I just got a question from a parent on "new" or "modern" ABA. They were told is is not really the ABA they have heard about. That somehow it is different. On the ICDL website, we discuss ABA vs. DIR very briefly on one of the webpages. On that page, we use an example of how DIR and ABA look at eye contact differently. So, I just took that example and did a research review on ABA research in the last few years on training for eye contact. Of course, the concept of training for eye contact remains very active in ABA. Even though there are ethical concerns raised about training for eye contact in recent research, the operant conditioning process continues in full swing.
Here is a summary with some of the references I found:
Is ABA Still Focusing on Training for Eye Contact?
ABA and Eye Contact: Recent Evidence Shows It Remains a Targeted Behavior
Despite
branding shifts to “modern” or “new” ABA, behavior-analytic
interventions continue to explicitly target eye contact / social gaze as
a teachable behavior using core ABA procedures (e.g., shaping,
prompting, reinforcement, stimulus control). Recent peer-reviewed
literature demonstrates this.
Examples of Recent Peer-Reviewed Evidence
Behavior-analytic
scoping review on promoting social gaze (2023): Confirms behavioral
interventions are effective for social gaze/eye contact and shows it
remains a common behavioral target. URL:
https://www.sciencedirect.com/science/article/pii/S1750946723000658
Using
shaping to teach eye contact to children with autism (2018): Applied
shaping and reinforcement to teach preschoolers sustained eye contact
with maintenance and generalization. URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC6411557/
App
with embedded video modeling to increase eye contact (2023): Mobile app
using modeling and reinforcement increased eye contact with familiar
and unfamiliar adults. URL: https://journals.sagepub.com/doi/abs/10.1177/10883576221124805
Shaping
social eye contact via telehealth (parent-implemented) (2025): Parents,
coached remotely, shaped eye contact successfully during naturalistic
interaction. URL: https://www.researchgate.net/publication/395882572_Shaping_Social_Eye_Contact_in_Children_With_Autism_Via_Telehealth_A_Parent-Implemented_Intervention
Parent
intervention via video modeling (eye contact and joint attention)
(2024): Children with ASD/ID improved eye contact and joint attention
using graded prompting and reinforcement strategies. URL: https://pubmed.ncbi.nlm.nih.gov/38391746/
What This Shows About 'New ABA'
1. Same operant technology, updated packaging.
Across studies, the operative elements are classic ABA (modeling,
prompting, shaping, differential reinforcement), now often delivered via
apps, telehealth, or parent-implementation—but the behavioral target is
still eye contact.
2.
Ongoing ethical discussion, not abandonment of the goal. Contemporary
behavior analysts debate whether and when to teach eye contact,
underscoring that teaching eye contact remains an active ABA topic
rather than an obsolete one.
Bottom Line
Recent
literature (2018–2025) documents ABA interventions that directly train
eye contact/social gaze using standard operant procedures. Claims that
'new ABA' no longer trains discrete social behaviors like eye contact
are not supported by the current research record.
Furthermore, the Autistic Self Advocacy Network wrote a while paper centered on ethical practices in autism interventions entitled, For Whose Benefit? Evidence, Ethics, and Effectiveness of Autism Interventions. On page 18 of the white paper they discuss new ABA. Here is an excerpt from that section of the paper:
“New ABA” is Still ABA
At
ASAN, we have heard from parents who say that ABA as practiced in their
family is different from “traditional” ABA – describing interventions
that are “holistic,” “play-based,” or “naturalistic,” that focus on
communication or life skills rather than on “normalizing” a child’s
behaviors, and that take a respectful approach to an autistic child’s
existence and needs. This is sometimes termed “new ABA.” It can be hard
to determine what is really going on in any given situation. If these
practices are indeed ABA, we stress that they are still harmful. We also
stress that many practices termed “new ABA” are not, in fact, ABA at
all.
Sometimes,
parents are describing something that still sounds like ABA, in that
the intervention still uses reinforcements to modify . An intervention
that, at its core, still uses ABA techniques, is still ABA and still
unethical, no matter what other methods it may use. It still carries the
same risks of harm, the same lack of acknowledgement of those risks,
and the same lack of rigorous supporting evidence. Fundamental
modifications of who an autistic person is – or attempts to do so – do
not suddenly become acceptable just because the techniques used are less
obviously cruel.
A
core component of “new ABA” is contrasting its practices with the
“old,” torturous practices of Lovaas and his ilk. Leaving aside that
Lovaas’s practices are hardly consigned to the past (see the section
“The Brutal Beginnings and the Horrific Present”), an intervention being
less abusive than a different intervention does not mean that
intervention is inherently ethical. Our ethical concerns with ABA go far
beyond whether an intervention uses electrical shocks or withholds food
to enforce compliance. To again use the metaphor of the rotting hotel,
we would still advise others to avoid renting a room there, even if the
owners assured us they had repainted and brought the electrical wiring
up to code.
ABA
that is play-based is still ABA. It is still harmful to try and modify
autistic traits or the appearance of autistic behavior, even if it is
couched in toys and the appearance of fun. Play-based ABA takes the
activities an autistic person enjoys and turns them into ways to attempt
to make the person less autistic. For example, if an autistic child
collects shoelaces, the ABA therapist might hold a shoelace near the
therapist’s eye in order to elicit eye contact. Or, the therapist might
do a puzzle with a child, but require the child to look at the therapist
and verbally request each piece of the puzzle. While this may seem
“nicer” than a traditional discrete trial, the end goal is still to
modify the child’s autistic trait. Using play to train a child to appear
less autistic also warps the experience of play for the child. We want
to stress that we do not believe that all play-based therapy is bad or
harmful. We realize that play-based therapies can be incredibly useful,
especially for nonspeaking autistic children. But play-based ABA,
specifically, is harmful because it is still a form of ABA.
When
ABA approaches are used to teach language or speech, we are concerned
because the behaviorist approach to language development has been
discredited (Chomsky, 1980). ABA approaches to language development,
including Verbal Behavior, ignore decades of well-established research
on how children, including autistic children and children with
significant structural language impairments, learn language (Birner,
2021; Feldman, 2019; Kuhl, 2000). When children appear to gain language
in these programs, it is important to understand that this progress is
in spite of, not because of, ABA’s outdated and disproven methodology.
Autistic children are best supported by a Speech-Language Therapist
familiar with best practices for supporting their specific language
challenges, including augmentative and alternative communication
systems, or AAC.Teaching language via ABA is ineffective and not worth
the harm it causes to those subjected to it.
Similarly,
there are better ways to teach other core life skills, such as through
non-ABA occupational and physical therapies. We once again reference
that there are non-autism specific supports that can and do help
autistic people build skills and lead more independent and self-directed
lives. An autistic person with severe apraxia, for example, could
benefit from some of the same occupational and physical therapies, along
with the same assistive technology, as apraxic people with other
developmental disabilities.. It is also important to remember that just
because an autistic person needs a highly individualized or adapted
intervention to help them, this does not mean they need ABA. ABA does
not have sole claim to individualized or customized therapies and
services.
We
sometimes hear from parents that their child likes their ABA therapist
or assents to an ABA intervention. We would still have concerns in these
situations – liking one’s therapist does not make the intervention
effective or ethical. Our ethical concerns with ABA (and all other
autism therapies and services) do not center around the likeability of
the practitioner or whether they can build a rapport with the autistic
person. (ASAN, 2021, p 18-19)