Browsing by Author "Tomicic, Alemka"
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- ItemAnalysis of verbalized emotions in the psychotherapeutic dialogue during change episodes(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2010) Valdes, Nelson; Dagnino, Paula; Krause, Mariane; Perez, Janet C.; Altimir, Carolina; Tomicic, Alemka; de la Parra, GuillermoAs described by many theorists, emotional expressions contribute to the activation and regulation of personal emotional experiences and communicate something about internal states and intentions. These emotional expressions can be observed in the words used in our speech and nonverbal behaviors, even when nonverbal behaviors are synchronized to one's own speech or to the speech of others. Using a quantitative and qualitative methodology, this article reports a classification of verbal emotional expressions of both psychotherapists and patients in change episodes. Assuming that the emotions loaded in linguistic contents are explicit emotions shown by emotion words, this methodology allows for a complete and differentiating assessment of affective qualities in both patients and psychotherapists during the psychotherapeutic dialogue.
- ItemClients', therapists', and observers' agreement on the amount, temporal location, and content of psychotherapeutic change and its relation to outcome(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2010) Altimir, Carolina; Krause, Mariane; de la Parra, Guillermo; Dagnino, Paula; Tomicic, Alemka; Valdes, Nelson; Carola Perez, J.; Echavarri, Orietta; Vilches, OrianaClients', therapists', and observers' identification of change was studied in 27 therapeutic processes, and agreement on the amount, temporal location, and content of change was related to outcome. Results show that clients reported more changes in successful therapies. Client-therapist temporal match of change moments was low irrespective of outcome. Results from all three perspectives were consistent in that manifestation of new behaviors and emotions was the most representative content of change among all therapies. Meanwhile, client-therapist agreement on the frequency of grouped change indicators reported was associated with positive outcome, whereas client-observer agreement was related to negative outcome. Therapists and observers agreed in both successful and nonsuccessful therapies. The relationship between agreement and therapeutic outcome is discussed in relation to each dimension of analysis.
- ItemDesgaste profesional como un eje transversal a la experiencia de equipos psicosociales de programas sociales gubernamentales(Ediciones Universidad del Desarrollo, 2022) Daher Gray, Marianne; Tomicic, Alemka; Rosati Bustamante, Antonia; Carrasco Hernández, Angie; Alfaro, Jaime; Martin, María Pía; Pérez Luco, Ricardo
- ItemDialogues and self-reference: change processes in psychotherapy from speech acts's perspective(FOUNDATION ADVANCEMENT PSYCHOLOGY, 2009) Aristegui, Roberto; Gaete, Joaquin; Munoz, Gonzalo; Salazar, Jose I.; Krause, Mariane; Vilches, Oriana; Tomicic, Alemka; Ramirez, IvonneThis article is the result of a research in the frame of therapeutic process, based on Generic Change Indicators (Krause et al., 2006a). Along with Speech Acts Theory (Searle, 2002; Aristegui et al., 2005) it is proposed to use the Dialogical Self Model (Hermans, 1996; Valsiner, 2007) as a suitable device for characterizing and differentiating change and stagnant episodes, in therapeutic conversation. The analysis unit of study is constituted by extracts from two therapies of different theoretical orientation, with change and stagnant episodes previously identified through indicators derived from Subjective Change Theory. The study of change episodes indicates dialogical characteristics of the therapeutic conversation which suppose a self-referential language game where therapist and consultant build a self-position description (subject) that commits with certain ilocutive intentions of action. The study and comparison of change episodes with stagnate episodes integrate in the discussion the distinctions of experience focus in first person and veritative symmetry applied to self referential-performativity and the notions self-dialogicality dialogicality according to the self-dialoglical theory (Hermans, 1996; Valsiner, 2007; Anderson, 1999).
- ItemDynamic Patterns in the Voices of a Patient Diagnosed with Borderline Personality Disorder, and the Therapist throughout Long-Term Psychotherapy(2022) Mellado, Augusto; Martinez, Claudio; Tomicic, Alemka; Krause, MarianeThis case study identified the subjective change in a patient diagnosed with Borderline Personality Disorder (BPD) by analyzing the dynamic patterns that emerged during discursive interaction with her therapist during a successful long-term psychotherapy. A qualitative analysis was conducted by applying the Model of Analysis of Discursive Positioning in Psychotherapy (MAPP), tracking voices and the personal positions of the patient and therapist in all sessions. Subsequently, dynamic patterns were identified and the hypothetical attractors were defined (i.e., the most stable patterns in the interaction of voices) using the Space State Grid (SSG) technique. Five sessions (representing the initial, middle and final stages) were selected to describe the trajectory of the patient's subjective change. These sessions highlight the presence of different attractors and depict the intersubjective interaction that developed during the process. The results suggest a process of subjective transformation from a monological to a dialogical dimension, a change supported by therapeutic interaction based on propositional and reflective discursive aspects; a transition from a state of dissociation of the patient to a reorganization of her subjectivity. The most relevant characteristics of this process as an emergent quality of psychotherapy and its relation to the patient's positive outcomes are discussed.
- ItemIdentification of Dynamic Patterns of Personal Positions in a Patient Diagnosed With Borderline Personality Disorder and the Therapist During Change Episodes of the Psychotherapy(2022) Mellado, Augusto; Martinez, Claudio; Tomicic, Alemka; Krause, MarianePersonal positions and voices of a patient diagnosed with borderline personality disorder (BPD) and the therapist during long-term psychotherapy were studied aiming to find differences in the patterns formed in these aspects of subjectivity according to the level of elaboration of the change episodes achieved by the patient. This case study considered a stage of qualitative analysis where change episodes of the patient were traced through the Change Episodes Model. Later, through the Model of Analysis of Discursive Positioning in Psychotherapy (MAPP), the voices and personal positions of the patient and her therapist were identified in each of the change episodes. In the stage of quantitative analysis, dynamic patterns in the voices and personal positions were established, accounting for hypothetical attractors using the Space State Grid (SSG) technique in each of the three different levels of subjective elaboration that constitute the change episodes. The results established differentiated dynamic patterns in the change episodes, coherent with the patient's change process, and formation of propositive/reflective specific patterns as the patient evolved in the three different levels of subjective elaboration. The above suggests that a subjective transformation process is displayed, and this is manifested in the different voices and personal positions that emerged as the change episodes evolve. The identified dynamic patterns can be considered nonlinear and emergent subjective exchanges between the patient and the therapist throughout the psychotherapy.
- ItemLanguage and therapeutic change: A speech acts analysis(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2008) Reyes, Lucia; Aristegui, Roberto; Krause, Mariane; Strasser, Katherine; Tomicic, Alemka; Valdes, Nelson; Altimir, Carolina; Ramirez, Ivonne; De La Parra, Guillermo; Dagnino, Paula; Echavarri, Orietta; Vilches, Oriana; Ben Dov, PerlaDrawing on the speech acts theory, a linguistic pattern was identified that could be expected to be associated to therapeutic change, characterized by being uttered in the first person singular and present indicative, and by being self-referential in its propositional content. The frequency of the pattern was examined among verbalizations defined as change moments in three therapies with different theoretical orientation. Results show that the majority of change moments have the specified pattern, and that this pattern is significantly more frequent in change moments than in random non-change-related verbalizations, and so, it does not pertain to therapeutic conversation in general. Implications are discussed concerning the possibility of using the linguistic pattern as an additional and complementary criterion in the identification of moments of change in the therapeutic process.
- ItemSelf-organisation in dialogical patterns of a patient with borderline personality disorder and their therapist: A case study from nonlinear dynamics perspective(2022) Mellado, Augusto; Guastello, Stephen J.; Martinez, Claudio; Tomicic, Alemka; Krause, MarianeObjective: The purpose of this study was to identify self-organised dynamics in sessions with dialogical patterns (i.e. reflective interactions of self-states associated with psychological change) within long-term psychotherapy. One of the hallmarks of self-organisation is the presence of an Inverse Power Law (IPL) in the frequency distribution of relevant events, which reflect better adaptation to internal and environmental changes, produced by psychotherapy.
- ItemThe evolution of therapeutic change studied through generic change indicators(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2007) Krause, Mariane; De la Parra, Guillermo; Aristegui, Roberto; Dagnino, Paula; Tomicic, Alemka; Valdes, Nelson; Echavarri, Orietta; Strasser, Katherine; Reyes, Lucia; Altimir, Carolina; Ramirez, Ivonne; Vilches, Oriana; Ben Dov, PerlaOngoing change and therapeutic outcome were studied in five psychotherapeutic processes: three brief psychodynamic therapies, one social constructionist family therapy, and one group therapy of a comprehensive nature for drug abuse patients. Using qualitative methodology, in-session and extrasession change moments were identified and classified in a hierarchy of generic change indicators. Additionally, all patients were administered Lambert's Outcome Questionnaire. Results show that (a) extrasession change moments are more frequent toward the end of therapy, (b) therapy types differ in the frequency of some change indicators but not others, and (c) change indicators observed at the beginning of therapy are of lower level than those occurring at the end.