POOGI for ABA

I was once working with an adolescent who could dress independently, but often put shirts on backwards. At the time, it was one of his goals, and I was on a mission to teach this to him. I came up with numerous instructional programs that failed. Some of those included giving fake instructions: The tag goes in the back; there is no tag in the front. I had some more reasonable ideas too, like attaching a giant piece of paper to the tag and trying to fade it out, a variety of prompting and fading procedures, and I’m sure many, many more that I forgot. At the time, I was spending time in AOL chat rooms to get advice (AOL chat rooms was the 1990s version of an inconvenient group text without a phone). I also reached out to famous behavior analysts who were happy to offer email advice or in-person at conferences.

Eventually, I managed to find an effective teaching procedure. It was very exciting! Keep trying until you find a way to be effective. Of course, I did multiple exemplar training to make sure he could do it with a wide variety of shirts, with different people, and in different locations. Mom called and said that he was doing it at home!

About 3-4 weeks after the program was over, I was maintaining it about 1X per week. Then, I noticed he came in with shirts with no tags. This happened a couple of weeks in a row. I called the parent, who reported the tags were bothering him so she cut all the tags off of all his shirts, removing the only indicator he had learned to determine the front from the back.

Success is judged by what happens after the program is over. This program took enormous amounts time and effort, and it was a waste of everyone’s time. It was an enormous opportunity for me to Poogi, though. In practical situations, if you look at what happened to many programs on last year’s IEP or insurance treatment plan, you will find this effect happens all the time. Everyone is so busy. There is so little time. What if we only worked on teaching things that were important enough to matter in the long run?

By now, you have probably seen the videos of numerous public health professionals and other government leaders telling people to not to touch their face to avoid spreading the Coronavirus. Ironically, even as they are telling us not to do that, they are touching their faces.

Clearly, there are problems with this advice:

First, it misses one of the most basic rules of changing behaviors—Don’t emphasize what the person should not do. Instead, emphasize what the person should do. In this example, they could have advised us to keep your hands in your pockets, wear gloves, or keep your hands folded.  While I think it’s fine to include “don’t do something” as part of a behavior plan, it’s essential to state precisely what the student/client should do instead.

Second, it is not specific enough to follow. They don’t literally mean “never touch your face.” I’m confident they think it is OK to wash your face, put on your glasses, shave, or apply makeup. The advice really means something more nuanced—maybe like this:

When you are in a public gathering and you have an itch on your face, you should wash your hands both before and after you scratch it.

Not sure if that’s what was meant, but you get the idea.

Third, of course, no one is forcing you to touch your face. But this advice fails to appreciate that people cannot easily change behaviors that they do unconsciously. You don’t think to yourself “Hmm, I have an itch on my nose. Let’s decide if it is worth addressing. I know I want to avoid touching my face, but this itch is annoying!” No, you were already scratching it before you were aware you were doing it. Now, behavior analysis has an extensive literature on changing this type of behavior called Habit Reversal or Self-Management. But that’s a big project. Anyone familiar with that literature will realize that 98% of people are going to fail at this behavior change unless they put in a major effort to change it.

Most people will fail at their attempts to “don’t touch your face.” It makes for great video. We should know better, but often we don’t. If you sit in on meetings for parents of children with autism (even with BCBAs), you hear similar recommendations made all the time— “Don’t give in if he has a tantrum” or “Insist that he at least tastes the vegetables at dinner.” Those recommendations are about as effective as saying “Don’t touch your face.”

Columbo was a TV show that aired periodically from 1971-2003. Most episodes begin by showing who the murderer is and exactly how the murder was committed. Then, the show is all about how Columbo solves the murder, with the main focus on his interview techniques. One of my professors in graduate school recommended the show as a way to study how to do an interview for Functional Assessments, typically conducted as a first step in determining why a student is engaging in problem behaviors. At first, emulating Columbo might seem like a bizarre suggestion, but there are useful things we can learn from the show. I believe watching Columbo has made me a better interviewer.

Conducting interviews is one of those subtle social skills where it is very hard to specify exactly what we want the interviewer to do during the discussion. Conducting an effective interview is much more than reading the list of questions and transcribing the answers from the parent or teacher. It is often a delicate situation as people are often upset and emotions are high. How should the interviewer respond if the parent starts crying? If the teacher starts to get angry that this is a waste of time? If the paraprofessional starts blaming the administration for all the problems at the school? Social skills are tricky because you can’t specify in advance what to do for each and every scenario that might arise.

There is no substitute for experience, but I think watching Columbo is helpful in giving us general interview guidelines. First, he is very curious. He wants to know every little detail. Second, he listens to what the person says very carefully. Third, he looks for contradictions with what the person says and the evidence. When he sees it, he is always “confused” and asks further questions to clarify in as non-confrontational a way as possible. Finally, he is almost always extremely polite.

On the other hand, Columbo frequently is so annoying that he upsets the person he is interviewing. He wears an old, rumpled raincoat, always forgets his pencil, and gets cigar ashes everywhere. More importantly, he lies and withholds information all the time. Therefore, knowing what you should copy and what you shouldn’t is important. Still, I think anyone who has to interview people as part of their job would benefit from watching a few episodes. It leads to good discussions when teaching people about how to conduct interviews.