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Practice Makes Progress: Evaluating Ethics Instruction Using Competency-Based Assessments 实践出进步:利用基于能力的评估来评价伦理教学
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-28 DOI: 10.1007/s40617-024-00949-7
Christen E. Russell, Jill Harper, Mary Jane Weiss, Jon Bailey

This pre/post-group design examined the efficacy of using competency-based assessments to teach students of behavior analysis to engage in ethical decision making. Students in the experimental group received feedback on identifying potential, ethical scenarios in quizzes and Behavior Skills Training (BST) on identifying all components of and developing potential action plans for the 11-step decision-making model (Behavior Analyst Certification Board, 2020) and for role plays that simulated meetings that people would encounter in practice to review concerns, gain additional information, and develop solutions-based plans with relevant parties. Students in the control group received treatment as usual. The findings were not statistically significant, and students only met criteria for role plays. The content was iterated, and Study 2 was developed. In Study 2, two students received feedback on the identification of examples and nonexamples of ethical dilemmas and behavior analyst’s best course of action in the situation and BST on identifying and creating actions plans of the decision-making model. Both students met criteria for mastery. Implications, based on this preliminary research, for evidence-based practice and future research are discussed.

这种前/后分组设计考察了使用基于能力的评估来教授行为分析专业学生参与道德决策的效果。实验组的学生在测验和行为技能培训(BST)中获得了关于识别潜在道德情景的反馈信息,包括识别 11 步决策模型(行为分析师认证委员会,2020 年)的所有组成部分和制定潜在行动计划,以及角色扮演,模拟人们在实践中会遇到的会议,以审查问题、获取更多信息并与相关方制定基于解决方案的计划。对照组的学生则照常接受治疗。研究结果没有统计学意义,学生只达到了角色扮演的标准。对内容进行了反复修改,并开发了研究 2。在 "研究 2 "中,两名学生收到了关于识别道德困境的实例和非实例以及行为分析师在这种情况下的最佳行动方案的反馈,以及关于识别和创建决策模型行动计划的 BST。两名学生都达到了掌握标准。本文讨论了基于这项初步研究的循证实践和未来研究的意义。
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引用次数: 0
Participation of Latina Women as Authors in Behavior Analytic Research 拉丁裔女性作为作者参与行为分析研究
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-25 DOI: 10.1007/s40617-024-00951-z
Anita Li, Hugo Curiel, Cristal Cardoso Sao Mateus

We reviewed publications in the Journal of the Experimental Analysis of Behavior (JEAB), Journal of Applied Behavior Analysis (JABA), Perspectives on Behavior Science (PBS), and Behavior Analysis in Practice (BAP) to identify Latina researchers. We analyzed journal articles based on the authors’ institutional affiliation—for the purpose of identifying researchers with Latin American affiliations—and separately conducted a surname analysis. The data show an increase in the number of Latina researchers who have contributed to JEAB, JABA, PBS (1997–2022), and BAP (2008–2022). The increases varied across journals, with JABA and BAP having the highest number of Latina researchers. These analyses are important because they provide data reflecting the participation of Latinas in four leading journals.

我们查阅了《行为实验分析期刊》(JEAB)、《应用行为分析期刊》(JABA)、《行为科学展望》(PBS)和《实践中的行为分析》(BAP)上的出版物,以识别拉丁裔研究人员。我们根据作者所属机构对期刊论文进行了分析,以便找出与拉丁美洲有关联的研究人员,并分别进行了姓氏分析。数据显示,向 JEAB、JABA、PBS(1997-2022 年)和 BAP(2008-2022 年)投稿的拉丁裔研究人员数量有所增加。不同期刊的增长情况各不相同,其中 JABA 和 BAP 的拉丁裔研究人员数量最多。这些分析非常重要,因为它们提供了反映拉丁裔参与四种主要期刊的数据。
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引用次数: 0
The Pioneering Role of Women from Universidade Estadual de Londrina in the Dissemination of Behavior Analysis in Brazil 隆德里纳州立大学女生在巴西传播行为分析的先锋作用
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-25 DOI: 10.1007/s40617-024-00947-9
Andresa A. De Souza, Silvia R. de Souza, Silvia C. Murari, Verônica Bender Haydu

Behavior analysis arrived in Brazil in the 1960s with Fred Keller's teachings. His demonstrations of the basic principles of behavior and their applications influenced undergraduate and graduate students who were instrumental in consolidating behavior analysis as a line of study and practice in Brazilian universities. Keller's followers spread across the country to different geographic regions of Brazil. In the South, the Universidade Estadual de Londrina (UEL) established its undergraduate psychology program rooted in behavior theory and the experimental analysis of behavior. As one of the first university programs formed by behavior analyst in Brazil, UEL was instrumental in the dissemination and consolidation of the science of behavior in the country. In Brazil, psychology programs often have a high representation of women, with 75% of students being female. This significant presence of women in the field emphasizes their influential role in the dissemination of behavior analysis. This article is an overview of the role of women faculty in developing and advancing the behavior analysis program at UEL. It provides a historical account from the establishment of UEL until the graduate programs in behavior analysis within the psychology program. The contribution of crucial women behavior analysts to the maintenance of the program and their efforts in training students are highlighted.

二十世纪六十年代,行为分析随着弗雷德-凯勒的教学传入巴西。他所展示的行为学基本原理及其应用影响了本科生和研究生,这些学生在巩固行为分析作为巴西大学的研究和实践方向方面发挥了重要作用。凯勒的追随者遍布巴西的各个地区。在南部,隆德里纳州立大学(UEL)开设了以行为理论和行为实验分析为基础的心理学本科课程。作为巴西第一批由行为分析师开设的大学课程之一,隆德里纳大学在传播和巩固行为科学方面发挥了重要作用。在巴西,心理学专业的女生比例通常很高,女生占 75%。女性在这一领域的重要存在强调了她们在传播行为分析方面的影响力。本文概述了女教师在发展和推进巴西大学行为分析专业中的作用。它提供了从欧洲语言大学成立到心理学专业中的行为分析研究生课程的历史记录。文章重点介绍了重要的女性行为分析师在维持该项目方面所做的贡献以及她们在培养学生方面所做的努力。
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引用次数: 0
Creating a Therapeutic Alliance with Caregivers: An Introduction to Motivational Interviewing 与护理人员建立治疗联盟:动机访谈法简介
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-25 DOI: 10.1007/s40617-024-00948-8
Callie Plattner, Cynthia Anderson

The training of behavior analysts emphasizes scientific knowledge and expertise in implementing the principles of behavior analysis. Although knowledge of and skills in the implementation of behavior analysis are important, we argue that the way in which behavior analysis is practiced may be equally important. In many other helping professions (e.g., psychology, medicine), trainees are explicitly taught the skills needed to build a therapeutic alliance and a frequently used training modality is motivational interviewing. Originally developed for, and still used as an intervention component to facilitate client engagement in intervention, motivational interviewing has been demonstrated to be both highly effective in enhancing intervention outcomes and for strengthening rapport between a clinician and a client. We argue that motivational interviewing has relevance to the practice of behavior analysis and should be adopted within training programs.

行为分析师的培训强调科学知识和实施行为分析原则的专业知识。虽然实施行为分析的知识和技能很重要,但我们认为,行为分析的实践方式可能同样重要。在许多其他帮助专业(如心理学、医学)中,受训者都会明确学习建立治疗联盟所需的技能,而经常使用的一种培训方式就是动机访谈。动机访谈最初是为促进客户参与干预而开发的,现在仍被用作干预的一部分,事实证明,动机访谈在提高干预效果和加强临床医生与客户之间的融洽关系方面都非常有效。我们认为,动机访谈与行为分析实践息息相关,应在培训项目中加以采用。
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引用次数: 0
Evaluation of a Treatment Package for Chronic, Stereotypic Hand Mouthing of a Child Diagnosed with Autism 评估针对被诊断为自闭症儿童的慢性、刻板用手抠发音的一揽子治疗方案
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-25 DOI: 10.1007/s40617-024-00956-8
Aarti Thakore, Andrea Kelly, Anna Ingeborg Petursdottir, Morgan Stockdale

We describe the clinical treatment of repetitive, stereotypic hand mouthing in a 7-year old child with severe developmental delay, conducted in the context of center-based autism service. The client’s history included use of mechanical restraint to prevent tissue damage and infection. Prior antecedent- and reinforcement-based interventions were ineffective. Functional analysis results suggested hand mouthing was maintained by automatic reinforcement. Response interruption and redirection (RIRD) initially did not decrease hand mouthing, but the addition of contingent protective equipment, together with modified RIRD, was followed by reduction to near-zero level, which was maintained following withdrawal of the intervention.

• Repetitive hand mouthing may require treatment due to tissue damage and other health consequences.

• Repetitive hand mouthing is typically maintained in the absence of social contingencies and may be resistant to treatment.

• When reinforcement-based interventions are not sufficient, contingent application of nonrestraining protective equipment may produce lasting reduction in hand mouthing.

• Successful intervention in this case freed the client from mechanical (arm band) restraint and was followed by gains in skill acquisition.

我们描述了在中心自闭症服务的背景下,对一名患有严重发育迟缓的 7 岁儿童重复、刻板地用嘴舔手的临床治疗。该患儿的病史包括使用机械束缚以防止组织损伤和感染。之前基于前因和强化的干预无效。功能分析结果表明,用手咀嚼是通过自动强化来维持的。反应中断和重定向(RIRD)最初并没有减少用手舔嘴的行为,但在增加应急保护设备和修改 RIRD 后,用手舔嘴的行为减少到接近零的水平,而且在撤消干预后仍能保持。- 在没有社会应急措施的情况下,重复性用嘴啃咬手的现象通常会持续下去,而且可能会对治疗产生抵触情绪。-当基于强化的干预措施不够充分时,使用非约束性保护设备可能会持久减少用嘴啃咬手的现象。
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引用次数: 0
Compassionate Care, Cultural Humility, and Psychological Flexibility: Examining the Potential for Consilience in Applied Behavior Analysis 同情关怀、文化谦逊和心理灵活性:考察应用行为分析中的韧性潜力
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-21 DOI: 10.1007/s40617-024-00950-0
Donna M. West, Kian Assemi, Swathi Ragulan, Ramona A. Houmanfar

Taylor et al. Behavior Analysis in Practice, 12, 654–666, (2019) recommended that applied behavior analysts develop more collaborative relationships with their clients' caregivers by researching, training, and providing compassionate care in applied behavior analysis (ABA). A behavior analytic interpretation of compassionate care could support the development of such training and support collaborative relationships with not only caregivers, but all participants in ABA services (e.g., clients, stakeholders, providers, supervisees, and other professionals). The present article will review a relational frame theory account of compassionate care and discuss the possibility of expanding the concept of compassionate care by discussing its similarities with two other middle level terms: cultural humility and psychological flexibility. Given these similarities and the evidence that Acceptance and Commitment Training (ACT) supports several self-management skills including psychological flexibility, we will discuss ways practicing ACT could facilitate compassionate care, cultural humility, and collaborative relationships in human service organizations. The ACT Matrix will be presented to elaborate on how ACT, as a viable and comprehensive technology, may support behavior analysts’ training and practice of psychologically flexible skills which might bolster a compassionate care repertoire. Given this review, a possible consilience of compassionate care, including the proposed component of cultural humility, as facilitated by psychological flexibility will be offered. Finally, implications of this approach to practitioners, clients, and ABA as a whole will be discussed in conjunction with recommendations for future research and how ABA leadership can support the development and sustainability of compassionate care in ABA organizations.

泰勒等人(Taylor et al. Behavior Analysis in Practice, 12, 654-666,2019)建议应用行为分析师通过研究、培训和提供应用行为分析(ABA)中的同情关怀,与客户的照顾者建立更多的合作关系。行为分析对同情关怀的诠释可以支持此类培训的开展,并支持不仅与照顾者,而且与所有参与 ABA 服务的人员(如客户、利益相关者、提供者、被督导者和其他专业人员)建立合作关系。本文将回顾体恤关怀的关系框架理论,并通过讨论体恤关怀与其他两个中级术语:文化谦逊和心理灵活性的相似性,讨论扩展体恤关怀概念的可能性。鉴于这些相似之处,以及接纳与承诺训练(ACT)支持包括心理灵活性在内的几种自我管理技能的证据,我们将讨论如何通过实践接纳与承诺训练来促进人类服务组织中的同情关怀、文化谦逊和协作关系。我们将介绍 ACT 矩阵,以详细说明 ACT 作为一种可行的综合技术,可以如何支持行为分析师培训和实践心理灵活技能,从而增强同情心关怀的能力。根据上述回顾,我们将提出一种可能的同情关怀的一致性,包括所建议的文化谦逊的组成部分,并通过心理灵活性加以促进。最后,我们将讨论这种方法对从业人员、客户和整个美国心理辅导协会的影响,并对未来的研究和美国心理辅导协会领导层如何支持美国心理辅导协会组织中同情关怀的发展和可持续性提出建议。
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引用次数: 0
Constructional Parent Coaching: A Collaborative Approach to Improve the Lives of Parents of Children with Autism 建构式家长辅导:改善自闭症儿童家长生活的合作方法
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-21 DOI: 10.1007/s40617-024-00944-y
Timothy Allen Liden, Jesús Rosales-Ruiz

Parents of children diagnosed with autism face enormous stressors, which may interfere with achieving personal and family goals. The typical approach for reducing stress is often pathological; the individual attempts to directly eliminate the stress through counseling, behavioral therapy, or medication. As an alternative, the constructional approach builds repertoires for accessing important reinforcers. In this study, a mentoring program based on the constructional approach was used to teach three parents of children diagnosed with autism how to analyze their lives, formulate goals, and implement programs to reach these goals. A mentor’s support was gradually reduced until each participant could implement these steps independently. After the implementation of this program, events that each participant wanted to keep as part of their life encompassed a larger proportion of their total weekly events, as compared to before the program. In addition, time spent working on chosen goals increased as each goal was targeted for intervention. This mentoring program offers a promising approach for teaching people to manage their own lives by cultivating skills that help them get what they want, without dwelling on the problems interfering with their happiness.

被诊断为自闭症儿童的家长面临着巨大的压力,这些压力可能会影响个人和家庭目标的实现。减轻压力的典型方法往往是病态的;个人试图通过咨询、行为疗法或药物直接消除压力。作为一种替代方法,建构法可以建立获取重要强化物的再现。在这项研究中,基于建构法的指导计划被用于教导三位被诊断为自闭症儿童的家长如何分析他们的生活、制定目标并实施计划以实现这些目标。导师的支持逐渐减少,直到每位参与者都能独立完成这些步骤。与计划实施前相比,计划实施后,每位参与者希望保留的活动在其每周总活动中所占的比例增加了。此外,由于每个目标都有针对性地进行干预,用于实现所选目标的时间也有所增加。这项指导计划提供了一种很有前景的方法,通过培养技能,帮助人们获得他们想要的东西,而不是纠缠于干扰他们幸福的问题,从而教会他们管理自己的生活。
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引用次数: 0
Response Allocation of Board-Certified Behavior Analysts toward Categories of Evidence-Based Practice 经委员会认证的行为分析师对循证实践类别的响应分配
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-21 DOI: 10.1007/s40617-024-00953-x
Jennifer L. Posey, Craig A. Marrer, Natalie M. Driscoll, Alan J. Kinsella, Mark R. Dixon

Board certified behavior analysts (BCBAs) are often called upon to recommend treatments while working with autistic individuals. As practitioners of the science of human behavior, behavior analysts must make recommendations supported by scientific evidence. However, at times, individual practitioners may inadvertently recommend interventions that are not evidence-based. This study sought to examine if the severity level of the present symptoms of autism impacted the recommendations made by behavior analysts. A survey of 122 BCBAs gathered information about how they allocated resources toward interventions across three categories: evidence-based, emergent, and nonevidence-based. The results indicate that up to 62% of BCBAs allocated resources toward nonevidence-based or emergent practices and that these resource allocations were affected by the autism severity of hypothetical client presentations. There were statistically significant differences between allocations to resources between individuals with the lowest symptom severity and those maximally affected for both evidence-based practice (p < 0.0009) and nonevidence practice (p < 0.0011).

行为分析师(BCBA)在为自闭症患者提供服务时,经常被要求提出治疗建议。作为人类行为科学的实践者,行为分析师必须提出有科学证据支持的建议。然而,有时个别从业人员可能会不经意地推荐一些并非以证据为基础的干预措施。本研究旨在探讨自闭症现有症状的严重程度是否会影响行为分析师提出的建议。我们对 122 名 BCBA 进行了调查,收集了他们如何分配资源进行干预的信息,包括三个类别:循证干预、紧急干预和非循证干预。调查结果表明,多达 62% 的行为分析师将资源分配给了非循证或紧急干预措施,而且这些资源分配受到假设客户自闭症严重程度的影响。在循证实践(p <0.0009)和非循证实践(p <0.0011)方面,症状严重程度最低的个体和受影响最大的个体之间的资源分配差异具有统计学意义。
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引用次数: 0
The Use of Technology and Telehealth to Improve Behavioral Sleep Assessment and Intervention 利用技术和远程医疗改进行为睡眠评估和干预
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-19 DOI: 10.1007/s40617-024-00942-0
Julie Koudys, Catherine McConnell, Angeline Savard, Krysten Spottiswood, Alyssa Treszl, Paige O’Neill, Kaitlyn Harrison, Michelle Guzman Ratko, Aman-preet Randhawa

Children diagnosed with autism spectrum disorder (ASD) are likely to experience sleep disturbance. Evidence supports the effectiveness of functional analysis and behavioral sleep interventions to address sleep problems. However, these approaches are resource intensive in terms of assessment and measurement of target sleep behaviors, intervention implementation, and progress monitoring. Recent advances in the use of technology and telehealth in behavioral services may improve the efficiency and effectiveness of behavioral intervention. We evaluated the effectiveness of a hybrid (face-to-face and telehealth) model of behavioral sleep assessment and intervention as implemented by community-based behavior analysts. We used motion/sound detection cameras and various “apps,” for remote viewing, caregiver coaching, data collection, and treatment decision making. We explored the agreement between various data sources. Three autistic children, who engaged in caregiver reported unwanted co-sleeping or behavioral sleep challenges, participated in the study along with their caregivers. A nonconcurrent multiple baseline design across participants was used to evaluate the effects of the intervention on sleep onset delay, sleep interfering behavior, and total sleep duration. For two participants, caregiver co-sleeping was eliminated, target bedtimes were achieved, and child participants regularly achieved an age-appropriate amount of sleep. Caregivers rated the intervention and child outcomes positively. The results provide preliminary evidence for the use of telehealth technology to provide caregiver coaching, monitor child progress, and make timely data-based treatment decisions. Results of this study may be used to increase the efficiency of––and access to––behavioral sleep assessment and intervention.

被诊断患有自闭症谱系障碍(ASD)的儿童很可能会出现睡眠障碍。有证据支持功能分析和行为睡眠干预对解决睡眠问题的有效性。然而,这些方法在目标睡眠行为的评估和测量、干预措施的实施和进展监测方面需要大量资源。最近在行为服务中使用技术和远程医疗的进步可能会提高行为干预的效率和效果。我们评估了由社区行为分析师实施的混合(面对面和远程医疗)睡眠行为评估和干预模式的有效性。我们使用运动/声音检测摄像头和各种 "应用程序 "进行远程观察、护理人员辅导、数据收集和治疗决策制定。我们探讨了各种数据源之间的一致性。三名自闭症儿童与他们的看护人一起参与了研究,据看护人报告,这些儿童不愿意与他人同睡或存在睡眠行为障碍。研究采用非同期多基线设计,评估干预措施对睡眠开始延迟、睡眠干扰行为和总睡眠时间的影响。有两名参与者取消了照顾者与他们同睡的情况,实现了目标就寝时间,而且儿童参与者定期获得了与年龄相适应的睡眠时间。照顾者对干预措施和儿童的结果给予了积极评价。研究结果为使用远程医疗技术提供护理人员指导、监控儿童进展以及及时做出基于数据的治疗决策提供了初步证据。这项研究的结果可用于提高行为睡眠评估和干预的效率,并增加获得这些评估和干预的机会。
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引用次数: 0
Empowering Mexican Women in Behavior Analysis 增强墨西哥妇女在行为分析领域的能力
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-18 DOI: 10.1007/s40617-024-00952-y
Rosalinda Arroyo, Isaac Camacho

Considering empowerment as a circumstance under which power is extended, this article describes the elements of a metacontingency that allow such a function transfer to occur. Particular interest is placed on the empowerment of Mexican women in higher education and its unsatisfactory state. Mentoring is proposed as a tool for the empowerment of women in behavior analysis. In particular, the article presents an outline of a 2-year mentoring program that will promote interlocked behavioral contingencies and their products, which can be selected by the proper academic environment. This program also promotes the development of the mentee's agency and a set of data related to the products being created. Finally, this article highlights the possibility that such a mentorship program can empower female behavior analysts in Mexico and begin to change the cultural practices that uphold inequality for women.

考虑到赋权是权力得以扩展的一种情况,本文描述了允许这种职能转移发生的元权变的要素。文章特别关注墨西哥妇女在高等教育中的赋权情况及其不尽如人意之处。文章建议将指导作为在行为分析领域增强妇女能力的一种工具。文章特别提出了一个为期两年的指导计划大纲,该计划将促进环环相扣的行为偶发事件及其产物,并可通过适当的学术环境进行选择。该计划还将促进被指导者机构的发展以及与正在创造的产品相关的一系列数据。最后,本文强调了这样一个导师计划能够增强墨西哥女性行为分析师的能力,并开始改变维护女性不平等的文化习俗的可能性。
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引用次数: 0
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Behavior Analysis in Practice
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