How much compliance is too much compliance: Is long-term ABA therapy abuse?

被引:83
作者
Sandoval-Norton, Aileen Herlinda [1 ]
Shkedy, Gary [2 ]
机构
[1] Alternat Teaching Strategy Ctr, San Diego, CA USA
[2] Alternat Teaching Strategy Ctr, Res, San Diego, CA USA
关键词
abuse; trauma; therapy; Autism; applied behavioral analysis; conditioning; compliance; child; adolescent; Autism treatment; nonverbal; AUTISM SPECTRUM DISORDER; COPING STRATEGIES; CHILDREN; METAANALYSIS; BEHAVIORS; PROXIMITY; SYMPTOMS; REWARDS;
D O I
10.1080/23311908.2019.1641258
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
This article discusses the prevalence of ASD with specific regard to the most ubiquitous current treatment, Applied Behavior Analysis (ABA). A discussion of some of the issues with the underlying theory of ABA in its current application is conducted, especially with regard to "lower functioning" and nonverbal autistic individuals; namely, the curtailing of soothing "stimming" behaviors, operant conditioning, behaviorist principles that research has continued to prove it is not apt for usage with autistic individuals, as well as the unintended but damaging consequences, such as prompt dependency, psychological abuse and compliance that tend to pose high costs on former ABA students as they move into adulthood. Serious issues with the application of ABA to autistic students, specifically "lower functioning" and nonverbal ones, are discussed, especially with regard to lack of current and longitudinal scientific testing and research with respect to these individuals. These effects and the trauma that occurs resultantly are categorized as abuse. Finally, drivers of the expanded usage of ABA within the autistic community despite a lack of efficacy are also discussed, such as a potential current market size as large as $17 billion annually and the deficiency of variety in techniques used by the psychologists and behavior technicians who utilize ABA with ASD students, as well as a lack of introspection about the true effectiveness of the technique amongst the whole population on the part of these professionals.
引用
收藏
页数:8
相关论文
共 52 条
[1]   The amygdala and autism: implications from non-human primate studies [J].
Amaral, DG ;
Bauman, MD ;
Schumann, CM .
GENES BRAIN AND BEHAVIOR, 2003, 2 (05) :295-302
[2]  
American Psychological Association, 2003, FAC COMM SIFT PSYCH
[3]  
[Anonymous], 2013, DIAGNOSTIC STAT MANU, VFifth, P1000, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
[4]  
[Anonymous], 2017, Code of ethical conduct for research, teaching and evaluations involving human participants
[5]  
[Anonymous], CLIN PRACT GUID GUID
[6]  
[Anonymous], 2010, ETH PRINC PSYCH COD
[7]   Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014 [J].
Baio, Jon ;
Wiggins, Lisa ;
Christensen, Deborah L. ;
Maenner, Matthew J. ;
Daniels, Julie ;
Warren, Zachary ;
Kurzius-Spencer, Margaret ;
Zahorodny, Walter ;
Rosenberg, Cordelia Robinson ;
White, Tiffany ;
Durkin, Maureen S. ;
Imm, Pamela ;
Nikolaou, Loizos ;
Yeargin-Allsopp, Marshalyn ;
Lee, Li-Ching ;
Harrington, Rebecca ;
Lopez, Maya ;
Fitzgerald, Robert T. ;
Hewitt, Amy ;
Pettygrove, Sydney ;
Constantino, John N. ;
Vehorn, Alison ;
Shenouda, Josephine ;
Hall-Lande, Jennifer ;
Braun, Kim Van Naarden ;
Dowling, Nicole F. .
MMWR SURVEILLANCE SUMMARIES, 2018, 67 (06) :1-23
[8]  
Baron M.G., 2006, STRESS COPING AUTISM
[9]  
Behaviour Analyst Certification Board, 2018, BCBA requirements
[10]  
Bellini S., 2004, Focus on Autism and Other Developmental Disabilities, V19, P78, DOI [10.1177/10883576040190020201, DOI 10.1177/10883576040190020201]