Browsing by Author "Tomicic, Alemka"

Now showing 1 - 6 of 6
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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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    Desgaste 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
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    Dialogues 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, Ivonne
    This 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).
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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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    Institutional Dimension of Burnout in Governmental Psychosocial and Community Programmes: Gaps between Intervening Conditions, Consequences, and Guidelines for Improvement
    (2024) Daher, Marianne; Rosati, Antonia; Tomicic, Alemka; Hernandez, Angie; Alfaro, Jaime
    This article analyses burnout in governmental psychosocial and community programmes considering training/knowledge, the technical-professional field, the institutional framework, and networking, based on the experience of the intervention teams of three Chilean programmes. A qualitative methodology was used. Fifty people, most of them psychologists, participated in interviews and focus groups. The data were analysed according to Grounded Theory. Results indicate that burnout is a corrosive process in governmental psychosocial and community programmes. The causes of burnout are related to three gaps: between academic training and professional performance, between formulation and implementation, and between the obligation to work as part of a network and the limitations of this approach. Furthermore, we observed manifestations consequences and effects of burnout, and guidelines for improving the programmes. We discuss the institutional dimension of burnout in governmental psychosocial and community programmes and reflect on aspects that may improve team well-being and the quality of social policies.
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    The 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, Perla
    Ongoing 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.