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Autistic experiences of applied behavior analysis.

Laura K Anderson1

  • 1University of Northern Colorado, USA.

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Autistic adults report applied behavior analysis (ABA) caused trauma and long-term harm, despite some benefits. They advocate for ABA practitioners to listen to autistic voices and consider alternative interventions.

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Area of Science:

  • Neurodevelopmental Disorders
  • Psychology
  • Behavioral Science

Background:

  • Autism spectrum disorder (ASD) is a lifelong developmental disability characterized by differences in social skills, communication, and behavior.
  • Applied behavior analysis (ABA) is a common early intervention for autistic children.
  • Concerns exist among autistic individuals that ABA may be harmful and pathologizing.

Purpose of the Study:

  • To explore the lived experiences of autistic adults who underwent ABA therapy in childhood.
  • To understand their perspectives on ABA's impact on mental health and well-being.
  • To gather recommendations for the future of ABA practices.

Main Methods:

  • Qualitative study involving interviews with seven autistic adults.
  • Exploration of their childhood experiences with ABA interventions.
  • Analysis of their current perspectives and recommendations regarding ABA.

Main Results:

  • Participants recalled traumatic experiences during ABA therapy.
  • They expressed a belief that ABA aimed to suppress autistic traits rather than support them.
  • While acknowledging some benefits, significant negative long-term consequences were reported, leading to views of ABA as unethical.

Conclusions:

  • Autistic adults experienced significant harm from ABA, questioning its ethical application.
  • There is a strong recommendation for ABA practitioners to prioritize autistic perspectives.
  • Alternative, more neurodiversity-affirming interventions should be considered.