Patient-Therapist Agreement Scale
The Patient-Therapist Agreement Scale (PTAS) measures the degree to which client and therapist agree on therapy goals, treatment focus, and expected treatment duration—a core component of the therapeutic alliance. Developed by Nash and colleagues in their foundational study of psychotherapy preparation, the PTAS operationalizes the principle that shared understanding of 'what we're working on and how long it will take' predicts engagement and outcome. It is used primarily in research and training to assess goal alignment and identify mismatches that may undermine treatment.
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- Nash, E. H., Hoehn-Saric, R., Battle, C. C., Stone, A. R., Imber, S. D., & Frank, J. D. (1965). Systemic preparation of patients for psychotherapy: Effects on therapy behavior and outcome. Journal of Psychiatric Research, 2(4), 267–281. · URL
- Gelso, C. J., & Carter, J. A. (1985). The relationship in counseling and psychotherapy: Components, consequences, and theoretical antecedents. The Counseling Psychologist, 13(2), 155–243. · DOI 10.1177/0011000085132001
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