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Applied behavior analysis

Applied behavior analysis (ABA) is a scientic disci- Behavior analysts also emphasize that the science of be-
pline concerned with analyzing the principles of learning havior must be a natural science as opposed to a social
theory and its aects on the environment, and system- science.[21] As such, behavior analysts focus on the ob-
atically applying this technology to change behavior of servable relationship of behavior to the environment, in-
social signicance.[1][2] It is the applied form of behav- cluding antecedents and consequences, without resort to
ior analysis; the other two forms are radical behaviorism hypothetical constructs.[22]
(or the philosophy of the science) and the experimental
analysis of behavior (or experimental research).[1]
The name applied behavior analysis has replaced 2 History
behavior modication because the latter approach sug-
gested attempting to change behavior without clarifying Further information: Behaviorism, Behavior modica-
the relevant behavior-environment interactions. In con- tion, B.F. Skinner, Ivar Lovaas, and Operant conditioning
trast, ABA tries to change behavior by rst assessing the
functional relationship between a targeted behavior and
the environment.[3] This approach often seeks to develop The beginnings of ABA can be traced to a group of
replacement behaviors which serve the same function as faculty and researchers at the University of Washing-
the aberrant behaviors.[3][4][5] ton[23] and University of Kansas,[24] including Donald
Baer, Sidney W. Bijou, Bill Hopkins, Jay Birnbrauer,
Methods in applied behavior analysis range from early Todd Risley, and Montrose Wolf. In the 1960s, Baer,
intensive behavioral interventions for children with an Hopkins, Risley, Birnbrauer, and Wolf joined the De-
autism spectrum disorder (ASD)[6] to research on the partment of Human Development and Family Life at the
principles inuencing criminal behavior. However, ABA University of Kansas,[24]:570 where they and their col-
has also been brought to bear on a wide range of areas leagues began to apply the principles of behavior anal-
and behavioral problems, exemplied by the following: ysis to a wide variety of human problems. In 1968, they
HIV prevention,[7] conservation of natural resources,[8] founded the Journal of Applied Behavior Analysis which
education,[9] gerontology,[10] health and exercise,[11] publishes research in behavior analysis to socially rele-
industrial safety,[12] language acquisition,[13] littering,[14] vant behavior, and B. F. Skinner was the president of the
medical procedures,[15] parenting,[16] psychotherapy, journal until his death in 1990.
seatbelt use,[17] severe mental disorders,[18] sports,[19]
substance abuse, phobias, pediatric feeding disorders, Notable graduate students [24]
from the University of Kansas
and zoo management and care of animals. [20] include Ivar Lovaas, who established the UCLA
Young Autism Project while teaching at the University
of California, Los Angeles, devoted nearly half a cen-
tury to groundbreaking research and practice aimed at
1 Denition improving the lives of children with autism and their fam-
ilies. He even co-founded what is today the Autism Soci-
ABA is an applied science devoted to developing ety of America.[25] In 1965, Lovaas published a series of
procedures which will produce observable changes articles that outlined his system for coding observed be-
in behavior.[1] It is to be distinguished from the haviors, described a pioneering investigation of the an-
experimental analysis of behavior, which focuses on ba- tecedents and consequences that maintained a problem
sic experimental research,[6] but it uses principles devel- behavior,[25] and built upon these methods to develop
oped by such research, in particular operant condition- an eective way to teach nonverbal children to speak.
ing, classical conditioning and social learning theory. Be- He also described how to use social (secondary) rein-
havior analysis adopts the viewpoint of radical behavior- forcers, teach children to imitate, and what interventions
ism, treating thoughts, emotions, and other covert cog- (including electric shocks) may be used to reduce aggres-
nitive activity as behavior that is subject to the same sion and life-threatening self-injury.[25] In 1973, Lovaas
rules as observable responses. This represents a shift published a long-term follow-up of his interventions and
away from methodological behaviorism, which restricts was dismayed to nd that most of the subjects had re-
behavior-change procedures to behaviors that are observ- verted to their pre-intervention behaviors. He and his col-
able, and was the conceptual underpinning of behavior leagues proposed several ways to improve outcomes, such
modication. as starting intervention during the childrens preschool

1
2 3 CHARACTERISTICS

years instead of during late childhood or adolescence, in- that the behavior changes and then changes back in
volving parents in the intervention, and implementing the response to these manipulations. The multiple base-
intervention in the familys home rather than an institu- line method may be used for behaviors that seem
tional setting. irreversible. Here, several behaviors are measured
Over the years, behavior analysis gradually superseded and then the intervention is applied to each in turn.
behavior modication"; that is, from simply trying to al- The eectiveness of the intervention is revealed by
ter problematic behavior, behavior analysts sought to un- changes in just the behavior to which the interven-
derstand the function of that behavior, what antecedents tion is being applied.
promote and maintain it, and how it can be replaced by Technological: The description of analytic research
successful behavior.[5] This analysis is based on careful must be clear and detailed, so that any competent
initial assessment of a behaviors function and a testing researcher can repeat it accurately.[29] Cooper et al.
of methods that produce changes in behavior. describe a good way to check this: Have a person
Applied behavior analytic methods are also used in a trained in applied behavior analysis read the descrip-
variety of other elds, such as applied animal behav- tion and then act out the procedure in detail. If the
ior, criminology, organizational behavior management, person makes any mistakes or has to ask any ques-
positive behavior support,[26][27][28] and clinical behavior tions then the description needs improvement.[31]
analysis (including cognitive-behavior therapies). Conceptually Systematic: Behavior analysis
should not simply produce a list of eective
interventions. Rather, to the extent possible,
3 Characteristics these methods should be grounded in behavioral
principles. This is aided by the use of theo-
Baer, Wolf, and Risleys 1968 article[29] is still used as retically meaningful terms, such as secondary
the standard description of ABA.[30] It lists the following reinforcement or errorless discrimination where
the seven characteristics of ABA. appropriate.
Eective: Though analytic methods should be the-
Applied: ABA focuses on the social signicance of oretically grounded, they must be eective. If an
the behavior studied. For example, a non-applied re- intervention does not produce a large enough eect
searcher may study eating behavior because this re- for practical use, then the analysis has failed
search helps to clarify metabolic processes, whereas
General: Behavior analysts should aim for inter-
the applied researcher may study eating behavior in
ventions that are generally applicable; the meth-
individuals who eat too little or too much, trying to
ods should work in dierent environments, apply
change such behavior so that it is more acceptable
to more than one specic behavior, and have long-
to the persons involved, to others, and to society as
lasting eects.
a whole.

Behavioral: ABA is pragmatic; it asks how it is


possible to get an individual to do something eec-
3.1 Other proposed characteristics
tively. To answer this question, the behavior itself
In 2005, Heward et al. suggested that the following ve
must be objectively measured. Verbal descriptions
characteristics should be added:[32]
are treated as behavior in themselves, and not as sub-
stitutes for the behavior described.
Accountable: To be accountable means that ABA
Analytic: Behavior analysis is successful when the must be able to demonstrate that its methods are ef-
analyst understands and can manipulate the events fective. This requires the repeatedly measuring the
that control a target behavior. This may be rela- success of interventions, and, if necessary, making
tively easy to do in the lab, where a researcher is changes that improve their eectiveness.[33]
able to arrange the relevant events, but it is not al- Public: The methods, results, and theoretical analy-
ways easy, or ethical, in an applied situation.[29] Baer ses of ABA must be published and open to scrutiny.
et al. outline two methods that may be used in ap- There are no hidden treatments or mystical, meta-
plied settings to demonstrate control while maintain- physical explanations.
ing ethical standards. These are the reversal design
and the multiple baseline design. In the reversal de- Doable: To be generally useful, interventions should
sign, the experimenter rst measures the behavior be available to a variety of individuals, who might be
of choice, introduces an intervention, and then mea- teachers, parents, therapists, or even those who wish
sures the behavior again. Then, the intervention is to modify their own behavior. With proper planning
removed, or reduced, and the behavior is measured and training, many interventions can be applied by
yet again. The intervention is eective to the extent almost anyone willing to invest the eort.[34]
4.2 Environment 3

Empowering: ABA provides tools that give the 4.1.2 Respondent (classical) conditioning
practitioner feedback on the results of interventions.
These allow clinicians to assess their skill level and Main article: Classical conditioning
build condence in their eectiveness.[35]

Optimistic: According to several leading authors, Respondent (classical) conditioning is based on innate
behavior analysts have cause to be optimistic that stimulus-response relationships called reexes. In his fa-
their eorts are socially worthwhile, for the follow- mous experiments with dogs, Pavlov usually used the sali-
ing reasons: vary reex, namely salivation (unconditioned response)
following the taste of food (unconditioned stimulus).
The behaviors impacted by behavior analysis Pairing a neutral stimulus, for example a bell (conditioned
are largely determined by learning and con- stimulus) with food caused the bell to elicit salivation
trolled by manipulable aspects of the environ- (conditioned response). Thus, in classical conditioning,
ment. the conditioned stimulus becomes a signal for a biolog-
Practitioners can improve performance by di- ically signicant consequence. Note that in respondent
rect and continuous measurements. conditioning, unlike operant conditioning, the response
does not produce a reinforcer or punisher (e.g. the dog
As a practitioner uses behavioral techniques does not get food because it salivates).
with positive outcomes, they become more
condent of future success.
The literature provides many examples of suc- 4.2 Environment
cess in teaching individuals considered previ-
ously unteachable. The environment is the entire constellation of stimuli in
which an organism exists.[39] This includes events both
inside and outside of an organism, but only real physical
events are included. A stimulus is an energy change that
4 Concepts aects an organism through its receptor cells.[39]
A stimulus can be described:
4.1 Behavior
Main article: Behavior Topographically by its physical features.
Temporally by when it occurs.
Behavior refers to the movement of some part of an or-
ganism that changes some aspect of the environment.[36] Functionally by its eect on behavior.
Often, the term behavior refers to a class of responses that
share physical dimensions or functions, and in that case a
4.3 Reinforcement
response is a single instance of that behavior.[37] If a group
of responses have the same function, this group may be
Main article: Reinforcement
called a response class. Repertoire refers to the various
responses available to an individual; the term may refer
to responses that are relevant to a particular situation, orReinforcement is the key element in operant
it may refer to everything a person can do. conditioning[40] and in most behavior change
programs.[41] It is the process by which behavior is
strengthened. If a behavior is followed closely in time
4.1.1 Operant conditioning by a stimulus and this results in an increase in the
future frequency of that behavior, then the stimulus is a
Main article: Operant conditioning positive reinforcer. If the removal of an event serves as
a reinforcer, this is termed negative reinforcement.[42]
Operant behavior is the so-called voluntary behavior There are multiple schedules of reinforcement that aect
that is sensitive to, or controlled by its consequences. the future probability of behavior.
Specically, operant conditioning refers to the three-
term contingency that uses stimulus control, in particular
an antecedent contingency called the discriminative stim- 4.4 Punishment
ulus (SD) that inuences the strengthening or weakening
of behavior through such consequences as reinforcement Main article: Punishment (psychology)
or punishment.[38] The term is used quite generally, from
reaching for a candy bar, to turning up the heat to es- Punishment is a process by which a consequence im-
cape an aversive chill, to studying for an exam to get good mediately follows a behavior which decreases the future
grades. frequency of that behavior. As with reinforcement, a
4 5 MEASURING BEHAVIOR

stimulus can be added (positive punishment) or removed occurs only in the presence of the discriminative stimu-
(negative punishment). Broadly, there are three types of lus is an illustration of stimulus control.[48] More recently
punishment: presentation of aversive stimuli (e.g., pain), behavior analysts have been focusing on conditions that
response cost (removal of desirable stimuli as in monetary occur prior to the circumstances for the current behav-
nes), and restriction of freedom (as in a 'time out').[43] ior of concern that increased the likelihood of the be-
Punishment in practice can often result in unwanted side havior occurring or not occurring. These conditions have
eects.[44] Some other potential unwanted eects include been referred to variously as Setting Event, Establish-
resentment over being punished, attempts to escape the ing Operations, and Motivating Operations by various
punishment, expression of pain and negative emotions as- researchers in their publications.
sociated with it, and recognition by the punished individ-
ual between the punishment and the person delivering it.
4.7 Verbal behavior

4.5 Extinction Main article: Verbal Behavior

Main article: Extinction (psychology) B.F. Skinners classication system of behavior analysis
has been applied to treatment of a host of communication
[49]
Extinction is the technical term to describe the procedure disorders. Skinners system includes:
of withholding/discontinuing reinforcement of a previ-
ously reinforced behavior, resulting in the decrease of Tact (psychology) a verbal response evoked by a
that behavior.[45] The behavior is then set to be extin- non-verbal antecedent and maintained by general-
guished (Cooper et al.). Extinction procedures are often ized conditioned reinforcement.
preferred over punishment procedures, as many punish-
ment procedures are deemed unethical and in many states Mand (psychology) behavior under control of mo-
prohibited. Nonetheless, extinction procedures must be tivating operations maintained by a characteristic re-
implemented with utmost care by professionals, as they inforcer.
are generally associated with extinction bursts. An ex-
Intraverbals verbal behavior for which the rele-
tinction burst is the temporary increase in the frequency,
vant antecedent stimulus was other verbal behavior,
intensity, and/or duration of the behavior targeted for
but which does not share the response topography
extinction.[46] Other characteristics of an extinction burst
of that prior verbal stimulus (e.g., responding to an-
include an extinction-produced aggressionthe occur-
other speakers question).
rence of an emotional response to an extinction procedure
often manifested as aggression; and b) extinction-induced Autoclitic secondary verbal behavior which alters
response variabilitythe occurrence of novel behaviors the eect of primary verbal behavior on the lis-
that did not typically occur prior to the extinction pro- tener. Examples involve quantication, grammar,
cedure. These novel behaviors are a core component of and qualifying statements (e.g., the dierential ef-
shaping procedures. fects of I think... vs. I know...)

4.6 Discriminated operant and three-term For assessment of verbal behavior from Skinners system
see Assessment of Basic Language and Learning Skills.
contingency

In addition to a relation being made between behavior


and its consequences, operant conditioning also estab- 5 Measuring behavior
lishes relations between antecedent conditions and be-
haviors. This diers from the SR formulations (If-A- When measuring behavior, there are both dimensions of
then-B), and replaces it with an AB-because-of-C formu- behavior and quantiable measures of behavior. In ap-
lation. In other words, the relation between a behavior plied behavior analysis, the quantiable measures are a
(B) and its context (A) is because of consequences (C), derivative of the dimensions. These dimensions are re-
more specically, this relationship between AB because peatability, temporal extent, and temporal locus.[50]
of C indicates that the relationship is established by prior
consequences that have occurred in similar contexts.[47]
This antecedentbehaviorconsequence contingency is 5.1 Repeatability
termed the three-term contingency. A behavior which
occurs more frequently in the presence of an antecedent Response classes occur repeatedly throughout timei.e.,
condition than in its absence is called a discriminated op- how many times the behavior occurs.
erant. The antecedent stimulus is called a discriminative
stimulus (SD ). The fact that the discriminated operant Count is the number of occurrences in behavior.
5

Rate/frequency is the number of instances of be- Manipulations of the independent variable so that its
havior per unit of time. eects on the dependent variable may be quantita-
tively or qualitatively analyzed
Celeration is the measure of how the rate changes
over time. An intervention that will benet the participant in
some way[52]

5.2 Temporal extent


This dimension indicates that each instance of behavior
7 Functional analysis (psychology)
occupies some amount of timei.e., how long the behav-
ior occurs. Main article: Functional analysis (psychology)

Duration is the amount of time in which the behav-


ior occurs.
7.1 History of functional analysis

5.3 Temporal locus Prior to the seminal article on functional analytic method-
ology for aberrant behaviors, behaviorists used the be-
Each instance of behavior occurs at a specic point in havioral technology available to them at the time. Instead
timei.e., when the behavior occurs. of treating the function of the disruptive behavior, be-
havioral psychologists would instead pre-assume conse-
quences to alter disruptive behaviors. For example, in the
Response latency is the measure of elapsed time
past to decrease self-injurious behavior in an individual,
between the onset of a stimulus and the initiation of
behaviorists may have delivered an aversive stimulus con-
the response.
tingent on the response, or assume a reinforcer without
Interresponse time is the amount of time that oc- identifying the reinforcer that would be most motivating
curs between two consecutive instances of a re- to the client (Iwata, 1988). This type of intervention was
sponse class. successful to the individual, but it was not uncommon to
see other variations of aberrant behavior begin to appear.
When applied behavior analysts let clients choose from a
5.4 Derivative measures wide array of reinforcers (often determined through data
collection and reinforcement assessments) in the mid-
Derivative measures are unrelated to specic dimensions: 1980s, reinforcement was shown to be more eective
than punishment contingencies. In general, applied be-
Percentage is the ratio formed by combining the havior analysis as a eld favors reinforcement based inter-
same dimensional quantities. ventions over aversive contingencies, but at the time the
behavioral technology was not advanced enough and the
Trials-to-criterion are the number of response op- individuals needing intervention had a right to an eec-
portunities needed to achieve a predetermined level tive treatment (Van Houten et al., 1988). Nevertheless,
of performance. not all behavioral therapies involved the use of aversives
prior to the mid-1980s. Some behaviorists (for instance,
B.F. Skinner) always preferred reinforcement and extinc-
6 Analyzing behavior change tion contingencies over punishment even during that time.
In 1977, Edward Carr published a paper on poten-
6.1 Experimental control tial hypotheses for the occurrence and maintenance of
self-injurious behaviors. This paper laid out the initial
In applied behavior analysis, all experiments should in- groundwork for a functional analysis of aberrant behav-
clude the following:[51] iors. In the paper, Carr described ve potential causes for
self-injurious behaviors that included (1) positive social
At least one participant reinforcement contingent on the response, (2) negative re-
inforcement in the form of removal of an aversive stimu-
At least one behavior (dependent variable) lus contingent on the response, (3) the response produced
stimuli possessed reinforcing qualities (automatic rein-
At least one setting forcement), (4) the behavior was a byproduct of an un-
A system for measuring the behavior and ongoing derlying psychological condition, and (5) psychodynamic
visual analysis of data hypothesis in which the behavior was an attempt to re-
duce guilt. Throughout the paper, Carr cited recent re-
At least one treatment or intervention condition search to support the rst three hypotheses, and disprove
6 7 FUNCTIONAL ANALYSIS (PSYCHOLOGY)

the latter two hypotheses, but no formal experiment was ble/activity): The individual engages in the behavior to
conducted to determine the controlling variables of the obtain a specic item or engage in a specic activity from
problem behavior. another person. For example, a child hits mom because
In 1982, Iwata and colleagues conducted the rst exper- s/he wants the toy mom is holding. (If this behavior re-
imental analysis of the maintaining variables for self- sults in mom giving the child the toy, s/he will be more
injurious behavior. In the paper, the researchers alter- likely to engage in the same behavior in the future to get
nated between specic conditions to examine whether or moms attention.) Common forms of tangible items in-
not the behavior occurred under specic environmental clude, but are not limited to, food, toys, movies, video
games, etc.
conditions. Through direct manipulation of the environ-
ment, the researchers could accurately identify the con- Automatic positive reinforcement: The individual engages
trolling variables of the aberrant behavior, and provide in the behavior because the response-produced stimula-
interventions that targeted the functional relationship be- tion possesses reinforcing characteristics. In other words,
tween the behavior and the environment. Since this sem- engaging in the behavior produces reinforcing stimula-
inal article was published, a wide range of research has tion unique to the specic context. For example, a child
been published in the area of functional analyses of aber- hits his/her eyes because it produces the specic stimula-
rant behaviors. The methodology has since become the tion of various colors and eects. Another example in-
gold standard in assessment and treatment of aberrant be- cludes a child spinning a bowl on a table to produce the
haviors. specic auditory stimulation unique to that object. Com-
mon forms of automatic stimulation include, but are not
limited to, auditory stimulation, visual stimulation, en-
7.2 Functional behavior assessment (FBA) dorphin release, etc.

Functional assessment of behavior provides hypotheses


about the relationships between specic environmental 7.3.2 Escape/avoid undesirable events (negative re-
events and behaviors. Decades of research have estab- inforcement)
lished that both desirable and undesirable behaviors are
learned and maintained through interactions with the so- Escape/avoid socially mediated events Es-
cial and physical environment. Functional behavior as- cape/removal of attention: The individual engages
sessments are used to identify controlling variables for in the behavior to escape aversive socially mediated
challenging behaviors as the basis for intervention eorts attention. Put another way, social situations that are
designed to decrease the occurrence of these behaviors. aversive to the child are removed contingent on the
behavior occurring. For example, a child hits the teacher
to avoid talking in front of the class. Common forms of
7.3 Functions of behavior aversive social situations include, but are not limited to,
smiles, hugs, frowns, corrections, group settings, etc.
Behavior serves two major functions for an individual: Escape/removal of tasks or activities: The individual en-
(1) to obtain desired events, or (2) to escape/avoid unde- gages in the behavior to escape aversive tasks or demands.
sired events. Put another way, individuals engage in be- For example, when a child is told to take a bath he begins
havior to get something or to get out of something. When to cry, and his mother tells him he no longer has to take
trying to identify the function of a behavior, it is often a bath. Another example includes a teacher telling a stu-
helpful to think, What purpose is this behavior serving dent to complete a series of math problems, to which the
the individual?" Described below are the common func- student ips the desk and is sent to the principals oce.
tions of behavior. Being sent to the principals oce reinforced the behavior
of ipping the desk because it allowed the child to escape
the aversive activity of completing math problems. Com-
7.3.1 Obtain socially mediated events
mon forms of aversive demands/activities include, but are
not limited to, dicult tasks, changes in routines, unpre-
Access to attention (positive reinforcement: social): The
dictability, novel tasks, etc.
individual engages in the behavior to obtain attention
from another person. For example, a child throws a toy
because it characteristically results in moms attention. Escape/avoid specic stimulation Automatic nega-
(If this behavior results in mom looking at child and giv- tive reinforcement: The individual engages in the behav-
ing him lots of attentioneven if shes saying NOhe ior because it produces a decrease in aversive stimulation.
will be more likely to engage in the same behavior in the Put another way, something aversive is occurring in some
future to get moms attention.) Common forms of atten- location on the organisms body, and engaging in the be-
tion include, but are not limited to, hugs, kisses, repri- havior decreases the level of discomfort. For example,
mands, frowns, smiles, etc. a child bangs his head against the wall to decrease the
Access to tangibles (positive reinforcement: tangi- pain experienced from a toothache. Another example in-
7.5 Method of identifying functions of behavior 7

cludes a child scratching his arm to decrease the level of 7.5.2 Descriptive FBA
itchiness experienced from a bug bite. Common forms
of aversive stimulation abated by engaging in specic be- Unlike the indirect methods of FBAs, descriptive func-
haviors include sinus pain, itching, hunger, etc. tional behavior assessment employs direct observation of
behavior. These observations occur in the environment in
which the behavior naturally occurs (e.g. school, home,
etc.) therefore there is no direct manipulation of the en-
7.4 Function versus topography
vironment. The most common form of descriptive as-
sessment involves recording the antecedents and conse-
As previously stated function refers to the eect the be-
quences that naturally occur when the individual emits
havior produces on the environment. The actual form of
the behavior. This is referred to as ABC data collection,
the behavior is referred to the topography. Dierent be-
in which (A) represents the common antecedent, (B) rep-
haviors may serve the same function, thus describing one
resents the behavior of interest, and (C) represents the
limitation of treating behaviors based on form alone. For
immediate consequences that occur following the behav-
example, a child may scream, hit, and cry to obtain atten-
ior. ABC data collection is used to identify the naturally
tion from his mother. What the behavior looks like often
occurring consequences delivered in the environment in
reveals little useful information about the conditions that
which the behavior occurs. ABC data collection can be
account for it. However, identifying the conditions that
conducted by a wide array of individuals who have re-
account for a behavior, suggests what conditions need to
ceived appropriate training on how to record the data.
be altered to change the behavior. Therefore, assessment
Another form of descriptive FBA is called a scatterplot.
of function of a behavior can yield useful information
In this assessment, sta record the time and setting in
with respect to intervention strategies that are likely to
which the behavior of interest occurs over a series of days.
be eective.
The data are plotted on a visual scale to indicate whether
there are any patterns in the behavior (for example, if the
behavior occurs more frequently during math instruction
7.5 Method of identifying functions of be- than it does during lunchtime). Although this assessment
havior does not indicate the consequences maintaining the be-
havior, it can be used to identify some of the antecedent
FBA methods can be classied into three types: conditions that typically precede the behavior of interest.

Indirect assessment 7.5.3 Functional (experimental) analysis

A functional analysis is the most direct form of functional


Descriptive assessment
behavior assessment, in which specic antecedents and
consequences are systematically manipulated to test their
Functional (experimental) analysis separate eects on the behavior of interest. Each ma-
nipulation of the antecedent and consequence in a par-
ticular situation is referred to a condition. In a functional
7.5.1 Indirect FBA analysis, conditions are typically alternated between quite
rapidly independent of responding to test the dierent
This method uses structured interviews, checklists, rat- functions of behavior. When data paths are elevated
ing scales, or questionnaires to obtain information from above the control condition (described below) it can be
persons who are familiar with the person exhibiting the said that there is a functional relation between that con-
behavior to identify possible conditions or events in the dition and the behavior of interest. Complexity, time re-
natural environment that correlate with the problem be- straints, and setting restraints, are a few limitations to this
havior. They are referred to as indirect because they do particular method. When deciding to use this method, it
not involve direct observation of the behavior, but rather should be noted that there is a chance of high-risk behav-
they solicit information based on others recollections of ior and the possibility of low-rate behaviors.[53]
the behavior. This form of assessment typically yields the Below, common examples of experimental conditions are
least reliable information about the function of behavior, described. A standard functional analysis normally has
but can provide insight as to possible functions of the be- four conditions (three test conditions and one control).
havior to be tested in the future, the form of the behav-
iors (e.g. screaming, hitting, etc.), and environments in
which the behavior typically occurs (e.g. school, home, Attention In this condition, the experimenter gives the
etc.). This type of assessment should be performed as individual moderately preferred items and instructs them
the initial step of any functional behavior assessment to to go play. After that initial instruction, the experimenter
gather relevant information to complete more direct as- pretends to act busy and ignores all bids for attention from
sessments. the individual. If the individual engages in the behavior
8 8 TECHNOLOGIES DISCOVERED THROUGH ABA RESEARCH

of interest, the experimenter provides the individual with 4. Developing intervention options based on the func-
attention (commonly in the form of a reprimand). Be- tion of problem behavior.
haviors that occur more frequently in this condition can
be said to be attention maintained.
8 Technologies discovered through
Escape In this condition, the experimenter instructs ABA research
the individual that it is time to work. After the initial in-
struction, the experimenter delivers a series of demands
that the individual is typically required to complete (e.g. 8.1 Task analysis
math problems, cleaning up, etc.). If the individual en-
gages in the behavior of interest, the demand is removed Task analysis is a process in which a task is analyzed
and the child is allowed to take a break. Behaviors that into its component parts so that those parts can be
occur more frequently in this condition can be said to be taught through the use of chaining: forward chaining,
escape maintained. backward chaining and total task presentation. Task anal-
ysis has been used in organizational behavior manage-
ment, a behavior analytic approach to changing the be-
Alone In this condition, the child is left alone with a haviors of members of an organization (e.g., factories,
variety of items to engage with. If the child engages in oces, or hospitals).[54] Behavioral scripts often emerge
the behavior of interest, no programmed consequences from a task analysis.[55][56] Bergan conducted a task anal-
are delivered. Behaviors that occur more frequently in ysis of the behavioral consultation relationship[57] and
this condition can be said to be automatically maintained. Thomas Kratochwill developed a training program based
on teaching Bergans skills.[58] A similar approach was
used for the development of microskills training for
Control (play) In this condition, the child is allowed
counselors.[59][60][61] Ivey would later call this behavior-
to engage with a variety of items during the session. No
ist phase a very productive one[62] and the skills-based
demands are placed on the child throughout the duration
approach came to dominate counselor training during
of the session. The experimenter provides attention to
197090.[63] Task analysis was also used in determining
the individual throughout the session on any behavior that
the skills needed to access a career.[64] In education, En-
is not the target behavior. If the target behavior occurs,
glemann (1968) used task analysis as part of the methods
the experimenter removes attention until the behavior has
to design the Direct Instruction curriculum.[65]
subsided. This session is meant to act as a control con-
dition, meaning that the environment is enriched for the
purpose of the behavior not occurring. Said another way,
by meeting environmental needs for all possible func- 8.2 Chaining
tions, the individual is not likely to engage in the behav-
ior of interest. This condition is used as a comparison to Main article: Chaining
the other conditions. Any condition that is elevated to a
large degree form the control condition, shows a higher The skill to be learned is broken down into small units for
degree experimental control indicating the functional re- easy learning. For example, a person learning to brush
lationship between the specic environmental conditions teeth independently may start with learning to unscrew
and the behavior of interest. the toothpaste cap. Once they have learned this, the next
step may be squeezing the tube, etc.[66][67]

7.6 Conducting a functional behavior as- For problem behavior, chains can also be analyzed
and the chain can be disrupted to prevent the problem
sessment [68]
behavior. Some behavior therapies, such as dialectical
behavior therapy, make extensive use of behavior chain
Functional behavior assessments are rarely limited to only
analysis.[69]
one of the methods described above. The most common,
and most preferred, method for identifying the function
of behavior can be seen as a four-part processes.
8.3 Prompting
1. The gathering of information via indirect and de- A prompt is a cue or assistance to encourage the desired
scriptive assessment. response from an individual.[70] Prompts are often cate-
2. Interpretation of information from indirect and de- gorized into a prompt hierarchy from most intrusive to
scriptive assessment and formulation of a hypothesis least intrusive. There is some controversy about what
about the purpose of problem behavior. is considered most intrusive: physically intrusive versus
hardest prompt to fade (i.e., verbal).[71] In a faultless
3. Testing of a hypothesis using a functional analysis. learning approach, prompts are given in a most-to-least
8.6 Generalization 9

sequence and faded systematically to ensure the individ- 8.6 Generalization


ual experiences a high level of success.[72] There may be
instances in which a least-to-most prompt method is pre- Generalization is the expansion of a students perfor-
ferred. Prompts are faded systematically and as quickly asmance ability beyond the initial conditions set for acqui-
possible to avoid prompt dependency. The goal of teach- sition of a skill.[78] Generalization can occur across peo-
ing using prompts would be to fade prompts towards in- ple, places, and materials used for teaching. For example,
dependence, so that no prompts are needed for the indi- once a skill is learned in one setting, with a particular in-
vidual to perform the desired behavior.[73][74] structor, and with specic materials, the skill is taught in
more general settings with more variation from the ini-
Types of prompts:
tial acquisition phase. For example, if a student has suc-
cessfully mastered learning colors at the table, the teacher
Vocal prompts: Utilizing a vocalization to indicate may take the student around the house or his school and
the desired response. then generalize the skill in these more natural environ-
Visual prompts: A visual cue or picture. ments with other materials. Behavior analysts have spent
considerable amount of time studying factors that lead to
Gestural prompts: Utilizing a physical gesture to in- generalization.[79]
dicate the desired response.
Positional prompt: The target item is placed closer 8.7 Shaping
to the individual.
Modeling: Modeling the desired response for the Main article: Shaping (psychology)
student. This type of prompt is best suited for indi-
viduals who learn through imitation and can attend Shaping involves gradually modifying the existing behav-
to a model. ior into the desired behavior. If the student engages with
a dog by hitting it, then he or she could have their be-
Physical prompts: Physically manipulating the indi-
havior shaped by reinforcing interactions in which he or
vidual to produce the desired response. There are
she touches the dog more gently. Over many interac-
many degrees of physical prompts. The most in-
tions, successful shaping would replace the hitting be-
trusive being hand-over-hand, and the least intrusive
havior with patting or other gentler behavior. Shaping
being a slight tap to initiate movement.[72]
is based on a behavior analysts thorough knowledge of
operant conditioning principles and extinction. Recent
This is not an exhaustive list of all possible prompts. eorts to teach shaping have used simulated computer
When using prompts to systematically teach a skill, not tasks.[80]
all prompts need to be used in the hierarchy; prompts are
chosen based on which ones are most eective for a par- One teaching technique found to be eective with some
ticular individual. students, particularly children, is the use of video mod-
eling (the use of taped sequences as exemplars of behav-
ior). It can be used by therapists to assist in the acqui-
8.4 Fading sition of both verbal and motor responses, in some cases
for long chains of behavior.[81][82]
The overall goal is for an individual to eventually not need
prompts. As an individual gains mastery of a skill at a
particular prompt level, the prompt is faded to a less in- 8.8 Interventions based on an FBA
trusive prompt. This ensures that the individual does not
become overly dependent on a particular prompt when Critical to behavior analytic interventions is the concept
learning a new behavior or skill. of a systematic behavioral case formulation with a func-
tional behavioral assessment or analysis at the core.[83][84]
This approach should apply a behavior analytic theory of
8.5 Thinning a reinforcement schedule change (see Behavioral change theories). This formula-
tion should include a thorough functional assessment, a
Thinning is often confused with fading. Fading refers to a skills assessment, a sequential analysis (behavior chain
prompt being removed, where thinning refers to the spac- analysis), an ecological assessment, a look at existing
ing of a reinforcement schedule getting larger.[75] Some evidenced-based behavioral models for the problem be-
support exists that a 30% decrease in reinforcement can havior (such as Fordyces model of chronic pain)[85] and
be an ecient way to thin.[76] Schedule thinning is often then a treatment plan based on how environmental fac-
an important and neglected issue in contingency manage- tors inuence behavior. Some argue that behavior an-
ment and token economy systems, especially when devel- alytic case formulation can be improved with an assess-
oped by unqualied practitioners (see professional prac- ment of rules and rule-governed behavior.[86][87][88] Some
tice of behavior analysis).[77] of the interventions that result from this type of conceptu-
10 9 EFFICACY IN AUTISM

alization involve training specic communication skills to out by trained therapists.[95] However, the review
replace the problem behaviors as well as specic setting, committee also concluded that there is a great need
antecedent, behavior, and consequence strategies.[89] for more knowledge about which interventions are
most eective.
A 2009 paper included a descriptive analysis, an
9 Ecacy in autism eect size analysis, and a meta-analysis of 13 re-
ports published from 1987 to 2007 of early inten-
ABA-based techniques are often used to change behav- sive behavioral intervention (EIBI, a form of ABA-
iors associated with autism, so much so that ABA itself based treatment with origins in the Lovaas tech-
is often mistakenly considered to be synonymous with nique) for autism. It determined that EIBIs ef-
therapy for autism.[6] ABA for autism may be limited by fect sizes were generally positive for IQ, adaptive
diagnostic severity and IQ.[90][91] The most inuential and behavior, expressive language, and receptive lan-
widely cited review of the literature regarding ecacy guage. The paper did note limitations of its nd-
of treatments for Autism is the National Research Coun- ings including the lack of published comparisons be-
cils book Educating Children with Autism (2001) which tween EIBI and other empirically validated treat-
concluded that ABA was the best research supported and ment programs.[96]
most eective treatment for the main characteristics of
In a 2009 systematic review of 11 studies published
Autism. Some critics claimed that the NRCs report was
from 1987 to 2007, the researchers wrote there
an inside job by behavior analysts but there were no board
is strong evidence that EIBI is eective for some,
certied behavior analysts on the panel (which did include
but not all, children with autism spectrum disorders,
physicians, speech pathologists, educators, psychologists,
and there is wide variability in response to treat-
and others). Other criticisms raised include the small
ment. Furthermore, any improvements are likely
sample sizes used in the published research to date. Med-
to be greatest in the rst year of intervention.[97]
ications have not been proven to correct the core decits
of ASDs and are not the primary treatment. ABA is the A 2009 meta-analysis of nine studies published from
primary treatment according to the American Academy 1987 to 2007 concluded that EIBI has a large ef-
of Pediatrics.[92] Recent reviews of the ecacy of ABA- fect on full-scale intelligence and a moderate ef-
based techniques in autism include: fect on adaptive behavior in autistic children.[98]
In 2011, investigators from Vanderbilt University
A 2007 clinical report of the American Academy
under contract with the Agency for Healthcare Re-
of Pediatrics concluded that the benet of ABA-
search and Quality performed a comprehensive re-
based interventions in autism spectrum disorders
view of the scientic literature on ABA-based and
(ASDs) has been well documented and that chil-
other therapies for autism spectrum disorders; the
dren who receive early intensive behavioral treat-
ABA-based therapies included the UCLA/Lovaas
ment have been shown to make substantial, sus-
method and the Early Start Denver Model (the lat-
tained gains in IQ, language, academic performance,
ter developed by Sally Rogers and Geraldine Daw-
and adaptive behavior as well as some measures of
son).[99] They concluded that both approaches were
social behavior.[93]
associated with ... improvements in cognitive per-
Researchers from the MIND Institute published an formance, language skills, and adaptive behavior
evidence-based review of comprehensive treatment skills.[99]:ES-9 However, they also concluded that
approaches in 2008. On the basis of the strength of the strength of evidence ... is low, many chil-
the ndings from the four best-designed, controlled dren continue to display prominent areas of impair-
studies, they were of the opinion that one ABA- ment, subgroups may account for a majority of the
based approach (the Lovaas technique created by change, there is little evidence of practical eec-
Ole Ivar Lvaas) is well-established for improv- tiveness or feasibility beyond research studies, and
ing intellectual performance of young children with the published studies used small samples, dier-
ASD.[94] ent treatment approaches and duration, and dierent
outcome measurements.[99]:ES-10
A 2009 review of psycho-educational interventions
for children with autism whose mean age was six A 2009 systematic review and meta-analysis by Spreck-
years or less at intake found that ve high-quality ley and Boyd of four small-n 20002007 studies (involv-
(Level 1 or Level 2) studies assessed ABA- ing a total of 76 children) came to dierent conclusions
based treatments. On the basis of these and other than the aforementioned reviews.[100] Spreckley and Boyd
studies, the author concluded that ABA is well- reported that applied behavior intervention (ABI), an-
established and is demonstrated eective in en- other name for EIBI, did not signicantly improve out-
hancing global functioning in pre-school children comes compared with standard care of preschool children
with autism when treatment is intensive and carried with ASD in the areas of cognitive outcome, expressive
11

language, receptive language, and adaptive behavior.[100] The Journal of Speech-Language Pathology and Ap-
In a letter to the editor, however, authors of the four plied Behavior Analysis[108]
studies meta-analyzed claimed that Spreckley and Boyd
Journal of Early and Intensive Behavioral Interven-
had misinterpreted one study comparing two forms of
tions[108]
ABI with each other as a comparison of ABI with stan-
dard care, which erroneously decreased the observed ef- The International Journal of Behavioral Consulta-
cacy of ABI.[101] Furthermore, the four studies authors tion and Therapy[108]
raised the possibility that Spreckley and Boyd had ex-
cluded some other studies unnecessarily, and that includ- The Journal of Behavioral Assessment and Interven-
ing such studies could have led to a more favorable eval- tion in Children[108]
uation of ABI.[101] Spreckley, Boyd, and the four studies The Behavioral Development Bulletin[108]
authors did agree that large multi-site randomized trials
are needed to improve the understanding of ABAs e- The Journal of Precision Teaching and Standard Cel-
cacy in autism.[101] eration
A United States District Court Judge ruled withholding Behavior and Social Issues[109]
ABA from children (021) with autism causes irrepara-
Journal of Behavior Analysis of Sports, Health, Fit-
ble harm, nding Elizabeth Dudek of Floridas Agency
ness, and Behavioral Medicine[108]
for Healthcare Administrations position suggesting ABA
was experimental was arbitrary and capricious, ordering Journal of Behavior Analysis of Oender and Vic-
AHCA enjoined from withholding ABA.[102] Thereafter, tim: Treatment and Prevention[108]
CMS ordered its guidance that all states to cover ABA via
Head Start and Early Head Start EPSDT programs.[103] Behavioral Health and Medicine[108]
Behavior Therapy
9.1 Criticism Behavior and Philosophy[110]

Conversely, various major gures within the Autistic


community have written biographies detailing the harm 11 See also
caused by the provision of ABA, including restraint, of-
ten used with mild self stimulatory behaviors such as hand Association for Behavior Analysis International
apping, and verbal abuse. Several of these have since
been diagnosed with PTSD and depression. The Autis- Autism rights movement
tic Self Advocacy Network campaigns against the use of
Behavior analysis of child development
ABA in Autism.[104] Less scholarly reviews were pro-
vided by Elizabeth Devita-Raeburn of The Atlantic.[105] Behavior therapy
and by an ex-practitioner.[106]
Behavioral activation (BA)
Further research is clearly required, specically to include
larger and thus more representative samples. Educational psychology
Parent management training

10 Major journals Professional practice of behavior analysis

Applied behavior analysts publish in many journals.


Some examples of core behavior analytic journals are: 12 References
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Journal of Applied Behavior Analysis
current dimensions of applied behavior analysis. Jour-
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Journal of Behavioral Education [2] See also footnote number "(1)" of [and the whole What is
ABA?" section of] Olive, Dr. Melissa. What is ABA?".
Journal of the Analysis of Verbal Behavior Applied Behavioral Strategies. Archived from the original
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Behavior Analysis Research and Practice[107]
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and [ii] another source, called Sulzer-Azaro & Mayer,
The Behavior Analyst 1991
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behavioral interventions for children with autism. Am J Behavior Management: Principles and Practices of
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[99] Warren, Z.; Veenstra-VanderWeele, J.; Stone, W.; Mayer, G. Roy; Sulzer-Azaro, Beth; Wallace,
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Michele (2011). Behavior Analysis for Lasting
R.N.; Krishnaswami, S.; Sathe, N.A.; Glasser, A.M.;
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ness Review No. 26. Rockville, MD: Agency for Health- Catania, A. Charles (2007). Learning. Sloan. ISBN
care Research and Quality. 1-59738-007-5.
16 14 EXTERNAL LINKS

14 External links
Applied Behavior Analysis: Overview and Sum-
mary of Scientic Support
Functional Behavioral Assessment, The IRIS Center
- U.S. Department of Education, Oce of Special
Education Programs Grant and Vanderbilt Univer-
sity
17

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