Browsing by Author "de la Parra, Guillermo"

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    A long but fruitful journey: From clinical psychoanalysis to public mental health in Chile
    (2023) Jimenez, Juan Pablo; de la Parra, Guillermo
    The authors, both professors of psychiatry, trained as psychoanalysts according to the standards of the International Psychoanalytic Association (IPA), recount 30 years of conceptual and empirical research work for the construction of a model of brief and adaptive psychodynamic psychotherapy applicable at the Primary Health Care level. The many milestones of this journey are reviewed, starting with the difficulties and obstacles encountered when pursuing this task within IPA institutions. Once the authors decided to conduct the task outside the analytic institution, they created two training programs for psychodynamic therapists and a research group in psychotherapy, all of which have attained excellence. This effort gave birth to several institutions that are still in operation, such as the Chilean and Latin American chapters of the Society for Psychotherapy Research, the Chilean Congress of Psychotherapy, the PhD Program in Psychotherapy, and finally the Millennium Institute for Research and Personality (MIDAP). In its 8 years of existence, MIDAP has become a national and Latin American reference center for research in Mental Health, aimed at implementing preventive and psychotherapeutic interventions in vulnerable populations at the primary health care and community level. The article ends with a description of the main components and the final process of the construction of the Protocol of Psychotherapeutic Competences for the Treatment of Depression in Primary Health Care level.
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    Analysis 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, Guillermo
    As 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.
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    Clients', 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, Oriana
    Clients', 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.
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    THE PROGRESSION OF CHANGE: HOW IT IS AND TOWARDS WHERE IS IT HEADED
    (FUNDACION AIGLE, 2014) Dagnino, Paula; de la Parra, Guillermo; Jaramillo, Andrea; Crempien, Carla; Padilla, Oslando; Gomez Barris, Elyna; Luzio, Paola; Reyes, Lucia; Said, Mariely; Escobar, Rocio; Martinez, Daniela; Rodriguez, Sandra