<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Dr. Henny Kupferstein: Fake Autism Therapy]]></title><description><![CDATA[Discussing ABA, and how to identify fake autism therapy that harms us.]]></description><link>https://drhenny.substack.com/s/fake-autism-therapy</link><image><url>https://substackcdn.com/image/fetch/$s_!gemL!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3dd2017-7fdd-4fdc-83d3-b624c877d3ea_1108x1108.jpeg</url><title>Dr. Henny Kupferstein: Fake Autism Therapy</title><link>https://drhenny.substack.com/s/fake-autism-therapy</link></image><generator>Substack</generator><lastBuildDate>Mon, 08 Jun 2026 05:14:25 GMT</lastBuildDate><atom:link href="https://drhenny.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Dr. Henny Kupferstein]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[drhenny@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[drhenny@substack.com]]></itunes:email><itunes:name><![CDATA[Dr. Henny Kupferstein]]></itunes:name></itunes:owner><itunes:author><![CDATA[Dr. Henny Kupferstein]]></itunes:author><googleplay:owner><![CDATA[drhenny@substack.com]]></googleplay:owner><googleplay:email><![CDATA[drhenny@substack.com]]></googleplay:email><googleplay:author><![CDATA[Dr. Henny Kupferstein]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Trauma-Informed ABA: Empathy in the Marketing, Reinforcement in the Room]]></title><description><![CDATA[Misbehaviorism hoax activism strategy]]></description><link>https://drhenny.substack.com/p/trauma-informed-aba-empathy-in-the</link><guid isPermaLink="false">https://drhenny.substack.com/p/trauma-informed-aba-empathy-in-the</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sat, 23 May 2026 03:42:23 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!lVNc!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I just published a <a href="http://misbehaviorism.com">Misbehaviorism.com</a> article titled <a href="https://misbehaviorism.com/2026/05/22/trauma-informed-aba-empathy-in-the-marketing-reinforcement-in-the-room/?preview_id=283&amp;preview_nonce=411769b043&amp;preview=true&amp;_thumbnail_id=288">Trauma-Informed ABA: Empathy in the Marketing, Reinforcement in the Room</a>. There&#8217;s a reason this article exists: <strong>every time we name the harm, the system learns our vocabulary</strong>.</p><p>A clinician, a program, a platform&#8212;whatever shape it takes&#8212;almost never loses power by admitting wrongdoing. It loses power when it loses the narrative. And so it does something more efficient: <strong>it rebrands using our critique</strong>.</p><p>This is why Misbehaviorism is not a niche concept. It&#8217;s not a one-off misconduct case or a single practitioner &#8220;mistake.&#8221; Misbehaviorism is an institutional survival tactic: <strong>co-opt critique, repaint the packaging, keep the same enforcement logic underneath</strong>.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!lVNc!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!lVNc!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!lVNc!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!lVNc!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!lVNc!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!lVNc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2082634,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/198925348?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!lVNc!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!lVNc!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!lVNc!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!lVNc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18cb3cbe-1c12-4a79-858f-6800ef652bb3_1672x941.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3><strong>The &#8220;live theatre&#8221; of rebranding</strong></h3><p>The moment we publish a critique, we watch it happen:</p><ul><li><p>Language changes overnight (trauma-informed, neuroaffirmative, family-centered)</p></li><li><p>Metrics get re-labeled as &#8220;well-being,&#8221; while the underlying targets remain <strong>compliance</strong></p></li><li><p>&#8220;Safety&#8221; becomes an aesthetic, not a practice</p></li><li><p>Criticism gets metabolized into marketing copy</p></li></ul><p>It feels like mind-reading, but it&#8217;s not. It&#8217;s live theatre with a script: the institution needs public legitimacy more than it needs to change, so it performs change.</p><h2><strong>&#8220;Misbehaviorism Everywhere&#8221; &#8212; an Activism Strategy for Calling It Out in Real Time</strong></h2><h3></h3>
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   ]]></content:encoded></item><item><title><![CDATA[“No, You Take Off Your Shirt, Ashlyn”: Why Parents Must Learn to Recognize Misbehaviorism for Themselves]]></title><description><![CDATA[Misbehaviorism.com]]></description><link>https://drhenny.substack.com/p/no-you-take-off-your-shirt-ashlyn</link><guid isPermaLink="false">https://drhenny.substack.com/p/no-you-take-off-your-shirt-ashlyn</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sat, 16 May 2026 22:09:21 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!b01I!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Here&#8217;s a draft in a sharp, advocacy-centered Substack style that frames &#8220;misbehaviorism&#8221; as a civic literacy issue for parents &#8212; not merely a professional disagreement.</p><h1>Parents Must Learn to Identify Misbehaviorism for Themselves</h1><p>There is a dangerous cultural assumption surrounding ABA institutions and &#8220;behavioral services&#8221;: If it is clinical, insurance-funded, school-approved, university-backed, or presented as &#8220;evidence-based,&#8221; then parents are expected to trust it automatically.</p><p>That assumption is precisely why public activism around <em>misbehaviorism</em> matters.</p><p>Not because every practitioner is malicious.<br>Not because every child has the same needs.<br>Not because every parent will make the same choices.</p><p>But because parents cannot make informed choices unless they are equipped to recognize coercion, humiliation, boundary violations, and institutional conditioning <em>when they see it</em>.</p><p>And increasingly, they are being trained <em>not</em> to see it.</p><p>The problem is not simply &#8220;bad actors.&#8221;<br>The problem is an entire professional culture that normalizes compliance extraction while pathologizing resistance.</p><p>The article &#8220;<a href="https://misbehaviorism.com/2026/05/16/take-off-your-shirt-when-compliance-training-crosses-the-line-into-harm/">Take Off Your Shirt: When Compliance Training Crosses the Line Into Harm</a>&#8221; documents a pattern that many autistic people immediately recognize: the erosion of bodily autonomy under the banner of therapeutic authority. </p><p>When children are conditioned that adults may override discomfort, demand submission, ignore hesitation, or treat refusal as pathology, the lesson extends far beyond therapy.</p><p>It becomes social training.</p><p>And parents are often told this is necessary for &#8220;functioning,&#8221; &#8220;independence,&#8221; or &#8220;success.&#8221;</p><p>But informed consent cannot exist where parents are denied the conceptual tools to identify coercive frameworks in the first place.</p><p>That is why activism matters.</p><p>Not slogan activism.<br>Not branding campaigns.<br>Not institutional &#8220;awareness months.&#8221;</p><p>Actual literacy.</p><p>Parents must learn how to ask:</p><ul><li><p>Is this teaching a skill &#8212; or teaching obedience?</p></li><li><p>Is my child allowed to refuse?</p></li><li><p>What happens when they say no?</p></li><li><p>Is distress treated as communication, or as noncompliance?</p></li><li><p>Is bodily autonomy respected only when convenient?</p></li><li><p>Are natural autistic behaviors framed as defects to extinguish?</p></li><li><p>Is &#8220;calm body&#8221; language masking forced suppression?</p></li><li><p>Are rewards and punishments replacing authentic communication?</p></li><li><p>Is consent reversible?</p></li><li><p>Would this intervention be considered acceptable if done to a non-disabled child?</p></li></ul><p>These are not extremist questions.</p><p>These are baseline ethical questions.</p><p>And many institutions do not want parents asking them.</p><p>Because once parents begin recognizing misbehaviorism, entire professional narratives become unstable.</p><p>Parents begin noticing:</p><ul><li><p>scripted compliance drills,</p></li><li><p>forced eye contact,</p></li><li><p>demand fading that ignores distress,</p></li><li><p>token economies attached to basic dignity,</p></li><li><p>suppression of stimming,</p></li><li><p>&#8220;planned ignoring&#8221; during emotional overwhelm,</p></li><li><p>and the treatment of resistance itself as evidence that more conditioning is needed.</p></li></ul><p>They begin realizing that &#8220;evidence-based&#8221; does not automatically mean humane.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!b01I!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!b01I!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 424w, https://substackcdn.com/image/fetch/$s_!b01I!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 848w, https://substackcdn.com/image/fetch/$s_!b01I!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 1272w, https://substackcdn.com/image/fetch/$s_!b01I!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!b01I!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png" width="1456" height="799" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:799,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2423567,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/198055080?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!b01I!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 424w, https://substackcdn.com/image/fetch/$s_!b01I!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 848w, https://substackcdn.com/image/fetch/$s_!b01I!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 1272w, https://substackcdn.com/image/fetch/$s_!b01I!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4b9d8eb2-8a7b-40af-b1ee-003f45f3fc93_1672x918.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2><strong><a href="https://www.facebook.com/ashlyn.mcchristie?__tn__=-UC*F">Ashlyn McChristie</a> and <a href="https://www.linkedin.com/in/david-wilder-15926912/?lipi=urn%3Ali%3Apage%3Ad_flagship3_profile_view_base%3B0NRC2slFT1iMDoHJJeFG%2Bw%3D%3D">David Wilder</a></strong></h2><p>History is filled with institutional practices that were &#8220;evidence-based&#8221; before society recognized them as harmful.</p><p>Professional consensus is not morality.</p><p>Insurance reimbursement is not morality.</p><p>University affiliation is not morality.</p><p>And &#8220;free&#8221; is certainly not morality.</p><p>Parents especially need permission to understand this:</p><p>You are allowed to say no to services even when they are free.</p><p>Free services are not free if the cost is your child learning:</p><ul><li><p>that compliance matters more than safety,</p></li><li><p>that discomfort must be hidden,</p></li><li><p>that adults own their body,</p></li><li><p>that authentic communication is dangerous,</p></li><li><p>or that masking is required for acceptance.</p></li></ul><p>The pressure on families is enormous.<br>Parents are frightened.<br>They are often isolated.<br>They are told early intervention is urgent.<br>They are warned that refusal may doom their child&#8217;s future.</p><p>Under those conditions, institutional authority becomes coercive even without explicit force.</p><p>That is why public criticism of ABA institutions is not merely &#8220;controversy.&#8221;</p><p>It is consumer protection.<br>It is disability rights advocacy.<br>It is informed consent advocacy.<br>It is anti-coercion advocacy.</p><p>Most importantly, it is educational activism.</p><p>Because the goal is not to force every parent into identical decisions.</p><p>The goal is to ensure parents can actually <em>recognize what they are consenting to.</em></p><p>A parent who understands misbehaviorism may still choose certain supports.<br>But they do so with eyes open.</p><p>That changes everything.</p><p>The future of autistic advocacy depends less on institutional messaging and more on whether ordinary parents can independently identify coercive conditioning when it is presented as care.</p><p>Once they can see it, the spell breaks.</p><p>And institutions that relied on blind trust suddenly have to answer questions they were never prepared to face.</p><div><hr></div><p>Join the discussion on <a href="https://www.facebook.com/HennyKupferstein/posts/pfbid032GHKztmLDWRbqaPwpgeeZFzPVwrN3pjbbMnQ36Ui7cz618N4ZazfaAsJzfA78N92l">FaceBook</a> or <a href="https://www.linkedin.com/posts/hennykupferstein_take-off-your-shirt-when-compliance-training-share-7461533150871965696-5ZyW?utm_source=share&amp;utm_medium=member_desktop&amp;rcm=ACoAAAvV29cBdPrKNrxjq609sDO3Ms5A4wcPuXI">LinkedIn</a></p>]]></content:encoded></item><item><title><![CDATA[Goodbye, Ample Joy 👋 No more ABA companies in Corona, California! ]]></title><description><![CDATA[Goodbye, Ample Joy &#128075;]]></description><link>https://drhenny.substack.com/p/goodbye-ample-joy-no-more-aba-companies</link><guid isPermaLink="false">https://drhenny.substack.com/p/goodbye-ample-joy-no-more-aba-companies</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Tue, 05 May 2026 04:15:14 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!gemL!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3dd2017-7fdd-4fdc-83d3-b624c877d3ea_1108x1108.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Goodbye, Ample Joy &#128075;<br>No more ABA companies in Corona, California! <br><br>One less operation at 1411 Rimpau Ave&#8212;registered since 2021, providied ABA services under a multi-specialty clinic model, untill they ran out of kids to abuse. <br><br>Thank you to the parents who made empowered informed choices. #banABA #yesALLaba <br><br>The system is shifting. The accountability is ca&#8230;</p>
      <p>
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   ]]></content:encoded></item><item><title><![CDATA[No Paywall: America’s Go-To Autism Therapy Is Also the Most Controversial [Bloomberg]]]></title><description><![CDATA[May 1, 2026, 6:00 AM EDT]]></description><link>https://drhenny.substack.com/p/no-paywall-americas-go-to-autism</link><guid isPermaLink="false">https://drhenny.substack.com/p/no-paywall-americas-go-to-autism</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sat, 02 May 2026 21:33:03 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!7uat!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I paid for this article, so I can share it here. (please donate to help me remain active) <a href="https://doogri.org/donate">doogri.org/donate</a> <br><br><br><strong><a href="https://www.bloomberg.com/news/features/2026-05-01/what-is-aba-therapy-autism-treatment-faces-questions-of-effectiveness?embedded-checkout=true">America&#8217;s Go-To Autism Therapy Is Also the Most Controversial</a> [Bloomberg]<br></strong> ABA has become big business, with parents and patients who swear by it. Critics call it harmful.</p><p><br>By Amanda Cantrell and Christopher Beam<br><br>Kaelynn Partlow doesn&#8217;t seem like she&#8217;d have haters. The friendly, energetic 29-year-old is best known for appearing on Love on the Spectrum, the Netflix reality show about the joy and agony of dating as an autistic person. These days, she lives in Greenville, South Carolina, and works with autistic kids. She also gives talks around the country and has developed a huge following on social media, where she posts videos debunking misconceptions about autism and offering advice for interacting with autistic people.<br><br>Yet Partlow has a tendency to make people mad online. There was the time she posted a video in which a colleague purposely mispronounced Zohran Mamdani&#8217;s name, drawing accusations of racism. Or when she used the phrase &#8220;human meat puppet&#8221; to refer to the practice of helping autistic people use certain types of assisted communication. Or when she suggested that highly articulate autistic people like herself aren&#8217;t given as much grace as those with low verbal skills. She deleted or apologized after each of these missteps, all of which could be chalked up to the classic autistic difficulty with reading a room.<br><br>But to some of her detractors, those gaffes aren&#8217;t the worst of it. Critics consistently object to her earnest endorsement of a form of autism therapy called applied behavior analysis, or ABA. Partlow was hyperactive and distracted as a child, and she struggled with dyslexia and dyscalculia. &#8220;I failed the third grade, which you wouldn&#8217;t think you could do, but I did,&#8221; she says. After that, she was diagnosed with autism. She tried a few different kinds of therapy over the years&#8212;occupational therapy, speech language therapy&#8212;but eventually embraced ABA.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7uat!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7uat!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 424w, https://substackcdn.com/image/fetch/$s_!7uat!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 848w, https://substackcdn.com/image/fetch/$s_!7uat!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!7uat!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7uat!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg" width="1200" height="600" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:600,&quot;width&quot;:1200,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:110029,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/196261476?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!7uat!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 424w, https://substackcdn.com/image/fetch/$s_!7uat!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 848w, https://substackcdn.com/image/fetch/$s_!7uat!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!7uat!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a3853f5-f5ee-4307-b5f0-4449ce02eb59_1200x600.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><br><br>Click to read without a paywall:</p><div><hr></div><p></p><p> <a href="https://docs.google.com/document/d/e/2PACX-1vRbCbn91obzcRsUGCfX1c49_w0MZakACPrbCQjt1m0C5cbhnqKW4HtyXK_QcBP3GpUbxtrsSyqU_tER/pub">https://docs.google.com/document/d/e/2PACX-1vRbCbn91obzcRsUGCfX1c49_w0MZakACPrbCQjt1m0C5cbhnqKW4HtyXK_QcBP3GpUbxtrsSyqU_tER/pub</a></p>]]></content:encoded></item><item><title><![CDATA[Parents Sue Washington Over Medicaid Care — While California Faces Federal Scrutiny for Paying Them ]]></title><description><![CDATA[Should taxpayers fund stay-at-home parents?]]></description><link>https://drhenny.substack.com/p/parents-sue-washington-over-medicaid</link><guid isPermaLink="false">https://drhenny.substack.com/p/parents-sue-washington-over-medicaid</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sat, 25 Apr 2026 21:51:01 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!u8RZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>A lawsuit in Washington state is forcing a question policymakers have largely avoided: should parents of disabled children be paid by Medicaid when they provide care themselves? At first glance, the idea appears to collapse a basic distinction&#8212;parenting has never been treated as billable labor, even in demanding circumstances. But the families suing the state are not arguing that parenting should be compensated. Their claim is narrower.</p><p>They argue that the state has already agreed to fund their child&#8217;s medically necessary care and has authorized specific hours of service, but cannot find anyone to deliver them. One parent, Katie Scheid, left her job to care for her daughter, who qualifies for 185 hours of personal care per month due to cerebral palsy. The issue, as framed by the plaintiffs, is not whether care should be funded, but what happens when the system cannot supply the workforce required to deliver it.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!u8RZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!u8RZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 424w, https://substackcdn.com/image/fetch/$s_!u8RZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 848w, https://substackcdn.com/image/fetch/$s_!u8RZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!u8RZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!u8RZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg" width="1456" height="854" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:854,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:538698,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/195477771?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!u8RZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 424w, https://substackcdn.com/image/fetch/$s_!u8RZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 848w, https://substackcdn.com/image/fetch/$s_!u8RZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!u8RZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe240c266-48bc-4fa6-bfb3-2454bdd37dfc_2048x1201.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"> Families of children with developmental disabilities testified in front of a Washington House committee last year. (Photo courtesy of Katie Scheid)  </figcaption></figure></div><p>The case (<a href="https://storage.courtlistener.com/recap/gov.uscourts.wawd.358192/gov.uscourts.wawd.358192.1.0.pdf">W.D. Wash., Case No. 358192</a>) is a federal class action brought by parents of children with significant disabilities, many of whom require intensive, often continuous supervision . The central allegation is that Washington is violating federal Medicaid law by authorizing in-home care services but failing to actually provide them. According to the complaint, the state approves hours of care that go unfilled due to workforce shortages, leaving families with what amounts to &#8220;paper benefits.&#8221; Parents then absorb the care themselves, often exiting the workforce and incurring financial strain, while the state maintains a policy that generally bars parents of minors from being paid providers even when no alternative exists.</p><p>The plaintiffs&#8217; legal theory draws on Medicaid&#8217;s &#8220;reasonable promptness&#8221; requirement, arguing that prolonged inability to staff services amounts to a constructive denial. They also invoke access and comparability rules, asserting that a benefit that cannot be used is not meaningful access, as well as ADA and Olmstead principles requiring care in the least restrictive setting, which they argue is undermined when in-home services are unavailable.</p><p>From that framework, the plaintiffs advance a conditional claim: when no providers are available, parents should be recognized and paid as caregivers of last resort. They are seeking not only system reforms to ensure services are actually delivered, but also the option for parent compensation under those circumstances, alongside court enforcement of federal Medicaid obligations . The complaint repeatedly emphasizes that this is not a request to pay parents for ordinary caregiving, but for medically necessary services already approved by the state.</p><p>The underlying factual premise is a severe and persistent direct-care workforce shortage, with families reporting months or years without staffing and an inability to hire providers at all. The state&#8217;s counterposition, however, turns on a different reading of Medicaid law: that it guarantees coverage of services, not a right to be paid or to substitute oneself as a provider. Under that view, a failure of access triggers system-level reform, not automatic expansion of eligibility to include parents as compensated caregivers.</p><div><hr></div><h2><strong>The Parallel in California</strong></h2><p>At the same time, California operates a system that has already adopted the model Washington plaintiffs are seeking. Through its In-Home Supportive Services (IHSS) program, California permits beneficiaries to hire caregivers directly, including family members and, in many cases, parents.</p><p>That system has scaled significantly. Over roughly a decade, IHSS spending has increased from approximately $8.2 billion to an estimated $28.5 billion annually. This growth is defended by the state as consistent with federal policy encouraging a shift from institutional care to home- and community-based services.</p><p>Yet that same expansion has triggered federal scrutiny. In January 2026, the Centers for Medicare &amp; Medicaid Services (CMS) requested a detailed program integrity action plan from California, focusing on expenditure growth and structural risks within the program. CMS has not challenged the underlying policy of home-based care. The concern is narrower and more structural.</p><p>Medicaid requires that reimbursed services be medically necessary, defined, and verifiable. As programs expand, especially those relying on self-directed care and family caregivers, those requirements become harder to maintain.</p><p>California&#8217;s response to CMS emphasizes oversight mechanisms: audits, electronic timesheets, fraud detection systems, and enforcement actions. These tools are allegedly designed to confirm that billed services were performed. They are less effective at addressing whether the services themselves are sufficiently bounded to qualify as medical assistance.</p><p>This issue becomes most visible in service categories built around continuous supervision. When authorized care consists of ongoing monitoring rather than discrete clinical tasks, reimbursement is tied to time rather than intervention. The distinction between compensable service and general caregiving becomes increasingly difficult to sustain.</p><p>Washington&#8217;s refusal to broadly authorize parent payment can be understood in this context. The state is not disputing that care is needed or that families are absorbing unmet demand. It is maintaining a narrower boundary: that the absence of an available provider does not automatically convert a parent into a reimbursable one.</p><p>This position reflects a different interpretation of Medicaid&#8217;s structure. Under this view, Medicaid guarantees coverage of defined services, but it does not guarantee the availability of a workforce, nor does it require that beneficiaries or their families be substituted as providers when shortages arise.</p><div><hr></div><h2><strong>The Structural Tension</strong></h2><p>The dispute between the Washington plaintiffs and the state turns on whether access to services includes not only authorization but fulfillment. The plaintiffs argue that failure to deliver services triggers an obligation to recognize parents as providers. The state treats that step as a categorical shift, not a logistical adjustment.</p><p>California&#8217;s experience illustrates the implications of resolving that tension in favor of substitution. Incorporating parents as providers at scale changes how services are defined, how they are monitored, and how program growth occurs. Oversight moves toward verifying hours rather than adjudicating medical necessity, and the boundary between service provision and caregiving becomes less distinct.</p><p>Federal scrutiny of California suggests concern with that trajectory, even as the broader policy direction toward home-based care remains intact. The Washington case presents the same structural question at an earlier stage. It asks whether a state must adapt its payment model when service delivery fails, or whether it may maintain a stricter boundary around who qualifies as a Medicaid provider.</p><p>The outcome will not resolve the underlying tension between access and definition. It will determine how that tension is managed&#8212;either by expanding the set of reimbursable providers or by preserving a narrower conception of what Medicaid is intended to fund.</p>]]></content:encoded></item><item><title><![CDATA[When Your Child’s “Ooo” and “Ahh” Becomes Evidence of ABA’s Effectiveness]]></title><description><![CDATA[misbehaviorist.com]]></description><link>https://drhenny.substack.com/p/when-your-childs-ooo-and-ahh-becomes</link><guid isPermaLink="false">https://drhenny.substack.com/p/when-your-childs-ooo-and-ahh-becomes</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sat, 18 Apr 2026 01:07:57 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!drYV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87224f76-1dce-4f93-b2dd-bab5d8e1bd57_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In 2023, Kristin S. Bowman submitted <em><a href="https://www.proquest.com/docview/2812309940/E9FD25E788114B3DPQ/1?accountid=34120&amp;sourcetype=Dissertations%20&amp;%20Theses">Evaluating the Effect of Physical Prompts on Echoic Responses</a></em> to Endicott College as part of a Ph.D. in Applied Behavior Analysis. The study focused on autistic children who were not speaking despite intensive behavior therapy. Within this framework, speech was regarded as the <strong>preferred modality</strong> and a predictor of later independence. The researcher questioned whether adding new techniques could increase speech when standard methods did not work. The experiment examined whether children could be trained to produce speech sounds during ABA therapy.</p>
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          <a href="https://drhenny.substack.com/p/when-your-childs-ooo-and-ahh-becomes">
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   ]]></content:encoded></item><item><title><![CDATA[You’ve seen the headlines: “Applied Behavioral Analysis Services Market Is Going to Boom.”]]></title><description><![CDATA[scam alert]]></description><link>https://drhenny.substack.com/p/youve-seen-the-headlines-applied</link><guid isPermaLink="false">https://drhenny.substack.com/p/youve-seen-the-headlines-applied</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Tue, 07 Apr 2026 20:51:14 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!wRh7!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7958ea39-90b8-402c-8ca1-af326df46f0e_800x800.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>You&#8217;ve seen the headlines: &#8220;<a href="https://www.openpr.com/news/4458016/applied-behavioral-analysis-services-market-is-going-to-boom">Applied Behavioral Analysis Services Market Is Going to Boom</a>.&#8221; This &#8220;Applied Behavioral Analysis Services Market&#8221; forecast isn&#8217;t neutral research. It is a marketing ploy dressed up as &#8220;industry analysis&#8221; to make it look like the ABA industry has soberly evaluated its own trends and future, when in reality it just funnels you to a sales page.</p>
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   ]]></content:encoded></item><item><title><![CDATA[San Diego, CA: What really happened to Comprehensive Autism Center (CAC) founder Andrea “Andi” Macken, BCBA? ]]></title><description><![CDATA[A story of greed and private equity]]></description><link>https://drhenny.substack.com/p/san-diego-ca-what-really-happened</link><guid isPermaLink="false">https://drhenny.substack.com/p/san-diego-ca-what-really-happened</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Fri, 27 Mar 2026 23:30:40 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!_hHo!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h2><strong>When &#8220;Gold Standard&#8221; ABA Clinics Close: What Really Happened to Comprehensive Autism Center in San Diego</strong></h2><p>If you are a parent in <strong>San Diego, California</strong> searching for <strong>&#8220;ABA therapy near me&#8221;</strong>, you may have come across <strong><a href="https://www.yelp.com/biz/comprehensive-autism-center-san-diego">Comprehensive Autism Center</a></strong> at <strong>3655 Ruffin Rd, Suite 100, San Diego, CA 92123</strong>. This clinic marketed itself as providing <strong>&#8220;clinically proven&#8221; <a href="https://www.yelp.com/biz/comprehensive-autism-center-san-diego">Applied Behavior Analysis</a> (ABA)</strong> services for autistic children and developmental delays.</p><p>This article explains what happened to <strong>Comprehensive Autism Center</strong>, who owned it, why two Southern California locations are now <strong><a href="https://bhbusiness.com/2026/03/27/unison-autism-services-entity-to-close-2-facilities-lay-off-staff/">closing permanently</a></strong>, and what that means for autistic children and families in <strong>San Diego</strong>.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!_hHo!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!_hHo!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 424w, https://substackcdn.com/image/fetch/$s_!_hHo!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 848w, https://substackcdn.com/image/fetch/$s_!_hHo!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 1272w, https://substackcdn.com/image/fetch/$s_!_hHo!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!_hHo!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp" width="336" height="336" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1129,&quot;width&quot;:1129,&quot;resizeWidth&quot;:336,&quot;bytes&quot;:38404,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/192364548?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!_hHo!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 424w, https://substackcdn.com/image/fetch/$s_!_hHo!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 848w, https://substackcdn.com/image/fetch/$s_!_hHo!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 1272w, https://substackcdn.com/image/fetch/$s_!_hHo!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7cf2cf09-224e-4390-8355-59f2fc81a21e_1129x1129.webp 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"><a href="https://cw.sdmag.com/healthcare/healthcare-pioneer?entry_id=686ec182af0ab304248bf56e">San Diego Magazine:</a> Andi Macken, Founder and Executive Leadership at Comprehensive Autism Center (2008) 2. Master of Arts in Clinical Psychology from Pepperdine University and a Bachelor of Science in Psychology with an emphasis in Biology from West Virginia University 3. Board Certified Behavior Analyst</figcaption></figure></div><div><hr></div><h2><strong>The story parents were told: &#8220;gold standard&#8221; ABA, community&#8209;oriented care</strong></h2><p><strong>Comprehensive Autism Center (CAC)</strong> was founded in 2008 by <strong>Board Certified Behavior Analyst (BCBA) Andrea <a href="https://cw.sdmag.com/healthcare/healthcare-pioneer?entry_id=686ec182af0ab304248bf56e">&#8220;Andi&#8221; Macken</a></strong> in Southern California . CAC built a business around <strong><a href="https://www.prnewswire.com/news-releases/provident-healthcare-partners-advises-comprehensive-autism-center-in-its-acquisition-by-speech-pathology-group-300977799.html">in&#8209;home and center&#8209;based ABA</a></strong> targeting infants, toddlers, and young autistic children across <strong>San Diego, Riverside, Orange, Los Angeles, Ventura, Santa Clara, Monterey, and San Benito</strong> counties.</p><p>In a national <strong>press release</strong> about the company&#8217;s later sale, CAC&#8217;s services were described as <strong>&#8220;clinically proven, community&#8209;oriented, and outcome&#8209;tracking treatments&#8221;</strong> and as an <strong>&#8220;<a href="https://www.prnewswire.com/news-releases/provident-healthcare-partners-advises-comprehensive-autism-center-in-its-acquisition-by-speech-pathology-group-300977799.html">industry leading approach to ABA therapy</a>&#8221;</strong>.</p><p>Investors and advisers praised <strong>Andrea &#8220;Andi&#8221; Macken</strong> and the CAC clinical team for creating a <strong>&#8220;gold standard in ABA&#8221;</strong> and for supposedly shaping <strong>&#8220;<a href="https://www.paragonventures.com/market-pulse-posts/comprehensive-autism-center-acquired-by-speech-pathology-group">the future of the industry in an incredibly positive way</a>&#8221;</strong>.</p><h2><strong>The 2019&#8211;2020 sale: Comprehensive Autism Center becomes an investment asset</strong></h2><p>By late 2019, <strong>Comprehensive Autism Center</strong> was no longer just a local <strong>San Diego autism clinic</strong>. It became a <strong><a href="https://www.paragonventures.com/market-pulse-posts/comprehensive-autism-center-acquired-by-speech-pathology-group/">financial asset</a></strong> purchased by a private&#8209;equity&#8209;backed consolidator.</p><ul><li><p>In <strong>December 2019</strong>, <strong>Comprehensive Autism Center was acquired by the Speech Pathology Group (SPG)</strong>, described as <strong>&#8220;<a href="https://www.prnewswire.com/news-releases/provident-healthcare-partners-advises-comprehensive-autism-center-in-its-acquisition-by-speech-pathology-group-300977799.html">a portfolio company of Ridgemont Equity Partners</a>&#8221;</strong>.</p></li><li><p>The release, issued from <strong>Boston</strong> and <strong>Los Angeles</strong>, makes clear that this was a <strong>buyout</strong>, with <strong><a href="https://www.prnewswire.com/news-releases/provident-healthcare-partners-advises-comprehensive-autism-center-in-its-acquisition-by-speech-pathology-group-300977799.html">Provident Healthcare Partners</a></strong> serving as <strong>exclusive financial advisor to Comprehensive Autism Center</strong>.</p></li><li><p>Deal commentary emphasizes that the transaction would give <strong>Andrea and Chris Macken</strong> and CAC <strong>&#8220;the resources to&#8230;impact <a href="https://www.paragonventures.com/market-pulse-posts/comprehensive-autism-center-acquired-by-speech-pathology-group/">far more families in Southern California and beyond</a>&#8221;</strong>.</p></li></ul><p>In other words, the <strong>ABA clinic</strong> where San Diego parents brought their autistic children for therapy was folded into a larger <strong>private&#8209;equity structure</strong>, controlled not by local families, but by <strong><a href="https://bhbusiness.com/2021/11/04/ridgemont-equity-reorganizes-autism-i-dd-companies-under-new-parent-company/">Ridgemont Equity Partners</a></strong> and their portfolio company, <strong>The Speech Pathology Group.</strong></p><div><hr></div><h2><strong>Unison Therapy Services: another ownership change on top of your child&#8217;s care</strong></h2><p>The consolidation did not stop there. <strong>Ridgemont Equity Partners</strong> later reorganized its autism and developmental disability companies into <strong><a href="https://bhbusiness.com/2021/11/04/ridgemont-equity-reorganizes-autism-i-dd-companies-under-new-parent-company/%20and%20to:%20https://www.ridgemontep.com/press-releases/spg-announces-the-formation-of-unison-therapy-services/">Unison Therapy Services</a></strong>, grouping together <strong>SPG Therapy &amp; Education</strong> and <strong>Comprehensive Autism Center</strong>.</p><p>By 2025, another investor, <strong><a href="https://www.ridgemontep.com/press-releases/spg-announces-the-formation-of-unison-therapy-services">Ascend Capital Partners</a></strong>, announced that it had purchased <strong>Unison Therapy Services</strong> and held a <strong>majority stake</strong> in the platform. That means the clinic where your child might receive ABA in <strong>San Diego</strong> is at least two layers removed from its original founder and structurally accountable to <strong>private&#8209;equity returns</strong>, not to your family or the autistic community.</p><div><hr></div><h2><strong>The reality in 2026: WARN notices, permanent closures, and layoffs</strong></h2><p>On paper and on Yelp, <strong>Comprehensive Autism Center &#8211; 3655 Ruffin Rd Ste 100, San Diego, CA 92123</strong> looks like just another friendly autism clinic, described as offering <strong><a href="https://www.yelp.com/biz/comprehensive-autism-center-san-diego">ABA programs for children</a></strong> and <strong>individualized ABA</strong> that &#8220;begins with an assessment&#8221; and focuses on &#8220;the unique abilities of each child&#8221;.</p><p>But in 2026,<a href="https://californiawarn.com/companies/comprehensive-autism-center.html"> </a><strong><a href="https://californiawarn.com/companies/comprehensive-autism-center.html">California WARN Act</a></strong><a href="https://californiawarn.com/companies/comprehensive-autism-center.html"> records</a> tell a different story :</p><ul><li><p>The <strong>California WARN Act filing for <a href="https://californiawarn.com/companies/comprehensive-autism-center.html">Comprehensive Autism Center</a></strong> lists <strong>3655 Ruffin Rd, Suite 100, San Diego, CA 92123</strong> as a <strong>&#8220;Closure / Permanent&#8221;</strong> event, with <strong><a href="https://edd.ca.gov/siteassets/files/jobs_and_training/warn/warn_report1.xlsx">35 employees affected</a></strong>.</p></li><li><p>A national industry outlet reports that <strong>Comprehensive Autism Center will close two of its three clinics</strong>, resulting in <strong><a href="https://bhbusiness.com/2026/03/27/unison-autism-services-entity-to-close-2-facilities-lay-off-staff">62 employees laid off</a></strong><a href="https://bhbusiness.com/2026/03/27/unison-autism-services-entity-to-close-2-facilities-lay-off-staff"> at </a><strong><a href="https://bhbusiness.com/2026/03/27/unison-autism-services-entity-to-close-2-facilities-lay-off-staff">two Southern California locations</a></strong>, effective <strong>May 31, 2026</strong>.</p></li><li><p>That same coverage notes that <strong>Comprehensive Autism Center, founded in 2008 by Andrea Macken</strong>, will continue operating only <strong>one clinic in Temecula, California</strong> while <strong><a href="https://bhbusiness.com/2026/03/27/unison-autism-services-entity-to-close-2-facilities-lay-off-staff">closing the other two clinics</a></strong>.</p></li></ul><p>For families in the <strong>San Diego area</strong>, the ABA clinic that sold itself as <strong>stable</strong>, <strong>community&#8209;oriented</strong>, and backed by <strong>&#8220;gold standard&#8221; care</strong> has now issued <strong>permanent closure notices</strong> and <strong>mass layoffs</strong> at the Ruffin Road location.</p><p>When an <strong>autism clinic</strong> is sold to a <strong><a href="https://bourne-partners.com/wp-content/uploads/2025/09/Autism-Therapy-Report_Bourne-Partners.pdf">private&#8209;equity&#8209;backed chain</a></strong>, your child&#8217;s access to services is subject to <a href="https://www.brentwoodcap.com/app/uploads/2025/04/BCA-Autism-Market-Report-vWebsite-Blurred.pdf">investment decisions </a>made far from <strong>San Diego</strong>. Investors decide which locations to close, when to lay off staff, and how to restructure services to protect <strong>profit margins</strong>.</p><p>For autistic children in <strong>San Diego</strong>, the closure of <strong>Comprehensive Autism Center&#8217;s Ruffin Road clinic</strong> means abrupt disruption, fewer local options, and families suddenly scrambling because a financial platform&#8212;not clinical necessity&#8212;dictated the change.</p><div><hr></div><h2><strong>What parents in San Diego should know before choosing ABA</strong></h2><p>If you are searching online for <strong>&#8220;ABA therapy San Diego&#8221;</strong>, <strong>&#8220;autism center Ruffin Road&#8221;</strong>, or <strong>&#8220;Comprehensive Autism Center San Diego&#8221;</strong>, here are questions you deserve to ask before you sign anything:</p><ul><li><p><strong>Who owns this clinic right now?</strong> Is it a local clinician or a <strong>private&#8209;equity platform</strong> like <strong>Unison Therapy Services</strong>?</p></li><li><p><strong>How many times has this clinic changed ownership</strong> in the last 5&#8211;10 years, and what happened to families and staff after each deal?</p></li><li><p><strong>Has this company filed WARN notices or announced closures or layoffs in California?</strong></p></li><li><p>Does the clinic pressure you into <strong>intensive ABA hours</strong> and long contracts, and ask you to leave your child unattended during &#8216;therapy&#8217; ?</p></li></ul><p>Parents deserve full transparency about <strong>who profits from their child&#8217;s diagnosis</strong> and what happens when investors decide the numbers no longer work. You do not have to accept that <strong>ABA is your only option</strong> or that your child&#8217;s support should be tied to <strong>private&#8209;equity business models</strong>. Autistic&#8209;led, <strong>non&#8209;behaviorist</strong>, rights&#8209;respecting supports exist precisely because autistic people have documented these patterns of harm and closure.</p>]]></content:encoded></item><item><title><![CDATA[When Behaviorists Become the Data: The Heather Gonzales Case ]]></title><description><![CDATA[Beautiful Trouble: Hoax]]></description><link>https://drhenny.substack.com/p/when-behaviorists-become-the-data</link><guid isPermaLink="false">https://drhenny.substack.com/p/when-behaviorists-become-the-data</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Thu, 26 Mar 2026 16:18:55 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Xb4F!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In the case of Heather Gonzales, a strategy drawn from <em><strong><a href="https://amzn.to/4tfsYNA">Beautiful Trouble</a></strong></em> was applied with precision. The principle we used was &#8220;hoax,&#8221; involving a controlled reframing that forces a system to encounter its own assumptions in public. Nothing was fabricated. The method relied entirely on the behaviorist evidence base itself. We reconstructed it from <a href="https://misbehaviorist.com/2025/12/23/four-children-and-a-stopwatch-what-counts-as-research-in-aba/">her doctoral research</a> and placed it back into the conditions it claims to govern.</p><p>What followed was not argument, but observation. The same principles used to interpret and shape behavior were <a href="https://misbehaviorism.com/2026/03/17/heather-gonzales-and-the-pathology-of-misbehaviorism/">extended into the public domain</a> and applied without reinforcement, without participation, and without interference. Under those conditions, the model did not stabilize behavior as expected.</p><p>Within these conditions, the response developed without external shaping. Communication intensified, attention shifted toward the practitioner, and the interaction reorganized around managing the exchange rather than addressing the initial subject of critique.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Xb4F!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Xb4F!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Xb4F!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Xb4F!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!Xb4F!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Xb4F!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1284368,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/192222453?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Xb4F!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Xb4F!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Xb4F!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!Xb4F!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcdcde560-15e6-4f98-80c7-bf408867d479_1536x1024.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The significance of this method lies in what it makes visible. When a system is observed without participation, its ability to redirect, absorb, or stabilize critique is reduced. What remains is the pattern of behavior that emerges in the absence of those mechanisms.</p><div id="youtube2-zgL63iHDDD4" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;zgL63iHDDD4&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/zgL63iHDDD4?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p>The results made <strong><a href="http://www.misbehaviorism.com">Misbehaviorism</a></strong> visible for public examination. <em>Read how Heather Gonzalez progressed through the applied intervention:</em></p>
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   ]]></content:encoded></item><item><title><![CDATA[The Self-Determination Trap: Why California’s System Undermines the Rights It Promises]]></title><description><![CDATA[California's Lanterman Act]]></description><link>https://drhenny.substack.com/p/the-self-determination-trap-why-californias</link><guid isPermaLink="false">https://drhenny.substack.com/p/the-self-determination-trap-why-californias</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Wed, 25 Mar 2026 01:52:28 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!gemL!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3dd2017-7fdd-4fdc-83d3-b624c877d3ea_1108x1108.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>California&#8217;s CA AB1575 Introduces changes to the Lanterman Act, and proposes to change the Governor&#8217;s duties from &#8220;His&#8221; to &#8220;Their&#8221; and other insignificant changes to the law. </p><p>Soon, &#8220;Consumers&#8221; might become &#8220;person eligible to receive services&#8221;. Hmmmmmm. chin scratcher. </p><p>The Lanterman Act governs the Department of Developmental services, and establishes the Self Determination rules for people like me, who are dependent on public programs for daily living supports.</p><p><strong><a href="https://hennyk.com/2023/03/17/i-asked-chatgpt-to-write-an-individualized-program-plan-ipp-for-the-california-self-determination-program-sdp/">I am Self Determined</a></strong>, but the California Governor doesn&#8217;t think about my daily lived experience as valuable data into program reform.</p><p>Here&#8217;s where they miss the mark. </p><p>Read the free article: <strong><a href="https://thelantermanact.com/2026/03/24/the-lanterman-act-might-change-the-pronouns-of-the-governor-and-change-the-word-consumer-to-person-eligible/">The Lanterman Act Might change the pronouns of the Governor, and Change the word &#8220;Consumer&#8221; to &#8220;person eligible&#8221; </a></strong></p><p></p><p><strong><a href="https://www.facebook.com/hashtag/abolishregionalcenters?__eep__=6&amp;__cft__[0]=AZYU0FDzUAnKM3srZWmIif88AlMjVdgoGMs6qcl34CFINORLjY1ZCoEQXf4vBF7cgZQSA_Z6TPbq-SuZkq0MYAWTPEiDpPVmxov6pPxzfRmNfhZQ2cM6XHghjdlb0ZR-wcYZtXi1c0V-tzW7jU9BmAeN6s2NhwCpaZm6fwR6NgI61T_KUmI98cEhmCfhZQLvR-M&amp;__tn__=*NK-R">#abolishregionalcenters</a></strong> <strong><a href="https://www.facebook.com/hashtag/regionalcenter?__eep__=6&amp;__cft__[0]=AZYU0FDzUAnKM3srZWmIif88AlMjVdgoGMs6qcl34CFINORLjY1ZCoEQXf4vBF7cgZQSA_Z6TPbq-SuZkq0MYAWTPEiDpPVmxov6pPxzfRmNfhZQ2cM6XHghjdlb0ZR-wcYZtXi1c0V-tzW7jU9BmAeN6s2NhwCpaZm6fwR6NgI61T_KUmI98cEhmCfhZQLvR-M&amp;__tn__=*NK-R">#RegionalCenter</a></strong> <strong><a href="https://www.facebook.com/hashtag/killthebill?__eep__=6&amp;__cft__[0]=AZYU0FDzUAnKM3srZWmIif88AlMjVdgoGMs6qcl34CFINORLjY1ZCoEQXf4vBF7cgZQSA_Z6TPbq-SuZkq0MYAWTPEiDpPVmxov6pPxzfRmNfhZQ2cM6XHghjdlb0ZR-wcYZtXi1c0V-tzW7jU9BmAeN6s2NhwCpaZm6fwR6NgI61T_KUmI98cEhmCfhZQLvR-M&amp;__tn__=*NK-R">#killthebill</a></strong> </p>]]></content:encoded></item><item><title><![CDATA[Allied Health Professionals - help the #banABA Initiative (tag a colleague)]]></title><description><![CDATA[Doogri Institute: Allied Health Scope & Integrity Council (Working Name)]]></description><link>https://drhenny.substack.com/p/allied-health-professionals-help</link><guid isPermaLink="false">https://drhenny.substack.com/p/allied-health-professionals-help</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Thu, 26 Feb 2026 14:02:53 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!gemL!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3dd2017-7fdd-4fdc-83d3-b624c877d3ea_1108x1108.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>SUNDAY MARCH 1st, 12:15 pacific time (email me for zoom link. You must be a master&#8217;s level clinician or above to join). </p><div class="instagram-embed-wrap" data-attrs="{&quot;instagram_id&quot;:&quot;DTtsaBkj1QY&quot;,&quot;title&quot;:&quot;Dr. Henny Kupferstein &#11088;&#65039; on Instagram: \&quot;I am Dr. Henny Kupferst&#8230;&quot;,&quot;author_name&quot;:&quot;@drhennyk&quot;,&quot;thumbnail_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/__ss-rehost__IG-meta-DTtsaBkj1QY.jpg&quot;,&quot;like_count&quot;:null,&quot;comment_count&quot;:null,&quot;profile_pic_url&quot;:null,&quot;follower_count&quot;:null,&quot;timestamp&quot;:null,&quot;belowTheFold&quot;:false}" data-component-name="InstagramToDOM"></div><p><strong>Doogri Institute Council Concept</strong></p><p><strong>Allied Health Scope &amp; Integrity Council (Working Name)</strong></p><p><strong>Core Purpose (Plain Language)</strong></p><p>To bring licensed allied health professionals together to protect children and families from misleading or inappropriate service claims, and to strengthen professional boundaries in educational and clinical settings&#8212;especially where non-licensed or minimally trained roles attempt to substitute for licensed care.</p><p></p><p><strong>1. Mission Statement (Draft)</strong></p><p><strong>The Doogri Institute convenes the Allied Health Scope &amp; Integrity Council to uphold ethical, evidence-based practice across pediatric and educational systems by strengthening scope-of-practice clarity, title protection, and accountability in multidisciplinary care.</strong></p><p>The Council works to ensure that:</p>
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   ]]></content:encoded></item><item><title><![CDATA[When the headlines hit — “Two-Thirds of Non-Speaking Autistic Children Gained Speech With Therapy” — my phone started lighting up.]]></title><description><![CDATA[misbehaviorism.com]]></description><link>https://drhenny.substack.com/p/when-the-headlines-hit-two-thirds</link><guid isPermaLink="false">https://drhenny.substack.com/p/when-the-headlines-hit-two-thirds</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Thu, 26 Feb 2026 03:38:14 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!8xHn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Understood. No slogans. No generational cadence. Just a steady account of what happened and why.</p><p>Here is the narrative version, written in a continuous flow:</p><div><hr></div><p>When the headline began circulating &#8212; &#8220;<a href="https://www.psypost.org/two-thirds-of-non-speaking-autistic-children-gain-speech-with-evidence-based-therapy/">Two-Thirds of Non-Speaking Autistic Children Gained Speech With Therapy</a>&#8221; &#8212; it was presented as a breakthrough. It was shared by clinicians, reposted by advocacy organizations, and absorbed by parents who are already navigating a system that tells them early intervention is everything. The message was simple and reassuring: therapy works. Most children gain speech.</p><p>I read the study itself before commenting. The title was more restrained: <em>&#8220;<a href="https://www.tandfonline.com/doi/full/10.1080/15374416.2025.2579286#d1e474">Proportion and Profile of Autistic Children Not Acquiring Spoken Language Despite Receiving Evidence-Based Early Interventions</a>.&#8221;</em> That is not a claim of efficacy. It is a descriptive study of outcomes among children who were already receiving intervention. There was no control group. The paper did not demonstrate that therapy caused speech acquisition. It documented that many children developed speech while enrolled in therapy. Those are not equivalent claims.</p><h3><a href="https://misbehaviorism.com/2026/02/25/two-thirds-of-non-speaking-autistic-children-gained-speech-so-what/">Two-Thirds of Non-Speaking Autistic Children Gained Speech &#8212; So What?</a></h3><p>The difference matters because once causation is implied, responsibility shifts. If therapy &#8220;produces&#8221; speech, then a child who does not speak becomes evidence of insufficient intervention, delayed services, or parental failure. That narrative has consequences. It influences insurance mandates. It shapes school district policy. It intensifies pressure on families. It narrows the definition of progress to spoken words.</p><p>The article I wrote for Misbehaviorism.com (<a href="https://misbehaviorism.com/2026/02/25/two-thirds-of-non-speaking-autistic-children-gained-speech-so-what/">Two-Thirds of Non-Speaking Autistic Children Gained Speech &#8212; So What?</a>) began as a narrow methodological clarification. It grew as the response unfolded. Other autistic advocates were reading the paper at the same time. Conversations moved quickly. We compared the headline to the abstract. We looked at how &#8220;gained speech&#8221; was defined. We examined the NIH grant that funded the work. We asked what the study changed in practical terms for autistic people.</p><p>The grant, approximately $1.15 million over four years, was designed to examine &#8220;treatment non-responders&#8221; in early autism intervention. That framing is instructive. It positions the intervention model as the standard and the child as the variable. It assumes the treatment works and seeks to identify those who fail to benefit. That may be a legitimate research question within a treatment paradigm. It is not necessarily the priority autistic adults have been requesting when we speak about housing, employment, healthcare access, trauma-informed care, or communication autonomy.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8xHn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8xHn!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!8xHn!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!8xHn!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!8xHn!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8xHn!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/bff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2207694,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/189213492?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!8xHn!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!8xHn!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!8xHn!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!8xHn!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbff12ef3-7146-4da2-a69e-7be6225c27a7_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>As the article developed, I revised it to remove unnecessary personal commentary. The focus needed to remain on systems &#8212; funding priorities, translational framing, and the predictable drift from cautious publication to celebratory headline. The goal was not to accuse researchers of misconduct. The study is real. It was peer-reviewed. The concern is how quickly descriptive data was translated into a causal narrative.</p><p>We have seen this pattern before. A study documents variability. A press release emphasizes hope. Media outlets amplify the optimistic interpretation. Over time, the interpretation hardens into accepted truth. Once embedded, it becomes difficult to challenge without appearing oppositional to science itself.</p><p>This response was not about discrediting research. It was about insisting on precision. Publicly funded science carries weight beyond the journal in which it appears. When federal dollars are involved, the public has the right to ask whether the research priorities reflect the needs of the population in whose name the funding was justified.</p><p>I am speaking now because the downstream effects are predictable. Parents will read the headline and assume therapy guarantees speech. Policymakers will cite it when defending intervention mandates. Providers will incorporate it into presentations. If the data do not support a causal claim, then allowing that claim to circulate unchallenged is not neutral.</p><p>The central question remains straightforward: does this research materially improve the autonomy and quality of life of autistic people, or does it primarily refine an intervention pipeline that has already dominated federal funding for decades?</p><p>That is not hostility toward science. It is participation in it.</p><p>The audits will continue for that reason.</p><div><hr></div><p>I shared about this on Social Media: </p><div id="tiktok-iframe?media=1&amp;app=1&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40drhennyk%2Fvideo%2F7611000188571749662%3Fis_from_webapp%3D1%26sender_device%3Dpc%26web_id%3D7514521654719464990&amp;key=e27c740634285c9ddc20db64f73358dd" class="tiktok-wrap outer" data-attrs="{&quot;url&quot;:&quot;https://www.tiktok.com/@drhennyk/video/7611000188571749662&quot;,&quot;title&quot;:&quot;New article on #misbehaviorism #dotcom about fake autism research alert from @Drexel University &quot;,&quot;thumbnail_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/77620802-7488-4dbb-bc6f-ffd921492a87_1080x1920.jpeg&quot;,&quot;author&quot;:&quot;Autistic Dr. Henny K&quot;,&quot;embed_url&quot;:&quot;https://cdn.iframe.ly/api/iframe?media=1&amp;app=1&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40drhennyk%2Fvideo%2F7611000188571749662%3Fis_from_webapp%3D1%26sender_device%3Dpc%26web_id%3D7514521654719464990&amp;key=e27c740634285c9ddc20db64f73358dd&quot;,&quot;author_url&quot;:&quot;https://www.tiktok.com/@drhennyk&quot;,&quot;belowTheFold&quot;:true}" data-component-name="TikTokCreateTikTokEmbed"><iframe id="iframe-tiktok-iframe?media=1&amp;app=1&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40drhennyk%2Fvideo%2F7611000188571749662%3Fis_from_webapp%3D1%26sender_device%3Dpc%26web_id%3D7514521654719464990&amp;key=e27c740634285c9ddc20db64f73358dd" class="tiktok-iframe" src="https://cdn.iframe.ly/api/iframe?media=1&amp;app=1&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40drhennyk%2Fvideo%2F7611000188571749662%3Fis_from_webapp%3D1%26sender_device%3Dpc%26web_id%3D7514521654719464990&amp;key=e27c740634285c9ddc20db64f73358dd" frameborder="0" allow="autoplay; fullscreen; encrypted-media" allowfullscreen="" scrolling="no" loading="lazy"></iframe><iframe src="https://team-hosted-public.s3.amazonaws.com/set-then-check-cookie.html" id="third-party-iframe-tiktok-iframe?media=1&amp;app=1&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40drhennyk%2Fvideo%2F7611000188571749662%3Fis_from_webapp%3D1%26sender_device%3Dpc%26web_id%3D7514521654719464990&amp;key=e27c740634285c9ddc20db64f73358dd" class="third-party-cookie-check-iframe" style="display: none;" loading="lazy"></iframe><div class="tiktok-wrap static" data-component-name="TikTokCreateStaticTikTokEmbed"><a href="https://www.tiktok.com/@drhennyk/video/7611000188571749662" target="_blank"><img class="tiktok thumbnail" src="https://substackcdn.com/image/fetch/$s_!6Ltj!,w_640,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77620802-7488-4dbb-bc6f-ffd921492a87_1080x1920.jpeg" style="background-image: url(https://substackcdn.com/image/fetch/$s_!6Ltj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77620802-7488-4dbb-bc6f-ffd921492a87_1080x1920.jpeg);" loading="lazy"></a><div class="content"><a class="author" href="https://www.tiktok.com/@drhennyk" target="_blank">@drhennyk</a><a class="title" href="https://www.tiktok.com/@drhennyk/video/7611000188571749662" target="_blank">New article on #misbehaviorism #dotcom about fake autism research alert from @Drexel University </a></div></div><div class="fallback-failure" id="fallback-failure-tiktok-iframe?media=1&amp;app=1&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40drhennyk%2Fvideo%2F7611000188571749662%3Fis_from_webapp%3D1%26sender_device%3Dpc%26web_id%3D7514521654719464990&amp;key=e27c740634285c9ddc20db64f73358dd"><div class="error-content"><img class="error-icon" src="https://substackcdn.com//img/alert-circle.svg" loading="lazy">Tiktok failed to load.<br><br>Enable 3rd party cookies or use another browser</div></div></div><p><a href="https://www.facebook.com/watch/?v=1572980377475853">https://www.facebook.com/watch/?v=1572980377475853</a></p><div class="instagram-embed-wrap" data-attrs="{&quot;instagram_id&quot;:&quot;DVNBeXYicaF&quot;,&quot;title&quot;:&quot;Dr. Henny Kupferstein &#11088;&#65039; on Instagram: \&quot;Dr. Giacomo Vivanti of &#8230;&quot;,&quot;author_name&quot;:&quot;@drhennyk&quot;,&quot;thumbnail_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/__ss-rehost__IG-meta-DVNBeXYicaF.jpg&quot;,&quot;like_count&quot;:null,&quot;comment_count&quot;:null,&quot;profile_pic_url&quot;:null,&quot;follower_count&quot;:null,&quot;timestamp&quot;:null,&quot;belowTheFold&quot;:true}" data-component-name="InstagramToDOM"></div>]]></content:encoded></item><item><title><![CDATA[Pennies for Pedometers: The Behavioral Logic of Adult Compliance ]]></title><description><![CDATA[An experiment at the Life Skills Development program in Florida]]></description><link>https://drhenny.substack.com/p/pennies-for-pedometers-the-behavioral</link><guid isPermaLink="false">https://drhenny.substack.com/p/pennies-for-pedometers-the-behavioral</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Mon, 09 Feb 2026 22:03:06 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Turm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3643a928-7ca5-4b53-ac71-97202cdcae77_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Parents:</strong> before agreeing to a day program for your DD/ID adult child, ask explicit questions about research activities. <br><br>Behaviorists completing a Ph.D. in Applied Behavior Analysis at <strong><a href="https://www.usf.edu/cbcs/cfs/academics/aba/">University of South Florida</a></strong> may be granted access to day program participants without families being clearly informed, relying on informal arrangements between clinic directors and academic programs&#8212;often behind closed doors.<br><br>Paying disabled adults to walk for quarters was called &#8220;health promotion.&#8221; But was it treatment&#8212;or cheap labor in clinical disguise?<br><br>&#8220;<strong><a href="https://misbehaviorist.com/2026/02/09/pennies-for-pedometers-the-behavioral-logic-of-adult-compliance/">Pennies for Pedometers</a></strong>&#8221; examines how monetary reinforcement, surveillance, and compliance are normalized in ABA research&#8212;and what disappears when ethics stop at physical risk.<br><br>Read &amp; reflect &#128071;</p><p>&#8220;<a href="https://misbehaviorist.com/2026/02/09/pennies-for-pedometers-the-behavioral-logic-of-adult-compliance/">Pennies for Pedometers: The Behavioral Logic of Adult Compliance</a>&#8221;</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Turm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3643a928-7ca5-4b53-ac71-97202cdcae77_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Turm!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3643a928-7ca5-4b53-ac71-97202cdcae77_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Turm!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3643a928-7ca5-4b53-ac71-97202cdcae77_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Turm!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3643a928-7ca5-4b53-ac71-97202cdcae77_1536x1024.png 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stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p>]]></content:encoded></item><item><title><![CDATA[Paid Subscriber Update: How I Wrote The Masquerade of Support as a #banABA Tactical Intervention]]></title><description><![CDATA[Beautiful Trouble]]></description><link>https://drhenny.substack.com/p/paid-subscriber-update-how-i-wrote</link><guid isPermaLink="false">https://drhenny.substack.com/p/paid-subscriber-update-how-i-wrote</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sun, 01 Feb 2026 03:13:07 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!GNpJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Today I spent my day inside one of the central tasks of the #banABA initiative: producing public-facing advocacy writing that parents can actually use.</p><p>For readers who follow this project as an accountability record of our activism, today&#8217;s work resulted in the publication of <em>&#8220;<a href="https://misbehaviorist.com/2026/01/31/the-masquerade-of-support-applied-behavior-interventions-in-special-education-classrooms/">The Masquerade of Support: Applied Behavior Interventions in Special Education Classrooms</a>.&#8221;</em></p><h4>Links on <a href="https://www.facebook.com/HennyKupferstein/posts/pfbid02H62zohvNoB98J1MdmGNM4PjviU5xGoHWd4ooymaPjMcjUiB75mmhGtS3hNaj6b3Jl">FaceBook</a> and <a href="https://www.linkedin.com/posts/activity-7423553260625575936-tUSt?utm_source=share&amp;utm_medium=member_desktop&amp;rcm=ACoAAAvV29cBdPrKNrxjq609sDO3Ms5A4wcPuXI">LinkedIn</a> for you to chime in publicly.</h4><p>What follows is a deeper look at what I was doing strategically as I wrote it, and how each section of the piece was designed as a different movement tactic rather than mere commentary. <em>Paid subscribers support the time and labor of the initiative.</em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!GNpJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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src="https://substackcdn.com/image/fetch/$s_!GNpJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png" width="1456" height="818" 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srcset="https://substackcdn.com/image/fetch/$s_!GNpJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png 424w, https://substackcdn.com/image/fetch/$s_!GNpJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png 848w, https://substackcdn.com/image/fetch/$s_!GNpJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png 1272w, https://substackcdn.com/image/fetch/$s_!GNpJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F88c854da-7f1a-4ffa-a8a6-4981e737f81a_2848x1600.png 1456w" sizes="100vw" fetchpriority="high"></picture><div 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   ]]></content:encoded></item><item><title><![CDATA[Two-Thirds of Non-Speaking Autistic Children Gained Speech — So What? ]]></title><description><![CDATA[&#8220;Two-thirds of non-speaking autistic children gained speech with therapy&#8221; sounds like a breakthrough &#8212; until you look closer.]]></description><link>https://drhenny.substack.com/p/two-thirds-of-non-speaking-autistic</link><guid isPermaLink="false">https://drhenny.substack.com/p/two-thirds-of-non-speaking-autistic</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Tue, 27 Jan 2026 22:58:06 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!sqtt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e1538ca-aa2d-4d1b-bf23-d19abe094e05_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>&#8220;Two-thirds of non-speaking autistic children gained speech with therapy&#8221; sounds like a breakthrough &#8212; until you look closer.</p><p>This article explains why that the latest headline confuses correlation with causation and quietly ignores what we already know about natural language development in autism.</p><p>READ THE ARTICLE <a href="https://msrepresent.com/2026/01/27/two-thirds-of-non-speaking-autistic-children-gained-speech-so-what">https://msrepresent.com/2026/01/27/two-thirds-of-non-speaking-autistic-children-gained-speech-so-what</a> </p><p>If you care about evidence, policy, and how science gets misused in public narratives, this is worth the read.</p><p><a href="https://www.facebook.com/hashtag/misrepresentation?__eep__=6&amp;__cft__[0]=AZZW4YTQBZWACB5H_Bre01Up9SNWynp0CqimetTVUhl098UN54ZpEAbmWbCbCegvOSBlB5xBJhfbALBj8HenB9nzdAYJAKxI9kLTIyio1nF8z8wELql30Smw6GOnALjHEatEq3HhT4QNnGpvt6FoP7hFMeM5DDOt7tOvXIHC05Gxyg&amp;__tn__=*NK-R">#misrepresentation</a> <a href="https://www.facebook.com/hashtag/misbehaviorism?__eep__=6&amp;__cft__[0]=AZZW4YTQBZWACB5H_Bre01Up9SNWynp0CqimetTVUhl098UN54ZpEAbmWbCbCegvOSBlB5xBJhfbALBj8HenB9nzdAYJAKxI9kLTIyio1nF8z8wELql30Smw6GOnALjHEatEq3HhT4QNnGpvt6FoP7hFMeM5DDOt7tOvXIHC05Gxyg&amp;__tn__=*NK-R">#misbehaviorism</a> <a href="https://www.facebook.com/hashtag/communitysupport?__eep__=6&amp;__cft__[0]=AZZW4YTQBZWACB5H_Bre01Up9SNWynp0CqimetTVUhl098UN54ZpEAbmWbCbCegvOSBlB5xBJhfbALBj8HenB9nzdAYJAKxI9kLTIyio1nF8z8wELql30Smw6GOnALjHEatEq3HhT4QNnGpvt6FoP7hFMeM5DDOt7tOvXIHC05Gxyg&amp;__tn__=*NK-R">#communitysupport</a> <a href="https://www.facebook.com/hashtag/communicationfirst?__eep__=6&amp;__cft__[0]=AZZW4YTQBZWACB5H_Bre01Up9SNWynp0CqimetTVUhl098UN54ZpEAbmWbCbCegvOSBlB5xBJhfbALBj8HenB9nzdAYJAKxI9kLTIyio1nF8z8wELql30Smw6GOnALjHEatEq3HhT4QNnGpvt6FoP7hFMeM5DDOt7tOvXIHC05Gxyg&amp;__tn__=*NK-R">#communicationfirst</a></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!sqtt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e1538ca-aa2d-4d1b-bf23-d19abe094e05_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!sqtt!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e1538ca-aa2d-4d1b-bf23-d19abe094e05_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!sqtt!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e1538ca-aa2d-4d1b-bf23-d19abe094e05_1536x1024.png 848w, 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data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6e1538ca-aa2d-4d1b-bf23-d19abe094e05_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2434052,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/186021801?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e1538ca-aa2d-4d1b-bf23-d19abe094e05_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p></p>]]></content:encoded></item><item><title><![CDATA[⚠️ PARENT WARNING: “AUTISM-FOCUSED SCHOOL” ≠ SCHOOL ]]></title><description><![CDATA[FLORIDA : Treasure Coast School for Autism, a public charter school expanding from Palm Beach County into Port St.]]></description><link>https://drhenny.substack.com/p/parent-warning-autism-focused-school</link><guid isPermaLink="false">https://drhenny.substack.com/p/parent-warning-autism-focused-school</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Thu, 22 Jan 2026 01:35:11 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!gemL!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3dd2017-7fdd-4fdc-83d3-b624c877d3ea_1108x1108.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>FLORIDA : Treasure Coast School for Autism, a public charter school expanding from Palm Beach County into Port St. Lucie. ABA therapy is not education. Calling it a &#8220;school&#8221; does not make it one.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!0Olx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!0Olx!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 424w, https://substackcdn.com/image/fetch/$s_!0Olx!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 848w, https://substackcdn.com/image/fetch/$s_!0Olx!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!0Olx!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!0Olx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg" width="286" height="176" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:176,&quot;width&quot;:286,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;Palm - So it begins!!! The Treasure Coast School for Autism (TCSFA) SW  Darwin Blvd. &#65532;We look forward to replicating in Port St. Lucie. St. Lucie  Public Schools | Facebook&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="Palm - So it begins!!! The Treasure Coast School for Autism (TCSFA) SW  Darwin Blvd. &#65532;We look forward to replicating in Port St. Lucie. St. Lucie  Public Schools | Facebook" title="Palm - So it begins!!! The Treasure Coast School for Autism (TCSFA) SW  Darwin Blvd. &#65532;We look forward to replicating in Port St. Lucie. St. Lucie  Public Schools | Facebook" srcset="https://substackcdn.com/image/fetch/$s_!0Olx!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 424w, https://substackcdn.com/image/fetch/$s_!0Olx!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 848w, https://substackcdn.com/image/fetch/$s_!0Olx!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!0Olx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46dfa593-0187-4c4f-b4d0-7155d371c79b_286x176.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div></div></div></a></figure></div><p><a href="https://cw34.com/news/local/new-autism-focused-school-coming-to-port-st-lucie-opening-in-2026-january-20-2026">https://cw34.com/news/local/new-autism-focused-school-coming-to-port-st-lucie-opening-in-2026-january-20-2026</a></p><p>Applied Behavior Analysis (ABA) is a medicalized behavior-modification model. Its purpose is to measure, shape, reduce, or replace behavior using compliance targets, reinforcement, extinction, and data collection.</p><p>That is not academic learning.<br>It is treatment.</p><p>Children in full-day ABA settings are not receiving real education. They are not receiving a general education curriculum, peer-based learning, certified teaching, or meaningful access to academics. They are receiving behavior plans.</p><p>Disabled children have a right to education, not therapy disguised as school.</p><p>When a child is pulled out of public or private school and placed into full-time ABA, that child is being denied educational access. Therapy does not replace school. Behavior goals do not replace curriculum. Data sheets do not replace teachers.</p><p>Be very cautious of programs calling themselves an &#8220;autism-focused school.&#8221; Common red flags include BCBA-run classrooms, behavior goals instead of academics, language about &#8220;compliance,&#8221; &#8220;readiness,&#8221; or &#8220;replacement behaviors,&#8221; and no clear accreditation, curriculum, grades, or diploma pathway.</p><p>This is ABA rebranding, not innovation.</p><p>Medicalizing autistic behavior causes harm. When distress, sensory needs, or communication differences are treated as problems to be fixed, children are taught to mask, comply, and suppress themselves. This increases trauma and reduces autonomy.</p><p>Children learn best when they are safe, respected, and supported &#8212; not conditioned.</p><p>Parents deserve honesty.<br>If it&#8217;s therapy, call it therapy.<br>If it&#8217;s school, prove it&#8217;s school.</p><p>Autistic children deserve real education, inclusion, dignity, and rights &#8212; not behavior control programs in disguise.</p><p>#ABANotSchool #AutismRights #DisabilityJustice #Neurodiversity #InclusiveEducation<br>#AutismParents #EducationNotCompliance #ProtectAutisticKids<br>#SpecialEducation #IDEA #FAPE #StopMedicalizingAutism<br>#EndBehaviorism #AgainstABA #Neuroaffirming #NothingAboutUsWithoutUs</p><p><a href="https://cw34.com/news/local/new-autism-focused-school-coming-to-port-st-lucie-opening-in-2026-january-20-2026">https://cw34.com/news/local/new-autism-focused-school-coming-to-port-st-lucie-opening-in-2026-january-20-2026</a></p>]]></content:encoded></item><item><title><![CDATA[Tracing the Birth of Misbehaviorism: Sindy Sanchez ABA and the Classroom Origins of Control]]></title><description><![CDATA[Misbehaviorist.com]]></description><link>https://drhenny.substack.com/p/tracing-the-birth-of-misbehaviorism</link><guid isPermaLink="false">https://drhenny.substack.com/p/tracing-the-birth-of-misbehaviorism</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Thu, 15 Jan 2026 22:02:03 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!i04u!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>As a parent, I&#8217;d never sign my child up for an experiment that claims to &#8220;help&#8221; but really measures how much their behavior inconveniences adults. In behaviorist research, &#8220;problem behavior&#8221; often means anything that disrupts classroom control &#8212; not something that hurts the child. Learn what &#8220;function of behavior&#8221; really means in Sindy Sanchez&#8217;s dissertation and how these studies frame children&#8217;s actions through institutional logic, not human understanding.</p><p><a href="https://www.facebook.com/hashtag/banaba?__eep__=6&amp;__cft__[0]=AZaxn6cFuaUUxGVKHSZ2gsy1YHQveSo1IuO5s-2TtWiHK91PLGNpr0Uh34-oIeRJ9Z95KU1h79M5MkKtik_E0i4BkjAkD0x0K6lcvN8jznPAe3RY3xRwBZeCwOIp7wytcTbdIKfWO7kG5jVAOMukUAHG&amp;__tn__=*NK-R">#banaba</a> <a href="https://www.facebook.com/hashtag/fba?__eep__=6&amp;__cft__[0]=AZaxn6cFuaUUxGVKHSZ2gsy1YHQveSo1IuO5s-2TtWiHK91PLGNpr0Uh34-oIeRJ9Z95KU1h79M5MkKtik_E0i4BkjAkD0x0K6lcvN8jznPAe3RY3xRwBZeCwOIp7wytcTbdIKfWO7kG5jVAOMukUAHG&amp;__tn__=*NK-R">#FBA</a> <a href="https://www.facebook.com/hashtag/abatherapy?__eep__=6&amp;__cft__[0]=AZaxn6cFuaUUxGVKHSZ2gsy1YHQveSo1IuO5s-2TtWiHK91PLGNpr0Uh34-oIeRJ9Z95KU1h79M5MkKtik_E0i4BkjAkD0x0K6lcvN8jznPAe3RY3xRwBZeCwOIp7wytcTbdIKfWO7kG5jVAOMukUAHG&amp;__tn__=*NK-R">#abatherapy</a> <a href="https://www.facebook.com/hashtag/yesallaba?__eep__=6&amp;__cft__[0]=AZaxn6cFuaUUxGVKHSZ2gsy1YHQveSo1IuO5s-2TtWiHK91PLGNpr0Uh34-oIeRJ9Z95KU1h79M5MkKtik_E0i4BkjAkD0x0K6lcvN8jznPAe3RY3xRwBZeCwOIp7wytcTbdIKfWO7kG5jVAOMukUAHG&amp;__tn__=*NK-R">#yesallABA</a> <a href="https://www.facebook.com/hashtag/behaviorproblems?__eep__=6&amp;__cft__[0]=AZaxn6cFuaUUxGVKHSZ2gsy1YHQveSo1IuO5s-2TtWiHK91PLGNpr0Uh34-oIeRJ9Z95KU1h79M5MkKtik_E0i4BkjAkD0x0K6lcvN8jznPAe3RY3xRwBZeCwOIp7wytcTbdIKfWO7kG5jVAOMukUAHG&amp;__tn__=*NK-R">#behaviorproblems</a></p><p>When we talk about <em>behaviorism</em>, we usually picture lab rats, levers, and reinforcement schedules. But <em>misbehaviorism</em>&#8212;the term this series borrows&#8212;was born somewhere far more ordinary: the classroom. Sindy Sanchez&#8217;s 2018 dissertation, <em><a href="https://misbehaviorist.com/2026/01/15/whats-the-function-sindy-sanchez-and-the-institutional-logic-of-functional-analysis/">What&#8217;s the Function? Assessing Correspondence between Functional Analysis Procedures</a></em>, quietly shows how that shift happened.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!i04u!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!i04u!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!i04u!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!i04u!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!i04u!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!i04u!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1971186,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/184707666?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!i04u!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!i04u!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!i04u!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!i04u!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc6545b7-ed83-4519-8528-52ba023fb4f5_1536x1024.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p>]]></content:encoded></item><item><title><![CDATA[What Makes Jasper Tick? When ABA “Interventions” Are Really Experiments on Distress]]></title><description><![CDATA[article on Misbehaviorist.com]]></description><link>https://drhenny.substack.com/p/what-makes-jasper-tick-when-aba-interventions</link><guid isPermaLink="false">https://drhenny.substack.com/p/what-makes-jasper-tick-when-aba-interventions</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Sun, 04 Jan 2026 20:53:01 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!CfX0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Autistic children&#8217;s rituals&#8212;like needing the same chair or a perfectly straight calendar&#8212;are not &#8220;problem behaviors.&#8221; They are how autistic kids build safety in an unpredictable world. Behaviorist Jennifer Weyman systematically disrupted those rituals in the name of &#8220;science,&#8221; and autistic scholars are now asking why ethics boards still label this &#8220;minimal risk&#8221; research on children. </p><p><strong><a href="https://www.facebook.com/hashtag/banaba?__eep__=6&amp;__cft__[0]=AZZcQBbd1LPO59tkOVoFmrVmlISttPd_SmyQn6NRkCHjC7EF0FN-3dbfDh63P4ELb9lH5-tS1MwU1QRPbQaJ_q1xbYquohkTTSTWgFMXYqkFV0_p_REpjZVn7b9RDw0NvTKDjyuS7GnFEPJnhYN6HF-VLKjkIkFOn7JdE2mzO5yHKw&amp;__tn__=*NK-R">#banABA</a></strong> and stop the <strong><a href="https://www.facebook.com/hashtag/humanrightsviolations?__eep__=6&amp;__cft__[0]=AZZcQBbd1LPO59tkOVoFmrVmlISttPd_SmyQn6NRkCHjC7EF0FN-3dbfDh63P4ELb9lH5-tS1MwU1QRPbQaJ_q1xbYquohkTTSTWgFMXYqkFV0_p_REpjZVn7b9RDw0NvTKDjyuS7GnFEPJnhYN6HF-VLKjkIkFOn7JdE2mzO5yHKw&amp;__tn__=*NK-R">#HumanRightsViolations</a></strong> </p><p>Read the full article on Misbehaviorism.com <a href="https://misbehaviorist.com/2026/01/04/what-makes-jasper-tick-when-aba-interventions-are-really-experiments-on-distress">https://misbehaviorist.com/2026/01/04/what-makes-jasper-tick-when-aba-interventions-are-really-experiments-on-distress </a></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!CfX0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!CfX0!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!CfX0!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!CfX0!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!CfX0!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!CfX0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2233658,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://drhenny.substack.com/i/183480003?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd45cacae-b050-4568-9cfa-0119a3adc209_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[How a Field Responds to Disruption: Citation, Control, and Authority in Behavior-Analytic Research ]]></title><description><![CDATA[Behaviorist Cody Morris does not attempt to replicate PTSD research on ABA or to analyze its underlying data.]]></description><link>https://drhenny.substack.com/p/how-a-field-responds-to-disruption</link><guid isPermaLink="false">https://drhenny.substack.com/p/how-a-field-responds-to-disruption</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Wed, 31 Dec 2025 18:02:18 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!gemL!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3dd2017-7fdd-4fdc-83d3-b624c877d3ea_1108x1108.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Behaviorist Cody Morris does not attempt to replicate PTSD research on ABA or to analyze its underlying data. Instead, he argues that behavior-analytic colleagues who discuss such research&#8212;even cautiously&#8212;may be contributing to harm. <br><br>He does so by explicitly framing this work alongside Andrew Wakefield&#8217;s discredited vaccine claims, positioning it as an example of dangerous misinformation. <br><br>On this basis, he urges behavior-analytic journals to regulate how PTSD research is cited, recommending warnings, caveats, and corrective framing to constrain interpretation. When disagreement is treated as risk and citation is treated as a behavior requiring correction, the field begins to apply behavior modification to itself. <br><br>#misbehavior #misbehaviorism #misbehaviorist #banABA <br><br><a href="https://misbehaviorism.com/2025/12/26/a-paper-about-citations-or-about-control/">https://misbehaviorism.com/2025/12/26/a-paper-about-citations-or-about-control/</a> </p>]]></content:encoded></item><item><title><![CDATA[🚨 WARNING FOR PARENTS SEEING ABA MARKETING 🚨 ]]></title><description><![CDATA[Fake autism therapy in your neighborhood and facebook feed]]></description><link>https://drhenny.substack.com/p/warning-for-parents-seeing-aba-marketing</link><guid isPermaLink="false">https://drhenny.substack.com/p/warning-for-parents-seeing-aba-marketing</guid><dc:creator><![CDATA[Dr. Henny Kupferstein]]></dc:creator><pubDate>Mon, 29 Dec 2025 20:48:58 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Mscn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1c803c5-f06b-4004-8ed6-3da3df6956d3_1488x992.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>&#128680; WARNING FOR PARENTS SEEING ABA MARKETING &#128680;</strong></p><p>If you see language like &#8220;helping children <em>thrive</em>, build <em>confidence</em>, grow toward <em>independence</em>,&#8221; or &#8220;bringing <em>expert support</em> into your home&#8221; from an ABA provider like in the <em><a href="https://newsbywire.com/shining-steps-aba-officially-launches-in-st-louis/">Shining Steps ABA</a></em> press release &#8212; be cautious. Marketing like this often <strong>frames behavior as something to be </strong><em><strong>fixed</strong></em> and <em>normalcy as the goal</em>, not <em>access or autonomy</em>. (<strong><a href="https://beaminghealth.com/providers/shining-steps-aba-therapy-chesterfield-mo?utm_source=chatgpt.com">Beaming Health</a></strong>)</p><p>Here&#8217;s how to <strong>decode the typical messaging</strong> and what it <em>really signals</em>:</p><div><hr></div><h3><strong>&#10071; Marketing Claim:</strong></h3><p><strong>&#8220;Helping children reach their full potential, grow, thrive, or shine.&#8221;</strong> <strong>What it implies:</strong> Behavior is a <em>problem to be corrected</em>, not a form of communication or difference to be understood.</p><p><strong>Why that&#8217;s concerning (#BanABA lens):</strong></p><ul><li><p>This language often equates <em>autism or neurodivergence itself</em> with a deficit instead of a form of human diversity.</p></li><li><p>It promotes a <em>behaviorist framing</em> &#8212; change the person to <em>fit the environment</em>, not change the environment to support the person.</p></li></ul><div><hr></div><h3><strong>&#10071; Marketing Claim:</strong></h3><p><strong>&#8220;Expert support directly in your home.&#8221;</strong> <strong>What it implies:</strong> Experts <em>control the environment</em> and teach families to shape behavior.</p><p><strong>Why that&#8217;s concerning:</strong></p><ul><li><p>It elevates <em>professional authority</em> over <em>caregiver intuition and preferences.</em></p></li><li><p>It risks <em>prompt dependence</em>, where a child behaves correctly only when prompted.</p></li></ul><div><hr></div><h3><strong>&#10071; Marketing Claim:</strong></h3><p><strong>&#8220;Improve communication, social skills, daily living skills, reduce harmful behaviors.&#8221;</strong> <strong>What it implies:</strong> There&#8217;s an assumption these skills <em>must be trained</em> by outsiders rather than <em>supported with consent-based, person-centered approaches.</em></p><p><strong>Why that&#8217;s concerning:</strong></p><ul><li><p>Traditional ABA often labels natural autistic behaviors (e.g., stimming) as problems to be <em>reduced</em>.</p></li><li><p>The language of <em>reducing behaviors</em> often masks the true <em>function of those behaviors</em> (e.g., sensory regulation, communication) that isn&#8217;t explored in marketing. (<strong><a href="https://en.wikipedia.org/wiki/Applied_behavior_analysis?utm_source=chatgpt.com">Wikipedia</a></strong>)</p></li></ul><div><hr></div><h3><strong>&#10071; Marketing Claim:</strong></h3><p><strong>&#8220;Tailored, compassionate, evidence-based services.&#8221;</strong> <strong>What it implies:</strong> ABA is scientifically proven and universally <em>best practice.</em></p><p><strong>Why that&#8217;s concerning:</strong></p><ul><li><p>The <em>science base</em> of ABA is mixed and heavily critiqued by autistic self-advocates &#8212; some report trauma, increased stress, or identity suppression. (<strong><a href="https://en.wikipedia.org/wiki/Applied_behavior_analysis?utm_source=chatgpt.com">Wikipedia</a></strong>)</p></li><li><p>Marketing doesn&#8217;t clarify <em>which models</em> they use or how they respect consent, choice, and sensory/autonomy needs.</p></li></ul><div><hr></div><h3><strong>&#10071; Omitted in Marketing (Red Flags):</strong></h3><p>Look for what the press release <em>doesn&#8217;t say</em>:</p><p>&#8226; <strong>No mention of prioritizing autistic self-advocacy or dignity</strong> &#8226; <strong>No clear commitment to minimize compliance-focused goals</strong> &#8226; <strong>No transparency about how goals are chosen by child/family input</strong> &#8226; <strong>No information about consent or assent processes</strong> &#8226; <strong>No indication that stimming or autistic traits are respected unless disruptive</strong></p><p>This absence &#8212; especially in glowing marketing &#8212; is a red flag in itself.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Mscn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1c803c5-f06b-4004-8ed6-3da3df6956d3_1488x992.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Mscn!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1c803c5-f06b-4004-8ed6-3da3df6956d3_1488x992.png 424w, https://substackcdn.com/image/fetch/$s_!Mscn!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1c803c5-f06b-4004-8ed6-3da3df6956d3_1488x992.png 848w, 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x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><div><hr></div><h3><strong>&#128721; What Parents Should Ask Providers (before engaging)</strong></h3><p>Instead of accepting these marketing terms at face value, ask:</p><ol><li><p><strong>Who sets goals?</strong> <em>Are goals based on your child&#8217;s preferences and autonomy, or on &#8220;normalizing&#8221; behavior?</em></p></li><li><p><strong>How do you handle natural autistic behaviors (e.g., stimming)?</strong> <em>Do you reduce only truly harmful behaviors and respect harmless self-regulation?</em></p></li><li><p><strong>How is consent obtained and honored during therapy?</strong> <em>Is there a process for assent and pausing when a child is uncomfortable?</em></p></li><li><p><strong>What training do your staff have in neurodiversity-affirming practice?</strong> <em>Are BCBAs trained in trauma-aware, dignity-respecting methods?</em></p></li><li><p><strong>Do families have final say over what strategies are used?</strong> <em>Can they veto any approach that feels coercive?</em></p></li></ol><div><hr></div><h3><strong>&#129504; Philosophy Reminder &#8212; #BanABA</strong></h3><p>Marketing that <em>sells progress</em>, <em>independence</em>, or <em>normalization</em> without transparent, person-centered safeguards is often <strong>behaviorism in disguise</strong> &#8212; focused on outcomes that benefit <em>external expectations</em>, not <em>child-centred flourishing</em>.</p><p>The goal isn&#8217;t to <em>fix behavior</em> &#8212; it&#8217;s to <em>expand access, choice, support, dignity, and self-determination</em> for autistic individuals. Read more at : <strong><a href="https://misbehaviorist.com/">What is a Misbehaviorist?</a></strong> and <strong><a href="https://www.banaba.us/">#banABA</a></strong> </p>]]></content:encoded></item></channel></rss>