The Happy Medium Approach
Enhancing the Lives of Children and Their families Hello!
04/30/2025
š§ Principle 2
The therapeutic context is shaped by reciprocal contingencies. Relationships serve as dynamic, mutual environments of change.
(Goldiamond, 1974; Layng, 2009)
š£ In behavior analysis, behavior doesn't occur in isolationāit happens in a dynamic field of interaction. Support is most effective when both people are influencing and adapting to one another.
š A 10-year-old shuts down during group work.
Initially, prompting and praise were used to increase participationābut the behavior persisted.
Instead of escalating intervention, we ask:
ā How might our behavior be influencing theirs?
ā What contingencies are we reinforcing in this interaction?
šæ In HMA, we recognize ourselves as part of the environmentāand shift from control to cooperation.
š§© Response:
āHey, I noticed this part might feel tricky. Want to work with just me today or help plan how we do this next time?ā
ā
Doable Step:
Later, involve the student in structuring the group taskāoffering role flexibility, smaller groups, or co-created norms.
š We adapt together. Change is a mutual processānever one-sided.
š§āāļø A non-speaking teen resists physical prompting during transitions.
Rather than implementing hands-down procedures or compliance-based prompts, we reflect:
ā Is our approach escalating aversive control?
ā What signal is this individual giving us?
š± In HMA, we pause to observe and offer space for autonomy.
š§© Response:
āIāll wait right here. When youāre ready, just give me the sign we practiced. Weāll go when it works for you.ā
ā
Doable Step:
Later, use co-developed gestures or visual cues that empower the learner to initiate transitions on their terms.
š Support is shaped together. Relationships are dynamic environments of changeāin both directions.
What different principles could be in play given these two situations?
07/22/2024
muito apreƧo! e deliciosas sobremesas! production team and all the participants heart felt gratitude for hosting such a wonderful 2 day conference and bring HMA to Brazil!
03/10/2024
APBA New Orleans! I had the absolute pleasure of hosting a panel for these amazing parents first and BCBA second. They put their hearts on their sleeves with self compassion to share with us how we can do better in our role of supporting caregivers with neurodivergent humans! Not only a human first account, but neurodivergent voices sharing with us how to do better! Check it out on behavior live!
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