Oops we mentioned the “repetitive body movements” but not the “Prolonged visual inspection” stereotypical behaviours which were defined as: /2
“any instance of extension or wrist rotation and flexion of fingers paired with looking at a hand with or without object in it for 2 or more secs…It did not include manipulating toys in a functional manner such as screwing a cup top or rotating a toy to get a better grasp.” /3
Following the House of Delegates annual meeting, the final resolutions which are a very helpful breakthrough by American Medical Association regarding Applied Behaviour Analysis, which has been removed, are as follows:
(p16-17 )ama-assn.org/system/files/a…
The draft resolutions set out evidence on #ABAharms and controversy and increasing concerns by different communities and
"RESOLVED, That our AMA support research toward the 47 evaluation and the development of interventions and programs for autistic individuals (New HOD Policy)".
and "RESOLVED, That our AMA work with relevant stakeholders to advocate for a comprehensive spectrum of primary and specialty care that recognizes the diversity and personhood of individuals who are neurodivergent, including people with autism (Directive 4 to Take Action"
Upfront it sets the scene about these disabled kiddos who need to learn how to better behave.
The 23 page Introduction para 2 blames the issue of challenging behaviour on their /disability: deficits /unmet needs” and difficulty communicating that need to others”.
Then comes the PBS social role valorisation scene setting statement : to become active and valued members of society as adults, kids need to cope with
- waiting
- being told “no”
- doing non-preferred activity (housework, dentist)
- criticism (judgement, just or unjust)
@PhillyP3351@autismspeaks “I had to earn it by interrupting less than a certain number of times. I was so excited.
We used my love of figurines to help motivate me to learn and become more conscious of my own interrupting”
That is not motivation, but conditioning. Skinner developed that with lab rats.
@PhillyP3351@autismspeaks “I’m allowed to wait using ….coping strategies and tools, and even hold small toys in my hand. It is considered a success if I wait a certain amount of time without complaining.”
“Allowed to” self Reg?!?!
Success is making others happy, not how you feel.
@PhillyP3351@autismspeaks “It is done in an effort to make sure that I have the best future possible”
Intent is v different than what is important for an autistic adult life.
Why learn from a person supervised by someone trained only in behaviour mod, and not an autistic org? eg
-lack of regulation and disinterest in understanding for who, when or how ABA harms.
- grandiose claims that ABAers have a clue about what is good or bad for autistic development and quality of life...
...So social validity is a huge inherent problem of ABA across the field and also means most ABA does not meet its own definition of ABA.
Back to “ABA in itself is not abuse”. An example of a “hammer” is often given by BCBAs eg McEachin and Leaf & son...
...the trouble is ABA is like studying/supervision on what hammers are, what technical parts and different hammer types are called “hammer speak” and how to document the number of blows and extent to which an item has been pushed in from each blow (the data), but not....