Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages.
Approve principles, not packages—use the active ingredient, not the brand name.
01Research in Context
What this study did
Eugenia Gras et al. (2003) wrote a position paper. They said psychology should stop giving gold stars to brand-name therapies.
Instead, they want us to list the small, proven building blocks that make any therapy work. They call these Empirically Supported Principles, or ESPs.
What they found
The paper does not give new data. It argues that naming packages like “Brand-X CBT” hides the real active pieces.
Those pieces are things like reinforcement, shaping, and extinction. The authors say we should test and approve those pieces, not the wrappers.
How this fits with other research
Najdowski et al. (2003) extends the same idea. They tell grad schools to teach students how to spot mechanisms, cost, and harm, not just the EST list.
Malott (2018) is a later successor. That paper shows a training model that makes students reach for JABA and basic principles first, exactly what M et al. asked for.
DiGennaro Reed et al. (2016) give numbers. They counted OBM articles and found only half name a basic principle. The gap shows the field still likes packages more than parts.
Why it matters
If you write treatment plans, stop copying a manual because it has a famous logo. List the principle you will use—reinforcement, prompt fading, differential reinforcement of alternative behavior—and show data for that piece. Your notes will be clearer, your supervision tighter, and your funding easier to defend.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Take one client goal and write the principle (e.g., positive reinforcement) next to the procedure in the plan.
02At a glance
03Original abstract
Current systems for listing empirically supported therapies (ESTs) provide recognition to treatment packages, many of them proprietary and trademarked, without regard to the principles of change believed to account for their effectiveness. Our position is that any authoritative body representing the science and profession of psychology should work solely toward the identification of empirically supported principles of change (ESPs). As challenging as it is to take this approach, a system that lists ESPs will keep a focus on issues central to the science and practice of psychology while also insulating the profession from undue entrepreneurial influences.
Behavior modification, 2003 · doi:10.1177/0145445503027003003