Bailey and Burch 25 Essential Skills and Strategies for Behavior Analysts. Chapter 7. You are in a planning meeting for one of your clients. The meeting is attended by you, the OT, PT, Nurse, Physician, SLP, Vocational Provider, Social Worker, Residential Services Provider, and the behavior analyst supervising you. The behavior analyst has been working for a number of years with a gentleman who is 49 years old, who engages in severe hand to head self-injury. The data show, over a number of years, a downward trend in rate of self-injury, but there have always been (and still are) difficulties with treatment integrity (since the behavior analyst has no oversight of the residential staff who actually implement the procedures) and in data reliability (because, again, the behavior analyst has no oversight of the residential staff who actually implement the program). (You’ve asked the behavior analyst why he stays – he says “because even though things are pretty bad, the people we’re serving deserve the best services available.” You gotta admire that!) At this meeting, the physical therapist tells the group that he attended a weekend workshop on myofascial release, which is a procedure that involves doing joint compressions every few hours for six weeks, and is predicated on the notion that emotional memories reside in the joints, that this man is engaging in self-injury because of painful emotional memories, and that said memories can be squeezed out of his joints through this procedure. The Team is very enthused. The supervising behavior analyst says nothing, and goes along with this. The team decides to do this – and you’re thinking “If they won’t do our preventive, instructional, and reductive procedures for SIB, what makes them think they’ll do this” – but you don’t say it. What might be some ethical issues here? How would you handle this situation?
Bailey and Burch 25 Essential Skills and Strategies for Behavior Analysts. Chapter 7. You are in a planning meeting for one of your clients. The meeting is attended by you, the OT, PT, Nurse, Physician, SLP, Vocational Provider, Social Worker, Residential Services Provider, and the behavior analyst supervising you. The behavior analyst has been working for a number of years with a gentleman who is 49 years old, who engages in severe hand to head self-injury. The data show, over a number of years, a downward trend in rate of self-injury, but there have always been (and still are) difficulties with treatment integrity (since the behavior analyst has no oversight of the residential staff who actually implement the procedures) and in data reliability (because, again, the behavior analyst has no oversight of the residential staff who actually implement the program). (You’ve asked the behavior analyst why he stays – he says “because even though things are pretty bad, the people we’re serving deserve the best services available.” You gotta admire that!)
At this meeting, the physical therapist tells the group that he attended a weekend workshop on myofascial release, which is a procedure that involves doing joint compressions every few hours for six weeks, and is predicated on the notion that emotional memories reside in the joints, that this man is engaging in self-injury because of painful emotional memories, and that said memories can be squeezed out of his joints through this procedure. The Team is very enthused. The supervising behavior analyst says nothing, and goes along with this. The team decides to do this – and you’re thinking “If they won’t do our preventive, instructional, and reductive procedures for SIB, what makes them think they’ll do this” – but you don’t say it.
What might be some ethical issues here? How would you handle this situation?
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