Abstract
Cultural awareness reminds ABA service providers of the importance of considering the cultural practices of others when programming for behavior change. Decisions about the appropriateness of services may be difficult, however, when the values of the client conflict with the values of the culture(s) to which the client belongs or with the cultural biases of the practitioner. To minimize such conflicts, we propose a decision-making model that integrates client-centered and culture-centered assessments of habilitative validity. Throughout the proposed evaluation process, the behavior analyst and the recipients of services collaborate to refine program goals that will increase access to reinforcers for the client and their cultural groups. Given that cultures arrange reinforcers and punishers for the individual, assessing habilitative and social validity for the cultural groups affected by services is emphasized as an essential component of the model. We illustrate how the proposed model could be used to suggest appropriate courses of action by analyzing a situation that may involve conflicts of values.
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References
American Psychological Association. (2003). Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. The American Psychologist, 58(5), 377–402.
American Psychological Association. (2019). APA guidelines on race and ethnicity in psychology: Promoting responsiveness and equity. Washington, DC: American Psychological Association.
Atkins, P. W. B., Wilson, D. S., & Hayes, S. C. (2019). Prosocial: Using evolutionary science to build productive, equitable, and collaborative groups. Context Press.
Behavior Analyst Certification Board. (2020). Ethics code for behavior analysts. Author.
Bannerman, D. J., Sheldon, J. B., Sherman, J. A., & Harchik, A. E. (1990). Balancing the right to habilitation with the right to personal liberties: The rights of people with developmental disabilities to eat too many doughnuts and take a nap. Journal of Applied Behavior Analysis, 23(1), 79–89. https://doi.org/10.1901/jaba.1990.23-79
Banning, M. (2008). A review of clinical decision making: models and current research. Journal of Clinical Nursing, 17(2), 187–195. https://doi.org/10.1111/j.1365-2702.2006.01791.x
Beaulieu, L., & Jimenez-Gomez, C. (2022). Cultural responsiveness in applied behavior analysis: Self-assessment. Journal of Applied Behavior Analysis, 55(2), 337–356. https://doi.org/10.1002/jaba.907
Brodhead, M. T., Duran, L., & Bloom, S. E. (2014). Cultural and linguistic diversity in recent verbal behavior research on individuals with disabilities: A review and implications for research and practice. Analysis of Verbal Behavior, 30, 75–86. https://doi.org/10.1007/s40616-014-0009-8
Brodhead, M. T. (2015). Maintaining professional relationships in an interdisciplinary setting: Strategies for navigating nonbehavioral treatment recommendations for individuals with autism. Behavior Analysis in Practice, 8(1), 70–78. https://doi.org/10.1007/s40617-015-0042-7
Campbell, M. E., Delgado, D., Casey, L. B., Meindl, J. N., & Hunter, W. C. (2021). Examining the collateral effects of reducing voice level on vocal stereotypy and functional speech. Behavior Analysis in Practice, 14(2), 360–366. https://doi.org/10.1007/s40617-020-00526-8
Christon, L. M., McLeod, B. D., & Jensen-Doss, A. (2015). Evidence-based assessment meets evidence-based treatment: An approach to science-informed case conceptualization. Cognitive & Behavioral Practice, 22(1), 36–48. https://doi.org/10.1016/j.cbpra.2013.12.004
Christopher, J. C., Wendt, D. C., Marecek, J., & Goodman, D. M. (2014). Critical cultural awareness: contributions to a globalizing psychology. American Psychologist, 69(7), 645–655. https://doi.org/10.1037/a0036851
Colombo, R. A., Wallace, M., & Taylor, R. (2020). An essential service decision model for aba providers during crisis. Behavior Analysis in Practice, 13(2), 306–311. https://doi.org/10.1007/s40617-020-00432-z
Conroy, M. A., Asmus, J. M., Sellers, J. A., & Ladwig, C. N. (2005). The use of an antecedent-based intervention to decrease stereotypic behavior in a general education classroom. Focus on Autism & Other Developmental Disabilities, 20(4), 223–230. https://doi.org/10.1177/10883576050200040401
de Melo, C. M., de Castro, M. S. L. B., & de Rose, J. C. (2015). Some relations between culture, ethics and technology in B F. Skinner. Behavior & Social Issues, 24, 39–55. https://doi.org/10.5210/bsi.v24i0.4796
Dennison, A., Lund, E. M., Brodhead, M. T., Mejia, L., Armenta, A., & Leal, J. (2019). Delivering home-supported applied behavior analysis therapies to culturally and linguistically diverse families. Behavior Analysis in Practice, 12(4), 887–898. https://doi.org/10.1007/s40617-019-00374-1
Fisher-Borne, M., Cain, J. M., & Martin, S. L. (2015). From mastery to accountability: Cultural humility as an alternative to cultural competence. Social Work Education, 34(2), 165–181. https://doi.org/10.1080/02615479.2014.977244
Fong, E. H., Catagnus, R. M., Brodhead, M. T., Quigley, S., & Field, S. (2016). Develo** the cultural awareness skills of behavior analysts. Behavior Analysis in Practice, 9(1), 84–94. https://doi.org/10.1007/s40617-016-0111-6
Fong, E. H., Ficklin, S., & Lee, H. Y. (2017). Increasing cultural understanding and diversity in applied behavior analysis. Behavior Analysis: Research & Practice, 17(2), 103–113. https://doi.org/10.1037/bar0000076
Fong, E. H., & Tanaka, S. (2013). Multicultural alliance of behavior analysis standards for cultural competence in behavior analysis. International Journal of Behavioral Consultation & Therapy, 8(2), 17–19. https://doi.org/10.1037/h0100970
Forehand, R., & Kotchick, B. A. (2016). Cultural diversity: A wake-up call for parent training - republished article. Behavior Therapy, 47(6), 981–992. https://doi.org/10.1016/j.beth.2016.11.010
Foxx, R. M. (1996). Translating the covenant: The behavior analyst as ambassador and translator. The Behavior Analyst, 19(2), 147–161. https://doi.org/10.1007/BF03393162
Friman, P. C. (2021). There is no such thing as a bad boy: The Circumstances View of problem behavior. Journal of Applied Behavior Analysis, 54(2), 636–653. https://doi.org/10.1002/jaba.816
Glenn, S. S. (2004). Individual behavior, culture, and social change. The Behavior Analyst, 27(2), 133–151. https://doi.org/10.1007/BF03393175
Gottlieb, M. (2021). The case for a cultural humility framework in social work practice. Journal of Ethnic & Cultural Diversity in Social Work: Innovation in Theory, Research & Practice, 30(6), 463–481. https://doi.org/10.1080/15313204.2020.1753615
Gould, E. R., Tarbox, J., & Coyne, L. (2018). Evaluating the effects of acceptance and commitment training on the overt behavior of parents of children with autism. Journal of Contextual Behavioral Science, 7, 81–88. https://doi.org/10.1016/j.jcbs.2017.06.003
Graber, A., & Graber, J. (2023). Applied behavior analysis and the abolitionist neurodiversity critique: An ethical analysis. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-023-00780-6
Grossman, H. (1990). Trouble-free teaching: Solutions to behavior in the classroom. Mayfield.
Hanley, G. P., Piazza, C. C., Fisher, W. W., & Maglieri, K. A. (2005). On the effectiveness of and preference for punishment and extinction components of function-based interventions. Journal of Applied Behavior Analysis, 38(1), 51–65. https://doi.org/10.1901/jaba.2005.6-04
Harrop, C., McBee, M., & Boyd, B. A. (2016). How are child restricted and repetitive behaviors associated with caregiver stress over time? A parallel process multilevel growth model. Journal of Autism & Developmental Disorders, 46(5), 1773–1783. https://doi.org/10.1007/s10803-016-2707-7
Hayes, S. C., Brownstein, A. J., Zettle, R. D., Rosenfarb, I., & Korn, Z. (1986). Rule-governed behavior and sensitivity to changing consequences of responding. Journal of the Experimental Analysis of Behavior, 45(3), 237–256. https://doi.org/10.1901/jeab.1986.45-237
Hayes, S. C., & Sanford, B. T. (2014). Cooperation came first: evolution and human cognition. Journal of the Experimental Analysis of Behavior, 101(1), 112–129. https://doi.org/10.1002/jeab.64
Hays, P. A. (1996). Addressing the complexities of culture and gender in counseling. Journal of Counseling & Development, 74(4), 332–338. https://doi.org/10.1002/j.1556-6676.1996.tb01876.x
Hawkins, R. P. (1984). What is “meaningful” behavior change in a severely/profoundly retarded learner: The view of a behavior analytic parent. In W. L. Heward, T. E. Heron, D. S. Hill, & J. Trap-Porter (Eds.), Focus on behavior analysis in education (pp. 282–286). Charles E. Merrill.
Hawkins, R. P. (1986). Selection of target behaviors R. 0. In S. Nelson & C. Hayes (Eds.), Conceptual foundations of behavioral assessment (pp. 331–385). Guilford,.
Hawkins, R. P. (1991). Is social validity what we are interested in? Argument for a functional approach. Journal of Applied Behavior Analysis, 24(2), 205–213. https://doi.org/10.1901/jaba.1991.24-205
Kantor, J. R. (1953). Logic of modern science. Principia Press.
Kantor, J. R. (1957). Constructs and events in psychology: Philosophy: Banished and recalled. The Psychological Record, 7, 55–60.
Koegel, R. L., & Covert, A. (1972). The relationship of self-stimulation to learning in autistic children. Journal of Applied Behavior Analysis, 5(4), 381–387. https://doi.org/10.1901/jaba.1972.5-381
Kotsiantis, S. B. (2013). Decision trees: A recent overview. Artificial Intelligence Review, 39(4), 261–283. https://doi.org/10.1007/s10462-011-9272-4
Lanovaz, M. J., & Sladeczek, I. E. (2012). Vocal stereotypy in individuals with autism spectrum disorders: A review of behavioral interventions. Behavior Modification, 36(2), 146–164. https://doi.org/10.1177/0145445511427192
Leaf, J. B., Cihon, J. H., Leaf, R., McEachin, J., Liu, N., Russell, N., Unumb, L., Shapiro, S., & Khosrowshahi, D. (2022). Concerns about ABA-based intervention: An evaluation and recommendations. Journal of Autism & Developmental Disorders, 52(6), 2838–2853. https://doi.org/10.1007/s10803-021-05137-y
Le Blanc, L. A., Raetz, P. B., Sellers, T. P., & Carr, J. E. (2015). A proposed model for selecting measurement procedures for the assessment and treatment of problem behavior. Behavior Analysis in Practice, 9(1), 77–83. https://doi.org/10.1007/s40617-015-0063-2
Lillis, J., & Hayes, S. C. (2007). Applying acceptance, mindfulness, and values to the reduction of prejudice: a pilot study. Behavior Modification, 31(4), 389–411. https://doi.org/10.1177/0145445506298413
Loftin, R. L., Odom, S. L., & Lantz, J. F. (2008). Social interaction and repetitive motor behaviors. Journal of Autism & Developmental Disorders, 38(6), 1124–1135. https://doi.org/10.1007/s10803-007-0499-5
McAuliffe, D., Hughes, S., & Barnes-Holmes, D. (2014). The dark-side of rule governed behavior: An experimental analysis of problematic rule-following in an adolescent population with depressive symptomatology. Behavior Modification, 38(4), 587–613. https://doi.org/10.1177/0145445514521630
MacDonald, R., Green, G., Mansfield, R., Geckeler, A., Gardenier, N., Anderson, J., Holcomb, W., & Sanchez, J. (2007). Stereotypy in young children with autism and typically develo** children. Research in Developmental Disabilities, 28(3), 266–277. https://doi.org/10.1016/j.ridd.2006.01.004
McIntyre, T. (1992). The culturally sensitive disciplinarian. Severe Behavior Disorders of Children & Youth, 15, 107–115.
McIntyre, T., & Silva, P. (1992). Culturally diverse childrearing practices: Abusive or just different? Beyond Behavior, 4(1), 8–12.
National Association of Social Workers. (2015). NASW standards for cultural competency in social work practice. Washington, DC: Author. https://www.socialworkers.org/LinkClick.aspx?fileticket=7dVckZAYUmk%3d&portalid=0
Nguyen, P. V., Naleppa, M., & Lopez, Y. (2021). Cultural competence and cultural humility: A complete practice. Journal of Ethnic & Cultural Diversity in Social Work, 30(3), 273–281.
Perone, M. (2003). Negative effects of positive reinforcement. The Behavior Analyst, 26(1), 1–14. https://doi.org/10.1007/BF03392064
Rapp, J. T., & Vollmer, T. R. (2005). Stereotypy I: A review of behavioral assessment and treatment. Research in Developmental Disabilities, 26(6), 527–547. https://doi.org/10.1016/j.ridd.2004.11.005
Rathod, S., Gega, L., Degnan, A., Pikard, J., Khan, T., Husain, N., Munshi, T., & Naeem, F. (2018). The current status of culturally adapted mental health interventions: a practice-focused review of meta-analyses. Neuropsychiatric Disease & Treatment, 14, 165–178. https://doi.org/10.2147/NDT.S138430
Ripsoli, M., O’Reilly, M., Lang, R., Sigafoos, J., Mulloy, A., Aguilar, J., & Singer, G. (2011). Effects of language implementation on functional analysis outcomes. Journal of Behavioral Education, 20, 224–232. https://doi.org/10.1007/s10864-011-9128-7
Sanchez, A. L., Comer, J. S., & LaRoche, M. (2022). Enhancing the responsiveness of family-based CBT through culturally informed case conceptualization and treatment planning. Cognitive & Behavioral Practice, 29(4), 750–770. https://doi.org/10.1016/j.cbpra.2021.04.003
Schreck, K. A., & Miller, V. A. (2010). How to behave ethically in a world of fads. Behavioral Interventions, 25(4), 307–324. https://doi.org/10.1002/bin.305
Schwartz, I. S., & Baer, D. M. (1991). Social validity assessments: is current practice state of the art? Journal of Applied Behavior Analysis, 24(2), 189–204. https://doi.org/10.1901/jaba.1991.24-189
Shimoff, E., Catania, A. C., & Matthews, B. A. (1981). Uninstructed human responding: Sensitivity of low-rate performance to schedule contingencies. Journal of the Experimental Analysis of Behavior, 36, 207–220. https://doi.org/10.1901/jeab.1981.36-207
Skinner, B. F. (1971). Beyond freedom and dignity. Hackett.
Skinner, B. F. (1974). About behaviorism. Knopf.
Skinner, B. F. (1981). Selection by consequences. Science, 213(4507), 501–504. https://doi.org/10.1126/science.7244649
Soto, A., Smith, T. B., Griner, D., Domenech Rodríguez, M., & Bernal, G. (2018). Cultural adaptations and therapist multicultural competence: Two meta-analytic reviews. Journal of Clinical Psychology, 74(11), 1907–1923. https://doi.org/10.1002/jclp.22679
Suarez, V. D., Marya, V., Weiss, M. J., & Cox, D. (2022). Examination of ethical decision-making models across disciplines: Common elements and application to the field of behavior analysis. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-022-00753-1.
Sue, D. W., Bernier, J. E., Durran, A., Feinberg, L., Pedersen, P., Smith, E. J., & Vasquez-Nuttall, E. (1982). Position paper: Cross-cultural counseling competencies. The Counseling Psychologist, 10(2), 45–52. https://doi.org/10.1177/0011000082102008
Sugai, G., O’Keeffe, B. V., & Fallon, L. M. (2012). A contextual consideration of culture and school-wide positive behavior support. Journal of Positive Behavior Interventions, 14(4), 197–208. https://doi.org/10.1177/1098300711426334
Tarbox, J., Szabo, T. G., & Aclan, M. (2020). Acceptance and commitment training within the scope of practice of applied behavior analysis. Behavior Analysis in Practice, 15(1), 11–32. https://doi.org/10.1007/s40617-020-00466-3
Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor & Underserved, 9, 117–125.
Van Houten, R., Axelrod, S., Bailey, J. S., Favell, J. E., Foxx, R. M., Iwata, B. A., & Lovaas, O. I. (1988). The right to effective behavioral treatment. Journal of Applied Behavior Analysis, 21(4), 381–384. https://doi.org/10.1901/jaba.1988.21-381
Wang, D., Mason, R. A., Lory, C., Kim, S. Y., David, M., & Guo, X. (2020). Vocal stereotypy and autism spectrum disorder: A systematic review of interventions. Research in Autism Spectrum Disorders, 78, 101647. https://doi.org/10.1016/j.rasd.2020.101647
Wang, Y., Kang, S., Ramirez, J., & Tarbox, J. (2019). Multilingual diversity in the field of applied behavior analysis and autism: A brief review and discussion of future directions. Behavior Analysis in Practice, 12(4), 795–804. https://doi.org/10.1007/s40617-019-00382-1
Wei, Q., Machalicek, W., Crowe, B., Kunze, M., & Rispoli, M. (2021). Restricted and repetitive patterns of behavior and interests in children with autism spectrum disorder: A systematic review of behavioral interventions. Education & Training in Autism & Developmental Disabilities, 56(2), 115–139.
Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11(2), 203–214. https://doi.org/10.1901/jaba.1978.11-203
Wright, P. I. (2019). Cultural humility in the practice of applied behavior analysis. Behavior Analysis in Practice, 12, 805–809. https://doi.org/10.1007/s40617-019-00343-8
Zane, N., Bernal, G., & Leong, F. T. L. (Eds.). (2016). Evidence-based psychological practice with ethnic minorities: Culturally informed research and clinical strategies. American Psychological Association. https://doi.org/10.1037/14940-000
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Delgado, D., Meindl, J.N., Al-Nasser, T. et al. When Cultural Awareness Reveals Conflicting Cultural Values: A Pragmatic Approach. Behav Analysis Practice 17, 13–25 (2024). https://doi.org/10.1007/s40617-023-00826-9
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DOI: https://doi.org/10.1007/s40617-023-00826-9