{"id":{"repo_id":"alabama","oai_identifier":"oai:ir.ua.edu:123456789/17604"},"canonical_url":"https://search.dev.ndltd.org/etd/alabama/oai:ir.ua.edu:123456789/17604","repository":{"repo_id":"alabama","name":"University of Alabama","base_url":"https://ir-api.ua.edu/oai/request"},"display":{"title":"Therapeutic Alliance with Autistic Transition-Aged Youth","abstract":"Therapeutic alliance is considered an established process factor that benefits treatment outcomes across the lifespan. Simultaneously, client factors, such as interpersonal relationship style and presenting diagnoses, appear to affect alliance formation. However, little is known about the relationship between alliance and outcomes in autistic transition-aged youth (TAY) or how pre-treatment client factors in this population may contribute to alliance formation. Data from an ongoing randomized control trial (RCT; n = 55, 72.7% male) were analyzed to determine whether client traits impact therapeutic alliance and whether alliance impacts outcomes in TAY. Alliance was coded from videos of therapist-client pairs participating in either a research-based transition program or an active control condition. Pre-treatment problems did not relate to therapeutic alliance, and therapeutic alliance did not impact transition-readiness or quality of life outcomes. These findings can provide insight into the use of manualized interventions and types of therapeutic practice for autistic young TAY.","abstract_html":"Therapeutic alliance is considered an established process factor that benefits treatment outcomes across the lifespan. Simultaneously, client factors, such as interpersonal relationship style and presenting diagnoses, appear to affect alliance formation. However, little is known about the relationship between alliance and outcomes in autistic transition-aged youth (TAY) or how pre-treatment client factors in this population may contribute to alliance formation. Data from an ongoing randomized control trial (RCT; n = 55, 72.7% male) were analyzed to determine whether client traits impact therapeutic alliance and whether alliance impacts outcomes in TAY. Alliance was coded from videos of therapist-client pairs participating in either a research-based transition program or an active control condition. Pre-treatment problems did not relate to therapeutic alliance, and therapeutic alliance did not impact transition-readiness or quality of life outcomes. These findings can provide insight into the use of manualized interventions and types of therapeutic practice for autistic young TAY.","abstract_has_math":false,"creators":["Kalinyak, Alexandra"],"institution":"University of Alabama Libraries","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Cundiff, Jenny M.","Snider, Laurel A."],"advisors":["White, Susan W."],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-27T18:44:20Z","subjects":["autism","client traits","Therapeutic alliance","transition-aged youth"],"languages":["en_US","English"],"rights":["All rights reserved by the author unless otherwise indicated."],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["1199585"],"render_values":[{"text":"1199585","href":null,"code":true}]}]},"links":{"outbound_url":"https://ir.ua.edu/handle/123456789/17604","outbound_label":"Repository record","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Cundiff, Jenny M.","Snider, Laurel A."]},{"key":"dc:contributor.advisor","label":"Advisor","values":["White, Susan W."]},{"key":"dc:creator","label":"Author","values":["Kalinyak, Alexandra"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2026-02-09T22:56:31Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["1/21/2031"]},{"key":"dc:date.issued","label":"Date","values":["2025"]},{"key":"dc:publisher","label":"Institution","values":["University of Alabama Libraries"]},{"key":"dc:type","label":"Dc Type","values":["thesis","text"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["autism","client traits","Therapeutic alliance","transition-aged youth"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:language.iso","label":"Language (ISO)","values":["en_US"]},{"key":"dc:rights","label":"Dc Rights","values":["All rights reserved by the author unless otherwise indicated."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["1199585"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://ir.ua.edu/handle/123456789/17604"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Electronic Thesis or Dissertation"]},{"key":"dc:description.abstract","label":"Abstract","values":["Therapeutic alliance is considered an established process factor that benefits treatment outcomes across the lifespan. Simultaneously, client factors, such as interpersonal relationship style and presenting diagnoses, appear to affect alliance formation. However, little is known about the relationship between alliance and outcomes in autistic transition-aged youth (TAY) or how pre-treatment client factors in this population may contribute to alliance formation. Data from an ongoing randomized control trial (RCT; n = 55, 72.7% male) were analyzed to determine whether client traits impact therapeutic alliance and whether alliance impacts outcomes in TAY. Alliance was coded from videos of therapist-client pairs participating in either a research-based transition program or an active control condition. Pre-treatment problems did not relate to therapeutic alliance, and therapeutic alliance did not impact transition-readiness or quality of life outcomes. 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