Monthly Archive for January, 2005

Controversial therapies

Some of our favored ideas in education are supported by virtually no reliable data. Learning styles and multiple intelligences are among them, and I imagine you’ll find those ideas debunked in special education blogs related to this one.

An edited book, just published, challenges us to think carefully about some popular ideas and interventions. The book is Controversial Therapies for Developmental Disabilities: Fad, Fashion, and Science in Professional Practice, edited by the late John W. Jacobson, Richard M. Foxx, and James A. Mulick (and published by Lawrence Erlbaum Associates, 2005). I am a great admirer of this book, not merely because I co-authored a chapter in it on the topic of full inclusion but because I believe it offers us a serious challenge to think about why we believe what we do. Along with another excellent volume, Clear Thinking with Psychology: Separating Sense from Nonsense (by John Ruscio, published in 2002 by Wadsworth), it urges us to be skeptics about popular notions in psychology and education.

The Jacobson, Foxx, and Mulick book contains chapters on the following intervention-specific issues:

  • Person-Centered Planning (by J. Grayson Osborne)
  • Sensory Integrative Therapy (by Tristram Smith, Daniel W. Mruzek, & Dennis Mozingo)
  • Auditory Integration Training (by Oliver C. Mudford & Chris Cullen)
  • Facilitated Communication (by John W. Jacobson, Richard M. Foxx, & James A. Mulick)
  • Positive Behavior Support (James A. Mulick & Eric Butter)
  • Nonaversive Treatment (by Crighton Newsom & Kimberly A. Kroeger)
  • Gentle Teaching (by Chris Cullen & Oliver C. Mudford)

I didn’t give you the subtitles of the chapters, some of which you may see as pointedly uncomplimentary, particularly if you are fond of the intervention about which the authors are writing.

One intervention that is particularly popular just now, and one for which we might find even a legislative foundation, is Positive Behavior Support, often known as PBS (and not to be confused with public broadcasting). I’ve got to admit that some of my colleagues in special education–people I like a lot and whose work I admire–are quite taken with the practice of PBS. But is it (a) a new idea or concept and (b) a practice supported by scientific evidence?

PBS is important for all of special education, but particularly for students with emotional and behavioral disorders. I’ll address the “new” and “scientific” issues regarding PBS in a future post by summarizing the points made by Mulick and Butter in their chapter. I’ll also have some things to say about punishment and nonaversive interventions.

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Me, too!

Just about anyone would probably feel like a piker when comparing him- or herself to Jim’s academic qualifications, and I’m no exception. Nevertheless, let me add an entry to this Web log recounting my background.

I, too, have taught children and youth with emotional and behavioral disorders, having worked for the L.A. County schools and a couple of private schools in the L.A. area in the 1960s and 70s. I share with Jim substantial concern about the quality of education available to students with EBD. To that end, I have taught prospective teachers and researchers about special education since the late 1970s. After a brief affiliation with Northern Illinois University’s special education program, I joined the special education faculty of the University of Virginia Curry School of Education in 1978.

I have written about special education and hope to use this forum to promote provision of helpful services for students with EBD by commenting on what I consider appropriate and inappropriate in the current and evolving situation. Also, see my more-detailed notes on Teach Effectively!

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Jim’s history

Here’s a little information about me (Jim Kauffman; for more about me, you can visit my Web site). I am now Professor Emeritus of Education at the University of Virginia, from which I retired in June, 2003 (although I’m still teaching a doctoral seminar and coordinating the doctoral program, which I will do through the 2005-2006 academic year). At UVA, I have been chair of the Department of Special Education, Associate Dean for Research, the Charles S. Robb Professor of Education, and the William Clay Parrish, Jr. Professor of Education.

I received my Ed.D. degree in special education from the University of Kansas in 1969. I am a past president of the Council for Children with Behavioral Disorders (CCBD, a division of the Council for Exceptional Children), and among the honors I’ve been given are the 2002 Outstanding Leadership Award from CCBD, the 1994 Research Award of the Council for Exceptional Children, and the 1991 Outstanding Service Award from the Midwest Symposium for Leadership in Behavioral Disorders. I’m also a former teacher in both general elementary and special education for students with emotional and behavioral disorders.

I’ve authored or co-authored numerous publications in special education, including the following recent or forthcoming books: Characteristics of Emotional and Behavioral Disorders of Children and Youth (8th edition, 2005), Cases in Emotional and Behavioral Disorders (2005), Learning Disabilities: Foundations, Characteristics, and Effective Teaching (3rd edition, 2005, with D. P. Hallahan, J. W. Lloyd, M. P. Weiss, & E. A. Martinez), Special Education: What It Is and Why We Need It (2005, with D. P. Hallahan), The Illusion of Full Inclusion: A Comprehensive Critique of a Current Special Education Bandwagon (2nd ed., 2005, edited with Daniel P. Hallahan), Exceptional Learners: Introduction to Special Education (10th ed., forthcoming about April with a 2006 copyright, with Daniel P. Hallahan), and Children and Youth with Emotional and Behavioral Disorders: A History of Their Education (forthcoming about July with a 2006 copyright, with Timothy J. Landrum).

I am a skeptic about nearly everything, as future blogs will no doubt confirm. Probably my skepticism and low level of acceptance of statements about special education (or education more generally) that just don’t add up are best captured in a book I published in 2002, Education Deform: Bright People Sometimes Say Stupid Things About Education.

I do not believe that much of the current reform legislation, including the No Child Left Behind Act or the President’s Commission on Excellence in Special Education, is rational or helpful (usually–actually, in almost every case, I suppose–irrationality doesn’t make good policy, good science, or acceptable practice). Perhaps my thoughts on these matters are best captured in the just published article, “The President’s Commission and the Devaluation of Special Education” (Education and Treatment of Children, 27, 307-324, in which there are quite a few typesetter’s errors, I’m sorry to say) and the forthcoming article in Phi Delta Kappan (the March, 2005, issue), “Waving to Ray Charles: Missing the Meaning of Disabilities.” If you wish the typescript of either article, I’ll be glad to send you an electronic version as an attachment.

James M. Kauffman
jmk9t@virginia.edu
http://www.people.Virginia.EDU/~jmk9t/

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Welcome JMK!

EBDBlog is growing! Jim Kauffman will also be posting to this blog, so keep your news aggregator here. Jim, as many readers know, is a distinguished scholar in special education, in general, and in EBD especially. It will be wonderful to have his contributions here. You can learn more about Jim by browsing his Web site and from the introduction of himself that he’ll post.

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On PBS (Positive Behavior Support) and Punishment

Our general thesis has two parts. The first part is that whatever else it may be, PBS is not science, but rather a form of illusion that leads to dangerously biased decision making. This leads us to examine the basis of what a science of behavior, or of education or of anything else, must be in order to be called a science. The second part of our analysis shows that PBS is not new, if by new, it refers to either the synthesis of values with a technology or the content adherents claim it encompasses. In establishing these points we are led, and hope to lead the reader along with us, to an inescapable conclusion about PBS; namely, that it represents little more than propaganda designed to promote the professional interests of a group of social and educational reformers. Further, that little benefit in education or community service settings PBS practitioners might be able to provide is more than offset by the cost to them and their students of distorting the reality of the very behavioral processes they seek to alter and use to benefit people with disabilities. (Mulick & Butter, 2005, pp. 385-386)

This seems a harsh indictment of a favored intervention strategy–one focused on positive rather than negative consequences. In the language of behavioral psychology, PBS concentrates on positive reinforcement rather than punishment, something behavioral psychologists and special educators agree that educators and parents should do (see Kauffman, 2005; Kauffman, Mostert, Trent, & Pullen, 2006; Landrum & Kauffman, in press). So, how can it be as misguided an intervention as Mulick and Butter suggest?

Mulick and Butter argue that PBS is not new, merely science repackaged in “sugar coated” language that makes people feel better about it. All of the scientific principles involved in PBS have been known for decades as Applied Behavior Analysis (or ABA). The scientific part of PBS is merely ABA with all use of anything construed as “negative” (e.g., punishing consequences) prohibited. Thus, PBS as a science is only a slice of reality.

But, aside from the restrictions of science imposed on PBS, Mulick and Butter argue that PBS is derived from ideology, allowing it to be used in unscientific or even anti-scientific ways. PBS, they argue, is used to promote the personal biases of those who hold inclusion, normalization, nonaversive treatment, or other ideas about what is right or best to trump what is known to work. They argue that we must, indeed, hold humanitarian values, but they also note that humanitarian values need to be brought into the picture at the right time–first, in formulating our questions about goals and what we can achieve, then only after we have found out what works to achieve those goals. In their words, “Humanitarian choices must follow what science determines is feasible, given the social context, or the full range of options may never even be discovered, and the people whom we seek to help may be made helpless rather than be helped” (p. 397).

The warning that PBS provides an opening for ideologies antithetical to science is well taken. Mulick and Butter discuss some of these ideologies, especially normalization, inclusion, and nonaversive treatment. Indeed, PBS, they suggest, grew directly out of the nonaversive treatment ideology. The article by Sailor and Paul (2004) gives further credibility to the argument that PBS is being used to promote anti-scientific views.

PBS inevitably raises the issue of punishment, which it excludes. Newsom and Kroeger (2005) as well as others (e.g., Kauffman, 2005; Landrum & Kauffman, in press; Lerman & Vorndran, 2002), have reviewed the literature on punishment and found that its judicious use is both helpful in socializing individuals and unavoidable in everyday life. True, the misunderstanding and misapplication of punishment are far too common in America and other nations today. But the fact that something is often misunderstood or abused hardly justifies the prohibition of using it for good purposes. Consider the plane, the train, the automobile, the computer, whatever religion you wish, and money, for example. All can and have been used for good as well as for evil purposes. The issue, for me, is how to make punishment most effective and humane, not whether to allow it.

Certainly, we have no difficulty finding cases of abusive punishment, the mistaken notion that harsher punishment is more effective, of the fantasy that we can punish our way out of a social or behavioral problem. As much as some may believe that punishment or the threat thereof is the key ingredient in deterring evil doers and improving people’s behavior, my conclusion is that science does not support reliance on punishment as the primary means of improving people’s behavior, whether they are young or old, intellectually retarded or brilliant, good or evil. The misunderstanding and misapplication of punishment are far too common in America and other nations today.

However, as much as we may wish to highlight the evils of punishment, my conclusion is also that science does not support the notion that punishment in all its forms can be abandoned, circumvented, or eliminated with good effect. Thus, I think Mulick and Butter’s characterization of PBS is accurate, as is Newsom and Kroeger’s explanation of how nonaversive treatment is an ideology that works against effective intervention. Like facilitated communication, gentle teaching, and other hoaxes, fads, and fashions, PBS and nonaversive treatment are in my opinion contrary to a scientific understanding of developmental disabilities and to truly humane special education and other interventions. I hope the popularity of PBS will wane as people return to its scientific roots in ABA.

References
Kauffman, J. M. (2005). Characteristics of emotional and behavioral disorders of children and youth (8th ed.). Upper Saddle River, NJ: Prentice Hall.
Kauffman, J. M., Mostert, M. P., Trent, S. C., & Pullen, P. L. (2006). Managing classroom behavior: A reflective case-based approach (4th ed.) Boston: Allyn & Bacon.
Landrum, T. J., & Kauffman, J. M. (in press). Behavioral approaches to classroom management. In C. M. Evertson & C. S. Weinstein (Eds.), Handbook of classroom management: Research, practice, and contemporary issues. Mahwah, NJ: Erlbaum.
Lerman, D. C., & Vorndran, C. M. (2002). On the status of knowledge for using punishment: Implications for treating behavior disorders. Journal of Applied Behavior Analysis, 35, 431-464.
Mulick, J. A., & Butter, E. M. (2005). Positive behavior support: A paternalistic utopian delusion. In J. W. Jacobson, R. M. Foxx, & J. A. Mulick (Eds.), Controversial therapies for developmental disabilities: Fad, fashion, and science in professional practice (pp. 385-404). Mahwah, NJ: Erlbaum.
Newsom, C., & Kroeger, K. A. (2005). Nonaversive treatment. In J. W. Jacobson, R. M. Foxx, & J. A. Mulick (Eds.), Controversial therapies for developmental disabilities: Fad, fashion, and science in professional practice (pp. 405-422). Mahwah, NJ: Erlbaum
Sailor, W., & Paul, J. L. (2004). Framing positive behavior support in the ongoing discourse concerning the politics of knowledge. Journal of Positive Behavior Interventions, 6, 37-49.

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Secret recovery from EBD?

Projo, the Providence (Rhode Island; U.S.) Journal carried a story about two students who won a contest in which teams of students built imaginary stock portfolios. In the story, C. Eugene Emery Jr. reports that the two boys turned $100K into $128K over 10 weeks by buying and selling securities.

So, why am I recounting this story? Well, here’s the quote that caught my eye:

The two boys who won, whose last names were not released because the school is for adolescents recovering from emotional disturbances and behavior disorders, did better than any of the high school or college teams.

There are two aspects of that quote that made me twist my head. First, why not release the boys’ last names? Emery and his editors use their first names–Bryon and Chris–later in the story and identify their teacher, without noting that the names used were pseudonyms. From the phrasing, I have to guess that the school chose not to release the names.

Is the reluctance to use their last names something about the way Bryon and Chris gained noteriety? What if the boys were being recruited by a top collegiate basketball program? What if they had helped classmates escape a conflagration? That’s probably not the reason the school withheld Chris and Bryon’s names.

Probably, the reason is that someone thought Bryon and Chris would be stigmatized by being recognized as having EBD. You know how it goes: “Keep these things quiet…no need to add to their difficulties by recognizing them.” It’s a well-intentioned motive, but probably a misguided one. If you’ve done something well, recognition of your achievement is deserved. I’d have to bet that Chris and Bryon were pretty proud of winning. Would they want to hide their light under a basket?

Leaving that aspect of the quote alone for now, let me turn to the second idea that raised concern for me, Emery’s use of the word “recovering.” The language may reflect what he was told by representatives of the school or it may just be his own phrasing. Regardless, I find it inappropriate. I associate “recovering” with the language of Alcholics Anonymous and related movements, not with scientifically based treatment of EBD.

Does one recover from EBD? Can one ever? Do you have to go to meetings to recover?

Even more problemsome to me is the possibility that the boys’ school, Stevens Childrens Home, uses this language deliberately, that they base the program they provide on recovery from alcoholism. Although I would agree that EBD is almost always a life-long condition and therefore students must vigilantly adhere to a self-control regimen, I doubt that a 12-step program is a good basis for educational treatment of EBD.

It would be great if we could have some secret recovery from EBD. However, I suspect it’s better to recognize that treating EBD successfully requires hard work and much of it must be public.

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