The Behavioral Observations Podcast with Matt Cicoria

In this episode, I'm joined by John Guercio for a wide-ranging and practical conversation about leadership through a behavioral lens. John and I dig into what it actually means to lead in applied behavior analysis, especially when so much of the existing leadership literature is vague, mentalistic, or disconnected from observable behavior. We start by talking about the need to operationalize leadership in behavioral terms and explore the four leadership hats developed by Dr. Paulie Gavoni: leading, training, coaching, and managing. We break down what each of these roles looks like behaviorally, how they function across time, and why effective leaders need to move flexibly between them rather than relying on a single style. A major theme of the episode is the role of positive reinforcement in leadership. John shares real-world examples from his OBM coursework and his work at Cornerstone Behavioral Services, highlighting how difficult—but necessary—it can be to shift away from punitive and avoidance-based management strategies. We discuss why punishment often "works" in the short term, why leaders continue to rely on it, and how reinforcement-based leadership creates better outcomes for both staff and organizations. We also spend time unpacking the distinction between leadership and management. John reflects on his own strengths and limitations, describing how he focuses on vision and direction while intentionally surrounding himself with strong managers who excel at systems, logistics, and follow-through. This leads to a powerful discussion about positional authority, seniority, and the myth that leadership status entitles people to treat others poorly. Throughout the episode, we return to the importance of psychological safety, consistent feedback, and emotional regulation in leadership roles. John shares practical strategies for navigating tough conversations, including how to balance empathy with accountability, how to manage staff expectations, and how to avoid letting emotion drive professional communication (including when not to send that email). We also talk through concrete tools and exercises for improving leadership practice, such as symbolic problem-solving activities to surface unspoken team issues, written acknowledgment systems, and using assessment tools like the Performance Diagnostic Checklist to guide supervision and coaching. John closes by sharing future directions for developing empirically grounded management assessment tools, along with a preview of his upcoming work and conference presentations. This is a practical, honest conversation for anyone supervising staff, leading teams, or trying to build reinforcing, values-consistent organizations in human services. Resources & Links Mentioned in This Episode RBT Course for Adult Services (the 'bridge' course too!) Sims and Szilagyi (1975). Leader reward behavior and subordinate satisfaction and performance Stone Soup Conference Registration (use code PODCAST26 at checkout) Carr and Wilder (2015). The Performance Diagnostic Checklist—Human Services John's previous BOP appearances Session 274: Psychological Safety in the Workplace (Supervision CEU!) Additional Books, Articles, and Ideas Discussed John's books on Amazon Komaki (1998). Leadership from an Operant Perspective McGregor (1960). The Human Side of Enterprise Daniels and Daniels (2023). The Measure of a Leader Elliot (2012). Leading Apple With Steve Jobs: Management Lessons From a Controversial Genius Covey (2020). The 7 Habits of Highly Effective People, 30th Anniversary Edition Harley (2013). How to Say Anything to Anyone Grenny et al. (2021). Crucial Conversations (Third Edition): Tools for Talking When Stakes Are High Sponsor shoutouts! Office Puzzle: A thriving ABA practice depends on systems that actually support your team, not slow them down. If you've struggled with software that's buggy, hard to navigate, or offers little support when you need it most, you're not...

In Session 320, I sit down with Landon Cowan and Tiffany Kodak to talk about an area of behavior analysis that doesn't get nearly enough attention: professional (or "soft") skills. We spend a lot of time in our field teaching and refining technical, clinical, or "hard" skills—and for good reason. But far less time is devoted to the interpersonal, communication, and problem-solving skills that ultimately determine how effective we are as clinicians, supervisors, and collaborators. In this conversation, Landon and Tiffany share their research aimed at identifying, defining, and measuring these professional skills, along with some eye-opening findings about where skill gaps exist. 🔍 What We Cover in This Episode How hard skills differ from professional (soft) skills in behavior analysis Why professional skills are so difficult to define, measure, and systematically teach How Landon and Tiffany developed a comprehensive professional skills survey for behavior analysts The challenges of survey design, including question format, length, readability, and pilot testing Results from a survey completed by 189 ABA supervisors, including: Which skills supervisees demonstrate most frequently Which skills supervisors rate as most important for career advancement A significant gap between the importance of problem-solving skills and how often they're actually demonstrated Why solution-based problem identification and independent problem solving emerged as key areas for improvement A surprising finding that many supervisors report feeling confident teaching these skills despite identifying major skill deficits How Behavioral Skills Training (BST) can be used to effectively teach professional skills Why the field needs clearer operational definitions and better data collection to build a stronger literature base Practical advice for BCBA trainees and early-career BCBAs around self-assessment, feedback, and ongoing professional development 🎯 Key Takeaways This episode reinforces something many of us already suspect: professional skills matter—a lot. In many cases, they're just as important (if not more important) than technical expertise when it comes to supervision, leadership, and long-term success in the field. Developing these skills requires intentional training, honest self-reflection, and a commitment to continuous learning. My hope is that this conversation helps push our field toward doing a better job of teaching, measuring, and valuing the skills that make behavior analysts more effective in the real world. Resources and Links Dr. Kodak's faculty page at Marquette University. Dr. Cowan's LinkedIn page. Cowan and Kodak (2024). Professional Skills for Behavior Analysts: A Survey on the Proficiency and Importance of Hard and Soft Skills. LeBlanc, Taylor, and Marchese (2019). The Training Experiences of Behavior Analysts: Compassionate Care and Therapeutic Relationships with Caregivers. Taylor, LeBlanc, and Nosik (2018). Compassionate Care in Behavior Analytic Treatment: Can Outcomes be Enhanced by Attending to Relationships with Caregivers? The Stone Soup Conference (use promo code PODCAST26 to save at registration). Sommers-Flanagan and Sommers-Flanagan (2023). Clinical Interviewing. Carroll, Preas, and Paden (2022). Training supervisors to provide performance feedback using video modeling with voiceover instructions: A replication. Sponsor shoutouts! Office Puzzle: A thriving ABA practice depends on systems that actually support your team, not slow them down. If you've struggled with software that's buggy, hard to navigate, or offers little support when you need it most, you're not alone. That's why so many practices are switching to Office Puzzle. Go to officepuzzle.com/bop to learn more! Frontera. Consider taking a demo of Frontera's Assessment Builder and see how the ethical application of AI technologies can help you serve clients and save you time! Your first assessment report is free. And if you...

Don't adjust your podcast player folks, you have the right show. Welcome to Session 319 of the Behavioral Observations Podcast. If you've been listening for a bit, you know what's coming. If you're new to the show however, first, welcome and thanks for listening. Every year, I team up with my friends from the ABA Inside Track Podcast to do a Year In Review episode. We've tinkered with the format over time, but for this one, we talk briefly about the trends and issues that we thought were important in 2025. From there, we discussed some of the most downloaded shows from our podcasts this year and speculate as to why these ones resonated so much. We close the show talking about how both of our shows are turning 10 years old very soon. So we look back on what we've learned over a decade of podcasting! Today's episode is brought to you by, · FronterademoBOP25fronterahealth.com· HRIC Recruting· The 2026 Stone Soup Conference!· Behavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.

In this episode, I sit down with Dr. Sarah Frampton, who conducts research on, amongst other things, improving how we teach, learn, and organize information using behavior-analytic strategies. We explore her career journey, her research on graphic organizers and the Cover, Copy, Compare (CCC) strategy, and the broader implications for stimulus equivalence, educational technology, and effective teaching. In This Episode, You'll Learn: Applied Behavior Analysis (ABA)CCCstimulus equivalenceCCC with graphic organizersFrampton, Vesely and Jackson, 2025 Highlights From Our Conversation: Sarah's Path Into ABA Sarah shares how a thesis requirement and a Craigslist job posting led her to ABA, including formative experiences working with Dr. Alice Shillingsburg at the Marcus Autism Center. These experiences sparked her interest in efficient, broadly applicable learning strategies. Why Note-Taking Strategies Matter We discuss the value of graphic organizers and the Cover, Copy, Compare (CCC) strategy: CCC and Stimulus Equivalence Sarah walks through stimulus equivalence with clear examples, showing how teaching certain relations can produce broader learning without direct instruction. She also highlights a study where CCC and graphic organizers helped learners prepare for tests—even under intentionally challenging conditions. Graphic Organizers in Action Key findings from Sarah's research: Training Learners to Use These Strategies Sarah outlines her training sequence, including pre-tests, video instruction, practice with familiar material, and application to abstract stimuli. A core goal was strategy generalization—ensuring learners could apply CCC to new material independently. Research Findings Most participants quickly mastered abstract relations and passed post-tests after brief training. Notably, all participants used the CCC strategy—some even more meticulously than required. Educational Technology, Engagement, and Mediation Participants reported the educational technology intervention was easy to use and helpful, contrasting with high dropout rates in similar studies. Sarah also describes how participants naturally used private verbal behavior, such as naming stimuli or creating stories, to aid learning. Visual Learning Tools in ABA We discuss the broader application of visual supports—graphic organizers, flashcards, handwriting—and their role in enhancing learning efficiency for both adults and children with autism. Looking Ahead Sarah previews her upcoming presentation at the Verbal Behavior Conference, covering generative learning and assessment tools. We also explore how collaboration and community can reduce burnout and increase long-term job satisfaction in ABA in the "advice for the newly-minted" segment. Resources & Links Session 287Session 80Shillingsburg, et al. (2016)Frampton and Linehan (2024) Sponsor shoutouts! Office Puzzleofficepuzzle.com/bopFronterademoBOP25fronterahealth.comCertified Health Coach ProgramClick hereThe 2026 Stone Soup Conference!The 2026 Verbal Behavior Conference!

In Session 317, I sit down with Dr. Francesca Delia Espinoza to revisit one of the most foundational—but often misunderstood—topics in behavior analysis: eye contact. We explore why eye contact shouldn't be treated as a simple objective, but instead understood within its broader social and developmental context. Francesca explains how eye contact is better re-framed as "eye-looking," and why behavior analysts need a strong conceptual foundation for evaluating when, how, and why to teach it. We discuss her recent paper in Perspectives on Behavior Science, which encourages practitioners to analyze the controlling variables behind eye contact rather than relying on rote teaching procedures. We then shift into the role of eye contact in autism development and early intervention. Francesca discusses how deviations in gaze behavior can influence a child's learning trajectory, and why early, naturally occurring social contingencies can make such a significant difference. We also touch on the potential aversiveness of eye contact for some individuals, and how to navigate that ethically and effectively. Our conversation expands into related research on social media, gaze avoidance, and how adults and children with autism engage differently with eye-related cues online. Francesca also talks about her Substack newsletter, "What Darwin Taught Me," which blends behavioral science with accessible and engaging writing. From there, we explore her creative work in conceptual fiction, including her "Aura" series from her Substack Newsletter — a not-too-distant science-fiction world where behavior analysts work alongside AI systems that analyze sessions, generate programs, and support day-to-day clinical tasks. This leads us into a broader discussion about the role of AI in applied behavior analysis, including its promises, limitations, and the importance of preserving hands-on clinical expertise. Francesca describes one of the short stories in the Aura series about behavior analysts who travel to developing countries, only to realize their reliance on technology becomes a liability when the systems fail. It's a striking reminder that behavior change happens in real time, and nothing replaces skilled human interaction. We close by reflecting on how emerging technologies—AI, automation, and digital platforms—might shape the future of ABA for better or worse. Resources and References Mentioned: Aura storyline hereStromberg, et al. (2025)Skinner (1986)The Craft of Applied Behavior AnalysisEye Contact, Joint Attention, and AutismCline (2012)The Matrix Sponsor Shoutouts! FronterademoBOP25fronterahealth.comCertified Health Coach ProgramClick hereHRIC RecrutingThe 2026 Stone Soup Conference!Behavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.The 2026 Verbal Behavior Conference!

Episode Overview In this special episode of the Behavioral Observations Podcast, I had the honor of celebrating the 25th installment of the Inside JABA Series. This one was particularly meaningful because it also marks the final appearance of Dr. John Borrero in his role as Editor-in-Chief of The Journal of Applied Behavior Analysis. I invited John to reflect on his three-year tenure—what he learned from reading an enormous volume of manuscripts, how his thinking evolved, and why adapting our language is essential if we want behavior analysis to reach broader audiences. From there, we transitioned into an informative conversation with Dr. Nate Call from Emory University. Nate's recent work focuses on how we can better disseminate applied behavior analysis, not just distribute it. His paper, Scholarship as an Operating Class: Strategies and tactics for increasing dissemination of applied behavior analysis, has already shifted how I think about how our field packages and shares research. In this episode, Nate walked us through actionable strategies for increasing the reach and impact of our work. Key Topics Covered in This Episode 1. John Borrero's Reflections from the Editor's Chair John looked back on his three years as Editor-in-Chief, and I asked him what surprised him most. He talked about: clear, accessible languageJABAtranslated articles2. The Real Difference Between Dissemination and Distribution Nate clarified something that—and I'll admit—I hadn't always thought deeply about: there's a big difference between making your work available and ensuring your work is actually used. Nate described it like: DistributionDisseminationHe also explained why early-career researchers often focus on distribution out of necessity, and how we can transition to more deliberate dissemination strategies over time. 3. Scholarship as an Operant Class Nate walked me through the framework behind his recent paper. He described scholarly behavior as something shaped by contingencies—just like anything else. We talked about: 4. Boundary Encounters and Second-Generation Innovations I asked Nate about how ideas move between disciplines, and he introduced the concept of boundary encounters. We discussed: second-generation innovations5. Expanding Our Methodological Toolkit We took a deep dive into methodology and talked about the strengths of single-subject designs—as well as their limitations. Nate made a compelling case for: Randomized Control Trials6. Participatory Action Research and Social Validity I asked Nate to explain participatory action research, and he shared a powerful example involving first responders and families in crisis situations. He emphasized: 7. Measuring Our Impact More Effectively We also explored how to know whether dissemination is working. Nate and I discussed: citing intentionally8. Nate's Advice for New BCBAs To close the episode, I asked Nate what he'd tell new behavior analysts entering the field. He encouraged them to: 9. Resources Mentioned in this Podcast Foxx (1996)Chawla (2020)Critchfield, et al. (2013)Klein and Thompson (2025)The Prisoner's DilemmaCall et al. (2015)Critchfield (2002)Inside JABA 18Implementation ScienceParticipatory Action ResearchIf you're passionate about increasing the influence of behavior analysis—whether through research, writing, teaching, or practice—this episode offers clear, functional guidance for how to do it.

Thanks for joining me in Session 315 of The Behavioral Observations Podcast. In this episode, I spoke with Drs. Gabi Morgan and David Adams to dive deep into trauma-informed behavior analysis. Gabi brings her 30-year journey in the field—from undergrad roots to professorship at Bay Path University—while David shares his evolution from child and family therapy to clinical psychology, with a heavy focus on foster and adoptive parenting. Both guests are passionate about closing the divide between trauma therapy and behavioral strategies, and they credit mentors like Dr. Jeannie Golden for lighting the way. We kick things off by unpacking what trauma really means. In doing so, as a content warning, please be aware that we do make general references to a variety of traumatic and adverse experiences. Having said that, David walks us through SAMHSA's three-part definition: the event, the experience, and the effects. It's not the event itself that defines trauma—it's the individual's response. He introduces "adverse conditioning experiences" as a behavior-analytic twist on adverse childhood experiences (ACEs), spotlighting how negative associations get wired in through conditioning. From there, we contrast PTSD and complex PTSD. Same core symptoms (intrusive thoughts, avoidance, etc.), but complex PTSD adds prolonged exposure and three extra layers: impaired self-worth, rocky relationships, and emotional dysregulation. Gabi drives home a critical point: folks with developmental disabilities are at higher risk for trauma but often fly under the diagnostic radar. We need to get better at spotting trauma-related behaviors in this population. Screening, Brain Science, and Practical Strategies Screening is a big theme. We all agree behavior analysts aren't formally trained in assessment, but we have to be aware of how this is done. Gabi loves the Child Health and Development Institute's Child Trauma Screen (CTS), and the Massachusetts Child and Adolescent Needs and Strengths (Mass CANS) tool. David then nerds out on the neurobiology: trauma affects the amygdala (hypervigilance), hippocampus (memory glitches), hypothalamus (stress gone haywire), and frontal lobe (decision-making on the fritz). Enter the "amygdala hijack"—when fear short-circuits rational thought. Bottom line? Kids in fight-or-flight aren't in a teachable moment. Safety and calm have to come first. We close the show with actionable takeaways: risk-benefit analyses for every intervention (especially with histories of food neglect), "kind extinction" (empathy + withholding reinforcers), and the six pillars of trauma-informed care (safety, trustworthiness, peer support, collaboration, empowerment, cultural competence). TIC isn't a "hyphenated" ABA—it's the whole framework. Advice for new BCBAs? Seek trauma training, question "business as usual," and be the stable adult in a kid's chaotic world. Empathy, creativity, and reducing fear are your superpowers. Additional Resources Toward Trauma-Informed Applications of Behavior Analysis (Rajaraman, et al., 2021)Inside JABA 10 with Drs. Jenn Austin and Adithyan Rajaraman Dr. Camille Kolu's BOP episode on Buffers (a must listen!)4th Annual Bay Path University Trauma-Informed Practice and ABA ConferenceDavid's book: Trauma-Informed Foster and Adoptive Parenting SAFE-T Assessment Training from Cusp Emergence UniversitySponsor Shoutouts! FronterademoBOP25fronterahealth.comCEUs from Behavioral ObservationsherehereThe 2026 Stone Soup Conference!Certified Health Coach ProgramClick hereThe 2026 Verbal Behavior Conference!

If you follow Behavioral Observations on Instagram, you might recall that I had the once-in-a-lifetime opportunity to travel to the 20th Annual Hawaii Association for Behavior Analysis conference to give the closing Keynote Address. I could devote an entire podcast episode to talking about all the wonderful people I met, the fun experiences I had, and the amazing sights I was able to take in. One of the biggest highlights though, was the opportunity to sneak in the following conversation I had with a panel of employees from Hawaii's Department of Education. It turns out that the State of Hawaii is doing some innovative work in bringing to bear specific behavioral technologies to improve the supports provided to children in school settings. This work is organized into a large scale endeavor that they have named The CARE Project. This panel consisted of Alysha Kim, Dodi Pritchett, Joshua Hoppe, and Sherene Hajiro. And before getting any further into this introduction, I want to thank my friends Katie Croce and Jamie Salter from Self and Match, for not only nudging us to have this conversation, but for also financially supporting it with a generous donation to the HABA. Here's what we talked about: FTFEmergent Learning Sponsor shoutouts! FronterademoBOP25fronterahealth.comCEUs from Behavioral ObservationshereBehavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.Certified Health Coach ProgramClick hereThe 2026 Verbal Behavior Conference!

In Session 313, Dr. Cody Morris from Salve Regina University, and the newly re-launched All Things Behavior podcast (please also see The BAPcast Podcast), joins me to dive into a topic that has merited quite a bit of discussion in Applied Behavior Analysis. These days, you pretty much have to be living under a rock in ABA circles to not have noticed the increased focus on assent practices in treatment programming. Cody is one of the preeminent authorities on this topic, and in this episode, we talk about the definitions of assent, how assent has been conceptualized in other fields, and how it applies to the work we do as Behavior Analysts. In doing so, we review Cody's article, Toward a Further Understanding of Assent, which was published in the winter 2024 issue. Long story short, if you're looking for a nuanced discussion on this topic that avoids binary, black and white conceptualizations, you've come to the right place. Here's a deeper dive into what we discussed: Assent in Behavior Analysis: Cody's research on assent—a concept similar to consent but applicable to individuals without legal authorization to consent for themselves. Assent involves four critical features: legal status, giving permission, adequate information, and the ability to withdraw permission. This concept is essential for involving clients in therapeutic decisions, particularly those with communication differences or developmental disabilities. Client Assent in Therapeutic Settings: The discussion covers the historical roots and practical applications of assent in behavior analysis. Cody clarifies that assent is a specific strategy for involving clients in treatment decisions, not an all-or-nothing requirement. He addresses the challenges of obtaining accurate verbal assent from clients with complex communication needs and recommends using multiple sources of information when assessing client preferences. Assent Procedures in Research: An examination of assent procedures in behavior analytic research, including the distinction between free choice and fair choice. The episode explores how researchers and clinicians can minimize undue influence and coercive contingencies while arranging fair choices and creating socially acceptable outcomes. Balancing Clinical Progress and Client Autonomy: Cody discusses the critical balance between making clinical progress and giving clients independence and autonomy. He explains that while some procedures are necessary and non-negotiable, there are often opportunities to involve clients in decisions about their treatment, such as choosing the time of day or setting for therapeutic activities or medication management. Implementing Assent in Practice: The episode addresses nuances and limitations of implementing client assent in behavioral therapy, emphasizing that assent should be balanced with clinical progress. Cody highlights the dangers of overgeneralizing procedures without individualizing treatment and encourages a broader approach to maximizing client involvement in therapeutic decisions. Challenges in Assent Assessment: A discussion on the challenges and limitations of developing simplified decision-making tools (like checklists) for assessing client assent. Cody emphasizes the need for nuanced clinical judgment due to insufficient research and recommends that researchers take small, focused steps in studying specific aspects of assent. Resources & References Morris, Dietrich, and Peterson. (2021). Participant assent in behavior analytic research: Considerations for participants with autism and developmental disabilities. Bannerman, et al., (1990). Balancing the right to habilitation with the right to personal liberties: The rights of people with developmental disabilities to eat too many doughnuts and take a nap. Inside JABA 24: Improving Health Routines for Adults with Disabilities Using Synchronous Reinforcement Strategies (CEU available!). Inside JABA 23: ABA Strategies for Safer Playground...

In this episode of The Behavioral Observations Podcast, I talk with Grant Sickle, former Amazon product leader and current head of product at Frontera, a company building AI-powered platforms to improve autism care. Grant shares how his team is developing assessment and diagnostic tools to shorten waitlists, streamline reporting, and support clinicians in delivering more efficient ABA therapy. We also discuss how Frontera’s digital phenotyping app enables HIPAA-compliant behavior tracking, parent engagement, and asynchronous supervision — while addressing the issue of fraud prevention. This conversation highlights both the promise and the challenges of using AI in clinical settings, emphasizing the importance of clinician oversight, robust validation, and feedback loops. Grant also shares insights from Frontera’s home-based pilot program, which helps parents capture real-world behavior data to support better generalization and treatment planning. Whether you’re a BCBA, RBT, parent, or researcher, this episode offers a fascinating look at the intersection of technology, autism care, and ethical ABA practice. What You’ll Learn in This Episode The technique Links to Related Resources Amol DeshpandeSydney HolmesLinkedInInstagramfraudulent billing practicesemail address

In Session 311, I sit down with Christina Nylander and Leah Hussain from Apollo Behavior to talk about culturally sensitive approaches to Autism intervention. We dive into three case studies that show how flexible, individualized care can make a huge difference in building the rapport that's so important in our clinical work. Along the way, we share strategies for gaining parent buy-in, supporting bilingual language development, and using AAC devices to help children communicate more effectively with their families. Here’s what we cover: parent training shiftbilingual language development success storiesAAC devicesvideo documentationThroughout the discussion, we reflect on the importance of balancing clinical recommendations with cultural and educational values. It’s not just about treatment plans—it’s about building trust, respecting families’ perspectives, and helping kids thrive in ways that feel authentic to them. Sidenote: If you want to learn about what it's like to work at Apollo, or check out their open positions, click here. Key Takeaways If you’re a BCBA, ABA therapist, or behavioral health professional, I think you’ll find this conversation full of practical ideas for making your work more effective—and more meaningful. Bilingual & Dual‑Language Interventions Neely et al. (2020)Impact of language on behavior treatment outcomes.Banerjee et al. (2021)Extending Functional Communication Training to Multiple Language Contexts in Bilingual Learners with Challenging Behavior.Cengher (2024)Cultural Responsiveness, Humility & Systemic Equity in ABA Deochand, Neil & Costello, Mack S. (2022).Building a Social Justice Framework for Cultural and Linguistic Diversity in ABAJimenez-Gomez, Corina & Beaulieu, L. (2022). Cultural responsiveness in applied behavior analysis: Research and practiceABA Effectiveness & Need for Cultural Inclusion Yu, Qian; Li, Enyao; Li, Liguo; Liang, Weiyi (2020).Efficacy of Interventions Based on Applied Behavior Analysis for Autism Spectrum Disorder: A Meta‑Analysis.Spreckley, Michele & Boyd, Roslyn (2009)Efficacy of Applied Behavioural Intervention in Preschool Children with Autism for Improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-AnalysisBonus resources Clinical InterviewingTobii DynavoxSession 194, Inside JABA 12: Cultural Responsiveness in Applied Behavior AnalysisSponsor Shoutouts! FronterademoBOP25fronterahealth.comCertified Health Coach ProgramClick hereHRIC RecrutingBehavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.

In this episode of the Inside JABA Series podcast, we dive into a fascinating discussion on health-related routines for adults with intellectual and developmental disabilities (IDD). Dr. Katie McHugh, Dr. Claudia Dozier, and Editor-in-Chief Dr. John Borrero share insights from their recent study, Synchronous Reinforcement Schedules Promote Tolerance of Health-Related Routines for Adults with Disabilities. The conversation explores how synchronous reinforcement schedules—where reinforcement occurs in real time alongside behavior—can improve tolerance for essential routines like toothbrushing, bathing, wearing medical devices, and more. The research team highlights case studies, methodological considerations, and the broader implications for clinical practice. Key Topics Covered ✅ Synchronous reinforcement schedules and why they may be more effective (and preferred) than delayed reinforcement. ✅ Applications for health routines such as toothbrushing, bathing, mask-wearing, GPS bracelets, helmets, and pulse oximeters. ✅ Collaborative service delivery with nursing and medical professionals. ✅ Challenges in participant consent and maintaining experimental control. ✅ Importance of measuring both behavioral outcomes and affective states. ✅ Future research directions, including reinforcer assessments, continuous vs. discontinuous schedules, and maintaining treatment effects. Next Steps and Future Directions Editorial updates for broader keyword usage to increase accessibility outside of behavior analysis. Comparing graduated exposure with contingent vs. synchronous reinforcement interventions. Implementing more systematic preference and reinforcer assessments in future studies. Exploring hybrid approaches (e.g., combining graduated exposure with synchronous reinforcement). Collecting more comprehensive data on participant affect and treatment integrity. Resources & References Dr. Dozier's lab website. Dr. Dozier's KU faculty page. KU ABS online and on-campus graduate programs. DeLeon, I. G., Hagopian, L. P., Rodriguez-Catter, V., Bowman, L. G., Long, E. S., & Boelter, E. W. (2008). Increasing wearing of prescription glasses in individuals with mental retardation. Journal of Applied Behavior Analysis, 41(1), 137–142. Diaz de Villegas, S. C., Dozier, C. L., Jess, R. L., & Foley, E. A. (2020). An evaluation of synchronous reinforcement for increasing on-task behavior in preschool children. Journal of Applied Behavior Analysis, 53(3), 1660–1673. Hardesty, E. M., Lerman, D. C., & Hardee, J. L. (2023). A comparison of synchronous and noncontingent stimulus delivery on task engagement. Journal of Applied Behavior Analysis, 56(3), 664–673. Leslie, S. C., Dozier, C. L., Kamlowsky, M. E., McHugh, C. L., Diaz de Villegas, S. C., & Kanaman, K. C. (2024). Using synchronous reinforcement to increase mask wearing in young children. Behavioral Interventions, 39(1), 1–29. McHugh, C. L., Dozier, C. L., Diaz de Villegas, S. C., & Kanaman, N. A. (2022). Using synchronous reinforcement to increase mask wearing in adults with developmental disabilities. Journal of Applied Behavior Analysis, 55(4), 1157–1171. Williams, D. C., & Johnston, J. M. (1992). Continuous versus discrete dimensions of reinforcement schedules: An integrative analysis. Journal of the Experimental Analysis of Behavior, 58(1), 205–228. Ellis, E. M., Ala’i-Rosales, S. S., Glenn, S. S., Rosales-Ruiz, J., & Greenspoon, J. (2006). The effects of graduated exposure, modeling, and contingent social attention on tolerance to skin care products with two children with autism. Research in Developmental Disabilities, 27(6), 585–598. Halbur, M., Kodak, T., McKee, M., Carroll, R., Preas, E., Reidy, J., & Cordeiro, M. C. (2021). Tolerance of face coverings for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 54(2), 600-617. Richling, S. M., Rapp, J. T., Carroll, R. A., Smith, J. N., Nystedt, A., & Siewert, B. (2011). Using noncontingent...

In Session 309, I welcome Dr. Lyndsy Cofield, Director of Client Success at Apollo Behavior, to share her unique journey in the field of Applied Behavior Analysis (ABA) and her groundbreaking work training law enforcement officers on autism awareness. Dr. Cofield’s path into ABA began with an undergraduate degree in speech pathology, later becoming an RBT and eventually a BCBA. Today, she oversees intake and marketing at a growing clinic network in Georgia while also dedicating her research to improving police interactions with individuals on the autism spectrum. This episode explores the intersection of ABA careers, autism, and law enforcement training, highlighting the challenges and opportunities that come with bridging these worlds. What You’ll Learn in This Episode Entering the ABA Field Understanding Law Enforcement Culture Police Academy Experiences Citizens Police Academy Autism and Law Enforcement Training Applying Behavior Analysis to Autism Training Blue Envelope Project De-Escalation Training in Action Body Camera Footage as a Training Tool 10 body cam videos Ongoing Autism and Law Enforcement Research Why This Conversation Matters The intersection of autism, ABA, and law enforcement is a critical area where misunderstandings can have serious consequences. Dr. Cofield’s research and practical training insights provide a roadmap for safer, more empathetic, and more effective police interactions with autistic individuals. Whether you’re an ABA professional, law enforcement officer, or advocate for the autism community, this episode offers practical takeaways and inspiration to make a difference. Resources & Links Mentioned DissertationThe Blue Envelope ProjectCareers at Apollo BehaviorThe Beyond the Science Podcast This episode is brought to you by the following sponsors: FronterademoBOP25fronterahealth.comHRIC RecrutingCEUs from Behavioral ObservationshereMotivational Interviewing: Getting Educator Buy-Inhere

Episode Overview In this episode, sleep expert Emily Varon returns to the Behavioral Observations Podcast to share her deep expertise in sleep improvement—especially within the autism community. Drawing from 15 years of experience, Emily emphasizes personalized approaches, the role of wearable technology, and the importance of sensitivity when discussing sleep challenges with families. She also discusses new research on screen time and its true impact on sleep latency, offering insights that can reshape how behavior analysts approach sleep-related interventions. Key Topics Covered Personalized Sleep Strategies Why one-size-fits-all sleep advice doesn’t work. How Emily uses wearables like the Oura Ring to identify sleep patterns and triggers. Note: check this out if you want to see if the Whoop Strap is a wearable technology is for you. The role of self-reflection and data tracking in improving sleep. Sleep Hygiene in the Autism Community Sleep as a primary reinforcer and the role of environmental variables. Key elements of good sleep hygiene: consistent schedules, avoiding late-night exercise, and structured bedtime routines. How these strategies apply equally to neurotypical and autistic individuals, with additional sensitivity for pre-existing diagnoses. Screens, Blue Light, and Sleep Latency The evolution of research on blue light and melatonin suppression. Insights from Michael Gradizar’s 2024 study showing only a minor, non-significant delay in sleep onset from screens. Why user behavior matters more than blue light itself—and how behavior analysts can address it. Sleep Research Gaps in Autism The distinction between medical and non-medical sleep researchers. Why more targeted studies in autism are needed, despite data collection challenges. Behavioral tendencies—rather than autism itself—as key factors in sleep disruption. Screen Time, Social Media, and Self-Regulation How apps are designed to maximize engagement and reinforce continued use. The impact of device removal on children’s emotions and behavior. Differences in personality and susceptibility to “dopamine hits” from scrolling. Children’s Sleep and Screen Time Variability Why short shows like Bluey may help some kids wind down, while disrupting others. Understanding sleep architecture and how disruptions affect mood and regulation. Real-world examples of activities (like bedtime reading) that can unintentionally delay sleep. Approaching Sleep Conversations with Families The importance of avoiding yes/no questions about sleep problems. Asking open-ended questions about sleep satisfaction. Building trust with families so they feel comfortable prioritizing sleep interventions. Next Steps for Listeners Special Offer: Use coupon code BXOB10 for 10% off The Sleep Collective course at readysetsleep.com. For BCBAs: Replace checkbox-style questions with open-ended ones about sleep satisfaction. Approach all autism-related cases assuming there may be underlying sleep challenges. For Families: Evaluate how screen time may be affecting your child’s sleep quality and onset. Assess whether your current bedtime routines are truly effective. Links & Resources The Sleep Collective Course – Save 10% with code BXOB10 Emily's first appearance on the BOP in Session 247 Michael Gradisar’s 2024 study on screen time and sleep latency Learn more about Emily Varon’s work at readysetsleep.com Why We Sleep, by Matthew Walker Huge thanks to the following sponsors who keep the lights on! FronterademoBOP25fronterahealth.comCEUs from Behavioral ObservationshereMotivational Interviewing: Getting Educator Buy-InBehavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.

In this episode of the Behavioral Observations Podcast, I had the pleasure of speaking with Dr. Brady Phelps, about a topic that has perplexed, and perhaps captivated both mainstream Psychology as well as pop culture: Dissociative Identity Disorder (DID). Our wide-ranging conversation explored the intersection of behavior analysis, mental health, and trauma, with a special focus on how we can understand DID through a scientific, behavioral lens. Brady’s Career Journey Brady shared how he discovered behavior analysis almost by accident as an undergrad at Utah State University, under the mentorship of Carl Cheney. After a long academic career, Brady retired in 2021 but remains actively involved in the field. He’s currently developing an Experimental Analysis of Behavior (EAB) toolkit with Dr. Steve Eversole at Behavior Development Solutions, and he's also writing a textbook on learning and behavior designed to be accessible to 20-year-olds. Understanding Dissociative Identity Disorder Behaviorally We dove deep into Brady's research on DID, originally published in 2000. His goal was to approach DID from a behavior-analytic perspective, not through traditional psychoanalytic theory. As we discussed, DID has evolved from being characterized by dramatic behavioral shifts to more subtle, self-reported identity disruptions. Brady argued that the identities themselves are better understood as reified constructs—products of distorted tacting that contacts reinforcement—rather than discrete psychological entities. Trauma, Dissociation, and Behavioral Function Brady emphasized the importance of not dismissing trauma reports, while also cautioning against assuming trauma automatically leads to DID. We talked about avoidance behaviors, escape contingencies, and how dissociation might function as a response to overwhelming experiences. He brought up examples like Cotard’s Syndrome to show how distorted tacting can manifest in extreme ways. Rethinking Diagnostic Criteria for DID We discussed research into amnesiac barriers, such as the Concealed Information Test, which shows people might learn something even if they claim not to remember it. These findings, Brady suggested, should prompt a re-evaluation of how DID is diagnosed, particularly the differences between the Post-Trauma Model and the Social-Cognitive Model—the latter of which emphasizes social reinforcement and therapist influence in shaping alternate identities. Therapy Techniques and Reinforcement Contingencies Brady detailed how some therapists use techniques like “roll calls” or even suggesting names to clients in session. While these methods may sound extreme, they reflect how therapist behavior can inadvertently reinforce identity fragmentation. We also discussed Robert Kohlenberg’s 1973 study on behavioral repertoires, which demonstrated how social reinforcement shaped client behavior across different identity presentations. The Sybil Case and Media Influence We revisited the infamous Sybil case, which helped popularize DID in the 20th century. Despite being exposed as fraudulent, Sybil’s story continues to shape public and clinical views of the disorder. We also talked about more recent media portrayals—from TikTok to a 2023 Scientific American article—and how social media can reinforce the performance of alternate identities, especially among vulnerable populations. Behavior Analysis in Mental Health Brady and I wrapped up with a discussion on how behavior analysts can contribute to mental health conversations. He encouraged new BCBAs to collaborate with non-behavioral colleagues while staying rooted in behavioral principles. Above all, he emphasized balancing empathy with scientific rigor—understanding people without falling into speculative mentalism. Show Notes and Resources Brady (2025)Kohlenberg (1973) Wakatama (2024)EAB Toolkit Lester (2023)The true story📢 Sponsor shoutouts: FronterademoBOP25fronterahealth.comCEUs from Behavioral...

Dr. John Guercio returns to the Behavioral Observations Podcast for his third appearance, bringing his extensive experience and fresh insights into the world of adult services in behavior analysis. In this episode, John and Matt discuss the vital, yet often overlooked, field of supporting adults with autism and other developmental disabilities—particularly those with severe behavioral challenges. They explore: Arc of the OzarksApplied Behavior Analysis CenterRBT training programlatest bookrecent researchThroughout the conversation, Dr. Guercio emphasizes the importance of dignity, choice, and inclusion, and provides practical strategies for training and retaining staff who work in high-demand settings. 🧠 About the Guest: Dr. John Guercio is the Vice President of Crisis Services and ABA Services at The Arc of the Ozarks. He has over three decades of experience in adult services and is a published researcher, trainer, and advocate for ethical and effective behavioral interventions for adults. Dr. Guercio is also the author of the Staff Training Manual: Staff Training Strategies for Adult Service Settings, and co-creator of a new 40-hour RBT training program specific to adult services. 📚 Resources & Links: Behavioral Relaxation Training episodeGuercio, et al. (2025)Motivating Human Service StaffOpen Future LearningPerformance Diagnostic ChecklistPerformance Management 17 Therapeutic Communication SkillsDr. Karyn HarveyPositional Authority Ain't LeadershipResultsThe Fearless OrganizationThe need to train more behavior analysts to be better applied researchers📢 Sponsor shoutouts: FronterademoBOP25fronterahealth.comCEUs from Behavioral ObservationshereHRIC RecrutingBehavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.here

En este episodio, conversamos con el Dr. José Alberto Monseco Gómez —analista de conducta, BCBA® e IBA®— sobre un proceso fascinante, aunque poco comprendido aún por muchos analistas de conducta, en la adquisición del lenguaje: el naming bidireccional. A través de una charla accesible y llena de ejemplos, exploramos qué es el naming, cómo se relaciona con conceptos fundamentales del análisis de conducta, y por qué su presencia (o ausencia) puede marcar una diferencia sustancial en el desarrollo de lenguaje complejo. Hablamos de su relevancia tanto en contextos naturales como escolares, su papel como cúspide conductual, y los procedimientos que han demostrado inducir esta habilidad cuando no está presente. José también comparte hallazgos de su propia investigación y experiencia, reflexiones personales como padre y profesional, y consejos valiosos para analistas de conducta que trabajan con población con dificultades en el desarrollo del lenguaje. Bidirectional Naming with Dr. José Alberto Monseco Gómez In this episode, we talk with Dr. José Alberto Monseco Gómez —Behavior Analyst, BCBA®, and IBA®— about a fascinating yet still under-appreciated process in language acquisition among many behavior analysts: bidirectional naming. Through an accessible and example-rich conversation, we explore what naming is, how it connects to foundational concepts in behavior analysis, and why its presence (or absence) can make a significant difference in the development of complex language. We discuss its relevance in both natural and educational settings, its role as a behavioral cusp, and the procedures shown to induce this skill when it is missing.José also shares insights from his own research and clinical experience, personal reflections as a parent and professional, and valuable advice for behavior analysts working with individuals facing challenges in language development.

Welcome back to the Inside JABA series—this is Episode 23, and it's a must-listen for anyone interested in using Applied Behavior Analysis (ABA) to improve safety in school settings. In this episode, Dr. Jeannie Donaldson and Gabriela Gomes join Dr. John Borrero and me to discuss the paper, "Effects of differential reinforcement and time-out on the unsafe playground behavior of young children" (note: first author, Elizabeth Linton unfortunately was not able to join us). 🎯 What You’ll Learn in This Episode: Playground Safety Statistics:Behavior-Analytic Interventions:Reinforcement vs. Time-Out:Study Design and Results:Participant Choice & Social Validity:Implications for Schools: As you can see below, the intervention package was quite effective: 📜 Subscribe to JABA Want access to cutting-edge research like this? Subscribe to The Journal of Applied Behavior Analysis and stay informed on the latest evidence-based practices. 📚 Resources & Research Mentioned: Linton, Gomes, and Donaldson (2025)Donaldson, et al. (2013)Chotto, Linton, and Donaldson (2024)Heck, et al. (2001) Schwebel, et al. (2006)Peltier, et al. (2023) 🎓 Earn CEUs for Listening All Inside JABA episodes are available for CEU credit! Click here to purchase and earn your CEUs.

Michal Pollack joined me to discuss how she uses her training in Behavior Analysis to help her with her personal health and fitness goals. Michal is a Clinical Director at Apollo Behavior. In this episode, we talk about: The Whoop Strap I want to make clear that during this podcast, it's important to note that neither of us are health or fitness professionals. We're not attempting to provide specific advice for listeners that's outside of our scopes of expertise. Instead, a better framing of this episode is to consider this a conversation between two BCBAs talking about how they apply behavior-analytic principles in their own lives. As such, if you're looking to make changes to your fitness, please consider working with a credentialed professional, with the input of your primary care provider. You can follow Michal on TikTok or LinkedIn here and here. If you'd like to learn more about working at Apollo, you can read about them here. Articles and resources mentioned: Camp and Hayes (2012)Donaldson and Normand (2009)Hustyi, Normand, and Larson (2013)Whoop Strap This podcast is brought to you by: FronterademoBOP25fronterahealth.comCEUs from Behavioral ObservationshereHRIC RecrutingBehavior University.8-hour Supervision CourseRBT offeringsbehavioruniversity.com/observations.Apollo Behaviorcurrent job openings

In the second installment of Behavioral Observations' Frontera Series on AI, I had the pleasure of speaking with Sydney Holmes, a Board Certified Behavior Analyst and master’s level psychologist. Sydney is also the Clinical Product Lead at Frontera, where she’s helping bridge the gap between behavior analysis and artificial intelligence in some really exciting ways. Did you miss the first Frontera Series interview with CEO and Founder, Amol Deshpande? Check it out here! We covered everything from using AI tools for clinical work and content creation, to how machine learning is reshaping supervision, diagnostics, and parent support. From Marine Biology to Behavior Analysis Sydney has a unique background. She started in marine biology and eventually found her way to psychology and behavior analysis. Today, she’s at the forefront of tech innovation in her role at Frontera, where she combines clinical insight with product development. What is Digital Phenotyping? One of the more fascinating parts of our conversation was about digital phenotyping. Frontera is using AI to analyze real-world video data in order to track, measure, and interpret client behavior—helping clinicians make faster, more informed decisions. Teaching AI to Understand Behavior Sydney described the challenges of teaching machines to detect nuanced behaviors like crying or vocal stereotypy. It takes close collaboration between BCBAs and engineers to develop AI tools that are truly clinically useful. Enhancing Diagnostics and Supervision with AI We talked about how Frontera is helping BCBAs with autism diagnostics, supervision, and quality assurance through smart automation. Their platform supports more efficient monitoring of RBT sessions and helps maintain fidelity to treatment protocols. Real-Time RBT Session Review and Feedback Frontera’s video tools allow for recording of every RBT session, making it possible to provide objective, real-time feedback. The goal is to support staff in a way that’s consistent and non-punitive, which aligns with what we know about effective supervision. Improving Parent Engagement with Mobile Apps Sydney also discussed how their mobile app allows caregivers to submit short videos of their interactions with their child. This enables BCBAs to provide timely, video-based coaching and collect meaningful data outside of traditional session settings. Advice for Behavior Analysts Embracing AI Her advice for clinicians? Stay curious but skeptical, lean into collaboration, and look for ways to use technology to enhance—not replace—the human side of behavioral healthcare. Learn More To learn more about Frontera’s tools and mission, visit frontera.health. You can also connect with Sydney and the team on LinkedIn and other social platforms. Thanks for listening and supporting the podcast. If you found this conversation helpful, be sure to subscribe and share it with a colleague!