FASD Fact 49: There is no evidence that consequence based behavioral modification works to change behavioral symptoms of FASD


Text: FASD Fact #49: There is NO EVIDENCE* that consequence-based behavioral management techniques work to change the behavioral symptoms associated with FASDs.

(not a single published intervention study demonstrates that consequences-based behavioral management techniques resulting in positive behavioral change for people with FASDs.)

  • FACT 1: To change behavior in anticipation of a consequence, positive or negative, the brain needs to be able to curb impulses, inhibit fight or flight responses, remember the “rules,” remember the consequences, predict what will happen, think abstractly, process quickly, generalize between situations…at the very least.
  • FACT 2. People with FASD have brains that have difficulty curbing impulses, inhibiting fight or flight, remembering rules and consequences, predicting future events, thinking abstractly, difficulty generalizing, and processing quickly.
  • LOGICAL CONCLUSION: Fact 1 + Fact 2 = consequence based behavioral modification is predictably ineffective, and in fact can end up backfiring, since to the person being punished (or not getting rewards) this method seems arbitrary.