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Results
#1. Glenn is working with a new client who consistently demonstrates high motivation for Hershey Kisses. Glenn proposes using chocolate as a reinforcer to facilitate skill acquisition. However, the client’s parents express significant concern about the sugar content and potential for cavities, explicitly stating they do not want sugary treats used as reinforcers. How should Glenn, as a Board Certified Behavior Analyst (BCBA), ethically and effectively proceed in this situation, considering the welfare of the client and the concerns of the stakeholders?
This scenario presents a common ethical dilemma encountered by BCBAs regarding stakeholder preferences and the selection of reinforcers According to the BACB Professional and Ethical Compliance Code for Behavior Analysts practitioners must prioritize client welfare 20 Client Welfare act with responsible conduct 201 Responsible Conduct of Behavior Analysts and collaborate effectively with stakeholders 209 BehaviorAnalysts Ethical Responsibilities to the Client Parents as primary stakeholders have a right to express concerns about their childs health and to be involved in treatment planning Option B Correct This is the most ethical and procedurally sound approach By proposing temporary use of chocolate while simultaneously pairing it with praise and tokens Glenn is actively working to establish conditioned secondary reinforcers This strategy allows for initial skill acquisition using a known effective reinforcer while proactively fading out the less desirable primary reinforcer and addressing the parents health concerns in the long term This approach demonstrates professional flexibility adherence to ethical guidelines by respecting parental concerns and a commitment to building a sustainable reinforcement system Option A Incorrect Proceeding with an intervention despite explicit parental protest especially concerning health risks is a direct violation of ethical principles related to stakeholder collaboration and respecting the rights of the client via their guardians It undermines the therapeutic relationship and can lead to a breakdown in trust Option C Incorrect Terminating services due to a reasonable parental objection eg concerns about health is unprofessional and unethical It reflects an inability to adapt treatment plans collaborate and problemsolve potentially abandoning the client without exploring alternative solutions or making appropriate referrals Option D Incorrect While finding alternative reinforcers is necessary simply assuming toys will be reinforcing without conducting a proper preference assessment or reinforcer assessment is not datadriven practice The text only states chocolate is a reinforcer not toys This approach is speculative and does not guarantee treatment effectiveness or respect the principles of individualized assessment
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