I was recently asked about my opinion of ABA therapy. For those of you who may not be as familiar, ABA is an abbreviation for Applied Behavior Analysis, one of the few evidence-based practices for autism intervention in children and adults. ABA is based in psychology and began in the 1960’s under psychologist Ivar Lovaas. Lovaas aimed to establish communication in children with severe autism by punishing unwanted behaviors such as biting and head banging through electroshock.
ABA therapy has since evolved, and such practice is no longer allowed. Today, ABA therapy revolves around rewarding desired behaviors and ignoring unwanted behaviors altogether. However, it remains a deeply divided issue in the autism community. Some people who are affected by autism believe the purpose of ABA is to “take the autism away” or make the child or adult a typical individual. Some may argue that they don’t want their child to have to change to fit society’s expectations.
I do agree to some extent with this statement. I think it’s very important to understand that no matter how much progress a child or adult with autism makes, he will likely not be to the same standard of his peers in various areas. However, I think if parents can accept that, and meet the individual where they are, in many cases, ABA can be very beneficial for individuals in helping them make gains in several areas such as social skills, communication, independent living executive functioning, emotional regulation, etc. I think for clinicians and practitioners to understand that it is perfectly okay to have an opinion, but that it is also important to keep up on current research and that as your field evolves, the way you practice may well have to evolve to keep up with the latest trends and serve families better.
I have been seen by a behavior clinician for several years and both my parents and I have found the experience to be very positive. I have made a lot of progress with executive functioning skills as well as independent living. I feel a lot more confident and am able to manage my day more on my own and get things done with less support which is great.
Nassim, A. (2024). My Thoughts on ABA Therapy