Welcome back to Reading the Research! I trawl the Internet to find noteworthy research on autism and related subjects to share with you. Along the way I discuss the findings with bits from my own life, research, and observations.
Today’s article aligns that data with what autistic self-advocates have been telling us all along about classic Applied Behavioral Analysis (ABA): that it is, in fact, abuse disguised as therapy.
This is a controversy I’ve mostly kept out of (mostly). I was not forced into an ABA program when I was young, because my family didn’t recognize I was autistic at all. So I don’t have the personal experience and scars and trauma that many adult autistics carry as a result of this “therapy.” I can’t personally say “ABA is abuse” and have the firsthand pain to prove it.
However… there are a great number of personal reports from other autistic people, as well as former ABA therapists and parents to attest to the abusive nature of what they experienced.
For those without the time to follow and read or watch all these links, I’ll boil down some issues quickly.
Classical ABA considers behavior irrelevant, except when it’s exactly the behavior desired. This is problematic because all people communicate via behavior.
Paying attention to behavior is even more important with nonspeaking people. You can’t rely on words for knowing how they’re doing and what they’re interested in, so you have to pay attention to their behaviors and actions instead. Essentially, the therapy promotes ignoring the child except when they’re performing as desired. This teaches the child that nothing they have to say is important, and their feelings are pointless.
The desired behavior is typically some estimated standard of neurotypical development, not whatever is normal and healthy for the child.
Autistic people develop at different rates than typical children. They may be faster or slower, or both at the same time. Even typical children develop at different rates. Expecting an autistic child to adhere to an idealized development schedule is an absurdity. Furthermore, it teaches parents, practitioners, and children alike that being autistic is bad and wrong. It promotes that acting neurotypical at all times, at the cost of yourself is the only safe path. Never mind that camouflaging is painful and exhausting and can even drive us to major mental illness and suicide.
ABA stigmatizes stimming and other coping mechanisms.
Stimming is a self-generated coping mechanism, specific to that person. It helps us regulate our emotions, feel more comfortable, and reduce stress. There are many kinds of harmless stims, like flapping hands, spinning, rolling, touching specific textures or having particular smells. These serve an important purpose, not the least of which is communicating how we’re feeling. Forcing the autistic person to stop stimming is oppressive and cruel.
ABA teaches that our bodies don’t belong to us and our consent is irrelevant.
I hope I don’t have to explain why this is bad. ABA often involves ignoring a child’s No or request for a break, physically forcing the child to be still, and taking things forcefully from them. They learn, therefore, that what they want doesn’t matter. How they’re feeling doesn’t matter. And because these are often small children, there is no chance they can fight back. We learn that it’s normal for others to use our bodies as they see fit. No surprise, then, that sexual abuse is so common among autistic adults who’ve experienced ABA.
40 hours a week is far too much.
Remember these are children, with a lot of growing and learning to do. This program is essentially a full time job, long before that’s even slightly reasonable to ask. Autistic people need to develop in our own ways, and learn about ourselves. We are highly individual people, and that means care and space and time need to be involved. Typical ABA gives none of that. 40 hours a week, plus homework for both the child and the parents.
The Actual Article
There’s more. So, so much more. But it’s a bit beyond the scope of this post. Today’s article is… well, it’s a continuation of what’s basically an argument, in science.
A couple years ago, there was a meta-analysis study published that concluded that ABA therapy is both abusive and ineffective at helping autistic people. Meta-analyses look at years of clinical trials and other studies and try to find patterns, so that ideas can be tested and truths be made clear. They hold more weight than the results of a single study.
Seeing this meta-analysis was unfavorable to their jobs, some ABA practitioners got together and published a response. Basically, they attempted to refute various points in the meta-analysis in their own report. Today’s article is a response to that response, doing pretty much the same thing in return.
These arguments are longwinded, as is the way of academia. Like any argument, it’s unlikely either side will change their mind on the subject. The hope is to influence others to their way of thinking.
My bias is pretty clear, I think. I feel that if a thing is in question, one of your best resources is the people who live that reality. I don’t care if the subject is farming, life in another country, or autism. You can learn some from reading secondhand reports and articles, but the best information is from people with firsthand experience. And they tell us quite clearly, in great numbers, that ABA is abuse.
Maybe not every ABA clinic is horrible, abusive, and damaging. But when nearly every autistic adult with ABA experience is against it, that should be quite clear to anyone listening.
(Pst! If you like seeing the latest autism-relevant research, visit my Twitter! There are links and comments on studies that were interesting, but didn’t get a whole Reading the Research article about them.)





