By Matt Harrington, BCBA · Behaviorist Book Club · April 2026 · 12 min read
This course takes a creative and self-reflective approach to improving the field of applied behavior analysis by turning the tools of behavior change inward. Using the familiar framework of a behavior intervention plan (BIP), it invites behavior analysts to identify their own behaviors of concern, target those for reduction, and simultaneously increase behaviors that promote listening, equity, and uplift within the profession. The use of differential reinforcement of high rates (DRH) of listening and supportive behavior serves as the central metaphor and practical strategy.
The clinical significance of this work is substantial, even though the primary target is not client behavior but practitioner behavior. The quality of services that behavior analysts provide to their clients is inextricably linked to the culture of the profession. A field that fails to listen to diverse perspectives, that resists uncomfortable feedback, and that does not actively work to include and uplift marginalized voices will inevitably produce services that reflect those same limitations.
Consider the implications for cultural responsiveness in clinical practice. When behavior analysts cannot sit with the discomfort of feedback about their own practices, they are less likely to engage in the kind of honest self-assessment that cultural humility requires. When the field does not actively support professionals from diverse backgrounds, the workforce becomes less representative of the populations it serves, which affects the cultural relevance and acceptability of interventions.
The BIP framework is used deliberately in this course. Just as a behavior intervention plan identifies target behaviors for reduction and replacement, this course identifies specific behaviors within the profession that need to be reduced, such as dismissiveness, defensiveness in response to criticism, and failure to amplify underrepresented voices, and identifies specific replacement behaviors, such as active listening, seeking feedback, and creating opportunities for colleagues from marginalized groups.
The differential reinforcement of high rates (DRH) component is particularly apt. DRH reinforces behavior only when it occurs at or above a certain rate, emphasizing that the target behaviors need to happen frequently and consistently, not just occasionally. Listening to diverse perspectives once does not constitute inclusion. Amplifying a colleague's work once does not constitute uplift. These must become high-rate, habitual behaviors within the professional repertoire of every behavior analyst.
This course is explicitly described as a hard conversation that will be uncomfortable at times. That acknowledgment is important because behavior change, whether in clients or practitioners, often involves aversive components. The willingness to engage with discomfort in service of improvement is itself a behavior that the course models and reinforces.
Applied behavior analysis has faced increasing scrutiny regarding its relationship with diversity, equity, inclusion, and the lived experiences of the populations it serves. This scrutiny has come from within the profession, from autistic self-advocates, from families, and from the broader public. The responses to this scrutiny have varied widely, from genuine reflection and practice change to defensive dismissal.
The historical context is important. ABA developed within a scientific tradition that emphasized objectivity, measurement, and replicability. These remain strengths of the discipline. However, the emphasis on objectivity sometimes led to a dismissal of subjective experience, social context, and the perspectives of those who did not fit the mold of the dominant culture within the profession. The result was a field that, despite its commitment to helping people, sometimes failed to listen to the very people it claimed to serve.
The call to develop a BIP for the field itself reflects a growing recognition that the principles of behavior analysis apply to our own behavior just as much as to the behavior of our clients. If we believe that behavior is a function of the environment, then we must examine the environmental contingencies within the profession that shape practitioner behavior. What gets reinforced in academic programs, at conferences, in clinical supervision, and in organizational cultures? What gets punished or extinguished?
The discomfort that this course promises is not incidental; it is functional. In behavior-analytic terms, discomfort with feedback about one's own practices is a conditioned aversive that can elicit escape and avoidance behavior. When a colleague points out that a practice may be culturally insensitive or that the field has systemic problems with representation, the immediate reaction for many practitioners is to minimize, deflect, or argue. These are escape-maintained behaviors that temporarily reduce the aversive stimulation of the feedback but prevent the learning that the feedback could produce.
The course explicitly asks participants to identify these escape and avoidance behaviors as targets for reduction and to practice sitting with discomfort as a prerequisite for genuine improvement. This is consistent with the broader behavior-analytic understanding that tolerance of aversive stimulation is often necessary for contact with delayed reinforcers.
The emphasis on identifying at least two behavioral strategies that benefit individual practice and two that benefit the field as a whole reflects the multilevel nature of this challenge. Individual practitioners can change their own behavior, such as by actively seeking feedback, engaging with literature from diverse perspectives, and amplifying colleagues' work. But individual behavior change alone is insufficient if the systemic contingencies within the profession continue to maintain problematic patterns. Structural changes, such as diversifying conference programs, revising training curricula, and creating accountability mechanisms, are also necessary.
The course positions listening as a foundational behavior. In behavioral terms, listening as used here is not merely auditory perception but a complex repertoire that includes attending to the speaker, inhibiting the impulse to interrupt or argue, processing the content of the message, and responding in a way that demonstrates comprehension and respect. This repertoire is the prerequisite for all other improvements the course seeks to promote.
While this course focuses primarily on practitioner behavior rather than direct clinical intervention, its clinical implications are profound. The way behavior analysts engage with issues of diversity, inclusion, and self-reflection directly affects the quality and appropriateness of the clinical services they provide.
Cultural responsiveness in ABA service delivery begins with the practitioner's awareness of their own biases, assumptions, and blind spots. A behavior analyst who cannot tolerate feedback about their professional practices is unlikely to engage in the honest self-assessment necessary for culturally responsive care. When families from marginalized communities express concerns about treatment approaches, practitioners must be able to listen without defensiveness and incorporate that feedback into their clinical decision-making.
The identification of behaviors of concern within one's own practice has direct clinical relevance. Consider a BCBA who consistently selects treatment goals that reflect their own cultural values rather than the family's priorities. Or a practitioner who dismisses a parent's concerns about a particular intervention because the intervention has empirical support, without considering whether that evidence base adequately represents the client's cultural context. These are behaviors that a BIP for BCBAs would target for reduction.
Replacement behaviors with direct clinical impact include actively soliciting family input on treatment priorities, researching the cultural context of the populations you serve, adapting communication styles to match family preferences, and questioning whether your assessment instruments and intervention procedures are appropriate for diverse populations. These are not merely nice-to-have additions to clinical practice; they are essential components of effective, ethical service delivery.
The DRH framework applied to listening has particular clinical relevance in the context of caregiver training and collaboration. Many behavior analysts default to an expert-driven model of parent training in which the clinician tells the parent what to do and the parent is expected to comply. A listening-first approach inverts this dynamic, positioning the parent as the expert on their child and their family context, while the behavior analyst contributes technical expertise. This collaborative model produces better outcomes because interventions designed with family input are more likely to be implemented consistently and to address the family's actual priorities.
The course's emphasis on uplifting colleagues from marginalized backgrounds also has clinical implications through its effect on workforce diversity. A more diverse workforce is better equipped to serve a diverse client population. When professionals from underrepresented groups feel supported and valued within the field, they are more likely to remain in the profession, bringing perspectives and cultural knowledge that improve services for all clients.
There is also a clinical implication related to social validity. If the field of ABA is perceived as dismissive of diverse perspectives, resistant to criticism, or unwilling to engage with the communities it serves, the social validity of ABA as a discipline is undermined. Families may be less likely to seek or accept ABA services if they perceive the field as culturally insensitive. Practitioners who model the listening and uplifting behaviors this course promotes contribute to a more positive public perception of ABA, which ultimately increases access to effective services.
The ABA Clubhouse has 60+ on-demand CEUs including ethics, supervision, and clinical topics like this one. Plus a new live CEU every Wednesday.
The ethical dimensions of this course are extensive and touch on some of the most fundamental obligations outlined in the BACB Ethics Code for Behavior Analysts (2022). The call to develop a BIP for the field of ABA is, at its core, an ethical argument: that behavior analysts have an obligation to apply their own principles to their own professional behavior.
Code 1.07 (Cultural Responsiveness and Diversity) is central to this course. This code requires behavior analysts to actively engage in professional development activities to acquire knowledge and skills related to cultural responsiveness and diversity. The course provides a structured opportunity to do exactly that, by examining one's own behaviors through the lens of cultural impact and identifying specific targets for improvement.
Code 1.10 (Awareness of Personal Biases and Challenges) requires behavior analysts to be aware of and take steps to address their own biases. The discomfort that this course promises is, in part, the discomfort of confronting one's own biases. The escape and avoidance behaviors that the course targets for reduction, such as defensiveness, minimizing, and deflecting, are the very behaviors that prevent practitioners from fulfilling this ethical obligation.
Code 2.01 (Providing Effective Treatment) requires that treatment be effective, and effectiveness must be evaluated not only in terms of behavior change but also in terms of social validity and cultural appropriateness. When behavior analysts fail to listen to diverse perspectives, they risk designing interventions that are technically competent but socially invalid, that produce behavior change at the cost of client autonomy, dignity, or cultural identity.
Code 2.09 (Involving Clients and Stakeholders) requires active involvement of clients and stakeholders in the service process. The listening behaviors this course promotes are prerequisites for meaningful stakeholder involvement. If a practitioner's response to family concerns is defensive or dismissive, the involvement of stakeholders becomes performative rather than genuine.
Code 1.05 (Independence and Professional Judgment) requires behavior analysts to exercise independent professional judgment. This may seem to conflict with the emphasis on listening, but the two are complementary. Listening to diverse perspectives and feedback enhances professional judgment by providing additional information that the practitioner might otherwise miss. Independence does not mean isolation from input; it means that decisions are ultimately based on professional analysis of all available information, including the perspectives of those affected by those decisions.
Code 3.01 (Responsibility to Clients) extends beyond individual clinical relationships to encompass the profession's collective responsibility to the populations it serves. When the field of ABA as a whole fails to address systemic issues related to diversity and inclusion, it fails in its collective responsibility to provide equitable services. Individual practitioners contribute to meeting this collective obligation by doing the personal work that this course requires.
The course's explicit warning that the conversation will be uncomfortable is itself ethically significant. Informed consent requires that participants understand what they are agreeing to. By acknowledging upfront that the content may be challenging, the course respects participants' autonomy while also normalizing the discomfort that accompanies genuine self-examination.
Applying the BIP framework to one's own professional behavior requires the same systematic assessment process used in clinical practice. The course asks participants to identify behaviors of concern for reduction and replacement behaviors for acquisition, which requires honest self-assessment and willingness to collect data on one's own performance.
The first step in this self-assessment is identifying specific, operationally defined behaviors of concern in one's own practice. Vague self-criticism (such as thinking I need to be more inclusive) is insufficient. Specific behavior identification might look like: I interrupt colleagues from underrepresented backgrounds more frequently than I interrupt colleagues from my own background. Or: When receiving feedback about cultural insensitivity, I respond with explanations rather than questions. These specific, observable behaviors can be targeted for reduction.
The second step is identifying replacement behaviors that serve the same function but produce better outcomes for the individual, the field, and the communities served. If the function of interrupting is to contribute one's perspective to a conversation, a replacement behavior might be noting the thought and waiting for the speaker to finish before responding. If the function of explaining in response to feedback is to protect one's professional self-image, a replacement behavior might be asking a clarifying question that demonstrates engagement with the feedback while also serving the function of maintaining professional identity through a willingness to learn.
The DRH component adds an important dimension to assessment. It is not enough to occasionally engage in listening and uplifting behaviors; these must occur at a high and sustained rate. Self-monitoring strategies can help practitioners track the frequency of target behaviors. For example, after each meeting or supervision session, a practitioner might record how many times they actively solicited a different perspective, how many times they amplified a colleague's contribution, and how many times they caught themselves engaging in the behaviors targeted for reduction.
Decision-making in this context involves determining which behaviors to prioritize for change. The course suggests identifying at least two strategies for individual practice and two for benefiting the field. Prioritization might be based on several factors: which behaviors occur at the highest rate and thus have the greatest impact, which behaviors are most likely to produce meaningful change, and which behaviors the individual has the most control over.
Peer accountability structures can enhance the effectiveness of this self-directed behavior change. Just as clients benefit from external reinforcement and feedback, practitioners attempting to change their own behavior benefit from colleagues who can provide honest feedback about whether the target behaviors are actually changing. This requires the very listening and vulnerability that the course promotes, creating a positive feedback loop.
The assessment process should also include evaluation of the environmental variables that support or hinder the target behavior changes. If the practitioner's workplace culture punishes dissent and rewards conformity, individual behavior change will be difficult to sustain. In such cases, advocacy for systemic changes becomes an important complement to individual behavior change.
Finally, outcome measurement should extend beyond the practitioner's own behavior to include the impact on others. Are colleagues from marginalized backgrounds experiencing a more supportive environment? Are families reporting greater satisfaction with the cultural responsiveness of services? Are treatment outcomes improving for diverse populations? These distal outcomes are the ultimate measure of whether the BIP for BCBAs is working.
This course challenges you to apply the same analytical framework you use with your clients to your own professional behavior. The invitation is straightforward: identify what needs to change, define the replacement behaviors, and implement a plan to increase those behaviors to a high and sustained rate.
Start by conducting an honest functional assessment of your own responses to feedback, particularly feedback about cultural sensitivity, inclusion, or professional blind spots. Notice when you feel the urge to explain, defend, or minimize. Those responses are data. They tell you something about the contingencies that have shaped your professional behavior and about the work that remains to be done.
In your clinical practice, commit to specific, measurable changes. These might include beginning every treatment planning meeting by asking the family what matters most to them, before presenting your own recommendations. They might include regularly reviewing your caseload data disaggregated by demographic variables to check for disparities in outcomes. They might include reading research from scholars outside your typical professional circle.
In your professional community, look for opportunities to amplify rather than overshadow. When a colleague from an underrepresented group makes a contribution, reinforce it visibly. When you have the opportunity to recommend a speaker, a collaborator, or a hire, actively consider whether your usual networks are producing a diverse pool of candidates.
Accept that this is ongoing work, not a task to be completed. Just as client behavior plans require ongoing monitoring and revision, your own professional development plan requires continuous attention. The goal is not perfection but a trajectory of improvement sustained by the same data-based decision-making you apply to everything else in your professional life.
Ready to go deeper? This course covers this topic in detail with structured learning objectives and CEU credit.
A BIP for BCBAs: DRH for Listening & Uplifting by Brian Middleton and Jennifer Childs — Brian Middleton · 2 BACB Ethics CEUs · $45
Take This Course →All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.