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Results
#1. A newly certified behavior analyst begins working at a residential facility for adults who are employed and live semi-independently. During an intake conversation, a resident informs the behavior analyst that they smoke tobacco products. Concerned about the health implications, the behavior analyst proposes developing a behavior plan to reduce smoking. However, the resident firmly states, ‘I do not want to quit smoking at this time.’ Considering the resident’s autonomy and legal status as a competent adult, what is the most appropriate and ethical course of action for the behavior analyst to take?
This scenario highlights the ethical principle of respecting client autonomy and selfdetermination especially with competent adults The text explicitly states when youre working with adults we need to respect them we need to treat their wishes with seriousness okay they have a right to be involved in their treatment planning and once they get to adulthood they have the rights of adults if they want to smoke theyre legally allowed to smoke they dont want to so what are you gonna do youre going against their wishes Option A forcing a plan directly contradicts the clients expressed wishes and violates their autonomy Option B using punishment is highly unethical goes against the principle of least restrictive interventions and is punitive for a legal behavior the client does not wish to change Option C reporting the client is an inappropriate breach of confidentiality and disrespectful as the client is engaging in a legal activity The most ethical course of action is Option D respecting the adult clients informed decision and focusing on treatment goals that are mutually agreed upon and align with the clients expressed desires while maintaining open communication should the clients goals change in the future
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