Wednesday, May 18, 2011

Most Common Myths of Applied Behavioral Analysis


Behaviorism and Applied Behavior Analysis
by guest author, David J. Cox, M.S.B.

In Burrhus Frederic Skinner’s 1974 book entitled About Behaviorism, he outlines 20 commonly stated misconceptions regarding behaviorism and the science of behavior. Sadly enough, 31 years later many misconceptions still exist in the majority of the larger society. With the recent uptick in interest in behaviorism and Applied Behavior Analysis (ABA) due to HIMAT legislation and growing awareness of autism, I wanted to dispel some of the myths regarding the philosophy of behaviorism and its correlating science of application, ABA. Before we dive into five of the common misconceptions that are currently floating around society, a few definitions are in order.

Too often when the topic of “behavior” comes up I hear parents, siblings, other professionals, teachers, para-educators, etc. only think of and describe negative behaviors their child or loved one engages in. Even then they tend to limit the discussion and the scope of their thoughts to only things such as aggression, temperament, tantruming, etc. Although these certainly are within the realm of behaviorism and Applied Behavior Analysis (ABA), they are but only a smidgeon of the true scope and nature of behaviorism and ABA. The fact is that behavior, by definition, is the activity of living organisms and includes everything that people do. A technical definition for my fellow philosophizing scientific type, behavior is “that portion of an organism’s interaction with its environment that is characterized by detectable displacement in space through time of some part of the organism and that results in a measurable change in at least one aspect of the environment”[i]. In other words, everything that we do is behavior, not just the “bad” things we do.

Likewise there are still many misconceptions regarding exactly what Applied Behavior Analysis is and the scope to which it can be used. To give a definition I will defer to the “White Book” of applied behavior analysis titled, Applied Behavior Analysis, by John Cooper, Timothy Heron, and William Heward. On page 3 of the first chapter the authors define ABA as, “a science devoted to the understanding and improvement of human behavior…focus[ing] on objectively defined behaviors of social significance[ii] (my italics). ABA intervenes “to improve the behaviors under study while demonstrating the reliable relationship between their interventions and the behavioral improvements; and they use the methods of scientific inquiry – objective description, quantification, and controlled experimentation.” In other words, ABA is a systematic process for understanding what variables affect and would allow one to predict how any living organism behaves.

5 Common Misconceptions Regarding Behaviorism and ABA:

1. It ignores consciousness, feelings, and states of mind. This is in fact not true at all. Behaviorism recognizes both the presence of consciousness, feelings, and states of minds as well as the relative importance of these things within the behavior of living organisms. Behaviorism just takes it to the next step and wants to determine exactly what caused the behaving organism of interest to have those feelings and states of mind. Often these things are attributable to something within one’s environment in the present moment or in the behaving individual’s past.

2. It neglects innate endowment and argues that all behavior is acquired during the lifetime of the individual. One would be hard pressed to find a behaviorist that exists today that does not recognize and understand the parameters that genetics and one’s natural biological making impart on a behaving individual. On the flip side of the token, it also recognizes that everyone and all behaving things have the ability to learn and Applied Behavior Analysis and the Experimental Analysis of Behavior are working to determine what exactly those “laws of learning” are.

3. It regards abstract ideas such as morality or justice as fictions. Again, the philosophy of behaviorism doesn’t attempt to get rid of and ignore mental processes, cognition or the development of concepts and ideas. This common misconception is driven by two other philosophical positions that are only a portion of the philosophies related to behaviorism, structuralism and methodological behaviorism.

Structuralism developed in the 1950s and 1960s in France and argues that a specific domain of a culture or an individual may be understood by means of structure that is distinct from both the organizations of reality and those ideas of the imagination. By giving an explicit description of the structure surrounding a given domain one is looking at, predictions are believed to be possible on the principle that what people have often done they are likely to do again.

Methodological behaviorism believes that we can gain nothing by looking at mental states, beliefs, and desires. Methodological behaviorism considers “only those facts which can be objectively observed in the behavior of one person in relation to his prior environmental history” and tries to avoid the mentalistic problem by “going directly to the prior physical causes while bypassing intermediate feelings or states of mind”[iii].

The other two areas of behaviorism, psychological behaviorism and analytical/logical behaviorism are philosophies that  attempt to explain the behavior of living organisms in terms of external stimuli, learning histories, schedules of reinforcement, and the behavioral dispositions and behavioral tendencies that are associated with the mental states and conditions we label as emotions, beliefs, desires, etc. These philosophies attempt to characterize what a person might do in a particular situation based on the individual’s surrounding environment and the resulting collateral products that are introspectively observed in one’s own body. What is felt is viewed not as some nonphysical world of consciousness, mind, or mental life, but the observer’s own body.

4. ABA is synonymous with discrete trial training. Many believe that ABA is only discrete trial training involving sitting at a table and targeting skill acquisition through “drill and kill”. Discrete trial is but a single strategy out of a large array of tactics and strategies for teaching various behaviors. The general concept behind discrete trial training of learning a skill through repeated exposure to learning opportunities holds true not only for ABA as a whole but for many learning theories. If one comes into contact with someone claiming to do ABA that utilizes only discrete trial training I would run for hills as they are completely misconstruing the vast research literature behind many other behavioral strategies and principles and, in my opinion, would not be a good ABA therapist in any sense of the word. For instance Natural Environmental Teaching is another common strategy within ABA that utilizes the natural environmental for that particular individual to teach various skills. There is also extensive literature within ABA that discusses utilization of play both to teach skills to individuals, especially younger children, and as the most appropriate means to do so based on developmental literature and basic concepts surrounding motivation and generalization of reinforcement to naturally existing contingencies.

5. ABA is treatment only for autism spectrum disorders. Although there has been a significant amount of literature regarding the successful implementation of ABA to “treat” individuals with autism spectrum disorders, the concepts of ABA are applied in ALL AREAS RELATED TO LIVING ORGANISMS. A few examples are: health and exercise, AIDS prevention, conservation of natural resources, parenting, mental disorders, rehabilitation and independent living, coaching, pediatric feeding, use of seatbelts, gerontology, robotics, neuroscience, zoo management and care of animals, medical procedures, littering, gambling, worker productivity, education, language acquisition, industrial safety, crime and forensics, and on and on. ABA can be and is applied anywhere a living organism is behaving, whether or not those behaviors are actively or passively being changed and/or maintained.

To avoid writing a novel on this topic I’ll end the discussion here for this article. However I hope I was able to get across the point that there are many misconceptions regarding behaviorism and ABA and these are but a small sample of those misconceptions. Granted some may or may not agree with the many aspects of ABA and behaviorism, but before one can truly begin to evaluate and utilize either of the aforementioned, a thorough understanding of what behaviorism and ABA are truly saying needs to be had before either dismissing them as a whole or embracing them wholeheartedly. I welcome anyone who wishes to learn more and engage in further dialogue regarding behaviorism and ABA to contact me at cox.david.j@gmail.com. We owe it to both ourselves and the individuals to whom we are placing within ABA programs or utilizing the concepts of behaviorism to do so.


[i] Johnston, J. M., & Pennypacker, H.S. (1993). Strategies and tactics of behavioral research (2nd ed.). Hillsdale, NJ:Erlbaum as cited in Cooper, Heron, Heward.

[ii] Cooper, J.O., Heron, T.E., and Heward, W.L. (2007). Applied Behavior Analysis (2nd ed.). Pearson Education Inc., Upper Saddle River, NJ.

[iii] Skinner, B.F. (1974). About Behaviorism. Alfred A. Knopf, Inc. New York, NY. 

Thursday, March 24, 2011

Our Struggles and Our Triumphs

The Denver Post has asked parents and providers to share their stories and their perspectives on the less-than-easy task it has been to get insurance companies to provide the necessary support and funding for autism services. This is our response...

Our struggles will eventually become our triumphs! 

A week doesn't go by where we are approached by a family who is struggling with their insurance company to achieve the appropriate funding for their child with autism. It's heart breaking to listen to a parent's quivering voice as they shed tears feeling lost and stuck. 

Less than a year ago, this community was celebrating the Capitol's victory of the passing of a bill that required insurance companies to provide the support and funding we've all fought so hard to get. It's never been an easy task to get funding for individuals with autism and related disabilities. Fighting the good fight has become part of our DNA as a community, but now we find ourselves amidst a battle. This battle, this fight, is different-one in which many families are losing at the expense of their child's health and development. We want families to know we haven't given up, we won't give up, don't lose hope, don't lose the fight! 

Insurance companies should be ashamed of themselves. They are not only ignoring the law, finding loophole after loophole, but they are neglecting their social responsibility. Not if, but when insurance companies are finally forced to give in and provide the appropriate and necessary support and funding hundreds of Colorado families need, we are committed to fighting the good fight!

Garden | Autism Services of Colorado was founded to support, empower and advocate on behalf of Colorado families affected by autism and related disabilities. It is because of this HIMAT hazard that we have decided to provide 50% of our services at no charge to families; families who are either on a Medicaid waiting list or denied by their insurance companies. We are proud to be a part of this community, it's stronger than ever and we have faith that our families will prevail!

Thank you for listening!

Friday, March 18, 2011

I Wish My Child Would Stop Doing That!

How to Respond to Undesirable Behaviors

A Review of Positive Parenting Practices for Young Children with Autism by the LEAP Outreach Project (2003)


Like most parents of a child with autism or related disability, you probably find yourself asking, "Why does my child do that?" on a continual basis. Think about something your child does that you don't like...Can you remember the very first time it happened? Chances are you can't. There are many reasons why a child initiates a particular behavior. Children are active learners, constantly developing through play, exploration and interaction with others. In the process, they try a lot of things including good and not-so-good behaviors. Whether it's by frustration, accident, play, exploration or communication we probably don't consider a particular behavior a problem until it begins to occur again and again. Today we will take a look into ways to respond to these undesirable behaviors.

Typical behaviors that parents are usually concerned about:
  • A behavior that is dangerous or may result in the child hurting themselves or others.
  • A behavior that may result in objects, toys, furniture, or other materials being damaged or destroyed.
  • A behavior that interferes with the child's or another person's learning. 
  • A behavior that is annoying or disruptive to the parent or other people.


Step One: Find out what is reinforcing the behavior
Often times it is not a simple task, but it's important to try to figure out what is reinforcing your child's behavior. Once you determine this, you will be able to decide how to respond accordingly in the future when the behavior is exhibited. Using an ABC chart is very helpful here.

Typical Behavior Reinforcers:
  • Attention
  • Receiving a reward
  • Getting out of something unpleasant or escaping from a task
  • Self-reinforcing


Step Two: Reinforce to increase desired behavior
"For every behavior you would like your child to do less often, there is a desired behavior to take its place[...]Whenever you identify a behavior you would like your child to do less often, think about what you can begin to reward to teach that will take its place. Sometimes the only plan for changing a behavior you would like to decrease is to teach your child how to perform a skill or communicate a need," (The LEAP Outreach Project, 2003).
  • Identify an alternative behavior to replace the undesired one
  • Teach or reinforce the alternative behavior
  • Be aware of the environment and brainstorm ways in which you may manipulate it so to prevent the behavior from happening


Step Three: Respond to undesirable behaviors
Simply replacing and reinforcing a desired behavior may not completely rid the undesired behavior. These three strategies will allow you to respond to undesirable behaviors in a manner that has proven to produce results.
  • Interrupt your child's undesirable behavior
  • Redirect your child to do the desired (replaced) behavior
  • Praise (reinforce) your child for doing (or even attempting) the preferred behavior


Step Four: Explore alternative methods
An applied behavioral strategy used to reduce behaviors that have been previously rewarded with attention is called extinction. This method involves the parent completely ignoring the child when the behavior occurs. Simply put, "when your child's behavior has been rewarded with attention in the past and you stop giving the attention, the behavior will decrease," (The LEAP Outreach Project, 2003).
  • Only ignore behaviors that have been reinforced with attention
  • Be consistent
  • Ignoring a behavior will only work if you are in control of everything that has been reinforcing that particular behavior
  • Do not ignore behaviors if someone or something may get hurt
  • When you first begin the extinction process, your child may try harder (pull out all the stops) to get your attention and do the behavior more often (this is referred to as an extinction burst)
  • Always reward desired behaviors

Another method for decreasing undesirable behaviors is to take away a desired object or privilege.
  • Only take away desired objects or privileges for behaviors that occur occasionally
  • The desired object or privilege you take away should be reasonable and closely related to your child's undesirable behavior
  • Taking away the object or privilege should occur immediately after the undesirable behavior
  • Remember that some children appear to be misbehaving simply because they do not know how to appropriately play, in such a case taking away a desired object or privilege would not work
  • Again, always reinforce the desired behavior you would rather have your child do


Summary
  • Children continue undesirable behaviors because they are in some way rewarding
  • Reinforcers which cause undesirable behaviors to continue include:
    • Attention and rewards
    • Escape from a task
    • Self reinforcing activity
  • Identifying the reinforcer that follows the undesirable behavior can help us decide what strategies to use
  • Strategies for reducing undesirable behavior include:
    • Interruption and redirection
    • Ignoring
    • Taking away a reinforcer
  • Always remember to reinforce desired behaviors when you are using any strategies to decrease unwanted behavior

Until next time, BLOSSOM!

Lauren Thome, M.A.


Tuesday, March 15, 2011

I Know What I Like, Do You?



How to Identify What Reinforcers Behaviors: 
A review of "I Know What I Like, Do You?" by Travis Blevins, MS, BCBA


Is preference important? In one word, YES! The identification of motivating reinforcers  (preferences individuals will work to get) can be the key to effective intervention for individuals with emotional, developmental and behavioral difficulties.


Why? In the words of Susan B. Anthony, "Independence is happiness." The pursuit of a meaningful independent life involves these reinforcers, for you, for me, for our kiddos. Our goal as therapists, parents, teachers, and the like should be to assist those individuals in acquiring those preferences, those motivating reinforcers in a safe and healthy way.


First, let's begin by discussing what NOT to do when identifying a child's preference...

  • Don't just ask them for a list
  • Don't just ask someone who knows them
  • Don't just guess
  • Don't just watch them
  • Don't assume what one child's preferences are relate to another's

Identifying things that motivate people is a science. In fact there's an assessment that behavioral analysts use called "Preference Assessment" or "Reinforcer Assessment." However, there are ways that one can identify the preferences of another using careful tactics and observations.

  • Watch the person on multiple occasions
  • Depict how they choose to spend their time
  • Be aware of what they have access to and what they don't have access to as this might impact the observation
  • Allow the child to choose between a combination of preferred and not preferred activities or objects
  • Introduce novel activities, consumables, items and people
  • Be aware that some activities, items, and people may change the preference for something
  • Be creative, you will be surprised by what you find out when you go beyond the typical preferences of children

Specific questions for interviewing:
  • What would you do with a million dollars?
  • Would you go a whole week without video games to get that?
  • What is it about this that you enjoy?
  • What is the best thing you have ever eaten?
  • Describe your perfect day?
  • How do they spend their time?
  • How do they spend their money?
  • What do they do in their free time?
  • Have they ever (fill in the preference item)?
  • Describe the perfect day for them?
  • What does a day look like without any behaviors?

What if they don't like anything? 
  • Expose them to new fun things, places, food, people that they have not seen before, then ask if they want to do that again
  • Remember that limited exposure to these things will decrease the preference pool, it is your job to increase their pool, increase their exposure
  • Sometimes an individual has a preference for complaining about what they don't like--In other words, they LIKE being listened to by a sympathetic and empathetic ear
  • Be aware of non-tangibles such as attention giving

Now what? Now that you know what is liked, help the child obtain it in a safe and healthy way. Enrich their life by teaching appropriate and positive behaviors to get what they like. It is your job to bridge free access to preferences so they have to work for it, even if that just means appropriately requesting the preferred item. It is also important to provide additional motivation for new behaviors.


What does the research say? Just because you have identified a preference does not mean that preference will motivate. The best way to identify preferences is to put it to the test!


What's our goal:
  • To enrich every person's life by providing opportunities to experience fun new things
  • To teach more appropriate ways of communicating needs and wants
  • To support each person in attaining as much independence as they can handle, that means phasing prompts and yourself out so they can be independent


For more information on assessing preferences, please email us at info@gardencolorado.org. 


Until next time, BLOSSOM!

Lauren Thome, MA