The Therapeutic Realizations Scale-Revised (TRS-R): psychometric characteristics and relationship to treatment process and outcome

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine



Document Type



Adolescent; Adult; Ambulatory Care; *Awareness; Female; Humans; Male; Outcome and Process Assessment (Health Care); Personality Inventory; Psychometrics; *Psychotherapy; Reproducibility of Results


Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventive Medicine


Therapeutic realizations are one of five universal, session-level change processes explicated in the Generic Model of Psychotherapy. Realizations refer to session impacts, the moment-to-moment accomplishments that patients experience within sessions. This study establishes the psychometric characteristics and factor structure of a modified patient-rated measure of session-level effects, the Therapeutic Realization Scale-Revised (TRS-R). In addition, it shows the relationship of the TRS-R to treatment process and outcome from the perspective of both patients and therapists. The findings provide support for the TRS-R as a reliable and valid, multidimensional index of session-level treatment effects.

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Citation: J Clin Psychol. 2000 Sep;56(9):1207-20. Link to article on publisher's website

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