Episode 301 - Tutorial - Procedural Integrity

As a follow up to Episode 219, we continue our discussion of the harms of conversion therapy by behavior analysis in the 1970s by covering the remaining research articles published in JABA on the subject. Bringing his ever-detailed additional context is Book Club Guy, Alan Haberman, who helps us look at whether this research deserves its own expressions of concern (or is just inappropriate and gross) and which ethical principles we should focus on to ensure client rights are never violated by behavior analysis again. Plus, some time out to laud those behavior analysts who spoke out against this line of research back as it was originally being published. This episode is available for 1.0 ETHICS CEU. Wish that Ethics CE was free? Subscribe on our Patreon page to see the full recording and get a discount for 100% off your purchase. Articles discussed this episode: Barlow, D.H. & Agras, W.S. (1973). Fading to increase heterosexual responsiveness in homosexuals. Journal of Applied Behavior Analysis, 6, 355-366. doi: 10.1901/jaba.1973.6-355 Abel, G.G., Blanchard, E.B., Barlow, D.H., & Mavissakalian, M. (1975). Identifying specific erotic cues in sexual deviations by audiotaped descriptions. Journal of Applied Behavior Analysis, 8, 247-260. doi: 10.1901/jaba.1975.8-247 Nordyke, N.S., Baer, D.M., Etzel, B.C., & LeBlanc, J.M. (1977). Implications of the stereotyping and modiication of sex role. Journal of Applied Behavior Analysis, 10, 553-557. doi: 10.1901/jaba.1977.10-553 Rekers, G.A. (1977). Atypical gender development and psychosocial adjustment (1977). Journal of Applied Behavior Analysis, 10, 559-571. doi: 10.1901/jaba.1977.10-559 Winkler, R.C. (1977). What types of sex-role behavior should behavior modifiers promote? Journal of Applied Behavior Analysis, 10, 549-552. doi: 10.1901/jaba.1977.10-549 Association for Behavior Analysis International. (2022). Statement on conversion therapy and practices. Portage, MI: Author. If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

22 Mar 20231h 30min

Did you ever have one of those weird funtional analyses? You know, the one where all the problem behavior happens in the control condition or responding remains strangely variable during the escape condition even though the client’s teacher swears he tantrums every single time she presents any work? This week we seek answers as to what to do when your FA results look like the world’s most volatile stock prices by exploring idiosyncratic variables and how to find them. Plus, could the IISCA be the most idiosyncratic FA process of all? And one of Rob’s favorite articles, discussed here becuase we didn’t know where else to put it. This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: Coffey, A.L., Shawler, L.A., Jessel, J., Nye, M.L., Bain, T.A., & Dorsey, M.F. (2020). Interview-informed synthesized contingency analysis (IISCA): Novel interpretations and future directions. Behavior Analysis in Practice, 13, 217-225. doi: 10.1007/s40617-019-00348-3 Querim, A.C., Iwata, B.A., Roscoe, E.M., Schlichenmeyer, K.J., Ortega, J.V., & Hurl, K.E. (2013). Functional analysis screening for problem behavior maintained by automatic reinforcement. Journal of Applied Behavior Analysis, 46, 47-60. doi: 10.1002/jaba.26 Schlichenmeyer, K.J., Roscoe, E.M., Rooker, G.W., Wheeler, E.E., & Dube, W.V. (2013). Idiosyncratic variables that affect functional analysis outcomes: A review (2001-2010). doi: 10.1002/jaba.12 Jesel, J., Hanley, G.P., & Ghaemmaghami, M. (2016). Interview-informed synthesized contingency analyses: Thirty replications and reanalysis. Journal of Applied Behavior Analysis, 49, 576-595. doi: 10.1002/jaba.316 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

15 Mar 20231h 22min

While behavior analysts love to collect data to assess whether or not a client is reaching a specific target goal, have you ever stoped to wonder what information would need to be collected to determine whether or not specific services are “working”? Well, wonder less because our special guest, Dr. Ivy Chong, shares stories from her time as chair of the ICHOM team developing a standard set to measure autism outcomes globally. We discuss the weirdly complex process of measuring healthcare outcomes, what measures are worth measuring, and just how much work goes into leading a global initiative. This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: Mainz, J. (2003). Defining and classifying clinical indicators for quality improvement. International Journal for Quality in Health Care, 15, 523-530. doi: 10.1093/intqhc/mzg081 International Consortium for Health Outcomes Measurement. (2022). Patient-centered outcome measures Autism spectrum disorder. ICHOM Connect.https://connect.ichom.org/patient-centered-outcome-measures/autism-spectrum-disorder/ Kaplan, B. (2018). Value-based health care [PowerPoint slides]. Harvard Law School. deSilva, D. (2014, March). Helping measure person-centred care. The Health Foundation.https://www.health.org.uk If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

8 Mar 20231h 24min

Break out your old-timey woolen bathing suit because you’ll need to cool off after a jumbo month of new episodes. We’ve got guests to fill out the whole month including Dr. Ivy Chong discussing the process of developing a means of measuring outcomes of health care for autism treatment, Dr. Haley Steinhauser and Alex Kishbaugh reviewing their article reviewing rethinking compliance to better promote individual assent, and self-advocacy skills, and Alan Haberman dropping the latest Book Club read to join our continued review of past research on conversion therapy and how behavior analysis can own up to old mistakes (and avoid more in the future!). Finally, this extra-long month comes to a close by reviewing what to do when your functional analysis fails. Did someone say “idiosyncratic variables”? No? Don’t worry: We will. Articles for March 2023 Developing a Standard Set for Autism Outcome Measures w/ Dr. Ivy Chong Mainz, J. (2003). Defining and classifying clinical indicators for quality improvement. International Journal for Quality in Health Care, 15, 523-530. doi: 10.1093/intqhc/mzg081 International Consortium for Health Outcomes Measurement. (2022). Patient-centered outcome measures Autism spectrum disorder. ICHOM Connect. https://connect.ichom.org/patient-centered-outcome-measures/autism-spectrum-disorder/ Kaplan, B. (2018). Value-based health care [PowerPoint slides]. Harvard Law School. deSilva, D. (2014, March). Helping measure person-centred care. The Health Foundation. https://www.health.org.uk   Assent and Self-Determination w/ Dr. Haley Steinhauser + Alex Kishbaugh Kishbaugh, A., Steinhauser, H.M.K., & Bird, F.L. (2022, September 29). Rethinking non-compliance as a skill and promoting self-advocacy. Autism Spectrum News. Retrieved from Autism Spectrum News. Morris, C., Detrick, J.J., & Peterson, S.M. (2021). Participant assent in behavior analytic research: Considerations for participants with autism and developmental disabilities. Journal of Applied Behavior Analysis, 54, 1300-1316. doi: 10.1002/jaba.859 Rajaraman, A., Hanley, G.P., Gover, H.C., Staubitz, J.L., Staubitz, J.E., Simcoe, K.M., & Metras, R. (2022). Minimizing escalation by treating dangerous problem behavior within an enhanced choice model. Behavior Analysis in Practice, 15, 219-242. doi: 10:1007/s40617-020-00548-2   Idiosyncratic Functional Analyses Coffey, A.L., Shawler, L.A., Jessel, J., Nye, M.L., Bain, T.A., & Dorsey, M.F. (2020). Interview-informed synthesized contingency analysis (IISCA): Novel interpretations and future directions. Behavior Analysis in Practice, 13, 217-225. doi: 10.1007/s40617-019-00348-3 Querim, A.C., Iwata, B.A., Roscoe, E.M., Schlichenmeyer, K.J., Ortega, J.V., & Hurl, K.E. (2013). Functional analysis screening for problem behavior maintained by automatic reinforcement. Journal of Applied Behavior Analysis, 46, 47-60. doi: 10.1002/jaba.26 Schlichenmeyer, K.J., Roscoe, E.M., Rooker, G.W., Wheeler, E.E., & Dube, W.V. (2013). Idiosyncratic variables that affect functional analysis outcomes: A review (2001-2010). doi: 10.1002/jaba.12 Jesel, J., Hanley, G.P., & Ghaemmaghami, M. (2016). Interview-informed synthesized contingency analyses: Thirty replications and reanalysis. Journal of Applied Behavior Analysis, 49, 576-595. doi: 10.1002/jaba.316   (The Lack of) Ethics and Conversion Therapy and Practices w/ Alan Haberman (ETHICS) (LIVE) Barlow, D.H. & Agras, W.S. (1973). Fading to increase heterosexual responsiveness in homosexuals. Journal of Applied Behavior Analysis, 6, 355-366. doi: 10.1901/jaba.1973.6-355 Abel, G.G., Blanchard, E.B., Barlow, D.H., & Mavissakalian, M. (1975). Identifying specific erotic cues in sexual deviations by audiotaped descriptions. Journal of Applied Behavior Analysis, 8, 247-260. doi: 10.1901/jaba.1975.8-247 Nordyke, N.S., Baer, D.M., Etzel, B.C., & LeBlanc, J.M. (1977). Implications of the stereotyping and modiication of sex role. Journal of Applied Behavior Analysis, 10, 553-557. doi: 10.1901/jaba.1977.10-553 Rekers, G.A. (1977). Atypical gender development and psychosocial adjustment (1977). Journal of Applied Behavior Analysis, 10, 559-571. doi: 10.1901/jaba.1977.10-559 Winkler, R.C. (1977). What types of sex-role behavior should behavior modifiers promote? Journal of Applied Behavior Analysis, 10, 549-552. doi: 10.1901/jaba.1977.10-549 Association for Behavior Analysis International. (2022). Statement on conversion therapy and practices. Portage, MI: Author.

1 Mar 202316min

UNLOCKED from our Patreon page, it’s the “Look Me In the Eye” Book Club! Interested in more Book Clubs? Want to vote on what we read next? Feeling FOMO at getting this a full year late? Wish your 2 CEs for listening to the episode were FREE??? Join us on Patreon to get all of our episodes a week early, access to these bonus episodes, plus other goodies. It’s been nearly a year since we came together to discuss a book that we all ::GASP:: really liked! And our enjoyment is yours too as the Book Club Crew takes a trip down memory lane with the memoir “Look Me In the Eye” by John Elder Robison. Well, someone’s memory lane. We discuss the tender, humorous, and melancholic life story of an man on the autism spectrum growing up without a diagnosis then take this opportunity to improve our focus on the individual in how we provide behavior analytic services (in a book with no mention of behavior analysis at all!). This episode is worth 2.0 LEARNING CEUS. Content discussed in this episode Robison, J.E.. (2007). Look me in the eye. Crown Publishers. If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance. Want these CEs for FREE? Just subscribe to our Patreon at the $10+ levels and go to the original post for a discount code.

28 Feb 20231h 48min

When one of our listeners wrote in to ask about an episode on perseveration, we realized that we’d never directly discussed one of the original markers described in diagnosing Asperger’s syndrome. And boy were we shocked and mildly appalled at what we found! This week, we reflect on exactly what perseverative behavior really is, whether it should be categorized as a problem behavior at all, and if previous treatment research has missed the point. This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: Horr, J.A.M. & Michael, A.V. (2021). Functional analysis and noncontingent reinforcement with extinction in the treatment of perseverative speech. Behavior Analysis in Practice, 14, 208-213. doi: 10.1007/s40617-020-00523-x Rehfeldt, R.A. & Chambers, M.R. (2003). Functional analysis and treatment of verbal perseverations displayed by an adult with autism. Journal of Applied Behavior Analysis, 36, 259-261. doi: 10.1901/jaba.2003.36-259 Fisher, W.W., Rodriguez, N.M., Owen, T.M. (2013). Functional analysis and treatment of perseverative speech about restricted topics in an adolescent with asperger syndrom. Journal of Applied Behavior Analysis, 46, 307-311. doi: 10.1002/jaba.19 Kuntz, E.M., Santos, A.V., & Kennedy, C.H. (2020). Functional analysis and intervention of perseverative speech in students with high-functioning autism and related neurodevelopmental disabilities. Journal of Applied Behavior Analysis, 53, 2421-2428. doi: 10.1002/jaba.669 Hood, S.A., Gopez, J.M., Fallon, M.J., Byczynski, F.A., Aquino, S.C., & Monroy, S. (2022). The beginning of a friendship: Teaching individuals with autism to identify shared interests. Journal of Applied Behavior Analysis, 55, 1030-1058. doi: 10.1002/jaba.951 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

22 Feb 20231h 24min

Despite poor long-term outcomes, effective treatments for emotional behavioral disorder seem just out of reach. But, this week, we’re especially jazzed to have Dr. Johanna Staubitz join us to review some of the more promising technologies being explored today. From enhanced-choice SBT to more classic self-control training, we’re on the edge of our seats discussing the pros, cons, and everything in between. In fact, we had so many questions, we had to make this an extra-long episode! This episode is available for 1.5 LEARNING CEU. Articles discussed this episode: Staubitz, J.L., Staubitz, J.E., Pollack, M.S., Haws, R.A., & Hopton, M. (2022). Effects of an enhanced choice model of skill-based treatment for students with emotional/behavioral disorders. Journal of Applied Behavior Analysis, 55, 1306-1341. doi: 10.1002/jaba.952 Rajaraman, A., Hanley, G.P., Gover, H.C., Staubitz, J.L., Staubitz, J.E., Simcoe, K.M., & Metras, R. (2021). Minimizing escalation by treating dangerous problem behavior within an enhanced choice model. Behavior Analysis in Practice, 15, 219-242. doi: 10.1007/s40617-020-00548-2 Staubitz, J.L., Lloyd, B.P., & Reed, D.D. (2020). Effects of self-control training for elementary students with emotional and behavioral disorders. Journal of Applied Behavior Analysis, 53, 857-874. doi: 10.1002/jaba.634 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

15 Feb 20231h 40min

Like us, did you think precision teaching was all about the actual teaching? It’s about the measurement, man! Once we get that figured out, we take a tour of precision teaching in the recent literature from classrooms to college students to consultation through telehealth. Plus, we try to come to terms with standard celeration charts (and mostly succeed). This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: McTiernan, A., McCoy, A., Mendonca, J., Lydon, H., & Diffley, S. (2021). The implementation of Precision Teaching fo the improvement of academic skills: A systematic review of the literature over thirty years. Behavioral Interventions, 37, 505-528. doi: 10:1002/bin.1852 Diertrich, C.J. & Li, A. (2022). Implementation of frequency building and precision teaching to teach sight words via synchronous learning: A case study. Behavior Analysis in Practice. doi: 10.1007/s40617-022-00721-9 Evans, A.L., Bulla, A.J., & Kieta, A.R. (2021). The Precision Teaching system: A synthesized definition, concept analysis, and process. Behavior Analysis in Practice, 14, 559-576. doi: 10.1007/s40617-020-00502-2 Junaid, H. Bulla, A.J., Benjamin, M., Wind, T., & Nazaruk, D. (2021). Using self-management and social media to increase steps in sedentary college students. Behavior Analysis in Practice, 14, 734-744. doi: 10.1007/s40617-020-00445-8 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

8 Feb 20231h 14min