http://antitorture.org/wp-content/uploa ... cation.pdf
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Compliance is Unreasonable:
The Human Rights Implications
of Compliance-Based Behavioral
Interventions Under the Convention
Against Torture and the Convention on
the Rights of Persons With Disabilities
Lydia Brown*
Abstract
Educational professionals, clinicians, and medical personnel largely accept and condone compliance-based behavioral interventions as appropriate or necessary methods for correcting, treating,or ameliorating disability, including psychiatric, learning, developmental, and behavioral disabilities.Such compliance-based interventions are grounded in a philosophy of indistinguishability from non-disabled people that emphasizes purely cosmetic behavioral changes. Yet behavioral changes centered on compliance and control are frequently contrary or detrimental to natural forms of movement, communication, and behavior. Unlike person-centered support services or self-directed therapy and care, compliance-based interventions do not support the development of functional skills or coping mechanisms. Furthermore, compliance-based behavioral interventions, which include restraint, seclusion, and aversive procedures, constitute torture as defined in the Convention Against Torture due both to their inherently and systematically abusive nature as well as their actual applications and methodology. Additionally, they discriminatorily target disabled people for such torture and violation of rights in contravention to the non-discrimination and protections provisions of the Convention on the Rights of Persons with Disabilities. Nevertheless, the prevalence and scope of compliance-based interventions, as well as their inherently discriminatory and abusive nature, have received little attention outside the disability community. Reframing the discussion of compliance-based behavioral interventions through an international human rights lens would strengthen existing advocacy efforts in the disability community as well as bring the issues to the forefront of international human rights activism.