Mathur Sneha Kohli, Rodriguez Kristine A
Chapman University, Orange, CA 92866 USA.
Autism Learning Partners, Pasadena, CA USA.
Behav Anal Pract. 2021 Jun 22;15(4):1023-1031. doi: 10.1007/s40617-021-00579-3. eCollection 2022 Dec.
Clients of applied behavior analysis (ABA), specifically Black, Indigenous, and people of color receiving treatment for autism spectrum disorder (ASD), regularly experience the effects of systemic racism via biases in the health care system. ABA as a science offers the necessary tools to support immediate, concrete actions to bring about social justice. This article offers a brief conceptual framework of critical race theory (CRT); cultural competence, responsiveness, and humility; and social justice concepts. Applications to health care are offered, addressing including systemic racism and implicit bias, along with points of personal reflection. These conceptual frameworks are synthesized in support of a cultural responsiveness curriculum, rooted in the tenets of CRT and cultural competence trainings in neighboring disciplines, that we offer as an immediate, actionable step that Board Certified Behavior Analysts can take today to broaden their perspective and proficiency. The prospective benefits of this work include effecting change in access to and outcomes of behavior-analytic services, particularly for the treatment of ASD in marginalized communities.
应用行为分析(ABA)的服务对象,尤其是接受自闭症谱系障碍(ASD)治疗的黑人、原住民和有色人种,经常会在医疗保健系统的偏见中体验到系统性种族主义的影响。作为一门科学,应用行为分析提供了必要的工具,以支持采取直接、具体的行动来实现社会正义。本文提供了一个关于批判种族理论(CRT)、文化能力、反应能力和谦逊态度以及社会正义概念的简要概念框架。文中还阐述了这些概念在医疗保健中的应用,包括系统性种族主义和隐性偏见,以及个人反思要点。这些概念框架相互融合,以支持一门文化反应能力课程,该课程植根于批判种族理论的原则以及相邻学科的文化能力培训。我们将其作为一项直接可行的措施提供给大家,即获得认证的行为分析师如今可以采取这一步骤来拓宽自己的视野和专业能力。这项工作的预期益处包括改变行为分析服务的获取途径和服务效果,尤其是在为边缘化社区的自闭症谱系障碍患者提供治疗方面。