Wilczynski Text Learning Assignment #2

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Wilczynski Text Learning Assignment #2 October 16,2023 SPCE 680: Introduction to Persons with Autism Spectrum Disorders Instructor: Dr. Renee L. Allen By: Karsyn Kemsel
Essay #1: Chapter 7: Treatment Acceptability and Social Validity I feel that this chapter encompasses a lot of information that I will now use in the field. I believe that when working in a clinical setting, treatment acceptability as well as social validity play a big part in the treatment process. I learned about what is more acceptable and less acceptable when it comes to treatment. For example, positive reinforcement-based procedures are more acceptable than punishment procedures. These positive reinforcement-based procedures include verbal praise, reinforcement, and the use of a token economy. These types of procedures are highly used in a clinical setting. As explained in the text, procedures requiring more time to implement are usually considered less acceptable as well but that does not mean all other procedures besides positive reinforcement-based procedures should be ruled out. For example, the text goes into depth about if a procedure is more time-intensive, a strong rationale is to be provided explaining the need for the procedure. After an explanation is given, the practitioner also needs to listen to what the client/stakeholders have to say about the procedure that is being reccommended. I feel that I will use this information a lot when working with clients and creating treatment plans. I will now take into consideration what procedures are more acceptable than others. If I believe a client could benefit from a less acceptable procedure, I will be sure to discuss the treatment protocol recommendation and why I believe the client could possibly benefit from it. The text explains that each person may view the acceptability of a procedure differently. For example, some individuals may believe that a group contingency is less acceptable. By learning this, I believe it is essential to get the perspective of the client/stakeholder because even though I may believe a group contingency is acceptable, they may feel differently about it. I learned from this chapter that communication with the client/stakeholder is key when creating treatment protocols for clients.
Essay #2: Chapter 8: Treatment Feasibility and Social Validity By reading this chapter, I am now able to better understand how treatment feasibility relates to social validity. The text explains that a treatment may look extremely well on paper but if it can not be implemented in real-world situations then the procedure is not feasible. It also explains that if a treatment procedure is not feasible, it is also not socially valid. Therefore, for a treatment to be socially valid, it must be feasible. I learned that a treatment is also able to be feasible but for future use. Materials and resources are required to implement treatments. These materials and resources need to be funded. Even if the treatment is feasible, without the proper resources and materials, it cannot be implemented at that time. However, when these necessities are available, the treatment may be used. I found this very interesting because I have never thought about how much funding is needed to be able to implement treatments. The text explains that all factors that could be barriers to a treatment’s implementation should be discussed. Strategies to overcome these possible barriers are to be discussed as well. Treatment fidelity is more thoroughly explained in this chapter. The text describes treatment fidelity as a treatment being implemented correctly, consistent across all clients, and consistent throughout the entire time the treatment is implemented. It can sometimes be difficult to implement a treatment in different settings and still implement it with fidelity. The text uses the example of a teacher not having the proper resources to implement a treatment. Therefore, the treatment was not able to be implemented with fidelity. The text also explains common reasons treatment fidelity may be low. A few of these include having inadequate resources, it requires too much effort, and even though a stakeholder agreed to the treatment, they do not actually see the treatment as acceptable and run it incorrectly. Throughout this chapter, I learned the
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importance of treatment fidelity and how difficult it can be to ensure consistent and correct treatment accross all settings.