diff --git "a/-kkocTdn0iY.txt" "b/-kkocTdn0iY.txt" new file mode 100644--- /dev/null +++ "b/-kkocTdn0iY.txt" @@ -0,0 +1,21939 @@ +align:start position:0% + +the following content is provided under + + align:start position:0% +the following content is provided under + + + align:start position:0% +the following content is provided under +a Creative Commons license your support + + align:start position:0% +a Creative Commons license your support + + + align:start position:0% +a Creative Commons license your support +will help MIT open courseware continue + + align:start position:0% +will help MIT open courseware continue + + + align:start position:0% +will help MIT open courseware continue +to offer highquality educational + + align:start position:0% +to offer highquality educational + + + align:start position:0% +to offer highquality educational +resources for free to make a donation or + + align:start position:0% +resources for free to make a donation or + + + align:start position:0% +resources for free to make a donation or +view additional materials from hundreds + + align:start position:0% +view additional materials from hundreds + + + align:start position:0% +view additional materials from hundreds +of MIT courses visit mitop courseware at + + align:start position:0% + + + + align:start position:0% + +ocw.mit.edu I was here once before in + + align:start position:0% +ocw.mit.edu I was here once before in + + + align:start position:0% +ocw.mit.edu I was here once before in +October with uh Martha Martha Herbert is + + align:start position:0% +October with uh Martha Martha Herbert is + + + align:start position:0% +October with uh Martha Martha Herbert is +a friend and also a + + align:start position:0% +a friend and also a + + + align:start position:0% +a friend and also a +collaborator um and that's when I first + + align:start position:0% +collaborator um and that's when I first + + + align:start position:0% +collaborator um and that's when I first +met met people from this group including + + align:start position:0% +met met people from this group including + + + align:start position:0% +met met people from this group including +Matthew and since then we've actually + + align:start position:0% +Matthew and since then we've actually + + + align:start position:0% +Matthew and since then we've actually +started collaborating so that's very + + align:start position:0% +started collaborating so that's very + + + align:start position:0% +started collaborating so that's very +exciting um I'm being monitored today + + align:start position:0% +exciting um I'm being monitored today + + + align:start position:0% +exciting um I'm being monitored today +right here and so when it really dips + + align:start position:0% +right here and so when it really dips + + + align:start position:0% +right here and so when it really dips +when it really dips down very low that's + + align:start position:0% +when it really dips down very low that's + + + align:start position:0% +when it really dips down very low that's +a myocardial infarction so that would be + + align:start position:0% +a myocardial infarction so that would be + + + align:start position:0% +a myocardial infarction so that would be +the end of the lecture um so basically + + align:start position:0% +the end of the lecture um so basically + + + align:start position:0% +the end of the lecture um so basically +um you see the topic but the main point + + align:start position:0% +um you see the topic but the main point + + + align:start position:0% +um you see the topic but the main point +I'll give right at the front which is + + align:start position:0% +I'll give right at the front which is + + + align:start position:0% +I'll give right at the front which is +that I don't believe that any serious + + align:start position:0% +that I don't believe that any serious + + + align:start position:0% +that I don't believe that any serious +progress on the topic that I'm going to + + align:start position:0% +progress on the topic that I'm going to + + + align:start position:0% +progress on the topic that I'm going to +talk about today will will be made + + align:start position:0% +talk about today will will be made + + + align:start position:0% +talk about today will will be made +unless three fields of knowledge are + + align:start position:0% +unless three fields of knowledge are + + + align:start position:0% +unless three fields of knowledge are +integrated those three fields are + + align:start position:0% +integrated those three fields are + + + align:start position:0% +integrated those three fields are +biomedical science behavioral psychology + + align:start position:0% +biomedical science behavioral psychology + + + align:start position:0% +biomedical science behavioral psychology +and technology which is you so that's + + align:start position:0% +and technology which is you so that's + + + align:start position:0% +and technology which is you so that's +really the reason I'm here um and what I + + align:start position:0% +really the reason I'm here um and what I + + + align:start position:0% +really the reason I'm here um and what I +have to say is based on uh 36 years of + + align:start position:0% +have to say is based on uh 36 years of + + + align:start position:0% +have to say is based on uh 36 years of +work now and I've seen during that + + align:start position:0% +work now and I've seen during that + + + align:start position:0% +work now and I've seen during that +period of time approximately 4,000 + + align:start position:0% +period of time approximately 4,000 + + + align:start position:0% +period of time approximately 4,000 +people um with autism uh and so my + + align:start position:0% +people um with autism uh and so my + + + align:start position:0% +people um with autism uh and so my +summary basically it's really it's not a + + align:start position:0% +summary basically it's really it's not a + + + align:start position:0% +summary basically it's really it's not a +guess what I'm talking about today it's + + align:start position:0% +guess what I'm talking about today it's + + + align:start position:0% +guess what I'm talking about today it's +a + + align:start position:0% +a + + + align:start position:0% +a +synthesis all right so the first + + align:start position:0% +synthesis all right so the first + + + align:start position:0% +synthesis all right so the first +question just to make sure that we're + + align:start position:0% +question just to make sure that we're + + + align:start position:0% +question just to make sure that we're +all on the same page and I know Matthew + + align:start position:0% +all on the same page and I know Matthew + + + align:start position:0% +all on the same page and I know Matthew +this is I'm late in the course so I'm + + align:start position:0% +this is I'm late in the course so I'm + + + align:start position:0% +this is I'm late in the course so I'm +going to assume that you know certain + + align:start position:0% +going to assume that you know certain + + + align:start position:0% +going to assume that you know certain +things about autism and I'm not going to + + align:start position:0% +things about autism and I'm not going to + + + align:start position:0% +things about autism and I'm not going to +review that at all um but the + + align:start position:0% +review that at all um but the + + + align:start position:0% +review that at all um but the +fundamental question today has to do + + align:start position:0% +fundamental question today has to do + + + align:start position:0% +fundamental question today has to do +with problem behavior um and that is you + + align:start position:0% +with problem behavior um and that is you + + + align:start position:0% +with problem behavior um and that is you +know basically what is it to begin with + + align:start position:0% +know basically what is it to begin with + + + align:start position:0% +know basically what is it to begin with +uh and so what we're dealing with are + + align:start position:0% +uh and so what we're dealing with are + + + align:start position:0% +uh and so what we're dealing with are +things like oh I I have a pointer here + + align:start position:0% +things like oh I I have a pointer here + + + align:start position:0% +things like oh I I have a pointer here +what we're dealing with are things like + + align:start position:0% +what we're dealing with are things like + + + align:start position:0% +what we're dealing with are things like +aggressive behavior um particularly + + align:start position:0% +aggressive behavior um particularly + + + align:start position:0% +aggressive behavior um particularly +physical iCal aggression um and uh at + + align:start position:0% +physical iCal aggression um and uh at + + + align:start position:0% +physical iCal aggression um and uh at +the start of my career actually I + + align:start position:0% +the start of my career actually I + + + align:start position:0% +the start of my career actually I +started my career as an experimental + + align:start position:0% +started my career as an experimental + + + align:start position:0% +started my career as an experimental +psychologist I was totally lab was + + align:start position:0% +psychologist I was totally lab was + + + align:start position:0% +psychologist I was totally lab was +animal lab and everything but from that + + align:start position:0% +animal lab and everything but from that + + + align:start position:0% +animal lab and everything but from that +knowledge base uh came the idea of + + align:start position:0% +knowledge base uh came the idea of + + + align:start position:0% +knowledge base uh came the idea of +applications and that actually led to + + align:start position:0% +applications and that actually led to + + + align:start position:0% +applications and that actually led to +the entire field of apply Behavior + + align:start position:0% +the entire field of apply Behavior + + + align:start position:0% +the entire field of apply Behavior +Analysis which comes from basic research + + align:start position:0% +Analysis which comes from basic research + + + align:start position:0% +Analysis which comes from basic research +uh with actually animal models but I + + align:start position:0% +uh with actually animal models but I + + + align:start position:0% +uh with actually animal models but I +didn't want to spend my whole life in an + + align:start position:0% +didn't want to spend my whole life in an + + + align:start position:0% +didn't want to spend my whole life in an +animal lab so I made the jump to UCLA + + align:start position:0% +animal lab so I made the jump to UCLA + + + align:start position:0% +animal lab so I made the jump to UCLA +where they have applied and I'm sure + + align:start position:0% +where they have applied and I'm sure + + + align:start position:0% +where they have applied and I'm sure +Matthew mentioned lovas who was + + align:start position:0% +Matthew mentioned lovas who was + + + align:start position:0% +Matthew mentioned lovas who was +responsible for a lot of this and that + + align:start position:0% +responsible for a lot of this and that + + + align:start position:0% +responsible for a lot of this and that +was my mentor back then um and really + + align:start position:0% +was my mentor back then um and really + + + align:start position:0% +was my mentor back then um and really +very very early in my career I + + align:start position:0% +very very early in my career I + + + align:start position:0% +very very early in my career I +discovered the meaning of aggressive + + align:start position:0% +discovered the meaning of aggressive + + + align:start position:0% +discovered the meaning of aggressive +behavior because there was a guy who was + + align:start position:0% +behavior because there was a guy who was + + + align:start position:0% +behavior because there was a guy who was +my height but he had biceps work were + + align:start position:0% +my height but he had biceps work were + + + align:start position:0% +my height but he had biceps work were +maybe three times mine and I work out um + + align:start position:0% +maybe three times mine and I work out um + + + align:start position:0% +maybe three times mine and I work out um +and what he did is I didn't read his + + align:start position:0% +and what he did is I didn't read his + + + align:start position:0% +and what he did is I didn't read his +facial expression and Body Language + + align:start position:0% +facial expression and Body Language + + + align:start position:0% +facial expression and Body Language +correct and in one second he wheeled + + align:start position:0% +correct and in one second he wheeled + + + align:start position:0% +correct and in one second he wheeled +around and he bit me right in here where + + align:start position:0% +around and he bit me right in here where + + + align:start position:0% +around and he bit me right in here where +um and actually you know you watch Law + + align:start position:0% +um and actually you know you watch Law + + + align:start position:0% +um and actually you know you watch Law +and Order the expression through and + + align:start position:0% +and Order the expression through and + + + align:start position:0% +and Order the expression through and +through and the you also are familiar + + align:start position:0% +through and the you also are familiar + + + align:start position:0% +through and the you also are familiar +with the expression to bring one to + + align:start position:0% +with the expression to bring one to + + + align:start position:0% +with the expression to bring one to +one's knees yes it's + + align:start position:0% +one's knees yes it's + + + align:start position:0% +one's knees yes it's +true I actually went to my knees when he + + align:start position:0% +true I actually went to my knees when he + + + align:start position:0% +true I actually went to my knees when he +did that and so that was my uh + + align:start position:0% +did that and so that was my uh + + + align:start position:0% +did that and so that was my uh +introduction to the concept of + + align:start position:0% +introduction to the concept of + + + align:start position:0% +introduction to the concept of +aggressive behavior and autism uh and so + + align:start position:0% +aggressive behavior and autism uh and so + + + align:start position:0% +aggressive behavior and autism uh and so +basically what happens is people uh a + + align:start position:0% +basically what happens is people uh a + + + align:start position:0% +basically what happens is people uh a +very large percentage of people uh with + + align:start position:0% +very large percentage of people uh with + + + align:start position:0% +very large percentage of people uh with +autism will engage in these behaviors + + align:start position:0% +autism will engage in these behaviors + + + align:start position:0% +autism will engage in these behaviors +largely because they don't have any + + align:start position:0% +largely because they don't have any + + + align:start position:0% +largely because they don't have any +other way of communicating and so when + + align:start position:0% +other way of communicating and so when + + + align:start position:0% +other way of communicating and so when +they're frustrated uh when things are + + align:start position:0% +they're frustrated uh when things are + + + align:start position:0% +they're frustrated uh when things are +pent up and they can't meet their needs + + align:start position:0% +pent up and they can't meet their needs + + + align:start position:0% +pent up and they can't meet their needs +they go for for you um and that's sort + + align:start position:0% +they go for for you um and that's sort + + + align:start position:0% +they go for for you um and that's sort +of their way of communicating uh and if + + align:start position:0% +of their way of communicating uh and if + + + align:start position:0% +of their way of communicating uh and if +you understand that then you realize + + align:start position:0% +you understand that then you realize + + + align:start position:0% +you understand that then you realize +it's not psychotic or random or abant or + + align:start position:0% +it's not psychotic or random or abant or + + + align:start position:0% +it's not psychotic or random or abant or +anything it's actually adaptive and + + align:start position:0% +anything it's actually adaptive and + + + align:start position:0% +anything it's actually adaptive and +that's why it lasts forever and is + + align:start position:0% +that's why it lasts forever and is + + + align:start position:0% +that's why it lasts forever and is +exhibited all over the place uh verbal + + align:start position:0% +exhibited all over the place uh verbal + + + align:start position:0% +exhibited all over the place uh verbal +aggression is self-explanatory destroys + + align:start position:0% +aggression is self-explanatory destroys + + + align:start position:0% +aggression is self-explanatory destroys +property + + align:start position:0% +property + + + align:start position:0% +property +self-explanatory okay those are + + align:start position:0% +self-explanatory okay those are + + + align:start position:0% +self-explanatory okay those are +aggression self-injury is the most + + align:start position:0% +aggression self-injury is the most + + + align:start position:0% +aggression self-injury is the most +extreme human behavior that you will + + align:start position:0% +extreme human behavior that you will + + + align:start position:0% +extreme human behavior that you will +ever see um and I can give you an + + align:start position:0% +ever see um and I can give you an + + + align:start position:0% +ever see um and I can give you an +example again one week week into my was + + align:start position:0% +example again one week week into my was + + + align:start position:0% +example again one week week into my was +a postto one week into my postto uh I + + align:start position:0% +a postto one week into my postto uh I + + + align:start position:0% +a postto one week into my postto uh I +was at a facility where they had a kid + + align:start position:0% +was at a facility where they had a kid + + + align:start position:0% +was at a facility where they had a kid +in fourpoint restraints is called spread + + align:start position:0% +in fourpoint restraints is called spread + + + align:start position:0% +in fourpoint restraints is called spread +eagle he's on a bed spread eagle like + + align:start position:0% +eagle he's on a bed spread eagle like + + + align:start position:0% +eagle he's on a bed spread eagle like +this and the reason why is that when you + + align:start position:0% +this and the reason why is that when you + + + align:start position:0% +this and the reason why is that when you +Unleashed him from that he would start + + align:start position:0% +Unleashed him from that he would start + + + align:start position:0% +Unleashed him from that he would start +smashing his head and when I first met + + align:start position:0% +smashing his head and when I first met + + + align:start position:0% +smashing his head and when I first met +him I could actually see through his + + align:start position:0% +him I could actually see through his + + + align:start position:0% +him I could actually see through his +skull so I could actually see through + + align:start position:0% +skull so I could actually see through + + + align:start position:0% +skull so I could actually see through +his skull and that was like one week + + align:start position:0% +his skull and that was like one week + + + align:start position:0% +his skull and that was like one week +into this puff Dock and I was thinking + + align:start position:0% +into this puff Dock and I was thinking + + + align:start position:0% +into this puff Dock and I was thinking +gee I wonder what real estate would be + + align:start position:0% +gee I wonder what real estate would be + + + align:start position:0% +gee I wonder what real estate would be +like as a + + align:start position:0% +like as a + + + align:start position:0% +like as a +career because this was like + + align:start position:0% +career because this was like + + + align:start position:0% +career because this was like +alarming um and uh uh another thing just + + align:start position:0% +alarming um and uh uh another thing just + + + align:start position:0% +alarming um and uh uh another thing just +to give you some idea of the seriousness + + align:start position:0% +to give you some idea of the seriousness + + + align:start position:0% +to give you some idea of the seriousness +of this uh and why people are um + + align:start position:0% +of this uh and why people are um + + + align:start position:0% +of this uh and why people are um +interested in doing something about it + + align:start position:0% +interested in doing something about it + + + align:start position:0% +interested in doing something about it +another thing is like let's suppose + + align:start position:0% +another thing is like let's suppose + + + align:start position:0% +another thing is like let's suppose +that's a concrete wall right ahead of me + + align:start position:0% +that's a concrete wall right ahead of me + + + align:start position:0% +that's a concrete wall right ahead of me +and this is the sort of thing that I + + align:start position:0% +and this is the sort of thing that I + + + align:start position:0% +and this is the sort of thing that I +have seen a guy basically winding up and + + align:start position:0% +have seen a guy basically winding up and + + + align:start position:0% +have seen a guy basically winding up and +charging it like a bull full force right + + align:start position:0% +charging it like a bull full force right + + + align:start position:0% +charging it like a bull full force right +into a concrete wall and once the person + + align:start position:0% +into a concrete wall and once the person + + + align:start position:0% +into a concrete wall and once the person +hits you see a blood splatter go up on + + align:start position:0% +hits you see a blood splatter go up on + + + align:start position:0% +hits you see a blood splatter go up on +the wall um and so this is the sort of + + align:start position:0% +the wall um and so this is the sort of + + + align:start position:0% +the wall um and so this is the sort of +thing that is quite alarming to people + + align:start position:0% +thing that is quite alarming to people + + + align:start position:0% +thing that is quite alarming to people +and you imagine if you were God forbid a + + align:start position:0% +and you imagine if you were God forbid a + + + align:start position:0% +and you imagine if you were God forbid a +parent of something like that how you + + align:start position:0% +parent of something like that how you + + + align:start position:0% +parent of something like that how you +would respond um and then the other + + align:start position:0% +would respond um and then the other + + + align:start position:0% +would respond um and then the other +thing there's no filing cabinets in here + + align:start position:0% +thing there's no filing cabinets in here + + + align:start position:0% +thing there's no filing cabinets in here +I was getting my filing cabinet demonstr + + align:start position:0% +I was getting my filing cabinet demonstr + + + align:start position:0% +I was getting my filing cabinet demonstr +Let's Pretend This is a filing cabinet + + align:start position:0% +Let's Pretend This is a filing cabinet + + + align:start position:0% +Let's Pretend This is a filing cabinet +you know those metal filing cabinets + + align:start position:0% +you know those metal filing cabinets + + + align:start position:0% +you know those metal filing cabinets +with the point in the end okay so people + + align:start position:0% +with the point in the end okay so people + + + align:start position:0% +with the point in the end okay so people +just sort of wind up and just like that + + align:start position:0% +just sort of wind up and just like that + + + align:start position:0% +just sort of wind up and just like that +right on the corner of the filing + + align:start position:0% +right on the corner of the filing + + + align:start position:0% +right on the corner of the filing +cabinet and so basically people see this + + align:start position:0% +cabinet and so basically people see this + + + align:start position:0% +cabinet and so basically people see this +and it looks completely quote irrational + + align:start position:0% +and it looks completely quote irrational + + + align:start position:0% +and it looks completely quote irrational +and psychotic it's + + align:start position:0% +and psychotic it's + + + align:start position:0% +and psychotic it's +not it's fear-provoking but in life the + + align:start position:0% +not it's fear-provoking but in life the + + + align:start position:0% +not it's fear-provoking but in life the +cure for fear is + + align:start position:0% +cure for fear is + + + align:start position:0% +cure for fear is +knowledge okay that's what the that's + + align:start position:0% +knowledge okay that's what the that's + + + align:start position:0% +knowledge okay that's what the that's +what we're why that's why we seek + + align:start position:0% +what we're why that's why we seek + + + align:start position:0% +what we're why that's why we seek +knowledge by the way uh knowledge is + + align:start position:0% +knowledge by the way uh knowledge is + + + align:start position:0% +knowledge by the way uh knowledge is +processed in your cereum but it's + + align:start position:0% +processed in your cereum but it's + + + align:start position:0% +processed in your cereum but it's +motivated from the + + align:start position:0% +motivated from the + + + align:start position:0% +motivated from the +migdala uh and basically uh what it is + + align:start position:0% +migdala uh and basically uh what it is + + + align:start position:0% +migdala uh and basically uh what it is +is people look at that kind of behavior + + align:start position:0% +is people look at that kind of behavior + + + align:start position:0% +is people look at that kind of behavior +and they say you know why would that + + align:start position:0% +and they say you know why would that + + + align:start position:0% +and they say you know why would that +ever happen that's completely + + align:start position:0% +ever happen that's completely + + + align:start position:0% +ever happen that's completely +counterintuitive why anyone would hurt + + align:start position:0% +counterintuitive why anyone would hurt + + + align:start position:0% +counterintuitive why anyone would hurt +themselves that way + + align:start position:0% +themselves that way + + + align:start position:0% +themselves that way +but as we'll see in a minute there are + + align:start position:0% +but as we'll see in a minute there are + + + align:start position:0% +but as we'll see in a minute there are +reasons there are lots of reasons and if + + align:start position:0% +reasons there are lots of reasons and if + + + align:start position:0% +reasons there are lots of reasons and if +you understand those reasons you can + + align:start position:0% +you understand those reasons you can + + + align:start position:0% +you understand those reasons you can +actually do something but in order to + + align:start position:0% +actually do something but in order to + + + align:start position:0% +actually do something but in order to +fully understand it you have to do lots + + align:start position:0% +fully understand it you have to do lots + + + align:start position:0% +fully understand it you have to do lots +of other things that I'm going to talk + + align:start position:0% +of other things that I'm going to talk + + + align:start position:0% +of other things that I'm going to talk +about + + align:start position:0% +about + + + align:start position:0% +about +today uh Tantrums again these are all + + align:start position:0% +today uh Tantrums again these are all + + + align:start position:0% +today uh Tantrums again these are all +self- explanators so I'm not going to go + + align:start position:0% +self- explanators so I'm not going to go + + + align:start position:0% +self- explanators so I'm not going to go +into it Tantrums non Tantrums by the way + + align:start position:0% +into it Tantrums non Tantrums by the way + + + align:start position:0% +into it Tantrums non Tantrums by the way +don't mean like a toddler Tantrums for + + align:start position:0% +don't mean like a toddler Tantrums for + + + align:start position:0% +don't mean like a toddler Tantrums for +like 5 10 minutes we're talking about + + align:start position:0% +like 5 10 minutes we're talking about + + + align:start position:0% +like 5 10 minutes we're talking about +like three four hours that kind of thing + + align:start position:0% +like three four hours that kind of thing + + + align:start position:0% +like three four hours that kind of thing +um often uh built up to such an + + align:start position:0% +um often uh built up to such an + + + align:start position:0% +um often uh built up to such an +intensity that if you tantrum long + + align:start position:0% +intensity that if you tantrum long + + + align:start position:0% +intensity that if you tantrum long +enough you start to engage what's called + + align:start position:0% +enough you start to engage what's called + + + align:start position:0% +enough you start to engage what's called +operate vomiting which is like you + + align:start position:0% +operate vomiting which is like you + + + align:start position:0% +operate vomiting which is like you +become so agitated that you actually + + align:start position:0% +become so agitated that you actually + + + align:start position:0% +become so agitated that you actually +become sick and so these are really + + align:start position:0% +become sick and so these are really + + + align:start position:0% +become sick and so these are really +serious behaviors uh non-compliance is + + align:start position:0% +serious behaviors uh non-compliance is + + + align:start position:0% +serious behaviors uh non-compliance is +actually when people say oh I have a + + align:start position:0% +actually when people say oh I have a + + + align:start position:0% +actually when people say oh I have a +problem it's non-compliance I say that's + + align:start position:0% +problem it's non-compliance I say that's + + + align:start position:0% +problem it's non-compliance I say that's +it you should be sacrificing sheep to + + align:start position:0% +it you should be sacrificing sheep to + + + align:start position:0% +it you should be sacrificing sheep to +Zeus if that's your + + align:start position:0% +Zeus if that's your + + + align:start position:0% +Zeus if that's your +problem because these are the problems + + align:start position:0% +problem because these are the problems + + + align:start position:0% +problem because these are the problems +non-compliance is something that's + + align:start position:0% +non-compliance is something that's + + + align:start position:0% +non-compliance is something that's +annoying uh repetitive Behavior + + align:start position:0% +annoying uh repetitive Behavior + + + align:start position:0% +annoying uh repetitive Behavior +stereotypy I'm sure Matthew has covered + + align:start position:0% +stereotypy I'm sure Matthew has covered + + + align:start position:0% +stereotypy I'm sure Matthew has covered +this in Spades uh and that is another + + align:start position:0% +this in Spades uh and that is another + + + align:start position:0% +this in Spades uh and that is another +issue um and then disruptive behavior + + align:start position:0% +issue um and then disruptive behavior + + + align:start position:0% +issue um and then disruptive behavior +which is a large number of sort of + + align:start position:0% +which is a large number of sort of + + + align:start position:0% +which is a large number of sort of +obnoxious irritating behaviors but not + + align:start position:0% +obnoxious irritating behaviors but not + + + align:start position:0% +obnoxious irritating behaviors but not +quite as dangerous but quite pervasive + + align:start position:0% +quite as dangerous but quite pervasive + + + align:start position:0% +quite as dangerous but quite pervasive +okay so that's what we mean when I say + + align:start position:0% +okay so that's what we mean when I say + + + align:start position:0% +okay so that's what we mean when I say +what is you know when we're talking + + align:start position:0% +what is you know when we're talking + + + align:start position:0% +what is you know when we're talking +about problem Behavior that's what I + + align:start position:0% +about problem Behavior that's what I + + + align:start position:0% +about problem Behavior that's what I +mean by problem Behavior the next issue + + align:start position:0% +mean by problem Behavior the next issue + + + align:start position:0% +mean by problem Behavior the next issue +of course is why is problem Behavior + + align:start position:0% +of course is why is problem Behavior + + + align:start position:0% +of course is why is problem Behavior +important and the reason why it's + + align:start position:0% +important and the reason why it's + + + align:start position:0% +important and the reason why it's +important in to sum up is basically + + align:start position:0% +important in to sum up is basically + + + align:start position:0% +important in to sum up is basically +uh that it ruins everything which means + + align:start position:0% +uh that it ruins everything which means + + + align:start position:0% +uh that it ruins everything which means +that you can teach a child with autism + + align:start position:0% +that you can teach a child with autism + + + align:start position:0% +that you can teach a child with autism +uh cognitive skills or social skills or + + align:start position:0% +uh cognitive skills or social skills or + + + align:start position:0% +uh cognitive skills or social skills or +Independence or anything else okay at + + align:start position:0% +Independence or anything else okay at + + + align:start position:0% +Independence or anything else okay at +the at the end of the day if they have + + align:start position:0% +the at the end of the day if they have + + + align:start position:0% +the at the end of the day if they have +the behaviors I just described any of + + align:start position:0% +the behaviors I just described any of + + + align:start position:0% +the behaviors I just described any of +them they're done they will not go to a + + align:start position:0% +them they're done they will not go to a + + + align:start position:0% +them they're done they will not go to a +neighborhood school they will not be + + align:start position:0% +neighborhood school they will not be + + + align:start position:0% +neighborhood school they will not be +able to live with their parents after a + + align:start position:0% +able to live with their parents after a + + + align:start position:0% +able to live with their parents after a +period of time uh they will probably + + align:start position:0% +period of time uh they will probably + + + align:start position:0% +period of time uh they will probably +wind up in an institution they will + + align:start position:0% +wind up in an institution they will + + + align:start position:0% +wind up in an institution they will +never get a job later in life no one + + align:start position:0% +never get a job later in life no one + + + align:start position:0% +never get a job later in life no one +will go near them if they are in a + + align:start position:0% +will go near them if they are in a + + + align:start position:0% +will go near them if they are in a +regular school when they start behaving + + align:start position:0% +regular school when they start behaving + + + align:start position:0% +regular school when they start behaving +like that all children will avoid them + + align:start position:0% +like that all children will avoid them + + + align:start position:0% +like that all children will avoid them +and basically you know what the modal + + align:start position:0% +and basically you know what the modal + + + align:start position:0% +and basically you know what the modal +number of friends are for a person with + + align:start position:0% +number of friends are for a person with + + + align:start position:0% +number of friends are for a person with +autism zero the modal number + + align:start position:0% +autism zero the modal number + + + align:start position:0% +autism zero the modal number +zero uh and there's not much + + align:start position:0% +zero uh and there's not much + + + align:start position:0% +zero uh and there's not much +variance um and the reason for that is + + align:start position:0% +variance um and the reason for that is + + + align:start position:0% +variance um and the reason for that is +the kinds of behaviors I'm talking about + + align:start position:0% +the kinds of behaviors I'm talking about + + + align:start position:0% +the kinds of behaviors I'm talking about +and so um what it does then is it + + align:start position:0% +and so um what it does then is it + + + align:start position:0% +and so um what it does then is it +prevents full community integration I + + align:start position:0% +prevents full community integration I + + + align:start position:0% +prevents full community integration I +just reviewed that uh demoralizes family + + align:start position:0% +just reviewed that uh demoralizes family + + + align:start position:0% +just reviewed that uh demoralizes family +members parents and siblings and + + align:start position:0% +members parents and siblings and + + + align:start position:0% +members parents and siblings and +particularly demoralizes teachers are + + align:start position:0% +particularly demoralizes teachers are + + + align:start position:0% +particularly demoralizes teachers are +petrified when they get somebody like + + align:start position:0% +petrified when they get somebody like + + + align:start position:0% +petrified when they get somebody like +that in their classroom uh even + + align:start position:0% +that in their classroom uh even + + + align:start position:0% +that in their classroom uh even +so-called uh higher function or aspar um + + align:start position:0% +so-called uh higher function or aspar um + + + align:start position:0% +so-called uh higher function or aspar um +am I positioned incorrectly no um if + + align:start position:0% +am I positioned incorrectly no um if + + + align:start position:0% +am I positioned incorrectly no um if +that cheer's in your way we can move + + align:start position:0% +that cheer's in your way we can move + + + align:start position:0% +that cheer's in your way we can move +that this oh yeah no it's not maybe just + + align:start position:0% +that this oh yeah no it's not maybe just + + + align:start position:0% +that this oh yeah no it's not maybe just +push it over by the door or something + + align:start position:0% +push it over by the door or something + + + align:start position:0% +push it over by the door or something +yeah that's fine it's okay um increasing + + align:start position:0% +yeah that's fine it's okay um increasing + + + align:start position:0% +yeah that's fine it's okay um increasing +the likelihood of + + align:start position:0% +the likelihood of + + + align:start position:0% +the likelihood of +institutionalization without any doubt + + align:start position:0% +institutionalization without any doubt + + + align:start position:0% +institutionalization without any doubt +uh that's where people cluster when they + + align:start position:0% +uh that's where people cluster when they + + + align:start position:0% +uh that's where people cluster when they +have these kinds of behaviors problem is + + align:start position:0% +have these kinds of behaviors problem is + + + align:start position:0% +have these kinds of behaviors problem is +that when you are in an institution you + + align:start position:0% +that when you are in an institution you + + + align:start position:0% +that when you are in an institution you +lose all choice in life and there are + + align:start position:0% +lose all choice in life and there are + + + align:start position:0% +lose all choice in life and there are +data showing that the fewer choices a + + align:start position:0% +data showing that the fewer choices a + + + align:start position:0% +data showing that the fewer choices a +person has the more likely they are to + + align:start position:0% +person has the more likely they are to + + + align:start position:0% +person has the more likely they are to +act out and that's Universal almost + + align:start position:0% +act out and that's Universal almost + + + align:start position:0% +act out and that's Universal almost +everything I'm saying by the way applies + + align:start position:0% +everything I'm saying by the way applies + + + align:start position:0% +everything I'm saying by the way applies +to everybody including those who don't + + align:start position:0% +to everybody including those who don't + + + align:start position:0% +to everybody including those who don't +have autism it's just that people with + + align:start position:0% +have autism it's just that people with + + + align:start position:0% +have autism it's just that people with +Autism are like everybody else only more + + align:start position:0% +Autism are like everybody else only more + + + align:start position:0% +Autism are like everybody else only more +so um rejection by others again that's + + align:start position:0% +so um rejection by others again that's + + + align:start position:0% +so um rejection by others again that's +the end of any kind of social network + + align:start position:0% +the end of any kind of social network + + + align:start position:0% +the end of any kind of social network +with that kind of behavior uh and then + + align:start position:0% +with that kind of behavior uh and then + + + align:start position:0% +with that kind of behavior uh and then +those who can talk typically Aspergers + + align:start position:0% +those who can talk typically Aspergers + + + align:start position:0% +those who can talk typically Aspergers +uh will Express shame or regret over + + align:start position:0% +uh will Express shame or regret over + + + align:start position:0% +uh will Express shame or regret over +their behavior + + align:start position:0% +their behavior + + + align:start position:0% +their behavior +uh and they're miserable because of that + + align:start position:0% +uh and they're miserable because of that + + + align:start position:0% +uh and they're miserable because of that +so how would you summarize the issue of + + align:start position:0% +so how would you summarize the issue of + + + align:start position:0% +so how would you summarize the issue of +why is problem Behavior important + + align:start position:0% +why is problem Behavior important + + + align:start position:0% +why is problem Behavior important +fundamentally because it destroys + + align:start position:0% +fundamentally because it destroys + + + align:start position:0% +fundamentally because it destroys +quality of life which means that when we + + align:start position:0% +quality of life which means that when we + + + align:start position:0% +quality of life which means that when we +treat problem Behavior we never just do + + align:start position:0% +treat problem Behavior we never just do + + + align:start position:0% +treat problem Behavior we never just do +it to get rid of the behavior we always + + align:start position:0% +it to get rid of the behavior we always + + + align:start position:0% +it to get rid of the behavior we always +do it in such a way that it actually + + align:start position:0% +do it in such a way that it actually + + + align:start position:0% +do it in such a way that it actually +improves the person's quality of life + + align:start position:0% +improves the person's quality of life + + + align:start position:0% +improves the person's quality of life +because if you don't do that you haven't + + align:start position:0% +because if you don't do that you haven't + + + align:start position:0% +because if you don't do that you haven't +done anything if you just get rid of + + align:start position:0% +done anything if you just get rid of + + + align:start position:0% +done anything if you just get rid of +something bad but don't put in anything + + align:start position:0% +something bad but don't put in anything + + + align:start position:0% +something bad but don't put in anything +good then what have you done you + + align:start position:0% +good then what have you done you + + + align:start position:0% +good then what have you done you +produced somebody that's quiet and + + align:start position:0% +produced somebody that's quiet and + + + align:start position:0% +produced somebody that's quiet and +complacent and basically easy to control + + align:start position:0% +complacent and basically easy to control + + + align:start position:0% +complacent and basically easy to control +and that's + + align:start position:0% +and that's + + + align:start position:0% +and that's +nothing okay so then we get to the + + align:start position:0% +nothing okay so then we get to the + + + align:start position:0% +nothing okay so then we get to the +really um fundamental question which is + + align:start position:0% +really um fundamental question which is + + + align:start position:0% +really um fundamental question which is +um what is our understanding and the the + + align:start position:0% +um what is our understanding and the the + + + align:start position:0% +um what is our understanding and the the +basic Point here is this that I get this + + align:start position:0% +basic Point here is this that I get this + + + align:start position:0% +basic Point here is this that I get this +all the time people say oh so and so is + + align:start position:0% +all the time people say oh so and so is + + + align:start position:0% +all the time people say oh so and so is +self-injurious or so so's aggressive um + + align:start position:0% +self-injurious or so so's aggressive um + + + align:start position:0% +self-injurious or so so's aggressive um +what do I do about it I'll say well + + align:start position:0% +what do I do about it I'll say well + + + align:start position:0% +what do I do about it I'll say well +first of all we have to understand don't + + align:start position:0% +first of all we have to understand don't + + + align:start position:0% +first of all we have to understand don't +worry about understanding just tell me + + align:start position:0% +worry about understanding just tell me + + + align:start position:0% +worry about understanding just tell me +what to do and that would be the + + align:start position:0% +what to do and that would be the + + + align:start position:0% +what to do and that would be the +equivalent of Medicine of somebody + + align:start position:0% +equivalent of Medicine of somebody + + + align:start position:0% +equivalent of Medicine of somebody +coming in sick and say oh I don't want + + align:start position:0% +coming in sick and say oh I don't want + + + align:start position:0% +coming in sick and say oh I don't want +to understand I'll just give you thing + + align:start position:0% +to understand I'll just give you thing + + + align:start position:0% +to understand I'll just give you thing +you have a stomach pain uh take Alka + + align:start position:0% +you have a stomach pain uh take Alka + + + align:start position:0% +you have a stomach pain uh take Alka +salzer say well what happens if it's + + align:start position:0% +salzer say well what happens if it's + + + align:start position:0% +salzer say well what happens if it's +cancer oh I guess Alka Selzer wouldn't + + align:start position:0% +cancer oh I guess Alka Selzer wouldn't + + + align:start position:0% +cancer oh I guess Alka Selzer wouldn't +help uh basically uh it's critical to + + align:start position:0% +help uh basically uh it's critical to + + + align:start position:0% +help uh basically uh it's critical to +actually devote a lot of time and + + align:start position:0% +actually devote a lot of time and + + + align:start position:0% +actually devote a lot of time and +thought to understanding because + + align:start position:0% +thought to understanding because + + + align:start position:0% +thought to understanding because +treatment is easy understanding is + + align:start position:0% +treatment is easy understanding is + + + align:start position:0% +treatment is easy understanding is +difficult if you understand something + + align:start position:0% +difficult if you understand something + + + align:start position:0% +difficult if you understand something +the treatments follow very logically and + + align:start position:0% +the treatments follow very logically and + + + align:start position:0% +the treatments follow very logically and +rationally prescriptively and it's not a + + align:start position:0% +rationally prescriptively and it's not a + + + align:start position:0% +rationally prescriptively and it's not a +big issue uh and so therefore that's why + + align:start position:0% +big issue uh and so therefore that's why + + + align:start position:0% +big issue uh and so therefore that's why +we spend so much time on the issue of + + align:start position:0% +we spend so much time on the issue of + + + align:start position:0% +we spend so much time on the issue of +understanding uh and basically there's + + align:start position:0% +understanding uh and basically there's + + + align:start position:0% +understanding uh and basically there's +the thrust of all this + + align:start position:0% +the thrust of all this + + + align:start position:0% +the thrust of all this +is that um problem behaviors have + + align:start position:0% +is that um problem behaviors have + + + align:start position:0% +is that um problem behaviors have +triggers and they have payoffs certain + + align:start position:0% +triggers and they have payoffs certain + + + align:start position:0% +triggers and they have payoffs certain +things that set it off and certain + + align:start position:0% +things that set it off and certain + + + align:start position:0% +things that set it off and certain +things that pay it off and that's what + + align:start position:0% +things that pay it off and that's what + + + align:start position:0% +things that pay it off and that's what +keeps it going forever and ever and + + align:start position:0% +keeps it going forever and ever and + + + align:start position:0% +keeps it going forever and ever and +problem behaviors are robust they don't + + align:start position:0% +problem behaviors are robust they don't + + + align:start position:0% +problem behaviors are robust they don't +people don't outgrow them when they're + + align:start position:0% +people don't outgrow them when they're + + + align:start position:0% +people don't outgrow them when they're +successful they last forever and what + + align:start position:0% +successful they last forever and what + + + align:start position:0% +successful they last forever and what +happens over time is they tend to get + + align:start position:0% +happens over time is they tend to get + + + align:start position:0% +happens over time is they tend to get +worse not better and so therefore that's + + align:start position:0% +worse not better and so therefore that's + + + align:start position:0% +worse not better and so therefore that's +why so important to actually understand + + align:start position:0% +why so important to actually understand + + + align:start position:0% +why so important to actually understand +what's going on um and in fact there are + + align:start position:0% +what's going on um and in fact there are + + + align:start position:0% +what's going on um and in fact there are +data and I've done several metaanalyses + + align:start position:0% +data and I've done several metaanalyses + + + align:start position:0% +data and I've done several metaanalyses +actually the the government keeps + + align:start position:0% +actually the the government keeps + + + align:start position:0% +actually the the government keeps +commissioning us various branches of the + + align:start position:0% +commissioning us various branches of the + + + align:start position:0% +commissioning us various branches of the +government I guess they don't talk to + + align:start position:0% +government I guess they don't talk to + + + align:start position:0% +government I guess they don't talk to +each other different branches but um NIH + + align:start position:0% +each other different branches but um NIH + + + align:start position:0% +each other different branches but um NIH +I did a a metanalysis for NIH another + + align:start position:0% +I did a a metanalysis for NIH another + + + align:start position:0% +I did a a metanalysis for NIH another +one for US Department of Education and + + align:start position:0% +one for US Department of Education and + + + align:start position:0% +one for US Department of Education and +the most recent one for the National + + align:start position:0% +the most recent one for the National + + + align:start position:0% +the most recent one for the National +Academy of Sciences and every one of + + align:start position:0% +Academy of Sciences and every one of + + + align:start position:0% +Academy of Sciences and every one of +them showed the same metaanalysis even + + align:start position:0% +them showed the same metaanalysis even + + + align:start position:0% +them showed the same metaanalysis even +though they were a decade apart each + + align:start position:0% +though they were a decade apart each + + + align:start position:0% +though they were a decade apart each +which is that your ch chance of + + align:start position:0% +which is that your ch chance of + + + align:start position:0% +which is that your ch chance of +successfully treating problem behavior + + align:start position:0% +successfully treating problem behavior + + + align:start position:0% +successfully treating problem behavior +is twice as great if you base the + + align:start position:0% +is twice as great if you base the + + + align:start position:0% +is twice as great if you base the +treatments on an assessment where you + + align:start position:0% +treatments on an assessment where you + + + align:start position:0% +treatments on an assessment where you +understand it if you just do a fishing + + align:start position:0% +understand it if you just do a fishing + + + align:start position:0% +understand it if you just do a fishing +Expedition let's try this let's try that + + align:start position:0% +Expedition let's try this let's try that + + + align:start position:0% +Expedition let's try this let's try that +there's nobody in here in Psychiatry + + align:start position:0% +there's nobody in here in Psychiatry + + + align:start position:0% +there's nobody in here in Psychiatry +right okay so I can Trash Psychiatry um + + align:start position:0% +right okay so I can Trash Psychiatry um + + + align:start position:0% +right okay so I can Trash Psychiatry um +basically that's Psychiatry oh so and + + align:start position:0% +basically that's Psychiatry oh so and + + + align:start position:0% +basically that's Psychiatry oh so and +so's aggressive oh my God we'll do resp + + align:start position:0% +so's aggressive oh my God we'll do resp + + + align:start position:0% +so's aggressive oh my God we'll do resp +paratone it didn't work oh my God we'll + + align:start position:0% +paratone it didn't work oh my God we'll + + + align:start position:0% +paratone it didn't work oh my God we'll +do a Bight it didn't work we'll do selex + + align:start position:0% +do a Bight it didn't work we'll do selex + + + align:start position:0% +do a Bight it didn't work we'll do selex +we'll do satal we'll do Prozac that's + + align:start position:0% +we'll do satal we'll do Prozac that's + + + align:start position:0% +we'll do satal we'll do Prozac that's +nothing that's the op that's what's + + align:start position:0% +nothing that's the op that's what's + + + align:start position:0% +nothing that's the op that's what's +called anti-in ual behavior that leads + + align:start position:0% +called anti-in ual behavior that leads + + + align:start position:0% +called anti-in ual behavior that leads +to nothing that is a + + align:start position:0% +to nothing that is a + + + align:start position:0% +to nothing that is a +catastrophe the only people that are + + align:start position:0% +catastrophe the only people that are + + + align:start position:0% +catastrophe the only people that are +happy are glaco + + align:start position:0% +happy are glaco + + + align:start position:0% +happy are glaco +fizer okay they're they're happy Astro + + align:start position:0% +fizer okay they're they're happy Astro + + + align:start position:0% +fizer okay they're they're happy Astro +zenica so basically we don't do that we + + align:start position:0% +zenica so basically we don't do that we + + + align:start position:0% +zenica so basically we don't do that we +don't think that's a good idea at all + + align:start position:0% +don't think that's a good idea at all + + + align:start position:0% +don't think that's a good idea at all +there's something else that's better and + + align:start position:0% +there's something else that's better and + + + align:start position:0% +there's something else that's better and +that's basically to assess what the + + align:start position:0% +that's basically to assess what the + + + align:start position:0% +that's basically to assess what the +triggers are and what the payoffs are + + align:start position:0% +triggers are and what the payoffs are + + + align:start position:0% +triggers are and what the payoffs are +common triggers include things + + align:start position:0% +common triggers include things + + + align:start position:0% +common triggers include things +unfortunately like academic demands you + + align:start position:0% +unfortunately like academic demands you + + + align:start position:0% +unfortunately like academic demands you +try to teach somebody the kid goes + + align:start position:0% +try to teach somebody the kid goes + + + align:start position:0% +try to teach somebody the kid goes +berserk they don't want to do it they're + + align:start position:0% +berserk they don't want to do it they're + + + align:start position:0% +berserk they don't want to do it they're +cognitively challenged to begin with a + + align:start position:0% +cognitively challenged to begin with a + + + align:start position:0% +cognitively challenged to begin with a +lot of them there's social cues they + + align:start position:0% +lot of them there's social cues they + + + align:start position:0% +lot of them there's social cues they +involved there's emotional C reading all + + align:start position:0% +involved there's emotional C reading all + + + align:start position:0% +involved there's emotional C reading all +these things no good don't like it boom + + align:start position:0% +these things no good don't like it boom + + + align:start position:0% +these things no good don't like it boom +that's a trigger um home chores work + + align:start position:0% +that's a trigger um home chores work + + + align:start position:0% +that's a trigger um home chores work +tasks that's why people can't get jobs + + align:start position:0% +tasks that's why people can't get jobs + + + align:start position:0% +tasks that's why people can't get jobs +that's on the trigger side on the payoff + + align:start position:0% +that's on the trigger side on the payoff + + + align:start position:0% +that's on the trigger side on the payoff +side I devoted a whole slide to this + + align:start position:0% +side I devoted a whole slide to this + + + align:start position:0% +side I devoted a whole slide to this +these classes of controlling variable + + align:start position:0% +these classes of controlling variable + + + align:start position:0% +these classes of controlling variable +which are the payoff for human behavior + + align:start position:0% +which are the payoff for human behavior + + + align:start position:0% +which are the payoff for human behavior +basically cuts across everyone doesn't + + align:start position:0% +basically cuts across everyone doesn't + + + align:start position:0% +basically cuts across everyone doesn't +matter if you have autism or not all + + align:start position:0% +matter if you have autism or not all + + + align:start position:0% +matter if you have autism or not all +people are motivated this way and the + + align:start position:0% +people are motivated this way and the + + + align:start position:0% +people are motivated this way and the +basic idea behind all this is this to + + align:start position:0% +basic idea behind all this is this to + + + align:start position:0% +basic idea behind all this is this to +understand human behavior function is + + align:start position:0% +understand human behavior function is + + + align:start position:0% +understand human behavior function is +more important than form the why is more + + align:start position:0% +more important than form the why is more + + + align:start position:0% +more important than form the why is more +important than the what that's + + align:start position:0% +important than the what that's + + + align:start position:0% +important than the what that's +fundamental and so therefore we spend a + + align:start position:0% +fundamental and so therefore we spend a + + + align:start position:0% +fundamental and so therefore we spend a +lot of time answering the question why + + align:start position:0% +lot of time answering the question why + + + align:start position:0% +lot of time answering the question why +and why has different words in English + + align:start position:0% +and why has different words in English + + + align:start position:0% +and why has different words in English +it can be the motivation for the + + align:start position:0% +it can be the motivation for the + + + align:start position:0% +it can be the motivation for the +behavior reinforcement function purpose + + align:start position:0% +behavior reinforcement function purpose + + + align:start position:0% +behavior reinforcement function purpose +intent they're all the same different + + align:start position:0% +intent they're all the same different + + + align:start position:0% +intent they're all the same different +words the same idea and so what are the + + align:start position:0% +words the same idea and so what are the + + + align:start position:0% +words the same idea and so what are the +um purposes or motivation for Behavior + + align:start position:0% +um purposes or motivation for Behavior + + + align:start position:0% +um purposes or motivation for Behavior +including the extreme ones that I've + + align:start position:0% +including the extreme ones that I've + + + align:start position:0% +including the extreme ones that I've +mentioned these are the main ones uh + + align:start position:0% +mentioned these are the main ones uh + + + align:start position:0% +mentioned these are the main ones uh +attention seeking clearly if I Rush at + + align:start position:0% +attention seeking clearly if I Rush at + + + align:start position:0% +attention seeking clearly if I Rush at +that filing cabin smash my head against + + align:start position:0% +that filing cabin smash my head against + + + align:start position:0% +that filing cabin smash my head against +the corner you will attend you're not + + align:start position:0% +the corner you will attend you're not + + + align:start position:0% +the corner you will attend you're not +going to say oh that was interesting he + + align:start position:0% +going to say oh that was interesting he + + + align:start position:0% +going to say oh that was interesting he +smashed his head and he's bleeding you + + align:start position:0% +smashed his head and he's bleeding you + + + align:start position:0% +smashed his head and he's bleeding you +won't do that you say you rush over oh + + align:start position:0% +won't do that you say you rush over oh + + + align:start position:0% +won't do that you say you rush over oh +my God you know you you know and that's + + align:start position:0% +my God you know you you know and that's + + + align:start position:0% +my God you know you you know and that's +exactly what people do and and I always + + align:start position:0% +exactly what people do and and I always + + + align:start position:0% +exactly what people do and and I always +know when there's an episode because I + + align:start position:0% +know when there's an episode because I + + + align:start position:0% +know when there's an episode because I +see somebody on the floor and like five + + align:start position:0% +see somebody on the floor and like five + + + align:start position:0% +see somebody on the floor and like five +adults around them and I know already + + align:start position:0% +adults around them and I know already + + + align:start position:0% +adults around them and I know already +okay I already know what's happened okay + + align:start position:0% +okay I already know what's happened okay + + + align:start position:0% +okay I already know what's happened okay +so attention seeking is certainly very + + align:start position:0% +so attention seeking is certainly very + + + align:start position:0% +so attention seeking is certainly very +effective uh social avoidance uh kids + + align:start position:0% +effective uh social avoidance uh kids + + + align:start position:0% +effective uh social avoidance uh kids +with autism not so fond of other people + + align:start position:0% +with autism not so fond of other people + + + align:start position:0% +with autism not so fond of other people +uh not interested people come up you + + align:start position:0% +uh not interested people come up you + + + align:start position:0% +uh not interested people come up you +know hi Hi how are you you know okay + + align:start position:0% +know hi Hi how are you you know okay + + + align:start position:0% +know hi Hi how are you you know okay +well you get bit all right or somebody + + align:start position:0% +well you get bit all right or somebody + + + align:start position:0% +well you get bit all right or somebody +who or the kid responds by Smashing + + align:start position:0% +who or the kid responds by Smashing + + + align:start position:0% +who or the kid responds by Smashing +themselves in the face you back off + + align:start position:0% +themselves in the face you back off + + + align:start position:0% +themselves in the face you back off +that's social voidance that behavior is + + align:start position:0% +that's social voidance that behavior is + + + align:start position:0% +that's social voidance that behavior is +being used essentially like language to + + align:start position:0% +being used essentially like language to + + + align:start position:0% +being used essentially like language to +say leave me alone okay back off I don't + + align:start position:0% +say leave me alone okay back off I don't + + + align:start position:0% +say leave me alone okay back off I don't +want to interact with you uh task + + align:start position:0% +want to interact with you uh task + + + align:start position:0% +want to interact with you uh task +avoidance okay class we're all doing our + + align:start position:0% +avoidance okay class we're all doing our + + + align:start position:0% +avoidance okay class we're all doing our +you know do this work okay and then as + + align:start position:0% +you know do this work okay and then as + + + align:start position:0% +you know do this work okay and then as +soon as the teacher puts down starts + + align:start position:0% +soon as the teacher puts down starts + + + align:start position:0% +soon as the teacher puts down starts +making the demands the kid will trash + + align:start position:0% +making the demands the kid will trash + + + align:start position:0% +making the demands the kid will trash +the desk flip the desk over bite the + + align:start position:0% +the desk flip the desk over bite the + + + align:start position:0% +the desk flip the desk over bite the +teacher teacher backs off says oh we're + + align:start position:0% +teacher teacher backs off says oh we're + + + align:start position:0% +teacher teacher backs off says oh we're +not doing school workor today that's + + align:start position:0% +not doing school workor today that's + + + align:start position:0% +not doing school workor today that's +called task avoidance uh so again a very + + align:start position:0% +called task avoidance uh so again a very + + + align:start position:0% +called task avoidance uh so again a very +effective way of getting what you want + + align:start position:0% +effective way of getting what you want + + + align:start position:0% +effective way of getting what you want +given that you're not a good + + align:start position:0% +given that you're not a good + + + align:start position:0% +given that you're not a good +communicator uh tangible seeking uh + + align:start position:0% +communicator uh tangible seeking uh + + + align:start position:0% +communicator uh tangible seeking uh +actually you don't have to have autism + + align:start position:0% +actually you don't have to have autism + + + align:start position:0% +actually you don't have to have autism +to see this that's all you have to do is + + align:start position:0% +to see this that's all you have to do is + + + align:start position:0% +to see this that's all you have to do is +go to supermarket on Saturday afternoon + + align:start position:0% +go to supermarket on Saturday afternoon + + + align:start position:0% +go to supermarket on Saturday afternoon +with the mothers with their little boys + + align:start position:0% +with the mothers with their little boys + + + align:start position:0% +with the mothers with their little boys +typically and they're on the candy aisle + + align:start position:0% +typically and they're on the candy aisle + + + align:start position:0% +typically and they're on the candy aisle +and the kid wants something the mother + + align:start position:0% +and the kid wants something the mother + + + align:start position:0% +and the kid wants something the mother +says not now the kid wants something not + + align:start position:0% +says not now the kid wants something not + + + align:start position:0% +says not now the kid wants something not +now and then the kid collapses on the + + align:start position:0% +now and then the kid collapses on the + + + align:start position:0% +now and then the kid collapses on the +floor screaming and then the mother + + align:start position:0% +floor screaming and then the mother + + + align:start position:0% +floor screaming and then the mother +notices 90 people and start looking at + + align:start position:0% +notices 90 people and start looking at + + + align:start position:0% +notices 90 people and start looking at +her and so she puts her foot down and + + align:start position:0% +her and so she puts her foot down and + + + align:start position:0% +her and so she puts her foot down and +says okay just one cookie that's the + + align:start position:0% +says okay just one cookie that's the + + + align:start position:0% +says okay just one cookie that's the +kiss of death if you do that because now + + align:start position:0% +kiss of death if you do that because now + + + align:start position:0% +kiss of death if you do that because now +the kids learned if I accelerate high + + align:start position:0% +the kids learned if I accelerate high + + + align:start position:0% +the kids learned if I accelerate high +enough my mother will cave and I will + + align:start position:0% +enough my mother will cave and I will + + + align:start position:0% +enough my mother will cave and I will +get that so from now on that's what I'm + + align:start position:0% +get that so from now on that's what I'm + + + align:start position:0% +get that so from now on that's what I'm +going to do so that's tangible + + align:start position:0% +going to do so that's tangible + + + align:start position:0% +going to do so that's tangible +motivation um sensory reinforcement + + align:start position:0% +motivation um sensory reinforcement + + + align:start position:0% +motivation um sensory reinforcement +basically a lot of behaviors and this is + + align:start position:0% +basically a lot of behaviors and this is + + + align:start position:0% +basically a lot of behaviors and this is +by the way is very common among + + align:start position:0% +by the way is very common among + + + align:start position:0% +by the way is very common among +stereotypical behaviors where you see + + align:start position:0% +stereotypical behaviors where you see + + + align:start position:0% +stereotypical behaviors where you see +people who do things like there's no + + align:start position:0% +people who do things like there's no + + + align:start position:0% +people who do things like there's no +light switches oh there is oh what a + + align:start position:0% +light switches oh there is oh what a + + + align:start position:0% +light switches oh there is oh what a +break this this won't turn the power off + + align:start position:0% +break this this won't turn the power off + + + align:start position:0% +break this this won't turn the power off +on your machine there well okay oh okay + + align:start position:0% +on your machine there well okay oh okay + + + align:start position:0% +on your machine there well okay oh okay +good this is this I actually published + + align:start position:0% +good this is this I actually published + + + align:start position:0% +good this is this I actually published +this okay this oh oh it doesn't go on oh + + align:start position:0% +this okay this oh oh it doesn't go on oh + + + align:start position:0% +this okay this oh oh it doesn't go on oh +oh this yes yes yeah that's that's more + + align:start position:0% +oh this yes yes yeah that's that's more + + + align:start position:0% +oh this yes yes yeah that's that's more +like it okay when people do that and you + + align:start position:0% +like it okay when people do that and you + + + align:start position:0% +like it okay when people do that and you +see the kid looking like that what + + align:start position:0% +see the kid looking like that what + + + align:start position:0% +see the kid looking like that what +they're doing is they're using their + + align:start position:0% +they're doing is they're using their + + + align:start position:0% +they're doing is they're using their +problem Behavior to generate interesting + + align:start position:0% +problem Behavior to generate interesting + + + align:start position:0% +problem Behavior to generate interesting +sensory + + align:start position:0% +sensory + + + align:start position:0% +sensory +displays uh and the kids will do things + + align:start position:0% +displays uh and the kids will do things + + + align:start position:0% +displays uh and the kids will do things +like that lots of things and it looks + + align:start position:0% +like that lots of things and it looks + + + align:start position:0% +like that lots of things and it looks +like stereotype behavior of course it is + + align:start position:0% +like stereotype behavior of course it is + + + align:start position:0% +like stereotype behavior of course it is +by definition but what's driving it is + + align:start position:0% +by definition but what's driving it is + + + align:start position:0% +by definition but what's driving it is +none of the things I just mentioned + + align:start position:0% +none of the things I just mentioned + + + align:start position:0% +none of the things I just mentioned +what's driving it is sensory displays + + align:start position:0% +what's driving it is sensory displays + + + align:start position:0% +what's driving it is sensory displays +they find that very interesting and so + + align:start position:0% +they find that very interesting and so + + + align:start position:0% +they find that very interesting and so +do teenage boys at + + align:start position:0% +do teenage boys at + + + align:start position:0% +do teenage boys at +arcades it's the same motivation the + + align:start position:0% +arcades it's the same motivation the + + + align:start position:0% +arcades it's the same motivation the +entire game industry is predicated on + + align:start position:0% +entire game industry is predicated on + + + align:start position:0% +entire game industry is predicated on +that people don't play those games for + + align:start position:0% +that people don't play those games for + + + align:start position:0% +that people don't play those games for +intellectual stimulation okay it's like + + align:start position:0% +intellectual stimulation okay it's like + + + align:start position:0% +intellectual stimulation okay it's like +you press that it's say oh my God the + + align:start position:0% +you press that it's say oh my God the + + + align:start position:0% +you press that it's say oh my God the +graphics on this are unbelievable yeah + + align:start position:0% +graphics on this are unbelievable yeah + + + align:start position:0% +graphics on this are unbelievable yeah +well it's the same pattern it's just + + align:start position:0% +well it's the same pattern it's just + + + align:start position:0% +well it's the same pattern it's just +that if you do it with an arcade people + + align:start position:0% +that if you do it with an arcade people + + + align:start position:0% +that if you do it with an arcade people +say you're normal if you do it with + + align:start position:0% +say you're normal if you do it with + + + align:start position:0% +say you're normal if you do it with +light switches and flapping your hands + + align:start position:0% +light switches and flapping your hands + + + align:start position:0% +light switches and flapping your hands +they say you have autism so the + + align:start position:0% +they say you have autism so the + + + align:start position:0% +they say you have autism so the +take-home point if you're going to act + + align:start position:0% +take-home point if you're going to act + + + align:start position:0% +take-home point if you're going to act +strange do it + + align:start position:0% + + + + align:start position:0% + +appropriately okay homeostasis means uh + + align:start position:0% +appropriately okay homeostasis means uh + + + align:start position:0% +appropriately okay homeostasis means uh +that typical and this again can be + + align:start position:0% +that typical and this again can be + + + align:start position:0% +that typical and this again can be +something like stereo oopy is the common + + align:start position:0% +something like stereo oopy is the common + + + align:start position:0% +something like stereo oopy is the common +thing homeostasis simply means that + + align:start position:0% +thing homeostasis simply means that + + + align:start position:0% +thing homeostasis simply means that +you're engaging the behavior because + + align:start position:0% +you're engaging the behavior because + + + align:start position:0% +you're engaging the behavior because +you're trying to either um you're trying + + align:start position:0% +you're trying to either um you're trying + + + align:start position:0% +you're trying to either um you're trying +to get to an optimal state of + + align:start position:0% +to get to an optimal state of + + + align:start position:0% +to get to an optimal state of +stimulation so if there's too little + + align:start position:0% +stimulation so if there's too little + + + align:start position:0% +stimulation so if there's too little +stimulation in the environment you body + + align:start position:0% +stimulation in the environment you body + + + align:start position:0% +stimulation in the environment you body +rock in order to generate some if + + align:start position:0% +rock in order to generate some if + + + align:start position:0% +rock in order to generate some if +there's too much stimulation in the + + align:start position:0% +there's too much stimulation in the + + + align:start position:0% +there's too much stimulation in the +environment you body rock to block it + + align:start position:0% +environment you body rock to block it + + + align:start position:0% +environment you body rock to block it +out it's the same behavior but basically + + align:start position:0% +out it's the same behavior but basically + + + align:start position:0% +out it's the same behavior but basically +you're trying to modulate stimulation so + + align:start position:0% +you're trying to modulate stimulation so + + + align:start position:0% +you're trying to modulate stimulation so +it has a homeostasis Type U + + align:start position:0% +it has a homeostasis Type U + + + align:start position:0% +it has a homeostasis Type U +motivation the final one biological + + align:start position:0% +motivation the final one biological + + + align:start position:0% +motivation the final one biological +reinforcement has been used and there's + + align:start position:0% +reinforcement has been used and there's + + + align:start position:0% +reinforcement has been used and there's +some Merit to it I don't think it + + align:start position:0% +some Merit to it I don't think it + + + align:start position:0% +some Merit to it I don't think it +explains everything some Merit to uh + + align:start position:0% +explains everything some Merit to uh + + + align:start position:0% +explains everything some Merit to uh +explain why people would do The Vicious + + align:start position:0% +explain why people would do The Vicious + + + align:start position:0% +explain why people would do The Vicious +Kind of self injuries that I just + + align:start position:0% +Kind of self injuries that I just + + + align:start position:0% +Kind of self injuries that I just +mentioned the theory is this that we + + align:start position:0% +mentioned the theory is this that we + + + align:start position:0% +mentioned the theory is this that we +apparently have evolved so that when you + + align:start position:0% +apparently have evolved so that when you + + + align:start position:0% +apparently have evolved so that when you +um are receive a painful stimulus your + + align:start position:0% +um are receive a painful stimulus your + + + align:start position:0% +um are receive a painful stimulus your +body releases endogenous opiates into + + align:start position:0% +body releases endogenous opiates into + + + align:start position:0% +body releases endogenous opiates into +the + + align:start position:0% +the + + + align:start position:0% +the +bloodstream okay uh obviously as a way + + align:start position:0% +bloodstream okay uh obviously as a way + + + align:start position:0% +bloodstream okay uh obviously as a way +of quelling the pain and so the idea is + + align:start position:0% +of quelling the pain and so the idea is + + + align:start position:0% +of quelling the pain and so the idea is +is that children have learned that + + align:start position:0% +is that children have learned that + + + align:start position:0% +is that children have learned that +actually they can get a high by Smashing + + align:start position:0% +actually they can get a high by Smashing + + + align:start position:0% +actually they can get a high by Smashing +themselves enough so what looks to you + + align:start position:0% +themselves enough so what looks to you + + + align:start position:0% +themselves enough so what looks to you +like oh my God why is a person + + align:start position:0% +like oh my God why is a person + + + align:start position:0% +like oh my God why is a person +inflicting pain no they're generating + + align:start position:0% +inflicting pain no they're generating + + + align:start position:0% +inflicting pain no they're generating +IND does opiates not EXO exodist means + + align:start position:0% +IND does opiates not EXO exodist means + + + align:start position:0% +IND does opiates not EXO exodist means +you buy it on the street end does means + + align:start position:0% +you buy it on the street end does means + + + align:start position:0% +you buy it on the street end does means +you generate in your own body um and so + + align:start position:0% +you generate in your own body um and so + + + align:start position:0% +you generate in your own body um and so +therefore that's called biological + + align:start position:0% +therefore that's called biological + + + align:start position:0% +therefore that's called biological +reinforcement and in fact people have + + align:start position:0% +reinforcement and in fact people have + + + align:start position:0% +reinforcement and in fact people have +tried to um uh quell self-injury by + + align:start position:0% +tried to um uh quell self-injury by + + + align:start position:0% +tried to um uh quell self-injury by +administering now trone which is an + + align:start position:0% +administering now trone which is an + + + align:start position:0% +administering now trone which is an +opiate blocker it's an opiate antagonist + + align:start position:0% +opiate blocker it's an opiate antagonist + + + align:start position:0% +opiate blocker it's an opiate antagonist +the same thing you give to say drug + + align:start position:0% +the same thing you give to say drug + + + align:start position:0% +the same thing you give to say drug +addicts okay it's the same idea that + + align:start position:0% +addicts okay it's the same idea that + + + align:start position:0% +addicts okay it's the same idea that +okay you have endog opiates that are + + align:start position:0% +okay you have endog opiates that are + + + align:start position:0% +okay you have endog opiates that are +consequence of self- injury maybe if you + + align:start position:0% +consequence of self- injury maybe if you + + + align:start position:0% +consequence of self- injury maybe if you +gave NRE would block it so the self- + + align:start position:0% +gave NRE would block it so the self- + + + align:start position:0% +gave NRE would block it so the self- +injury wouldn't pay off anymore people + + align:start position:0% +injury wouldn't pay off anymore people + + + align:start position:0% +injury wouldn't pay off anymore people +have experimented with that there's some + + align:start position:0% +have experimented with that there's some + + + align:start position:0% +have experimented with that there's some +data suggest for some people it may have + + align:start position:0% +data suggest for some people it may have + + + align:start position:0% +data suggest for some people it may have +an effect so anyway these are some there + + align:start position:0% +an effect so anyway these are some there + + + align:start position:0% +an effect so anyway these are some there +are other that I don't have to go into + + align:start position:0% +are other that I don't have to go into + + + align:start position:0% +are other that I don't have to go into +today but I just want to give you a + + align:start position:0% +today but I just want to give you a + + + align:start position:0% +today but I just want to give you a +flavor for the idea that even the most + + align:start position:0% +flavor for the idea that even the most + + + align:start position:0% +flavor for the idea that even the most +extreme horrible looking behavior that + + align:start position:0% +extreme horrible looking behavior that + + + align:start position:0% +extreme horrible looking behavior that +looks completely + + align:start position:0% +looks completely + + + align:start position:0% +looks completely +random um completely + + align:start position:0% +random um completely + + + align:start position:0% +random um completely +irrational uh actually has a + + align:start position:0% +irrational uh actually has a + + + align:start position:0% +irrational uh actually has a +purpose uh and so therefore to really + + align:start position:0% +purpose uh and so therefore to really + + + align:start position:0% +purpose uh and so therefore to really +understand human behavior you have to be + + align:start position:0% +understand human behavior you have to be + + + align:start position:0% +understand human behavior you have to be +aware of the multiple functions that it + + align:start position:0% +aware of the multiple functions that it + + + align:start position:0% +aware of the multiple functions that it +can serve and therefore analyze it + + align:start position:0% +can serve and therefore analyze it + + + align:start position:0% +can serve and therefore analyze it +within that sort of perspective there + + align:start position:0% +within that sort of perspective there + + + align:start position:0% +within that sort of perspective there +there's one more I've heard from talking + + align:start position:0% +there's one more I've heard from talking + + + align:start position:0% +there's one more I've heard from talking +with people who who um have self- inous + + align:start position:0% +with people who who um have self- inous + + + align:start position:0% +with people who who um have self- inous +behaviors and they talk about sometimes + + align:start position:0% +behaviors and they talk about sometimes + + + align:start position:0% +behaviors and they talk about sometimes +not being able to feel where their body + + align:start position:0% +not being able to feel where their body + + + align:start position:0% +not being able to feel where their body +is and sometimes having trouble + + align:start position:0% +is and sometimes having trouble + + + align:start position:0% +is and sometimes having trouble +initiating movement too so you couple + + align:start position:0% +initiating movement too so you couple + + + align:start position:0% +initiating movement too so you couple +those two together and they're feeling + + align:start position:0% +those two together and they're feeling + + + align:start position:0% +those two together and they're feeling +all the things you said you know are + + align:start position:0% +all the things you said you know are + + + align:start position:0% +all the things you said you know are +true they're feeling frustrated in this + + align:start position:0% +true they're feeling frustrated in this + + + align:start position:0% +true they're feeling frustrated in this +situation with the testand somebody's in + + align:start position:0% +situation with the testand somebody's in + + + align:start position:0% +situation with the testand somebody's in +their face making them even more + + align:start position:0% +their face making them even more + + + align:start position:0% +their face making them even more +stressed they're having trouble moving + + align:start position:0% +stressed they're having trouble moving + + + align:start position:0% +stressed they're having trouble moving +and then all of a sudden when they're + + align:start position:0% +and then all of a sudden when they're + + + align:start position:0% +and then all of a sudden when they're +finally able to move it comes out and + + align:start position:0% +finally able to move it comes out and + + + align:start position:0% +finally able to move it comes out and +they don't really know like what parts + + align:start position:0% +they don't really know like what parts + + + align:start position:0% +they don't really know like what parts +of them are moving it comes out in this + + align:start position:0% +of them are moving it comes out in this + + + align:start position:0% +of them are moving it comes out in this +way of lashing reaching out toward + + align:start position:0% +way of lashing reaching out toward + + + align:start position:0% +way of lashing reaching out toward +another or toward self um in a way that + + align:start position:0% +another or toward self um in a way that + + + align:start position:0% +another or toward self um in a way that +could be very hurtful because it's a + + align:start position:0% +could be very hurtful because it's a + + + align:start position:0% +could be very hurtful because it's a +combination of anger and frustration at + + align:start position:0% +combination of anger and frustration at + + + align:start position:0% +combination of anger and frustration at +that point as well as trying to move + + align:start position:0% +that point as well as trying to move + + + align:start position:0% +that point as well as trying to move +to and so the location of the body part + + align:start position:0% +to and so the location of the body part + + + align:start position:0% +to and so the location of the body part +was the how you started well it seems to + + align:start position:0% +was the how you started well it seems to + + + align:start position:0% +was the how you started well it seems to +be that they sort of don't know where + + align:start position:0% +be that they sort of don't know where + + + align:start position:0% +be that they sort of don't know where +their limbs are and they're having + + align:start position:0% +their limbs are and they're having + + + align:start position:0% +their limbs are and they're having +trouble controlling them and moving them + + align:start position:0% +trouble controlling them and moving them + + + align:start position:0% +trouble controlling them and moving them +at the same timeo so so it's like + + align:start position:0% +at the same timeo so so it's like + + + align:start position:0% +at the same timeo so so it's like +sensory feedback yeah exactly it's like + + align:start position:0% +sensory feedback yeah exactly it's like + + + align:start position:0% +sensory feedback yeah exactly it's like +sensory feedback and and hitting thems + + align:start position:0% +sensory feedback and and hitting thems + + + align:start position:0% +sensory feedback and and hitting thems +certainly helps them to feel them + + align:start position:0% +certainly helps them to feel them + + + align:start position:0% +certainly helps them to feel them +themselves um especially if they hit + + align:start position:0% +themselves um especially if they hit + + + align:start position:0% +themselves um especially if they hit +thems hard enough to finally have a + + align:start position:0% +thems hard enough to finally have a + + + align:start position:0% +thems hard enough to finally have a +feeling there um and hitting others is + + align:start position:0% +feeling there um and hitting others is + + + align:start position:0% +feeling there um and hitting others is +more I think you know this person's yes + + align:start position:0% +more I think you know this person's yes + + + align:start position:0% +more I think you know this person's yes +that's different causing my problems + + align:start position:0% +that's different causing my problems + + + align:start position:0% +that's different causing my problems +that that is different but since you + + align:start position:0% +that that is different but since you + + + align:start position:0% +that that is different but since you +rais that um I want to point out + + align:start position:0% +rais that um I want to point out + + + align:start position:0% +rais that um I want to point out +something uh which is that a single + + align:start position:0% +something uh which is that a single + + + align:start position:0% +something uh which is that a single +Behavior can have multiple motivations + + align:start position:0% +Behavior can have multiple motivations + + + align:start position:0% +Behavior can have multiple motivations +so a person could headbang potentially + + align:start position:0% +so a person could headbang potentially + + + align:start position:0% +so a person could headbang potentially +for all of these reasons okay on the + + align:start position:0% +for all of these reasons okay on the + + + align:start position:0% +for all of these reasons okay on the +other hand um many different behaviors + + align:start position:0% +other hand um many different behaviors + + + align:start position:0% +other hand um many different behaviors +can have the same function so that's why + + align:start position:0% +can have the same function so that's why + + + align:start position:0% +can have the same function so that's why +I said at the beginning that what is + + align:start position:0% +I said at the beginning that what is + + + align:start position:0% +I said at the beginning that what is +less important than why uh so when + + align:start position:0% +less important than why uh so when + + + align:start position:0% +less important than why uh so when +people say oh what am I going to do with + + align:start position:0% +people say oh what am I going to do with + + + align:start position:0% +people say oh what am I going to do with +so and so is + + align:start position:0% +so and so is + + + align:start position:0% +so and so is +aggressive and then the psychiatrist + + align:start position:0% +aggressive and then the psychiatrist + + + align:start position:0% +aggressive and then the psychiatrist +will say well we'll give him resperidone + + align:start position:0% +will say well we'll give him resperidone + + + align:start position:0% +will say well we'll give him resperidone +that is + + align:start position:0% + + + + align:start position:0% + +imbecilic why would you think that a + + align:start position:0% +imbecilic why would you think that a + + + align:start position:0% +imbecilic why would you think that a +drug like that would address every + + align:start position:0% +drug like that would address every + + + align:start position:0% +drug like that would address every +single function + + align:start position:0% +single function + + + align:start position:0% +single function +okay it it's + + align:start position:0% +okay it it's + + + align:start position:0% +okay it it's +ineffective the sum data that raridon + + align:start position:0% +ineffective the sum data that raridon + + + align:start position:0% +ineffective the sum data that raridon +might go for this one the task avoidance + + align:start position:0% +might go for this one the task avoidance + + + align:start position:0% +might go for this one the task avoidance +and you know why has nothing to do with + + align:start position:0% +and you know why has nothing to do with + + + align:start position:0% +and you know why has nothing to do with +asarone raridon has a sedative property + + align:start position:0% +asarone raridon has a sedative property + + + align:start position:0% +asarone raridon has a sedative property +and when you're sedated you don't give a + + align:start position:0% +and when you're sedated you don't give a + + + align:start position:0% +and when you're sedated you don't give a +crap if the environment is + + align:start position:0% +crap if the environment is + + + align:start position:0% +crap if the environment is +aversive okay so therefore they've never + + align:start position:0% +aversive okay so therefore they've never + + + align:start position:0% +aversive okay so therefore they've never +done the experiment that I would have + + align:start position:0% +done the experiment that I would have + + + align:start position:0% +done the experiment that I would have +done and I've raised this once a + + align:start position:0% +done and I've raised this once a + + + align:start position:0% +done and I've raised this once a +psychiatrist but they they don't listen + + align:start position:0% +psychiatrist but they they don't listen + + + align:start position:0% +psychiatrist but they they don't listen +they have hearing problems or cognitive + + align:start position:0% +they have hearing problems or cognitive + + + align:start position:0% +they have hearing problems or cognitive +or whatever but basically um I said well + + align:start position:0% +or whatever but basically um I said well + + + align:start position:0% +or whatever but basically um I said well +wouldn't an appropriate control be + + align:start position:0% +wouldn't an appropriate control be + + + align:start position:0% +wouldn't an appropriate control be +chlorohydrate which has a real sedative + + align:start position:0% +chlorohydrate which has a real sedative + + + align:start position:0% +chlorohydrate which has a real sedative +property and oh no that's ridiculous + + align:start position:0% +property and oh no that's ridiculous + + + align:start position:0% +property and oh no that's ridiculous +yeah will explain ridiculous is not what + + align:start position:0% +yeah will explain ridiculous is not what + + + align:start position:0% +yeah will explain ridiculous is not what +you call an intellectual debate explain + + align:start position:0% +you call an intellectual debate explain + + + align:start position:0% +you call an intellectual debate explain +why it's ridiculous + + align:start position:0% +why it's ridiculous + + + align:start position:0% +why it's ridiculous +couldn't they didn't do the right + + align:start position:0% +couldn't they didn't do the right + + + align:start position:0% +couldn't they didn't do the right +control if you get any drug that has a + + align:start position:0% +control if you get any drug that has a + + + align:start position:0% +control if you get any drug that has a +sedative I'm predicting that you'll + + align:start position:0% +sedative I'm predicting that you'll + + + align:start position:0% +sedative I'm predicting that you'll +produce some impact on aggressive + + align:start position:0% +produce some impact on aggressive + + + align:start position:0% +produce some impact on aggressive +behavior benad yes benad dril is exactly + + align:start position:0% +behavior benad yes benad dril is exactly + + + align:start position:0% +behavior benad yes benad dril is exactly +correct and when you have a a young + + align:start position:0% +correct and when you have a a young + + + align:start position:0% +correct and when you have a a young +typical out of control little boy like I + + align:start position:0% +typical out of control little boy like I + + + align:start position:0% +typical out of control little boy like I +had when he was small oh my God is that + + align:start position:0% +had when he was small oh my God is that + + + align:start position:0% +had when he was small oh my God is that +a little cough or something we're going + + align:start position:0% +a little cough or something we're going + + + align:start position:0% +a little cough or something we're going +for a drive here we go oh it's so sweet + + align:start position:0% +for a drive here we go oh it's so sweet + + + align:start position:0% +for a drive here we go oh it's so sweet +and yummy go ahead you know and then you + + align:start position:0% +and yummy go ahead you know and then you + + + align:start position:0% +and yummy go ahead you know and then you +know you know and so that's the end of + + align:start position:0% +know you know and so that's the end of + + + align:start position:0% +know you know and so that's the end of +aggression but that's not a treatment + + align:start position:0% +aggression but that's not a treatment + + + align:start position:0% +aggression but that's not a treatment +what you really want want to do in the + + align:start position:0% +what you really want want to do in the + + + align:start position:0% +what you really want want to do in the +long run is teach the person + + align:start position:0% +long run is teach the person + + + align:start position:0% +long run is teach the person +alternatives to that behavior not to + + align:start position:0% +alternatives to that behavior not to + + + align:start position:0% +alternatives to that behavior not to +become dependent on + + align:start position:0% +become dependent on + + + align:start position:0% +become dependent on +drugs um yes um all those things there + + align:start position:0% +drugs um yes um all those things there + + + align:start position:0% +drugs um yes um all those things there +how much cognitive process needs to be + + align:start position:0% +how much cognitive process needs to be + + + align:start position:0% +how much cognitive process needs to be +involved with this do they think about + + align:start position:0% +involved with this do they think about + + + align:start position:0% +involved with this do they think about +all these or is it a Vari that's a good + + align:start position:0% +all these or is it a Vari that's a good + + + align:start position:0% +all these or is it a Vari that's a good +question um a lot of motivation of + + align:start position:0% +question um a lot of motivation of + + + align:start position:0% +question um a lot of motivation of +course is you're not aware so other + + align:start position:0% +course is you're not aware so other + + + align:start position:0% +course is you're not aware so other +that's for all of us by the way not just + + align:start position:0% +that's for all of us by the way not just + + + align:start position:0% +that's for all of us by the way not just +for people with Autism you do things and + + align:start position:0% +for people with Autism you do things and + + + align:start position:0% +for people with Autism you do things and +you're not aware and somebody shows you + + align:start position:0% +you're not aware and somebody shows you + + + align:start position:0% +you're not aware and somebody shows you +a videotape of yourself and you think oh + + align:start position:0% +a videotape of yourself and you think oh + + + align:start position:0% +a videotape of yourself and you think oh +my God do I really do that you oh I must + + align:start position:0% +my God do I really do that you oh I must + + + align:start position:0% +my God do I really do that you oh I must +do it for such and such reason so you + + align:start position:0% +do it for such and such reason so you + + + align:start position:0% +do it for such and such reason so you +wouldn't have to be aware but people who + + align:start position:0% +wouldn't have to be aware but people who + + + align:start position:0% +wouldn't have to be aware but people who +have Asperger syndrome for example are + + align:start position:0% +have Asperger syndrome for example are + + + align:start position:0% +have Asperger syndrome for example are +much more articulate much more aware um + + align:start position:0% +much more articulate much more aware um + + + align:start position:0% +much more articulate much more aware um +can actually potentially process and say + + align:start position:0% +can actually potentially process and say + + + align:start position:0% +can actually potentially process and say +I'm going to do such and such on purpose + + align:start position:0% +I'm going to do such and such on purpose + + + align:start position:0% +I'm going to do such and such on purpose +so um I think that for the vast majority + + align:start position:0% +so um I think that for the vast majority + + + align:start position:0% +so um I think that for the vast majority +of problem Behavior I don't think that's + + align:start position:0% +of problem Behavior I don't think that's + + + align:start position:0% +of problem Behavior I don't think that's +planful I don't think the kids sitting + + align:start position:0% +planful I don't think the kids sitting + + + align:start position:0% +planful I don't think the kids sitting +there what can I do to get rid of the + + align:start position:0% +there what can I do to get rid of the + + + align:start position:0% +there what can I do to get rid of the +teacher today I don't think they're + + align:start position:0% +teacher today I don't think they're + + + align:start position:0% +teacher today I don't think they're +actually thinking that through it's more + + align:start position:0% +actually thinking that through it's more + + + align:start position:0% +actually thinking that through it's more +like trial and error it work then Bing + + align:start position:0% +like trial and error it work then Bing + + + align:start position:0% +like trial and error it work then Bing +they lock onto it and then that becomes + + align:start position:0% +they lock onto it and then that becomes + + + align:start position:0% +they lock onto it and then that becomes +the the routine the pattern so it could + + align:start position:0% +the the routine the pattern so it could + + + align:start position:0% +the the routine the pattern so it could +be it could be either there are there + + align:start position:0% +be it could be either there are there + + + align:start position:0% +be it could be either there are there +are cognitive particularly with higher + + align:start position:0% +are cognitive particularly with higher + + + align:start position:0% +are cognitive particularly with higher +functioning + + align:start position:0% +functioning + + + align:start position:0% +functioning +uh so okay so what is our understanding + + align:start position:0% +uh so okay so what is our understanding + + + align:start position:0% +uh so okay so what is our understanding +the question is well how would you + + align:start position:0% +the question is well how would you + + + align:start position:0% +the question is well how would you +actually um um identify the various + + align:start position:0% +actually um um identify the various + + + align:start position:0% +actually um um identify the various +functions that I just listed there has + + align:start position:0% +functions that I just listed there has + + + align:start position:0% +functions that I just listed there has +to be a way an algorithm for figuring + + align:start position:0% +to be a way an algorithm for figuring + + + align:start position:0% +to be a way an algorithm for figuring +out you know which one is it um and + + align:start position:0% +out you know which one is it um and + + + align:start position:0% +out you know which one is it um and +basically there are three things that + + align:start position:0% +basically there are three things that + + + align:start position:0% +basically there are three things that +you can do one is direct observation + + align:start position:0% +you can do one is direct observation + + + align:start position:0% +you can do one is direct observation +I'm sorry one is interview the second + + align:start position:0% +I'm sorry one is interview the second + + + align:start position:0% +I'm sorry one is interview the second +one is direct observation the final one + + align:start position:0% +one is direct observation the final one + + + align:start position:0% +one is direct observation the final one +is what's called functional analysis + + align:start position:0% +is what's called functional analysis + + + align:start position:0% +is what's called functional analysis +which is basically an experiment where + + align:start position:0% +which is basically an experiment where + + + align:start position:0% +which is basically an experiment where +you manipulate something interview which + + align:start position:0% +you manipulate something interview which + + + align:start position:0% +you manipulate something interview which +I'll just show very quickly here's these + + align:start position:0% +I'll just show very quickly here's these + + + align:start position:0% +I'll just show very quickly here's these +are real people by the way from a book + + align:start position:0% +are real people by the way from a book + + + align:start position:0% +are real people by the way from a book +that I published and also there's + + align:start position:0% +that I published and also there's + + + align:start position:0% +that I published and also there's +several articles I published on this + + align:start position:0% +several articles I published on this + + + align:start position:0% +several articles I published on this +empirically when we're having break time + + align:start position:0% +empirically when we're having break time + + + align:start position:0% +empirically when we're having break time +Jim is quiet and happy but when I ask + + align:start position:0% +Jim is quiet and happy but when I ask + + + align:start position:0% +Jim is quiet and happy but when I ask +him to go back to work he yells and he + + align:start position:0% +him to go back to work he yells and he + + + align:start position:0% +him to go back to work he yells and he +pushes me out of the way when we're + + align:start position:0% +pushes me out of the way when we're + + + align:start position:0% +pushes me out of the way when we're +doing physical exercises I never get + + align:start position:0% +doing physical exercises I never get + + + align:start position:0% +doing physical exercises I never get +through more than one or two sit-ups + + align:start position:0% +through more than one or two sit-ups + + + align:start position:0% +through more than one or two sit-ups +before Jim runs away if I ask him to to + + align:start position:0% +before Jim runs away if I ask him to to + + + align:start position:0% +before Jim runs away if I ask him to to +come back he tries to kick me after a + + align:start position:0% +come back he tries to kick me after a + + + align:start position:0% +come back he tries to kick me after a +while it's not worth it for me to force + + align:start position:0% +while it's not worth it for me to force + + + align:start position:0% +while it's not worth it for me to force +him when we start folding his laundry I + + align:start position:0% +him when we start folding his laundry I + + + align:start position:0% +him when we start folding his laundry I +tell him we'll have a snack when we're + + align:start position:0% +tell him we'll have a snack when we're + + + align:start position:0% +tell him we'll have a snack when we're +done he'll fold one shirt ask for the + + align:start position:0% +done he'll fold one shirt ask for the + + + align:start position:0% +done he'll fold one shirt ask for the +snack if I say we have to fold more Jim + + align:start position:0% +snack if I say we have to fold more Jim + + + align:start position:0% +snack if I say we have to fold more Jim +we'll have a tantrum when he gets really + + align:start position:0% +we'll have a tantrum when he gets really + + + align:start position:0% +we'll have a tantrum when he gets really +bad it's easier to finish folding the + + align:start position:0% +bad it's easier to finish folding the + + + align:start position:0% +bad it's easier to finish folding the +laundry myself + + align:start position:0% +laundry myself + + + align:start position:0% +laundry myself +translation I make a lot of Demands he + + align:start position:0% +translation I make a lot of Demands he + + + align:start position:0% +translation I make a lot of Demands he +punishes me for every demand I make with + + align:start position:0% +punishes me for every demand I make with + + + align:start position:0% +punishes me for every demand I make with +aggressive behavior I just back off and + + align:start position:0% +aggressive behavior I just back off and + + + align:start position:0% +aggressive behavior I just back off and +do it for him so he now this is Parental + + align:start position:0% +do it for him so he now this is Parental + + + align:start position:0% +do it for him so he now this is Parental +perception so the level of interview + + align:start position:0% +perception so the level of interview + + + align:start position:0% +perception so the level of interview +what getting is people's perceptions as + + align:start position:0% +what getting is people's perceptions as + + + align:start position:0% +what getting is people's perceptions as +to the reason why people do things + + align:start position:0% +to the reason why people do things + + + align:start position:0% +to the reason why people do things +that's a that's intriguing but it's not + + align:start position:0% +that's a that's intriguing but it's not + + + align:start position:0% +that's a that's intriguing but it's not +at the level that we want it we need + + align:start position:0% +at the level that we want it we need + + + align:start position:0% +at the level that we want it we need +something more definitive in order to + + align:start position:0% +something more definitive in order to + + + align:start position:0% +something more definitive in order to +proceed with treatments so that gets us + + align:start position:0% +proceed with treatments so that gets us + + + align:start position:0% +proceed with treatments so that gets us +to the direct observation where if a + + align:start position:0% +to the direct observation where if a + + + align:start position:0% +to the direct observation where if a +parent says this is a different kid but + + align:start position:0% +parent says this is a different kid but + + + align:start position:0% +parent says this is a different kid but +it's the same idea if a parent says an + + align:start position:0% +it's the same idea if a parent says an + + + align:start position:0% +it's the same idea if a parent says an +interview I think Gary my son basically + + align:start position:0% +interview I think Gary my son basically + + + align:start position:0% +interview I think Gary my son basically +goes ballistic during having to make his + + align:start position:0% +goes ballistic during having to make his + + + align:start position:0% +goes ballistic during having to make his +lunch because he doesn't want to make + + align:start position:0% +lunch because he doesn't want to make + + + align:start position:0% +lunch because he doesn't want to make +his lunch he's this it's task avoidance + + align:start position:0% +his lunch he's this it's task avoidance + + + align:start position:0% +his lunch he's this it's task avoidance +so we say really do you mind if we visit + + align:start position:0% +so we say really do you mind if we visit + + + align:start position:0% +so we say really do you mind if we visit +your house when he is making making + + align:start position:0% +your house when he is making making + + + align:start position:0% +your house when he is making making +lunch that's direct + + align:start position:0% +lunch that's direct + + + align:start position:0% +lunch that's direct +observation and the question is is it + + align:start position:0% +observation and the question is is it + + + align:start position:0% +observation and the question is is it +confirmatory is what the mother's + + align:start position:0% +confirmatory is what the mother's + + + align:start position:0% +confirmatory is what the mother's +perception of what's going on really + + align:start position:0% +perception of what's going on really + + + align:start position:0% +perception of what's going on really +what's going on and so you go to the + + align:start position:0% +what's going on and so you go to the + + + align:start position:0% +what's going on and so you go to the +home and there's Gary's been making + + align:start position:0% +home and there's Gary's been making + + + align:start position:0% +home and there's Gary's been making +peanut butter sandwich for the past five + + align:start position:0% +peanut butter sandwich for the past five + + + align:start position:0% +peanut butter sandwich for the past five +minutes his mother was standing nearby + + align:start position:0% +minutes his mother was standing nearby + + + align:start position:0% +minutes his mother was standing nearby +she said Gary you need to clean up the + + align:start position:0% +she said Gary you need to clean up the + + + align:start position:0% +she said Gary you need to clean up the +mess you made his response to that was + + align:start position:0% +mess you made his response to that was + + + align:start position:0% +mess you made his response to that was +he threw the silverware on the floor and + + align:start position:0% +he threw the silverware on the floor and + + + align:start position:0% +he threw the silverware on the floor and +bit himself then he screamed no and he + + align:start position:0% +bit himself then he screamed no and he + + + align:start position:0% +bit himself then he screamed no and he +ran out of the kitchen the mother + + align:start position:0% +ran out of the kitchen the mother + + + align:start position:0% +ran out of the kitchen the mother +reacted by jumping out of his way 3 + + align:start position:0% +reacted by jumping out of his way 3 + + + align:start position:0% +reacted by jumping out of his way 3 +minutes later she cleaned up the mess + + align:start position:0% +minutes later she cleaned up the mess + + + align:start position:0% +minutes later she cleaned up the mess +herself the basic idea there is it + + align:start position:0% +herself the basic idea there is it + + + align:start position:0% +herself the basic idea there is it +confirms what the mother's perception + + align:start position:0% +confirms what the mother's perception + + + align:start position:0% +confirms what the mother's perception +was I believe my son is doing this + + align:start position:0% +was I believe my son is doing this + + + align:start position:0% +was I believe my son is doing this +because he wants to get out of his task + + align:start position:0% +because he wants to get out of his task + + + align:start position:0% +because he wants to get out of his task +avoidance in which case we've now gone + + align:start position:0% +avoidance in which case we've now gone + + + align:start position:0% +avoidance in which case we've now gone +from perception to + + align:start position:0% +from perception to + + + align:start position:0% +from perception to +correlation we're correlating actual + + align:start position:0% +correlation we're correlating actual + + + align:start position:0% +correlation we're correlating actual +presence of Demands with presence of + + align:start position:0% +presence of Demands with presence of + + + align:start position:0% +presence of Demands with presence of +violent Behavior okay the final step in + + align:start position:0% +violent Behavior okay the final step in + + + align:start position:0% +violent Behavior okay the final step in +this type of analysis this type of + + align:start position:0% +this type of analysis this type of + + + align:start position:0% +this type of analysis this type of +approach of actually figuring out why + + align:start position:0% +approach of actually figuring out why + + + align:start position:0% +approach of actually figuring out why +people are doing thing is called + + align:start position:0% +people are doing thing is called + + + align:start position:0% +people are doing thing is called +functional analysis which is an + + align:start position:0% +functional analysis which is an + + + align:start position:0% +functional analysis which is an +experiment where you manipulate things + + align:start position:0% +experiment where you manipulate things + + + align:start position:0% +experiment where you manipulate things +that's the essence of an experiment you + + align:start position:0% +that's the essence of an experiment you + + + align:start position:0% +that's the essence of an experiment you +manipulate things intentionally you + + align:start position:0% +manipulate things intentionally you + + + align:start position:0% +manipulate things intentionally you +don't just sit there passively observing + + align:start position:0% +don't just sit there passively observing + + + align:start position:0% +don't just sit there passively observing +correlations you purposely change the + + align:start position:0% +correlations you purposely change the + + + align:start position:0% +correlations you purposely change the +environment so here's uh Bob same thing + + align:start position:0% +environment so here's uh Bob same thing + + + align:start position:0% +environment so here's uh Bob same thing +these are a number of aggressive + + align:start position:0% +these are a number of aggressive + + + align:start position:0% +these are a number of aggressive +responses and these are in 15 minute + + align:start position:0% +responses and these are in 15 minute + + + align:start position:0% +responses and these are in 15 minute +periods 15 minutes okay so here's Bob + + align:start position:0% +periods 15 minutes okay so here's Bob + + + align:start position:0% +periods 15 minutes okay so here's Bob +and he's cruising at around 120 acts of + + align:start position:0% +and he's cruising at around 120 acts of + + + align:start position:0% +and he's cruising at around 120 acts of +aggression in 20 in every 15 minutes + + align:start position:0% +aggression in 20 in every 15 minutes + + + align:start position:0% +aggression in 20 in every 15 minutes +120 so you don't want to be the + + align:start position:0% +120 so you don't want to be the + + + align:start position:0% +120 so you don't want to be the +teacher um and then here and okay so + + align:start position:0% +teacher um and then here and okay so + + + align:start position:0% +teacher um and then here and okay so +that's demands and so there I so you + + align:start position:0% +that's demands and so there I so you + + + align:start position:0% +that's demands and so there I so you +know so you're Bob and I say do this Bob + + align:start position:0% +know so you're Bob and I say do this Bob + + + align:start position:0% +know so you're Bob and I say do this Bob +and you give me a shot okay and I back + + align:start position:0% +and you give me a shot okay and I back + + + align:start position:0% +and you give me a shot okay and I back +off and then I try it again you give me + + align:start position:0% +off and then I try it again you give me + + + align:start position:0% +off and then I try it again you give me +another shot and I keep backing off what + + align:start position:0% +another shot and I keep backing off what + + + align:start position:0% +another shot and I keep backing off what +I'm teaching you keep punching me and + + align:start position:0% +I'm teaching you keep punching me and + + + align:start position:0% +I'm teaching you keep punching me and +I'll keep backing off and when you when + + align:start position:0% +I'll keep backing off and when you when + + + align:start position:0% +I'll keep backing off and when you when +you do that unintentionally the teacher + + align:start position:0% +you do that unintentionally the teacher + + + align:start position:0% +you do that unintentionally the teacher +is not meaning to do that then what + + align:start position:0% +is not meaning to do that then what + + + align:start position:0% +is not meaning to do that then what +happens is you get the aggression here + + align:start position:0% +happens is you get the aggression here + + + align:start position:0% +happens is you get the aggression here +starting off at about 65 and by the time + + align:start position:0% +starting off at about 65 and by the time + + + align:start position:0% +starting off at about 65 and by the time +the teacher's done it's almost at 200 + + align:start position:0% +the teacher's done it's almost at 200 + + + align:start position:0% +the teacher's done it's almost at 200 +for 15 minutes + + align:start position:0% +for 15 minutes + + + align:start position:0% +for 15 minutes +so the teacher the parent or whoever + + align:start position:0% +so the teacher the parent or whoever + + + align:start position:0% +so the teacher the parent or whoever +doesn't understand what they're doing + + align:start position:0% +doesn't understand what they're doing + + + align:start position:0% +doesn't understand what they're doing +they're not aware of the effect they're + + align:start position:0% +they're not aware of the effect they're + + + align:start position:0% +they're not aware of the effect they're +having when they keep backing off and + + align:start position:0% +having when they keep backing off and + + + align:start position:0% +having when they keep backing off and +feeding into the behavior thereby + + align:start position:0% +feeding into the behavior thereby + + + align:start position:0% +feeding into the behavior thereby +teaching the kid you want to avoid a + + align:start position:0% +teaching the kid you want to avoid a + + + align:start position:0% +teaching the kid you want to avoid a +task smash your head against the table + + align:start position:0% +task smash your head against the table + + + align:start position:0% +task smash your head against the table +attack people throw a tantrum flip the + + align:start position:0% +attack people throw a tantrum flip the + + + align:start position:0% +attack people throw a tantrum flip the +table over trash the room you'll get + + align:start position:0% +table over trash the room you'll get + + + align:start position:0% +table over trash the room you'll get +what you want uh when you don't give + + align:start position:0% +what you want uh when you don't give + + + align:start position:0% +what you want uh when you don't give +demands look what happens to the + + align:start position:0% +demands look what happens to the + + + align:start position:0% +demands look what happens to the +aggressive behavior okay there is none + + align:start position:0% +aggressive behavior okay there is none + + + align:start position:0% +aggressive behavior okay there is none +um and so that's the final element in + + align:start position:0% +um and so that's the final element in + + + align:start position:0% +um and so that's the final element in +this and you keep doing this for + + align:start position:0% +this and you keep doing this for + + + align:start position:0% +this and you keep doing this for +different types of motivation and you + + align:start position:0% +different types of motivation and you + + + align:start position:0% +different types of motivation and you +can actually probe and discover is it + + align:start position:0% +can actually probe and discover is it + + + align:start position:0% +can actually probe and discover is it +attention is it task avoidance is it + + align:start position:0% +attention is it task avoidance is it + + + align:start position:0% +attention is it task avoidance is it +social avoidance uh is it homeostasis is + + align:start position:0% +social avoidance uh is it homeostasis is + + + align:start position:0% +social avoidance uh is it homeostasis is +it sensory there's ways of setting up + + align:start position:0% +it sensory there's ways of setting up + + + align:start position:0% +it sensory there's ways of setting up +the environment to + + align:start position:0% +the environment to + + + align:start position:0% +the environment to +probe and so that's how you figure out + + align:start position:0% +probe and so that's how you figure out + + + align:start position:0% +probe and so that's how you figure out +why people do + + align:start position:0% +why people do + + + align:start position:0% +why people do +things uh and then once you know why + + align:start position:0% +things uh and then once you know why + + + align:start position:0% +things uh and then once you know why +somebody is doing something then you can + + align:start position:0% +somebody is doing something then you can + + + align:start position:0% +somebody is doing something then you can +advance to treatment because you + + align:start position:0% +advance to treatment because you + + + align:start position:0% +advance to treatment because you +understand what's making them + + align:start position:0% +understand what's making them + + + align:start position:0% +understand what's making them +tick okay + + align:start position:0% +tick okay + + + align:start position:0% +tick okay +so um + + align:start position:0% +so um + + + align:start position:0% +so um +oh okay I have a question yes I've seen + + align:start position:0% +oh okay I have a question yes I've seen + + + align:start position:0% +oh okay I have a question yes I've seen +this kind of behavior everywhere I mean + + align:start position:0% +this kind of behavior everywhere I mean + + + align:start position:0% +this kind of behavior everywhere I mean +little kids uh by people when people + + align:start position:0% +little kids uh by people when people + + + align:start position:0% +little kids uh by people when people +they start crying they know somebody + + align:start position:0% +they start crying they know somebody + + + align:start position:0% +they start crying they know somebody +will + + align:start position:0% +will + + + align:start position:0% +will +absolutely it's everywhere and yes and + + align:start position:0% +absolutely it's everywhere and yes and + + + align:start position:0% +absolutely it's everywhere and yes and +and I have a brother in on the Down + + align:start position:0% +and I have a brother in on the Down + + + align:start position:0% +and I have a brother in on the Down +Syndrome yes and same whenever um I + + align:start position:0% +Syndrome yes and same whenever um I + + + align:start position:0% +Syndrome yes and same whenever um I +tried to be tough on him so + + align:start position:0% +tried to be tough on him so + + + align:start position:0% +tried to be tough on him so +he people tell me he's just not a normal + + align:start position:0% +he people tell me he's just not a normal + + + align:start position:0% +he people tell me he's just not a normal +boy so tough on him he doesn't + + align:start position:0% +boy so tough on him he doesn't + + + align:start position:0% +boy so tough on him he doesn't +understand and how do I you + + align:start position:0% +understand and how do I you + + + align:start position:0% +understand and how do I you +know that that's that's I hear that all + + align:start position:0% +know that that's that's I hear that all + + + align:start position:0% +know that that's that's I hear that all +the time uh so and so is not normal and + + align:start position:0% +the time uh so and so is not normal and + + + align:start position:0% +the time uh so and so is not normal and +that's why they do something that's not + + align:start position:0% +that's why they do something that's not + + + align:start position:0% +that's why they do something that's not +an explanation at all these processes + + align:start position:0% +an explanation at all these processes + + + align:start position:0% +an explanation at all these processes +are Universal has nothing to do with + + align:start position:0% +are Universal has nothing to do with + + + align:start position:0% +are Universal has nothing to do with +Down Syndrome or Autism or anything + + align:start position:0% +Down Syndrome or Autism or anything + + + align:start position:0% +Down Syndrome or Autism or anything +they're Universal it's just the way in + + align:start position:0% +they're Universal it's just the way in + + + align:start position:0% +they're Universal it's just the way in +which it is expressed is unique to the + + align:start position:0% +which it is expressed is unique to the + + + align:start position:0% +which it is expressed is unique to the +syndrome so most people don't bang their + + align:start position:0% +syndrome so most people don't bang their + + + align:start position:0% +syndrome so most people don't bang their +heads against walls but they'll do + + align:start position:0% +heads against walls but they'll do + + + align:start position:0% +heads against walls but they'll do +something else if they want to get out + + align:start position:0% +something else if they want to get out + + + align:start position:0% +something else if they want to get out +of a situation and you should never um + + align:start position:0% +of a situation and you should never um + + + align:start position:0% +of a situation and you should never um +exceed to that sort sort of uh statement + + align:start position:0% +exceed to that sort sort of uh statement + + + align:start position:0% +exceed to that sort sort of uh statement +where oh why are you doing it you know + + align:start position:0% +where oh why are you doing it you know + + + align:start position:0% +where oh why are you doing it you know +their behavior is basically random or + + align:start position:0% +their behavior is basically random or + + + align:start position:0% +their behavior is basically random or +it's part of the syndrome or something + + align:start position:0% +it's part of the syndrome or something + + + align:start position:0% +it's part of the syndrome or something +it's not part of anything it's + + align:start position:0% +it's not part of anything it's + + + align:start position:0% +it's not part of anything it's +learned it's learned and things that are + + align:start position:0% +learned it's learned and things that are + + + align:start position:0% +learned it's learned and things that are +learned can be + + align:start position:0% + + + + align:start position:0% + +unlearned so when he's doing something + + align:start position:0% +unlearned so when he's doing something + + + align:start position:0% +unlearned so when he's doing something +that he's not supposed + + align:start position:0% +that he's not supposed + + + align:start position:0% +that he's not supposed +to um are you allowed to put Force + + align:start position:0% +to um are you allowed to put Force + + + align:start position:0% +to um are you allowed to put Force +against it or how do no you wouldn't do + + align:start position:0% +against it or how do no you wouldn't do + + + align:start position:0% +against it or how do no you wouldn't do +Force + + align:start position:0% +Force + + + align:start position:0% +Force +no do if you do Force then you'll get + + align:start position:0% +no do if you do Force then you'll get + + + align:start position:0% +no do if you do Force then you'll get +killed + + align:start position:0% +killed + + + align:start position:0% +killed +so you don't do that um what you have to + + align:start position:0% +so you don't do that um what you have to + + + align:start position:0% +so you don't do that um what you have to +do is analyze the situation in terms of + + align:start position:0% +do is analyze the situation in terms of + + + align:start position:0% +do is analyze the situation in terms of +what the triggers are and then you + + align:start position:0% +what the triggers are and then you + + + align:start position:0% +what the triggers are and then you +modify the triggers I'm going to come to + + align:start position:0% +modify the triggers I'm going to come to + + + align:start position:0% +modify the triggers I'm going to come to +that I haven't reached the treatment + + align:start position:0% +that I haven't reached the treatment + + + align:start position:0% +that I haven't reached the treatment +section but you're anticipating it that + + align:start position:0% +section but you're anticipating it that + + + align:start position:0% +section but you're anticipating it that +is correct there are things you can do + + align:start position:0% +is correct there are things you can do + + + align:start position:0% +is correct there are things you can do +you got to remember I'm not just doing + + align:start position:0% +you got to remember I'm not just doing + + + align:start position:0% +you got to remember I'm not just doing +this as an intellectual exercise you + + align:start position:0% +this as an intellectual exercise you + + + align:start position:0% +this as an intellectual exercise you +know I mean there's people coming to me + + align:start position:0% +know I mean there's people coming to me + + + align:start position:0% +know I mean there's people coming to me +and they expect results and they get + + align:start position:0% +and they expect results and they get + + + align:start position:0% +and they expect results and they get +very upset when the results are not too + + align:start position:0% +very upset when the results are not too + + + align:start position:0% +very upset when the results are not too +good um because there's often like blood + + align:start position:0% +good um because there's often like blood + + + align:start position:0% +good um because there's often like blood +and things involved so basically this is + + align:start position:0% +and things involved so basically this is + + + align:start position:0% +and things involved so basically this is +called the sad state of the field + + align:start position:0% +called the sad state of the field + + + align:start position:0% +called the sad state of the field +problem beh this is how the field deals + + align:start position:0% +problem beh this is how the field deals + + + align:start position:0% +problem beh this is how the field deals +with problem Behavior at the moment this + + align:start position:0% +with problem Behavior at the moment this + + + align:start position:0% +with problem Behavior at the moment this +is called + + align:start position:0% +is called + + + align:start position:0% +is called +Psychiatry um the first thing you do is + + align:start position:0% +Psychiatry um the first thing you do is + + + align:start position:0% +Psychiatry um the first thing you do is +you label the person oh you have aspar + + align:start position:0% +you label the person oh you have aspar + + + align:start position:0% +you label the person oh you have aspar +you're pdns you have autistic disorder + + align:start position:0% +you're pdns you have autistic disorder + + + align:start position:0% +you're pdns you have autistic disorder +you're all screwed okay people like you + + align:start position:0% +you're all screwed okay people like you + + + align:start position:0% +you're all screwed okay people like you +don't belong with the rest of us so + + align:start position:0% +don't belong with the rest of us so + + + align:start position:0% +don't belong with the rest of us so +here's what we're going to do we're + + align:start position:0% +here's what we're going to do we're + + + align:start position:0% +here's what we're going to do we're +going to segregate you label you can go + + align:start position:0% +going to segregate you label you can go + + + align:start position:0% +going to segregate you label you can go +to a special facility where nice people + + align:start position:0% +to a special facility where nice people + + + align:start position:0% +to a special facility where nice people +will take care of you okay they're not + + align:start position:0% +will take care of you okay they're not + + + align:start position:0% +will take care of you okay they're not +so nice in the special facilities I've + + align:start position:0% +so nice in the special facilities I've + + + align:start position:0% +so nice in the special facilities I've +been all over the world they're not nice + + align:start position:0% +been all over the world they're not nice + + + align:start position:0% +been all over the world they're not nice +at all okay it's usually low paid + + align:start position:0% +at all okay it's usually low paid + + + align:start position:0% +at all okay it's usually low paid +minimum wage people they're unhappy to + + align:start position:0% +minimum wage people they're unhappy to + + + align:start position:0% +minimum wage people they're unhappy to +be there they're untrained they're not + + align:start position:0% +be there they're untrained they're not + + + align:start position:0% +be there they're untrained they're not +nice okay what happens when you put + + align:start position:0% +nice okay what happens when you put + + + align:start position:0% +nice okay what happens when you put +people in a not nice situation all + + align:start position:0% +people in a not nice situation all + + + align:start position:0% +people in a not nice situation all +people including those with autism they + + align:start position:0% +people including those with autism they + + + align:start position:0% +people including those with autism they +start to act out oh my God look at you + + align:start position:0% +start to act out oh my God look at you + + + align:start position:0% +start to act out oh my God look at you +you're acting out it must be down + + align:start position:0% +you're acting out it must be down + + + align:start position:0% +you're acting out it must be down +syndrome it must be autism it must be + + align:start position:0% +syndrome it must be autism it must be + + + align:start position:0% +syndrome it must be autism it must be +your condition you know what we'll do + + align:start position:0% +your condition you know what we'll do + + + align:start position:0% +your condition you know what we'll do +we'll give you medication they never + + align:start position:0% +we'll give you medication they never + + + align:start position:0% +we'll give you medication they never +call drugs by the way it's + + align:start position:0% +call drugs by the way it's + + + align:start position:0% +call drugs by the way it's +medication we're going to medicate you + + align:start position:0% +medication we're going to medicate you + + + align:start position:0% +medication we're going to medicate you +that's good for + + align:start position:0% +that's good for + + + align:start position:0% +that's good for +you so label segregate drug is the exact + + align:start position:0% +you so label segregate drug is the exact + + + align:start position:0% +you so label segregate drug is the exact +opposite of what I just described this + + align:start position:0% +opposite of what I just described this + + + align:start position:0% +opposite of what I just described this +leads to + + align:start position:0% +leads to + + + align:start position:0% +leads to +nothing okay well what what it leads to + + align:start position:0% +nothing okay well what what it leads to + + + align:start position:0% +nothing okay well what what it leads to +is + + align:start position:0% + + + + align:start position:0% + +this okay your child are so well behaved + + align:start position:0% +this okay your child are so well behaved + + + align:start position:0% +this okay your child are so well behaved +what are their names proac Ola and Ridin + + align:start position:0% +what are their names proac Ola and Ridin + + + align:start position:0% +what are their names proac Ola and Ridin +and I like the eyes that's very good I + + align:start position:0% +and I like the eyes that's very good I + + + align:start position:0% +and I like the eyes that's very good I +like those wide open that's da of the + + align:start position:0% +like those wide open that's da of the + + + align:start position:0% +like those wide open that's da of the +Living Dead eyes um so basically um + + align:start position:0% +Living Dead eyes um so basically um + + + align:start position:0% +Living Dead eyes um so basically um +that's what we're trying to avoid okay + + align:start position:0% +that's what we're trying to avoid okay + + + align:start position:0% +that's what we're trying to avoid okay +well what we're up to now is the basic + + align:start position:0% +well what we're up to now is the basic + + + align:start position:0% +well what we're up to now is the basic +idea of behind all of this which is + + align:start position:0% +idea of behind all of this which is + + + align:start position:0% +idea of behind all of this which is +where I led in my opening comments is + + align:start position:0% +where I led in my opening comments is + + + align:start position:0% +where I led in my opening comments is +that to make progress in this we have to + + align:start position:0% +that to make progress in this we have to + + + align:start position:0% +that to make progress in this we have to +integrate three fields of knowledge + + align:start position:0% +integrate three fields of knowledge + + + align:start position:0% +integrate three fields of knowledge +behavioral psychology biomedical and + + align:start position:0% +behavioral psychology biomedical and + + + align:start position:0% +behavioral psychology biomedical and +technology and technology is the pivot + + align:start position:0% +technology and technology is the pivot + + + align:start position:0% +technology and technology is the pivot +because we can't do a lot of these + + align:start position:0% +because we can't do a lot of these + + + align:start position:0% +because we can't do a lot of these +things without the right technology + + align:start position:0% +things without the right technology + + + align:start position:0% +things without the right technology +that's what's hampering the field at the + + align:start position:0% +that's what's hampering the field at the + + + align:start position:0% +that's what's hampering the field at the +moment okay so I'm going to do + + align:start position:0% +moment okay so I'm going to do + + + align:start position:0% +moment okay so I'm going to do +conceptual good okay yeah no I'm sorry + + align:start position:0% +conceptual good okay yeah no I'm sorry + + + align:start position:0% +conceptual good okay yeah no I'm sorry +these are the six dimensions of integr + + align:start position:0% +these are the six dimensions of integr + + + align:start position:0% +these are the six dimensions of integr +of research there's a conceptual + + align:start position:0% +of research there's a conceptual + + + align:start position:0% +of research there's a conceptual +taxonomic diagnostic methodological + + align:start position:0% +taxonomic diagnostic methodological + + + align:start position:0% +taxonomic diagnostic methodological +treatment and outcome these are Six + + align:start position:0% +treatment and outcome these are Six + + + align:start position:0% +treatment and outcome these are Six +Dimensions that I just want to walk + + align:start position:0% +Dimensions that I just want to walk + + + align:start position:0% +Dimensions that I just want to walk +through and then right at the end I have + + align:start position:0% +through and then right at the end I have + + + align:start position:0% +through and then right at the end I have +uh proposals it's research proposal time + + align:start position:0% +uh proposals it's research proposal time + + + align:start position:0% +uh proposals it's research proposal time +um let's look at the first one + + align:start position:0% +um let's look at the first one + + + align:start position:0% +um let's look at the first one +conceptual this is what's in a minute + + align:start position:0% +conceptual this is what's in a minute + + + align:start position:0% +conceptual this is what's in a minute +you'll see what's called a four-term + + align:start position:0% +you'll see what's called a four-term + + + align:start position:0% +you'll see what's called a four-term +contingency here's the way people + + align:start position:0% +contingency here's the way people + + + align:start position:0% +contingency here's the way people +conceptualize problem Behavior a teacher + + align:start position:0% +conceptualize problem Behavior a teacher + + + align:start position:0% +conceptualize problem Behavior a teacher +or parent or whoever says let's do + + align:start position:0% +or parent or whoever says let's do + + + align:start position:0% +or parent or whoever says let's do +reading to the kid okay that triggers + + align:start position:0% +reading to the kid okay that triggers + + + align:start position:0% +reading to the kid okay that triggers +some days it triggers aggression on + + align:start position:0% +some days it triggers aggression on + + + align:start position:0% +some days it triggers aggression on +other days the kid actually reads and so + + align:start position:0% +other days the kid actually reads and so + + + align:start position:0% +other days the kid actually reads and so +people say oh my God it's the same + + align:start position:0% +people say oh my God it's the same + + + align:start position:0% +people say oh my God it's the same +situation someday they read someday they + + align:start position:0% +situation someday they read someday they + + + align:start position:0% +situation someday they read someday they +are aggressive the behavior is clearly + + align:start position:0% +are aggressive the behavior is clearly + + + align:start position:0% +are aggressive the behavior is clearly +random it must be centrally driven + + align:start position:0% +random it must be centrally driven + + + align:start position:0% +random it must be centrally driven +that's how you know people are in a + + align:start position:0% +that's how you know people are in a + + + align:start position:0% +that's how you know people are in a +state of ignorance as soon as they go + + align:start position:0% +state of ignorance as soon as they go + + + align:start position:0% +state of ignorance as soon as they go +for it's centrally everything is + + align:start position:0% +for it's centrally everything is + + + align:start position:0% +for it's centrally everything is +centrally driven so that doesn't explain + + align:start position:0% +centrally driven so that doesn't explain + + + align:start position:0% +centrally driven so that doesn't explain +anything or it's biological well + + align:start position:0% +anything or it's biological well + + + align:start position:0% +anything or it's biological well +everything is biological so that's a + + align:start position:0% +everything is biological so that's a + + + align:start position:0% +everything is biological so that's a +non-explanation um BAS basically when + + align:start position:0% +non-explanation um BAS basically when + + + align:start position:0% +non-explanation um BAS basically when +you have a fixed environment but + + align:start position:0% +you have a fixed environment but + + + align:start position:0% +you have a fixed environment but +dramatically different behaviors that's + + align:start position:0% +dramatically different behaviors that's + + + align:start position:0% +dramatically different behaviors that's +when people think it's random it's + + align:start position:0% +when people think it's random it's + + + align:start position:0% +when people think it's random it's +psychotic it's + + align:start position:0% +psychotic it's + + + align:start position:0% +psychotic it's +incomprehensible um okay what's missing + + align:start position:0% +incomprehensible um okay what's missing + + + align:start position:0% +incomprehensible um okay what's missing +these it's called three term because + + align:start position:0% +these it's called three term because + + + align:start position:0% +these it's called three term because +there's a trigger that's one produces a + + align:start position:0% +there's a trigger that's one produces a + + + align:start position:0% +there's a trigger that's one produces a +response that's two and then there's a + + align:start position:0% +response that's two and then there's a + + + align:start position:0% +response that's two and then there's a +consequence if you're aggressive you get + + align:start position:0% +consequence if you're aggressive you get + + + align:start position:0% +consequence if you're aggressive you get +out of reading that's task avoidance if + + align:start position:0% +out of reading that's task avoidance if + + + align:start position:0% +out of reading that's task avoidance if +you read your mother or teacher actually + + align:start position:0% +you read your mother or teacher actually + + + align:start position:0% +you read your mother or teacher actually +Praises you so that's another + + align:start position:0% +Praises you so that's another + + + align:start position:0% +Praises you so that's another +consequence that's nice okay so what's + + align:start position:0% +consequence that's nice okay so what's + + + align:start position:0% +consequence that's nice okay so what's +the difference between those two + + align:start position:0% +the difference between those two + + + align:start position:0% +the difference between those two +situations right here there's another + + align:start position:0% +situations right here there's another + + + align:start position:0% +situations right here there's another +set of variable called setting events + + align:start position:0% +set of variable called setting events + + + align:start position:0% +set of variable called setting events +this environment right here in this room + + align:start position:0% +this environment right here in this room + + + align:start position:0% +this environment right here in this room +is fixed okay and you're all in a + + align:start position:0% +is fixed okay and you're all in a + + + align:start position:0% +is fixed okay and you're all in a +certain state of health and so maybe + + align:start position:0% +certain state of health and so maybe + + + align:start position:0% +certain state of health and so maybe +you're attending to me right now if + + align:start position:0% +you're attending to me right now if + + + align:start position:0% +you're attending to me right now if +tomorrow I come back and give the same + + align:start position:0% +tomorrow I come back and give the same + + + align:start position:0% +tomorrow I come back and give the same +presentation but four of you have severe + + align:start position:0% +presentation but four of you have severe + + + align:start position:0% +presentation but four of you have severe +migraine headaches your behavior won't + + align:start position:0% +migraine headaches your behavior won't + + + align:start position:0% +migraine headaches your behavior won't +be the + + align:start position:0% +be the + + + align:start position:0% +be the +same you'll look inattentive distracted + + align:start position:0% +same you'll look inattentive distracted + + + align:start position:0% +same you'll look inattentive distracted +whatever and people will say well your + + align:start position:0% +whatever and people will say well your + + + align:start position:0% +whatever and people will say well your +behavior is random no it's that there + + align:start position:0% +behavior is random no it's that there + + + align:start position:0% +behavior is random no it's that there +was a fourth element called a setting + + align:start position:0% +was a fourth element called a setting + + + align:start position:0% +was a fourth element called a setting +event which in this case is your health + + align:start position:0% +event which in this case is your health + + + align:start position:0% +event which in this case is your health +status we'll get to that in a minute + + align:start position:0% +status we'll get to that in a minute + + + align:start position:0% +status we'll get to that in a minute +basic basically then there's more than + + align:start position:0% +basic basically then there's more than + + + align:start position:0% +basic basically then there's more than +just the present environment there's a + + align:start position:0% +just the present environment there's a + + + align:start position:0% +just the present environment there's a +broader context to the present + + align:start position:0% +broader context to the present + + + align:start position:0% +broader context to the present +environment and by understanding that + + align:start position:0% +environment and by understanding that + + + align:start position:0% +environment and by understanding that +broader context you're able to me more + + align:start position:0% +broader context you're able to me more + + + align:start position:0% +broader context you're able to me more +precisely specify when problem Behavior + + align:start position:0% +precisely specify when problem Behavior + + + align:start position:0% +precisely specify when problem Behavior +will or will not + + align:start position:0% +will or will not + + + align:start position:0% +will or will not +occur and so sorry yes and there's still + + align:start position:0% +occur and so sorry yes and there's still + + + align:start position:0% +occur and so sorry yes and there's still +a probability on on that right though + + align:start position:0% +a probability on on that right though + + + align:start position:0% +a probability on on that right though +like even if the setting is the exact + + align:start position:0% +like even if the setting is the exact + + + align:start position:0% +like even if the setting is the exact +same the trigger is the exact same there + + align:start position:0% +same the trigger is the exact same there + + + align:start position:0% +same the trigger is the exact same there +still + + align:start position:0% +still + + + align:start position:0% +still +sometimes probabilistic yeah right but a + + align:start position:0% +sometimes probabilistic yeah right but a + + + align:start position:0% +sometimes probabilistic yeah right but a +clear difference in probabilities yes + + align:start position:0% +clear difference in probabilities yes + + + align:start position:0% +clear difference in probabilities yes +nothing nothing only pavlovian + + align:start position:0% +nothing nothing only pavlovian + + + align:start position:0% +nothing nothing only pavlovian +conditioning is X and Y okay a reflex of + + align:start position:0% +conditioning is X and Y okay a reflex of + + + align:start position:0% +conditioning is X and Y okay a reflex of +involuntary then you get it all the time + + align:start position:0% +involuntary then you get it all the time + + + align:start position:0% +involuntary then you get it all the time +this is not like this um here is what's + + align:start position:0% +this is not like this um here is what's + + + align:start position:0% +this is not like this um here is what's +happening when the person is either in a + + align:start position:0% +happening when the person is either in a + + + align:start position:0% +happening when the person is either in a +state of pain or fatigue and you give + + align:start position:0% +state of pain or fatigue and you give + + + align:start position:0% +state of pain or fatigue and you give +them the reading task that's when you + + align:start position:0% +them the reading task that's when you + + + align:start position:0% +them the reading task that's when you +get aggression you know why it's the + + align:start position:0% +get aggression you know why it's the + + + align:start position:0% +get aggression you know why it's the +same for all of us if people are making + + align:start position:0% +same for all of us if people are making + + + align:start position:0% +same for all of us if people are making +demands on you and you are in pain or + + align:start position:0% +demands on you and you are in pain or + + + align:start position:0% +demands on you and you are in pain or +you are fatigued or you are anxious okay + + align:start position:0% +you are fatigued or you are anxious okay + + + align:start position:0% +you are fatigued or you are anxious okay +it's not the same as when you are + + align:start position:0% +it's not the same as when you are + + + align:start position:0% +it's not the same as when you are +experiencing no pain no fatigue no + + align:start position:0% +experiencing no pain no fatigue no + + + align:start position:0% +experiencing no pain no fatigue no +anxiety the reason why is that when + + align:start position:0% +anxiety the reason why is that when + + + align:start position:0% +anxiety the reason why is that when +you're in these + + align:start position:0% +you're in these + + + align:start position:0% +you're in these +states things that are mildly aversive + + align:start position:0% +states things that are mildly aversive + + + align:start position:0% +states things that are mildly aversive +become incredibly aversive you know that + + align:start position:0% +become incredibly aversive you know that + + + align:start position:0% +become incredibly aversive you know that +just from forget about autism you you + + align:start position:0% +just from forget about autism you you + + + align:start position:0% +just from forget about autism you you +have kids at home and it's been a bad + + align:start position:0% +have kids at home and it's been a bad + + + align:start position:0% +have kids at home and it's been a bad +day at work you have splitting heading + + align:start position:0% +day at work you have splitting heading + + + align:start position:0% +day at work you have splitting heading +the P kids knacking you you know okay + + align:start position:0% +the P kids knacking you you know okay + + + align:start position:0% +the P kids knacking you you know okay +and or you've had a tendous day at work + + align:start position:0% +and or you've had a tendous day at work + + + align:start position:0% +and or you've had a tendous day at work +and the kids nag you and say oh my kids + + align:start position:0% +and the kids nag you and say oh my kids + + + align:start position:0% +and the kids nag you and say oh my kids +they're just such nags I love them well + + align:start position:0% +they're just such nags I love them well + + + align:start position:0% +they're just such nags I love them well +it's obvious + + align:start position:0% +it's obvious + + + align:start position:0% +it's obvious +different response to the same situation + + align:start position:0% +different response to the same situation + + + align:start position:0% +different response to the same situation +because there is a setting event out + + align:start position:0% +because there is a setting event out + + + align:start position:0% +because there is a setting event out +there and it varied from day to day and + + align:start position:0% +there and it varied from day to day and + + + align:start position:0% +there and it varied from day to day and +that that is what account is counting + + align:start position:0% +that that is what account is counting + + + align:start position:0% +that that is what account is counting +for a big chunk of the variant of your + + align:start position:0% +for a big chunk of the variant of your + + + align:start position:0% +for a big chunk of the variant of your +behavior so therefore we need to analyze + + align:start position:0% +behavior so therefore we need to analyze + + + align:start position:0% +behavior so therefore we need to analyze +this and this plus this is called the + + align:start position:0% +this and this plus this is called the + + + align:start position:0% +this and this plus this is called the +context for behavior and so what I'm + + align:start position:0% +context for behavior and so what I'm + + + align:start position:0% +context for behavior and so what I'm +saying is that no matter what Behavior + + align:start position:0% +saying is that no matter what Behavior + + + align:start position:0% +saying is that no matter what Behavior +you're looking at it has a context and + + align:start position:0% +you're looking at it has a context and + + + align:start position:0% +you're looking at it has a context and +you have to analyze that broader context + + align:start position:0% +you have to analyze that broader context + + + align:start position:0% +you have to analyze that broader context +so what does that mean practically this + + align:start position:0% +so what does that mean practically this + + + align:start position:0% +so what does that mean practically this +is the four term contingency and forget + + align:start position:0% +is the four term contingency and forget + + + align:start position:0% +is the four term contingency and forget +about all this stuff down here it's down + + align:start position:0% +about all this stuff down here it's down + + + align:start position:0% +about all this stuff down here it's down +here is where I'm focusing on setting + + align:start position:0% +here is where I'm focusing on setting + + + align:start position:0% +here is where I'm focusing on setting +events basically there's three different + + align:start position:0% +events basically there's three different + + + align:start position:0% +events basically there's three different +categories of setting events some of + + align:start position:0% +categories of setting events some of + + + align:start position:0% +categories of setting events some of +them are social setting events I'll give + + align:start position:0% +them are social setting events I'll give + + + align:start position:0% +them are social setting events I'll give +you examples some of them are activity + + align:start position:0% +you examples some of them are activity + + + align:start position:0% +you examples some of them are activity +setting events and final class is called + + align:start position:0% +setting events and final class is called + + + align:start position:0% +setting events and final class is called +biological setting events so the broader + + align:start position:0% +biological setting events so the broader + + + align:start position:0% +biological setting events so the broader +context for Behavior could be social + + align:start position:0% +context for Behavior could be social + + + align:start position:0% +context for Behavior could be social +activity routines or biological and by + + align:start position:0% +activity routines or biological and by + + + align:start position:0% +activity routines or biological and by +analyzing these three generic categories + + align:start position:0% +analyzing these three generic categories + + + align:start position:0% +analyzing these three generic categories +which contain many exemplars each one + + align:start position:0% +which contain many exemplars each one + + + align:start position:0% +which contain many exemplars each one +you will get an opportunity to actually + + align:start position:0% +you will get an opportunity to actually + + + align:start position:0% +you will get an opportunity to actually +predict and understand behavior and use + + align:start position:0% +predict and understand behavior and use + + + align:start position:0% +predict and understand behavior and use +that information to actually develop + + align:start position:0% +that information to actually develop + + + align:start position:0% +that information to actually develop +treatments systematically so what would + + align:start position:0% +treatments systematically so what would + + + align:start position:0% +treatments systematically so what would +that mean many context many + + align:start position:0% +that mean many context many + + + align:start position:0% +that mean many context many +possibilities that simply means look at + + align:start position:0% +possibilities that simply means look at + + + align:start position:0% +possibilities that simply means look at +this social context um these are just + + align:start position:0% +this social context um these are just + + + align:start position:0% +this social context um these are just +examples and by the way I should lead up + + align:start position:0% +examples and by the way I should lead up + + + align:start position:0% +examples and by the way I should lead up +to something here I believe that all + + align:start position:0% +to something here I believe that all + + + align:start position:0% +to something here I believe that all +these contexts that I'm talking about I + + align:start position:0% +these contexts that I'm talking about I + + + align:start position:0% +these contexts that I'm talking about I +believe they eventually Channel down all + + align:start position:0% +believe they eventually Channel down all + + + align:start position:0% +believe they eventually Channel down all +through a pathway into + + align:start position:0% +through a pathway into + + + align:start position:0% +through a pathway into +arousal and hence the interest in the + + align:start position:0% +arousal and hence the interest in the + + + align:start position:0% +arousal and hence the interest in the +technology from my standpoint + + align:start position:0% +technology from my standpoint + + + align:start position:0% +technology from my standpoint +so all these things are certainly out + + align:start position:0% +so all these things are certainly out + + + align:start position:0% +so all these things are certainly out +there in you know in the external world + + align:start position:0% +there in you know in the external world + + + align:start position:0% +there in you know in the external world +but I think they eventually the + + align:start position:0% +but I think they eventually the + + + align:start position:0% +but I think they eventually the +mediation is that they cause arousal of + + align:start position:0% +mediation is that they cause arousal of + + + align:start position:0% +mediation is that they cause arousal of +various kinds uh and that's what's + + align:start position:0% +various kinds uh and that's what's + + + align:start position:0% +various kinds uh and that's what's +mediating the effects on problem + + align:start position:0% +mediating the effects on problem + + + align:start position:0% +mediating the effects on problem +behavior exite um so let's look at the + + align:start position:0% +behavior exite um so let's look at the + + + align:start position:0% +behavior exite um so let's look at the +uh first one here just to give some + + align:start position:0% +uh first one here just to give some + + + align:start position:0% +uh first one here just to give some +examples uh for exam uh these are real + + align:start position:0% +examples uh for exam uh these are real + + + align:start position:0% +examples uh for exam uh these are real +data now coming up um we in we basically + + align:start position:0% +data now coming up um we in we basically + + + align:start position:0% +data now coming up um we in we basically +interviewed maybe about 130 parents + + align:start position:0% +interviewed maybe about 130 parents + + + align:start position:0% +interviewed maybe about 130 parents +we're just writing this up now um when + + align:start position:0% +we're just writing this up now um when + + + align:start position:0% +we're just writing this up now um when +there is the question is what sort of + + align:start position:0% +there is the question is what sort of + + + align:start position:0% +there is the question is what sort of +social context would a parent + + align:start position:0% +social context would a parent + + + align:start position:0% +social context would a parent +particularly a mother endorse as being + + align:start position:0% +particularly a mother endorse as being + + + align:start position:0% +particularly a mother endorse as being +highly likely to produce severe + + align:start position:0% +highly likely to produce severe + + + align:start position:0% +highly likely to produce severe +outbursts of problem behavior all those + + align:start position:0% +outbursts of problem behavior all those + + + align:start position:0% +outbursts of problem behavior all those +problem behaviors I described okay you + + align:start position:0% +problem behaviors I described okay you + + + align:start position:0% +problem behaviors I described okay you +say to some mothers what about if your + + align:start position:0% +say to some mothers what about if your + + + align:start position:0% +say to some mothers what about if your +family recently had a disagreement among + + align:start position:0% +family recently had a disagreement among + + + align:start position:0% +family recently had a disagreement among +family members or disagreement with + + align:start position:0% +family members or disagreement with + + + align:start position:0% +family members or disagreement with +peers what would happen to your kid a + + align:start position:0% +peers what would happen to your kid a + + + align:start position:0% +peers what would happen to your kid a +lot of mothers will say they're highly + + align:start position:0% +lot of mothers will say they're highly + + + align:start position:0% +lot of mothers will say they're highly +likely to explode uh what about down + + align:start position:0% +likely to explode uh what about down + + + align:start position:0% +likely to explode uh what about down +here um your child is frustrated because + + align:start position:0% +here um your child is frustrated because + + + align:start position:0% +here um your child is frustrated because +he or she has trouble communicating + + align:start position:0% +he or she has trouble communicating + + + align:start position:0% +he or she has trouble communicating +certain circumstances mothers will say + + align:start position:0% +certain circumstances mothers will say + + + align:start position:0% +certain circumstances mothers will say +highly likely um denied access to what + + align:start position:0% +highly likely um denied access to what + + + align:start position:0% +highly likely um denied access to what +here she wants the kid dis pointing they + + align:start position:0% +here she wants the kid dis pointing they + + + align:start position:0% +here she wants the kid dis pointing they +want a videotape they want something not + + align:start position:0% +want a videotape they want something not + + + align:start position:0% +want a videotape they want something not +now not now not now what happens with + + align:start position:0% +now not now not now what happens with + + + align:start position:0% +now not now not now what happens with +not now right here denied access 80% of + + align:start position:0% +not now right here denied access 80% of + + + align:start position:0% +not now right here denied access 80% of +mothers say that will lead with a high + + align:start position:0% +mothers say that will lead with a high + + + align:start position:0% +mothers say that will lead with a high +likelihood high probability that will + + align:start position:0% +likelihood high probability that will + + + align:start position:0% +likelihood high probability that will +lead to an explosive Outburst of + + align:start position:0% +lead to an explosive Outburst of + + + align:start position:0% +lead to an explosive Outburst of +self-injury aggression Tantrums property + + align:start position:0% +self-injury aggression Tantrums property + + + align:start position:0% +self-injury aggression Tantrums property +destruction 80% of mothers okay that's + + align:start position:0% +destruction 80% of mothers okay that's + + + align:start position:0% +destruction 80% of mothers okay that's +what they're saying um + + align:start position:0% +what they're saying um + + + align:start position:0% +what they're saying um +and a communication uh about 50% or so + + align:start position:0% +and a communication uh about 50% or so + + + align:start position:0% +and a communication uh about 50% or so +of mothers uh endorse that as highly + + align:start position:0% +of mothers uh endorse that as highly + + + align:start position:0% +of mothers uh endorse that as highly +likely to set off an explosive episode + + align:start position:0% +likely to set off an explosive episode + + + align:start position:0% +likely to set off an explosive episode +um and so on there's many other uh many + + align:start position:0% +um and so on there's many other uh many + + + align:start position:0% +um and so on there's many other uh many +other categories and by the way down + + align:start position:0% +other categories and by the way down + + + align:start position:0% +other categories and by the way down +here where it says teasing it's only 10% + + align:start position:0% +here where it says teasing it's only 10% + + + align:start position:0% +here where it says teasing it's only 10% +that doesn't mean that teasing is not + + align:start position:0% +that doesn't mean that teasing is not + + + align:start position:0% +that doesn't mean that teasing is not +important it's very important to the 10% + + align:start position:0% +important it's very important to the 10% + + + align:start position:0% +important it's very important to the 10% +of families that see teasing as a major + + align:start position:0% +of families that see teasing as a major + + + align:start position:0% +of families that see teasing as a major +uh trigger for problem Behavior so + + align:start position:0% +uh trigger for problem Behavior so + + + align:start position:0% +uh trigger for problem Behavior so +therefore and these things are not + + align:start position:0% +therefore and these things are not + + + align:start position:0% +therefore and these things are not +random these are actually gleaned from + + align:start position:0% +random these are actually gleaned from + + + align:start position:0% +random these are actually gleaned from +the uh literature from the clinical + + align:start position:0% +the uh literature from the clinical + + + align:start position:0% +the uh literature from the clinical +literature as things that large numbers + + align:start position:0% +literature as things that large numbers + + + align:start position:0% +literature as things that large numbers +of people have observed as as context + + align:start position:0% +of people have observed as as context + + + align:start position:0% +of people have observed as as context +events for setting off problem Behavior + + align:start position:0% +events for setting off problem Behavior + + + align:start position:0% +events for setting off problem Behavior +again just reflect on this for a minute + + align:start position:0% +again just reflect on this for a minute + + + align:start position:0% +again just reflect on this for a minute +which is a lot of these things denied + + align:start position:0% +which is a lot of these things denied + + + align:start position:0% +which is a lot of these things denied +access communication problems + + align:start position:0% +access communication problems + + + align:start position:0% +access communication problems +frustration that kind of thing you can + + align:start position:0% +frustration that kind of thing you can + + + align:start position:0% +frustration that kind of thing you can +imagine how all of these things would + + align:start position:0% +imagine how all of these things would + + + align:start position:0% +imagine how all of these things would +actually produce states of arousal in + + align:start position:0% +actually produce states of arousal in + + + align:start position:0% +actually produce states of arousal in +people it's not just I'm denied access + + align:start position:0% +people it's not just I'm denied access + + + align:start position:0% +people it's not just I'm denied access +and now I respond like some kind of + + align:start position:0% +and now I respond like some kind of + + + align:start position:0% +and now I respond like some kind of +pavlovian dog or something that's not + + align:start position:0% +pavlovian dog or something that's not + + + align:start position:0% +pavlovian dog or something that's not +the way it works at all denied axis + + align:start position:0% +the way it works at all denied axis + + + align:start position:0% +the way it works at all denied axis +causes me to become incredibly quote + + align:start position:0% +causes me to become incredibly quote + + + align:start position:0% +causes me to become incredibly quote +upset that's the part that's not + + align:start position:0% +upset that's the part that's not + + + align:start position:0% +upset that's the part that's not +measured at the + + align:start position:0% +measured at the + + + align:start position:0% +measured at the +moment now some other kids you deny + + align:start position:0% +moment now some other kids you deny + + + align:start position:0% +moment now some other kids you deny +access nothing happens you know why I + + align:start position:0% +access nothing happens you know why I + + + align:start position:0% +access nothing happens you know why I +believe that there's no arousal there + + align:start position:0% +believe that there's no arousal there + + + align:start position:0% +believe that there's no arousal there +and so it's not so denied access could + + align:start position:0% +and so it's not so denied access could + + + align:start position:0% +and so it's not so denied access could +set off arousal which in turn would + + align:start position:0% +set off arousal which in turn would + + + align:start position:0% +set off arousal which in turn would +mediate problem Behavior but if it + + align:start position:0% +mediate problem Behavior but if it + + + align:start position:0% +mediate problem Behavior but if it +doesn't you won't get problem behavior + + align:start position:0% +doesn't you won't get problem behavior + + + align:start position:0% +doesn't you won't get problem behavior +in which case it's not just denied AIS + + align:start position:0% +in which case it's not just denied AIS + + + align:start position:0% +in which case it's not just denied AIS +it's denied AIS doing something that + + align:start position:0% +it's denied AIS doing something that + + + align:start position:0% +it's denied AIS doing something that +then mediates something else yes + + align:start position:0% +then mediates something else yes + + + align:start position:0% +then mediates something else yes +um is there any sense of why the number + + align:start position:0% +um is there any sense of why the number + + + align:start position:0% +um is there any sense of why the number +for fathers is much lower there is + + align:start position:0% +for fathers is much lower there is + + + align:start position:0% +for fathers is much lower there is +that yeah in a nutshell fathers are + + align:start position:0% +that yeah in a nutshell fathers are + + + align:start position:0% +that yeah in a nutshell fathers are +clueless um and the reason for that is + + align:start position:0% +clueless um and the reason for that is + + + align:start position:0% +clueless um and the reason for that is +fathers do not have the same exposure to + + align:start position:0% +fathers do not have the same exposure to + + + align:start position:0% +fathers do not have the same exposure to +the we did that on purpose by the way um + + align:start position:0% +the we did that on purpose by the way um + + + align:start position:0% +the we did that on purpose by the way um +but when we interview when we want to + + align:start position:0% +but when we interview when we want to + + + align:start position:0% +but when we interview when we want to +know what makes children pick unless + + align:start position:0% +know what makes children pick unless + + + align:start position:0% +know what makes children pick unless +it's a single + + align:start position:0% +it's a single + + + align:start position:0% +it's a single +father meaning they're raising the kids + + align:start position:0% +father meaning they're raising the kids + + + align:start position:0% +father meaning they're raising the kids +we interview the mothers we just did + + align:start position:0% +we interview the mothers we just did + + + align:start position:0% +we interview the mothers we just did +this to make sure okay what it is is + + align:start position:0% +this to make sure okay what it is is + + + align:start position:0% +this to make sure okay what it is is +fathers you know in the developmental + + align:start position:0% +fathers you know in the developmental + + + align:start position:0% +fathers you know in the developmental +psychology literature mothers and + + align:start position:0% +psychology literature mothers and + + + align:start position:0% +psychology literature mothers and +fathers have different roles + + align:start position:0% +fathers have different roles + + + align:start position:0% +fathers have different roles +particularly with young children + + align:start position:0% +particularly with young children + + + align:start position:0% +particularly with young children +mother's roles are caregivers father's + + align:start position:0% +mother's roles are caregivers father's + + + align:start position:0% +mother's roles are caregivers father's +roles are + + align:start position:0% +roles are + + + align:start position:0% +roles are +Playmates Playmates and so that's what + + align:start position:0% +Playmates Playmates and so that's what + + + align:start position:0% +Playmates Playmates and so that's what +fathers do they come in oh there's my + + align:start position:0% +fathers do they come in oh there's my + + + align:start position:0% +fathers do they come in oh there's my +little boy or girl yes we're playing + + align:start position:0% +little boy or girl yes we're playing + + + align:start position:0% +little boy or girl yes we're playing +together we're okay goodbye mommy will + + align:start position:0% +together we're okay goodbye mommy will + + + align:start position:0% +together we're okay goodbye mommy will +take care of stuff now + + align:start position:0% +take care of stuff now + + + align:start position:0% +take care of stuff now +bye so mothers are the caregivers + + align:start position:0% +bye so mothers are the caregivers + + + align:start position:0% +bye so mothers are the caregivers +fathers are The Playmates so as a + + align:start position:0% +fathers are The Playmates so as a + + + align:start position:0% +fathers are The Playmates so as a +playmate you don't see all the family + + align:start position:0% +playmate you don't see all the family + + + align:start position:0% +playmate you don't see all the family +right mothers get to do things like make + + align:start position:0% +right mothers get to do things like make + + + align:start position:0% +right mothers get to do things like make +demands on their children it's time for + + align:start position:0% +demands on their children it's time for + + + align:start position:0% +demands on their children it's time for +bedtime it's time to put away your toys + + align:start position:0% +bedtime it's time to put away your toys + + + align:start position:0% +bedtime it's time to put away your toys +it's time to eat dinner it's time to + + align:start position:0% +it's time to eat dinner it's time to + + + align:start position:0% +it's time to eat dinner it's time to +come up the pl so mothers actually get + + align:start position:0% +come up the pl so mothers actually get + + + align:start position:0% +come up the pl so mothers actually get +to do all the things that trigger + + align:start position:0% +to do all the things that trigger + + + align:start position:0% +to do all the things that trigger +children off and that's why mothers + + align:start position:0% +children off and that's why mothers + + + align:start position:0% +children off and that's why mothers +report oh my God the child's completely + + align:start position:0% +report oh my God the child's completely + + + align:start position:0% +report oh my God the child's completely +out of cor and you interview the father + + align:start position:0% +out of cor and you interview the father + + + align:start position:0% +out of cor and you interview the father +how's your kid they seem great I love + + align:start position:0% +how's your kid they seem great I love + + + align:start position:0% +how's your kid they seem great I love +them we were playing the other day it + + align:start position:0% +them we were playing the other day it + + + align:start position:0% +them we were playing the other day it +was such fun say well how about during + + align:start position:0% +was such fun say well how about during + + + align:start position:0% +was such fun say well how about during +bath time I don't know ask + + align:start position:0% + + + + align:start position:0% + +her + + align:start position:0% +her + + + align:start position:0% +her +yes very astute they're not surprised by + + align:start position:0% +yes very astute they're not surprised by + + + align:start position:0% +yes very astute they're not surprised by +the first one when we've tried to um + + align:start position:0% +the first one when we've tried to um + + + align:start position:0% +the first one when we've tried to um +elicit frustration in you know typical + + align:start position:0% +elicit frustration in you know typical + + + align:start position:0% +elicit frustration in you know typical +participants for our studies just to um + + align:start position:0% +participants for our studies just to um + + + align:start position:0% +participants for our studies just to um +have computers learn how people behave + + align:start position:0% +have computers learn how people behave + + + align:start position:0% +have computers learn how people behave +when they're frustrated yes we always um + + align:start position:0% +when they're frustrated yes we always um + + + align:start position:0% +when they're frustrated yes we always um +set up a goal and th AB it's it's the + + align:start position:0% +set up a goal and th AB it's it's the + + + align:start position:0% +set up a goal and th AB it's it's the +guarant guaranteed and that's what + + align:start position:0% +guarant guaranteed and that's what + + + align:start position:0% +guarant guaranteed and that's what +that's why I said that these things are + + align:start position:0% +that's why I said that these things are + + + align:start position:0% +that's why I said that these things are +Universal it's just that the way a + + align:start position:0% +Universal it's just that the way a + + + align:start position:0% +Universal it's just that the way a +typical kid would Express their + + align:start position:0% +typical kid would Express their + + + align:start position:0% +typical kid would Express their +frustration is not by hang headbanging + + align:start position:0% +frustration is not by hang headbanging + + + align:start position:0% +frustration is not by hang headbanging +or uh even violence Tantrums something + + align:start position:0% +or uh even violence Tantrums something + + + align:start position:0% +or uh even violence Tantrums something +but they might squeeze the M oh yes oh + + align:start position:0% +but they might squeeze the M oh yes oh + + + align:start position:0% +but they might squeeze the M oh yes oh +yeah they'll be angry they'll be angry + + align:start position:0% +yeah they'll be angry they'll be angry + + + align:start position:0% +yeah they'll be angry they'll be angry +yes angry in a civilized way um all + + align:start position:0% +yes angry in a civilized way um all + + + align:start position:0% +yes angry in a civilized way um all +right just to give you a little example + + align:start position:0% +right just to give you a little example + + + align:start position:0% +right just to give you a little example +um I said that relationships are a + + align:start position:0% +um I said that relationships are a + + + align:start position:0% +um I said that relationships are a +context okay bad + + align:start position:0% +context okay bad + + + align:start position:0% +context okay bad +relationss bad relationships are a + + align:start position:0% +relationss bad relationships are a + + + align:start position:0% +relationss bad relationships are a +context for bad behavior when people say + + align:start position:0% +context for bad behavior when people say + + + align:start position:0% +context for bad behavior when people say +you have poor rapport with somebody you + + align:start position:0% +you have poor rapport with somebody you + + + align:start position:0% +you have poor rapport with somebody you +have a poor relationship it turns out it + + align:start position:0% +have a poor relationship it turns out it + + + align:start position:0% +have a poor relationship it turns out it +makes a difference um and so therefore + + align:start position:0% +makes a difference um and so therefore + + + align:start position:0% +makes a difference um and so therefore +this is just an example here well forget + + align:start position:0% +this is just an example here well forget + + + align:start position:0% +this is just an example here well forget +this is a this is a report we we have + + align:start position:0% +this is a this is a report we we have + + + align:start position:0% +this is a this is a report we we have +multiple methods for determining whether + + align:start position:0% +multiple methods for determining whether + + + align:start position:0% +multiple methods for determining whether +or not two people have a good + + align:start position:0% +or not two people have a good + + + align:start position:0% +or not two people have a good +relationship um and when you actually um + + align:start position:0% +relationship um and when you actually um + + + align:start position:0% +relationship um and when you actually um +monitor that and characterize good + + align:start position:0% +monitor that and characterize good + + + align:start position:0% +monitor that and characterize good +versus bad relationship there's a + + align:start position:0% +versus bad relationship there's a + + + align:start position:0% +versus bad relationship there's a +relationship between that Rapport and + + align:start position:0% +relationship between that Rapport and + + + align:start position:0% +relationship between that Rapport and +problem Behavior look at this this is + + align:start position:0% +problem Behavior look at this this is + + + align:start position:0% +problem Behavior look at this this is +Joan eating a meal it's called that's + + align:start position:0% +Joan eating a meal it's called that's + + + align:start position:0% +Joan eating a meal it's called that's +the task eating a meal so uh somebody + + align:start position:0% +the task eating a meal so uh somebody + + + align:start position:0% +the task eating a meal so uh somebody +says to Joan okay Joan it's time to eat + + align:start position:0% +says to Joan okay Joan it's time to eat + + + align:start position:0% +says to Joan okay Joan it's time to eat +dinner why don't you get the plates and + + align:start position:0% +dinner why don't you get the plates and + + + align:start position:0% +dinner why don't you get the plates and +the silverware and get the food the + + align:start position:0% +the silverware and get the food the + + + align:start position:0% +the silverware and get the food the +refrigerator it's a series of Demands + + align:start position:0% +refrigerator it's a series of Demands + + + align:start position:0% +refrigerator it's a series of Demands +okay now these green bars uh this is + + align:start position:0% +okay now these green bars uh this is + + + align:start position:0% +okay now these green bars uh this is +time elapsed in minutes to uh violent + + align:start position:0% +time elapsed in minutes to uh violent + + + align:start position:0% +time elapsed in minutes to uh violent +episodes of aggressive behavior and + + align:start position:0% +episodes of aggressive behavior and + + + align:start position:0% +episodes of aggressive behavior and +self-injury all right time a laps and + + align:start position:0% +self-injury all right time a laps and + + + align:start position:0% +self-injury all right time a laps and +minutes okay these green bars mean the + + align:start position:0% +minutes okay these green bars mean the + + + align:start position:0% +minutes okay these green bars mean the +person that asked Joan to do those + + align:start position:0% +person that asked Joan to do those + + + align:start position:0% +person that asked Joan to do those +things is a person that Joan + + align:start position:0% +things is a person that Joan + + + align:start position:0% +things is a person that Joan +hates and the time elapse in minutes + + align:start position:0% +hates and the time elapse in minutes + + + align:start position:0% +hates and the time elapse in minutes +before the the per Joan explodes is + + align:start position:0% +before the the per Joan explodes is + + + align:start position:0% +before the the per Joan explodes is +actually mostly not minutes it's usually + + align:start position:0% +actually mostly not minutes it's usually + + + align:start position:0% +actually mostly not minutes it's usually +like less than a minute sometimes + + align:start position:0% +like less than a minute sometimes + + + align:start position:0% +like less than a minute sometimes +seconds um um so these green bars are + + align:start position:0% +seconds um um so these green bars are + + + align:start position:0% +seconds um um so these green bars are +bad that means that the eating session + + align:start position:0% +bad that means that the eating session + + + align:start position:0% +bad that means that the eating session +was terminated due to Violent + + align:start position:0% +was terminated due to Violent + + + align:start position:0% +was terminated due to Violent +behavior these blue bars these are + + align:start position:0% +behavior these blue bars these are + + + align:start position:0% +behavior these blue bars these are +control conditions over here I'm not + + align:start position:0% +control conditions over here I'm not + + + align:start position:0% +control conditions over here I'm not +going to go into it see what say so + + align:start position:0% +going to go into it see what say so + + + align:start position:0% +going to go into it see what say so +that's poor Rapport and demands this + + align:start position:0% +that's poor Rapport and demands this + + + align:start position:0% +that's poor Rapport and demands this +should say Good Rapport and demands now + + align:start position:0% +should say Good Rapport and demands now + + + align:start position:0% +should say Good Rapport and demands now +here's a different person who has an + + align:start position:0% +here's a different person who has an + + + align:start position:0% +here's a different person who has an +excellent relationship with Joan giving + + align:start position:0% +excellent relationship with Joan giving + + + align:start position:0% +excellent relationship with Joan giving +the same demands as the green person + + align:start position:0% +the same demands as the green person + + + align:start position:0% +the same demands as the green person +gave okay and these blue bars mean + + align:start position:0% +gave okay and these blue bars mean + + + align:start position:0% +gave okay and these blue bars mean +successfully completed eating sessions + + align:start position:0% +successfully completed eating sessions + + + align:start position:0% +successfully completed eating sessions +with no problem behavior and you can see + + align:start position:0% +with no problem behavior and you can see + + + align:start position:0% +with no problem behavior and you can see +what happened there's an exception right + + align:start position:0% +what happened there's an exception right + + + align:start position:0% +what happened there's an exception right +there but o + + align:start position:0% +there but o + + + align:start position:0% +there but o +overwhelmingly um it's a very pleasant + + align:start position:0% +overwhelmingly um it's a very pleasant + + + align:start position:0% +overwhelmingly um it's a very pleasant +Meal Time and so what it means is that + + align:start position:0% +Meal Time and so what it means is that + + + align:start position:0% +Meal Time and so what it means is that +one of the contexts for problem behavior + + align:start position:0% +one of the contexts for problem behavior + + + align:start position:0% +one of the contexts for problem behavior +is horrible relationships between people + + align:start position:0% +is horrible relationships between people + + + align:start position:0% +is horrible relationships between people +uh and those are acquired over time + + align:start position:0% +uh and those are acquired over time + + + align:start position:0% +uh and those are acquired over time +usually when you have a long history of + + align:start position:0% +usually when you have a long history of + + + align:start position:0% +usually when you have a long history of +negative interactions with people when + + align:start position:0% +negative interactions with people when + + + align:start position:0% +negative interactions with people when +they see you they bolt and if you say + + align:start position:0% +they see you they bolt and if you say + + + align:start position:0% +they see you they bolt and if you say +don't bolt you have to stay here with me + + align:start position:0% +don't bolt you have to stay here with me + + + align:start position:0% +don't bolt you have to stay here with me +then they + + align:start position:0% +then they + + + align:start position:0% +then they +punch so this is just by way of + + align:start position:0% +punch so this is just by way of + + + align:start position:0% +punch so this is just by way of +illustrating that there are data behind + + align:start position:0% +illustrating that there are data behind + + + align:start position:0% +illustrating that there are data behind +what I'm saying we published this a + + align:start position:0% +what I'm saying we published this a + + + align:start position:0% +what I'm saying we published this a +couple years ago uh and then this next + + align:start position:0% +couple years ago uh and then this next + + + align:start position:0% +couple years ago uh and then this next +one is just a replication across + + align:start position:0% +one is just a replication across + + + align:start position:0% +one is just a replication across +individuals this is Steve and this is + + align:start position:0% +individuals this is Steve and this is + + + align:start position:0% +individuals this is Steve and this is +John it's the same pattern lots of green + + align:start position:0% +John it's the same pattern lots of green + + + align:start position:0% +John it's the same pattern lots of green +I'm sorry when when it's a uh these are + + align:start position:0% +I'm sorry when when it's a uh these are + + + align:start position:0% +I'm sorry when when it's a uh these are +poor LR means poor Rapport and demands + + align:start position:0% +poor LR means poor Rapport and demands + + + align:start position:0% +poor LR means poor Rapport and demands +same pattern lots of problem Behavior + + align:start position:0% +same pattern lots of problem Behavior + + + align:start position:0% +same pattern lots of problem Behavior +awful over here Good Rapport and demands + + align:start position:0% +awful over here Good Rapport and demands + + + align:start position:0% +awful over here Good Rapport and demands +same task hardly any problem Behavior + + align:start position:0% +same task hardly any problem Behavior + + + align:start position:0% +same task hardly any problem Behavior +and the task is fine so the green the + + align:start position:0% +and the task is fine so the green the + + + align:start position:0% +and the task is fine so the green the +task or uh no the the green I'm sorry + + align:start position:0% +task or uh no the the green I'm sorry + + + align:start position:0% +task or uh no the the green I'm sorry +the green means bad things happen and + + align:start position:0% +the green means bad things happen and + + + align:start position:0% +the green means bad things happen and +the session was terminated like violent + + align:start position:0% +the session was terminated like violent + + + align:start position:0% +the session was terminated like violent +episodes happened the session had to be + + align:start position:0% +episodes happened the session had to be + + + align:start position:0% +episodes happened the session had to be +terminated blue means nothing bad + + align:start position:0% +terminated blue means nothing bad + + + align:start position:0% +terminated blue means nothing bad +happened and the session was + + align:start position:0% +happened and the session was + + + align:start position:0% +happened and the session was +successfully completed whatever the task + + align:start position:0% +successfully completed whatever the task + + + align:start position:0% +successfully completed whatever the task +was was actually whether it was + + align:start position:0% +was was actually whether it was + + + align:start position:0% +was was actually whether it was +vacuuming the floor or this person had a + + align:start position:0% +vacuuming the floor or this person had a + + + align:start position:0% +vacuuming the floor or this person had a +job it was completed successfully with + + align:start position:0% +job it was completed successfully with + + + align:start position:0% +job it was completed successfully with +no problem Behavior so blue is good + + align:start position:0% +no problem Behavior so blue is good + + + align:start position:0% +no problem Behavior so blue is good +green is bad and the longer the session + + align:start position:0% +green is bad and the longer the session + + + align:start position:0% +green is bad and the longer the session +is better no it depends on the nature of + + align:start position:0% +is better no it depends on the nature of + + + align:start position:0% +is better no it depends on the nature of +the task if a meal takes only 10 minutes + + align:start position:0% +the task if a meal takes only 10 minutes + + + align:start position:0% +the task if a meal takes only 10 minutes +and after 10 minutes there's no problem + + align:start position:0% +and after 10 minutes there's no problem + + + align:start position:0% +and after 10 minutes there's no problem +Behavior that's fine if it's a delivery + + align:start position:0% +Behavior that's fine if it's a delivery + + + align:start position:0% +Behavior that's fine if it's a delivery +job and it takes 2 hours then it has to + + align:start position:0% +job and it takes 2 hours then it has to + + + align:start position:0% +job and it takes 2 hours then it has to +last two hours otherwise it's not so + + align:start position:0% +last two hours otherwise it's not so + + + align:start position:0% +last two hours otherwise it's not so +fine so yeah it varies but I guess it + + align:start position:0% +fine so yeah it varies but I guess it + + + align:start position:0% +fine so yeah it varies but I guess it +helps you see that it's not just that + + align:start position:0% +helps you see that it's not just that + + + align:start position:0% +helps you see that it's not just that +have gone longer on these um would there + + align:start position:0% +have gone longer on these um would there + + + align:start position:0% +have gone longer on these um would there +would have been inevitable SI said we + + align:start position:0% +would have been inevitable SI said we + + + align:start position:0% +would have been inevitable SI said we +see they could go as long as 40 minutes + + align:start position:0% +see they could go as long as 40 minutes + + + align:start position:0% +see they could go as long as 40 minutes +there this is correct and that's why we + + align:start position:0% +there this is correct and that's why we + + + align:start position:0% +there this is correct and that's why we +picked those tasks on purpose we wanted + + align:start position:0% +picked those tasks on purpose we wanted + + + align:start position:0% +picked those tasks on purpose we wanted +to show that it it's not a function of + + align:start position:0% +to show that it it's not a function of + + + align:start position:0% +to show that it it's not a function of +time because your quite right for some + + align:start position:0% +time because your quite right for some + + + align:start position:0% +time because your quite right for some +people it could be they don't want to do + + align:start position:0% +people it could be they don't want to do + + + align:start position:0% +people it could be they don't want to do +it anymore so there's a question yeah um + + align:start position:0% +it anymore so there's a question yeah um + + + align:start position:0% +it anymore so there's a question yeah um +from our previous lecture last week + + align:start position:0% +from our previous lecture last week + + + align:start position:0% +from our previous lecture last week +there was um a real conversation about + + align:start position:0% +there was um a real conversation about + + + align:start position:0% +there was um a real conversation about +how to analyze statistics and do you + + align:start position:0% +how to analyze statistics and do you + + + align:start position:0% +how to analyze statistics and do you +think there's a danger of just looking + + align:start position:0% +think there's a danger of just looking + + + align:start position:0% +think there's a danger of just looking +at say three examples and seeing a real + + align:start position:0% +at say three examples and seeing a real + + + align:start position:0% +at say three examples and seeing a real +clear difference in three examples well + + align:start position:0% +clear difference in three examples well + + + align:start position:0% +clear difference in three examples well +there there's a danger of doing that if + + align:start position:0% +there there's a danger of doing that if + + + align:start position:0% +there there's a danger of doing that if +you want to generalize and say because + + align:start position:0% +you want to generalize and say because + + + align:start position:0% +you want to generalize and say because +of these three it therefore is true for + + align:start position:0% +of these three it therefore is true for + + + align:start position:0% +of these three it therefore is true for +everybody you can't do that um but + + align:start position:0% +everybody you can't do that um but + + + align:start position:0% +everybody you can't do that um but +there's a concept in the literature + + align:start position:0% +there's a concept in the literature + + + align:start position:0% +there's a concept in the literature +we're going to come to this actually + + align:start position:0% +we're going to come to this actually + + + align:start position:0% +we're going to come to this actually +because this is a question of res design + + align:start position:0% +because this is a question of res design + + + align:start position:0% +because this is a question of res design +now + + align:start position:0% +now + + + align:start position:0% +now +um um there's a question of well how + + align:start position:0% +um um there's a question of well how + + + align:start position:0% +um um there's a question of well how +would you establish generality within a + + align:start position:0% +would you establish generality within a + + + align:start position:0% +would you establish generality within a +single subject design approach and the + + align:start position:0% +single subject design approach and the + + + align:start position:0% +single subject design approach and the +answer is that there's actually three + + align:start position:0% +answer is that there's actually three + + + align:start position:0% +answer is that there's actually three +ways um there it's a thing called direct + + align:start position:0% +ways um there it's a thing called direct + + + align:start position:0% +ways um there it's a thing called direct +replication systematic replication and + + align:start position:0% +replication systematic replication and + + + align:start position:0% +replication systematic replication and +operational + + align:start position:0% +operational + + + align:start position:0% +operational +replication direct replication means I + + align:start position:0% +replication direct replication means I + + + align:start position:0% +replication direct replication means I +if you're the subject and you're 23 + + align:start position:0% +if you're the subject and you're 23 + + + align:start position:0% +if you're the subject and you're 23 +years old and you have autistic disorder + + align:start position:0% +years old and you have autistic disorder + + + align:start position:0% +years old and you have autistic disorder +and you're aggressive and and I + + align:start position:0% +and you're aggressive and and I + + + align:start position:0% +and you're aggressive and and I +successfully treat you then direct + + align:start position:0% +successfully treat you then direct + + + align:start position:0% +successfully treat you then direct +replication will mean I will get 20 + + align:start position:0% +replication will mean I will get 20 + + + align:start position:0% +replication will mean I will get 20 +other people who are your age with your + + align:start position:0% +other people who are your age with your + + + align:start position:0% +other people who are your age with your +diagnosis and your problem Behavior + + align:start position:0% +diagnosis and your problem Behavior + + + align:start position:0% +diagnosis and your problem Behavior +that's direct because it's exactly the + + align:start position:0% +that's direct because it's exactly the + + + align:start position:0% +that's direct because it's exactly the +same systematic replication will mean I + + align:start position:0% +same systematic replication will mean I + + + align:start position:0% +same systematic replication will mean I +will purposely pick other people who + + align:start position:0% +will purposely pick other people who + + + align:start position:0% +will purposely pick other people who +have different ages different genders a + + align:start position:0% +have different ages different genders a + + + align:start position:0% +have different ages different genders a +wide variety of diagnoses and a wide + + align:start position:0% +wide variety of diagnoses and a wide + + + align:start position:0% +wide variety of diagnoses and a wide +variety of problem behaviors do the same + + align:start position:0% +variety of problem behaviors do the same + + + align:start position:0% +variety of problem behaviors do the same +treatment and by gosh I get the same + + align:start position:0% +treatment and by gosh I get the same + + + align:start position:0% +treatment and by gosh I get the same +effects so therefore it must be quote + + align:start position:0% +effects so therefore it must be quote + + + align:start position:0% +effects so therefore it must be quote +more General okay the Third Kind + + align:start position:0% +more General okay the Third Kind + + + align:start position:0% +more General okay the Third Kind +operational uh replication is the most + + align:start position:0% +operational uh replication is the most + + + align:start position:0% +operational uh replication is the most +important all which is up until now I + + align:start position:0% +important all which is up until now I + + + align:start position:0% +important all which is up until now I +keep referring to myself as having done + + align:start position:0% +keep referring to myself as having done + + + align:start position:0% +keep referring to myself as having done +the study the best thing that can happen + + align:start position:0% +the study the best thing that can happen + + + align:start position:0% +the study the best thing that can happen +is a scientist somewhere else in the + + align:start position:0% +is a scientist somewhere else in the + + + align:start position:0% +is a scientist somewhere else in the +United States who doesn't even + + align:start position:0% +United States who doesn't even + + + align:start position:0% +United States who doesn't even +particularly like you yeah and doesn't + + align:start position:0% +particularly like you yeah and doesn't + + + align:start position:0% +particularly like you yeah and doesn't +trust you does + + align:start position:0% +trust you does + + + align:start position:0% +trust you does +it and gets the same results that's + + align:start position:0% +it and gets the same results that's + + + align:start position:0% +it and gets the same results that's +called operational replication so + + align:start position:0% +called operational replication so + + + align:start position:0% +called operational replication so +between direct systematic and + + align:start position:0% +between direct systematic and + + + align:start position:0% +between direct systematic and +operational the more you do of that then + + align:start position:0% +operational the more you do of that then + + + align:start position:0% +operational the more you do of that then +the more closely it approximates or + + align:start position:0% +the more closely it approximates or + + + align:start position:0% +the more closely it approximates or +addresses the issue of external validity + + align:start position:0% +addresses the issue of external validity + + + align:start position:0% +addresses the issue of external validity +or general General enity um but very + + align:start position:0% +or general General enity um but very + + + align:start position:0% +or general General enity um but very +important now the heterogeneity of + + align:start position:0% +important now the heterogeneity of + + + align:start position:0% +important now the heterogeneity of +autism is so great that if you try to do + + align:start position:0% +autism is so great that if you try to do + + + align:start position:0% +autism is so great that if you try to do +group statistical designs which is you + + align:start position:0% +group statistical designs which is you + + + align:start position:0% +group statistical designs which is you +know considered uh by in some quarters + + align:start position:0% +know considered uh by in some quarters + + + align:start position:0% +know considered uh by in some quarters +as the gold standard what you're doing + + align:start position:0% +as the gold standard what you're doing + + + align:start position:0% +as the gold standard what you're doing +is averaging apples and + + align:start position:0% +is averaging apples and + + + align:start position:0% +is averaging apples and +oranges and in research design when you + + align:start position:0% +oranges and in research design when you + + + align:start position:0% +oranges and in research design when you +average apples and oranges do you know + + align:start position:0% +average apples and oranges do you know + + + align:start position:0% +average apples and oranges do you know +what you get + + align:start position:0% +what you get + + + align:start position:0% +what you get +lemons so + + align:start position:0% +lemons so + + + align:start position:0% +lemons so +basically + + align:start position:0% +basically + + + align:start position:0% +basically +activity and routine context um we'll + + align:start position:0% +activity and routine context um we'll + + + align:start position:0% +activity and routine context um we'll +okay we'll do this and then we're going + + align:start position:0% +okay we'll do this and then we're going + + + align:start position:0% +okay we'll do this and then we're going +to have a a short break because it's 11 + + align:start position:0% +to have a a short break because it's 11 + + + align:start position:0% +to have a a short break because it's 11 +right um activity routine okay this + + align:start position:0% +right um activity routine okay this + + + align:start position:0% +right um activity routine okay this +means there's a series of contacts that + + align:start position:0% +means there's a series of contacts that + + + align:start position:0% +means there's a series of contacts that +have certain qualities or properties + + align:start position:0% +have certain qualities or properties + + + align:start position:0% +have certain qualities or properties +that regularly set off problem behavior + + align:start position:0% +that regularly set off problem behavior + + + align:start position:0% +that regularly set off problem behavior +and uh real good examples of these um uh + + align:start position:0% +and uh real good examples of these um uh + + + align:start position:0% +and uh real good examples of these um uh +are the first one which is a preferred + + align:start position:0% +are the first one which is a preferred + + + align:start position:0% +are the first one which is a preferred +activity ends okay Susie come in off of + + align:start position:0% +activity ends okay Susie come in off of + + + align:start position:0% +activity ends okay Susie come in off of +the playground it's time to do deadly + + align:start position:0% +the playground it's time to do deadly + + + align:start position:0% +the playground it's time to do deadly +boring schoolwork okay that's a bad one + + align:start position:0% +boring schoolwork okay that's a bad one + + + align:start position:0% +boring schoolwork okay that's a bad one +okay Billy put away all your toys it's + + align:start position:0% +okay Billy put away all your toys it's + + + align:start position:0% +okay Billy put away all your toys it's +bedtime I don't want to put away my toys + + align:start position:0% +bedtime I don't want to put away my toys + + + align:start position:0% +bedtime I don't want to put away my toys +no you have to because it's bedtime + + align:start position:0% +no you have to because it's bedtime + + + align:start position:0% +no you have to because it's bedtime +mommy want you to go to bed I'm not + + align:start position:0% +mommy want you to go to bed I'm not + + + align:start position:0% +mommy want you to go to bed I'm not +putting away my toys okay fine with + + align:start position:0% +putting away my toys okay fine with + + + align:start position:0% +putting away my toys okay fine with +regular kids typical kids you can reason + + align:start position:0% +regular kids typical kids you can reason + + + align:start position:0% +regular kids typical kids you can reason +sort of um and you know have some impact + + align:start position:0% +sort of um and you know have some impact + + + align:start position:0% +sort of um and you know have some impact +somebody's even typical kids like to be + + align:start position:0% +somebody's even typical kids like to be + + + align:start position:0% +somebody's even typical kids like to be +given minute warning a a big warning but + + align:start position:0% +given minute warning a a big warning but + + + align:start position:0% +given minute warning a a big warning but +then they'll negotiate how about one + + align:start position:0% +then they'll negotiate how about one + + + align:start position:0% +then they'll negotiate how about one +more minute okay and if you're not + + align:start position:0% +more minute okay and if you're not + + + align:start position:0% +more minute okay and if you're not +communicating you don't negotiate right + + align:start position:0% +communicating you don't negotiate right + + + align:start position:0% +communicating you don't negotiate right +uh you go for it okay and so that'll + + align:start position:0% +uh you go for it okay and so that'll + + + align:start position:0% +uh you go for it okay and so that'll +take care of the preferred activity + + align:start position:0% +take care of the preferred activity + + + align:start position:0% +take care of the preferred activity +ending um and uh here's a um here's + + align:start position:0% +ending um and uh here's a um here's + + + align:start position:0% +ending um and uh here's a um here's +another one that actually we purposely + + align:start position:0% +another one that actually we purposely + + + align:start position:0% +another one that actually we purposely +put in there which is medical + + align:start position:0% +put in there which is medical + + + align:start position:0% +put in there which is medical +appointments these are deadly for people + + align:start position:0% +appointments these are deadly for people + + + align:start position:0% +appointments these are deadly for people +with Autism uh because they don't like + + align:start position:0% +with Autism uh because they don't like + + + align:start position:0% +with Autism uh because they don't like +um unpredictability and medical + + align:start position:0% +um unpredictability and medical + + + align:start position:0% +um unpredictability and medical +appointments are full of that full of + + align:start position:0% +appointments are full of that full of + + + align:start position:0% +appointments are full of that full of +that they don't like keep in mind if I + + align:start position:0% +that they don't like keep in mind if I + + + align:start position:0% +that they don't like keep in mind if I +say to you you're a communicator if I + + align:start position:0% +say to you you're a communicator if I + + + align:start position:0% +say to you you're a communicator if I +say to you okay okay I'm going to give + + align:start position:0% +say to you okay okay I'm going to give + + + align:start position:0% +say to you okay okay I'm going to give +you a little injection just feel a + + align:start position:0% +you a little injection just feel a + + + align:start position:0% +you a little injection just feel a +little pinch you don't know what that + + align:start position:0% +little pinch you don't know what that + + + align:start position:0% +little pinch you don't know what that +means okay all of a sudden somebody + + align:start position:0% +means okay all of a sudden somebody + + + align:start position:0% +means okay all of a sudden somebody +stabs you in the arm that's the end of + + align:start position:0% +stabs you in the arm that's the end of + + + align:start position:0% +stabs you in the arm that's the end of +that um and worse by the way is + + align:start position:0% +that um and worse by the way is + + + align:start position:0% +that um and worse by the way is +Dentistry because then what the kid does + + align:start position:0% +Dentistry because then what the kid does + + + align:start position:0% +Dentistry because then what the kid does +and I have seen this they grab the drill + + align:start position:0% +and I have seen this they grab the drill + + + align:start position:0% +and I have seen this they grab the drill +and it's actually I've seen this and the + + align:start position:0% +and it's actually I've seen this and the + + + align:start position:0% +and it's actually I've seen this and the +drill and those are high-speed drills + + align:start position:0% +drill and those are high-speed drills + + + align:start position:0% +drill and those are high-speed drills +goes right into your cheek and then it + + align:start position:0% +goes right into your cheek and then it + + + align:start position:0% +goes right into your cheek and then it +has to be sutured and so therefore + + align:start position:0% +has to be sutured and so therefore + + + align:start position:0% +has to be sutured and so therefore +basically these are issues okay so + + align:start position:0% +basically these are issues okay so + + + align:start position:0% +basically these are issues okay so +that's why we have medical M and one + + align:start position:0% +that's why we have medical M and one + + + align:start position:0% +that's why we have medical M and one +experience like that you get what's + + align:start position:0% +experience like that you get what's + + + align:start position:0% +experience like that you get what's +called traumatic avoidance conditioning + + align:start position:0% +called traumatic avoidance conditioning + + + align:start position:0% +called traumatic avoidance conditioning +is the technical term one experience + + align:start position:0% +is the technical term one experience + + + align:start position:0% +is the technical term one experience +like that and you will never go to a + + align:start position:0% +like that and you will never go to a + + + align:start position:0% +like that and you will never go to a +dentist again voluntarily and you have + + align:start position:0% +dentist again voluntarily and you have + + + align:start position:0% +dentist again voluntarily and you have +like armu guards accompanying to the kid + + align:start position:0% +like armu guards accompanying to the kid + + + align:start position:0% +like armu guards accompanying to the kid +and actually what happens is they put + + align:start position:0% +and actually what happens is they put + + + align:start position:0% +and actually what happens is they put +kids under general anesthesia for the + + align:start position:0% +kids under general anesthesia for the + + + align:start position:0% +kids under general anesthesia for the +simplest thing somebody's going in for + + align:start position:0% +simplest thing somebody's going in for + + + align:start position:0% +simplest thing somebody's going in for +uh simple you know exploration of the + + align:start position:0% +uh simple you know exploration of the + + + align:start position:0% +uh simple you know exploration of the +teeth general anesthesia somebody's + + align:start position:0% +teeth general anesthesia somebody's + + + align:start position:0% +teeth general anesthesia somebody's +going in for a regular medical exam they + + align:start position:0% +going in for a regular medical exam they + + + align:start position:0% +going in for a regular medical exam they +have to be sedated um it's really and + + align:start position:0% +have to be sedated um it's really and + + + align:start position:0% +have to be sedated um it's really and +it's an unwise thing because general + + align:start position:0% +it's an unwise thing because general + + + align:start position:0% +it's an unwise thing because general +anesthesia has some very negative seli + + align:start position:0% +anesthesia has some very negative seli + + + align:start position:0% +anesthesia has some very negative seli +including death uh depending on the + + align:start position:0% +including death uh depending on the + + + align:start position:0% +including death uh depending on the +individual so yeah one of the guys who + + align:start position:0% +individual so yeah one of the guys who + + + align:start position:0% +individual so yeah one of the guys who +who funds our work said every time his + + align:start position:0% +who funds our work said every time his + + + align:start position:0% +who funds our work said every time his +son goes to the dentist it's $25,000 of + + align:start position:0% +son goes to the dentist it's $25,000 of + + + align:start position:0% +son goes to the dentist it's $25,000 of +expenses and general anesia right well + + align:start position:0% +expenses and general anesia right well + + + align:start position:0% +expenses and general anesia right well +they do it in the they do it in the uh + + align:start position:0% +they do it in the they do it in the uh + + + align:start position:0% +they do it in the they do it in the uh +surgical ward of the hospital they don't + + align:start position:0% +surgical ward of the hospital they don't + + + align:start position:0% +surgical ward of the hospital they don't +do it in a dental office yeah another + + align:start position:0% +do it in a dental office yeah another + + + align:start position:0% +do it in a dental office yeah another +thing too that's triggering there is the + + align:start position:0% +thing too that's triggering there is the + + + align:start position:0% +thing too that's triggering there is the +Sounds in those environments are + + align:start position:0% +Sounds in those environments are + + + align:start position:0% +Sounds in those environments are +extremely um overloading sensory and + + align:start position:0% +extremely um overloading sensory and + + + align:start position:0% +extremely um overloading sensory and +stressful if you're hypers sensitive to + + align:start position:0% +stressful if you're hypers sensitive to + + + align:start position:0% +stressful if you're hypers sensitive to +sound you know what that high-speed + + align:start position:0% +sound you know what that high-speed + + + align:start position:0% +sound you know what that high-speed +drill sounds like and you can see many + + align:start position:0% +drill sounds like and you can see many + + + align:start position:0% +drill sounds like and you can see many +children with autism do this this is how + + align:start position:0% +children with autism do this this is how + + + align:start position:0% +children with autism do this this is how +Al by the way how you know when some + + align:start position:0% +Al by the way how you know when some + + + align:start position:0% +Al by the way how you know when some +people have autism they they are walking + + align:start position:0% +people have autism they they are walking + + + align:start position:0% +people have autism they they are walking +around like this when you see that + + align:start position:0% +around like this when you see that + + + align:start position:0% +around like this when you see that +that's a very autistic feature um and + + align:start position:0% +that's a very autistic feature um and + + + align:start position:0% +that's a very autistic feature um and +somebody like that will not respond well + + align:start position:0% +somebody like that will not respond well + + + align:start position:0% +somebody like that will not respond well +to a high-speed drill sound uh and lots + + align:start position:0% +to a high-speed drill sound uh and lots + + + align:start position:0% +to a high-speed drill sound uh and lots +of other obnoxious sounds so uh let me + + align:start position:0% +of other obnoxious sounds so uh let me + + + align:start position:0% +of other obnoxious sounds so uh let me +just wrap this up and then we'll uh + + align:start position:0% +just wrap this up and then we'll uh + + + align:start position:0% +just wrap this up and then we'll uh +because it's a little section we'll just + + align:start position:0% +because it's a little section we'll just + + + align:start position:0% +because it's a little section we'll just +put the okay so these are these are + + align:start position:0% +put the okay so these are these are + + + align:start position:0% +put the okay so these are these are +actually data again from Mother's + + align:start position:0% +actually data again from Mother's + + + align:start position:0% +actually data again from Mother's +activities and you see what's happening + + align:start position:0% +activities and you see what's happening + + + align:start position:0% +activities and you see what's happening +preferred activity end 70% of mothers + + align:start position:0% +preferred activity end 70% of mothers + + + align:start position:0% +preferred activity end 70% of mothers +say that is highly likely to Sol off + + align:start position:0% +say that is highly likely to Sol off + + + align:start position:0% +say that is highly likely to Sol off +severe problem Behavior Uh just for fun + + align:start position:0% +severe problem Behavior Uh just for fun + + + align:start position:0% +severe problem Behavior Uh just for fun +here's medical appointments 30% of the + + align:start position:0% +here's medical appointments 30% of the + + + align:start position:0% +here's medical appointments 30% of the +mothers the problem is is that when you + + align:start position:0% +mothers the problem is is that when you + + + align:start position:0% +mothers the problem is is that when you +can't complete a medical appointment you + + align:start position:0% +can't complete a medical appointment you + + + align:start position:0% +can't complete a medical appointment you +can't make a medical diagnosis and as + + align:start position:0% +can't make a medical diagnosis and as + + + align:start position:0% +can't make a medical diagnosis and as +we'll see after the break children with + + align:start position:0% +we'll see after the break children with + + + align:start position:0% +we'll see after the break children with +autism have high rates of medical issues + + align:start position:0% +autism have high rates of medical issues + + + align:start position:0% +autism have high rates of medical issues +that are undiagnosed and those medical + + align:start position:0% +that are undiagnosed and those medical + + + align:start position:0% +that are undiagnosed and those medical +undiagnosed things generate pain and + + align:start position:0% +undiagnosed things generate pain and + + + align:start position:0% +undiagnosed things generate pain and +discomfort pain and discomfort is a + + align:start position:0% +discomfort pain and discomfort is a + + + align:start position:0% +discomfort pain and discomfort is a +biological setting event for severe + + align:start position:0% +biological setting event for severe + + + align:start position:0% +biological setting event for severe +problem behavior and therefore they look + + align:start position:0% +problem behavior and therefore they look + + + align:start position:0% +problem behavior and therefore they look +like they're randomly exploding but in + + align:start position:0% +like they're randomly exploding but in + + + align:start position:0% +like they're randomly exploding but in +fact it's undiagnosed pain and + + align:start position:0% +fact it's undiagnosed pain and + + + align:start position:0% +fact it's undiagnosed pain and +discomfort so one of the things that we + + align:start position:0% +discomfort so one of the things that we + + + align:start position:0% +discomfort so one of the things that we +did is I'll just show you and then we'll + + align:start position:0% +did is I'll just show you and then we'll + + + align:start position:0% +did is I'll just show you and then we'll +stop is we had these are the Baseline + + align:start position:0% +stop is we had these are the Baseline + + + align:start position:0% +stop is we had these are the Baseline +for Cheryl this is percent steps + + align:start position:0% +for Cheryl this is percent steps + + + align:start position:0% +for Cheryl this is percent steps +completed of a medical procedure and the + + align:start position:0% +completed of a medical procedure and the + + + align:start position:0% +completed of a medical procedure and the +answer is 20% before she smashed the + + align:start position:0% +answer is 20% before she smashed the + + + align:start position:0% +answer is 20% before she smashed the +doctor that was the end of that uh and + + align:start position:0% +doctor that was the end of that uh and + + + align:start position:0% +doctor that was the end of that uh and +then the same thing with Joe there's + + align:start position:0% +then the same thing with Joe there's + + + align:start position:0% +then the same thing with Joe there's +Cindy she got zero she didn't she didn't + + align:start position:0% +Cindy she got zero she didn't she didn't + + + align:start position:0% +Cindy she got zero she didn't she didn't +make it at all even one step into the + + align:start position:0% +make it at all even one step into the + + + align:start position:0% +make it at all even one step into the +exam this by the way shows that we + + align:start position:0% +exam this by the way shows that we + + + align:start position:0% +exam this by the way shows that we +successfully treat I'm not going to go + + align:start position:0% +successfully treat I'm not going to go + + + align:start position:0% +successfully treat I'm not going to go +into that today we actually have treat + + align:start position:0% +into that today we actually have treat + + + align:start position:0% +into that today we actually have treat +all those things I've been talking about + + align:start position:0% +all those things I've been talking about + + + align:start position:0% +all those things I've been talking about +we have treated successfully so the + + align:start position:0% +we have treated successfully so the + + + align:start position:0% +we have treated successfully so the +assessment that we did the analysis we + + align:start position:0% +assessment that we did the analysis we + + + align:start position:0% +assessment that we did the analysis we +did Led logically to a series of + + align:start position:0% +did Led logically to a series of + + + align:start position:0% +did Led logically to a series of +treatment steps that we had positive + + align:start position:0% +treatment steps that we had positive + + + align:start position:0% +treatment steps that we had positive +outcomes so that's why it's very + + align:start position:0% +outcomes so that's why it's very + + + align:start position:0% +outcomes so that's why it's very +important to do this um okay so now + + align:start position:0% +important to do this um okay so now + + + align:start position:0% +important to do this um okay so now +we're going to have a brief break and + + align:start position:0% +we're going to have a brief break and + + + align:start position:0% +we're going to have a brief break and +then we're going to go into biological + + align:start position:0% +then we're going to go into biological + + + align:start position:0% +then we're going to go into biological +effective cognitive uh and then I'm + + align:start position:0% +effective cognitive uh and then I'm + + + align:start position:0% +effective cognitive uh and then I'm +going to rush through that because I + + align:start position:0% +going to rush through that because I + + + align:start position:0% +going to rush through that because I +wanted to get to the research Proposal + + align:start position:0% +wanted to get to the research Proposal + + + align:start position:0% +wanted to get to the research Proposal +Part I'm going to focus on a few side + + align:start position:0% +Part I'm going to focus on a few side + + + align:start position:0% +Part I'm going to focus on a few side +effects of medication oddly enough now + + align:start position:0% +effects of medication oddly enough now + + + align:start position:0% +effects of medication oddly enough now +here's a here's a paradox all right + + align:start position:0% +here's a here's a paradox all right + + + align:start position:0% +here's a here's a paradox all right +there's a category of drugs called + + align:start position:0% +there's a category of drugs called + + + align:start position:0% +there's a category of drugs called +psychotropics psychotropics are drugs + + align:start position:0% +psychotropics psychotropics are drugs + + + align:start position:0% +psychotropics psychotropics are drugs +that are given to control problem + + align:start position:0% +that are given to control problem + + + align:start position:0% +that are given to control problem +Behavior like resperidone is an example + + align:start position:0% +Behavior like resperidone is an example + + + align:start position:0% +Behavior like resperidone is an example +or Abilify all right the odd thing about + + align:start position:0% +or Abilify all right the odd thing about + + + align:start position:0% +or Abilify all right the odd thing about +this the odd thing about this is that + + align:start position:0% +this the odd thing about this is that + + + align:start position:0% +this the odd thing about this is that +drugs produce side effects some of those + + align:start position:0% +drugs produce side effects some of those + + + align:start position:0% +drugs produce side effects some of those +side effects are biological setting + + align:start position:0% +side effects are biological setting + + + align:start position:0% +side effects are biological setting +events for problem Behavior the drug you + + align:start position:0% +events for problem Behavior the drug you + + + align:start position:0% +events for problem Behavior the drug you +are giving for problem Behavior has side + + align:start position:0% +are giving for problem Behavior has side + + + align:start position:0% +are giving for problem Behavior has side +effects that set off problem + + align:start position:0% +effects that set off problem + + + align:start position:0% +effects that set off problem +Behavior that's why people say uh oh + + align:start position:0% +Behavior that's why people say uh oh + + + align:start position:0% +Behavior that's why people say uh oh +doctor my kids gotten a lot worse since + + align:start position:0% +doctor my kids gotten a lot worse since + + + align:start position:0% +doctor my kids gotten a lot worse since +you put them on the drug that was + + align:start position:0% +you put them on the drug that was + + + align:start position:0% +you put them on the drug that was +supposed to make them + + align:start position:0% +supposed to make them + + + align:start position:0% +supposed to make them +better okay now it's complex there's a + + align:start position:0% +better okay now it's complex there's a + + + align:start position:0% +better okay now it's complex there's a +drug environment interaction which the + + align:start position:0% +drug environment interaction which the + + + align:start position:0% +drug environment interaction which the +Psychiatry doesn't and by the way I want + + align:start position:0% +Psychiatry doesn't and by the way I want + + + align:start position:0% +Psychiatry doesn't and by the way I want +to be very clear about this I love the + + align:start position:0% +to be very clear about this I love the + + + align:start position:0% +to be very clear about this I love the +general field of medicine there's just + + align:start position:0% +general field of medicine there's just + + + align:start position:0% +general field of medicine there's just +one portion I don't care for + + align:start position:0% + + + + align:start position:0% + +okay so Martha and I are very + + align:start position:0% + + + + align:start position:0% + +close we like each other a lot so that + + align:start position:0% +close we like each other a lot so that + + + align:start position:0% +close we like each other a lot so that +works um okay so side effects of + + align:start position:0% +works um okay so side effects of + + + align:start position:0% +works um okay so side effects of +medication CH okay illness or pain is + + align:start position:0% +medication CH okay illness or pain is + + + align:start position:0% +medication CH okay illness or pain is +lethal and that as I mentioned earlier + + align:start position:0% +lethal and that as I mentioned earlier + + + align:start position:0% +lethal and that as I mentioned earlier +large numbers of people with + + align:start position:0% +large numbers of people with + + + align:start position:0% +large numbers of people with +disabilities including autism have all + + align:start position:0% +disabilities including autism have all + + + align:start position:0% +disabilities including autism have all +sorts of um medical conditions um and + + align:start position:0% +sorts of um medical conditions um and + + + align:start position:0% +sorts of um medical conditions um and +these actually set off or context for + + align:start position:0% +these actually set off or context for + + + align:start position:0% +these actually set off or context for +problem Behavior + + align:start position:0% +problem Behavior + + + align:start position:0% +problem Behavior +I'm going to just jump down right here + + align:start position:0% +I'm going to just jump down right here + + + align:start position:0% +I'm going to just jump down right here +to the bottom see this where it says + + align:start position:0% +to the bottom see this where it says + + + align:start position:0% +to the bottom see this where it says +feeling frightened worried anxious or + + align:start position:0% +feeling frightened worried anxious or + + + align:start position:0% +feeling frightened worried anxious or +agitated I'm going to actually skip + + align:start position:0% +agitated I'm going to actually skip + + + align:start position:0% +agitated I'm going to actually skip +right to the a data slide just to make + + align:start position:0% +right to the a data slide just to make + + + align:start position:0% +right to the a data slide just to make +my point look what mothers nominate as + + align:start position:0% +my point look what mothers nominate as + + + align:start position:0% +my point look what mothers nominate as +the most common thing to set off problem + + align:start position:0% +the most common thing to set off problem + + + align:start position:0% +the most common thing to set off problem +Behavior Uh in this category fear + + align:start position:0% +Behavior Uh in this category fear + + + align:start position:0% +Behavior Uh in this category fear +anxiety and fear and anxiety is the + + align:start position:0% +anxiety and fear and anxiety is the + + + align:start position:0% +anxiety and fear and anxiety is the +least researched in the literature and I + + align:start position:0% +least researched in the literature and I + + + align:start position:0% +least researched in the literature and I +thought about that why should the thing + + align:start position:0% +thought about that why should the thing + + + align:start position:0% +thought about that why should the thing +that's most important be the least + + align:start position:0% +that's most important be the least + + + align:start position:0% +that's most important be the least +researched and the answer is no + + align:start position:0% +researched and the answer is no + + + align:start position:0% +researched and the answer is no +technology when you're looking at + + align:start position:0% +technology when you're looking at + + + align:start position:0% +technology when you're looking at +somebody it's very hard particularly if + + align:start position:0% +somebody it's very hard particularly if + + + align:start position:0% +somebody it's very hard particularly if +they have autism they don't give off the + + align:start position:0% +they have autism they don't give off the + + + align:start position:0% +they have autism they don't give off the +usual cues I can tell when most of you + + align:start position:0% +usual cues I can tell when most of you + + + align:start position:0% +usual cues I can tell when most of you +are anxious but people with Autism have + + align:start position:0% +are anxious but people with Autism have + + + align:start position:0% +are anxious but people with Autism have +idiosyncratic ways of expressing + + align:start position:0% +idiosyncratic ways of expressing + + + align:start position:0% +idiosyncratic ways of expressing +themselves and so therefore within and + + align:start position:0% +themselves and so therefore within and + + + align:start position:0% +themselves and so therefore within and +I'm going to get to this later within a + + align:start position:0% +I'm going to get to this later within a + + + align:start position:0% +I'm going to get to this later within a +child you'll see consistent + + align:start position:0% +child you'll see consistent + + + align:start position:0% +child you'll see consistent +representations of anxiety albe it in an + + align:start position:0% +representations of anxiety albe it in an + + + align:start position:0% +representations of anxiety albe it in an +idiosyncratic way but across children + + align:start position:0% +idiosyncratic way but across children + + + align:start position:0% +idiosyncratic way but across children +you will not see similarities in the + + align:start position:0% +you will not see similarities in the + + + align:start position:0% +you will not see similarities in the +general population you will you know if + + align:start position:0% +general population you will you know if + + + align:start position:0% +general population you will you know if +you see how do you think if you scare + + align:start position:0% +you see how do you think if you scare + + + align:start position:0% +you see how do you think if you scare +somebody you see a startle you say you + + align:start position:0% +somebody you see a startle you say you + + + align:start position:0% +somebody you see a startle you say you +know + + align:start position:0% +know + + + align:start position:0% +know +boo okay you do that to somebody with + + align:start position:0% +boo okay you do that to somebody with + + + align:start position:0% +boo okay you do that to somebody with +autism they could become + + align:start position:0% +autism they could become + + + align:start position:0% +autism they could become +echoic meaning they'll say something + + align:start position:0% +echoic meaning they'll say something + + + align:start position:0% +echoic meaning they'll say something +like you know uh don't put the Brass + + align:start position:0% +like you know uh don't put the Brass + + + align:start position:0% +like you know uh don't put the Brass +Monkey in the drawer and you'll say what + + align:start position:0% +Monkey in the drawer and you'll say what + + + align:start position:0% +Monkey in the drawer and you'll say what +and the reason why is like eight years + + align:start position:0% +and the reason why is like eight years + + + align:start position:0% +and the reason why is like eight years +ago somebody had this brass monkey and + + align:start position:0% +ago somebody had this brass monkey and + + + align:start position:0% +ago somebody had this brass monkey and +they put in a drawer and they scared the + + align:start position:0% +they put in a drawer and they scared the + + + align:start position:0% +they put in a drawer and they scared the +kid and and somebody said to the kid oh + + align:start position:0% +kid and and somebody said to the kid oh + + + align:start position:0% +kid and and somebody said to the kid oh +I won't put the Brass Monkey in the door + + align:start position:0% +I won't put the Brass Monkey in the door + + + align:start position:0% +I won't put the Brass Monkey in the door +anymore Billy because it scared you and + + align:start position:0% +anymore Billy because it scared you and + + + align:start position:0% +anymore Billy because it scared you and +he memorizes that and then in the future + + align:start position:0% +he memorizes that and then in the future + + + align:start position:0% +he memorizes that and then in the future +when he's scared instead of doing what I + + align:start position:0% +when he's scared instead of doing what I + + + align:start position:0% +when he's scared instead of doing what I +just did which is what everybody who you + + align:start position:0% +just did which is what everybody who you + + + align:start position:0% +just did which is what everybody who you +doesn't have odds and witches you that + + align:start position:0% +doesn't have odds and witches you that + + + align:start position:0% +doesn't have odds and witches you that +kind of thing he says don't put the FR + + align:start position:0% +kind of thing he says don't put the FR + + + align:start position:0% +kind of thing he says don't put the FR +monkey in the door now people look at + + align:start position:0% +monkey in the door now people look at + + + align:start position:0% +monkey in the door now people look at +that and they say I don't know what the + + align:start position:0% +that and they say I don't know what the + + + align:start position:0% +that and they say I don't know what the +hell that was it's nonsense so you can + + align:start position:0% +hell that was it's nonsense so you can + + + align:start position:0% +hell that was it's nonsense so you can +build up a kind of a fear like in PTSD + + align:start position:0% +build up a kind of a fear like in PTSD + + + align:start position:0% +build up a kind of a fear like in PTSD +where there's an association that in um + + align:start position:0% +where there's an association that in um + + + align:start position:0% +where there's an association that in um +in a state of fear yes uh and later it + + align:start position:0% +in a state of fear yes uh and later it + + + align:start position:0% +in a state of fear yes uh and later it +comes up inol + + align:start position:0% +comes up inol + + + align:start position:0% +comes up inol +involuntarily in an idiosyncratic way + + align:start position:0% +involuntarily in an idiosyncratic way + + + align:start position:0% +involuntarily in an idiosyncratic way +and so 20 different kids could have + + align:start position:0% +and so 20 different kids could have + + + align:start position:0% +and so 20 different kids could have +their own idiosyncratic way and the + + align:start position:0% +their own idiosyncratic way and the + + + align:start position:0% +their own idiosyncratic way and the +other thing in terms of facial + + align:start position:0% +other thing in terms of facial + + + align:start position:0% +other thing in terms of facial +expression would be different too I'm + + align:start position:0% +expression would be different too I'm + + + align:start position:0% +expression would be different too I'm +going to get to that later the facial + + align:start position:0% +going to get to that later the facial + + + align:start position:0% +going to get to that later the facial +look the body language could all be + + align:start position:0% +look the body language could all be + + + align:start position:0% +look the body language could all be +different idiosyncratic but stable and + + align:start position:0% +different idiosyncratic but stable and + + + align:start position:0% +different idiosyncratic but stable and +consistent within a kid hence the + + align:start position:0% +consistent within a kid hence the + + + align:start position:0% +consistent within a kid hence the +necessity for n equal one design and + + align:start position:0% +necessity for n equal one design and + + + align:start position:0% +necessity for n equal one design and +hence for the necessity for a technology + + align:start position:0% +hence for the necessity for a technology + + + align:start position:0% +hence for the necessity for a technology +that monitors individuals and not group + + align:start position:0% +that monitors individuals and not group + + + align:start position:0% +that monitors individuals and not group +averages we don't care about group + + align:start position:0% +averages we don't care about group + + + align:start position:0% +averages we don't care about group +averages um okay so anyway there there + + align:start position:0% +averages um okay so anyway there there + + + align:start position:0% +averages um okay so anyway there there +you see Fred more than 50% of the mother + + align:start position:0% +you see Fred more than 50% of the mother + + + align:start position:0% +you see Fred more than 50% of the mother +saying if my child's frightened anxious + + align:start position:0% +saying if my child's frightened anxious + + + align:start position:0% +saying if my child's frightened anxious +there's an extremely high likelihood + + align:start position:0% +there's an extremely high likelihood + + + align:start position:0% +there's an extremely high likelihood +that they're going to lose it in a major + + align:start position:0% +that they're going to lose it in a major + + + align:start position:0% +that they're going to lose it in a major +way that's what that is okay um and then + + align:start position:0% +way that's what that is okay um and then + + + align:start position:0% +way that's what that is okay um and then +the others we don't have to dwell on uh + + align:start position:0% +the others we don't have to dwell on uh + + + align:start position:0% +the others we don't have to dwell on uh +and then this is just an example uh data + + align:start position:0% +and then this is just an example uh data + + + align:start position:0% +and then this is just an example uh data +example uh with pain which by the way is + + align:start position:0% +example uh with pain which by the way is + + + align:start position:0% +example uh with pain which by the way is +another source of arousal keep in mind + + align:start position:0% +another source of arousal keep in mind + + + align:start position:0% +another source of arousal keep in mind +what I'm saying is that all those + + align:start position:0% +what I'm saying is that all those + + + align:start position:0% +what I'm saying is that all those +different categories I think have a + + align:start position:0% +different categories I think have a + + + align:start position:0% +different categories I think have a +final common pathway into arousal all + + align:start position:0% +final common pathway into arousal all + + + align:start position:0% +final common pathway into arousal all +right that's what's happening that's the + + align:start position:0% +right that's what's happening that's the + + + align:start position:0% +right that's what's happening that's the +mediator + + align:start position:0% +mediator + + + align:start position:0% +mediator +um and so this is actually a touchy one + + align:start position:0% +um and so this is actually a touchy one + + + align:start position:0% +um and so this is actually a touchy one +this is actually menstrual pain um and + + align:start position:0% +this is actually menstrual pain um and + + + align:start position:0% +this is actually menstrual pain um and +when before we published this I asked a + + align:start position:0% +when before we published this I asked a + + + align:start position:0% +when before we published this I asked a +friend of mine who's a radical feminist + + align:start position:0% +friend of mine who's a radical feminist + + + align:start position:0% +friend of mine who's a radical feminist +I said I'm concerned about something + + align:start position:0% +I said I'm concerned about something + + + align:start position:0% +I said I'm concerned about something +people are going to say are you saying + + align:start position:0% +people are going to say are you saying + + + align:start position:0% +people are going to say are you saying +that women go psychotic is that what + + align:start position:0% +that women go psychotic is that what + + + align:start position:0% +that women go psychotic is that what +you're gonna say and I'm saying I was + + align:start position:0% +you're gonna say and I'm saying I was + + + align:start position:0% +you're gonna say and I'm saying I was +worried about that she says no no Ted + + align:start position:0% +worried about that she says no no Ted + + + align:start position:0% +worried about that she says no no Ted +here's what what you have to say you + + align:start position:0% +here's what what you have to say you + + + align:start position:0% +here's what what you have to say you +just say it's just an example of the + + align:start position:0% +just say it's just an example of the + + + align:start position:0% +just say it's just an example of the +general category of pain okay so + + align:start position:0% +general category of pain okay so + + + align:start position:0% +general category of pain okay so +everybody this is just an example of the + + align:start position:0% +everybody this is just an example of the + + + align:start position:0% +everybody this is just an example of the +general category of pain I'm not really + + align:start position:0% +general category of pain I'm not really + + + align:start position:0% +general category of pain I'm not really +about menes got it okay so the apology + + align:start position:0% +about menes got it okay so the apology + + + align:start position:0% +about menes got it okay so the apology +part is over all right so basically then + + align:start position:0% +part is over all right so basically then + + + align:start position:0% +part is over all right so basically then +uh what you see is here is Judy okay + + align:start position:0% +uh what you see is here is Judy okay + + + align:start position:0% +uh what you see is here is Judy okay +with autism and menes actually refers to + + align:start position:0% +with autism and menes actually refers to + + + align:start position:0% +with autism and menes actually refers to +menstrual pain and discomfort uh you + + align:start position:0% +menstrual pain and discomfort uh you + + + align:start position:0% +menstrual pain and discomfort uh you +know low back pain abdominal pain nausea + + align:start position:0% +know low back pain abdominal pain nausea + + + align:start position:0% +know low back pain abdominal pain nausea +that kind of thing okay Ser all right + + align:start position:0% +that kind of thing okay Ser all right + + + align:start position:0% +that kind of thing okay Ser all right +um non- menes means no pain or + + align:start position:0% +um non- menes means no pain or + + + align:start position:0% +um non- menes means no pain or +discomfort and we have scales but I + + align:start position:0% +discomfort and we have scales but I + + + align:start position:0% +discomfort and we have scales but I +don't like them I mean we use them and + + align:start position:0% +don't like them I mean we use them and + + + align:start position:0% +don't like them I mean we use them and +we successful in the study but I would + + align:start position:0% +we successful in the study but I would + + + align:start position:0% +we successful in the study but I would +like something more + + align:start position:0% +like something more + + + align:start position:0% +like something more +physiologically based that's what I want + + align:start position:0% +physiologically based that's what I want + + + align:start position:0% +physiologically based that's what I want +um anyway b means no a demands I make + + align:start position:0% +um anyway b means no a demands I make + + + align:start position:0% +um anyway b means no a demands I make +demands on her we make demands on her + + align:start position:0% +demands on her we make demands on her + + + align:start position:0% +demands on her we make demands on her +and a means no demands so what this is + + align:start position:0% +and a means no demands so what this is + + + align:start position:0% +and a means no demands so what this is +is the four-term + + align:start position:0% +is the four-term + + + align:start position:0% +is the four-term +contingency I'm presenting demands or + + align:start position:0% +contingency I'm presenting demands or + + + align:start position:0% +contingency I'm presenting demands or +I'm not presenting demands and I'm + + align:start position:0% +I'm not presenting demands and I'm + + + align:start position:0% +I'm not presenting demands and I'm +laying it on top of you're in pain + + align:start position:0% +laying it on top of you're in pain + + + align:start position:0% +laying it on top of you're in pain +you're not in pain and notice where the + + align:start position:0% +you're not in pain and notice where the + + + align:start position:0% +you're not in pain and notice where the +spikes are if the person's not in pain + + align:start position:0% +spikes are if the person's not in pain + + + align:start position:0% +spikes are if the person's not in pain +it doesn't matter if you give demands or + + align:start position:0% +it doesn't matter if you give demands or + + + align:start position:0% +it doesn't matter if you give demands or +no demands they don't care less there's + + align:start position:0% +no demands they don't care less there's + + + align:start position:0% +no demands they don't care less there's +no aggression over here where it says + + align:start position:0% +no aggression over here where it says + + + align:start position:0% +no aggression over here where it says +Menses a means you leave them alone + + align:start position:0% +Menses a means you leave them alone + + + align:start position:0% +Menses a means you leave them alone +you're in pain I know you're in pain I'm + + align:start position:0% +you're in pain I know you're in pain I'm + + + align:start position:0% +you're in pain I know you're in pain I'm +leaving you alone B is I know you're in + + align:start position:0% +leaving you alone B is I know you're in + + + align:start position:0% +leaving you alone B is I know you're in +pain I'm going to make a lot of Demands + + align:start position:0% +pain I'm going to make a lot of Demands + + + align:start position:0% +pain I'm going to make a lot of Demands +on you you get these huge spikes okay + + align:start position:0% +on you you get these huge spikes okay + + + align:start position:0% +on you you get these huge spikes okay +it's very lawful so the intersection + + align:start position:0% +it's very lawful so the intersection + + + align:start position:0% +it's very lawful so the intersection +between the trigger which I'm making + + align:start position:0% +between the trigger which I'm making + + + align:start position:0% +between the trigger which I'm making +demands on you in your physiological + + align:start position:0% +demands on you in your physiological + + + align:start position:0% +demands on you in your physiological +State you are in pain no good every + + align:start position:0% +State you are in pain no good every + + + align:start position:0% +State you are in pain no good every +other state doesn't matter so it's a + + align:start position:0% +other state doesn't matter so it's a + + + align:start position:0% +other state doesn't matter so it's a +Confluence of events + + align:start position:0% +Confluence of events + + + align:start position:0% +Confluence of events +multifactorial which all these things + + align:start position:0% +multifactorial which all these things + + + align:start position:0% +multifactorial which all these things +are by the way um and so that's a + + align:start position:0% +are by the way um and so that's a + + + align:start position:0% +are by the way um and so that's a +demonstration of how pain can actually + + align:start position:0% +demonstration of how pain can actually + + + align:start position:0% +demonstration of how pain can actually +generate severe outbursts of problem + + align:start position:0% +generate severe outbursts of problem + + + align:start position:0% +generate severe outbursts of problem +behavior and then this next one is just + + align:start position:0% +behavior and then this next one is just + + + align:start position:0% +behavior and then this next one is just +a replication across Four Women it's the + + align:start position:0% +a replication across Four Women it's the + + + align:start position:0% +a replication across Four Women it's the +same thing you notice it's a single + + align:start position:0% +same thing you notice it's a single + + + align:start position:0% +same thing you notice it's a single +subject + + align:start position:0% +subject + + + align:start position:0% +subject +design now this is an N of one each one + + align:start position:0% +design now this is an N of one each one + + + align:start position:0% +design now this is an N of one each one +and the name given to this is a reversal + + align:start position:0% +and the name given to this is a reversal + + + align:start position:0% +and the name given to this is a reversal +design I don't know if Matthew has + + align:start position:0% +design I don't know if Matthew has + + + align:start position:0% +design I don't know if Matthew has +gotten to research methodology but + + align:start position:0% +gotten to research methodology but + + + align:start position:0% +gotten to research methodology but +there's names for these things and we + + align:start position:0% +there's names for these things and we + + + align:start position:0% +there's names for these things and we +don't have to go into the we don't have + + align:start position:0% +don't have to go into the we don't have + + + align:start position:0% +don't have to go into the we don't have +to go into uh the details of this except + + align:start position:0% +to go into uh the details of this except + + + align:start position:0% +to go into uh the details of this except +to say this single subject design is + + align:start position:0% +to say this single subject design is + + + align:start position:0% +to say this single subject design is +robust with respect to internal validity + + align:start position:0% +robust with respect to internal validity + + + align:start position:0% +robust with respect to internal validity +in other words you + + align:start position:0% +in other words you + + + align:start position:0% +in other words you +it you it it allows you to make causal + + align:start position:0% +it you it it allows you to make causal + + + align:start position:0% +it you it it allows you to make causal +statements X causes y it's weak with + + align:start position:0% +statements X causes y it's weak with + + + align:start position:0% +statements X causes y it's weak with +respect to external validity meaning you + + align:start position:0% +respect to external validity meaning you + + + align:start position:0% +respect to external validity meaning you +can't now generalize from this to all + + align:start position:0% +can't now generalize from this to all + + + align:start position:0% +can't now generalize from this to all +women because it's not a randomized + + align:start position:0% +women because it's not a randomized + + + align:start position:0% +women because it's not a randomized +clinical + + align:start position:0% +clinical + + + align:start position:0% +clinical +trial the problem is is that to run + + align:start position:0% +trial the problem is is that to run + + + align:start position:0% +trial the problem is is that to run +randomized clinical trials and autism is + + align:start position:0% +randomized clinical trials and autism is + + + align:start position:0% +randomized clinical trials and autism is +almost + + align:start position:0% +almost + + + align:start position:0% +almost +meaningless because there's such + + align:start position:0% +meaningless because there's such + + + align:start position:0% +meaningless because there's such +heterogenity that the possibility you're + + align:start position:0% +heterogenity that the possibility you're + + + align:start position:0% +heterogenity that the possibility you're +going to constitute homogeneous groups + + align:start position:0% +going to constitute homogeneous groups + + + align:start position:0% +going to constitute homogeneous groups +that are comparable is almost zero zero + + align:start position:0% +that are comparable is almost zero zero + + + align:start position:0% +that are comparable is almost zero zero +and that's why you get so much noise in + + align:start position:0% +and that's why you get so much noise in + + + align:start position:0% +and that's why you get so much noise in +the literature uninterpretable data all + + align:start position:0% +the literature uninterpretable data all + + + align:start position:0% +the literature uninterpretable data all +right so I just wanted to illustrate + + align:start position:0% +right so I just wanted to illustrate + + + align:start position:0% +right so I just wanted to illustrate +that quickly and then this is just um uh + + align:start position:0% +that quickly and then this is just um uh + + + align:start position:0% +that quickly and then this is just um uh +a thing to make it more general which is + + align:start position:0% +a thing to make it more general which is + + + align:start position:0% +a thing to make it more general which is +across a variety of medical conditions + + align:start position:0% +across a variety of medical conditions + + + align:start position:0% +across a variety of medical conditions +we looked at many many people they had + + align:start position:0% +we looked at many many people they had + + + align:start position:0% +we looked at many many people they had +all sorts of different medical + + align:start position:0% +all sorts of different medical + + + align:start position:0% +all sorts of different medical +conditions and we notice this on sick + + align:start position:0% +conditions and we notice this on sick + + + align:start position:0% +conditions and we notice this on sick +days uh they had motor pain behavior and + + align:start position:0% +days uh they had motor pain behavior and + + + align:start position:0% +days uh they had motor pain behavior and +I I just want to illustrate okay the + + align:start position:0% +I I just want to illustrate okay the + + + align:start position:0% +I I just want to illustrate okay the +difference between now this is facial + + align:start position:0% +difference between now this is facial + + + align:start position:0% +difference between now this is facial +recognition now okay here's how you can + + align:start position:0% +recognition now okay here's how you can + + + align:start position:0% +recognition now okay here's how you can +do it but it's I it's to my mind it's + + align:start position:0% +do it but it's I it's to my mind it's + + + align:start position:0% +do it but it's I it's to my mind it's +not adequate because it's I want a + + align:start position:0% +not adequate because it's I want a + + + align:start position:0% +not adequate because it's I want a +physiological measure I want an arousal + + align:start position:0% +physiological measure I want an arousal + + + align:start position:0% +physiological measure I want an arousal +measure like What's Happening Here on on + + align:start position:0% +measure like What's Happening Here on on + + + align:start position:0% +measure like What's Happening Here on on +raza's computer that's what I want to + + align:start position:0% +raza's computer that's what I want to + + + align:start position:0% +raza's computer that's what I want to +see okay um it looks like this there is + + align:start position:0% +see okay um it looks like this there is + + + align:start position:0% +see okay um it looks like this there is +a difference between pain and anxiety if + + align:start position:0% +a difference between pain and anxiety if + + + align:start position:0% +a difference between pain and anxiety if +you are in a state of pain abrupt pain + + align:start position:0% +you are in a state of pain abrupt pain + + + align:start position:0% +you are in a state of pain abrupt pain +it looks like + + align:start position:0% +it looks like + + + align:start position:0% +it looks like +this if you are in a state of anxiety it + + align:start position:0% +this if you are in a state of anxiety it + + + align:start position:0% +this if you are in a state of anxiety it +looks like + + align:start position:0% +looks like + + + align:start position:0% +looks like +this you can recognize those two okay + + align:start position:0% +this you can recognize those two okay + + + align:start position:0% +this you can recognize those two okay +and you and eye people with Autism it's + + align:start position:0% +and you and eye people with Autism it's + + + align:start position:0% +and you and eye people with Autism it's +idiosyncratic okay now some there there + + align:start position:0% +idiosyncratic okay now some there there + + + align:start position:0% +idiosyncratic okay now some there there +are some and other words some features + + align:start position:0% +are some and other words some features + + + align:start position:0% +are some and other words some features +you can see and that's why we're able to + + align:start position:0% +you can see and that's why we're able to + + + align:start position:0% +you can see and that's why we're able to +do the study you can see some features + + align:start position:0% +do the study you can see some features + + + align:start position:0% +do the study you can see some features +but there's a lot of idiosyncratic + + align:start position:0% +but there's a lot of idiosyncratic + + + align:start position:0% +but there's a lot of idiosyncratic +mannerisms in body language that's + + align:start position:0% +mannerisms in body language that's + + + align:start position:0% +mannerisms in body language that's +unique to each individual which is why I + + align:start position:0% +unique to each individual which is why I + + + align:start position:0% +unique to each individual which is why I +got the idea that we need to do n of1 + + align:start position:0% +got the idea that we need to do n of1 + + + align:start position:0% +got the idea that we need to do n of1 +studies with physiological arousal not + + align:start position:0% +studies with physiological arousal not + + + align:start position:0% +studies with physiological arousal not +these more Global Things That Vary too + + align:start position:0% +these more Global Things That Vary too + + + align:start position:0% +these more Global Things That Vary too +much from Kid to + + align:start position:0% +much from Kid to + + + align:start position:0% +much from Kid to +Kid anyway so you have on sick days lots + + align:start position:0% +Kid anyway so you have on sick days lots + + + align:start position:0% +Kid anyway so you have on sick days lots +of motor pain behavior on well days + + align:start position:0% +of motor pain behavior on well days + + + align:start position:0% +of motor pain behavior on well days +hardly any on sick lots of ver vocal + + align:start position:0% +hardly any on sick lots of ver vocal + + + align:start position:0% +hardly any on sick lots of ver vocal +pain Behavior moaning and groaning and + + align:start position:0% +pain Behavior moaning and groaning and + + + align:start position:0% +pain Behavior moaning and groaning and +my tummy hurts all okay and then on well + + align:start position:0% +my tummy hurts all okay and then on well + + + align:start position:0% +my tummy hurts all okay and then on well +days of course you wouldn't okay that + + align:start position:0% +days of course you wouldn't okay that + + + align:start position:0% +days of course you wouldn't okay that +makes sense but that's not the real date + + align:start position:0% +makes sense but that's not the real date + + + align:start position:0% +makes sense but that's not the real date +the real date is the next slide on sick + + align:start position:0% +the real date is the next slide on sick + + + align:start position:0% +the real date is the next slide on sick +days you have a much higher level of in + + align:start position:0% +days you have a much higher level of in + + + align:start position:0% +days you have a much higher level of in +terms of frequency and intensity of + + align:start position:0% +terms of frequency and intensity of + + + align:start position:0% +terms of frequency and intensity of +problem Behavior than on well + + align:start position:0% +problem Behavior than on well + + + align:start position:0% +problem Behavior than on well +days that's a significant + + align:start position:0% +days that's a significant + + + align:start position:0% +days that's a significant +relationship which means that if you're + + align:start position:0% +relationship which means that if you're + + + align:start position:0% +relationship which means that if you're +unaware that a person has a medical + + align:start position:0% +unaware that a person has a medical + + + align:start position:0% +unaware that a person has a medical +condition their behavior will look + + align:start position:0% +condition their behavior will look + + + align:start position:0% +condition their behavior will look +random you'll say why is this person + + align:start position:0% +random you'll say why is this person + + + align:start position:0% +random you'll say why is this person +exploding randomly and then you know two + + align:start position:0% +exploding randomly and then you know two + + + align:start position:0% +exploding randomly and then you know two +years later you'll discover oh my God + + align:start position:0% +years later you'll discover oh my God + + + align:start position:0% +years later you'll discover oh my God +they had migraines I didn't know that + + align:start position:0% +they had migraines I didn't know that + + + align:start position:0% +they had migraines I didn't know that +now migraines don't follow the clock + + align:start position:0% +now migraines don't follow the clock + + + align:start position:0% +now migraines don't follow the clock +they're random which means that when + + align:start position:0% +they're random which means that when + + + align:start position:0% +they're random which means that when +they happen the behavior will be random + + align:start position:0% +they happen the behavior will be random + + + align:start position:0% +they happen the behavior will be random +looking but it's not random if you have + + align:start position:0% +looking but it's not random if you have + + + align:start position:0% +looking but it's not random if you have +this perspective of context and you're + + align:start position:0% +this perspective of context and you're + + + align:start position:0% +this perspective of context and you're +tracking it but the thing is that you + + align:start position:0% +tracking it but the thing is that you + + + align:start position:0% +tracking it but the thing is that you +can have a migraine but you don't know + + align:start position:0% +can have a migraine but you don't know + + + align:start position:0% +can have a migraine but you don't know +the level of pain you can have a medical + + align:start position:0% +the level of pain you can have a medical + + + align:start position:0% +the level of pain you can have a medical +condition but the pain associated with + + align:start position:0% +condition but the pain associated with + + + align:start position:0% +condition but the pain associated with +that can fluctuate over time pain is not + + align:start position:0% +that can fluctuate over time pain is not + + + align:start position:0% +that can fluctuate over time pain is not +constant okay the only way in which you + + align:start position:0% +constant okay the only way in which you + + + align:start position:0% +constant okay the only way in which you +would be able to track that is with a + + align:start position:0% +would be able to track that is with a + + + align:start position:0% +would be able to track that is with a +physiological measure of arousal so if + + align:start position:0% +physiological measure of arousal so if + + + align:start position:0% +physiological measure of arousal so if +somebody said like I have gird I I + + align:start position:0% +somebody said like I have gird I I + + + align:start position:0% +somebody said like I have gird I I +literally have gird okay it's not just + + align:start position:0% +literally have gird okay it's not just + + + align:start position:0% +literally have gird okay it's not just +an example I do so I'm a big expert on + + align:start position:0% +an example I do so I'm a big expert on + + + align:start position:0% +an example I do so I'm a big expert on +gastrointestinal um and it's like uh + + align:start position:0% +gastrointestinal um and it's like uh + + + align:start position:0% +gastrointestinal um and it's like uh +sometimes it's under control because I + + align:start position:0% +sometimes it's under control because I + + + align:start position:0% +sometimes it's under control because I +have medication but um basically + + align:start position:0% +have medication but um basically + + + align:start position:0% +have medication but um basically +sometimes it's horrible and sometimes + + align:start position:0% +sometimes it's horrible and sometimes + + + align:start position:0% +sometimes it's horrible and sometimes +it's nothing but it's the same condition + + align:start position:0% +it's nothing but it's the same condition + + + align:start position:0% +it's nothing but it's the same condition +so unless somebody's modering me with + + align:start position:0% +so unless somebody's modering me with + + + align:start position:0% +so unless somebody's modering me with +something like that phys physiologically + + align:start position:0% +something like that phys physiologically + + + align:start position:0% +something like that phys physiologically +I won't know so my behavior won't make + + align:start position:0% +I won't know so my behavior won't make + + + align:start position:0% +I won't know so my behavior won't make +any sense and the medical diagnostic + + align:start position:0% +any sense and the medical diagnostic + + + align:start position:0% +any sense and the medical diagnostic +will look like it's not terribly related + + align:start position:0% +will look like it's not terribly related + + + align:start position:0% +will look like it's not terribly related +to problem behavor but it will be if I + + align:start position:0% +to problem behavor but it will be if I + + + align:start position:0% +to problem behavor but it will be if I +have arousal measures oh my God he's + + align:start position:0% +have arousal measures oh my God he's + + + align:start position:0% +have arousal measures oh my God he's +going into gird you know it's spiking + + align:start position:0% +going into gird you know it's spiking + + + align:start position:0% +going into gird you know it's spiking +and of course there'd be other cues uh + + align:start position:0% +and of course there'd be other cues uh + + + align:start position:0% +and of course there'd be other cues uh +you know where people would uh for + + align:start position:0% +you know where people would uh for + + + align:start position:0% +you know where people would uh for +example with reflux will massage the + + align:start position:0% +example with reflux will massage the + + + align:start position:0% +example with reflux will massage the +epigastric area here people do things + + align:start position:0% +epigastric area here people do things + + + align:start position:0% +epigastric area here people do things +like that or their throat you know do + + align:start position:0% +like that or their throat you know do + + + align:start position:0% +like that or their throat you know do +that and when you see that com with + + align:start position:0% +that and when you see that com with + + + align:start position:0% +that and when you see that com with +spiking of arouser you think I wonder if + + align:start position:0% +spiking of arouser you think I wonder if + + + align:start position:0% +spiking of arouser you think I wonder if +they're having a gird episode if so + + align:start position:0% +they're having a gird episode if so + + + align:start position:0% +they're having a gird episode if so +problem behavior is not far behind + + align:start position:0% +problem behavior is not far behind + + + align:start position:0% +problem behavior is not far behind +that's a tremendous Advantage + + align:start position:0% +that's a tremendous Advantage + + + align:start position:0% +that's a tremendous Advantage +clinically that means a lot and right + + align:start position:0% +clinically that means a lot and right + + + align:start position:0% +clinically that means a lot and right +now the field is totally primitive + + align:start position:0% +now the field is totally primitive + + + align:start position:0% +now the field is totally primitive +because the technology is absent and so + + align:start position:0% +because the technology is absent and so + + + align:start position:0% +because the technology is absent and so +therefore we have to resort to more + + align:start position:0% +therefore we have to resort to more + + + align:start position:0% +therefore we have to resort to more +indirect measures okay uh I'm not going + + align:start position:0% +indirect measures okay uh I'm not going + + + align:start position:0% +indirect measures okay uh I'm not going +to even do fatigue because I want to I + + align:start position:0% +to even do fatigue because I want to I + + + align:start position:0% +to even do fatigue because I want to I +want to move on it's the same thing + + align:start position:0% +want to move on it's the same thing + + + align:start position:0% +want to move on it's the same thing +fatigue is same thing okay uh taxonomic + + align:start position:0% +fatigue is same thing okay uh taxonomic + + + align:start position:0% +fatigue is same thing okay uh taxonomic +uh what this is and I'm going to run + + align:start position:0% +uh what this is and I'm going to run + + + align:start position:0% +uh what this is and I'm going to run +through this because I want to get to + + align:start position:0% +through this because I want to get to + + + align:start position:0% +through this because I want to get to +the end of these research ideas okay + + align:start position:0% +the end of these research ideas okay + + + align:start position:0% +the end of these research ideas okay +what I'm saying is that particularly in + + align:start position:0% +what I'm saying is that particularly in + + + align:start position:0% +what I'm saying is that particularly in +the area of biological events but also + + align:start position:0% +the area of biological events but also + + + align:start position:0% +the area of biological events but also +the social and activity events they + + align:start position:0% +the social and activity events they + + + align:start position:0% +the social and activity events they +generate a lot of these other things so + + align:start position:0% +generate a lot of these other things so + + + align:start position:0% +generate a lot of these other things so +for example certainly medical will + + align:start position:0% +for example certainly medical will + + + align:start position:0% +for example certainly medical will +generate this is basically many there + + align:start position:0% +generate this is basically many there + + + align:start position:0% +generate this is basically many there +are many biologically based setting + + align:start position:0% +are many biologically based setting + + + align:start position:0% +are many biologically based setting +events that's all I'm saying with this + + align:start position:0% +events that's all I'm saying with this + + + align:start position:0% +events that's all I'm saying with this +slide and so one can develop a taxonomy + + align:start position:0% +slide and so one can develop a taxonomy + + + align:start position:0% +slide and so one can develop a taxonomy +of these and say we need to track these + + align:start position:0% +of these and say we need to track these + + + align:start position:0% +of these and say we need to track these +we need to track them in terms of + + align:start position:0% +we need to track them in terms of + + + align:start position:0% +we need to track them in terms of +physiological measure in terms of + + align:start position:0% +physiological measure in terms of + + + align:start position:0% +physiological measure in terms of +Behavioral measure uh because there's + + align:start position:0% +Behavioral measure uh because there's + + + align:start position:0% +Behavioral measure uh because there's +lots of them and each of them has + + align:start position:0% +lots of them and each of them has + + + align:start position:0% +lots of them and each of them has +different implications for understanding + + align:start position:0% +different implications for understanding + + + align:start position:0% +different implications for understanding +behavior and for treating it and so pain + + align:start position:0% +behavior and for treating it and so pain + + + align:start position:0% +behavior and for treating it and so pain +and discomfort is one category fatigue + + align:start position:0% +and discomfort is one category fatigue + + + align:start position:0% +and discomfort is one category fatigue +drowsiness reduced alertness is another + + align:start position:0% +drowsiness reduced alertness is another + + + align:start position:0% +drowsiness reduced alertness is another +irritability hyper sensitivity for + + align:start position:0% +irritability hyper sensitivity for + + + align:start position:0% +irritability hyper sensitivity for +example to auditory or tactile stimula a + + align:start position:0% +example to auditory or tactile stimula a + + + align:start position:0% +example to auditory or tactile stimula a +lot of the children are hypers sensitive + + align:start position:0% +lot of the children are hypers sensitive + + + align:start position:0% +lot of the children are hypers sensitive +auditory others are tactically defensive + + align:start position:0% +auditory others are tactically defensive + + + align:start position:0% +auditory others are tactically defensive +you try to touch them they go berserk + + align:start position:0% +you try to touch them they go berserk + + + align:start position:0% +you try to touch them they go berserk +the most famous person with autism in + + align:start position:0% +the most famous person with autism in + + + align:start position:0% +the most famous person with autism in +the world is Temple grandon who I'm sure + + align:start position:0% +the world is Temple grandon who I'm sure + + + align:start position:0% +the world is Temple grandon who I'm sure +that Matthews mentioned and I heard her + + align:start position:0% +that Matthews mentioned and I heard her + + + align:start position:0% +that Matthews mentioned and I heard her +uh talk she was getting an award at ASA + + align:start position:0% +uh talk she was getting an award at ASA + + + align:start position:0% +uh talk she was getting an award at ASA +the year than I was I I gave a major + + align:start position:0% +the year than I was I I gave a major + + + align:start position:0% +the year than I was I I gave a major +talk there and she was a war and I still + + align:start position:0% +talk there and she was a war and I still + + + align:start position:0% +talk there and she was a war and I still +remember she was getting in a war and + + align:start position:0% +remember she was getting in a war and + + + align:start position:0% +remember she was getting in a war and +she does have autism and she's super + + align:start position:0% +she does have autism and she's super + + + align:start position:0% +she does have autism and she's super +high functioning got an award she yes + + align:start position:0% +high functioning got an award she yes + + + align:start position:0% +high functioning got an award she yes +I'd like to thank you for this award um + + align:start position:0% +I'd like to thank you for this award um + + + align:start position:0% +I'd like to thank you for this award um +you need to do more research on sensory + + align:start position:0% +you need to do more research on sensory + + + align:start position:0% +you need to do more research on sensory +problems my clothes are driving me crazy + + align:start position:0% +problems my clothes are driving me crazy + + + align:start position:0% +problems my clothes are driving me crazy +right in the middle of her + + align:start position:0% +right in the middle of her + + + align:start position:0% +right in the middle of her +award I was I said what the hell was + + align:start position:0% +award I was I said what the hell was + + + align:start position:0% +award I was I said what the hell was +that and I there's a friend next to me + + align:start position:0% +that and I there's a friend next to me + + + align:start position:0% +that and I there's a friend next to me +who actually went to GZA school with her + + align:start position:0% +who actually went to GZA school with her + + + align:start position:0% +who actually went to GZA school with her +and said she has sensory problems + + align:start position:0% +and said she has sensory problems + + + align:start position:0% +and said she has sensory problems +and the field as a whole does not + + align:start position:0% +and the field as a whole does not + + + align:start position:0% +and the field as a whole does not +address this so she's very angry cuz she + + align:start position:0% +address this so she's very angry cuz she + + + align:start position:0% +address this so she's very angry cuz she +can't take and then I had dinner oddly + + align:start position:0% +can't take and then I had dinner oddly + + + align:start position:0% +can't take and then I had dinner oddly +enough with her mother that night and + + align:start position:0% +enough with her mother that night and + + + align:start position:0% +enough with her mother that night and +her mother said to me I was I said well + + align:start position:0% +her mother said to me I was I said well + + + align:start position:0% +her mother said to me I was I said well +that was uh interesting what your + + align:start position:0% +that was uh interesting what your + + + align:start position:0% +that was uh interesting what your +daughter said and uh the mother said you + + align:start position:0% +daughter said and uh the mother said you + + + align:start position:0% +daughter said and uh the mother said you +know it was only a year ago that I she + + align:start position:0% +know it was only a year ago that I she + + + align:start position:0% +know it was only a year ago that I she +finally let me hug her now she's in her + + align:start position:0% +finally let me hug her now she's in her + + + align:start position:0% +finally let me hug her now she's in her +40s she says before that if I touched + + align:start position:0% +40s she says before that if I touched + + + align:start position:0% +40s she says before that if I touched +her she went ballistic so that's a + + align:start position:0% +her she went ballistic so that's a + + + align:start position:0% +her she went ballistic so that's a +category hypers sensitivity is a + + align:start position:0% +category hypers sensitivity is a + + + align:start position:0% +category hypers sensitivity is a +category of biological setting event + + align:start position:0% +category of biological setting event + + + align:start position:0% +category of biological setting event +easy to underestimate how irritating + + align:start position:0% +easy to underestimate how irritating + + + align:start position:0% +easy to underestimate how irritating +that can to a talk with another person + + align:start position:0% +that can to a talk with another person + + + align:start position:0% +that can to a talk with another person +has exactly the same report as Temple um + + align:start position:0% +has exactly the same report as Temple um + + + align:start position:0% +has exactly the same report as Temple um +and said later she realized she thought + + align:start position:0% +and said later she realized she thought + + + align:start position:0% +and said later she realized she thought +everybody walked around feeling like + + align:start position:0% +everybody walked around feeling like + + + align:start position:0% +everybody walked around feeling like +they had a degree n sunburn the whole + + align:start position:0% +they had a degree n sunburn the whole + + + align:start position:0% +they had a degree n sunburn the whole +time n on a pain she said she had a nine + + align:start position:0% +time n on a pain she said she had a nine + + + align:start position:0% +time n on a pain she said she had a nine +for most of her life didn't aate till in + + align:start position:0% +for most of her life didn't aate till in + + + align:start position:0% +for most of her life didn't aate till in +20s now can you imagine if I don't know + + align:start position:0% +20s now can you imagine if I don't know + + + align:start position:0% +20s now can you imagine if I don't know +that about you and I'm trying to teach + + align:start position:0% +that about you and I'm trying to teach + + + align:start position:0% +that about you and I'm trying to teach +you or interact with you or whatever + + align:start position:0% +you or interact with you or whatever + + + align:start position:0% +you or interact with you or whatever +what that would do um if I'm bothering + + align:start position:0% +what that would do um if I'm bothering + + + align:start position:0% +what that would do um if I'm bothering +you and you're feeling like that the + + align:start position:0% +you and you're feeling like that the + + + align:start position:0% +you and you're feeling like that the +likelihood that you'll lose it it's also + + align:start position:0% +likelihood that you'll lose it it's also + + + align:start position:0% +likelihood that you'll lose it it's also +well get off on this I don't want to too + + align:start position:0% +well get off on this I don't want to too + + + align:start position:0% +well get off on this I don't want to too +much just connected to the similarities + + align:start position:0% +much just connected to the similarities + + + align:start position:0% +much just connected to the similarities +of people who have PTSD and later get + + align:start position:0% +of people who have PTSD and later get + + + align:start position:0% +of people who have PTSD and later get +you know have odds like behaviors that + + align:start position:0% +you know have odds like behaviors that + + + align:start position:0% +you know have odds like behaviors that +just makes me wonder how much of this + + align:start position:0% +just makes me wonder how much of this + + + align:start position:0% +just makes me wonder how much of this +undiagnosed pain and you know heightened + + align:start position:0% +undiagnosed pain and you know heightened + + + align:start position:0% +undiagnosed pain and you know heightened +arousal or whatever else it's it's + + align:start position:0% +arousal or whatever else it's it's + + + align:start position:0% +arousal or whatever else it's it's +causing um is a major issue yeah our + + align:start position:0% +causing um is a major issue yeah our + + + align:start position:0% +causing um is a major issue yeah our +present yeah there's no question it's a + + align:start position:0% +present yeah there's no question it's a + + + align:start position:0% +present yeah there's no question it's a +major issue um uh anxiety is another + + align:start position:0% +major issue um uh anxiety is another + + + align:start position:0% +major issue um uh anxiety is another +problem a large number of those social + + align:start position:0% +problem a large number of those social + + + align:start position:0% +problem a large number of those social +events that I listed a large number of + + align:start position:0% +events that I listed a large number of + + + align:start position:0% +events that I listed a large number of +those activity events and even the + + align:start position:0% +those activity events and even the + + + align:start position:0% +those activity events and even the +biological events got to remember when I + + align:start position:0% +biological events got to remember when I + + + align:start position:0% +biological events got to remember when I +said pain versus anxiety one thing that + + align:start position:0% +said pain versus anxiety one thing that + + + align:start position:0% +said pain versus anxiety one thing that +pain can do is generate anxiety so these + + align:start position:0% +pain can do is generate anxiety so these + + + align:start position:0% +pain can do is generate anxiety so these +things are sort of become conflated + + align:start position:0% +things are sort of become conflated + + + align:start position:0% +things are sort of become conflated +after a while um Etc so anyway that's + + align:start position:0% +after a while um Etc so anyway that's + + + align:start position:0% +after a while um Etc so anyway that's +just to show you that there are a large + + align:start position:0% +just to show you that there are a large + + + align:start position:0% +just to show you that there are a large +thing a number of categories that we + + align:start position:0% +thing a number of categories that we + + + align:start position:0% +thing a number of categories that we +could actually monitor and interpret and + + align:start position:0% +could actually monitor and interpret and + + + align:start position:0% +could actually monitor and interpret and +these would lead actually to different + + align:start position:0% +these would lead actually to different + + + align:start position:0% +these would lead actually to different +kinds of + + align:start position:0% +kinds of + + + align:start position:0% +kinds of +treatments um diagnostic I'm not going + + align:start position:0% +treatments um diagnostic I'm not going + + + align:start position:0% +treatments um diagnostic I'm not going +to + + align:start position:0% +to + + + align:start position:0% +to +except to just give you some indication + + align:start position:0% +except to just give you some indication + + + align:start position:0% +except to just give you some indication +um one of the things of course that + + align:start position:0% +um one of the things of course that + + + align:start position:0% +um one of the things of course that +doctors can't do with people with Autism + + align:start position:0% +doctors can't do with people with Autism + + + align:start position:0% +doctors can't do with people with Autism +is interview them and say where does it + + align:start position:0% +is interview them and say where does it + + + align:start position:0% +is interview them and say where does it +hurt and describe the pain okay we + + align:start position:0% +hurt and describe the pain okay we + + + align:start position:0% +hurt and describe the pain okay we +actually have a study starting up now + + align:start position:0% +actually have a study starting up now + + + align:start position:0% +actually have a study starting up now +that we're going to teach people to to + + align:start position:0% +that we're going to teach people to to + + + align:start position:0% +that we're going to teach people to to +point to where they hurt the other thing + + align:start position:0% +point to where they hurt the other thing + + + align:start position:0% +point to where they hurt the other thing +though that's much more challenging and + + align:start position:0% +though that's much more challenging and + + + align:start position:0% +though that's much more challenging and +much more interesting conceptually is + + align:start position:0% +much more interesting conceptually is + + + align:start position:0% +much more interesting conceptually is +this have you noticed like if you ask a + + align:start position:0% +this have you noticed like if you ask a + + + align:start position:0% +this have you noticed like if you ask a +three-year-old if a doctor ask a + + align:start position:0% +three-year-old if a doctor ask a + + + align:start position:0% +three-year-old if a doctor ask a +three-year-old no pediatrist in the + + align:start position:0% +three-year-old no pediatrist in the + + + align:start position:0% +three-year-old no pediatrist in the +right mind would do this say okay Billy + + align:start position:0% +right mind would do this say okay Billy + + + align:start position:0% +right mind would do this say okay Billy +okay so it hurt you're your tummy hurts + + align:start position:0% +okay so it hurt you're your tummy hurts + + + align:start position:0% +okay so it hurt you're your tummy hurts +is it a sharp pain is it a stabbing pain + + align:start position:0% +is it a sharp pain is it a stabbing pain + + + align:start position:0% +is it a sharp pain is it a stabbing pain +is it throbbing is it aching a + + align:start position:0% +is it throbbing is it aching a + + + align:start position:0% +is it throbbing is it aching a +three-year-old won't answer that a + + align:start position:0% +three-year-old won't answer that a + + + align:start position:0% +three-year-old won't answer that a +five-year-old want answer that but later + + align:start position:0% +five-year-old want answer that but later + + + align:start position:0% +five-year-old want answer that but later +in life we can all answer that how could + + align:start position:0% +in life we can all answer that how could + + + align:start position:0% +in life we can all answer that how could +that + + align:start position:0% +that + + + align:start position:0% +that +be okay how could that be who teach you + + align:start position:0% +be okay how could that be who teach you + + + align:start position:0% +be okay how could that be who teach you +don't go to school and people instruct + + align:start position:0% +don't go to school and people instruct + + + align:start position:0% +don't go to school and people instruct +you here is how you describe your + + align:start position:0% +you here is how you describe your + + + align:start position:0% +you here is how you describe your +internal States boys and girls Nobody + + align:start position:0% +internal States boys and girls Nobody + + + align:start position:0% +internal States boys and girls Nobody +Does that what happens and this is going + + align:start position:0% +Does that what happens and this is going + + + align:start position:0% +Does that what happens and this is going +to be how we we are going to teach it is + + align:start position:0% +to be how we we are going to teach it is + + + align:start position:0% +to be how we we are going to teach it is +this you're a very little kid when I was + + align:start position:0% +this you're a very little kid when I was + + + align:start position:0% +this you're a very little kid when I was +little I used to like most boys be very + + align:start position:0% +little I used to like most boys be very + + + align:start position:0% +little I used to like most boys be very +active and i' and I scraped my knee and + + align:start position:0% +active and i' and I scraped my knee and + + + align:start position:0% +active and i' and I scraped my knee and +when I was little there was a thing + + align:start position:0% +when I was little there was a thing + + + align:start position:0% +when I was little there was a thing +called iodine uh which is about 90% + + align:start position:0% +called iodine uh which is about 90% + + + align:start position:0% +called iodine uh which is about 90% +alcohol uh and my mother I put it on my + + align:start position:0% +alcohol uh and my mother I put it on my + + + align:start position:0% +alcohol uh and my mother I put it on my +knee and I go through the roof when I + + align:start position:0% +knee and I go through the roof when I + + + align:start position:0% +knee and I go through the roof when I +was very very little and she would say + + align:start position:0% +was very very little and she would say + + + align:start position:0% +was very very little and she would say +oh I'm sorry does that sting does that + + align:start position:0% +oh I'm sorry does that sting does that + + + align:start position:0% +oh I'm sorry does that sting does that +sting does that sting does it 9,000 + + align:start position:0% +sting does that sting does it 9,000 + + + align:start position:0% +sting does that sting does it 9,000 +times okay and then you know a week + + align:start position:0% +times okay and then you know a week + + + align:start position:0% +times okay and then you know a week +later i' fall and do in my elbow more + + align:start position:0% +later i' fall and do in my elbow more + + + align:start position:0% +later i' fall and do in my elbow more +eye dime oh does it sting does it sting + + align:start position:0% +eye dime oh does it sting does it sting + + + align:start position:0% +eye dime oh does it sting does it sting +sting okay here's what's happening okay + + align:start position:0% +sting okay here's what's happening okay + + + align:start position:0% +sting okay here's what's happening okay +here's how you acquire internal State + + align:start position:0% +here's how you acquire internal State + + + align:start position:0% +here's how you acquire internal State +labels you have this General Rous Al + + align:start position:0% +labels you have this General Rous Al + + + align:start position:0% +labels you have this General Rous Al +which doesn't mean anything it's just + + align:start position:0% +which doesn't mean anything it's just + + + align:start position:0% +which doesn't mean anything it's just +general arousal because you just wounded + + align:start position:0% +general arousal because you just wounded + + + align:start position:0% +general arousal because you just wounded +yourself there's also subjective + + align:start position:0% +yourself there's also subjective + + + align:start position:0% +yourself there's also subjective +phenomenological experience that + + align:start position:0% +phenomenological experience that + + + align:start position:0% +phenomenological experience that +combination General arousal subjective + + align:start position:0% +combination General arousal subjective + + + align:start position:0% +combination General arousal subjective +um phenomenological experience your + + align:start position:0% +um phenomenological experience your + + + align:start position:0% +um phenomenological experience your +mother labels for you okay it's like + + align:start position:0% +mother labels for you okay it's like + + + align:start position:0% +mother labels for you okay it's like +she's saying okay you know the arousal + + align:start position:0% +she's saying okay you know the arousal + + + align:start position:0% +she's saying okay you know the arousal +your experiencing and the accompanying + + align:start position:0% +your experiencing and the accompanying + + + align:start position:0% +your experiencing and the accompanying +subjective phenomenological experience + + align:start position:0% +subjective phenomenological experience + + + align:start position:0% +subjective phenomenological experience +we call that sting got it so Mommy's + + align:start position:0% +we call that sting got it so Mommy's + + + align:start position:0% +we call that sting got it so Mommy's +going to repeat it 9,000 times as you + + align:start position:0% +going to repeat it 9,000 times as you + + + align:start position:0% +going to repeat it 9,000 times as you +injure various body parts later in life + + align:start position:0% +injure various body parts later in life + + + align:start position:0% +injure various body parts later in life +with no further training you're in the + + align:start position:0% +with no further training you're in the + + + align:start position:0% +with no further training you're in the +opthalmologist office and he puts those + + align:start position:0% +opthalmologist office and he puts those + + + align:start position:0% +opthalmologist office and he puts those +ey drops in to dilate your pupil so they + + align:start position:0% +ey drops in to dilate your pupil so they + + + align:start position:0% +ey drops in to dilate your pupil so they +can see you know the retin in the back + + align:start position:0% +can see you know the retin in the back + + + align:start position:0% +can see you know the retin in the back +and then you wince and the doctor says + + align:start position:0% +and then you wince and the doctor says + + + align:start position:0% +and then you wince and the doctor says +are you all right and you say with no + + align:start position:0% +are you all right and you say with no + + + align:start position:0% +are you all right and you say with no +training it stings where did that come + + align:start position:0% +training it stings where did that come + + + align:start position:0% +training it stings where did that come +from it generalized from the uh that + + align:start position:0% +from it generalized from the uh that + + + align:start position:0% +from it generalized from the uh that +subjective arousal plus the that's the + + align:start position:0% +subjective arousal plus the that's the + + + align:start position:0% +subjective arousal plus the that's the +phenomenological aspect plus yeah the + + align:start position:0% +phenomenological aspect plus yeah the + + + align:start position:0% +phenomenological aspect plus yeah the +phenomenological aspect is a subjective + + align:start position:0% +phenomenological aspect is a subjective + + + align:start position:0% +phenomenological aspect is a subjective +heing and then the arousal that has been + + align:start position:0% +heing and then the arousal that has been + + + align:start position:0% +heing and then the arousal that has been +taught to you earlier as that's called + + align:start position:0% +taught to you earlier as that's called + + + align:start position:0% +taught to you earlier as that's called +sting so later in life when when you + + align:start position:0% +sting so later in life when when you + + + align:start position:0% +sting so later in life when when you +encounter that again for the first time + + align:start position:0% +encounter that again for the first time + + + align:start position:0% +encounter that again for the first time +in the opthalmologist office you say G + + align:start position:0% +in the opthalmologist office you say G + + + align:start position:0% +in the opthalmologist office you say G +that arousal plus the subjective + + align:start position:0% +that arousal plus the subjective + + + align:start position:0% +that arousal plus the subjective +phenomenology my mom taught me is called + + align:start position:0% +phenomenology my mom taught me is called + + + align:start position:0% +phenomenology my mom taught me is called +sting and that's why we all have the + + align:start position:0% +sting and that's why we all have the + + + align:start position:0% +sting and that's why we all have the +same label yes so I think for stinging + + align:start position:0% +same label yes so I think for stinging + + + align:start position:0% +same label yes so I think for stinging +you sort of actually in some have a + + align:start position:0% +you sort of actually in some have a + + + align:start position:0% +you sort of actually in some have a +different case you do for other + + align:start position:0% +different case you do for other + + + align:start position:0% +different case you do for other +phenomena so for things that are like + + align:start position:0% +phenomena so for things that are like + + + align:start position:0% +phenomena so for things that are like +throbbing pains versus short pains may + + align:start position:0% +throbbing pains versus short pains may + + + align:start position:0% +throbbing pains versus short pains may +be harder to identify what kind of + + align:start position:0% +be harder to identify what kind of + + + align:start position:0% +be harder to identify what kind of +outside stimuli would actually induce + + align:start position:0% +outside stimuli would actually induce + + + align:start position:0% +outside stimuli would actually induce +that so you can label it for correct + + align:start position:0% +that so you can label it for correct + + + align:start position:0% +that so you can label it for correct +that's exactly what happen like for + + align:start position:0% +that's exactly what happen like for + + + align:start position:0% +that's exactly what happen like for +example aing a nine how would that be + + align:start position:0% +example aing a nine how would that be + + + align:start position:0% +example aing a nine how would that be +okay aching a nine is this when when you + + align:start position:0% +okay aching a nine is this when when you + + + align:start position:0% +okay aching a nine is this when when you +have gird symptoms or something like + + align:start position:0% +have gird symptoms or something like + + + align:start position:0% +have gird symptoms or something like +that epigastric pain and you're doing + + align:start position:0% +that epigastric pain and you're doing + + + align:start position:0% +that epigastric pain and you're doing +this and your mother looks and she's oh + + align:start position:0% +this and your mother looks and she's oh + + + align:start position:0% +this and your mother looks and she's oh +you or a doctor you know you're looking + + align:start position:0% +you or a doctor you know you're looking + + + align:start position:0% +you or a doctor you know you're looking +to say so is that like an aching feeling + + align:start position:0% +to say so is that like an aching feeling + + + align:start position:0% +to say so is that like an aching feeling +okay they're te because otherwise you + + align:start position:0% +okay they're te because otherwise you + + + align:start position:0% +okay they're te because otherwise you +have no way how would how would you ever + + align:start position:0% +have no way how would how would you ever + + + align:start position:0% +have no way how would how would you ever +come up with that word who how would you + + align:start position:0% +come up with that word who how would you + + + align:start position:0% +come up with that word who how would you +come up with that oh wait a minute this + + align:start position:0% +come up with that oh wait a minute this + + + align:start position:0% +come up with that oh wait a minute this +must be called a how no somebody is T + + align:start position:0% +must be called a how no somebody is T + + + align:start position:0% +must be called a how no somebody is T +look when you're doing this and you're + + align:start position:0% +look when you're doing this and you're + + + align:start position:0% +look when you're doing this and you're +burping okay and there's acid okay you + + align:start position:0% +burping okay and there's acid okay you + + + align:start position:0% +burping okay and there's acid okay you +know what that is that is called nwing + + align:start position:0% +know what that is that is called nwing + + + align:start position:0% +know what that is that is called nwing +that's a nwing aching feeling okay so + + align:start position:0% +that's a nwing aching feeling okay so + + + align:start position:0% +that's a nwing aching feeling okay so +therefore your arousal plus that + + align:start position:0% +therefore your arousal plus that + + + align:start position:0% +therefore your arousal plus that +phenomenology that that label we give it + + align:start position:0% +phenomenology that that label we give it + + + align:start position:0% +phenomenology that that label we give it +is n so what they're doing is they're + + align:start position:0% +is n so what they're doing is they're + + + align:start position:0% +is n so what they're doing is they're +they're looking at your behavior the + + align:start position:0% +they're looking at your behavior the + + + align:start position:0% +they're looking at your behavior the +external cues uh and seeing where you're + + align:start position:0% +external cues uh and seeing where you're + + + align:start position:0% +external cues uh and seeing where you're +rubbing and other physical symptoms and + + align:start position:0% +rubbing and other physical symptoms and + + + align:start position:0% +rubbing and other physical symptoms and +they're saying okay that's gird that's + + align:start position:0% +they're saying okay that's gird that's + + + align:start position:0% +they're saying okay that's gird that's +an aching nwing okay all people with + + align:start position:0% +an aching nwing okay all people with + + + align:start position:0% +an aching nwing okay all people with +gird will be told when you do that's + + align:start position:0% +gird will be told when you do that's + + + align:start position:0% +gird will be told when you do that's +aching nine um now later of course if + + align:start position:0% +aching nine um now later of course if + + + align:start position:0% +aching nine um now later of course if +you do this with this is called I don't + + align:start position:0% +you do this with this is called I don't + + + align:start position:0% +you do this with this is called I don't +want to get into the tech technical + + align:start position:0% +want to get into the tech technical + + + align:start position:0% +want to get into the tech technical +stuff but when you do that for multiple + + align:start position:0% +stuff but when you do that for multiple + + + align:start position:0% +stuff but when you do that for multiple +um examples of what I just described + + align:start position:0% +um examples of what I just described + + + align:start position:0% +um examples of what I just described +it's called multiple examplar training + + align:start position:0% +it's called multiple examplar training + + + align:start position:0% +it's called multiple examplar training +when you do it for multiple examples it + + align:start position:0% +when you do it for multiple examples it + + + align:start position:0% +when you do it for multiple examples it +generalizes to new cases so if later in + + align:start position:0% +generalizes to new cases so if later in + + + align:start position:0% +generalizes to new cases so if later in +life you hurt your muscle in your leg + + align:start position:0% +life you hurt your muscle in your leg + + + align:start position:0% +life you hurt your muscle in your leg +and it has an aching gnawing feeling + + align:start position:0% +and it has an aching gnawing feeling + + + align:start position:0% +and it has an aching gnawing feeling +right I mean I'm only I'm I'm making the + + align:start position:0% +right I mean I'm only I'm I'm making the + + + align:start position:0% +right I mean I'm only I'm I'm making the +faith because it seems like this is one + + align:start position:0% +faith because it seems like this is one + + + align:start position:0% +faith because it seems like this is one +of the classical problems in autism that + + align:start position:0% +of the classical problems in autism that + + + align:start position:0% +of the classical problems in autism that +you actually the people end up + + align:start position:0% +you actually the people end up + + + align:start position:0% +you actually the people end up +systemizing everything because actually + + align:start position:0% +systemizing everything because actually + + + align:start position:0% +systemizing everything because actually +generalizing to new examples specific + + align:start position:0% +generalizing to new examples specific + + + align:start position:0% +generalizing to new examples specific +issue it is a specific issue and there's + + align:start position:0% +issue it is a specific issue and there's + + + align:start position:0% +issue it is a specific issue and there's +a technology for overcoming it and it's + + align:start position:0% +a technology for overcoming it and it's + + + align:start position:0% +a technology for overcoming it and it's +called you have to train multiple + + align:start position:0% +called you have to train multiple + + + align:start position:0% +called you have to train multiple +examples of the same phenomen and so + + align:start position:0% +examples of the same phenomen and so + + + align:start position:0% +examples of the same phenomen and so +that's why it is later in life when your + + align:start position:0% +that's why it is later in life when your + + + align:start position:0% +that's why it is later in life when your +leg aches and gnaws for some other + + align:start position:0% +leg aches and gnaws for some other + + + align:start position:0% +leg aches and gnaws for some other +reason you say wait a minute that + + align:start position:0% +reason you say wait a minute that + + + align:start position:0% +reason you say wait a minute that +arousal plus a subjective feeling I'm + + align:start position:0% +arousal plus a subjective feeling I'm + + + align:start position:0% +arousal plus a subjective feeling I'm +having I used to have it here where it + + align:start position:0% +having I used to have it here where it + + + align:start position:0% +having I used to have it here where it +was called aching and nying it's now + + align:start position:0% +was called aching and nying it's now + + + align:start position:0% +was called aching and nying it's now +down here oh doctor I think my leg has + + align:start position:0% +down here oh doctor I think my leg has + + + align:start position:0% +down here oh doctor I think my leg has +this usually it's in the joints actually + + align:start position:0% +this usually it's in the joints actually + + + align:start position:0% +this usually it's in the joints actually +my joints have aching anine you don't + + align:start position:0% +my joints have aching anine you don't + + + align:start position:0% +my joints have aching anine you don't +say I have H in my knee you say it's + + align:start position:0% +say I have H in my knee you say it's + + + align:start position:0% +say I have H in my knee you say it's +aching and not it's say anyway so that's + + align:start position:0% +aching and not it's say anyway so that's + + + align:start position:0% +aching and not it's say anyway so that's +where I think it comes from actually + + align:start position:0% +where I think it comes from actually + + + align:start position:0% +where I think it comes from actually +that's not my idea it was Skinner that + + align:start position:0% +that's not my idea it was Skinner that + + + align:start position:0% +that's not my idea it was Skinner that +actually came up with that although he + + align:start position:0% +actually came up with that although he + + + align:start position:0% +actually came up with that although he +did it in the in the context of learning + + align:start position:0% +did it in the in the context of learning + + + align:start position:0% +did it in the in the context of learning +emotion + + align:start position:0% +emotion + + + align:start position:0% +emotion +labels so you have a state of arousal as + + align:start position:0% +labels so you have a state of arousal as + + + align:start position:0% +labels so you have a state of arousal as +a birthday party your mother says You + + align:start position:0% +a birthday party your mother says You + + + align:start position:0% +a birthday party your mother says You +must be happy and then in future it's + + align:start position:0% +must be happy and then in future it's + + + align:start position:0% +must be happy and then in future it's +like oh um this is like everybody's + + align:start position:0% +like oh um this is like everybody's + + + align:start position:0% +like oh um this is like everybody's +laughing and smiling and I'm + + align:start position:0% +laughing and smiling and I'm + + + align:start position:0% +laughing and smiling and I'm +aroused that's called H I am happy so we + + align:start position:0% +aroused that's called H I am happy so we + + + align:start position:0% +aroused that's called H I am happy so we +all agree everybody's happy happy of + + align:start position:0% +all agree everybody's happy happy of + + + align:start position:0% +all agree everybody's happy happy of +course you don't know inside what you + + align:start position:0% +course you don't know inside what you + + + align:start position:0% +course you don't know inside what you +really are okay so fine so that's all I + + align:start position:0% +really are okay so fine so that's all I + + + align:start position:0% +really are okay so fine so that's all I +want to go for that um and um we're + + align:start position:0% +want to go for that um and um we're + + + align:start position:0% +want to go for that um and um we're +coming to the end of this just overview + + align:start position:0% +coming to the end of this just overview + + + align:start position:0% +coming to the end of this just overview +I've already um told you a little bit + + align:start position:0% +I've already um told you a little bit + + + align:start position:0% +I've already um told you a little bit +about why I think n equals one designs + + align:start position:0% +about why I think n equals one designs + + + align:start position:0% +about why I think n equals one designs +are very very important here uh they're + + align:start position:0% +are very very important here uh they're + + + align:start position:0% +are very very important here uh they're +extremely important when you're trying + + align:start position:0% +extremely important when you're trying + + + align:start position:0% +extremely important when you're trying +to say make judgments of why people are + + align:start position:0% +to say make judgments of why people are + + + align:start position:0% +to say make judgments of why people are +aroused and I'm going to come to that in + + align:start position:0% +aroused and I'm going to come to that in + + + align:start position:0% +aroused and I'm going to come to that in +a second um because of the idiosyncratic + + align:start position:0% +a second um because of the idiosyncratic + + + align:start position:0% +a second um because of the idiosyncratic +facial expressions the idiosyncratic + + align:start position:0% +facial expressions the idiosyncratic + + + align:start position:0% +facial expressions the idiosyncratic +body mannerisms again the general theme + + align:start position:0% +body mannerisms again the general theme + + + align:start position:0% +body mannerisms again the general theme +is consistent within a child varied + + align:start position:0% +is consistent within a child varied + + + align:start position:0% +is consistent within a child varied +across children so therefore don't do a + + align:start position:0% +across children so therefore don't do a + + + align:start position:0% +across children so therefore don't do a +group design in average I see that all + + align:start position:0% +group design in average I see that all + + + align:start position:0% +group design in average I see that all +the time the worst study that you could + + align:start position:0% +the time the worst study that you could + + + align:start position:0% +the time the worst study that you could +do is children with autism on average + + align:start position:0% +do is children with autism on average + + + align:start position:0% +do is children with autism on average +have such and such level of arousal + + align:start position:0% +have such and such level of arousal + + + align:start position:0% +have such and such level of arousal +means nothing that's completely useless + + align:start position:0% +means nothing that's completely useless + + + align:start position:0% +means nothing that's completely useless +clinically you can't do anything with + + align:start position:0% +clinically you can't do anything with + + + align:start position:0% +clinically you can't do anything with +that you'd want to know what a + + align:start position:0% +that you'd want to know what a + + + align:start position:0% +that you'd want to know what a +particular kid's arousal profiles are + + align:start position:0% +particular kid's arousal profiles are + + + align:start position:0% +particular kid's arousal profiles are +and that's what I'm going to end with in + + align:start position:0% +and that's what I'm going to end with in + + + align:start position:0% +and that's what I'm going to end with in +a few seconds okay so that was taxonomic + + align:start position:0% +a few seconds okay so that was taxonomic + + + align:start position:0% +a few seconds okay so that was taxonomic +diagnostic um and + + align:start position:0% +diagnostic um and + + + align:start position:0% +diagnostic um and +methodological and I'm I'm not actually + + align:start position:0% +methodological and I'm I'm not actually + + + align:start position:0% +methodological and I'm I'm not actually +going to the we're we're up to treatment + + align:start position:0% +going to the we're we're up to treatment + + + align:start position:0% +going to the we're we're up to treatment +I just that's all I want to impress upon + + align:start position:0% +I just that's all I want to impress upon + + + align:start position:0% +I just that's all I want to impress upon +you with the treatment idea is that the + + align:start position:0% +you with the treatment idea is that the + + + align:start position:0% +you with the treatment idea is that the +reason why we spend so much time + + align:start position:0% +reason why we spend so much time + + + align:start position:0% +reason why we spend so much time +analyzing and understanding is that if + + align:start position:0% +analyzing and understanding is that if + + + align:start position:0% +analyzing and understanding is that if +you have the right analysis and the + + align:start position:0% +you have the right analysis and the + + + align:start position:0% +you have the right analysis and the +right understanding it leads logically + + align:start position:0% +right understanding it leads logically + + + align:start position:0% +right understanding it leads logically +to treatments that's all I'm saying so + + align:start position:0% +to treatments that's all I'm saying so + + + align:start position:0% +to treatments that's all I'm saying so +that's the real reason for spending so + + align:start position:0% +that's the real reason for spending so + + + align:start position:0% +that's the real reason for spending so +much time on the analysis part if the + + align:start position:0% +much time on the analysis part if the + + + align:start position:0% +much time on the analysis part if the +analysis stops and there's no treatments + + align:start position:0% +analysis stops and there's no treatments + + + align:start position:0% +analysis stops and there's no treatments +to come from it people say well that was + + align:start position:0% +to come from it people say well that was + + + align:start position:0% +to come from it people say well that was +intellectually interesting but + + align:start position:0% +intellectually interesting but + + + align:start position:0% +intellectually interesting but +practically useless so we don't want + + align:start position:0% +practically useless so we don't want + + + align:start position:0% +practically useless so we don't want +that so basically um problem contexts + + align:start position:0% +that so basically um problem contexts + + + align:start position:0% +that so basically um problem contexts +lead to problem Behavior so therefore + + align:start position:0% +lead to problem Behavior so therefore + + + align:start position:0% +lead to problem Behavior so therefore +what you need to do something about the + + align:start position:0% +what you need to do something about the + + + align:start position:0% +what you need to do something about the +problem context so look at um pain and + + align:start position:0% +problem context so look at um pain and + + + align:start position:0% +problem context so look at um pain and +discomfort so with the women who had + + align:start position:0% +discomfort so with the women who had + + + align:start position:0% +discomfort so with the women who had +menstrual pain obviously we provided + + align:start position:0% +menstrual pain obviously we provided + + + align:start position:0% +menstrual pain obviously we provided +ancillary medical treatment anaprox was + + align:start position:0% +ancillary medical treatment anaprox was + + + align:start position:0% +ancillary medical treatment anaprox was +the drug that was used and that does + + align:start position:0% +the drug that was used and that does + + + align:start position:0% +the drug that was used and that does +something but it doesn't do enough and + + align:start position:0% +something but it doesn't do enough and + + + align:start position:0% +something but it doesn't do enough and +so therefore there is residual pain and + + align:start position:0% +so therefore there is residual pain and + + + align:start position:0% +so therefore there is residual pain and +discomfort and so there are procedures + + align:start position:0% +discomfort and so there are procedures + + + align:start position:0% +discomfort and so there are procedures +once you know something is pain related + + align:start position:0% +once you know something is pain related + + + align:start position:0% +once you know something is pain related +you think what sort of pain related + + align:start position:0% +you think what sort of pain related + + + align:start position:0% +you think what sort of pain related +procedures can I use as opposed to if + + align:start position:0% +procedures can I use as opposed to if + + + align:start position:0% +procedures can I use as opposed to if +they were anxiety then you'd say what + + align:start position:0% +they were anxiety then you'd say what + + + align:start position:0% +they were anxiety then you'd say what +kind of anxiety reduction those are two + + align:start position:0% +kind of anxiety reduction those are two + + + align:start position:0% +kind of anxiety reduction those are two +different things pain reduction anxiety + + align:start position:0% +different things pain reduction anxiety + + + align:start position:0% +different things pain reduction anxiety +reduction are different so that's why + + align:start position:0% +reduction are different so that's why + + + align:start position:0% +reduction are different so that's why +you need to know what the source of the + + align:start position:0% +you need to know what the source of the + + + align:start position:0% +you need to know what the source of the +arousal is so that you can rationally + + align:start position:0% +arousal is so that you can rationally + + + align:start position:0% +arousal is so that you can rationally +deduce treatments in a prescriptive + + align:start position:0% +deduce treatments in a prescriptive + + + align:start position:0% +deduce treatments in a prescriptive +manner uh and so therefore when you're + + align:start position:0% +manner uh and so therefore when you're + + + align:start position:0% +manner uh and so therefore when you're +in a pain or discomfort what do you do + + align:start position:0% +in a pain or discomfort what do you do + + + align:start position:0% +in a pain or discomfort what do you do +well whatever you do we do with them + + align:start position:0% +well whatever you do we do with them + + + align:start position:0% +well whatever you do we do with them +with people with Autism uh and so for + + align:start position:0% +with people with Autism uh and so for + + + align:start position:0% +with people with Autism uh and so for +example uh provide choices when you're + + align:start position:0% +example uh provide choices when you're + + + align:start position:0% +example uh provide choices when you're +not feeling well you say you know + + align:start position:0% +not feeling well you say you know + + + align:start position:0% +not feeling well you say you know +something I don't feel well today I I + + align:start position:0% +something I don't feel well today I I + + + align:start position:0% +something I don't feel well today I I +will choose to do this but not this you + + align:start position:0% +will choose to do this but not this you + + + align:start position:0% +will choose to do this but not this you +all of us make those choices we're + + align:start position:0% +all of us make those choices we're + + + align:start position:0% +all of us make those choices we're +allowed to because we don't have a + + align:start position:0% +allowed to because we don't have a + + + align:start position:0% +allowed to because we don't have a +disability if you have a disability + + align:start position:0% +disability if you have a disability + + + align:start position:0% +disability if you have a disability +people say today you're doing this no + + align:start position:0% +people say today you're doing this no + + + align:start position:0% +people say today you're doing this no +choice well that's the kiss of + + align:start position:0% +choice well that's the kiss of + + + align:start position:0% +choice well that's the kiss of +death if a kid is feeling horrible and + + align:start position:0% +death if a kid is feeling horrible and + + + align:start position:0% +death if a kid is feeling horrible and +you're forcing them to do things they'll + + align:start position:0% +you're forcing them to do things they'll + + + align:start position:0% +you're forcing them to do things they'll +explode you give them choices they'll + + align:start position:0% +explode you give them choices they'll + + + align:start position:0% +explode you give them choices they'll +pick the thing that's least aversive to + + align:start position:0% +pick the thing that's least aversive to + + + align:start position:0% +pick the thing that's least aversive to +them and therefore they won't explode uh + + align:start position:0% +them and therefore they won't explode uh + + + align:start position:0% +them and therefore they won't explode uh +same thing redistribute demands you say + + align:start position:0% +same thing redistribute demands you say + + + align:start position:0% +same thing redistribute demands you say +things like I'm sick right now I can't + + align:start position:0% +things like I'm sick right now I can't + + + align:start position:0% +things like I'm sick right now I can't +get to it if I feel better later then I + + align:start position:0% +get to it if I feel better later then I + + + align:start position:0% +get to it if I feel better later then I +will do it that's what people do when + + align:start position:0% +will do it that's what people do when + + + align:start position:0% +will do it that's what people do when +you're not feeling well right I'm too + + align:start position:0% +you're not feeling well right I'm too + + + align:start position:0% +you're not feeling well right I'm too +can you come I'm I can't come to the + + align:start position:0% +can you come I'm I can't come to the + + + align:start position:0% +can you come I'm I can't come to the +meeting today I can't do this I'll do it + + align:start position:0% +meeting today I can't do this I'll do it + + + align:start position:0% +meeting today I can't do this I'll do it +later when I'm feeling better you + + align:start position:0% +later when I'm feeling better you + + + align:start position:0% +later when I'm feeling better you +redistribute demands we allow them to do + + align:start position:0% +redistribute demands we allow them to do + + + align:start position:0% +redistribute demands we allow them to do +that uh and then functional + + align:start position:0% +that uh and then functional + + + align:start position:0% +that uh and then functional +communication training means we teach + + align:start position:0% +communication training means we teach + + + align:start position:0% +communication training means we teach +them to say I feel + + align:start position:0% +them to say I feel + + + align:start position:0% +them to say I feel +lousy and that triggers appropriate + + align:start position:0% +lousy and that triggers appropriate + + + align:start position:0% +lousy and that triggers appropriate +support from other people see and so + + align:start position:0% +support from other people see and so + + + align:start position:0% +support from other people see and so +basically it's a package but the thing + + align:start position:0% +basically it's a package but the thing + + + align:start position:0% +basically it's a package but the thing +that's special it's not these individual + + align:start position:0% +that's special it's not these individual + + + align:start position:0% +that's special it's not these individual +elements no the thing that's special the + + align:start position:0% +elements no the thing that's special the + + + align:start position:0% +elements no the thing that's special the +take home point is this by analyzing the + + align:start position:0% +take home point is this by analyzing the + + + align:start position:0% +take home point is this by analyzing the +source of the arousal you can logically + + align:start position:0% +source of the arousal you can logically + + + align:start position:0% +source of the arousal you can logically +deduce a series of reasonable things to + + align:start position:0% +deduce a series of reasonable things to + + + align:start position:0% +deduce a series of reasonable things to +treat and that's why the assessment is + + align:start position:0% +treat and that's why the assessment is + + + align:start position:0% +treat and that's why the assessment is +important and that's the main reason why + + align:start position:0% +important and that's the main reason why + + + align:start position:0% +important and that's the main reason why +the assessment is important from a + + align:start position:0% +the assessment is important from a + + + align:start position:0% +the assessment is important from a +practical standpoint I missed what was + + align:start position:0% +practical standpoint I missed what was + + + align:start position:0% +practical standpoint I missed what was +in + + align:start position:0% +in + + + align:start position:0% +in +oh that I I wasn't covering those but + + align:start position:0% +oh that I I wasn't covering those but + + + align:start position:0% +oh that I I wasn't covering those but +basically what it means is this is that + + align:start position:0% +basically what it means is this is that + + + align:start position:0% +basically what it means is this is that +what you do is um some tasks are hard + + align:start position:0% +what you do is um some tasks are hard + + + align:start position:0% +what you do is um some tasks are hard +for you and some tests are easy the easy + + align:start position:0% +for you and some tests are easy the easy + + + align:start position:0% +for you and some tests are easy the easy +tests are no problem even if you're not + + align:start position:0% +tests are no problem even if you're not + + + align:start position:0% +tests are no problem even if you're not +feeling well they're easy so you don't + + align:start position:0% +feeling well they're easy so you don't + + + align:start position:0% +feeling well they're easy so you don't +care so what you do is when a person is + + align:start position:0% +care so what you do is when a person is + + + align:start position:0% +care so what you do is when a person is +not feeling well what you do is you give + + align:start position:0% +not feeling well what you do is you give + + + align:start position:0% +not feeling well what you do is you give +them lots of easy tasks and occasionally + + align:start position:0% +them lots of easy tasks and occasionally + + + align:start position:0% +them lots of easy tasks and occasionally +embed a difficult one and that's + + align:start position:0% +embed a difficult one and that's + + + align:start position:0% +embed a difficult one and that's +different than giving them all difficult + + align:start position:0% +different than giving them all difficult + + + align:start position:0% +different than giving them all difficult +ones or giving them a ratio of + + align:start position:0% +ones or giving them a ratio of + + + align:start position:0% +ones or giving them a ratio of +difficulty easy that's too high meaning + + align:start position:0% +difficulty easy that's too high meaning + + + align:start position:0% +difficulty easy that's too high meaning +50/50 it's better to do 20 difficult + + align:start position:0% +50/50 it's better to do 20 difficult + + + align:start position:0% +50/50 it's better to do 20 difficult +embedded in 80 easy see so that's called + + align:start position:0% +embedded in 80 easy see so that's called + + + align:start position:0% +embedded in 80 easy see so that's called +embedding or momentum uh but again again + + align:start position:0% +embedding or momentum uh but again again + + + align:start position:0% +embedding or momentum uh but again again +to be clear there are many many + + align:start position:0% +to be clear there are many many + + + align:start position:0% +to be clear there are many many +treatments that are available in the + + align:start position:0% +treatments that are available in the + + + align:start position:0% +treatments that are available in the +literature but which ones you pick would + + align:start position:0% +literature but which ones you pick would + + + align:start position:0% +literature but which ones you pick would +be guided by your analysis of the source + + align:start position:0% +be guided by your analysis of the source + + + align:start position:0% +be guided by your analysis of the source +of the + + align:start position:0% +of the + + + align:start position:0% +of the +arousal that's how you're effective and + + align:start position:0% +arousal that's how you're effective and + + + align:start position:0% +arousal that's how you're effective and +I'm not going to go to the next one it's + + align:start position:0% +I'm not going to go to the next one it's + + + align:start position:0% +I'm not going to go to the next one it's +fatigue it's the same general idea um + + align:start position:0% +fatigue it's the same general idea um + + + align:start position:0% +fatigue it's the same general idea um +when you do everything that I just + + align:start position:0% +when you do everything that I just + + + align:start position:0% +when you do everything that I just +said okay there's several outcomes one + + align:start position:0% +said okay there's several outcomes one + + + align:start position:0% +said okay there's several outcomes one +outcome is behavior changes meaning less + + align:start position:0% +outcome is behavior changes meaning less + + + align:start position:0% +outcome is behavior changes meaning less +aggression less sib less stereotypy more + + align:start position:0% +aggression less sib less stereotypy more + + + align:start position:0% +aggression less sib less stereotypy more +social interaction more communication + + align:start position:0% +social interaction more communication + + + align:start position:0% +social interaction more communication +that's what happens another thing that + + align:start position:0% +that's what happens another thing that + + + align:start position:0% +that's what happens another thing that +happens is cognitive in nature which is + + align:start position:0% +happens is cognitive in nature which is + + + align:start position:0% +happens is cognitive in nature which is +uh more skill acquisition when a person + + align:start position:0% +uh more skill acquisition when a person + + + align:start position:0% +uh more skill acquisition when a person +doesn't have these barriers they're able + + align:start position:0% +doesn't have these barriers they're able + + + align:start position:0% +doesn't have these barriers they're able +to learn + + align:start position:0% +to learn + + + align:start position:0% +to learn +more uh you try learning if you have a + + align:start position:0% +more uh you try learning if you have a + + + align:start position:0% +more uh you try learning if you have a +migraine or you try learning if you're + + align:start position:0% +migraine or you try learning if you're + + + align:start position:0% +migraine or you try learning if you're +in a state of high anxiety you can't + + align:start position:0% +in a state of high anxiety you can't + + + align:start position:0% +in a state of high anxiety you can't +actually in Psychology it's called yeris + + align:start position:0% +actually in Psychology it's called yeris + + + align:start position:0% +actually in Psychology it's called yeris +Dotson law which is that there's a + + align:start position:0% +Dotson law which is that there's a + + + align:start position:0% +Dotson law which is that there's a +bell-shaped curve too much anxiety or + + align:start position:0% +bell-shaped curve too much anxiety or + + + align:start position:0% +bell-shaped curve too much anxiety or +too little anxiety um you don't learn + + align:start position:0% +too little anxiety um you don't learn + + + align:start position:0% +too little anxiety um you don't learn +there's an optimal level of anxiety for + + align:start position:0% +there's an optimal level of anxiety for + + + align:start position:0% +there's an optimal level of anxiety for +learning um affect um when you do this + + align:start position:0% +learning um affect um when you do this + + + align:start position:0% +learning um affect um when you do this +the people appear happier and there's + + align:start position:0% +the people appear happier and there's + + + align:start position:0% +the people appear happier and there's +measures of subjective well-being from + + align:start position:0% +measures of subjective well-being from + + + align:start position:0% +measures of subjective well-being from +positive psychology literature that you + + align:start position:0% +positive psychology literature that you + + + align:start position:0% +positive psychology literature that you +can use to document that and then + + align:start position:0% +can use to document that and then + + + align:start position:0% +can use to document that and then +finally with all these things gone + + align:start position:0% +finally with all these things gone + + + align:start position:0% +finally with all these things gone +now families can actually do things with + + align:start position:0% +now families can actually do things with + + + align:start position:0% +now families can actually do things with +their children they couldn't do before + + align:start position:0% +their children they couldn't do before + + + align:start position:0% +their children they couldn't do before +they can go back in the community they + + align:start position:0% +they can go back in the community they + + + align:start position:0% +they can go back in the community they +go to restaurants and movie theaters and + + align:start position:0% +go to restaurants and movie theaters and + + + align:start position:0% +go to restaurants and movie theaters and +miniature golf and vacations and all the + + align:start position:0% +miniature golf and vacations and all the + + + align:start position:0% +miniature golf and vacations and all the +other things and the summary that's + + align:start position:0% +other things and the summary that's + + + align:start position:0% +other things and the summary that's +given to this change in their life is + + align:start position:0% +given to this change in their life is + + + align:start position:0% +given to this change in their life is +called quality of life so it starts off + + align:start position:0% +called quality of life so it starts off + + + align:start position:0% +called quality of life so it starts off +as abysmal and that is the Baseline it's + + align:start position:0% +as abysmal and that is the Baseline it's + + + align:start position:0% +as abysmal and that is the Baseline it's +abysmal and then it goes up to pretty + + align:start position:0% +abysmal and then it goes up to pretty + + + align:start position:0% +abysmal and then it goes up to pretty +decent okay so that's so basically then + + align:start position:0% +decent okay so that's so basically then + + + align:start position:0% +decent okay so that's so basically then +those are references that you already + + align:start position:0% +those are references that you already + + + align:start position:0% +those are references that you already +have and the real point of all this is + + align:start position:0% +have and the real point of all this is + + + align:start position:0% +have and the real point of all this is +this I didn't write this this was PR the + + align:start position:0% +this I didn't write this this was PR the + + + align:start position:0% +this I didn't write this this was PR the +French writer pu that all the things + + align:start position:0% +French writer pu that all the things + + + align:start position:0% +French writer pu that all the things +I've described already exist in the + + align:start position:0% +I've described already exist in the + + + align:start position:0% +I've described already exist in the +literature that the elements are out + + align:start position:0% +literature that the elements are out + + + align:start position:0% +literature that the elements are out +there there's such a thing as biomedical + + align:start position:0% +there there's such a thing as biomedical + + + align:start position:0% +there there's such a thing as biomedical +science there's such a thing as Behavior + + align:start position:0% +science there's such a thing as Behavior + + + align:start position:0% +science there's such a thing as Behavior +psychology there's such a thing as Tech + + align:start position:0% +psychology there's such a thing as Tech + + + align:start position:0% +psychology there's such a thing as Tech +technology but they're all disconnected + + align:start position:0% +technology but they're all disconnected + + + align:start position:0% +technology but they're all disconnected +so the real Voyage of Discovery is not + + align:start position:0% +so the real Voyage of Discovery is not + + + align:start position:0% +so the real Voyage of Discovery is not +looking for these new Landscapes they're + + align:start position:0% +looking for these new Landscapes they're + + + align:start position:0% +looking for these new Landscapes they're +already there but it's looking for the + + align:start position:0% +already there but it's looking for the + + + align:start position:0% +already there but it's looking for the +connection among them okay in other + + align:start position:0% +connection among them okay in other + + + align:start position:0% +connection among them okay in other +words seeing what we already have with + + align:start position:0% +words seeing what we already have with + + + align:start position:0% +words seeing what we already have with +new eyes interrelating it um and so + + align:start position:0% +new eyes interrelating it um and so + + + align:start position:0% +new eyes interrelating it um and so +that's essentially the guts of what I + + align:start position:0% +that's essentially the guts of what I + + + align:start position:0% +that's essentially the guts of what I +have to say now what I'd like to do in + + align:start position:0% +have to say now what I'd like to do in + + + align:start position:0% +have to say now what I'd like to do in +the remaining time um is basically + + align:start position:0% +the remaining time um is basically + + + align:start position:0% +the remaining time um is basically +present something where I think um what + + align:start position:0% +present something where I think um what + + + align:start position:0% +present something where I think um what +I'd like to do is reconfigure everything + + align:start position:0% +I'd like to do is reconfigure everything + + + align:start position:0% +I'd like to do is reconfigure everything +that I just said on this uh Blackboard + + align:start position:0% +that I just said on this uh Blackboard + + + align:start position:0% +that I just said on this uh Blackboard +on this uh something or other board okay + + align:start position:0% +on this uh something or other board okay + + + align:start position:0% +on this uh something or other board okay +so we don't have to actually uh actually + + align:start position:0% +so we don't have to actually uh actually + + + align:start position:0% +so we don't have to actually uh actually +you oh you tilted it + + align:start position:0% +you oh you tilted it + + + align:start position:0% +you oh you tilted it +already oh what's + + align:start position:0% + + + + align:start position:0% + +that oh okay so basically is there still + + align:start position:0% +that oh okay so basically is there still + + + align:start position:0% +that oh okay so basically is there still +a whiteboard behind that there oh you're + + align:start position:0% +a whiteboard behind that there oh you're + + + align:start position:0% +a whiteboard behind that there oh you're +kidding Oh you mean a big one + + align:start position:0% +kidding Oh you mean a big one + + + align:start position:0% +kidding Oh you mean a big one +um oh oh Bo that's even better oh this + + align:start position:0% +um oh oh Bo that's even better oh this + + + align:start position:0% +um oh oh Bo that's even better oh this +is really good oh terrific + + align:start position:0% +is really good oh terrific + + + align:start position:0% +is really good oh terrific +okay so this um this will be uh much + + align:start position:0% +okay so this um this will be uh much + + + align:start position:0% +okay so this um this will be uh much +easier + + align:start position:0% + + + + align:start position:0% + +um so all right so where we are is that + + align:start position:0% +um so all right so where we are is that + + + align:start position:0% +um so all right so where we are is that +I've said that I believe that all those + + align:start position:0% +I've said that I believe that all those + + + align:start position:0% +I've said that I believe that all those +social um contexts all those activity + + align:start position:0% +social um contexts all those activity + + + align:start position:0% +social um contexts all those activity +and routine context all those biological + + align:start position:0% +and routine context all those biological + + + align:start position:0% +and routine context all those biological +contexts I think are feeding into a + + align:start position:0% +contexts I think are feeding into a + + + align:start position:0% +contexts I think are feeding into a +common thing called + + align:start position:0% +common thing called + + + align:start position:0% +common thing called +arousal um and so what I can Envision is + + align:start position:0% +arousal um and so what I can Envision is + + + align:start position:0% +arousal um and so what I can Envision is +will you be able to see this cu the + + align:start position:0% +will you be able to see this cu the + + + align:start position:0% +will you be able to see this cu the +board is mess lights on the board that + + align:start position:0% +board is mess lights on the board that + + + align:start position:0% +board is mess lights on the board that +we can switch on oh look at this oh okay + + align:start position:0% +we can switch on oh look at this oh okay + + + align:start position:0% +we can switch on oh look at this oh okay +look okay it's messy though + + align:start position:0% + + + + align:start position:0% + +um okay th this is this is arousal level + + align:start position:0% +um okay th this is this is arousal level + + + align:start position:0% +um okay th this is this is arousal level +okay so the ordinate is arousal level + + align:start position:0% +okay so the ordinate is arousal level + + + align:start position:0% +okay so the ordinate is arousal level +and obviously that's high and this is + + align:start position:0% +and obviously that's high and this is + + + align:start position:0% +and obviously that's high and this is +time + + align:start position:0% +time + + + align:start position:0% +time +um and um I don't know if you can see it + + align:start position:0% +um and um I don't know if you can see it + + + align:start position:0% +um and um I don't know if you can see it +it's a little bit it's a little bit + + align:start position:0% +it's a little bit it's a little bit + + + align:start position:0% +it's a little bit it's a little bit +messy here um well this oh + + align:start position:0% +messy here um well this oh + + + align:start position:0% +messy here um well this oh +okay yeah yeah all right maybe something + + align:start position:0% +okay yeah yeah all right maybe something + + + align:start position:0% +okay yeah yeah all right maybe something +that'll stand out + + align:start position:0% +that'll stand out + + + align:start position:0% +that'll stand out +thanks n we it'll be okay we'll we'll do + + align:start position:0% +thanks n we it'll be okay we'll we'll do + + + align:start position:0% +thanks n we it'll be okay we'll we'll do +it this way um okay so + + align:start position:0% +it this way um okay so + + + align:start position:0% +it this way um okay so +basically um what you have is a Rous and + + align:start position:0% +basically um what you have is a Rous and + + + align:start position:0% +basically um what you have is a Rous and +here imagine this you're just like I'm + + align:start position:0% +here imagine this you're just like I'm + + + align:start position:0% +here imagine this you're just like I'm +hooked up or probably something even + + align:start position:0% +hooked up or probably something even + + + align:start position:0% +hooked up or probably something even +more sophisticated than this it's a + + align:start position:0% +more sophisticated than this it's a + + + align:start position:0% +more sophisticated than this it's a +arousal level and you're looking at a + + align:start position:0% +arousal level and you're looking at a + + + align:start position:0% +arousal level and you're looking at a +particular individual and you'll get + + align:start position:0% +particular individual and you'll get + + + align:start position:0% +particular individual and you'll get +some pattern that looks like this okay + + align:start position:0% +some pattern that looks like this okay + + + align:start position:0% +some pattern that looks like this okay +and you get some some pattern that looks + + align:start position:0% +and you get some some pattern that looks + + + align:start position:0% +and you get some some pattern that looks +like this okay that's arousal right + + align:start position:0% +like this okay that's arousal right + + + align:start position:0% +like this okay that's arousal right +here's what I'm suggesting okay um I'm + + align:start position:0% +here's what I'm suggesting okay um I'm + + + align:start position:0% +here's what I'm suggesting okay um I'm +going to put I'll explain what these + + align:start position:0% +going to put I'll explain what these + + + align:start position:0% +going to put I'll explain what these +symbols mean there's an X there's a + + align:start position:0% +symbols mean there's an X there's a + + + align:start position:0% +symbols mean there's an X there's a +check mark there's a little circle + + align:start position:0% +check mark there's a little circle + + + align:start position:0% +check mark there's a little circle +here's another X here's another check + + align:start position:0% +here's another X here's another check + + + align:start position:0% +here's another X here's another check +mark here's a circle here's another X + + align:start position:0% +mark here's a circle here's another X + + + align:start position:0% +mark here's a circle here's another X +check mark a circle okay okay the first + + align:start position:0% +check mark a circle okay okay the first + + + align:start position:0% +check mark a circle okay okay the first +these are arous okay first question what + + align:start position:0% +these are arous okay first question what + + + align:start position:0% +these are arous okay first question what +is worth + + align:start position:0% +is worth + + + align:start position:0% +is worth +measuring what is worth measuring in + + align:start position:0% +measuring what is worth measuring in + + + align:start position:0% +measuring what is worth measuring in +order to take everything I just said and + + align:start position:0% +order to take everything I just said and + + + align:start position:0% +order to take everything I just said and +putting in a single model okay I think + + align:start position:0% +putting in a single model okay I think + + + align:start position:0% +putting in a single model okay I think +there's four things that are worth + + align:start position:0% +there's four things that are worth + + + align:start position:0% +there's four things that are worth +measuring um that that X is the context + + align:start position:0% +measuring um that that X is the context + + + align:start position:0% +measuring um that that X is the context +so all those variables that I talked + + align:start position:0% +so all those variables that I talked + + + align:start position:0% +so all those variables that I talked +about you the social variables and + + align:start position:0% +about you the social variables and + + + align:start position:0% +about you the social variables and +activity variables and all that other + + align:start position:0% +activity variables and all that other + + + align:start position:0% +activity variables and all that other +and some of the and some of the other + + align:start position:0% +and some of the and some of the other + + + align:start position:0% +and some of the and some of the other +variables okay that's a context and so + + align:start position:0% +variables okay that's a context and so + + + align:start position:0% +variables okay that's a context and so +what I'm saying is that first of all the + + align:start position:0% +what I'm saying is that first of all the + + + align:start position:0% +what I'm saying is that first of all the +person encounters a context and that + + align:start position:0% +person encounters a context and that + + + align:start position:0% +person encounters a context and that +begins to set off + + align:start position:0% +begins to set off + + + align:start position:0% +begins to set off +arousal all right okay then what happens + + align:start position:0% +arousal all right okay then what happens + + + align:start position:0% +arousal all right okay then what happens +after that there's this there's this + + align:start position:0% +after that there's this there's this + + + align:start position:0% +after that there's this there's this +okay so there's okay okay oh I'm sorry + + align:start position:0% +okay so there's okay okay oh I'm sorry + + + align:start position:0% +okay so there's okay okay oh I'm sorry +this little squiggly thing that's called + + align:start position:0% +this little squiggly thing that's called + + + align:start position:0% +this little squiggly thing that's called +arousal okay that's the that's the graph + + align:start position:0% +arousal okay that's the that's the graph + + + align:start position:0% +arousal okay that's the that's the graph +itself that's arousal okay um so that's + + align:start position:0% +itself that's arousal okay um so that's + + + align:start position:0% +itself that's arousal okay um so that's +the second thing that's worth measuring + + align:start position:0% +the second thing that's worth measuring + + + align:start position:0% +the second thing that's worth measuring +the first thing is context then the next + + align:start position:0% +the first thing is context then the next + + + align:start position:0% +the first thing is context then the next +thing is that it starts to do this + + align:start position:0% +thing is that it starts to do this + + + align:start position:0% +thing is that it starts to do this +that's the arousal and then that check + + align:start position:0% +that's the arousal and then that check + + + align:start position:0% +that's the arousal and then that check +mark uh is called precursor behavior and + + align:start position:0% +mark uh is called precursor behavior and + + + align:start position:0% +mark uh is called precursor behavior and +I'm going to explain that precursor + + align:start position:0% +I'm going to explain that precursor + + + align:start position:0% +I'm going to explain that precursor +behavior is this when you set somebody + + align:start position:0% +behavior is this when you set somebody + + + align:start position:0% +behavior is this when you set somebody +off okay so I'm going to give you an + + align:start position:0% +off okay so I'm going to give you an + + + align:start position:0% +off okay so I'm going to give you an +example uh suppose it is uh suppose it + + align:start position:0% +example uh suppose it is uh suppose it + + + align:start position:0% +example uh suppose it is uh suppose it +is um should I use anxiety or + + align:start position:0% +is um should I use anxiety or + + + align:start position:0% +is um should I use anxiety or +not + + align:start position:0% +not + + + align:start position:0% +not +um yes let's it's an anxiety context + + align:start position:0% +um yes let's it's an anxiety context + + + align:start position:0% +um yes let's it's an anxiety context +remember not anxiety it's an anxiety + + align:start position:0% +remember not anxiety it's an anxiety + + + align:start position:0% +remember not anxiety it's an anxiety +context an anxiety context would be + + align:start position:0% +context an anxiety context would be + + + align:start position:0% +context an anxiety context would be +something like you change the person's + + align:start position:0% +something like you change the person's + + + align:start position:0% +something like you change the person's +routines people with Autism like + + align:start position:0% +routines people with Autism like + + + align:start position:0% +routines people with Autism like +routines so that means breakfast means I + + align:start position:0% +routines so that means breakfast means I + + + align:start position:0% +routines so that means breakfast means I +always have orange juice Fall by + + align:start position:0% +always have orange juice Fall by + + + align:start position:0% +always have orange juice Fall by +Cheerios Fall by toast one morning the + + align:start position:0% +Cheerios Fall by toast one morning the + + + align:start position:0% +Cheerios Fall by toast one morning the +mother says okay okay surprise we're + + align:start position:0% +mother says okay okay surprise we're + + + align:start position:0% +mother says okay okay surprise we're +having grape juice count chocula and a + + align:start position:0% +having grape juice count chocula and a + + + align:start position:0% +having grape juice count chocula and a +bagel + + align:start position:0% +bagel + + + align:start position:0% +bagel +no no no we're no we're having that's + + align:start position:0% +no no no we're no we're having that's + + + align:start position:0% +no no no we're no we're having that's +what we're having it's a special + + align:start position:0% +what we're having it's a special + + + align:start position:0% +what we're having it's a special +surprise surprise no more routine the + + align:start position:0% +surprise surprise no more routine the + + + align:start position:0% +surprise surprise no more routine the +kid hyper you + + align:start position:0% +kid hyper you + + + align:start position:0% +kid hyper you +know okay uh that anxiety context which + + align:start position:0% +know okay uh that anxiety context which + + + align:start position:0% +know okay uh that anxiety context which +is the x is starting to produce arousal + + align:start position:0% +is the x is starting to produce arousal + + + align:start position:0% +is the x is starting to produce arousal +okay and then uh actually + + align:start position:0% +okay and then uh actually + + + align:start position:0% +okay and then uh actually +um precursor behaviors I just + + align:start position:0% +um precursor behaviors I just + + + align:start position:0% +um precursor behaviors I just +demonstrated by the way the arousal is a + + align:start position:0% +demonstrated by the way the arousal is a + + + align:start position:0% +demonstrated by the way the arousal is a +physiological measure this stuff with + + align:start position:0% +physiological measure this stuff with + + + align:start position:0% +physiological measure this stuff with +the hyper ventilating and twisting your + + align:start position:0% +the hyper ventilating and twisting your + + + align:start position:0% +the hyper ventilating and twisting your +hair and making facial expressions those + + align:start position:0% +hair and making facial expressions those + + + align:start position:0% +hair and making facial expressions those +are precursor behaviors when you see + + align:start position:0% +are precursor behaviors when you see + + + align:start position:0% +are precursor behaviors when you see +those a meltdown is imminent that's a + + align:start position:0% +those a meltdown is imminent that's a + + + align:start position:0% +those a meltdown is imminent that's a +red flag uh and those those circles that + + align:start position:0% +red flag uh and those those circles that + + + align:start position:0% +red flag uh and those those circles that +circle is problem Behavior that's the + + align:start position:0% +circle is problem Behavior that's the + + + align:start position:0% +circle is problem Behavior that's the +Melt pound that's problem Behavior All + + align:start position:0% +Melt pound that's problem Behavior All + + + align:start position:0% +Melt pound that's problem Behavior All +right so what you would want to do is + + align:start position:0% +right so what you would want to do is + + + align:start position:0% +right so what you would want to do is +you would want to measure four variables + + align:start position:0% +you would want to measure four variables + + + align:start position:0% +you would want to measure four variables +you would want to measure uh context um + + align:start position:0% +you would want to measure uh context um + + + align:start position:0% +you would want to measure uh context um +arousal precursor and problem behavior + + align:start position:0% +arousal precursor and problem behavior + + + align:start position:0% +arousal precursor and problem behavior +and why would you want to do that well + + align:start position:0% +and why would you want to do that well + + + align:start position:0% +and why would you want to do that well +well because this okay well first of all + + align:start position:0% +well because this okay well first of all + + + align:start position:0% +well because this okay well first of all +how would you do that now that's a + + align:start position:0% +how would you do that now that's a + + + align:start position:0% +how would you do that now that's a +technology question that I can't answer + + align:start position:0% +technology question that I can't answer + + + align:start position:0% +technology question that I can't answer +so that's you okay here's the way I + + align:start position:0% +so that's you okay here's the way I + + + align:start position:0% +so that's you okay here's the way I +think you would need to actually have + + align:start position:0% +think you would need to actually have + + + align:start position:0% +think you would need to actually have +two pieces of equipment one is that you + + align:start position:0% +two pieces of equipment one is that you + + + align:start position:0% +two pieces of equipment one is that you +would have to have a physiological + + align:start position:0% +would have to have a physiological + + + align:start position:0% +would have to have a physiological +monitor like I'm wearing and the other + + align:start position:0% +monitor like I'm wearing and the other + + + align:start position:0% +monitor like I'm wearing and the other +one is you'd have to have a visual + + align:start position:0% +one is you'd have to have a visual + + + align:start position:0% +one is you'd have to have a visual +monitor such as some kind of camera but + + align:start position:0% +monitor such as some kind of camera but + + + align:start position:0% +monitor such as some kind of camera but +it have to be very sophisticated because + + align:start position:0% +it have to be very sophisticated because + + + align:start position:0% +it have to be very sophisticated because +here's the deal what I really want to + + align:start position:0% +here's the deal what I really want to + + + align:start position:0% +here's the deal what I really want to +happen is the uh as this arousal starts + + align:start position:0% +happen is the uh as this arousal starts + + + align:start position:0% +happen is the uh as this arousal starts +to Peak if it's two stand I made it up + + align:start position:0% +to Peak if it's two stand I made it up + + + align:start position:0% +to Peak if it's two stand I made it up +because that's for you Matthew um + + align:start position:0% +because that's for you Matthew um + + + align:start position:0% +because that's for you Matthew um +Matthew's in that machine um uh when it + + align:start position:0% +Matthew's in that machine um uh when it + + + align:start position:0% +Matthew's in that machine um uh when it +goes say two standard deviations above + + align:start position:0% +goes say two standard deviations above + + + align:start position:0% +goes say two standard deviations above +the Baseline I want something to trigger + + align:start position:0% +the Baseline I want something to trigger + + + align:start position:0% +the Baseline I want something to trigger +and ask two questions wait a minute we + + align:start position:0% +and ask two questions wait a minute we + + + align:start position:0% +and ask two questions wait a minute we +just hit two standard deviations above + + align:start position:0% +just hit two standard deviations above + + + align:start position:0% +just hit two standard deviations above +Baseline on arousal what happened right + + align:start position:0% +Baseline on arousal what happened right + + + align:start position:0% +Baseline on arousal what happened right +before what happened right after you see + + align:start position:0% +before what happened right after you see + + + align:start position:0% +before what happened right after you see +what that will give you this is + + align:start position:0% +what that will give you this is + + + align:start position:0% +what that will give you this is +continuous it's is not a laboratory + + align:start position:0% +continuous it's is not a laboratory + + + align:start position:0% +continuous it's is not a laboratory +measure now this is continuous 24/7 + + align:start position:0% +measure now this is continuous 24/7 + + + align:start position:0% +measure now this is continuous 24/7 +monitoring that's what I'm gunning for + + align:start position:0% +monitoring that's what I'm gunning for + + + align:start position:0% +monitoring that's what I'm gunning for +here continuous monitoring okay um + + align:start position:0% +here continuous monitoring okay um + + + align:start position:0% +here continuous monitoring okay um +what will happen is you'll look right + + align:start position:0% +what will happen is you'll look right + + + align:start position:0% +what will happen is you'll look right +before when it when it shot up two + + align:start position:0% +before when it when it shot up two + + + align:start position:0% +before when it when it shot up two +standard deviations you oh my God the + + align:start position:0% +standard deviations you oh my God the + + + align:start position:0% +standard deviations you oh my God the +mother changed the routines look at the + + align:start position:0% +mother changed the routines look at the + + + align:start position:0% +mother changed the routines look at the +videotape the mother changed the + + align:start position:0% +videotape the mother changed the + + + align:start position:0% +videotape the mother changed the +routine okay uh what happened after the + + align:start position:0% +routine okay uh what happened after the + + + align:start position:0% +routine okay uh what happened after the +arousal started accelerating okay now + + align:start position:0% +arousal started accelerating okay now + + + align:start position:0% +arousal started accelerating okay now +you're looking at the visual again oh my + + align:start position:0% +you're looking at the visual again oh my + + + align:start position:0% +you're looking at the visual again oh my +God the kid started showing precursor + + align:start position:0% +God the kid started showing precursor + + + align:start position:0% +God the kid started showing precursor +behaviors or or + + align:start position:0% +behaviors or or + + + align:start position:0% +behaviors or or +rather what he's doing now must be his + + align:start position:0% +rather what he's doing now must be his + + + align:start position:0% +rather what he's doing now must be his +precursor behaviors they're so weird but + + align:start position:0% +precursor behaviors they're so weird but + + + align:start position:0% +precursor behaviors they're so weird but +when we keep playing one anxiety context + + align:start position:0% +when we keep playing one anxiety context + + + align:start position:0% +when we keep playing one anxiety context +after another we keep seeing the same + + align:start position:0% +after another we keep seeing the same + + + align:start position:0% +after another we keep seeing the same +precursor behaviors so for that child + + align:start position:0% +precursor behaviors so for that child + + + align:start position:0% +precursor behaviors so for that child +you're building up a profile of context + + align:start position:0% +you're building up a profile of context + + + align:start position:0% +you're building up a profile of context +a profile of arousal a profile of + + align:start position:0% +a profile of arousal a profile of + + + align:start position:0% +a profile of arousal a profile of +precursors and eventually a profile of + + align:start position:0% +precursors and eventually a profile of + + + align:start position:0% +precursors and eventually a profile of +problem Behavior you have individual + + align:start position:0% +problem Behavior you have individual + + + align:start position:0% +problem Behavior you have individual +profiles for each child across children + + align:start position:0% +profiles for each child across children + + + align:start position:0% +profiles for each child across children +they will not replicate because every + + align:start position:0% +they will not replicate because every + + + align:start position:0% +they will not replicate because every +child will have their own profile but it + + align:start position:0% +child will have their own profile but it + + + align:start position:0% +child will have their own profile but it +doesn't matter because as long as each + + align:start position:0% +doesn't matter because as long as each + + + align:start position:0% +doesn't matter because as long as each +child is consistent that's their + + align:start position:0% +child is consistent that's their + + + align:start position:0% +child is consistent that's their +signature + + align:start position:0% +signature + + + align:start position:0% +signature +and by the way this is exactly what's + + align:start position:0% +and by the way this is exactly what's + + + align:start position:0% +and by the way this is exactly what's +happening in medicine I've had this + + align:start position:0% +happening in medicine I've had this + + + align:start position:0% +happening in medicine I've had this +conversation with Martha and it's really + + align:start position:0% +conversation with Martha and it's really + + + align:start position:0% +conversation with Martha and it's really +been a real eye opener for both of us + + align:start position:0% +been a real eye opener for both of us + + + align:start position:0% +been a real eye opener for both of us +there's an area of medicine I assume + + align:start position:0% +there's an area of medicine I assume + + + align:start position:0% +there's an area of medicine I assume +that when she preceded me here I know uh + + align:start position:0% +that when she preceded me here I know uh + + + align:start position:0% +that when she preceded me here I know uh +she's talking about functional medicine + + align:start position:0% +she's talking about functional medicine + + + align:start position:0% +she's talking about functional medicine +sometimes also called personal medicine + + align:start position:0% +sometimes also called personal medicine + + + align:start position:0% +sometimes also called personal medicine +they're saying don't focus on a person's + + align:start position:0% +they're saying don't focus on a person's + + + align:start position:0% +they're saying don't focus on a person's +diagnosis focus on their underlying + + align:start position:0% +diagnosis focus on their underlying + + + align:start position:0% +diagnosis focus on their underlying +molecular biology molecular biology is + + align:start position:0% +molecular biology molecular biology is + + + align:start position:0% +molecular biology molecular biology is +causing medicine to move towards an N of + + align:start position:0% +causing medicine to move towards an N of + + + align:start position:0% +causing medicine to move towards an N of +one model no more everybody that has + + align:start position:0% +one model no more everybody that has + + + align:start position:0% +one model no more everybody that has +asthma gets + + align:start position:0% +asthma gets + + + align:start position:0% +asthma gets +beclomethasone no that's garbage it + + align:start position:0% +beclomethasone no that's garbage it + + + align:start position:0% +beclomethasone no that's garbage it +depends on what the underlying mechanism + + align:start position:0% +depends on what the underlying mechanism + + + align:start position:0% +depends on what the underlying mechanism +is 10 different people with asthma may + + align:start position:0% +is 10 different people with asthma may + + + align:start position:0% +is 10 different people with asthma may +get 10 different things depending on + + align:start position:0% +get 10 different things depending on + + + align:start position:0% +get 10 different things depending on +what their molecular biology or + + align:start position:0% +what their molecular biology or + + + align:start position:0% +what their molecular biology or +metabolic issue is see this is the same + + align:start position:0% +metabolic issue is see this is the same + + + align:start position:0% +metabolic issue is see this is the same +thing so 10 people can have autism or 10 + + align:start position:0% +thing so 10 people can have autism or 10 + + + align:start position:0% +thing so 10 people can have autism or 10 +people can have various arousal it + + align:start position:0% +people can have various arousal it + + + align:start position:0% +people can have various arousal it +doesn't matter what matters is that + + align:start position:0% +doesn't matter what matters is that + + + align:start position:0% +doesn't matter what matters is that +within each child there are signature + + align:start position:0% +within each child there are signature + + + align:start position:0% +within each child there are signature +profiles okay now what you would look + + align:start position:0% +profiles okay now what you would look + + + align:start position:0% +profiles okay now what you would look +for is this you look for two things in + + align:start position:0% +for is this you look for two things in + + + align:start position:0% +for is this you look for two things in +arousal when you're an analyzing arousal + + align:start position:0% +arousal when you're an analyzing arousal + + + align:start position:0% +arousal when you're an analyzing arousal +you'd look for + + align:start position:0% +you'd look for + + + align:start position:0% +you'd look for +temporal uh um consistency which means + + align:start position:0% +temporal uh um consistency which means + + + align:start position:0% +temporal uh um consistency which means +you might see Peaks at certain times of + + align:start position:0% +you might see Peaks at certain times of + + + align:start position:0% +you might see Peaks at certain times of +the day that could indicate for example + + align:start position:0% +the day that could indicate for example + + + align:start position:0% +the day that could indicate for example +gird because 30 minutes after you eat if + + align:start position:0% +gird because 30 minutes after you eat if + + + align:start position:0% +gird because 30 minutes after you eat if +you eat the wrong food you tend to get + + align:start position:0% +you eat the wrong food you tend to get + + + align:start position:0% +you eat the wrong food you tend to get +severe reflux so if you saw it peeking + + align:start position:0% +severe reflux so if you saw it peeking + + + align:start position:0% +severe reflux so if you saw it peeking +30 minutes you know after 30 minutes + + align:start position:0% +30 minutes you know after 30 minutes + + + align:start position:0% +30 minutes you know after 30 minutes +after breakfast 30 minutes after lunch + + align:start position:0% +after breakfast 30 minutes after lunch + + + align:start position:0% +after breakfast 30 minutes after lunch +30 minutes after dinner you'd be + + align:start position:0% +30 minutes after dinner you'd be + + + align:start position:0% +30 minutes after dinner you'd be +thinking my God there's a temporal + + align:start position:0% +thinking my God there's a temporal + + + align:start position:0% +thinking my God there's a temporal +consistency here it could be Medical + + align:start position:0% +consistency here it could be Medical + + + align:start position:0% +consistency here it could be Medical +could be something like gird or it could + + align:start position:0% +could be something like gird or it could + + + align:start position:0% +could be something like gird or it could +be look like this which looks random or + + align:start position:0% +be look like this which looks random or + + + align:start position:0% +be look like this which looks random or +and it could be actually from day like + + align:start position:0% +and it could be actually from day like + + + align:start position:0% +and it could be actually from day like +this is day one maybe day two I just + + align:start position:0% +this is day one maybe day two I just + + + align:start position:0% +this is day one maybe day two I just +want to show you day two you know looks + + align:start position:0% +want to show you day two you know looks + + + align:start position:0% +want to show you day two you know looks +like this and you think oh my God + + align:start position:0% +like this and you think oh my God + + + align:start position:0% +like this and you think oh my God +there's no connection day one and day + + align:start position:0% +there's no connection day one and day + + + align:start position:0% +there's no connection day one and day +two are completely different profiles + + align:start position:0% +two are completely different profiles + + + align:start position:0% +two are completely different profiles +we're doomed there's no consistency + + align:start position:0% +we're doomed there's no consistency + + + align:start position:0% +we're doomed there's no consistency +wrong here you'd look for situational + + align:start position:0% +wrong here you'd look for situational + + + align:start position:0% +wrong here you'd look for situational +consistency and you'd be looking and say + + align:start position:0% +consistency and you'd be looking and say + + + align:start position:0% +consistency and you'd be looking and say +although on day one there's an X here x + + align:start position:0% +although on day one there's an X here x + + + align:start position:0% +although on day one there's an X here x +here an X here and on day two there's an + + align:start position:0% +here an X here and on day two there's an + + + align:start position:0% +here an X here and on day two there's an +X here and X2 here and although they all + + align:start position:0% +X here and X2 here and although they all + + + align:start position:0% +X here and X2 here and although they all +all those X's occurred at different + + align:start position:0% +all those X's occurred at different + + + align:start position:0% +all those X's occurred at different +times on the two days we noticed that + + align:start position:0% +times on the two days we noticed that + + + align:start position:0% +times on the two days we noticed that +when you examine what x was it was + + align:start position:0% +when you examine what x was it was + + + align:start position:0% +when you examine what x was it was +always crowding in noise so although + + align:start position:0% +always crowding in noise so although + + + align:start position:0% +always crowding in noise so although +temporally there's no consistency + + align:start position:0% +temporally there's no consistency + + + align:start position:0% +temporally there's no consistency +situationally there is so it wouldn't + + align:start position:0% +situationally there is so it wouldn't + + + align:start position:0% +situationally there is so it wouldn't +matter if the profiles are arousal were + + align:start position:0% +matter if the profiles are arousal were + + + align:start position:0% +matter if the profiles are arousal were +fluctuating randomly from day to day as + + align:start position:0% +fluctuating randomly from day to day as + + + align:start position:0% +fluctuating randomly from day to day as +long as there was situational + + align:start position:0% +long as there was situational + + + align:start position:0% +long as there was situational +consistency which is no matter when + + align:start position:0% +consistency which is no matter when + + + align:start position:0% +consistency which is no matter when +those X's appeared it was always a + + align:start position:0% +those X's appeared it was always a + + + align:start position:0% +those X's appeared it was always a +particular context or limited number + + align:start position:0% +particular context or limited number + + + align:start position:0% +particular context or limited number +context see so you could you could + + align:start position:0% +context see so you could you could + + + align:start position:0% +context see so you could you could +uh you could analyze these profiles in + + align:start position:0% +uh you could analyze these profiles in + + + align:start position:0% +uh you could analyze these profiles in +terms of temporal consistency or + + align:start position:0% +terms of temporal consistency or + + + align:start position:0% +terms of temporal consistency or +situational + + align:start position:0% +situational + + + align:start position:0% +situational +consistency and uh obviously analy them + + align:start position:0% +consistency and uh obviously analy them + + + align:start position:0% +consistency and uh obviously analy them +in terms of these four variables so now + + align:start position:0% +in terms of these four variables so now + + + align:start position:0% +in terms of these four variables so now +you're devel you're developing profiles + + align:start position:0% +you're devel you're developing profiles + + + align:start position:0% +you're devel you're developing profiles +uh for people + + align:start position:0% +uh for people + + + align:start position:0% +uh for people +um all right so how would you interpret + + align:start position:0% +um all right so how would you interpret + + + align:start position:0% +um all right so how would you interpret +these profiles well you'd have to study + + align:start position:0% +these profiles well you'd have to study + + + align:start position:0% +these profiles well you'd have to study +carefully what the context is and that + + align:start position:0% +carefully what the context is and that + + + align:start position:0% +carefully what the context is and that +would give you an idea of why the person + + align:start position:0% +would give you an idea of why the person + + + align:start position:0% +would give you an idea of why the person +was aroused right so for example if the + + align:start position:0% +was aroused right so for example if the + + + align:start position:0% +was aroused right so for example if the +profile was you know something bad + + align:start position:0% +profile was you know something bad + + + align:start position:0% +profile was you know something bad +happened medically at + + align:start position:0% +happened medically at + + + align:start position:0% +happened medically at +X you think gee maybe that's why there + + align:start position:0% +X you think gee maybe that's why there + + + align:start position:0% +X you think gee maybe that's why there +in a state of arousal then you'd also + + align:start position:0% +in a state of arousal then you'd also + + + align:start position:0% +in a state of arousal then you'd also +have to look very very important and + + align:start position:0% +have to look very very important and + + + align:start position:0% +have to look very very important and +here's where we really need help okay I + + align:start position:0% +here's where we really need help okay I + + + align:start position:0% +here's where we really need help okay I +believe you'd have to look very very + + align:start position:0% +believe you'd have to look very very + + + align:start position:0% +believe you'd have to look very very +carefully at their face and their body + + align:start position:0% +carefully at their face and their body + + + align:start position:0% +carefully at their face and their body +language those are additional cues that + + align:start position:0% +language those are additional cues that + + + align:start position:0% +language those are additional cues that +help you to interpret arousal so if and + + align:start position:0% +help you to interpret arousal so if and + + + align:start position:0% +help you to interpret arousal so if and +now this would be easy of course if + + align:start position:0% +now this would be easy of course if + + + align:start position:0% +now this would be easy of course if +we're uh if we're universally TR it's + + align:start position:0% +we're uh if we're universally TR it's + + + align:start position:0% +we're uh if we're universally TR it's +not but if you see with that camera you + + align:start position:0% +not but if you see with that camera you + + + align:start position:0% +not but if you see with that camera you +notice the kid going like that that's + + align:start position:0% +notice the kid going like that that's + + + align:start position:0% +notice the kid going like that that's +quite different than like that okay the + + align:start position:0% +quite different than like that okay the + + + align:start position:0% +quite different than like that okay the +first one is uh very likely fear or + + align:start position:0% +first one is uh very likely fear or + + + align:start position:0% +first one is uh very likely fear or +anxiety the second one is very likely + + align:start position:0% +anxiety the second one is very likely + + + align:start position:0% +anxiety the second one is very likely +pain now that's for typical people will + + align:start position:0% +pain now that's for typical people will + + + align:start position:0% +pain now that's for typical people will +it transfer to people with Autism I + + align:start position:0% +it transfer to people with Autism I + + + align:start position:0% +it transfer to people with Autism I +don't know but it may not matter because + + align:start position:0% +don't know but it may not matter because + + + align:start position:0% +don't know but it may not matter because +as long as people with Autism did the + + align:start position:0% +as long as people with Autism did the + + + align:start position:0% +as long as people with Autism did the +same type of pain thing and the same + + align:start position:0% +same type of pain thing and the same + + + align:start position:0% +same type of pain thing and the same +type of anxiety thing even if it was + + align:start position:0% +type of anxiety thing even if it was + + + align:start position:0% +type of anxiety thing even if it was +weird as long as it's + + align:start position:0% +weird as long as it's + + + align:start position:0% +weird as long as it's +consistent then that gives you their + + align:start position:0% +consistent then that gives you their + + + align:start position:0% +consistent then that gives you their +particular facial + + align:start position:0% +particular facial + + + align:start position:0% +particular facial +um q and body language for their version + + align:start position:0% +um q and body language for their version + + + align:start position:0% +um q and body language for their version +of anxiety and their version of pain see + + align:start position:0% +of anxiety and their version of pain see + + + align:start position:0% +of anxiety and their version of pain see +so that works yes um I have a question + + align:start position:0% +so that works yes um I have a question + + + align:start position:0% +so that works yes um I have a question +about the conceptualization of putting + + align:start position:0% +about the conceptualization of putting + + + align:start position:0% +about the conceptualization of putting +together Nal 1 groups and sort of + + align:start position:0% +together Nal 1 groups and sort of + + + align:start position:0% +together Nal 1 groups and sort of +restricting observing the data to that + + align:start position:0% +restricting observing the data to that + + + align:start position:0% +restricting observing the data to that +so it seems like um it's a possibility + + align:start position:0% +so it seems like um it's a possibility + + + align:start position:0% +so it seems like um it's a possibility +that if you look at people with Autism + + align:start position:0% +that if you look at people with Autism + + + align:start position:0% +that if you look at people with Autism +with sort of find enough instruments + + align:start position:0% +with sort of find enough instruments + + + align:start position:0% +with sort of find enough instruments +like if you're constructing profil like + + align:start position:0% +like if you're constructing profil like + + + align:start position:0% +like if you're constructing profil like +this you might end up with like groups + + align:start position:0% +this you might end up with like groups + + + align:start position:0% +this you might end up with like groups +of profiles that once you have a hundred + + align:start position:0% +of profiles that once you have a hundred + + + align:start position:0% +of profiles that once you have a hundred +of them instead of like three then you + + align:start position:0% +of them instead of like three then you + + + align:start position:0% +of them instead of like three then you +can actually divide it that way and then + + align:start position:0% +can actually divide it that way and then + + + align:start position:0% +can actually divide it that way and then +pull out for other groups of people who + + align:start position:0% +pull out for other groups of people who + + + align:start position:0% +pull out for other groups of people who +may not be able to go to a university + + align:start position:0% +may not be able to go to a university + + + align:start position:0% +may not be able to go to a university +and get set up for it and you know + + align:start position:0% +and get set up for it and you know + + + align:start position:0% +and get set up for it and you know +monitor 24/7 and actually develop the + + align:start position:0% +monitor 24/7 and actually develop the + + + align:start position:0% +monitor 24/7 and actually develop the +profile and give some information to + + align:start position:0% +profile and give some information to + + + align:start position:0% +profile and give some information to +those people the parents can't afford it + + align:start position:0% +those people the parents can't afford it + + + align:start position:0% +those people the parents can't afford it +the parents develop who can't afford it + + align:start position:0% +the parents develop who can't afford it + + + align:start position:0% +the parents develop who can't afford it +is that something that you're thinking + + align:start position:0% +is that something that you're thinking + + + align:start position:0% +is that something that you're thinking +about doing like in in a broader scope + + align:start position:0% +about doing like in in a broader scope + + + align:start position:0% +about doing like in in a broader scope +of this work or + + align:start position:0% +of this work or + + + align:start position:0% +of this work or +you no + + align:start position:0% +you no + + + align:start position:0% +you no +well initially we'll all be an equal one + + align:start position:0% +well initially we'll all be an equal one + + + align:start position:0% +well initially we'll all be an equal one +okay I don't mean literally n equal one + + align:start position:0% +okay I don't mean literally n equal one + + + align:start position:0% +okay I don't mean literally n equal one +it'll be n equal one over and over for + + align:start position:0% +it'll be n equal one over and over for + + + align:start position:0% +it'll be n equal one over and over for +lots of different ones okay it's not + + align:start position:0% +lots of different ones okay it's not + + + align:start position:0% +lots of different ones okay it's not +literally n equal one um it if what you + + align:start position:0% +literally n equal one um it if what you + + + align:start position:0% +literally n equal one um it if what you +just said is true that would be + + align:start position:0% +just said is true that would be + + + align:start position:0% +just said is true that would be +wonderful if it turned out that if you + + align:start position:0% +wonderful if it turned out that if you + + + align:start position:0% +wonderful if it turned out that if you +did 120 participants and uh 40 of them + + align:start position:0% +did 120 participants and uh 40 of them + + + align:start position:0% +did 120 participants and uh 40 of them +had profile x 40 had profile Y and 40 + + align:start position:0% +had profile x 40 had profile Y and 40 + + + align:start position:0% +had profile x 40 had profile Y and 40 +had profile Z think fabulous 40 + + align:start position:0% +had profile Z think fabulous 40 + + + align:start position:0% +had profile Z think fabulous 40 +different ones I was even thinking that + + align:start position:0% +different ones I was even thinking that + + + align:start position:0% +different ones I was even thinking that +once you sort of get the fine tuning + + align:start position:0% +once you sort of get the fine tuning + + + align:start position:0% +once you sort of get the fine tuning +well enough say you know it's exactly + + align:start position:0% +well enough say you know it's exactly + + + align:start position:0% +well enough say you know it's exactly +when they're in a situation resp when + + align:start position:0% +when they're in a situation resp when + + + align:start position:0% +when they're in a situation resp when +situation resp it it could but I'm going + + align:start position:0% +situation resp it it could but I'm going + + + align:start position:0% +situation resp it it could but I'm going +to tell you typ rights you through the + + align:start position:0% +to tell you typ rights you through the + + + align:start position:0% +to tell you typ rights you through the +question it's + + align:start position:0% +question it's + + + align:start position:0% +question it's +very fine okay yeah that could be the + + align:start position:0% +very fine okay yeah that could be the + + + align:start position:0% +very fine okay yeah that could be the +case but what happens if it's not the + + align:start position:0% +case but what happens if it's not the + + + align:start position:0% +case but what happens if it's not the +case uh what happens if in fact every + + align:start position:0% +case uh what happens if in fact every + + + align:start position:0% +case uh what happens if in fact every +person is unique and different things + + align:start position:0% +person is unique and different things + + + align:start position:0% +person is unique and different things +set off different people this way of + + align:start position:0% +set off different people this way of + + + align:start position:0% +set off different people this way of +conceptualizing IT addresses that it's + + align:start position:0% +conceptualizing IT addresses that it's + + + align:start position:0% +conceptualizing IT addresses that it's +not a catastrophe your concern is a + + align:start position:0% +not a catastrophe your concern is a + + + align:start position:0% +not a catastrophe your concern is a +practical one you're saying well could + + align:start position:0% +practical one you're saying well could + + + align:start position:0% +practical one you're saying well could +everybody come and take their kid to + + align:start position:0% +everybody come and take their kid to + + + align:start position:0% +everybody come and take their kid to +well you know quite frankly that same + + align:start position:0% +well you know quite frankly that same + + + align:start position:0% +well you know quite frankly that same +problem as in medicine right and so + + align:start position:0% +problem as in medicine right and so + + + align:start position:0% +problem as in medicine right and so +therefore it's not unique to autism and + + align:start position:0% +therefore it's not unique to autism and + + + align:start position:0% +therefore it's not unique to autism and +so if that's what it takes that's what + + align:start position:0% +so if that's what it takes that's what + + + align:start position:0% +so if that's what it takes that's what +we will have to do uh if your dream + + align:start position:0% +we will have to do uh if your dream + + + align:start position:0% +we will have to do uh if your dream +comes true that would be wonderful + + align:start position:0% +comes true that would be wonderful + + + align:start position:0% +comes true that would be wonderful +because it would be extremely efficient + + align:start position:0% +because it would be extremely efficient + + + align:start position:0% +because it would be extremely efficient +and we'd be able to do that my own t gut + + align:start position:0% +and we'd be able to do that my own t gut + + + align:start position:0% +and we'd be able to do that my own t gut +feeling based on an N of 4,000 and not + + align:start position:0% +feeling based on an N of 4,000 and not + + + align:start position:0% +feeling based on an N of 4,000 and not +100 um is that I suspect that there will + + align:start position:0% +100 um is that I suspect that there will + + + align:start position:0% +100 um is that I suspect that there will +be wide distribution and in fact this + + align:start position:0% +be wide distribution and in fact this + + + align:start position:0% +be wide distribution and in fact this +leads me to a different a related point + + align:start position:0% +leads me to a different a related point + + + align:start position:0% +leads me to a different a related point +which is this here's what I'd really + + align:start position:0% +which is this here's what I'd really + + + align:start position:0% +which is this here's what I'd really +like to do to start the ball rolling + + align:start position:0% +like to do to start the ball rolling + + + align:start position:0% +like to do to start the ball rolling +what I really like to do uh is + + align:start position:0% +what I really like to do uh is + + + align:start position:0% +what I really like to do uh is +environmental sampling I'd like to take + + align:start position:0% +environmental sampling I'd like to take + + + align:start position:0% +environmental sampling I'd like to take +a person uh and purposely expose them to + + align:start position:0% +a person uh and purposely expose them to + + + align:start position:0% +a person uh and purposely expose them to +120 different life situations with this + + align:start position:0% +120 different life situations with this + + + align:start position:0% +120 different life situations with this +technology because I want to see what + + align:start position:0% +technology because I want to see what + + + align:start position:0% +technology because I want to see what +makes you tick in 120 situations that + + align:start position:0% +makes you tick in 120 situations that + + + align:start position:0% +makes you tick in 120 situations that +are common for your family in your + + align:start position:0% +are common for your family in your + + + align:start position:0% +are common for your family in your +neighborhood in your situation and then + + align:start position:0% +neighborhood in your situation and then + + + align:start position:0% +neighborhood in your situation and then +I will develop a profile for you now + + align:start position:0% +I will develop a profile for you now + + + align:start position:0% +I will develop a profile for you now +you're here in Massachusetts it might + + align:start position:0% +you're here in Massachusetts it might + + + align:start position:0% +you're here in Massachusetts it might +not be it might be quite different for + + align:start position:0% +not be it might be quite different for + + + align:start position:0% +not be it might be quite different for +somebody Ohio or California it might be + + align:start position:0% +somebody Ohio or California it might be + + + align:start position:0% +somebody Ohio or California it might be +different Community different person + + align:start position:0% +different Community different person + + + align:start position:0% +different Community different person +blah blah blah that kind of thing and so + + align:start position:0% +blah blah blah that kind of thing and so + + + align:start position:0% +blah blah blah that kind of thing and so +you know um but that won't matter + + align:start position:0% +you know um but that won't matter + + + align:start position:0% +you know um but that won't matter +because as long as I sample ecologically + + align:start position:0% +because as long as I sample ecologically + + + align:start position:0% +because as long as I sample ecologically +valid and meaningful situations for you + + align:start position:0% +valid and meaningful situations for you + + + align:start position:0% +valid and meaningful situations for you +I will get a sense of what makes you + + align:start position:0% +I will get a sense of what makes you + + + align:start position:0% +I will get a sense of what makes you +tick and then I can communicate that + + align:start position:0% +tick and then I can communicate that + + + align:start position:0% +tick and then I can communicate that +that was one of the questions um I can + + align:start position:0% +that was one of the questions um I can + + + align:start position:0% +that was one of the questions um I can +communicate that to your mother to your + + align:start position:0% +communicate that to your mother to your + + + align:start position:0% +communicate that to your mother to your +teacher to doctor to babysitter okay + + align:start position:0% +teacher to doctor to babysitter okay + + + align:start position:0% +teacher to doctor to babysitter okay +listen very carefully oh babysitter + + align:start position:0% +listen very carefully oh babysitter + + + align:start position:0% +listen very carefully oh babysitter +who's new to our family okay when my + + align:start position:0% +who's new to our family okay when my + + + align:start position:0% +who's new to our family okay when my +child does this okay that's a pre that + + align:start position:0% +child does this okay that's a pre that + + + align:start position:0% +child does this okay that's a pre that +means they're anxious uh and we have + + align:start position:0% +means they're anxious uh and we have + + + align:start position:0% +means they're anxious uh and we have +found that when they do that you should + + align:start position:0% +found that when they do that you should + + + align:start position:0% +found that when they do that you should +do X and not y on the other hand if they + + align:start position:0% +do X and not y on the other hand if they + + + align:start position:0% +do X and not y on the other hand if they +do that I'm sorry no I'm sorry uh yeah + + align:start position:0% +do that I'm sorry no I'm sorry uh yeah + + + align:start position:0% +do that I'm sorry no I'm sorry uh yeah +but the second one was anxious when they + + align:start position:0% +but the second one was anxious when they + + + align:start position:0% +but the second one was anxious when they +do this um I have to tell you that my + + align:start position:0% +do this um I have to tell you that my + + + align:start position:0% +do this um I have to tell you that my +child has intestinal disbiosis imbalance + + align:start position:0% +child has intestinal disbiosis imbalance + + + align:start position:0% +child has intestinal disbiosis imbalance +of good and bad gut gut Flor and so + + align:start position:0% +of good and bad gut gut Flor and so + + + align:start position:0% +of good and bad gut gut Flor and so +they're experiencing pain here's what + + align:start position:0% +they're experiencing pain here's what + + + align:start position:0% +they're experiencing pain here's what +you must do so what I'm getting at is + + align:start position:0% +you must do so what I'm getting at is + + + align:start position:0% +you must do so what I'm getting at is +you're giving people very specific + + align:start position:0% +you're giving people very specific + + + align:start position:0% +you're giving people very specific +information about how to + + align:start position:0% +information about how to + + + align:start position:0% +information about how to +respond decode exactly and I and I don't + + align:start position:0% +respond decode exactly and I and I don't + + + align:start position:0% +respond decode exactly and I and I don't +want to be demeaning about this but it's + + align:start position:0% +want to be demeaning about this but it's + + + align:start position:0% +want to be demeaning about this but it's +an exact parallel to the work of + + align:start position:0% +an exact parallel to the work of + + + align:start position:0% +an exact parallel to the work of +tinbergen and lorence on animal behavior + + align:start position:0% +tinbergen and lorence on animal behavior + + + align:start position:0% +tinbergen and lorence on animal behavior +it's that's where this actually C comes + + align:start position:0% +it's that's where this actually C comes + + + align:start position:0% +it's that's where this actually C comes +from the start of my career I told you I + + align:start position:0% +from the start of my career I told you I + + + align:start position:0% +from the start of my career I told you I +was in experimental psychology not + + align:start position:0% +was in experimental psychology not + + + align:start position:0% +was in experimental psychology not +clinical and so um they basically were + + align:start position:0% +clinical and so um they basically were + + + align:start position:0% +clinical and so um they basically were +Co you know I'll give you an exam I'll + + align:start position:0% +Co you know I'll give you an exam I'll + + + align:start position:0% +Co you know I'll give you an exam I'll +give you exact exact exact example um + + align:start position:0% +give you exact exact exact example um + + + align:start position:0% +give you exact exact exact example um +when my son was younger we still have + + align:start position:0% +when my son was younger we still have + + + align:start position:0% +when my son was younger we still have +her we have a lop bearded bunny um and + + align:start position:0% +her we have a lop bearded bunny um and + + + align:start position:0% +her we have a lop bearded bunny um and +um when you look at her body language + + align:start position:0% +um when you look at her body language + + + align:start position:0% +um when you look at her body language +you can figure if you know the code of + + align:start position:0% +you can figure if you know the code of + + + align:start position:0% +you can figure if you know the code of +lot beard bunnies it enables you to uh + + align:start position:0% +lot beard bunnies it enables you to uh + + + align:start position:0% +lot beard bunnies it enables you to uh +be more effective with them um if + + align:start position:0% +be more effective with them um if + + + align:start position:0% +be more effective with them um if +they're on the floor and their back leg + + align:start position:0% +they're on the floor and their back leg + + + align:start position:0% +they're on the floor and their back leg +is completely stretched out that means + + align:start position:0% +is completely stretched out that means + + + align:start position:0% +is completely stretched out that means +they're totally calm if they're sitting + + align:start position:0% +they're totally calm if they're sitting + + + align:start position:0% +they're totally calm if they're sitting +on the floor and their legs are tucked + + align:start position:0% +on the floor and their legs are tucked + + + align:start position:0% +on the floor and their legs are tucked +under but both ears are down they're + + align:start position:0% +under but both ears are down they're + + + align:start position:0% +under but both ears are down they're +moderately calm if one ear is up it + + align:start position:0% +moderately calm if one ear is up it + + + align:start position:0% +moderately calm if one ear is up it +means they're curious if two ears are up + + align:start position:0% +means they're curious if two ears are up + + + align:start position:0% +means they're curious if two ears are up +it means they're fearful + + align:start position:0% +it means they're fearful + + + align:start position:0% +it means they're fearful +if they make a loud grow a small low + + align:start position:0% +if they make a loud grow a small low + + + align:start position:0% +if they make a loud grow a small low +frequency uh growl that means they're + + align:start position:0% +frequency uh growl that means they're + + + align:start position:0% +frequency uh growl that means they're +about to attack if you know all those + + align:start position:0% +about to attack if you know all those + + + align:start position:0% +about to attack if you know all those +things then you know that when um one + + align:start position:0% +things then you know that when um one + + + align:start position:0% +things then you know that when um one +ear is up and they're curious and you + + align:start position:0% +ear is up and they're curious and you + + + align:start position:0% +ear is up and they're curious and you +put your hand near their mouth they'll + + align:start position:0% +put your hand near their mouth they'll + + + align:start position:0% +put your hand near their mouth they'll +sniff because they're curious when she + + align:start position:0% +sniff because they're curious when she + + + align:start position:0% +sniff because they're curious when she +growls and you put your hand near you + + align:start position:0% +growls and you put your hand near you + + + align:start position:0% +growls and you put your hand near you +will get + + align:start position:0% +will get + + + align:start position:0% +will get +bitten okay so that sort of logic which + + align:start position:0% +bitten okay so that sort of logic which + + + align:start position:0% +bitten okay so that sort of logic which +is drawn from mythology is exactly what + + align:start position:0% +is drawn from mythology is exactly what + + + align:start position:0% +is drawn from mythology is exactly what +I'm talking about here you're creating a + + align:start position:0% +I'm talking about here you're creating a + + + align:start position:0% +I'm talking about here you're creating a +code + + align:start position:0% +code + + + align:start position:0% +code +for people with Autism except it's not + + align:start position:0% +for people with Autism except it's not + + + align:start position:0% +for people with Autism except it's not +species it's n of one we're running out + + align:start position:0% +species it's n of one we're running out + + + align:start position:0% +species it's n of one we're running out +of time yes we are and you may want a + + align:start position:0% +of time yes we are and you may want a + + + align:start position:0% +of time yes we are and you may want a +few concluded remarks I have another + + align:start position:0% +few concluded remarks I have another + + + align:start position:0% +few concluded remarks I have another +question that probably can't handle real + + align:start position:0% +question that probably can't handle real + + + align:start position:0% +question that probably can't handle real +quickly and we can tackle it over lunch + + align:start position:0% +quickly and we can tackle it over lunch + + + align:start position:0% +quickly and we can tackle it over lunch +but maybe you could say just something + + align:start position:0% +but maybe you could say just something + + + align:start position:0% +but maybe you could say just something +about it which is um Placebo and all + + align:start position:0% +about it which is um Placebo and all + + + align:start position:0% +about it which is um Placebo and all +these Placebo how do you what so any + + align:start position:0% +these Placebo how do you what so any + + + align:start position:0% +these Placebo how do you what so any +intervention you know um usually posor + + align:start position:0% +intervention you know um usually posor + + + align:start position:0% +intervention you know um usually posor +effect right experiment um people do + + align:start position:0% +effect right experiment um people do + + + align:start position:0% +effect right experiment um people do +better maybe people are nicer to the kid + + align:start position:0% +better maybe people are nicer to the kid + + + align:start position:0% +better maybe people are nicer to the kid +you know all these other I thinking + + align:start position:0% +you know all these other I thinking + + + align:start position:0% +you know all these other I thinking +reading this you know right how how do + + align:start position:0% +reading this you know right how how do + + + align:start position:0% +reading this you know right how how do +you handle that in your single subject + + align:start position:0% +you handle that in your single subject + + + align:start position:0% +you handle that in your single subject +well you're talking about placebo effect + + align:start position:0% +well you're talking about placebo effect + + + align:start position:0% +well you're talking about placebo effect +with respect to treatments yeah with + + align:start position:0% +with respect to treatments yeah with + + + align:start position:0% +with respect to treatments yeah with +respect to treatments we're doing a + + align:start position:0% +respect to treatments we're doing a + + + align:start position:0% +respect to treatments we're doing a +particular treatment and the person gets + + align:start position:0% +particular treatment and the person gets + + + align:start position:0% +particular treatment and the person gets +a lot better etc etc + + align:start position:0% +a lot better etc etc + + + align:start position:0% +a lot better etc etc +um it's a it's a good question there are + + align:start position:0% +um it's a it's a good question there are + + + align:start position:0% +um it's a it's a good question there are +things called reversal designs uh for + + align:start position:0% +things called reversal designs uh for + + + align:start position:0% +things called reversal designs uh for +example where uh you pull the treatment + + align:start position:0% +example where uh you pull the treatment + + + align:start position:0% +example where uh you pull the treatment +out and then the behavior collapses + + align:start position:0% +out and then the behavior collapses + + + align:start position:0% +out and then the behavior collapses +you're doing right exactly and then you + + align:start position:0% +you're doing right exactly and then you + + + align:start position:0% +you're doing right exactly and then you +put the treatment back in and it's the + + align:start position:0% +put the treatment back in and it's the + + + align:start position:0% +put the treatment back in and it's the +same thing with the demands no demand + + align:start position:0% +same thing with the demands no demand + + + align:start position:0% +same thing with the demands no demand +slide I show + + align:start position:0% +slide I show + + + align:start position:0% +slide I show +you could say well maybe that's just + + align:start position:0% +you could say well maybe that's just + + + align:start position:0% +you could say well maybe that's just +forus or whatever but if you keep + + align:start position:0% +forus or whatever but if you keep + + + align:start position:0% +forus or whatever but if you keep +replicating it you know when X is there + + align:start position:0% +replicating it you know when X is there + + + align:start position:0% +replicating it you know when X is there +the person explodes when X's remove they + + align:start position:0% +the person explodes when X's remove they + + + align:start position:0% +the person explodes when X's remove they +don't X's back in they explode um so it + + align:start position:0% +don't X's back in they explode um so it + + + align:start position:0% +don't X's back in they explode um so it +seems like instead of removing that + + align:start position:0% +seems like instead of removing that + + + align:start position:0% +seems like instead of removing that +treatment you could put in another sort + + align:start position:0% +treatment you could put in another sort + + + align:start position:0% +treatment you could put in another sort +of sham treatment and you can also put + + align:start position:0% +of sham treatment and you can also put + + + align:start position:0% +of sham treatment and you can also put +in sham treatments that is correct um + + align:start position:0% +in sham treatments that is correct um + + + align:start position:0% +in sham treatments that is correct um +usually uh the Sham treatment is already + + align:start position:0% +usually uh the Sham treatment is already + + + align:start position:0% +usually uh the Sham treatment is already +present in the Baseline and others you + + align:start position:0% +present in the Baseline and others you + + + align:start position:0% +present in the Baseline and others you +say that's like this is how we normally + + align:start position:0% +say that's like this is how we normally + + + align:start position:0% +say that's like this is how we normally +do it but when you do uh a treatment for + + align:start position:0% +do it but when you do uh a treatment for + + + align:start position:0% +do it but when you do uh a treatment for +example where you actually increase the + + align:start position:0% +example where you actually increase the + + + align:start position:0% +example where you actually increase the +rate of attention to the person okay + + align:start position:0% +rate of attention to the person okay + + + align:start position:0% +rate of attention to the person okay +people could say well it's not the + + align:start position:0% +people could say well it's not the + + + align:start position:0% +people could say well it's not the +treatment it's just that in the course + + align:start position:0% +treatment it's just that in the course + + + align:start position:0% +treatment it's just that in the course +of the treatment you are paying a lot + + align:start position:0% +of the treatment you are paying a lot + + + align:start position:0% +of the treatment you are paying a lot +more attention to the person so what you + + align:start position:0% +more attention to the person so what you + + + align:start position:0% +more attention to the person so what you +can do is you can do um a sham treatment + + align:start position:0% +can do is you can do um a sham treatment + + + align:start position:0% +can do is you can do um a sham treatment +where you're paying more attention to + + align:start position:0% +where you're paying more attention to + + + align:start position:0% +where you're paying more attention to +the person but the Essential Elements of + + align:start position:0% +the person but the Essential Elements of + + + align:start position:0% +the person but the Essential Elements of +treatment are missing so now you're + + align:start position:0% +treatment are missing so now you're + + + align:start position:0% +treatment are missing so now you're +controlling for attention level so + + align:start position:0% +controlling for attention level so + + + align:start position:0% +controlling for attention level so +there's various things you can do within + + align:start position:0% +there's various things you can do within + + + align:start position:0% +there's various things you can do within +a single subject design to kill that off + + align:start position:0% +a single subject design to kill that off + + + align:start position:0% +a single subject design to kill that off +um and obviously would depend on the + + align:start position:0% +um and obviously would depend on the + + + align:start position:0% +um and obviously would depend on the +nature of the treatment what the sh + + align:start position:0% +nature of the treatment what the sh + + + align:start position:0% +nature of the treatment what the sh +appropriate sham would be um so that's + + align:start position:0% +appropriate sham would be um so that's + + + align:start position:0% +appropriate sham would be um so that's +but this reversal you know putting it in + + align:start position:0% +but this reversal you know putting it in + + + align:start position:0% +but this reversal you know putting it in +taking it out putting taking out and + + align:start position:0% +taking it out putting taking out and + + + align:start position:0% +taking it out putting taking out and +maybe putting in something that has some + + align:start position:0% +maybe putting in something that has some + + + align:start position:0% +maybe putting in something that has some +elements but not others you and people + + align:start position:0% +elements but not others you and people + + + align:start position:0% +elements but not others you and people +can do that uh and actually that's + + align:start position:0% +can do that uh and actually that's + + + align:start position:0% +can do that uh and actually that's +called dismantling by the way that uh uh + + align:start position:0% +called dismantling by the way that uh uh + + + align:start position:0% +called dismantling by the way that uh uh +what I propose in terms of treatment is + + align:start position:0% +what I propose in terms of treatment is + + + align:start position:0% +what I propose in terms of treatment is +always multicomponent and when you do a + + align:start position:0% +always multicomponent and when you do a + + + align:start position:0% +always multicomponent and when you do a +multicomponent treatment people say well + + align:start position:0% +multicomponent treatment people say well + + + align:start position:0% +multicomponent treatment people say well +how do you know all the components are + + align:start position:0% +how do you know all the components are + + + align:start position:0% +how do you know all the components are +effective maybe only some of them are + + align:start position:0% +effective maybe only some of them are + + + align:start position:0% +effective maybe only some of them are +and some of them are garbage you say + + align:start position:0% +and some of them are garbage you say + + + align:start position:0% +and some of them are garbage you say +well okay well you can pull them in and + + align:start position:0% +well okay well you can pull them in and + + + align:start position:0% +well okay well you can pull them in and +out and see you know does the behaver + + align:start position:0% +out and see you know does the behaver + + + align:start position:0% +out and see you know does the behaver +collapse when you pull certain things + + align:start position:0% +collapse when you pull certain things + + + align:start position:0% +collapse when you pull certain things +out but it's terrific when you put them + + align:start position:0% +out but it's terrific when you put them + + + align:start position:0% +out but it's terrific when you put them +in that would imply that okay those + + align:start position:0% +in that would imply that okay those + + + align:start position:0% +in that would imply that okay those +treatment X X and Y are the effective + + align:start position:0% +treatment X X and Y are the effective + + + align:start position:0% +treatment X X and Y are the effective +elements p and Q are just irrelevant + + align:start position:0% +elements p and Q are just irrelevant + + + align:start position:0% +elements p and Q are just irrelevant +correlates and of no interest and so you + + align:start position:0% +correlates and of no interest and so you + + + align:start position:0% +correlates and of no interest and so you +could + + align:start position:0% +could + + + align:start position:0% +could +dismantle yes yes question yes so + + align:start position:0% +dismantle yes yes question yes so + + + align:start position:0% +dismantle yes yes question yes so +according to the arousal profiles um the + + align:start position:0% +according to the arousal profiles um the + + + align:start position:0% +according to the arousal profiles um the +caretaker would be responding to the + + align:start position:0% +caretaker would be responding to the + + + align:start position:0% +caretaker would be responding to the +precursor + + align:start position:0% +precursor + + + align:start position:0% +precursor +um signals instead of the problem + + align:start position:0% +um signals instead of the problem + + + align:start position:0% +um signals instead of the problem +Behavior so um would is there do you + + align:start position:0% +Behavior so um would is there do you + + + align:start position:0% +Behavior so um would is there do you +think there is a chance that the child + + align:start position:0% +think there is a chance that the child + + + align:start position:0% +think there is a chance that the child +might start learning to use the + + align:start position:0% +might start learning to use the + + + align:start position:0% +might start learning to use the +precursor Behavior to get what they to + + align:start position:0% +precursor Behavior to get what they to + + + align:start position:0% +precursor Behavior to get what they to +address I see that's good okay this this + + align:start position:0% +address I see that's good okay this this + + + align:start position:0% +address I see that's good okay this this +raises a whole very important issue that + + align:start position:0% +raises a whole very important issue that + + + align:start position:0% +raises a whole very important issue that +I didn't that you queued me on okay when + + align:start position:0% +I didn't that you queued me on okay when + + + align:start position:0% +I didn't that you queued me on okay when +you have a model that says that there + + align:start position:0% +you have a model that says that there + + + align:start position:0% +you have a model that says that there +are three things that are actually + + align:start position:0% +are three things that are actually + + + align:start position:0% +are three things that are actually +relevant here there's context there's + + align:start position:0% +relevant here there's context there's + + + align:start position:0% +relevant here there's context there's +precursor there's arousal all these + + align:start position:0% +precursor there's arousal all these + + + align:start position:0% +precursor there's arousal all these +things precede problem Behavior it means + + align:start position:0% +things precede problem Behavior it means + + + align:start position:0% +things precede problem Behavior it means +there's three different opportunities + + align:start position:0% +there's three different opportunities + + + align:start position:0% +there's three different opportunities +for you to to design treatments you + + align:start position:0% +for you to to design treatments you + + + align:start position:0% +for you to to design treatments you +could alter the problem context thereby + + align:start position:0% +could alter the problem context thereby + + + align:start position:0% +could alter the problem context thereby +avoiding subsequent problems you could + + align:start position:0% +avoiding subsequent problems you could + + + align:start position:0% +avoiding subsequent problems you could +alter the arousal level thereby avoiding + + align:start position:0% +alter the arousal level thereby avoiding + + + align:start position:0% +alter the arousal level thereby avoiding +or you could alter the precursors so you + + align:start position:0% +or you could alter the precursors so you + + + align:start position:0% +or you could alter the precursors so you +don't respond to the precursors and I + + align:start position:0% +don't respond to the precursors and I + + + align:start position:0% +don't respond to the precursors and I +actually published on two or three two + + align:start position:0% +actually published on two or three two + + + align:start position:0% +actually published on two or three two +out of the three of these the only thing + + align:start position:0% +out of the three of these the only thing + + + align:start position:0% +out of the three of these the only thing +I have not published on is arousal + + align:start position:0% +I have not published on is arousal + + + align:start position:0% +I have not published on is arousal +that's why I'm here um the context and + + align:start position:0% +that's why I'm here um the context and + + + align:start position:0% +that's why I'm here um the context and +precursor I've published on um what you + + align:start position:0% +precursor I've published on um what you + + + align:start position:0% +precursor I've published on um what you +do with the precursor is you don't allow + + align:start position:0% +do with the precursor is you don't allow + + + align:start position:0% +do with the precursor is you don't allow +the person to have the + + align:start position:0% +the person to have the + + + align:start position:0% +the person to have the +precursor pay off off and and well okay + + align:start position:0% +precursor pay off off and and well okay + + + align:start position:0% +precursor pay off off and and well okay +if the precursor is this okay and that's + + align:start position:0% +if the precursor is this okay and that's + + + align:start position:0% +if the precursor is this okay and that's +going to lead momentarily to an + + align:start position:0% +going to lead momentarily to an + + + align:start position:0% +going to lead momentarily to an +explosion what you say is oh my God the + + align:start position:0% +explosion what you say is oh my God the + + + align:start position:0% +explosion what you say is oh my God the +kid is anxious I'm now going to teach + + align:start position:0% +kid is anxious I'm now going to teach + + + align:start position:0% +kid is anxious I'm now going to teach +the kid to say I'm + + align:start position:0% +the kid to say I'm + + + align:start position:0% +the kid to say I'm +afraid what happens is the precursor + + align:start position:0% +afraid what happens is the precursor + + + align:start position:0% +afraid what happens is the precursor +Then Fall I just published this now it's + + align:start position:0% +Then Fall I just published this now it's + + + align:start position:0% +Then Fall I just published this now it's +coming out in a month what happens is + + align:start position:0% +coming out in a month what happens is + + + align:start position:0% +coming out in a month what happens is +the precursor falls out and + + align:start position:0% +the precursor falls out and + + + align:start position:0% +the precursor falls out and +communication replaces + + align:start position:0% +communication replaces + + + align:start position:0% +communication replaces +it so now because of that the person the + + align:start position:0% +it so now because of that the person the + + + align:start position:0% +it so now because of that the person the +ad offers appropriate + + align:start position:0% +ad offers appropriate + + + align:start position:0% +ad offers appropriate +support the anxiety is reduced and you + + align:start position:0% +support the anxiety is reduced and you + + + align:start position:0% +support the anxiety is reduced and you +never come to the problem Behavior so + + align:start position:0% +never come to the problem Behavior so + + + align:start position:0% +never come to the problem Behavior so +it's it's how you respond to the + + align:start position:0% +it's it's how you respond to the + + + align:start position:0% +it's it's how you respond to the +precursor and what we do basically is we + + align:start position:0% +precursor and what we do basically is we + + + align:start position:0% +precursor and what we do basically is we +try to replace the precursor with + + align:start position:0% +try to replace the precursor with + + + align:start position:0% +try to replace the precursor with +another behavior that allows the kid to + + align:start position:0% +another behavior that allows the kid to + + + align:start position:0% +another behavior that allows the kid to +address their anxiety state by by + + align:start position:0% +address their anxiety state by by + + + align:start position:0% +address their anxiety state by by +eliciting support from adults so + + align:start position:0% +eliciting support from adults so + + + align:start position:0% +eliciting support from adults so +basically teaching + + align:start position:0% +basically teaching + + + align:start position:0% +basically teaching +youing it's exactly the same that's + + align:start position:0% +youing it's exactly the same that's + + + align:start position:0% +youing it's exactly the same that's +right it is it all the all these things + + align:start position:0% +right it is it all the all these things + + + align:start position:0% +right it is it all the all these things +are like precursor and problem Behavior + + align:start position:0% +are like precursor and problem Behavior + + + align:start position:0% +are like precursor and problem Behavior +are functionally equivalent as called in + + align:start position:0% +are functionally equivalent as called in + + + align:start position:0% +are functionally equivalent as called in +other words they serve the same purpose + + align:start position:0% +other words they serve the same purpose + + + align:start position:0% +other words they serve the same purpose +which means if you give the person + + align:start position:0% +which means if you give the person + + + align:start position:0% +which means if you give the person +another way of serving a particular + + align:start position:0% +another way of serving a particular + + + align:start position:0% +another way of serving a particular +purpose the old way will become + + align:start position:0% +purpose the old way will become + + + align:start position:0% +purpose the old way will become +unnecessary and irrelevant and that's + + align:start position:0% +unnecessary and irrelevant and that's + + + align:start position:0% +unnecessary and irrelevant and that's +essentially the logic behind what's + + align:start position:0% +essentially the logic behind what's + + + align:start position:0% +essentially the logic behind what's +called functional communication + + align:start position:0% +called functional communication + + + align:start position:0% +called functional communication +training so that's right but yeah thanks + + align:start position:0% +training so that's right but yeah thanks + + + align:start position:0% +training so that's right but yeah thanks +thanks for raising the more generic + + align:start position:0% +thanks for raising the more generic + + + align:start position:0% +thanks for raising the more generic +thing which is that there are actually + + align:start position:0% +thing which is that there are actually + + + align:start position:0% +thing which is that there are actually +three different opportunities to + + align:start position:0% +three different opportunities to + + + align:start position:0% +three different opportunities to +intervene based on this model three + + align:start position:0% +intervene based on this model three + + + align:start position:0% +intervene based on this model three +different generic opportunities uh and + + align:start position:0% +different generic opportunities uh and + + + align:start position:0% +different generic opportunities uh and +every one of them has in the literature + + align:start position:0% +every one of them has in the literature + + + align:start position:0% +every one of them has in the literature +certain rational treatments that you + + align:start position:0% +certain rational treatments that you + + + align:start position:0% +certain rational treatments that you +could do prescriptively that's all you + + align:start position:0% +could do prescriptively that's all you + + + align:start position:0% +could do prescriptively that's all you +need as a model to bring it all together + + align:start position:0% +need as a model to bring it all together + + + align:start position:0% +need as a model to bring it all together +and a technology that allows you to do + + align:start position:0% +and a technology that allows you to do + + + align:start position:0% +and a technology that allows you to do +the model and that's this + + align:start position:0% +the model and that's this + + + align:start position:0% +the model and that's this +place okay so thanks very much for + + align:start position:0% +place okay so thanks very much for + + + align:start position:0% +place okay so thanks very much for +coming and your attention it's good + + align:start position:0% +coming and your attention it's good + + + align:start position:0% +coming and your attention it's good +thank \ No newline at end of file