Assent
What is the definition of assent in the context of Applied Behavior Analysis?
Assent is the agreement to participate by an individual who cannot legally provide informed consent.
What do you refer to when you have an ethical dilemma?
RBT Ethics Code
What are three ways an individual can express dissent or withdrawal of assent?
Verbal:
•Saying “no” or “I don’t want to.”
•Whining or protesting (e.g., “I don’t like this.”).
•Asking to do something else (e.g., “Can we play instead?”).
•Repeatedly saying “all done” or “stop.”
•Making negative statements about the task (e.g., “This is boring.”)
Nonverbal:
•Shaking their head “no.”
•Turning away or avoiding eye contact.
•Pushing materials or items away.
•Walking away or trying to leave the area.
•Crying, frowning, or showing frustration through body language.
How does assent differ from informed consent?
Informed consent is legally binding, while assent focuses on ongoing voluntary participation.
What is one reason why honoring assent and dissent is important in therapeutic and educational settings?
Gives people a say
Ensures dignity, autonomy, and self-determination
Builds trust
Avoids unnecessary stress or frustration
What are three options practitioners have when a learner withdraws assent?
Remove the treatment conditions
Reintroduce treatment conditions later
Modify treatment conditions
What are two practical ways practitioners can promote assent during interventions?
Recognize assent and dissent in your client
Create opportunities for individuals to express assent and dissent
Model appropriate assent and dissent to your coworkers, supervisors, and clients
What ethical considerations must behavior analysts keep in mind when implementing assent-based practices?
(think the RBT ethics code topics -- you don't have to have the exact numbers)
•1.06 maintaining client dignity
•2.05 rights of clients
•3.01 responsibility to clients
•3.07 involving clients and stakeholders
•3.09 least restrictive procedures
What are two strategies you can use to complete difficult but necessary tasks (e.g., personal hygiene) with a client who is showing dissent?
Pre-emptive Communication
Offer Choices
Validate Emotions
Respect Boundaries
Reinforce Positively