424 | What's Wrong with Our Field? The Problem with ABA
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Episode summary
In this episode of the What's Wrong with Our Field? series, I examine why I believe Applied Behavior Analysis (ABA) remains one of the most concerning practices in pediatric mental health. I discuss its historical origins, the philosophy on which it was built, and why I believe its directive, compliance-focused approach stands in direct contrast to the principles of child-centered play therapy. I also explain why ABA continues to be widely recommended despite growing criticism from autistic adults and families, and why therapists need to be prepared to thoughtfully discuss these concerns with parents seeking guidance.
I also explore the alternatives. Rather than simply criticizing ABA, I share why I believe CCPT provides a developmentally appropriate, relationship-based approach that honors the child while fostering emotional growth, self-regulation, and resilience. For families seeking in-home support, I also discuss DIR/Floortime as an approach that aligns more closely with child-centered principles. This episode is an invitation for therapists to become informed advocates who help families make treatment decisions based on evidence, values, and what best serves the child.