journal requires |journal= (help)
  160. "Journal of Organizational Behavior Management". Taylor & Francis Group. Retrieved 13 February 2023. {{cite journal}}: Cite journal requires |journal= (help)
  161. "Journal of Positive Behavior Interventions". SAGE Publications. Retrieved 13 February 2023. {{cite journal}}: Cite journal requires |journal= (help)
  162. This study Morris KL, Slocum SK (October 2019). "Functional analysis and treatment of self-injurious feather plucking in a black vulture (Coragyps atratus)". Journal of Applied Behavior Analysis. John Wiley & Sons, Inc. (Society for the Experimental Analysis of Behavior (SEAB)). 52 (4): 918–927. doi:10.1002/jaba.639. PMID 31523815. S2CID 54842798. is cited by Gottlieb D, Pomerantz O (2021). "Utilizing Behavior to Assess Welfare". Behavioral Biology of Laboratory Animals. Boca Raton: CRC Press. pp. 51–64. doi:10.1201/9780429019517-5. ISBN 978-0-429-01951-7. S2CID 237894984. Fernandez EJ, Martin AL (January 2023). "Applied behavior analysis and the zoo: Forthman and Ogden (1992) thirty years later". Journal of Applied Behavior Analysis. John Wiley & Sons, Inc. (Society for the Experimental Analysis of Behavior (SEAB)). 56 (1): 29–54. doi:10.1002/jaba.969. PMC 10107353. PMID 36562615. S2CID 255078968.

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