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Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA [email protected]
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Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA [email protected].

Dec 22, 2015

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Page 1: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Ethical Considerations in Behavior Analysis andAutism Intervention

Christine M. Holland, MS [email protected]

Page 2: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Ethical Dilemma Write down an ethical dilemma that

you may have encountered or heard about on the index card provided in the folder. It may involve:• Behavioral interventions• Interactions with clients • Interactions with other professionals

Page 3: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Objectives• Discuss and define ethical behavior

• Identify and discuss the ethical philosophy of B.F. Skinner as described in Skinner’s own writings and in the writings of others

• Identify and discuss additional models for resolving ethical dilemmas

• Identify and describe additional resources that are available specific to using behavior analysis in interventions for individuals on the autism spectrum

• Analyze ethical dilemmas presented in written and/or video vignettes and discuss solutions based on the “Guidelines for Responsible Conduct for Behavior Analysts” and “BCBA & BCaBA Behavior Analyst Task List”

Page 4: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Ethics

Morals

Values

Laws

Beliefs

Princip

les

Ideals

Page 5: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Utilitarianism

Deontological

Teleological

Divine Command Theory

Virtue Ethics

Care Ethics

Theories of Ethics

Page 6: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Universal Ethics???

Page 7: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.
Page 8: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

http://youtu.be/rb8jSR2aMsE

Page 9: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Skinner’s Analysis of

Values

Practical Ethics and Ethical

Fitness

Existing Guidelines for Behavior Analyst

and Autism Practitioners

How to Solve Ethical Dilemmas

Page 10: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Defining Ethics and Ethical Behavior

The discipline dealing with

what is good and bad and with

moral duty and obligation

A set of principles of

right conduct. The theory or a system of moral

value

The study of the general nature of morals and of the

specific moral choices to be made

by a person

Certain standards of behavior are developed

by a culture and promote the survival of

that culture -Skinner

Behaviors, practices, and decisions that address three

basic and fundamental questions: What is the right thing to do? What is worth

doing? What does it mean to be a good behavior analyst

-Cooper, Heron, Heward

Page 11: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Defining Ethics and Ethical Behavior

Cooper Definition

What Is The Right Thing To Do?

• Personal History• Context of Practice • Ethical Codes

What is Worth Doing?

• Social Validity• Cost-Benefit Ratio• Current Situation

What Does It Mean To Be A Good

Behavior Analyst

• Following Codes• Following “Golden

Rule”• Self Evaluation

Page 12: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Importance of Ethics in Behavior Analysis

Power of Science

Scope of Responsibilities

Vulnerability of Clients

Page 13: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

B.F. Skinner’s Analysis of Values

Values are certain standards of behavior that are developed by a culture and promote the

survival of that culture • B.F. Skinner

Page 14: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Radical Behaviorism

Behavior

Genetic Endowment

Material Environment

Social/Cultural

Environment

Page 15: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Radical Behaviorism

• A Science of behavior – Observable events– Private Events

• Selection by consequences– Species– Individual– Cultural

Page 16: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Beyond Freedom & Dignity

Time Magazine Cover September 20, 1971

Page 17: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Values As A Subject of Science

http://www.youtube.com/watch?v=Hj9oB4zpHww

Page 18: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Values as Subject of Science

Honesty

Courage

Morality

Page 19: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

3 Term Contingency

Antecedent Behavior Consequence

Page 20: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

VS

Positive Reinforers

Negative Reinforcers

Page 21: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Skinner’s Analysis of Values

• Classes of Values or Goal– Positively reinforcing to the individual– Positively reinforcing to others– Positively reinforcing to the culture• Universal reinforcers?

Page 22: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Values and Verbal Behavior

Good

Ought

Bad

Should

Page 23: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Skinner’s Analysis of Values

• Ethical Injunctions– Competing contingencies

• Criticism of Skinner’s view of Values

Hmm…

Page 24: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Application of Skinner’s Analysis of Values

• Examine Existing Contingencies for Ethical Behavior

•Self-Examination Reviewing ethical Decisions Recommendations

If you are reinforced by (X), you will be reinforced by doing (Y) and the reinforcement controlling this assertion on my part is (Z).

Page 25: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Practical Ethics and Ethical Fitness®

How Good People Make Touch Choices: Resolving the Dilemmas of Ethical Living

by Rushworth M. Kidder

Page 26: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Nature of Ethical DilemmasRight vs. Wrong

Violation of Law

Departure from Truth

Deviation from moral rectitude

Page 27: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Nature of Ethical Dilemmas

Justice versus Mercy

Short-term versus

long-term

Individual versus

community

Truth versus loyalty

Right versus right

Page 28: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Existing Guidelines for Behavior Analyst and Autism

Practitioners

“The behavior analyst has the potential to do great good for clients and society by analyzing complex problematic

behaviors, finding humane and effective solutions, implementing programs that work, and ensuring the least

restrictive, most effective evidence-based treatments possible given limited resources.”

-Bailey & Burch 2011

Page 29: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Ethical Principles of Psychologists

and Code of Conduct

By: American Psychologist

Association

Page 30: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

The Right to EffectiveBehavioral Treatment

By: Association for Behavior Analysis

The Right to effective Education

By: Association for Behavior Analysis

Page 31: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Guidelines forResponsibleConduct for

Behavior AnalystsRevised July 2010

By: The BehaviorAnalyst

CertificationBoard

The BACBDisciplinaryStandards

By: The BehaviorAnalyst

CertificationBoard

The BCBA andBCaBA Behavior

Analyst TaskLists

By: BehaviorAnalyst

CertificationBoard

Page 32: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

• Ethics for Behavior Analysts: 2nd Expanded For Issue by Jon Bailey and Mary Burch

Risk –Benefit Analysis

Additional Tools

Declaration of Professional

Services

Page 33: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Additional Ethical Considerations in Autism Intervention

• Autism Special Interest group (SIG) Guidelines

• Qualifications to direct behavior analytic program • training necessary • evidence of qualifications • Additional considerations

• Task list for Board Certified Behavior Analyst Working with Persons with Autism

Page 34: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Additional Ethical Considerations in Autism Intervention

• Recommendations for Evidence Based Practice

• Additional Resources

National Standards

Project

The National Professional Center on

Autism Spectrum Disorders

Association for Science in Autism

Treatment

Page 35: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Let’s Talk!

• Discuss possible reinforcers (positive and negative) in each scenario

• Discuss relevant guidelines from the Guidelines for Responsible Conduct

• Discuss other tools that may help with the scenario

Page 36: Ethical Considerations in Behavior Analysis and Autism Intervention Christine M. Holland, MS BCBA cholland@autismva.org.

Thank you!Questions?