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Results
#1. During an initial screening interview, a primary stakeholder informs the Board Certified Behavior Analyst (BCBA) that they would like their child to ‘be more normal.’ If the BCBA decides to take on this client, what is the MOST appropriate and ethical next step regarding this broad statement from the stakeholder?
As a BCBA it is crucial to target behaviors that are observable measurable and socially significant The term normal is highly subjective lacks an objective definition and varies greatly across individuals cultures and contexts making it unsuitable as a direct target for behavior change Therefore the BCBA must guide the stakeholder toward more concrete goals Option A is premature a broad initial statement does not automatically mean a client cannot be helped The BCBAs role includes translating stakeholder goals into behavioral terms Option B while a step in the right direction may still be limited Directly trying to operationally define normal could lead to an overly complex or still vague definition The focus should shift from the subjective term normal to the underlying specific behaviors of concern Option C represents the most comprehensive ethical and effective approach It emphasizes conducting thorough direct eg systematic observation and indirect eg additional interviews questionnaires assessments to pinpoint the specific observable behaviors that comprise the stakeholders desire for the child to be more normal This ensures that any intervention focuses on behaviors that are truly meaningful can be reliably measured and are socially valid If after thorough assessment no such behaviors are identified or agreed upon then declining the client might be a subsequent appropriate decision Option D is a valid indirect assessment step but doesnt address the fundamental need to define observable and measurable behaviors nor does it prioritize the necessary direct assessment that must follow indirect data gathering
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