Inside JABA #5: SEAB Statement of Concern Issued for Rekers and Lovaas (1974); Session 135

The Behavioral Observations Podcast with Matt Cicoria

The latest issue of JABA starts off with an editorial by the Society for the Experimental Analysis of Behavior's (SEAB) board in which it issued a statement of concern for the controversial paper titled, Behavioral treatment of deviant sex-role behaviors in a male child. This paper described a case study conducted by George Rekers and Ivar Lovaas, and was published in the pages of JABA in 1974.

To get right to the point, let me read you the editorial's abstract:

In an early study in the Journal of Applied Behavior Analysis, Rekers and Lovaas (1974) evaluated the Behavioral Treatment of Deviant Sex-role Behaviors in a Male Child. They investigated the use of reinforcement and punishment to target non-gender conforming behaviors of a 5-year-old male child. This study was considered by some to be controversial and concerning, even near the time of publication (Nordyke et al. 1977; Winkler, 1977). The concerns focused on the ethicality of selecting non-gender conforming behavior as a target response and the use of punishment for this type of response, particularly at the behest of parents when the young child was not seemingly distressed. The study has subsequently been used as empirical support for conversion therapy creating concerns about misinterpretation of the original article and harm to the LGBTQ+ community. This editorial reviews the concerns originally presented by Nordyke et al. and Winkler and issues an official Expression of Concern about the various harms that have been associated with this paper.

I first heard about this paper many years ago, but it was to my attention again at the 2019 NH ABA conference. At that event, Dr. Sarah Campeau did a great job reviewing this paper, along with cataloging the devastating effects the study had on the participant later on in his life.

So in this episode of the podcast, Drs. Linda Leblanc and Henry Roane discuss the rationale behind the statement of concern. In doing so, they talk about why the statement was written now versus earlier in the history of JABA, and what exactly a Statement of Concern is, and why issuing the statement was the specific action taken instead of other options, such as retracting the paper altogether.

We also get into the actual shortcomings of the study, particularly in light of the ethical and moral standards of modern times. Linda and Hank close the podcast by giving some advice for practitioners on how to respond to concerns of stakeholders if or when they bring up this or other studies that are not consistent with more modern ethics and values.

I should also note that our Zoom connection was spotty here and there, and I apologize if it interferes with the audio quality that you've come to expect from the show. That said, I don't think it poor connection detracted from the substance of the conversation.

Dr. Roane is a new voice in the Inside JABA Series, so by way of introduction, Hank is the Gregory S. Liptak MD Professor of Child Development in the Department of Pediatrics at Upstate Medical University in Syracuse NY. In this capacity, he serves as the Chief of the Division of Development, Behavior and Genetics where he directs medical and behavior analysis clinics that provide treatment services for children affected by autism and related disorders. Hank is also the Chair of the Behavior Analysis Studies program in the College of Health Professions at Upstate. As we mention during the conversation, Hank is also the Treasurer of SEAB.

In keeping with the previous Inside JABA Series podcasts, there are no ads or sponsors on this episode. However, this episode is eligible for BACB Continuing Education. We also felt that the conversation touched on many code elements in the Professional and Ethical Compliance Code, and as such, it can be counted as an Ethics CEU.

Lastly, 50% of the proceeds from sales of the Inside JABA Series CEUs are donated to SEAB. So for more information on the Inside JABA Series CEUs, or any other CEUs that are available through Behavioral Observations, click here.

I've also set up a Link Tree across all my social media platforms where you can access all the different podcast offerings, including episode shownotes. For example, if you follow the show on Instagram (@behavioralobservations), just go to the link in the bio, and you'll have many podcast-related links at your fingertips.

Here are the links to the resources that were discussed in this episode:

• Editor's Note: Societal changes and expression of concern about Rekers and Lovaas' (1974) Behavioral Treatment of Deviant Sex‐Role Behaviors in a Male Child.
• The Rekers and Lovaas (1974) study.
• Nordyke, Baer, Etzel, and LeBlanc (1977), response to Rekers and Lovaas.
• Winkler (1977), response to Rekers and Lovaas.
• Rekers' response to Nordyke et al. and Winkler (1977).
• The Anderson Cooper four-part expose on the long term effects on the participant in Rekers and Lovaas.
• Committee on Publication Ethics (COPE) website.
• Retraction Watch.
• CEU opportunities from Behavioral Observations.
• BOP linktr.ee (clearinghouse of podcast-related links).