This blog past was written by our founder: Rachel Paugh BCBA, LBA
There is a lot of controversy surrounding ABA. I have been in the field for over 20 years, and I am aware of the history. I think that it is irresponsible as a practitioner not to acknowledge that huge mistakes were made in the past in our field. To deny that they occurred prevents us from having a trusting relationship with our community.
There was a time when ABA used procedures that were unacceptable. There was a time when the focus was wrong; when ABA was too focused on “compliance” (ie: cooperation without protest) and lacked respect for the autonomy of the children we serve.
I am here to say that there are ABA practitioners out there who do not operate in this manner. I am one of them. Some people call it “assent-based” ABA. My favorite term for it is Hippie ABA, because it speaks to my hippie roots of peace, love, and respect.
Hippie ABA is a practice that provides play-based therapy in the natural environment rather than sitting at a desk all day and doing drills. Our focus is to provide an environment in which our children are “happy, relaxed, and engaged”. We strive to build trust with our children, which means being consistent, caring, and fair.
There is a difference between consent and assent. Consent is given by the parent. For example, a parent consents to the treatment of their child when they sign intake paperwork. Assent, however, comes from the child we are treating. Assent is given when the child verbally or nonverbally participates in treatment, showing that they are comfortable with participating by doing things like smiling and engaging with the instructor.
In Hippie ABA, when we see that the child has removed assent, we do not physically force participation. Hippie ABA practitioners identify what motivates the child, and they use that combined with modification of the environment (antecedent intervention) to increase participation based on assent.
In Hippie ABA, we do not physically touch the child unless we are offering assistance with a task such as gripping a pencil or using a spoon. Another example of physical assistance we might offer is wiping a child’s face; but when we do this, we tell the child what we plan to do and do not physically force cooperation. (Example: “Your face is all chocolatey, so I’m going to clean it for you with this wipe. Here it comes!”)
In Hippie ABA, the instructor is still the boss, but they’re in charge because they earned it by harnessing the trust and motivation of the child instead of being in charge because they demand “compliance”.
In Hippie ABA, we forge transparent relationships with caregivers. We provide a no-judgment zone in which parents feel heard and valued as a member of their child’s team. In addition, we work to identify areas in which parents require additional support and resources, and we help them secure the support that they need. We coach parents rather than “training” them. We put ourselves out of a job by teaching them the strategies that work for their child so they don’t need us anymore one day soon.
Parents and caregivers: please know that providers like us exist. When you are seeking ABA therapy, take the time and interview potential providers. Ask them if they use restraint. Ask them what their core values are and what their thoughts are on the controversy surrounding ABA. If they are someone you can trust, they will provide you with a thoughtful answer rather than becoming irritated or angry. They will answer your questions in a way that aligns with your beliefs, and they will double down by delivering the services they promise.
I am wishing all of you the best outcomes and progress for your children, regardless of which treatment you choose. Because in Hippie ABA, our only wish is to see your child succeed.