Perone Michael, Lerman Dorothea C, Peterson Stephanie M, Williams Dean C
Department of Psychology, West Virginia University, 53 Campus Drive, Morgantown, WV 26506-6040 USA.
University of Houston Clear Lake, Houston, TX USA.
Perspect Behav Sci. 2023 Jun 15;46(2):261-304. doi: 10.1007/s40614-023-00379-w. eCollection 2023 Jun.
As a task force appointed by the Executive Council of the Association for Behavior Analysis International (ABAI), we investigated the clinical use of contingent electric skin shock (CESS) in behavior analytic treatments for severe problem behavior. We studied how CESS is used in contemporary behavior analysis, reinforcement-based alternatives to CESS, and current ethical and professional guidelines for applied behavior analysts. We recommended that ABAI uphold clients' right to receive CESS when it is restricted to extreme cases and used under rigorous professional and legal oversight. Our recommendation was rejected by a vote of the full members of ABAI, who instead endorsed an alternative recommendation, developed by members of the Executive Council, that opposed the use of CESS under any condition. Here we present for the record our report and initial recommendations, the formal statement that was rejected by the members of ABAI, and the statement that was endorsed.
作为国际行为分析协会(ABAI)执行委员会任命的特别工作组,我们调查了在严重问题行为的行为分析治疗中偶发性电击皮肤(CESS)的临床应用情况。我们研究了CESS在当代行为分析中的使用方式、基于强化的CESS替代方法以及应用行为分析师当前的伦理和专业准则。我们建议,当CESS仅限于极端情况并在严格的专业和法律监督下使用时,ABAI应维护客户接受CESS的权利。我们的建议被ABAI全体成员投票否决,他们转而支持由执行委员会成员制定的另一项建议,即反对在任何情况下使用CESS。在此,我们将我们的报告和初步建议、被ABAI成员否决的正式声明以及获得通过的声明记录在案。