- Format: Kindle Edition
- File Size: 466 KB
- Print Length: 23 pages
- Simultaneous Device Usage: Unlimited
- Publisher: Sharon Greenwood (4 May 2014)
- Sold by: Amazon Media EU S.à r.l.
- Language: English
- ASIN: B00K597LXU
- Text-to-Speech: Enabled
- Word Wise: Enabled
- Average Customer Review: Be the first to review this item
- Amazon Bestsellers Rank: #864,706 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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The Autism Business: A Candid Look Behind the Scenes of ABA Therapy: An Introduction Kindle Edition
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Most helpful customer reviews on Amazon.com
Let me outline the major critiques I have from least to worst:
1) Incredibly short - I think it took me about 5 minutes to read the entire thing. Consequently, the ideas are not well developed or organized.
2) Where are the real issues? There are fundamental problems with ABA clinics including cash flow, high overhead, nightmare logistics, and poor business management. This opinion piece didn't touch on those at all and was merely a litany of rants and complaints about being a junior therapist.
3) Self-serving - It is more like a stream of examples from the field that elevate the author's superiority. "I wanted to speak up but...", "The supervisor pushed away the child in fear while I was sitting there angrily," "The supervisor whispered 'let's pretend we know what we are doing' while I was shocked because I was conducting trials at the time (implying that the supervisor couldn't distinguish between NET and structured DTT)." Most of the examples subtly illustrate how ignorant the supervisors are and how smart he/she was in comparison.
4) Not Representative - The above points could be overlooked if the content was reflective of the experience, but none of the examples resonated with me. I worked in one of the "prestigious" companies and also a smaller company for several years and saw the full gamut. Never once have I heard people make fun of the families or even make a judgmental remark about their marriages or cleanliness of their homes. To the contrary, being an in-home ABA therapist gives you a window to the strain on families and that elicits a high degree of compassion from most therapists. Clearly whatever center or company this person was with had very poor practices but I cannot in good faith endorse it as being encompassing of the "Autism Business" as the title of the book suggests.
5) The author lacks the fundamental understanding of ABA principles - The worst offense however is the clear lack of understanding of how ABA works. This is particularly worrisome if parents read this and get the wrong impression. Case supervisors and BCBA's are able to make treatment recommendations based on the interpretation of progress through the data. It's why they get paid at least double if not four times what therapists make. It's like saying that an executive can't run a business effectively without interacting with the customers or that a doctor can't oversee a treatment plan without doing the work of support staff like nurses. Lastly, the concept of generalization is CRITICAL to the child's success. The author doesn't value subs and believes that it wastes time because the child tantrums from the new person. This is precisely what must be worked through! The child cannot only receive instruction from the same person for the rest of their lives and the fact that the child tantrums demonstrates just how strongly this is needed. The "not knowing what do do" on a sub case is a reflection of that particular company because each target should be mapped out and tracked and communicated through the data sheets or digital records. Having subbed on cases before, it can generally slow the pace of the therapy because you have to "catch up" on what is required, but I never went in feeling lost, confused, or scared. Nor did I feel like the company was pushing subs for billing reasons. Rather any lost time in ABA therapy during the critical period is time that you can never get back.
In short - this "book" was a let down on many fronts and promoted unnecessary fear mongering about the "truth" of ABA therapy that has the potential to be damaging for parents.
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