A Review of Autism Diagnostic Practices: Session 248: Whitney Ence and Elisabeth Sheridan
The Behavioral Observations Podcast with Matt Cicoria
Release Date: 12/13/2023
The Behavioral Observations Podcast with Matt Cicoria
Welcome to Session 336 The Behavioral Observations Podcast. Well technically, this is actually Session 199, and I wanted to take a minute to explain why you're hearing a rebroadcast. This conversation with Dr. Jason Travers originally aired back in September of 2022, but I've decided it's worth bringing back because, unfortunately, the issues surrounding Facilitated Communication haven't gone away. In fact, if anything, they've become more relevant. Over the past several years, we've continued to see heartwarming news stories and viral social media posts featuring non-speaking autistic...
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En este episodio, Miguel conversa con Janet sobre la conducta verbal desde una perspectiva práctica y cultural. A lo largo de la conversación, exploran por qué la conducta verbal sigue siendo una de las áreas más importantes —y a veces más incomprendidas— dentro del análisis de conducta y la educación. Janet comparte su trayectoria como latina, educadora, investigadora y líder en múltiples iniciativas dentro del campo, así como su experiencia trabajando con comunidades bilingües y culturalmente diversas. Juntos discuten conceptos fundamentales de la conducta verbal,...
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Many behavior analysts have experienced the frustration of teaching a skill successfully in one setting only to discover that it doesn't transfer to the situations where it actually matters. In this episode, I sit down with and of Victory Academy to discuss how Essential for Living (EFL) and event-based teaching can help bridge that gap. Kristina and Emily share their professional journeys into behavior analysis and describe how discovering Dr. Patrick McGreevy's Essential for Living framework reshaped their approach to supporting learners with limited skill repertoires....
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How do we determine when a learner has truly mastered a skill? In behavior analysis, performance criteria such as "80% correct across two sessions" have become nearly ubiquitous. Yet despite their widespread use, many practitioners may be surprised to learn that these criteria have relatively little direct empirical support. In this episode, I'm joined by Drs. Sarah Richling and Dr. Daniel Fienup to discuss the history, research, and practical implications of mastery criteria in applied behavior analysis. Drawing on their independent lines of research, Sarah and Dan examine how different...
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In this episode, I’m joined by , , and to talk about their new book, . These are clinicians who’ve spent years working directly with families dealing with everything from emotion regulation challenges, to childhood anxiety, to severe behavioral challenges, and what I liked about this conversation is that it stayed extremely practical throughout. We spent a lot of time talking about their “Prepare, Teach, Motivate” framework, and how parents and professionals can think more systematically about helping kids build resilience and coping skills rather than just reacting to challenging...
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In Session 331, I sat down with to talk about some of the most challenging — and important — work happening in applied behavior analysis today: supporting individuals with severe problem behavior. Ben shared his journey into the field, beginning with his early experiences at Lindamood-Bell and later at under the mentorship of Carl Sundberg and others who helped shape his clinical perspective. Along the way, we discussed what originally drew him toward working with clients who many providers often avoid, and why he remains deeply committed to ensuring that all...
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In this episode, I’m joined by Drs. and , and to talk about how we can better support healthier lifestyles for individuals with developmental disabilities. We start by digging into how each of them came to this work. Maggie shares some early experiences working as a direct support professional, where she began to notice patterns between food-related variables and challenging behavior. Brandon talks about coming into behavior analysis through the health and fitness world, and seeing firsthand how difficult it was to support individuals in building healthier routines...
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In Session 329, I’m joined once again by , Ph.D., BCBA-D, who’s been doing some really interesting work at the intersection of fitness and behavior science. In this episode, Nick walks us through the basics of heart rate training zones and why simply “working out” isn’t always enough. We talk about the general recommendation of 150 minutes of moderate to vigorous activity per week, but more importantly, how to make sure that time is actually spent in the right zones—particularly Zones 2 through 4—where you’re going to see real cardiovascular benefits. From there, we get...
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Episode Summary In this episode, I'm joined by , , and Lilian Morales to discuss their recent paper in JABA, . In this episode, we explore how books can function as powerful reinforcers for young children, especially in early learning and ABA contexts. We discuss how to identify when books are actually reinforcing, how to condition books as reinforcers if they’re not already, and practical strategies for incorporating them into teaching and behavior support. Key Topics Covered 1. What Makes Something a Reinforcer? Reinforcers are defined by their effect on behavior—not by intention A...
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Comportamiento, espacio y algoritmos: Análisis de la conducta recargado En este episodio de Espacio y Comportamiento, conversa con sobre una dimensión del comportamiento que históricamente ha sido poco explorada en nuestro campo: el espacio. Más allá de medir cuándo ocurre una conducta o cuántas veces se presenta, esta conversación propone mirar dónde ocurre, cómo nos movemos en el ambiente y cómo los patrones de acercamiento, alejamiento y trayectoria espacial organizan el comportamiento. Alejandro comparte su recorrido poco convencional desde la ingeniería y las...
info_outlineDrs. Whitney Ence and Elisabeth Sheridan joined me to talk about the diagnosis of Autism. You might be thinking that this sounds like an impossibly broad topic... and you're right.
But in this show, we tried to narrow it down a bit to discuss the various routes in which people can acquire an Autism diagnosis, which of these routes represent best practice, the critical diagnostic features of Autism, severity levels in Autism (and the extent to which these terms are useful), the role of intense interests, specific assessment instruments and techniques, and the importance of working with interdisciplinary teams.
We also talk about how the diagnosis has changed over the years, including the retirement of terms such as Pervasive Developmental Disorder and Asperger's Syndrome. During this part of the conversation, we also discussed self-diagnosis of Autism, and how clinics sometimes triage screening for individuals seeking diagnoses.
Towards the end of the podcast, we did touch on a few terms and topics that are relatively new to the Autism discourse.
Specifically, we discussed the term Neurodiversity, the social model of disability, "Severe Autism" as a separate diagnosis, and Pathological Demand Avoidance. It's important to note that his part of the podcast should not be construed as a deep exploration of these topics, as I really wanted to initially focus on what the current state of the science has to say about the diagnosis of Autism as a condition requiring medically-necessary treatment.
I also want to draw your attention to what could be considered a companion podcast about the diagnostic characteristics of Autism. I’m in the middle of listening to a long episode from the Huberman Lab Podcast, in which Dr. Andrew Huberman interviews Dr. Karen Parker from Stanford University about the causes of, and treatments for Autism. This is from a more neuro-biological perspective, and thus far, quite interesting.
Here are links to the topics we discussed:
- Does TikTok Provide Accurate Information about Autism?
- Dr. Whitney Ence's About Page.
- Dr. Elisabeth Sheridan's About Page.
- CEU's from The Behavioral Observations Podcast (thanks for the impromptu review Whitney!).
- Diagnostic Criteria for 299.00 Autism Spectrum Disorder.
- Autism and Developmental Disabilities Monitoring (ADDM) Network.
- Therapeutic Assessment Institute.
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- The Verbal Behavior Conference is right around the corner. If you haven’t heard me talk about it before, the VBC is a 2 day event that is available both virtually and in-person in Austin, Texas. It’s happening on February 29th and 30th, and will feature speakers like Drs. Pat McGreevy, Alice Shillingsburg, Barbara Esch, and more. There’s even a full-day pre conference workshop by Dr. Lina Slim. This is a really fun event that provides many opportunities for individual interactions with the speakers, and there’s even a panel discussion moderated by yours truly. To learn more, go to behaviorlive.com/vbc, or simply hit the shownotes for this episode to learn more.
- The University of Cincinnati Online. UC Online designed a Master of Education in Behavior Analysis program that is 100% online and asynchronous, meaning you log on when it works for you. Want to learn more? Go to online.uc.edu and click the “request info” button.