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Applied Behavior Analysis (ABA) | Therapist Neurodiversity Collective
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It is impossible to practice ABA even gently or playfully, without attempting to control and manipulate a person’s behavior.</span></p><p style="text-align: left;"><span style="font-size: 14pt;"><strong>The fundamental goal of ABA is compliance with the will of the person in the position of authority, which counters self-determination, undermines self-advocacy efforts, and infringes on human dignity and fundamental human rights.” </strong></span><span style="font-size: 14pt;">– Julie Roberts, M.S., CCC-SLP. (2018). Therapist Neurodiversity Collective</span></p><p style="text-align: center;"> </p></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-10b3168" data-id="10b3168" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-47d0a94 elementor-widget elementor-widget-image" data-id="47d0a94" data-element_type="widget" data-widget_type="image.default"><div class="elementor-widget-container"> <img fetchpriority="high" decoding="async" width="800" height="800" src="https://therapistndc.org/wp-content/uploads/2021/03/ABA-1024x1024.png" class="attachment-large size-large wp-image-5139" alt="Applied Behavior Analysis (ABA)" srcset="https://therapistndc.org/wp-content/uploads/2021/03/ABA-1024x1024.png 1024w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-100x100.png 100w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-600x600.png 600w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-768x768.png 768w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-1536x1536.png 1536w, https://therapistndc.org/wp-content/uploads/2021/03/ABA-2048x2048.png 2048w" sizes="(max-width: 800px) 100vw, 800px" /></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-23383b9 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="23383b9" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c638fd6" data-id="c638fd6" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-606a3c4 noselect elementor-widget elementor-widget-text-editor" data-id="606a3c4" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: left; padding-left: 40px;"><span style="font-size: 18pt;">“In many countries, autistic persons lack access to services which would support, on an equal basis with others, their right to health, education, employment, and living in the community. When available, <strong>services are too often far from human rights friendly or evidence-based….</strong></span></p><p><span style="font-size: 14pt;">Autistic persons are particularly exposed to professional approaches and medical practices which<strong> are unacceptable from a human rights point of view.</strong> <br />Such practices – justified many times as treatment or protection measures –<strong> violate their basic rights, undermine their dignity, and go against scientific evidence…</strong></span></p><p style="text-align: left;"><span style="font-size: 14pt;">Autistics persons should be recognized as the main experts on autism and on their own needs, and funding should be allocated to peer-support projects run by and for autistic persons..” </span></p><p style="text-align: left;"><a href="https://www.ohchr.org/en/press-releases/2015/04/discrimination-against-autistic-persons-rule-rather-exception-un-rights" target="_blank" rel="noopener"><strong><span style="font-size: 14pt;">– The United Nations, Human Rights Office of the High Commissioner (2015)</span></strong></a></p></div></div></div></div><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2dd2a61" data-id="2dd2a61" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-4bc2c96 noselect elementor-widget elementor-widget-text-editor" data-id="4bc2c96" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: left;"><span style="font-size: 14pt;"><span style="font-size: 18pt;">In <strong>February 2023, </strong><a href="https://www.oireachtas.ie/en/committees/33/disability-matters/" target="_blank" rel="noopener">The Joint Committee on Disability Matters in Ireland</a> published <em><a href="https://data.oireachtas.ie/ie/oireachtas/committee/dail/33/joint_committee_on_disability_matters/reports/2023/2023-02-23_report-on-aligning-disability-services-with-the-united-nations-convention-on-the-rights-of-persons-with-disabilities_en.pdf">The Report on Aligning Disability Services with the United Nations Convention on the Rights of Persons with Disabilities</a>.</em> In it, they declare:</span><br /></span></p><p style="text-align: left; padding-left: 40px;"><span style="font-size: 14pt;"><br />“…the Committee are aware how <strong>behavioural interventionist therapies such as PBS, ABA are medicalised and differ crucially from the principles underlying Speech and Language Therapy (SLT), and Occupational Therapy (OT)</strong>. Behavioural interventionist therapies are ultimately founded on modifying disabled people’s behaviour to meet goals decided by others; often to conform more closely with neurotypical communication, behaviour and/or norms and therefore the Committee believe <strong>cannot uphold the UNCRPD principles of autonomy, dignity, right to identity and freedom from non-consensual or degrading treatment.”</strong></span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-02139be noselect elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="02139be" data-element_type="section"><div class="elementor-container elementor-column-gap-wide"><div class="elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-1ed2cf4" data-id="1ed2cf4" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-8ecae43 noselect elementor-widget elementor-widget-text-editor" data-id="8ecae43" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: center;"><span style="font-size: 14pt;">“What most parents don’t know, and what I only know now after encountering both autistic experiences with ABA and following contemporary ABA research, is that autistic children need supports and accommodations, not interventions based on non-autistic child development and <a href="http://neurodiversity.com/library_chance_1974.html">conversion therapy</a>. “Early interventions,” and especially ABA, are the exact <strong>opposite</strong> of what young autistic children need to thrive.” </span></p><p style="text-align: center;"><span style="font-size: 14pt;"><a href="https://thinkingautismguide.com/2020/10/why-no-autistic-child-should-be-in-aba-therapy.html" target="_blank" rel="noopener">Why No Child Should Be in ABA Therapy</a> – Shannon Des Roses Rocha, Thinking Person’s Guide To Autism</span></p></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-e6b5c7f" data-id="e6b5c7f" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-54cee46 noselect elementor-widget elementor-widget-text-editor" data-id="54cee46" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: center;"><span style="font-size: 18pt;"><span style="color: #000000;">“Defending ABA as non-harmful and theoretically unproblematic reflects a deep misunderstanding of what is actually considered best practice by many autistic people.”</span> <br />– <a href="https://www.kent.ac.uk/social-policy-sociology-social-research/people/1419/milton-damian" target="_blank" rel="noopener">Dr. Damien Milton</a> (<a href="https://twitter.com/milton_damian/status/1401421107987681282?s=20" target="_blank" rel="noopener">2021</a>)</span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-43bd820 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="43bd820" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b38a08d" data-id="b38a08d" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-9318a36 elementor-widget elementor-widget-heading" data-id="9318a36" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">Dr. Ivar Lovaas (1927–2010) - "a pioneer in ABA"</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-319df0b elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="319df0b" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4659844" data-id="4659844" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-610c769 noselect elementor-widget elementor-widget-text-editor" data-id="610c769" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: left;"><span style="font-size: 12pt;">“You see, you start pretty much from scratch when you work with an autistic child. You have a person in the physical sense – they have hair, a nose and a mouth – <b>but they are not people in the psychological sense.</b><b> </b>One way to look at the job of helping autistic kids is to see it as a matter of <b>constructing a person.</b> You have the raw materials, but you have to build the person.” – Lovaas (1974). ”Psychology Today”</span></p><p style="padding-left: 40px;"><span style="font-size: 12pt;">“After you hit a child, you can’t just get up and leave him; you are hooked to that kid” – <a href="http://neurodiversity.com/library_chance_1974.html" target="_blank" rel="noopener">Lovaas (1974). Psychology Today.</a></span></p><p><span style="font-size: 12pt;">“Even more than punishment, patience and tenderness are lavished on the children by the staff. Every hour of lesson time has a 10-minute break for affectionate play. The key to the program is a painstaking system of rewarding the children —first with food and later with approval — whenever they do something correctly. These four were picked because they are avid eaters to whom food is very important. <strong>In the first months they got no regular meals. Spoonfuls of food were doled out only for right answers.” </strong>Moser D, Grant A. <a href="http://neurodiversity.com/library_screams_1965.html" target="_blank" rel="noopener">Screams, slaps, and love: a surprising, shocking treatment helps far gone mental cripples</a>. Life. May 7, 1965: pp 87 – 97.</span></p><p style="padding-left: 40px;"><span style="font-size: 12pt;">” We know the shocks are painful; we have tried them on ourselves and we know that they hurt. But it is stressful for the person who does the shocking too. You may have used shock successfully with a hundred kids, but you are still apprehensive about it; you always think that maybe this kid will be the exception; maybe you will hurt him and it won’t do any good. But then when you shock him and you see the self-destructive behavior stop, it is tremendously rewarding.” – Lovaas (1974). ”Psychology Today”</span></p><p><span style="font-size: 12pt;">“To give her something to be anxious about, <strong>she was taken to the shock room, where the floor is laced with metallic strips. Two electrodes were put on her bare back, and her shoes removed</strong>.” Moser D, Grant A. <a href="http://neurodiversity.com/library_screams_1965.html" target="_blank" rel="noopener">Screams, slaps, and love: a surprising, shocking treatment helps far gone mental cripples</a>. Life. May 7, 1965: pp 87 – 97.</span></p><p style="padding-left: 40px;"><span style="font-size: 12pt;">“Even more than punishment, patience and tenderness are lavished on the children by the staff. Every hour of lesson time has a 10-minute break for affectionate play. The key to the program is a painstaking system of rewarding the children —first with food and later with approval — whenever they do something correctly. These four were picked because they are avid eaters to whom food is very important. <strong>In the first months they got no regular meals. Spoonfuls of food were doled out only for right answers.” </strong>Moser D, Grant A. <a href="http://neurodiversity.com/library_screams_1965.html" target="_blank" rel="noopener">Screams, slaps, and love: a surprising, shocking treatment helps far gone mental cripples</a>. Life. May 7, 1965: pp 87 – 97.</span></p></div></div><div class="elementor-element elementor-element-3d9eaaf elementor-widget elementor-widget-spacer" data-id="3d9eaaf" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-5294dce elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="5294dce" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-55b77dd" data-id="55b77dd" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-55cf6a7 noselect elementor-widget elementor-widget-text-editor" data-id="55cf6a7" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h4 style="text-align: center;"><span style="color: #ad2a1a; font-size: 18pt;"> ABA and Electric Skin Shock in the 21st Century</span></h4><p style="text-align: center;"><span style="font-size: 18pt;">One would think the ABA practice of torturing children in the pursuit of compliance and “normalization” would be over, but <strong>the Judge Rotenberg Center continues to use painful electrical stimulation devices (ESDs) on human beings</strong> <a href="https://autisticadvocacy.org/2023/02/action-alert-new-york-residents-support-andres-law-to-stop-the-shock/" target="_blank" rel="noopener">to this day,</a> a practice which the <a href="https://www.driadvocacy.org/the-united-nations-calls-again-for-investigation-of-jrcs-shock-treatments/" target="_blank" rel="noopener"><strong>United Nations </strong></a>has deemed <strong><a href="https://www.youtube.com/watch?v=YcxpGKctZMs" target="_blank" rel="noopener">torture.</a></strong></span></p><p> </p><p style="padding-left: 40px;"><span style="font-size: 14pt;"><strong>The</strong> <strong>Association for Behavioral Analysis International (<a href="https://abainternational.org/events/program-details/event-detail.aspx?&sid=75880&by=Domain" target="_blank" rel="noopener">ABAI</a>) continued to feature JRC as a presenter at their annual conferences as late as <a href="https://abainternational.org/events/program-details/event-detail.aspx?&sid=72948&by=Area" target="_blank" rel="noopener">2021</a>, and <a href="https://abainternational.org/events/program-details/event-detail.aspx?&sid=75880&by=Domain" target="_blank" rel="noopener">2022</a>. </strong>In November 2022, the ABAI put out a <a href="https://www.abainternational.org/about-us/policies-and-positions/position-statement-on-the-use-of-cess-2022.aspx" target="_blank" rel="noopener">position statement,</a>” we strongly oppose the use of contingent electric skin shock (CESS) under any condition,” after (only) 65% of members voted to pass it. (Diament, 2022). Apparently, 35% of BCBAs still don’t have a problem with painfully shocking disabled people.</span></p><p style="padding-left: 40px;"><span style="font-size: 14pt;">In March 2020, the FDA <a href="https://www.federalregister.gov/documents/2020/03/06/2020-04328/banned-devices-electrical-stimulation-devices-for-self-injurious-or-aggressive-behavior" target="_blank" rel="noopener">banned the use</a> of Electrical Stimulation Devices for Self-Injurious or Aggressive Behavior, but the “U.S. Court of Appeals for the D.C. Circuit found that the ban was beyond the FDA’s authority as it was a regulation of the practice of medicine.” (Morrison, 2021)</span></p><p style="padding-left: 40px;"><span style="font-size: 14pt;"><a href="https://bostonreview.net/articles/the-shocking-school/" target="_blank" rel="noopener"><strong>The Shocking School: The Judge Rotenberg Center, a Massachusetts school, still uses electric shock therapy to punish disabled students. How can an entire field of mental health accept this as fine? </strong></a> Summers, J. (2021, December 22). <i>The Shocking School</i>. Boston Review. </span></p><p style="padding-left: 40px;"><span style="font-size: 14pt;"><a href="https://autisticadvocacy.org/stoptheshock/" target="_blank" rel="noopener">What’s happening at the Judge Rotenberg Center?</a> #StopTheShock. ASAN (Autistic Self Advocacy Network)</span></p><p style="padding-left: 40px;"><span style="font-size: 14pt;">Diament, M. (2022, November 18). <a href="https://www.disabilityscoop.com/2022/11/18/behavior-analysis-group-votes-to-oppose-electric-shock-treatment/30143/" target="_blank" rel="noopener"><em>Behavior Analysis Group Votes To Oppose Electric Shock Treatment</em></a>. DisabilityScoop</span></p><p style="padding-left: 40px;"><span style="font-size: 14pt;">Morrison, H. (2021, July 12). <a href="https://www.masslive.com/news/2021/07/fdas-ban-on-the-use-of-electric-shock-devices-used-at-judge-rotenberg-center-in-massachusetts-overturned.html" target="_blank" rel="noopener">FDA’s ban on the use of electric shock devices used at Judge Rotenberg Center in Massachusetts overturned</a>. MassLive.</span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-36909cb elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="36909cb" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2628e12" data-id="2628e12" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-19e48c3 elementor-widget elementor-widget-spacer" data-id="19e48c3" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-c7891dd elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="c7891dd" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1442024" data-id="1442024" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-200b8d3 elementor-widget elementor-widget-heading" data-id="200b8d3" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">What do Autistic People Think About ABA?</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-cc1a002 elementor-section-content-space-evenly elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="cc1a002" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dd9547a" data-id="dd9547a" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><section class="elementor-section elementor-inner-section elementor-element elementor-element-c27dc8e elementor-section-content-space-evenly elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="c27dc8e" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-fdc6d32" data-id="fdc6d32" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-d482859 noselect elementor-widget elementor-widget-text-editor" data-id="d482859" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: center;"><span style="font-size: 14pt;">“Autistic adults remember traumatic events from applied behavior analysis, do not believe that they should be made to behave like their peers, gained some benefits but suffered significant negative long-term consequences, believe that applied behavior analysis is an unethical intervention, and recommend that applied behavior analysis practitioners <b>listen to autistic people </b>and consider using interventions in place of applied behavior analysis.”<br /></span></p><p style="text-align: center;"><span style="font-size: 14pt;"><span style="font-size: 12pt;">Anderson, L. K. (2022). <a href="https://doi.org/10.1177/13623613221118216" target="_blank" rel="noopener">Autistic experiences of applied behavior analysis.</a> Autism, 0(0). https://doi.org/10.1177/13623613221118216</span></span></p></div></div><div class="elementor-element elementor-element-053793e noselect elementor-widget elementor-widget-text-editor" data-id="053793e" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: center;"><a href="https://autcollab.org/deep-innovation/introduction-to-autistic-ways-of-being/#Towards-comprehensive-bans-of-conversion-therapies" target="_blank" rel="noopener"><span style="font-size: 14pt;">Initiatives towards banning conversion therapies for all humans, including Autistic, Intellectually Disabled, and Non-speaking People</span></a></p><p>1. <b>Australia</b>, <a href="https://www.change.org/p/stop-aba-being-taught-to-psychology-students-and-ban-aba-altogether">Stop ABA being taught to psychology students and ban ABA altogether</a> (2020)</p><p>2. <b>Canada</b>, <a href="https://a4aontario.com/wp-content/uploads/2021/01/A4A-National-Policy-Report-Recommendations-2021.pdf">De-fund all </a><a href="https://a4aontario.com/wp-content/uploads/2021/01/A4A-National-Policy-Report-Recommendations-2021.pdf">IBI</a><a href="https://a4aontario.com/wp-content/uploads/2021/01/A4A-National-Policy-Report-Recommendations-2021.pdf"> and ABA </a><a href="https://a4aontario.com/wp-content/uploads/2021/01/A4A-National-Policy-Report-Recommendations-2021.pdf">centres</a><a href="https://a4aontario.com/wp-content/uploads/2021/01/A4A-National-Policy-Report-Recommendations-2021.pdf"> and redirect funding towards inclusive </a><a href="https://a4aontario.com/wp-content/uploads/2021/01/A4A-National-Policy-Report-Recommendations-2021.pdf">appr`oaches</a> (2021)</p><p>3. <b>Aotearoa New Zealand</b>, <a href="https://autcollab.org/2021/03/10/banning-autistic-conversion-therapy-in-nz/">Ban on all forms of “conversion therapies”, including ABA</a> (2021)</p><p>4. <b>South Africa</b>, <a href="https://autisticstrategies.net/2021-autistic-collaboration/">Ban of nonconsensual Applied </a><a href="https://autisticstrategies.net/2021-autistic-collaboration/">Behaviour</a><a href="https://autisticstrategies.net/2021-autistic-collaboration/"> Analysis</a> (2021)</p><p>5. <b>United Kingdom</b>, <a href="https://petition.parliament.uk/petitions/578616">Ban Applied </a><a href="https://petition.parliament.uk/petitions/578616">Behavioural</a><a href="https://petition.parliament.uk/petitions/578616"> Analysis for autistic people</a> (2021)</p><p>6. <b>United States</b>, <a href="https://www.facebook.com/groups/federalbanaba/">Ban ABA Initiative</a> (2020)</p><p>7. <b>United States, Texas</b>, <a href="https://www.mobilize.us/texasdemocratswithdisabilities/event/377352/">Don’t Fund Behavioral Coercion in Texas!</a> (2021)</p><p>8. <b>United States</b>: National Council on Independent Living (July 2021)<br /><a href="https://advocacymonitor.com/ncil-resolution/resolution-opposing-applied-behavioral-analysis-aba/">https://advocacymonitor.com/ncil-resolution/resolution-opposing-applied-behavioral-analysis-aba/</a></p><p>The Autistic Collaboration Trust (Ed.). (2022, January 6). <i>Introduction to autistic ways of being</i>. Autistic Collaboration.</p></div></div></div></div><div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-76cab4f" data-id="76cab4f" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-fc44dad noselect elementor-widget elementor-widget-text-editor" data-id="fc44dad" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-size: 14pt;">Investigation of the long-term impacts autistic adults experienced from childhood participation in Applied Behaviour Analysis (ABA)</span></p><ul><li><span style="font-size: 14pt;">Behaviorist methods create <b>painful lived experience</b></span></li><li><span style="font-size: 14pt;">intervention was contingent on repeating certain tasks in order to <b>avoid punishment</b></span></li><li><span style="font-size: 14pt;"><b>Trained like an animal </b>to perform</span></li><li><span style="font-size: 14pt;">Was <b>misunderstood</b> and communication was misinterpreted</span></li><li><span style="font-size: 14pt;"><b>Erosion of self </b>and self-identity, “shutting down the real autistic me” “pretending to be someone else”</span></li><li><span style="font-size: 14pt;"><b>Trauma to mental health and well-being </b>(PTSD, chronic anxiety, self-rejection and loathing)</span><br /><span style="font-size: 14pt;"><b>Lack of self-agency </b>within personal interaction (left voiceless and mute, “the focus on compliance made it harder for me to say no to people who hurt me later”)<br /></span></li></ul><p style="text-align: center;"><span style="font-size: 14pt;">“I am no longer capable of being myself around others. Outside of my own control I observe them and make a person that they will most likely enjoy. I actively change myself around others to a staggering degree”</span></p><p style="text-align: center;"><span style="font-size: 14pt;">“ABA made it much harder to make friends, because I was spending so much time trying to pretend to be someone I’m not that I could never really connect to people”</span></p><p style="text-align: center;"><span style="font-size: 14pt;">“I’ve turned into an anxious person afraid of consequences (good or bad). And I got depressed and lost my interests which were used as reinforcer.”</span></p><p style="text-align: center;"><span style="font-size: 14pt;">“Nobody can see the emotional and mental scars that have been caused by the trauma and damage done by ABA”</span></p><p>Robinson, Anna & McGill, Owen. (2020). ‘<a href="https://www.sciencegate.app/document/10.1108/aia-04-2020-0025" target="_blank" rel="noopener">Recalling Hidden Harms’: Autistic Experiences of Childhood Applied Behavioural Analysis (ABA)</a>. Advances in Autism. ahead-of-print. 10.1108/AIA-04-2020-0025.</p></div></div></div></div></div></section><section class="elementor-section elementor-inner-section elementor-element elementor-element-ed0931a elementor-section-content-space-evenly elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="ed0931a" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8c186e0" data-id="8c186e0" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-a81c539 noselect elementor-widget elementor-widget-image" data-id="a81c539" data-element_type="widget" data-widget_type="image.default"><div class="elementor-widget-container"> <img decoding="async" width="1500" height="501" src="https://therapistndc.org/wp-content/uploads/2023/03/46a-ABA.png" class="attachment-full size-full wp-image-8975" alt="" srcset="https://therapistndc.org/wp-content/uploads/2023/03/46a-ABA.png 1500w, https://therapistndc.org/wp-content/uploads/2023/03/46a-ABA-300x100.png 300w, https://therapistndc.org/wp-content/uploads/2023/03/46a-ABA-1024x342.png 1024w, https://therapistndc.org/wp-content/uploads/2023/03/46a-ABA-768x257.png 768w" sizes="(max-width: 1500px) 100vw, 1500px" /></div></div><div class="elementor-element elementor-element-8db18a2 noselect elementor-widget elementor-widget-text-editor" data-id="8db18a2" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><ul><li><span style="font-size: 14pt;">Nearly <strong>90 percent of Autistic people</strong> and almost 60% of non-autistic professionals <strong>disagreed with the use of ABA on autistic children.</strong></span></li><li><span style="font-size: 14pt;"><strong>Over 70% of Autistic ABA recipients disagreed with its use.</strong> 62% of them strongly disagreed with the use of ABA.</span></li><li><span style="font-size: 14pt;">However, <strong>45% of parents and caregivers</strong> of recipients of ABA <strong>agreed with the use of ABA</strong> on autistic children, vs <strong>35% who did not agree with the use of ABA</strong> on autistic children</span></li></ul><p> </p><p><span style="font-size: 14pt;">Bonello, C., “<a href="https://autisticnotweird.com/autismsurvey/#aba" target="_blank" rel="noopener">Results and Analysis of the Autistic Not Weird 2022 Autism Survey.</a>” Autistic not weird. 23 March, 2022. </span><br /><span style="font-size: 14pt;">Images used with permission.</span></p></div></div><div class="elementor-element elementor-element-475d111 noselect elementor-widget elementor-widget-text-editor" data-id="475d111" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-size: 14pt;"><strong><a href="https://a4aontario.com/about/" target="_blank" rel="noopener">“Autistics for Autistics</a> opposes ABA in any form</strong>, because <strong>ABA is founded on a dehumanizing, segregationist approach to autistic people.</strong> We understand we could make ourselves a lot more popular by stepping back from this issue, but in good conscience we can’t — and <strong>we never will.</strong></span></p><p><span style="font-size: 14pt;">Reason 1: Autistics who have undergone ABA are more likely to suffer from PTSD. The risk of suicidality is also significantly higher for ABA participants.</span><br /><span style="font-size: 14pt;">Reason 2: ABA training makes children vulnerable to abuse throughout their lifetime.</span><br /><span style="font-size: 14pt;">Reason 3: Young children who undergo IBI/ABA are denied a normal childhood.<br />Reason 4: Autistic people do not like or want ABA. <br />Reason 5: There are better ways than ABA — but ABA organizations lobby for dominance.”</span></p><p><span style="font-size: 14pt;">– Read their entire ABA position on <a href="https://a4aontario.com/2018/05/24/why-we-oppose-aba-in-any-form/" target="_blank" rel="noopener">A4A Ontario</a> (Autistics for Autistics Ontario)</span></p></div></div></div></div><div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-eab2211" data-id="eab2211" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-f760c86 noselect elementor-widget elementor-widget-text-editor" data-id="f760c86" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: center;"><span style="font-size: 14pt; color: #000000;">“One of the main interventions for autism is Applied Behavioral Analysis (ABA). ABA is a model of intervention focused on changing the external behaviors of autistic children, with the goal of making an autistic child look and act nonautistic. Ethical concerns have been raised within the autistic community as to how ABA and similar practices serve to “normalize” autistic children, via teaching children to hide their autistic traits. Hiding autistic traits has been linked to worse mental health outcomes and increased suicidality in autistic adults. Furthermore, these practices often “normalize” autistic children at the expense of promoting key life skills, self-determination, and self-esteem.” <strong>“We argue that “new ABA” is no more acceptable or ethical than old ABA, even if it is less brutal.” </strong></span></p><p style="text-align: center;"><span style="font-size: 14pt;">– <a href="https://autisticadvocacy.org/policy/briefs/intervention-ethics/" target="_blank" rel="noopener">For Whose Benefit? Evidence, Ethics, and Effectiveness of Autism Interventions</a>. Autistic Self Advocacy Network. (2021, December). </span></p></div></div><div class="elementor-element elementor-element-dec07be noselect elementor-widget elementor-widget-text-editor" data-id="dec07be" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: center;"><span style="font-size: 14pt; font-family: 'Archivo Narrow';"><span style="color: #000000;"><em>“ASAN’s objection is fundamentally an ethical one. The stated end goal of ABA is an autistic child who is “indistinguishable from their peers”—an autistic child who can pass as neurotypical. We don’t think that’s an acceptable goal. The end goal of all services, supports, interventions, and therapies an autistic child receives should be to support them in growing up into an autistic adult who is happy, healthy, and living a self-determined life.”</em></span></span></p><p style="text-align: center;"><span style="font-size: 14pt; font-family: 'Archivo Narrow';"><span style="color: #000000;"> – Julia Bascom, Executive Director, Autistic Self Advocacy Network (ASAN)</span></span></p></div></div><div class="elementor-element elementor-element-4815adf elementor-widget elementor-widget-text-editor" data-id="4815adf" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h3 class="text-serif lh-1 "><a href="https://www.dutchnews.nl/2023/05/parents-call-for-action-on-controversial-autism-therapy-aba/" target="_blank" rel="noopener">Parents call for action on controversial autism therapy ABA</a>. (2023, May 25). DutchNews.</h3><p><span data-preserver-spaces="true">“Parents of children with autism are calling on the government to ban a controversial treatment known as ABA, which some have compared to gay conversion therapy, <a href="https://www.trouw.nl/zorg/ouders-eisen-verbod-op-autismebehandeling-voor-kinderen~b7ef01d1/">Trouw reported</a> on Thursday. </span><span data-preserver-spaces="true">So far 2,500 parents have <a href="https://petities.nl/petitions/verbied-conversietherapie-van-aba-voor-autisme?locale=nl">signed a petition</a> calling for action and the LBVSO, an organisation for children in special education, says it has received 450 complaints about the programme…” </span></p><p> </p></div></div></div></div></div></section></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-6f727da elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="6f727da" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6959728" data-id="6959728" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-6691ba3 elementor-widget elementor-widget-spacer" data-id="6691ba3" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-a3b2dd2 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="a3b2dd2" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fc66e95" data-id="fc66e95" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-f9b2514 elementor-widget elementor-widget-image" data-id="f9b2514" data-element_type="widget" data-widget_type="image.default"><div class="elementor-widget-container"> <img decoding="async" width="768" height="300" src="https://therapistndc.org/wp-content/uploads/2024/06/MONEY-768x300.png" class="attachment-medium_large size-medium_large wp-image-11771" alt="" srcset="https://therapistndc.org/wp-content/uploads/2024/06/MONEY-768x300.png 768w, https://therapistndc.org/wp-content/uploads/2024/06/MONEY-300x117.png 300w, https://therapistndc.org/wp-content/uploads/2024/06/MONEY.png 1024w" sizes="(max-width: 768px) 100vw, 768px" /></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-6fbf48a noselectaa elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="6fbf48a" data-element_type="section"><div class="elementor-container elementor-column-gap-wider"><div class="elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-9008f6f" data-id="9008f6f" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-785fdb3 noselect elementor-widget elementor-widget-text-editor" data-id="785fdb3" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h4 style="text-align: left;"><span style="font-size: 18pt;">ABA is a multibillion-dollar industry, preying upon the concept of “autism as commodity”…</span></h4><p><a href="https://www.bostonglobe.com/2022/11/21/opinion/mismeasure-misha/" target="_blank" rel="noopener">The mismeasure of Misha</a><br />Summers, J. (2022, November 28). The mismeasure of Misha My son broke free from the most common therapy for autism… Boston Review</p><p><a href="https://cofarblog.com/2022/11/25/father-writes-about-how-he-and-his-son-finally-broke-free-of-the-grip-of-applied-behavior-analysis/" target="_blank" rel="noopener">Father writes about how he and his son finally broke free of the grip of Applied Behavior Analysis</a><br />COFAR Blog (2022, November 25) COFAR (Massachusetts Coalition of Families and Advocates, Inc.) </p><p><a href="https://fortune.com/2022/07/29/autism-therapy-care-centers-private-equity-hopebridge/" target="_blank" rel="noopener">Private equity is the biggest player in a booming autism-therapy industry. Some therapists say the ‘money grab’ is hurting the quality of care</a><br />Fry, E. (2022, January 29) <em>Private equity is the biggest player in a booming autism-therapy industry. Some therapists say the ‘money grab’ is hurting the quality of care.</em> Fortune. </p><p><a href="https://www.thenation.com/article/society/private-equity-autism-aba/" target="_blank" rel="noopener">As Private Equity Comes to Dominate Autism Services… It’s time to ask ourselves how long we want to keep rewarding bad behavior.</a><br />Summers, J. (2021, April 2). <i>As private equity comes to dominate autism services…</i> The Nation.</p><p><a href="https://noncompliantpodcast.com/2021/04/17/the-role-of-private-equity-and-lobbying-in-aba-funding-talking-with-investigative-journalist-john-summers/" target="_blank" rel="noopener">The role of private equity and lobbying in ABA funding: Talking with investigative journalist John Summers</a><br />Borden King, A. (Ed.). (2021, August 24). The role of private equity and lobbying in ABA funding: Talking with investigative journalist John Summers. Noncompliant – The Podcast. </p><p><a href="https://brill.com/view/journals/jdse/aop/article-10.1163-25888803-bja10008/article-10.1163-25888803-bja10008.xml?language=en" target="_blank" rel="noopener">Autism, Inc.: The Autism Industrial Complex</a><br />Broderick, A. A., & Roscigno, R. (2021). Autism, Inc.: The Autism Industrial Complex, Journal of Disability Studies in Education (published online ahead of print 2021). doi: https://doi.org/10.1163/25888803-bja10008</p></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-0381548" data-id="0381548" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-5ae4ec7 noselect elementor-widget elementor-widget-text-editor" data-id="5ae4ec7" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p class="title text-headline mb-3" style="text-align: left;"><span style="font-size: 18pt;">Autism, Inc.: The Autism Industrial Complex</span></p><p class="title text-headline mb-3"><span style="font-size: 12pt;">“We contend that, within capitalism,<strong> the Autism Industrial Complex (aic) produces both autism as commodity</strong> and the normative cultural logic of intervention in relation to it. Comprised of ideological/rhetorical as well as material/economic infrastructure, we argue that the aic is not the myriad businesses and industries that capitalize and profit from it; rather, these constitute its epiphenomenal features. In the production of autism as commodity, <strong>the aic also simultaneously produces that commodity’s market, its consumers, and its own monopoly control of that market</strong> through production for consumption of need for, consent to, and legitimacy of interventionist logics. Within this apparatus, almost anyone can capitalize on and profit from autism. <strong>And within the aic, autistic people—their very bodies—function as the raw materials from which this industrial complex is built, even as autistic people—their very identities and selves—also become unwitting, and often unwilling, products of the aic.” </strong><a href="https://brill.com/view/journals/jdse/aop/article-10.1163-25888803-bja10008/article-10.1163-25888803-bja10008.xml" target="_blank" rel="noopener">In: Journal of Disability Studies in Education E-ISSN: 2588-8803 Print ISSN: 2588-879X Publisher: Brill</a></span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-f167487 noselect elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="f167487" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-adddd59" data-id="adddd59" data-element_type="column"><div class="elementor-widget-wrap"></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-aba14b6 noselect elementor-section-content-space-between elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="aba14b6" data-element_type="section"><div class="elementor-container elementor-column-gap-wide"><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-90b73cd" data-id="90b73cd" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-0c88719 elementor-widget elementor-widget-text-editor" data-id="0c88719" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h4><span style="font-size: 18pt; color: #000000;">There are many ethical and human rights concerns regarding the use of ABA on human beings. </span></h4><h4><span style="font-size: 14pt;">This includes the use of ABA-derived therapy models such as <a href="https://therapistndc.org/neurodiversity-and-autism-intervention-aba-cant-be-reconciled/" target="_blank" rel="noopener">Naturalistic Developmental Behavioral Interventions</a> and relationship-based therapy models paired with ABA on non-consenting human beings.</span></h4><p><span style="font-size: 14pt;">We are disturbed that ABA is used on pediatric, adult, and elderly populations without consent from the humans on the receiving end. </span></p><p><span style="font-size: 14pt;">We are horrified that the BACB condones the use of punishment in the treatment of neurodivergent, autistic, and intellectually disabled humans. We want the public to understand that The Behavioral Analysis Certification Board’s <a href="https://www.bacb.com/wp-content/uploads/2022/01/Ethics-Code-for-Behavior-Analysts-220316-2.pdf" target="_blank" rel="noopener">Ethics Compliance Code</a> has published guidelines for the application of aversion procedures (punishment) that certified ABA providers must follow when treating clients. <strong>We believe the use of punishment to manipulate human behavior is a violation of human rights.</strong></span></p><h4 style="text-align: center;"><span style="color: #000000; font-size: 18pt;">Ethical, empathetic, and respectful practices would never encompass the following:</span></h4><ul><li><span style="font-size: 14pt;">Training human behavior compliance through rewards, such as the earning of snacks, checkmarks, behavior charts, stickers, and access to favorite or personal items and objects, activities, or similar.</span></li><li><span style="font-size: 14pt;">Withholding attention or affection, food, drink, activities, or objects, personal belongings, favored hobbies, etc. until compliance is gained, or the therapy outcome is achieved.</span></li><li><span style="font-size: 14pt;">Humans train other humans as they would <a href="https://marybarbera.com/amy-sutherland-what-shamu-teach-about-training/" target="_blank" rel="noopener">whales</a>, <a href="https://youtube.com/playlist?list=PL0_NcGwhzOkiqZHylrPzMJcV9zEgWfQGN" target="_blank" rel="noopener">chickens</a> or dogs. </span></li><li><span style="font-size: 14pt;"><a href="https://youtu.be/qxTlc3SJCbA" target="_blank" rel="noopener">Compliance</a> training, which sets up children for current and future victimization*, <em>“specifically, more property crime, maltreatment, teasing/emotional bullying, and sexual assault by peers.”</em></span></li></ul><p><span style="font-size: 14pt;"><br />* Weiss JA, Fardella MA. Victimization and Perpetration Experiences of Adults With Autism. <i>Front Psychiatry</i>. 2018;9:203. Published 2018 May 25. doi:10.3389/fpsyt.2018.00203</span></p></div></div></div></div><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6d9431c" data-id="6d9431c" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-7074cfd noselect elementor-widget elementor-widget-text-editor" data-id="7074cfd" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p style="text-align: left;"><span style="color: #829356;"><strong>Trauma-informed, research-based alternatives to ABA and behavior-based treatments for autistic and otherwise disabled people:</strong></span></p><p><span style="color: #829356;"><strong>Speech-Language Pathologists and Speech-Language Therapists</strong></span> have the unique, necessary training and education in anatomy, physiology, neurology, and neurological based conditions, language development, and motor development to address self and/or other-harming client <span style="color: #000000;">behaviors</span> through the investigation of the underlying causes. Trained SLP/SLTs and their SLP-Assistants teach clients to self-advocate through functional communication, thereby ensuring that they retain the inherent human right of self-determination. </p><p><span style="color: #829356;"><strong>Occupational Therapists</strong></span> focus on a person’s ability to function independently rather than the “function” of any particular “behavior”. What guides the practice of an Occupational Therapist is what is of most importance to the client – personal goals, hobbies, and occupations. Occupational Therapists teach the skills for the job of living, using a broad knowledge-base of anatomy and physiology, neuroscience, psychology, and activity analysis to help people achieve their highest level of independence with the activities of daily living that are most meaningful to the client. Additionally, and importantly, occupational therapists address client environments, especially the social, physical, and policy aspects, to promote social participation and inclusion.</p><p><span style="font-size: 10pt;">Reference<br /><a href="https://therapistndc.org/wp-content/uploads/2022/01/aota-neurodiversity-1.pdf">Shifting Focus From Impairment to Inclusion: Expanding Occupational Therapy for Neurodivergent Students to Address School Environments</a></span><br /><span style="font-size: 10pt;">Yu-Lun Chen, Kristie Patten; Shifting Focus From Impairment to Inclusion: Expanding Occupational Therapy for Neurodivergent Students to Address School Environments. <em>Am J Occup Ther</em> May/June 2021, Vol. 75(3), 7503347010. doi: https://doi.org/10.5014/ajot.2020.040618</span></p><p><span style="font-size: 14pt;">Therapist Neurodiversity Collective believes that therapists should listen<span class="text_exposed_show"> to and respect Autistic and other Neurodivergent voices. A neurodivergent-affirming therapist does not “treat autism.” Coercing a neurodivergent person to “normalize” through ABA and/or other masking therapy models is disrespectful and can cause substantial trauma.</span></span></p><p><span style="font-size: 14pt;"><strong>We recommend that families seek out therapists who <a href="https://therapistndc.org/become-a-member-of-the-collective/" target="_blank" rel="noopener">commit</a> to providing therapy in manners that uphold the dignity of the individual while promoting self-determination. </strong></span></p><div class="text_exposed_show"> </div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-2805228 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="2805228" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-73f0dbe" data-id="73f0dbe" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-851e463 elementor-widget elementor-widget-spacer" data-id="851e463" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-c80630f elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="c80630f" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2489623" data-id="2489623" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-e839280 elementor-widget elementor-widget-heading" data-id="e839280" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">You might not know your therapy program is ABA...</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-54496ab noselect elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="54496ab" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bdc5b7f" data-id="bdc5b7f" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-ed3eaa0 noselect elementor-widget elementor-widget-text-editor" data-id="ed3eaa0" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><ul><li><span class="JsGRdQ">“Play-based” ABA</span></li><li><span class="JsGRdQ">ABA + relationship-based therapy (a therapy framework where ABA is used in conjunction with DIRFloortime, SCERTS, Hanen, or similar.)</span></li><li>Verbal Behavior (VB)</li><li>VB-MAPP</li><li>The Lovaas Approach</li><li>Interview Informed Synthesized Contingency Analysis (IISCA)</li><li>Relational Frame Theory (RFT)</li><li><a href="https://www.autismprthelp.com/about-prt.php">Pivot Response Treatment</a> (PRT)</li><li>Natural Language Paradigm <span style="font-weight: 400;">® </span>(NLP)</li><li>Learning Experiences: An Alternative Program for Preschoolers and Their Parents (LEAP)</li><li>KASPAR</li><li><a href="https://www.esdm.co/" target="_blank" rel="noopener">Early Start Denver Model</a> (ESDM)</li><li><span class="JsGRdQ">Discrete Trial Training (DTT)</span></li><li>Functional Communication Training (FCT)</li><li><span style="font-weight: 400;">Gemiini Systems</span></li><li><span class="JsGRdQ">Incidental Teaching</span></li><li><a href="https://asatonline.org/for-parents/learn-more-about-specific-treatments/early-intensive-behavioral-interventiontreatment-2/">Early Intensive Behavioral Intervention (EIBI)</a></li><li><span class="JsGRdQ">Intensive Behavioral Intervention (IBI)</span></li><li>ABA Derived “Errorless Learning” Therapy Models</li><li>Intensive Behavioral Intervention (IBI)</li><li>Joint AttentionSymbolic Play, Engagement, and Regulation (JASPER)</li><li><a href="https://therapistndc.org/the-problem-with-pecs/">PECS<span style="font-weight: 400;">®</span></a></li><li><a href="https://therapistndc.org/positive-behavior-support-pbs-positive-behavioral-interventions-and-supports-pbis-or-positive-reinforcement/" target="_blank" rel="noopener">Positive Behavior Support</a> (PBS)</li><li><span class="JsGRdQ"><a href="https://therapistndc.org/positive-behavior-support-pbs-positive-behavioral-interventions-and-supports-pbis-or-positive-reinforcement/" target="_blank" rel="noopener">Positive Behavioral Interventions and Supports</a> (PBIS)</span></li><li><span style="font-weight: 400;">PCIT – Parent-Child Interaction Therapy </span></li><li><span style="font-weight: 400;">The PEERS® program</span></li><li>Project Improving Parents as Communication Teachers (Project ImPACT</li><li><span style="font-weight: 400;">TAGTeach®</span></li><li><a href="https://link.springer.com/article/10.1007%2Fs10803-009-0901-6" target="_blank" rel="noopener">TEACCH®</a> </li><li><span style="font-weight: 400;">Son-Rise </span></li></ul></div></div></div></div><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-252d3ce" data-id="252d3ce" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-9083170 elementor-arrows-position-inside elementor-pagination-position-outside elementor-widget elementor-widget-image-carousel" data-id="9083170" data-element_type="widget" data-settings="{"slides_to_show":"1","autoplay_speed":4000,"navigation":"both","autoplay":"yes","pause_on_hover":"yes","pause_on_interaction":"yes","infinite":"yes","effect":"slide","speed":500}" data-widget_type="image-carousel.default"><div class="elementor-widget-container"><div class="elementor-image-carousel-wrapper swiper" dir="ltr"><div class="elementor-image-carousel swiper-wrapper" aria-live="off"><div class="swiper-slide" role="group" aria-roledescription="slide" aria-label="1 of 5"><a data-elementor-open-lightbox="yes" data-elementor-lightbox-slideshow="9083170" data-elementor-lightbox-title="Parents Guide to ABA Therapy" data-e-action-hash="#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTAyNSwidXJsIjoiaHR0cHM6XC9cL3RoZXJhcGlzdG5kYy5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjFcLzAzXC9QYXJlbnRzLUd1aWRlLXRvLUFCQS1UaGVyYXB5LmpwZyIsInNsaWRlc2hvdyI6IjkwODMxNzAifQ%3D%3D" href="https://therapistndc.org/education/"><figure class="swiper-slide-inner"><img decoding="async" class="swiper-slide-image" src="https://therapistndc.org/wp-content/uploads/2021/03/Parents-Guide-to-ABA-Therapy.jpg" alt="Parents Guide to ABA Therapy" /></figure></a></div><div class="swiper-slide" role="group" aria-roledescription="slide" aria-label="2 of 5"><a data-elementor-open-lightbox="yes" data-elementor-lightbox-slideshow="9083170" data-elementor-lightbox-title="ABA_PTSD" data-e-action-hash="#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6ODQ0MCwidXJsIjoiaHR0cHM6XC9cL3RoZXJhcGlzdG5kYy5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjJcLzA0XC9BQkFfUFRTRC5wbmciLCJzbGlkZXNob3ciOiI5MDgzMTcwIn0%3D" href="https://therapistndc.org/education/"><figure class="swiper-slide-inner"><img decoding="async" class="swiper-slide-image" src="https://therapistndc.org/wp-content/uploads/2022/04/ABA_PTSD-410x1024.png" alt="ABA_PTSD" /></figure></a></div><div class="swiper-slide" role="group" aria-roledescription="slide" aria-label="3 of 5"><a data-elementor-open-lightbox="yes" data-elementor-lightbox-slideshow="9083170" data-elementor-lightbox-title="Buzz Phrases" data-e-action-hash="#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTAwOCwidXJsIjoiaHR0cHM6XC9cL3RoZXJhcGlzdG5kYy5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjFcLzAzXC9CdXp6LVBocmFzZXMuanBnIiwic2xpZGVzaG93IjoiOTA4MzE3MCJ9" href="https://therapistndc.org/education/"><figure class="swiper-slide-inner"><img decoding="async" class="swiper-slide-image" src="https://therapistndc.org/wp-content/uploads/2021/03/Buzz-Phrases.jpg" alt="Buzz Phrases" /></figure></a></div><div class="swiper-slide" role="group" aria-roledescription="slide" aria-label="4 of 5"><a data-elementor-open-lightbox="yes" data-elementor-lightbox-slideshow="9083170" data-elementor-lightbox-title="1 - ABA has not changed" data-e-action-hash="#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTA4NiwidXJsIjoiaHR0cHM6XC9cL3RoZXJhcGlzdG5kYy5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjFcLzAzXC8xLUFCQS1oYXMtbm90LWNoYW5nZWQucG5nIiwic2xpZGVzaG93IjoiOTA4MzE3MCJ9" href="https://therapistndc.org/education/"><figure class="swiper-slide-inner"><img decoding="async" class="swiper-slide-image" src="https://therapistndc.org/wp-content/uploads/2021/03/1-ABA-has-not-changed-410x1024.png" alt="ABA has not changed" /></figure></a></div><div class="swiper-slide" role="group" aria-roledescription="slide" aria-label="5 of 5"><a data-elementor-open-lightbox="yes" data-elementor-lightbox-slideshow="9083170" data-elementor-lightbox-title="ABA Therapy in Skilled Nursing Homes" data-e-action-hash="#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTA4NywidXJsIjoiaHR0cHM6XC9cL3RoZXJhcGlzdG5kYy5vcmdcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjFcLzAzXC9BQkEtVGhlcmFweS1pbi1Ta2lsbGVkLU51cnNpbmctSG9tZXMuanBnIiwic2xpZGVzaG93IjoiOTA4MzE3MCJ9" href="https://therapistndc.org/education/"><figure class="swiper-slide-inner"><img decoding="async" class="swiper-slide-image" src="https://therapistndc.org/wp-content/uploads/2021/03/ABA-Therapy-in-Skilled-Nursing-Homes.jpg" alt="ABA Therapy in Skilled Nursing Homes" /></figure></a></div></div><div class="elementor-swiper-button elementor-swiper-button-prev" role="button" tabindex="0"> <i aria-hidden="true" class="eicon-chevron-left"></i></div><div class="elementor-swiper-button elementor-swiper-button-next" role="button" tabindex="0"> <i aria-hidden="true" class="eicon-chevron-right"></i></div><div class="swiper-pagination"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-8f205a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="8f205a8" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ae6f16d" data-id="ae6f16d" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-b010a83 elementor-widget elementor-widget-spacer" data-id="b010a83" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-0cc136a elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="0cc136a" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f863cc6" data-id="f863cc6" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-ec88663 elementor-widget elementor-widget-heading" data-id="ec88663" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">ABA Research</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-ee28ede elementor-section-height-min-height elementor-section-content-space-evenly noselect elementor-section-items-top elementor-section-boxed elementor-section-height-default" data-id="ee28ede" data-element_type="section"><div class="elementor-container elementor-column-gap-extended"><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-54a6f7c" data-id="54a6f7c" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-5498612 noselect elementor-widget elementor-widget-text-editor" data-id="5498612" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>“Research in ABA continues to neglect the structure the autistic brain, the overstimulation of the autistic brain, the trajectory of child development, or the complex nature of human psychology, as all of these factors were ignored in the response and are ignored in ABA practice itself. <strong>Providing a treatment that causes pain in exchange for no benefit, even if unknowingly, is tantamount to torture and violates the most basic requirement of any therapy, to do no harm. “</strong></p><p>Sandoval-Norton, A.H., Shkedy, G. & Shkedy, D. <strong>Long-term ABA Therapy Is Abusive: A Response to Gorycki, Ruppel, and Zane. </strong><i>Adv Neurodev Disord</i> <b>5, </b>126–134 (2021). https://doi.org/10.1007/s41252-021-00201-1</p></div></div><div class="elementor-element elementor-element-5bfb0c3 noselect elementor-widget elementor-widget-text-editor" data-id="5bfb0c3" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><strong>June 25, 2020: Report to the Committee on Armed Services of the Senate and House of Representatives on TRICARE and ABA:</strong></p><p>Two well-respected medical literature review services, external to DHA, continue to find the evidence for ABA services (Intensive Behavior Intervention) for the diagnosis of (Autism) is weak, noting, <strong>“An overall low-quality body of evidence mainly from poor-quality studies suggests that Intensive Behavior Intervention (IBI) improves intelligence or cognitive skills, visual-spatial skills, language skills, and adaptive behavior compared with baseline levels or other treatments. </strong></p><p>“The research literature available regarding ABA services predominantly consists of single-case design studies which <strong>does not meet criteria for “reliable evidence” under TRICARE standards.</strong> There are still methodological concerns limiting the strength of the research such as identified characteristics of children (including symptom severity), rendering providers, and types of treatment for positive outcomes. These limitations include “dose-response” (frequency, intensity, and duration), treatment fidelity, few studies which use a control group, few longitudinal studies which demonstrate long-term effectiveness, and no replication of similar in well-designed studies.”</p><p><a href="https://therapistndc.org/wp-content/uploads/2020/08/Annual-Report-on-Autism-Care-Demonstration-Program-for-FY-2020.pdf" target="_blank" rel="noopener">Annual Report on Autism Care Demonstration Program for FY 2020 </a><strong><a href="https://therapistndc.org/wp-content/uploads/2020/08/Annual-Report-on-Autism-Care-Demonstration-Program-for-FY-2020.pdf" target="_blank" rel="noopener"><img loading="lazy" decoding="async" class="wp-image-2966 size-medium aligncenter" src="https://therapistndc.org/wp-content/uploads/2021/01/June-2020-Report-300x246.png" alt="" width="300" height="246" srcset="https://therapistndc.org/wp-content/uploads/2021/01/June-2020-Report-300x246.png 300w, https://therapistndc.org/wp-content/uploads/2021/01/June-2020-Report-600x492.png 600w, https://therapistndc.org/wp-content/uploads/2021/01/June-2020-Report-768x629.png 768w, https://therapistndc.org/wp-content/uploads/2021/01/June-2020-Report.png 1007w" sizes="(max-width: 300px) 100vw, 300px" /></a><br /></strong></p></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-bdf13e0" data-id="bdf13e0" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-be21cb3 elementor-widget elementor-widget-text-editor" data-id="be21cb3" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>“Reflections from 10 participants were <strong>indicative of a predominantly detrimental impact of ABA.</strong> Reflections gave rise to a core theme <strong>‘‘recalling hidden harms of childhood experiences of ABA’’</strong>. Outcomes are discussed in relation to the impact on autistic identity, current research and progressing understanding of the impacts of early intervention from the autistic perspective.”</p><p>McGill, O. and Robinson, A. (2021), <strong>“Recalling hidden harms”: autistic experiences of childhood applied behavioural analysis (ABA)”</strong>, Advances in Autism, Vol. 7 No. 4, pp. 269-282. https://doi.org/10.1108/AIA-04-2020-0025</p></div></div><div class="elementor-element elementor-element-06fe30f elementor-widget elementor-widget-text-editor" data-id="06fe30f" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>“This article discusses the prevalence of (Autism) with specific regard to the most ubiquitous current treatment, Applied Behavior Analysis (ABA). <strong>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.”</strong></p><p>Sandoval-Norton, Aileen & Shkedy, Gary. (2019). <strong>How Much Compliance is Too Much Compliance: Is Long-Term ABA Therapy Abuse?</strong>. Cogent Psychology. 6. 10.1080/23311908.2019.1641258.</p></div></div><div class="elementor-element elementor-element-dd36f06 elementor-widget elementor-widget-text-editor" data-id="dd36f06" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>This paper has both theoretical and practical ambitions. The theoretical ambitions are to explore what would constitute both effective and ethical treatment of (Autism). However, the practical ambition is perhaps more important: <strong>we argue that a dominant form of Applied Behavior Analysis (ABA), which is widely taken to be far-and-away the best “treatment” for (Autism), manifests systematic violations of the fundamental tenets of bioethics.</strong> Moreover, the supposed benefits of the treatment not only fail to mitigate these violations, but often exacerbate them. Warnings of the perils of ABA are not original to us-autism advocates have been ringing this bell for some years. However, their pleas have been largely unheeded, and ABA continues to be offered to and quite frequently pushed upon parents as the appropriate treatment for autistic children. Our contribution is to argue that,<strong> from a bioethical perspective, autism advocates are fully justified in their concerns-the rights of autistic children and their parents are being regularly infringed upon. Specifically, we will argue that employing ABA violates the principles of justice and nonmaleficence and, most critically, infringes on the autonomy of children and (when pushed aggressively) of parents as well.”</strong></p><p>Wilkenfeld DA, McCarthy AM. <strong>Ethical Concerns with Applied Behavior Analysis for Autism Spectrum “Disorder”.</strong> Kennedy Inst Ethics J. 2020;30(1):31-69. doi: 10.1353/ken.2020.0000. PMID: 32336692.</p></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7993c92" data-id="7993c92" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-d584e8f elementor-widget elementor-widget-text-editor" data-id="d584e8f" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>“<strong>When disability is defined by behavior</strong>, researchers and clinicians struggle to identify appropriate measures to assess clinical progress. Some choose the reduction or elimination of diagnostic traits, implicitly defining typical appearance as the goal of service provision. <strong>Such an approach often interferes with more meaningful, person-centered goals; causes harm to people with disabilities; and is unnecessary for dealing with traits that are intrinsically harmful or personally distressing, such as self-injury. </strong>“<br /><br />Dawson M, Fletcher-Watson S. <strong>When autism researchers disregard harms:</strong> <strong>A commentary.</strong> Autism. 2021 Jul 22:13623613211031403. doi: 10.1177/13623613211031403. Epub ahead of print. PMID: 34291651.</p></div></div><div class="elementor-element elementor-element-b2113dd elementor-widget elementor-widget-text-editor" data-id="b2113dd" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>“Neurodiversity is best considered a lens through which to evaluate the goals of autism interventions. <strong>Does an intervention seek to modify a given trait solely because it is autistic? Or does it proceed more modestly, only targeting that which is intrinsically harmful? This approach is consistent with addressing self-injury or promoting communication. Just as surgically shaping the eyes of people with Down syndrome to look normal is now considered barbaric, neurodiversity requires us to recognize as unethical measures to enforce typical appearance solely to avoid stigma.</strong> Suppressing autistic traits in order to promote typical appearance is problematic regardless of level of impairment, while reducing personally distressing or harmful behaviors or developing skills is not.”</p><p><em>AMA J Ethics.</em> <strong>When Disability Is Defined by Behavior, Outcome Measures Should Not Promote “Passing”</strong> 2021;23(7):E569-575. doi: 10.1001/amajethics.2021.569.</p></div></div><div class="elementor-element elementor-element-6797e45 elementor-widget elementor-widget-text-editor" data-id="6797e45" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><strong>The Department of Defense reported to Congress on Oct 25, 2019, about Comprehensive Autism Care that after one year of ABA treatment, 76% of those with autism had no change in symptoms, and 9% WORSENED by more than a full standard deviation.</strong> This reaffirms Navy Capt. Edward Simmer, Chief Clinical Officer of the Tricare Health Plan, stated in November 2018 that t<strong>he effectiveness of applied behavioral techniques for autism remains unproven.</strong></p><p><span style="color: #000000;"><strong>OFFICE OF THE UNDER SECRETARY OF DEFENSE – October 2019 </strong></span><strong style="color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ); font-size: 1rem;"><a href="https://therapistndc.org/wp-content/uploads/2020/01/TRICARE-Autism-Report_.pdf">TRICARE-Autism-Report</a></strong></p><p><img loading="lazy" decoding="async" class="alignleft wp-image-1163 size-medium" src="https://therapistndc.org/wp-content/uploads/2020/01/ABA-_TRICARE-225x300.jpg" alt="" width="225" height="300" srcset="https://therapistndc.org/wp-content/uploads/2020/01/ABA-_TRICARE-225x300.jpg 225w, https://therapistndc.org/wp-content/uploads/2020/01/ABA-_TRICARE-600x800.jpg 600w, https://therapistndc.org/wp-content/uploads/2020/01/ABA-_TRICARE.jpg 720w" sizes="(max-width: 225px) 100vw, 225px" /></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-1691de3 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="1691de3" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b61deb3" data-id="b61deb3" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-0ee3ffb elementor-widget elementor-widget-spacer" data-id="0ee3ffb" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-98fe5f6 elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="98fe5f6" data-element_type="section"><div class="elementor-container elementor-column-gap-wide"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b5566ca" data-id="b5566ca" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-8593d63 noselect elementor-widget elementor-widget-text-editor" data-id="8593d63" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-size: 14pt;"><span style="font-size: 18pt;">ABA AND PATIENTS’ RIGHTS:</span><br />Protect your loved ones and yourself from being subjected to the abuses of applied behavioral analysis (ABA) in the medical, rehab or skilled nursing setting:</span></p><p><span style="font-size: 14pt;">Know the clinical background of anyone who is working with your loved one. SLPs and other clinical staff who use ABA models, and BCBAs and ABA Techs work in</span></p><ul><li><span style="font-size: 14pt;">Acute care hospitals</span></li><li><span style="font-size: 14pt;">Inpatient rehabilitation facilities and private care clinics</span></li><li><span style="font-size: 14pt;">Traumatic Brain Injury clinics and facilities</span></li><li><span style="font-size: 14pt;">Skilled Nursing Facilities</span></li></ul><p> </p><p><span style="font-size: 14pt;">ABA is used to control and manipulate the behavior of patients with Traumatic Brain Injury, Post-stroke, Dementia, Alzheimer’s, Age-Related Depression, Anxiety, and Challenging Behaviors. The push for the use of ABA in medical settings is <span style="text-decoration: underline;">a strategic business model,</span> financially incentivized by the ABA industry at the expense of human dignity and patient rights. </span></p><p style="padding-left: 40px;"><span style="font-size: 12pt;"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546640/" target="_blank" rel="noopener">Expanding the Consumer Base for Behavior-Analytic Services: Meeting the Needs of Consumers in the 21st Centur</a>y</span><br /><span style="font-size: 12pt;">Leblanc, Linda A et al. “Expanding the consumer base for behavior-analytic services: meeting the needs of consumers in the 21st century.” Behavior analysis in practice vol. 5,1 (2012): 4-14. doi:10.1007/BF03391813</span></p><p><span style="font-size: 14pt;"><span style="font-size: 18pt;">What you can do:</span> <br />Create a medical power of attorney and discuss your wishes with anyone who will be making medical decisions for you regarding how you wish to be treated if you should have a stroke, a TBI, or be impacted with any cognitive injury. Address your wishes for swallowing and feeding therapy. Address your rights to refuse to participate in therapy that is disrespectful, manipulative, or controlling. Put in your medical power of attorney whether or not you agree to be subjected to punishments and aversion therapy, includ<span class="text_exposed_show">ing the withholding of foods, drinks, activities, and personal items in order to manipulate your behavior. </span>The maximization of respect for patient autonomy and bodily integrity, rather than the imposition of the therapist’s professional values, is what the application of “informed consent” should endeavor to achieve. </span><span style="font-size: 14pt;">For more information: </span><a style="font-size: 14pt;" href="https://therapistndc.org/therapy/acquired-neurological-conditions/" target="_blank" rel="noopener">Acquired Neurological Conditions</a></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-76d8a9d elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="76d8a9d" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e888b0b" data-id="e888b0b" data-element_type="column"><div class="elementor-widget-wrap"></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-0fc9004 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="0fc9004" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d349b2f" data-id="d349b2f" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-530e12a elementor-widget elementor-widget-heading" data-id="530e12a" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">For Further Reading</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-abdb10a elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="abdb10a" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bad63b9" data-id="bad63b9" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-419430a elementor-widget elementor-widget-text-editor" data-id="419430a" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h5 style="text-align: center;">Therapist Neurodiversity Collective</h5><p><a href="https://therapistndc.org/fundamental-research-problems-bcs-asd/" target="_blank" rel="noopener">Neurodiversity and Autism Intervention (ABA) can’t be reconciled.</a><br /><a href="https://therapistndc.org/confessions-of-a-previous-aba-technician-part-1/" target="_blank" rel="noopener">Confessions of a Previous ABA Technician</a><br /><a href="https://therapistndc.org/the-problems-with-pairing/" target="_blank" rel="noopener">Confessions of a Previous ABA Technician – 2</a><br /><a href="https://therapistndc.org/the-problem-with-pecs/" target="_blank" rel="noopener">The Problem with PECS®</a><br /><a href="https://therapistndc.org/why-we-model-language-instead-of-using-pecs/" target="_blank" rel="noopener">Why We Model Language and Honor All Communication, instead of Using PECS®</a><br /><a href="https://therapistndc.org/aba-therapy-and-ptsd/" target="_blank" rel="noopener">ABA Therapy and PTSD</a><br /><a href="https://therapistndc.org/aba-modern-day-brainwashing/" target="_blank" rel="noopener">ABA: Modern-Day Brainwashing</a><br /><a href="https://therapistndc.org/aba-is-not-effective-so-says-the-latest-report-from-the-department-of-defense/" target="_blank" rel="noopener">ABA is NOT Effective: So says the Latest Report from the Department of Defense</a><br /><a href="https://therapistndc.org/rebuttal-to-critique-of-dod-aba-report/" target="_blank" rel="noopener">Rebuttal to critique of “ABA is NOT Effective: So says the Latest Report from the Department of Defense”</a><br /><a href="https://therapistndc.org/fundamental-research-problems-bcs-asd/" target="_blank" rel="noopener">Fundamental Research Problems with the ASHA Board Certified Specialist in Autism Spectrum Disorders (BCS-ASD)</a><br /><a href="https://therapistndc.org/medical-neglect-physician-and-court-ordered-aba-for-autistic-children/" target="_blank" rel="noopener">Medical Neglect – Physician and Court Ordered ABA for Autistic Children</a><br /><a href="https://therapistndc.org/tbi-in-service-members/" target="_blank" rel="noopener">TBI in Service Members – Real-life effects & the need for Empathetic, Compassionate & Trauma-informed Care</a><br /><a href="https://therapistndc.org/avoiding-the-good-job-habit/" target="_blank" rel="noopener">Avoiding the “Good Job!” Habit</a></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-747569c elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="747569c" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f6ce8b5" data-id="f6ce8b5" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-fdaa366 elementor-widget elementor-widget-spacer" data-id="fdaa366" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-6759700 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="6759700" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b4bb16" data-id="7b4bb16" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-68a616e elementor-widget elementor-widget-heading" data-id="68a616e" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">More Reading Resources</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-4ed5b1f elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="4ed5b1f" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-da8e8e6" data-id="da8e8e6" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-8f7c386 noselect elementor-widget elementor-widget-text-editor" data-id="8f7c386" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><a href="https://annsautism.blogspot.com/2023/01/ethics-and-autism-rights-and.html" target="_blank" rel="noopener">Ethics and Autism: Rights and Responsibilities within Applied Behaviour Analysis</a> – Research by Ann Memmott PgC MA</p><p><a href="https://amase.org.uk/pbs/" target="_blank" rel="noopener">On ‘Positive Behaviour Support’</a> – AMASE (Autistic Mutual Aid Society Edinburgh)</p><p><a href="https://neuroclastic.com/2020/01/11/an-open-letter-to-the-nyt-acknowledge-the-controversy-surrounding-aba/" target="_blank" rel="noopener">An Open Letter to the NYT: Acknowledge the Controversy Surrounding ABA</a> – NeuroClastic</p><p><a href="https://www.asha.org/policy/TR2002-00233/" target="_blank" rel="noopener">Access to Communication Services and Supports: Concerns Regarding the Application of Restrictive “Eligibility” Policies</a> – National Joint Committee for the Communication Needs of Persons With Severe Disabilities</p><p><a href="https://www.alfiekohn.org/blogs/autism/" target="_blank" rel="noopener">Autism and Behaviorism -New Research Adds to an Already Compelling Case Against ABA</a><br />“When a common practice isn’t necessary or useful even under presumably optimal conditions, it’s time to question whether that practice makes sense at all.”</p><p><a href="http://www.sentex.net/~nexus23/naa_aba.html" target="_blank" rel="noopener">The Misbehaviour of Behaviourists, Ethical Challenges to the Autism-ABA Industry</a> – Michelle Dawson</p><p><a href="https://neuroclastic.com/2019/03/28/invisible-abuse-aba-and-the-things-only-autistic-people-can-see/" target="_blank" rel="noopener">Invisible Abuse: ABA and the things only autistic people can see</a> – NeuroClastic</p><p><a href="https://www.scientificamerican.com/article/the-hidden-potential-of-autistic-kids/" target="_blank" rel="noopener"> The Hidden Potential of Autistic Kids</a> – Scientific American</p><p><a href="https://www.abilitymaine.org/BS2016Fall/%22At-The-Expense-of-Joy%3A-Human-Rights-Violations-Against-Human-Beings-With-Autism-via-Applied-Behavioral-Analysis%22" target="_blank" rel="noopener">At the Expense of Joy: Human Rights Violations against Human Beings with Autism via Applied Behavioral Analysis</a> – Dr. Kelly Levinstein </p><p><a href="https://stopabasupportautistics.home.blog/2019/08/11/the-great-big-aba-opposition-resource-list/" target="_blank" rel="noopener">The Great Big ABA Opposition Resource List</a> – Ask an Autistic</p><p><a href="https://madasbirdsblog.wordpress.com/2017/04/03/i-abused-children-for-a-living/?iframe=true&theme_preview=true&fbclid=IwAR0T37ro5dO0wqwJxRJ3cp-AbpjAlxPvyfJ73VqlD_3te1p1mINLD2z6V2I" target="_blank" rel="noopener">I ABUSED CHILDREN FOR A LIVING</a> </p><p><a href="https://autisticmama.com/even-new-aba-is-problematic/?fbclid=IwAR2Bgj3dTjZwpxeea85aVJH4_dh4UYbPGWjsEZpIxntMtFqdQK-84waWi2g" target="_blank" rel="noopener">5 Important Reasons Even “New ABA” is Problematic</a> – Kaylene George</p><p><a href="https://www.karlamclaren.com/research-based-approaches-to-autistic-ways-of-learning/?fbclid=IwAR0TUkHLxe9wroAAsfXzEvTpYy5vygVCKyE0OyEFwZ5OXezNhqmXh_Ap2fw" target="_blank" rel="noopener">Research-Based Approaches to Autistic Ways of Learning</a> – Karla McLaren</p><p><a href="https://awnnetwork.org/autistic-conversion-therapy/" target="_blank" rel="noopener">Autistic Conversion Therapy</a> – Amy Sequenzia</p><p><a href="https://autisticuk.org/does-aba-harm-autistic-people/" target="_blank" rel="noopener">DOES ABA HARM AUTISTIC PEOPLE?</a> – AUTISTIC UK CIC</p></div></div></div></div><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-595e0c8" data-id="595e0c8" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-6d00399 noselect elementor-widget elementor-widget-text-editor" data-id="6d00399" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><a href="https://autisticadvocacy.org/wp-content/uploads/2017/05/Behavioral-Interventions-Report-Final.pdf" target="_blank" rel="noopener">First-Hand Perspectives on Behavioral Interventions for Autistic People and People with other Developmental Disabilities</a> – Autistic Self Advocacy Network (ASAN)</p><p><a href="https://neuroclastic.com/2020/01/11/an-open-letter-to-the-nyt-acknowledge-the-controversy-surrounding-aba/" target="_blank" rel="noopener">An Open Letter to the NYT: Acknowledge the Controversy Surrounding ABA</a> – NeuroClastic</p><p><a href="https://www.asha.org/policy/TR2002-00233/" target="_blank" rel="noopener">Access to Communication Services and Supports: Concerns Regarding the Application of Restrictive “Eligibility” Policies</a> – National Joint Committee for the Communication Needs of Persons With Severe Disabilities</p><p><a href="https://www.alfiekohn.org/blogs/autism/?fbclid=IwAR0zK_z3vw0MxYA88IhLROOL2Ovp2k5TV9S6Bq05nznJ1yZ6QUaTbEWuMeA">Autism and Behaviorism -New Research Adds to an Already Compelling Case Against ABA</a><br />“When a common practice isn’t necessary or useful even under presumably optimal conditions, it’s time to question whether that practice makes sense at all.”</p><p><a href="http://www.sentex.net/~nexus23/naa_aba.html" target="_blank" rel="noopener">The Misbehaviour of Behaviourists, Ethical Challenges to the Autism-ABA Industry</a> – Michelle Dawson</p><p><a href="https://neuroclastic.com/2019/03/28/invisible-abuse-aba-and-the-things-only-autistic-people-can-see/" target="_blank" rel="noopener">Invisible Abuse: ABA and the things only autistic people can see</a> – NeuroClastic</p><p><a href="https://www.scientificamerican.com/article/the-hidden-potential-of-autistic-kids/" target="_blank" rel="noopener"> The Hidden Potential of Autistic Kids</a> – Scientific American</p><p><a href="https://www.abilitymaine.org/BS2016Fall/%22At-The-Expense-of-Joy%3A-Human-Rights-Violations-Against-Human-Beings-With-Autism-via-Applied-Behavioral-Analysis%22" target="_blank" rel="noopener">At the Expense of Joy: Human Rights Violations against Human Beings with Autism via Applied Behavioral Analysis</a> – Dr. Kelly Levinstein </p><p><a href="https://stopabasupportautistics.home.blog/2019/08/11/the-great-big-aba-opposition-resource-list/" target="_blank" rel="noopener">The Great Big ABA Opposition Resource List</a> – Ask an Autistic</p><p><a href="https://madasbirdsblog.wordpress.com/2017/04/03/i-abused-children-for-a-living/?iframe=true&theme_preview=true&fbclid=IwAR0T37ro5dO0wqwJxRJ3cp-AbpjAlxPvyfJ73VqlD_3te1p1mINLD2z6V2I" target="_blank" rel="noopener">I ABUSED CHILDREN FOR A LIVING</a> </p><p><a href="https://autisticmama.com/even-new-aba-is-problematic/?fbclid=IwAR2Bgj3dTjZwpxeea85aVJH4_dh4UYbPGWjsEZpIxntMtFqdQK-84waWi2g" target="_blank" rel="noopener">5 Important Reasons Even “New ABA” is Problematic</a> – Kaylene George</p><p><a href="https://www.karlamclaren.com/research-based-approaches-to-autistic-ways-of-learning/?fbclid=IwAR0TUkHLxe9wroAAsfXzEvTpYy5vygVCKyE0OyEFwZ5OXezNhqmXh_Ap2fw" target="_blank" rel="noopener">Research-Based Approaches to Autistic Ways of Learning</a> – Karla McLaren</p><p><a href="https://rewardandconsent.blogspot.com/" target="_blank" rel="noopener">Reward and Consent</a> </p><p><a href="https://awnnetwork.org/autistic-conversion-therapy/" target="_blank" rel="noopener">Autistic Conversion Therapy</a> – Amy Sequenzia</p><p><a href="https://autisticuk.org/does-aba-harm-autistic-people/" target="_blank" rel="noopener">DOES ABA HARM AUTISTIC PEOPLE?</a> – AUTISTIC UK CIC</p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-1ef0afe elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="1ef0afe" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-906801a" data-id="906801a" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-e6c1e91 elementor-widget elementor-widget-heading" data-id="e6c1e91" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">Viewing and/or Listening</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-bbee5a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="bbee5a8" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-254324f" data-id="254324f" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-3d2e3b4 elementor-widget elementor-widget-text-editor" data-id="3d2e3b4" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><a href="https://noncompliantpodcast.com/2023/02/24/the-shifting-landscape-of-autism-services-talking-with-therapist-neurodiversity-collectives-julie-roberts/" target="_blank" rel="noopener">The Shifting Landscape of Autism Services</a> – Noncompliant – The Podcast<br /><br /><a href="https://www.uri.edu/tedx/talks/amy-laurent-rethinking-support-for-autistic-individuals/?fbclid=IwAR12_Rcl-ZK4KYqTYtWkYnvJv8eag9rjfOWDBQ1GVajr83i_lu6AlOpFz-M" target="_blank" rel="noopener">Compliance is not the goal: Letting go of control and rethinking support for autistic individuals</a><strong><br /></strong></p><p><a href="https://www.youtube.com/watch?v=PEhlSPB9w7Y" target="_blank" rel="noopener">Ask an Autistic #5 – What is ABA?</a></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-327af2e elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="327af2e" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8953629" data-id="8953629" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-6fd7fa2 elementor-widget elementor-widget-spacer" data-id="6fd7fa2" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div 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