From Harm to Healing: Building the Future of ABA with Autistic Voices

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Johnson, J. F. (2025). From Harm to Healing: Building the Future of ABA with Autistic Voices. Societies, 15(3), 72. https://doi.org/10.3390/soc15030072

Publication date: 17 Mar 2025 Added to AutiHub: 4 Oct 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
1
Publication authors identified as autistic
1 / 1 (100.0%)

Abstract

Since the 1960s, ABA has been applied to individuals with developmental and behavioral differences, including those later recognized as Autistic. While ABA is grounded in behavioral science, its historical application has raised significant ethical concerns. Early implementations often prioritized enforcing neurotypical conformity over the autonomy and well-being of Autistic individuals, contributing to psychological harm, the development of masking behaviors, and a disregard for neurodivergent needs. These concerns were further exacerbated by the exclusion of Autistic voices in defining intervention goals and measuring outcomes. This paper examines the historical context of ABA, critiques raised by the #ABAisAbuse movement, and the role of social media in amplifying both awareness and misconceptions about behavioral interventions for Autistic individuals. It highlights the challenges posed by self-diagnosis, the limitations of current therapeutic options, and systemic inequities in access to care. A critical analysis underscores the need for standardized, neurodivergent-affirming, and assent-based practices that prioritize the autonomy and individuality of Autistic people. The findings emphasize the necessity of reforming ABA through collaboration with the Autistic community, ensuring their involvement in shaping governance, intervention design, and ethical standards. By addressing historical harms and embedding neurodivergent-affirming principles, ABA can evolve into a practice that supports authentic engagement and fosters trust within the Autistic community. This transformation is not only a professional responsibility but an ethical imperative to align interventions for Autistic individuals with principles of dignity, equity, and inclusion.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 28 Oct 2026 01:01.

Cited references
44
With a DOI
27
Without a DOI, from raw bibliography text
17
13 / 44 (29.5%) cited references include at least one author identified as autistic.
References with data to complete
10 / 44 (22.7%)
References with detected author names
34 / 44 (77.3%)
Without detected author names
10
Without a structured title
9
Without a stable identifier
15
References with raw author names still to review
9
References with external metadata lookup issues
1
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
97
From DOI or external metadata
97
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
10
61 / 97 (62.9%) names are linked to an author already present in AutiHub. 36 / 97 (37.1%) names are not yet linked.
Names linked to a person identified as autistic
20 / 97 (20.6%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 20 / 61 (32.8%). Distinct people identified as autistic: 17 / 91 (18.7%).
  1. Donald M. Baer , Montrose M. Wolf , Todd R. Risley (1968). SOME CURRENT DIMENSIONS OF APPLIED BEHAVIOR ANALYSIS 1 . Journal of Applied Behavior Analysis, 1(1), 91-97. Wiley.
    Crossref OpenAlex OpenCitations
  2. Laura Hull , K.V. Petrides , C. Allison , P. Smith , S. Baron-Cohen , Meng-Chuan Lai et al. (2017). “Putting on My Best Normal”: Social Camouflaging in Adults with Autism Spectrum Conditions . Journal of Autism and Developmental Disorders, 47(8), 2519-2534. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  3. Alan E. Kazdin (1977). Assessing the Clinical or Applied Importance of Behavior Change through Social Validation . Behavior Modification, 1(4), 427-452. SAGE Publications.
    Crossref OpenAlex OpenCitations
  4. Mickey Keenan , Karola Dillenburger , Hanns Rüdiger Röttgers , Katerina Dounavi , Sigríður Lóa Jónsdóttir , Paolo Moderato et al. (2015). Autism and ABA: The Gulf Between North America and Europe . Review Journal of Autism and Developmental Disorders, 2(2), 167-183. Springer Science and Business Media LLC.
    OpenAlex
  5. Steven Kapp *Autistic author. Learn more… , Kristen Gillespie‐Lynch , Lauren E. Sherman , Ted Hutman (2013). Deficit, difference, or both? Autism and neurodiversity. Developmental Psychology, 49(1), 59-71. American Psychological Association (APA).
    Type: Article DOI: 10.1037/a0028353 OpenAlex: https://openalex.org/W2124715426
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  6. Laura Foran Lewis (2016). Exploring the Experience of Self-Diagnosis of Autism Spectrum Disorder in Adults . Archives of Psychiatric Nursing, 30(5), 575-580. Elsevier BV.
    Crossref OpenAlex OpenCitations
  7. William Mandy , Meng-Chuan Lai (2016). Annual Research Review: The role of the environment in the developmental psychopathology of autism spectrum condition . Journal of Child Psychology and Psychiatry, 57(3), 271-292. Wiley.
    OpenAlex
  8. Albert Malkin , Priscilla Burnham Riosa , Laura Mullins , Kristi Thompson , Allison Kretschmer (2024). #ExploratoryAnalysisOfSentimentTowardABAonTwitter . Behavior Analysis in Practice, 17(4), 1104-1112. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Chapman (2022). Neurodiversity and the ethics of neurodivergent research: Toward authentic representation . Disabil. Soc., 37, 633.
    Type: Other
    Crossref
  10. Sneha Kohli Mathur , Ellie Renz , Jonathan Tarbox (2024). Affirming Neurodiversity within Applied Behavior Analysis . Behavior Analysis in Practice, 17(2), 471-485. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  11. Ingjerd Skafle , Elia Gabarrón , Anders Nordahl-Hansen (2024). Social media shaping autism perception and identity . Autism, 28(10), 2489-2502. SAGE Publications.
    Crossref OpenAlex OpenCitations
  12. Melanie Penner , Evdokia Anagnostou , Lana Andoni , Wendy J Ungar (2019). Environmental scan of Canadian and UK policies for autism spectrum disorder diagnostic assessment . Paediatrics & Child Health, 24(3), e125-e134. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  13. Eric Rubenstein , Sarah Furnier (2021). #Bias: The Opportunities and Challenges of Surveys That Recruit and Collect Data of Autistic Adults Online . Autism in Adulthood, 3(2), 120-128. SAGE Publications.
    Crossref OpenAlex OpenCitations
  14. Emma Gowen , Rachel Taylor , Thomas Bleazard , Anat Greenstein , Peter Baimbridge *Autistic author. Learn more… , Daniel Poole (2019). Guidelines for conducting research studies with the autism community . Autism Policy Pract., 2(1), 29.
    Type: Article OpenAlex: https://openalex.org/W2987130266
    Crossref OpenAlex
  15. Jabaut, J. (2022). “You Can’t Train Autism Out of Me”: Identifying Themes from Autistic Adults’ Social Media Content About Applied Behavior Analysis. [Ph. D. Thesis, University of Pittsburgh].
    Type: Other
    Crossref
  16. M. Ariel Cascio , Jonathan Weiss , Éric Racine (2021). Empowerment in decision-making for autistic people in research . Disability & Society, 36(1), 100-144. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  17. (n.d.). Autistic Self Advocacy Network (ASAN) (2025, March 14). Nothing About Us Without Us: How Autism Advocacy Is Changing ABA. Available online: https://autisticadvocacy.org .
    Type: Other
    Crossref
  18. Cassi A. Breaux , Kristin Smith (2023). Assent in applied behaviour analysis and positive behaviour support: ethical considerations and practical recommendations . International Journal of Developmental Disabilities, 69(1), 111-121. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  19. Mandy (2019). Annual Research Review: The role of the environment in the developmental psychopathology of autism spectrum condition . J. Child Psychol. Psychiatry, 60, 271.
    Type: Other
    Crossref
  20. Nurismawan (2024). Unraveling the dangers of mental health self-diagnosis: A study on the phenomenon of adolescent self-diagnosis in junior high schools . KONSELI J. Bimbing. Dan Konseling, 11, 31.
    Type: Other
    Crossref
  21. Moulder, Micah (2024). TikTok and Self-Diagnosing Mental Illnesses: Perceived Reliability Factors, Vulnerabilities, and Dangers . Int. J. Psychosoc. Soc. Work, 1, 5.
    Type: Article OpenAlex: https://openalex.org/W7025051430
    Crossref OpenAlex
  22. (2021). Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers . ABA España.
    OpenAlex
  23. Dillenburger, K. (2021). ABA-based interventions for children with autism: Global trends in practice and research. J. Autism Dev. Disord., advance online publication.
    Type: Other
    Crossref
  24. (n.d.). National Disability Insurance Scheme (2025, March 14). Naturalistic Developmental Behavioural Interventions, Available online: https://dataresearch.ndis.gov.au/research-and-evaluation/early-interventions-and-high-volume-cohorts/evidence-review-early-interventions-children-autism/naturalistic-developmental-behavioural-interventions .
    Type: Other
    Crossref
  25. Matson (2014). Autism and ABA: The Gulf Between North America and Europe . Rev. J. Autism Dev. Disord., 1, 167.
    Type: Other
    Crossref
  26. (n.d.). Council of Autism Service Providers (2025, March 04). Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers. Available online: https://casproviders.org .
    Type: Other
    Crossref
  27. Luiselli, J. K. (2011). Behavior Analytic Interventions for Adults with Autism Spectrum Disorders. Behavioral Foundations of Effective Autism Treatment, Springer.
    Type: Other
    Crossref
  28. Crowley (2021). Avoiding Harm in Autism Intervention: A Call for Consideration of Adverse Intervention Effects . Autism Res., 14, 221.
    Type: Other
    Crossref
  29. Kamille Roese (2024). MEASUREMENT OF LEADERSHIP AMONG AUTISTIC ADULTS . Zenodo (CERN European Organization for Nuclear Research). Zenodo.
    Type: Dissertation DOI: 10.5281/zenodo.13401260 OpenAlex: https://openalex.org/W6892916483
    OpenAlex
  30. Schuck (2022). Assent-Based Practice in Applied Behavior Analysis: Rethinking Compliance-Driven Approaches . J. Appl. Behav. Anal., 55, 542.
    Type: Other
    Crossref
  31. Ferguson, B., and Nuske, H. (2022). Therapeutic rapport and autism: Building trust through ethical practice. Autism Res., 15, advance online publication.
    Type: Other
    Crossref
  32. Behavior Analyst Certification Board (BACB) (2022). Ethics Code for Behavior Analysts, BACB.
    Type: Other
    Crossref
  33. Roese, K. (2023). Measurement of Leadership Among Autistic Adults. [Master’s Thesis, California State University].
    Type: Other
    Crossref