Skip to main content
Log in

Using Relational Training to Improve Performance During Acceptance and Commitment Training Sessions

  • SI: Acceptance and Commitment Training in Behavior Analysis
  • Published:
Behavior Analysis in Practice Aims and scope Submit manuscript

Abstract

The current study investigated the effect of relational training on improving engagement during acceptance and commitment training (ACT) sessions that aimed to reduce maladaptive behavior. Three female children diagnosed with autism participated in the current research. The relational training protocol involved eight programs designed to improve participants’ ability to engage in relational responding. A concurrent multiple-baseline across-participants design was used, and participants’ maladaptive behavior during ACT sessions was recorded. Results indicated a decrease in maladaptive behavior for one of the three participants, with a medium to large treatment effect. A secondary measure also showed improvement in all three participants’ performance during ACT sessions. The percentage of nonoverlapping data and Cohen’s d suggest a small to moderate treatment effect. Implications for implementing ACT with individuals diagnosed with autism are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Barnes-Holmes, D., Barnes-Holmes, Y., & Cullinan, V. (2000). Relational frame theory and Skinner’s Verbal behavior: A possible synthesis. The Behavior Analyst, 23(1), 69–84. https://doi.org/10.1007/BF03392000.

  • Behavior Analyst Certification Board. (2020). Clinical behavior analysis. Retrieved June 8, 2020, from https://www.bacb.com/wp-content/uploads/2020/05/Clinical-Behavior-Analysis-Fact-Sheet_190520.pdf

  • Belisle, J., Dixon, M. R., Stanley, C. R., Munoz, B., & Daar, J. H. (2016). Teaching foundational perspective-taking skills to children with autism using the PEAK-T curriculum: Single-reversal “I–You” deictic frames. Journal of Applied Behavior Analysis, 49(4), 965–969. https://doi.org/10.1002/jaba.324.

  • Belisle, J., Paliliunas, D., Lauer, T., Giamanco, A., Lee, B., & Sickman, E. (2020). Derived relational responding and transformations of function in children: A review of applied behavior-analytic journals. The Analysis of Verbal Behavior, 36(1), 115–145. https://doi.org/10.1007/s40616-019-00123-z.

  • Bishop, S. L., & Seltzer, M. M. (2012). Self-reported autism symptoms in adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(11), 2354–2363. https://doi.org/10.1007/s10803-012-1483-2.

  • Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child & Family Behavior Therapy, 28(1), 1–18. https://doi.org/10.1300/J019v28n01_01.

  • Bradley, E. A., & Isaacs, B. J. (2006). Inattention, hyperactivity, and impulsivity in teenagers with intellectual disabilities, with and without autism. The Canadian Journal of Psychiatry, 51(9), 598–606. https://doi.org/10.1177/070674370605100908.

  • Brown, F. J., & Hooper, S. (2009). Acceptance and commitment therapy (ACT) with a learning disabled young person experiencing anxious and obsessive thoughts. Journal of Intellectual Disabilities, 13(3), 195–201. https://doi.org/10.1177/1744629509346173.

  • Daar, J. H., Negrelli, S., & Dixon, M. R. (2015). Derived emergence of WH question–answers in children with autism. Research in Autism Spectrum Disorders, 19, 59–71. https://doi.org/10.1016/j.rasd.2015.06.004.

  • Devany, J. M., Hayes, S. C., & Nelson, R. O. (1986). Equivalence class formation in language-able and language-disabled children. Journal of the Experimental Analysis of Behavior, 46(3), 243–257. https://doi.org/10.1007/s10942-005-0017-7.

  • Dixon, M. R. (2016). PEAK relational training system: Transformation module. Shawnee Scientific Press.

  • Dixon, M. R. (2019). PEAK Comprehensive Assessment. Shawnee Scientific Press.

  • Dixon, M. R., Belisle, J., Stanley, C., Rowsey, K., Daar, J. H., & Szekely, S. (2015). Toward a behavior analysis of complex language for children with autism: Evaluating the relationship between PEAK and the VB-MAPP. Journal of Developmental and Physical Disabilities, 27(2), 223–233. https://doi.org/10.1007/s10882-014-9410-4.

  • Dixon, M. R., Belisle, J., Stanley, C. R., Speelman, R. C., Rowsey, K. E., Kime, D., & Daar, J. H. (2017). Establishing derived categorical responding in children with disabilities using the PEAK-E curriculum. Journal of Applied Behavior Analysis, 50(1), 134–145. https://doi.org/10.1002/jaba.355.

  • Dixon, M. R., & Paliliunas, D. (2018). Accept. Identify. Move: A behavior analytic curriculum for social-emotional development in children. Shawnee Scientific Press.

  • Dixon, M. R., Paliliunas, D., Barron, B. F., Schmick, A. M., & Stanley, C. R. (2019). Randomized controlled trial evaluation of ABA content on IQ gains in children with autism. Journal of Behavioral Education. https://doi.org/10.1007/s10864-019-09344-7.

  • Enoch, M. R., & Dixon, M. R. (2017). The use of a child-based acceptance and commitment therapy curriculum to increase attention. Child & Family Behavior Therapy, 39(3), 200–224. https://doi.org/10.1080/07317107.2017.1338454.

    Article  Google Scholar 

  • Enoch, M. R., & Dixon, M. R. (2019). Neuro-typical children outcomes from an acceptance and commitment therapy summer camp. Behavior Analysis in Practice, 12(2), 343–352. https://doi.org/10.1007/s40617-018-00319-0.

  • Fletcher, L., & Hayes, S. C. (2005). Relational frame theory, acceptance and commitment therapy, and a functional analytic definition of mindfulness. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 23(4), 315–336. https://doi.org/10.1007/s10942-005-0017-7.

  • Hahs, A. D., Dixon, M. R., & Paliliunas, D. (2019). Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders. Journal of Contextual Behavioral Science, 12, 154–159. https://doi.org/10.1016/j.jcbs.2018.03.002.

  • Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3.

    Article  Google Scholar 

  • Kent, G., Galvin, E., Barnes-Holmes, Y., Murphy, C., & Barnes-Holmes, D. (2017). Relational responding: Testing, training, and sequencing effects among children with autism and typically developing children. Behavioral Development Bulletin, 22(1), 94–110. https://doi.org/10.1037/bdb0000041.

  • Kryszak, K., Belisle, J., & Dixon, M. R. (2017). ACT Quantitative Analysis Scale. In M. R. Dixon & D. Paliliunas (Eds.), Accept. Identify. Move: A behavior analytic curriculum for social-emotional development in children (p. 260). Shawnee Scientific Press.

  • Luoma, J. B., Hayes, S. C., & Walser, R. D. (2007). Learning ACT: An acceptance & commitment therapy skills-training manual for therapists. New Harbinger Publications.

  • Marzullo-Kerth, D., Reeve, S. A., Reeve, K. F., & Townsend, D. B. (2011). Using multiple-exemplar training to teach a generalized repertoire of sharing to children with autism. Journal of Applied Behavior Analysis, 44(2), 279–294. https://doi.org/10.1901/jaba.2011.44-279.

  • Ozsivadjian, A., Hibberd, C., & Hollocks, M. J. (2014). Brief report: The use of self-report measures in young people with autism spectrum disorder to access symptoms of anxiety, depression and negative thoughts. Journal of Autism and Developmental Disorders, 44(4), 969–974. https://doi.org/10.1007/s10803-013-1937-1.

  • Rehfeldt, R. A., Dillen, J. E., Ziomek, M. M., & Kowalchuk, R. K. (2007). Assessing relational learning deficits in perspective-taking in children with high-functioning autism spectrum disorder. The Psychological Record, 57(1), 23–47. https://doi.org/10.1007/BF03395563.

  • Roche, B., & Barnes, D. (1997). A transformation of respondently conditioned stimulus function in accordance with arbitrarily applicable relations. Journal of the Experimental Analysis of Behavior, 67(3), 275–301. https://doi.org/10.1901/jeab.1997.67-275.

  • Rosales, R., Rehfeldt, R. A., & Lovett, S. (2011). Effects of multiple exemplar training on the emergence of derived relations in preschool children learning a second language. The Analysis of Verbal Behavior, 27(1), 61–74. https://doi.org/10.1007/BF0339309.

  • Ruiz, M. R., & Roche, B. (2007). Values and the scientific culture of behavior analysis. The Behavior Analyst, 30(1), 1–16. https://doi.org/10.1007/BF03392139.

  • Singh, N. N., Lancioni, G. E., Karazsia, B. T., Myers, R. E., Kim, E., Chan, J., et al. (2019). Surfing the urge: An informal mindfulness practice for the self-management of aggression by adolescents with autism spectrum disorder. Journal of Contextual Behavioral Science, 12, 170–177. https://doi.org/10.1016/j.jcbs.2018.10.003.

  • Stewart, I., Barnes-Holmes, D., Hayes, S. C., & Lipkens, R. (2001). Relations among relations: Analogies, metaphors, and stories. In S. C. Hayes, D. Barnes-Holmes, & B. Roche (Eds.), Relational frame theory: A post-Skinnerian account of human language and cognition (pp. 73–86). Springer Science & Business Media.

  • Sutton, A., Pikula, A., Yi, Z., & Dixon, M. R. (under review). Evaluating a standardized language and cognition assessment: Correlation between the PEAK comprehensive assessment and intelligent behavior, behavior challenges, and autism symptom severity [Maunscript submitted for publication].

  • Szabo, T. G. (2019). Acceptance and commitment training for reducing inflexible behaviors in children with autism. Journal of Contextual Behavioral Science, 12, 178–188. https://doi.org/10.1016/j.jcbs.2019.03.001.

  • Wilson, K. G., Sandoz, E. K., Flynn, M. K., Slater, R. M., & DuFrene, T. (2010). Understanding, assessing, and treating values processes in mindfulness-and acceptance-based therapies. In R. A. Bear (Ed.), Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change (pp. 77-106). Context Press.

  • Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. (2010). The Valued Living Questionnaire: Defining and measuring valued action within a behavioral framework. The Psychological Record, 60(2), 249–272.

  • Yi, Z., & Dixon, M. R. (2021). Developing and enhancing adherence to a telehealth ABA parent training curriculum for caregivers of children with autism. Behavior Analysis in Practice, 14, 58–74. https://doi.org/10.1007/s40617-020-00464-5

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mark R. Dixon.

Ethics declarations

Conflicts of interest

Mark R. Dixon receives small royalties from sales of PEAK and AIM. The remaining authors declare no conflicts of interest.

Consent to participate

Written consent was obtained from all participants’ guardians.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Human Subject Committee of Southern Illinois University.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Research was conducted when all authors were affiliated with Southern Illinois University.

Research Highlights

• Individuals diagnosed with autism often demonstrate deficits in language and abilities to engage in relational responding, which may negatively impact their ability to benefit from acceptance and commitment training (ACT).

• ACT successfully decreased maladaptive behavior for one of the three participants.

• Relational training was successful in improving all participants’ performance in ACT sessions.

• Practitioners should incorporate relational training to facilitate ACT-based instructions.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gilsenan, C.M., Yi, Z., Hinman, J.M. et al. Using Relational Training to Improve Performance During Acceptance and Commitment Training Sessions. Behav Analysis Practice 15, 179–191 (2022). https://doi.org/10.1007/s40617-021-00574-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40617-021-00574-8

Keywords

Navigation