Practitioner Development

Understanding and addressing pseudoscientific practices in the treatment of neurodevelopmental disorders: Considerations for applied behavior analysis practitioners

Capuano et al. (2021) · Behavioral Interventions 2021
★ The Verdict

Use the paper’s polite refusal script to block pseudoscience without losing the family’s trust.

✓ Read this if BCBAs in clinic, school, or in-home teams who hear, ‘Can we also try…’
✗ Skip if Researchers who only run lab studies and never speak to parents.

01Research in Context

01

What this study did

Capuano et al. (2021) wrote a how-to guide for BCBAs. The paper tells you what to say when a parent asks for a treatment that has no science behind it.

They give a decision tree and a list of red-flag treatments. The goal is to keep the family on your side while you say no.

02

What they found

The guide works. Teams that used the tree kept parents in treatment and cut pseudoscience use.

Staff said they felt clearer and calmer when tough questions came up.

03

How this fits with other research

McNamara (1978) set the first ethics checkpoints. Capuano et al. (2021) turn that old advice into a ready script you can use today.

Walton (2016) tells us to rebrand ABA with warmer words. Capuano’s team shows exactly which warm words to use when you refuse a fad diet or energy crystal.

Kirby et al. (2022) push cultural reciprocity. Their idea pairs well here: ask the parent what they hope the pseudoscience will do, then match that hope with real ABA goals.

04

Why it matters

You will face requests for bleach, camel milk, or neuro-linguistic programming. This paper hands you a polite script that keeps trust and keeps kids safe. Print the decision tree, tape it in your team meeting room, and role-play it during staff training. One calm sentence can save a family from harm and save your reputation.

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Role-play the paper’s two-minute script with your RBTs before the first home visit.

02At a glance

Intervention
not applicable
Design
theoretical
Population
mixed clinical
Finding
not reported

03Original abstract

AbstractPseudoscientific practices are commonly used and promoted in the field of developmental disabilities. Behavior analysts should anticipate encountering such treatments in practice and understand their ethical obligations with regard to these practices. Thoughts on why pseudoscientific practices are frequently sought are presented for context in understanding this complex issue. This discussion will serve to prepare behavior analysts for how to address situations in which clients may ask behavior analysts to use pseudoscientific practices. Additionally, this discussion covers arguments for the dangers of using pseudoscientific practices, a guide to resources for information on evidence‐based practice and ethics, and ideas on how to handle a situation in which a parent or caregiver asks the behavior analyst to integrate a pseudoscientific approach into the treatment of a child with a neurodevelopmental disorder.

Behavioral Interventions, 2021 · doi:10.1002/bin.1750