Table 2.

Types of rationales

Type of rationale	Illustrative quote
Caregiver Participation	“Yeah, I feel like there was a big focus on that at the beginning, to get that buy-in. We spent maybe two sessions on the behavior plan to make sure Mom had buy-in in that. And then after that it’s been—obviously we need a lot more time.”
Child Presentation	“My client was much lower functioning, so I had to move at a much slower pace even spending like six sessions working on the same skill to really get that practice, and he really needed that. But I think that really helped.”
Caregiver Presentation	“I didn’t have a formal diagnosis for mom, but I was suspecting that mom was somewhere on the autism spectrum as well as her son which made things more difficult… I think I made my own attempts just to try and be more clear: use more clear language, more repetition, practicing things over and over. But I think that was between my AIM HI trainer and myself coming up with ways to modify it, just language, and more practice, and more concrete examples of things to try and help with that.”
Fit with Therapeutic Approach	“I definitely used a lot of interventions from my own theoretical orientation. Using a lot of solution-focused questioning and strength-based interventions as well. And I understand that there’s a lot of token economy use and reinforcement in the interventions already, but I would also just continue that as well.”
Generalize Skills	“The client is generalizing that to other places and that’s one of the other places that we were having her generalize was in school because a lot of her behaviors were affecting her schooling and her relationships and those kinds of things.”