Browsing by Author "Mellado, Augusto"

Now showing 1 - 7 of 7
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    Autocriticismo en pacientes con depresión y su repercusión en el abandono de psicoterapias breves: Explorando el rol mediador de la alianza terapéutica y el rol moderador de la edad de los pacientes
    (2018) Mellado, Augusto; Pérez, Carola; Suárez Delucchi, Nicolás Leopoldo; Dagnino Robles, Paula Andrea; Gloger, Sergio; Krause Jacob, Mariane
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    Disentangling the change-alliance relationship : observational assessment of the therapeutic alliance during change and stuck episodes
    (2017) Mellado, Augusto; Suárez, Nicolás; Altimir Colao, Carolina; Pérez, Janet; Martínez Guzmán, Claudio; Krause Jacob, Mariane; Horvath, Adam
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    Dynamic 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, Mariane
    This 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.
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    Identification 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, Mariane
    Personal 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.
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    Resultados en psicoterapia individual de adultos desde la perspectiva de los Sistemas Dinámicos: una revisión sistemática
    (Sociedad Chilena de Psicologia Clinica, 2022) Mellado, Augusto; Tomicic, Alemka; Martinez, Claudio; Krause Jacob, Mariane
    © 2022, Sociedad Chilena de Psicologia Clinica. All rights reserved.There is a diverse body of research that utilizes notions of the dynamical systems (DS) perspective to describe change processes in psychotherapy, understanding it as a non-linear self-organized system that presents emergent processes and structural variations. A systematic review of research in individual psychotherapy with adult patients addressed from this perspective has been carried out. The review was carried out supported by the PRISMA methodology tracking the main concepts of the DS perspective applied to individual psychotherapy of adults (between 1997 and 2019), in English and Spanish, using the electronic databases PsycINFO and ProQuest. The final selection included 34 studies, both case studies and naturalistic studies, covering different process and outcome variables of psychotherapy. The results highlight how such concepts help to understand patients' change as a nonlinear process, emphasizing its self-organizing characteristics, transitions from states that generate psychological distress to healthier states, and the formation of emergent patterns at different stages of psychotherapy. Some related aspects (e.g. role of the alliance, and of clinical interventions) that can be considered in the therapeutic work are discussed.
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    Self-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, Mariane
    Objective: 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.