Applied behavior analysis (ABA) service delivery is a complicated process and some issues stemming from this process can be controversial. Ethical dilemmas can challenge ABA practitioners and require thorough examination. The goal of this paper is to identify the existence of value-based ethical dilemmas stemming from potential tensions among underlying values and to provide behavior practitioners with a systematic approach to addressing these dilemmas. Specifically, we use a step-by-step protocol for ethical deliberation and dilemma resolution in situations involving value-based ethical dilemmas. We describe the application of this approach to clinical cases and its implications for services provided via telehealth.

中文翻译：

---

应对不确定性：解决行为服务中基于价值的道德困境的系统方法

应用行为分析（ABA）服务交付是一个复杂的过程，这个过程中产生的一些问题可能会引起争议。道德困境可能会给 ABA 从业者带来挑战，需要进行彻底的检查。本文的目的是识别由于潜在价值观之间的潜在紧张关系而存在的基于价值的道德困境，并为行为实践者提供解决这些困境的系统方法。具体来说，我们在涉及基于价值的道德困境的情况下使用分步协议进行道德审议和困境解决。我们描述了这种方法在临床病例中的应用及其对通过远程医疗提供的服务的影响。