Practitioner Development

Acceptance and Commitment Training Within the Scope of Practice of Applied Behavior Analysis

Tarbox et al. (2022) · Behavior Analysis in Practice 2022
★ The Verdict

ACT can live inside ABA if you treat client talk as verbal behavior and graph it like any other response.

✓ Read this if BCBAs who want to add ACT pieces without leaving the ABA fence.
✗ Skip if RBTs looking for step-by-step skill-acquisition programs today.

01Research in Context

01

What this study did

Tarbox et al. (2022) wrote a how-to paper. They asked: can ACT live inside ABA without breaking our own rules?

The team mapped every ACT part to familiar ABA units. They used Skinner’s verbal operants to show how acceptance and values talk can be measured like any other behavior.

02

What they found

The paper says yes—ACT fits. If you treat client words as verbal behavior, you can graph them, shape them, and write function-based treatment plans.

They give a starter list: do a verbal functional assessment, pick measurable values actions, and track them with simple counts or duration.

03

How this fits with other research

Bordieri (2022) published the same year with the same message. He reviewed piles of studies and says acceptance is already evidence-based. Together the two papers act like a green light from separate lanes.

Ragulan et al. (2023) took the idea for a test drive. Four behavioral techs went to one ACT workshop. Afterward their treatment integrity rose and burnout fell. The tiny study shows the target paper’s guidelines can travel from page to clinic floor.

Cordova (2001) did the groundwork long ago. That paper first turned acceptance into observable moves—like staying in seat when tasks get hard. Tarbox et al. (2022) widen the frame from single moves to the full ACT model.

04

Why it matters

You no longer need to choose between ACT language and ABA data. Use the paper’s cheat sheet to write ACT goals in VB-MAPP style or on an A-B-C chart. Start small: pick one client who quits tasks when thoughts get loud. Count how long they stay seated after a brief acceptance exercise. One graph can show if verbal behavior work belongs in your next treatment plan.

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Pick one client who escapes work after self-criticism; track minutes stayed after a 2-minute acceptance drill.

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

Acceptance and commitment therapy (ACT) is a contemporary behavior-analytic approach to intervening on verbal behavior for the purposes of bringing about socially meaningful overt behavior change. Although originally developed as a behavior-analytic approach to psychotherapy, the conceptual functional analyses and procedures that form the core of ACT have been disseminated broadly outside of clinical psychology, including within the field of applied behavior analysis (ABA). This article discusses the use of ACT within mainstream ABA practice and provides preliminary conceptual functional analyses and practical guidelines for incorporating ACT within the scope of practice of applied behavior analysts.

Behavior Analysis in Practice, 2022 · doi:10.1007/s40617-020-00466-3