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Caring meant there was no way I could be hurting them.

I now realize how dangerous this idea really is. But I was convinced that ABA could not be harmful because it was designed to help, or so I believed at the time. The kids may cry. They may try to escape. They may refuse. But they must do it, because we have decided it is good for them and that we are helping them.

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They just may not be able to see it or understand it at the time. The rule is, once you give a command as an ABA Therapist, you must follow through with it no matter what. Hopefully, you can see just how disturbing this idea really is, as I do now. Stimming is the most common example of this, but it could be anything. You can also read this post by BJforShaw.

The problem is that these kinds of goals completely discount the fact that everyone has a reason for doing something. Since Autism often involves special sensory sensitivities, it makes complete sense that Autistic people react to the world differently than neurotypicals. In fact, many Autistic people have already explained that there is a reason for their stim and other repetitive behaviors that might seem strange to neurotypical people — for example, it is a natural expression of feelings and helps regulate overwhelming sensory input, as Amythest explains in her first video about stimming.

This means that refusing to allow a child to engage in stim — which often involves interrupting or preventing their stim by physically forcing their hands down to their sides or on to a table — could be physically painful for them. Compliance training and harmful therapy goals are two of the biggest problems with many forms of ABA, but there are plenty of other concerns that Autistic people and their allies have raised about the ABA they experienced. Other people had been working in the field for years, and they spoke confidently about the teaching methods they used.

I would wake up and go to work, determined to find more reasons why my ABA was good. I would feel happy to see my client and watch my client be happy to see me.

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Then I would go home, continue to look up more about what Autistic people had to say about ABA, and again have to try to convince myself why my ABA was different. During this time, I tried everything I could to see if there was a way I could do ABA without running into ethical issues, but I repeatedly found that I had to make a choice between doing the ABA and respecting the child. Withholding rewards was part of the ABA. Making kids talk or sign, even when it was clearly not the best form of communication for them, was part of ABA.

Extinguishing stim, coercing eye contact, teaching neurotypical play skills were part of ABA. Forcing compliance was part of ABA. Abuse is never okay, and science cannot address the ethics of a method. You have a person in the physical sense—they have hair, a nose and a mouth—but they are not people in the psychological sense. One way to look at the job of helping autistic kids is to see it as a matter of constructing a person.

You have the raw materials, but you have to build the person. Of course, very few people in ABA today would outwardly agree with what Lovaas said about Autistic people. ABA was wrong, and I had to get out.


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And they could easily spend another decade or more of their life there. Many of them will grow up in the field, internalizing the message that they are flawed simply because they were born with a different neurotype. The simple fact is that many Autistic people who went through ABA describe it as being abusive, and some even have post-traumatic stress because of it. If you work in behaviorism or ABA — if your job has any of the characteristics mentioned above — please take the time to read what Autistic people are saying and really evaluate whether you are helping or harming.

Ask yourself whether you would feel comfortable talking to an Autistic person about your job. But I made it through it, and you can too.

Also remember: this is not about you. This is about Autistic kids and adults who grow up feeling traumatized and devalued. This is about truly helping Autistic people by making society more safe, accepting, and accommodating of all neurotypes. Harmful Therapy Look Like? Reblogged this on Spectrum Perspectives and commented: Very, very important.

Like Liked by 1 person. This is exactly my struggle right now. Why do we place so much importance on stopping behaviors that are not directly harmful to anyone? Like Liked by 4 people. Also, not sure of Verbal Behavuor is any less harmful than ABA, but that may be one to consider as well. I live in MA and the Son Rise program is based in the western part of the state and I have heard it to be hugely successful. Bottom line: the kids need effective special ed teachers desperately, and who is to say that ABA has to be what you have to teach them? There may be more professionals out there who question or even dislike ABA, but until schools are presented with a good alternative, they will stick with the old standby.

Maybe you can start working with autistic adults to help in this endevor? And then move on to teaching children? Like Liked by 3 people. I completely relate, Alice. Chrispy has some good suggestions. That might be something you want to look into as well. You can even work in schools if you want. The thought of a lifetime of that is draining. But the more we can do it, the more it will diminish. If you can find a good program or teacher or mentor in the field that shares similar values and incorporates Autistic people into the conversation, that will help a lot.

And I think it will be helpful to find and be part of a community of other professionals who feel the same way — clearly we are out there. It is a hard choice, and I completely understand your reservations. Wherever your path leads, I do wish you the best! I just started therapy with a client last week and it kills me to see him forced to do this because I also work with another client doing Son-rise therapy. I am working for a school now and desperately want out but I also want the family to see this post before I go.

Do you think I will run into legal problems if I do? I also ran into mistreatment in the school one day when I was shadowing for more training and I still have an opportunity to go back and shadow and hopefully speak to the teachers and kids maybe during circle time where comments from the teacher cause humiliation i. Like Like. Verbal Behaviour is a type of ABA. The problem is: dtt is not the whole of aba.

In the venn diagram of ABA, dtt fits into the whole, but there is so much more to aba. Verbal behavior, for instance, is ABA.

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Teacch is based in ABA. Direct instruction is based in ABA. There are so many kids I have worked with that would scream all day and engage in SIB. You know what helped get rid of these behaviors? If a child is throwing a tantrum or scratching and kicking, you are supposed to remove yourself from the area and yeah you are fixing compliance for doing tasks that they need to learn to be independent.

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Then if they show resistance you give them a break. Like Liked by 2 people. It depends on whether the behavior is for escape or access to tangible.

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In instances of escape, you have to continue to present the lesson- this usually requires forcing the child to do the task. And I know many ABA centers where the kids would scream and engage in SIB and the center only increased those behaviors or caused those behaviors to begin with. And then leave us autistics alone. Dave, actually I was defending you and saying that ABA often is the cause of so many of these behaviors because the kids are trying to escape from the horrible intervention being thrown at them.

Wow, you are also darb and you were defending me? That said, anyone who has studied, has been trained, or has worked under a qualified BCBA would be baffled by your comment. To increase a behavior for those with and without autism , that behavior must be reinforced in some way. An inexperienced therapist may accidentally reinforce inappropriate or maladaptive behavior; however, when using ABA properly…which by the sounds of it, almost nobody who has commented has…inappropriate behaviors are easily observed and not reinforced.

It is also very important to note that one of the primary principles of ABA is that target behaviors behaviors that are targeted for change are never removed. Instead, more adaptive, appropriate behaviors are taught to replace them. For example, if an individual is engaging in SIB and a formal functional analysis has shown that this behavior is maintained by escape, the individual could be taught to request a break or help with the task. The replacement behavior must allow the individual to access whatever the initial behavior was maintained by. For someone who is speaking as someone with experience, I am truly alarmed that you are unaware of this very basic principle of ABA.