Alemka Tomicic

Alemka Tomicic
Universidad Diego Portales · School of Psychology

Ph.D.

About

113
Publications
73,849
Reads
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923
Citations
Introduction
I am training as a clinical psychologist and I am PhD in psychology. I have specialized in process-outcome psychotherapy research. As a researcher I have knowledge of both methodologies, qualitative and quantitative. Nevertheless, I have specialized in the management and application of qualitative methodologies in general and in psychotherapy research in particular.
Additional affiliations
March 2015 - March 2025
Pontificia Universidad Católica de Chile
Position
  • Instituto Milenio para la Investigación en Depresión y Personalidad
Description
  • 2015-2025 I am associated researcher. Principal Researcher: Dr. Mariane Krause.
February 2015 - March 2018
Universidad Diego Portales
Position
  • Mentalización en Procesos Psicoterapéuticos con Pacientes Diagnosticados con Trastorno de Personalidad: Su Papel en la Regulación Mutua y su Asociación con el Cambio Terapéutico.
Description
  • 2015-2018 I am co-researcher of the Project Fondecyt Regular N° 1150639, Santiago de Chile. Principal Researcher: Dr. Claudio Martínez.
November 2014 - November 2016
Universidad Diego Portales
Position
  • Adolescencia y Suicidio: Construcción Subjetiva del Proceso de Suicidio en Jóvenes Lesbianas, Gays, Bisexuales y Trans (LGBT).
Description
  • 2014-2016 I am co-researcher of the Project FONIS SM14I0004, Santiago de Chile. Principal Researcher: Dr. Claudio Martínez

Publications

Publications (113)
Article
Full-text available
Existe un variado número de investigaciones que emplea nociones de la perspectiva de sistemas dinámicos (SD) para describir procesos de cambio en psicoterapia, conceptualizándolo como un sistema no lineal autoorganizado que presenta procesos emergentes y variaciones estructurales. Se realizó una revisión sistemática de la investigación en psicotera...
Article
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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 conside...
Article
The main goal of this article is to describe the formation and development of a Latin-American network for research in psychotherapy and mental health in sexual and gender diversity. Research has shown that psychological well-being and mental health problems of sexual minority individuals are strongly influenced by the particular social and cultura...
Article
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El presente estudio reporta los resultados de la implementación de un dispositivo audiovisual (TIC) y material de apoyo en cursos de Psicología, Sociología y Comunicación Social en dos universidades chilenas. Se produjo un microdocumental sobre programas sociales y sus resultados, y se elaboró material de apoyo consistente en cápsulas didácticas pa...
Article
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 Positioni...
Article
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Objective: To identify self-organized 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-organization is the presence of an Inverse Power Law (IPL) in the frequency distribution of relevant events, which reflect...
Article
Moments of Meeting (MoM) in psychotherapy are understood as shared moments between patients and therapists that allow a mutual implicit understanding about their relationship and create a new state of intersubjectivity that reconfigures the patient’s procedural knowledge of “being with others.” Despite ample theoretical and clinical descriptions of...
Article
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Las altas prevalencias de problemas de salud mental en personas LGBT han sido explicadas desde el modelo de estrés de minorías. La homolesbobitransfobia y la internalización del estigma, constituyen procesos de estrés que impactan la salud mental. Por su parte, la internalización e hipervigilancia del estigma y, el ocultamiento de la identidad sexu...
Article
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This article discusses how the Generic Model of Psychotherapy ( Orlinsky and Howard, 1987 ) can help to organize the psychotherapy research and the knowledge in the field of psychotherapy for sexual and gender minority patients. The structure that this traditional model provides is a good foundation for research in this field, inasmuch as it stress...
Article
The association between suicide risk and sexual minority status can be understood from the perspective of the social determinants of health, an approach that requires the development of culturally sensitive knowledge. The aim of this study was to characterize young gay and lesbian people’s subjective construction of their experience of having lived...
Article
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This study aims to assess moments of meeting in psychotherapy -understood as moments of intense connectedness and intimacy, shared between patient and therapist during any therapeutic encounter that enable a spin in the therapy process- using a qualitative interview with patients who were undergoing or had finished psychological treatment. Micro-pe...
Article
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Background: This study aimed to determine conditional dependence relationships of variables that contribute to psychological vulnerability associated with suicide risk. A Bayesian network (BN) was developed and applied to establish conditional dependence relationships among variables for each individual subject studied. These conditional dependenc...
Article
The literature establishes the importance of care in the context of situations leading to burnout. However, there are theoretical limitations that make it difficult to understand its role within the social area. The article presents a proposal to conceptualize and address care in social policies from a comprehensive perspective, based on the commun...
Preprint
Full-text available
This study aimed to determine conditional dependence relationships of variables that contribute to psychological vulnerability associated with suicide risk. A Bayesian network (BN) was developed and applied to establish conditional dependence relationships among variables for each individual subject studied. These conditional dependencies represent...
Preprint
This study aimed to determine conditional dependence relationships for variables that contribute to psychological vulnerability associated with suicide risk. A Bayesian Network was developed and applied to establish conditional dependence relationships among variables for each individual subject studied. These conditional dependencies represented t...
Article
There has been a growing interest in mentalization in clinical research given its relationship with normal and psychopathological functioning and its explanatory potential as a mechanism of psychotherapeutic change. This study uses the Reflective Functioning Scale (RFS) to identify and characterize mentalization manifestations in psychotherapeutic...
Article
Interest in studying relevant events in psychotherapy has gained increasing importance, causing significant growth in theoretical and empirical conceptualizations. However, the diversity of theoretical perspectives, the multiple ways of defining, understanding and analyzing these events has often been confusing and ambiguous. The aim of this articl...
Article
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Objective: To identify clinical and sociodemographic factors that increase or decrease suicidal risk in a clinical sample of subjects seeking mental health care. Method: A cross-sectional study was performed at three health centers in Santiago, Chile. The Parental Bonding Instrument (PBI), Depressive Experience Questionnaire (DEQ), Outcome Quest...
Book
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Esta guía tiene un doble propósito: por una parte, busca describir las características del contexto particular de la salud mental de las personas LGBT+, dando cuenta de sus aspectos epidemiológicos, modelos explicativos y, en particular, del peso social y cultural que adquiere la atención psicológica y psiquiátrica en esta población, incluyendo las...
Article
Background This article presents a qualitative study, conducted in Chile and Colombia, on mental health care access and experiences with psychotherapy from the perspectives of economically disadvantaged clients. Current epidemiological data show it is important to conduct psychological interventions to address depression in poor populations, given...
Article
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Recent research on processes of psychotherapy has focused on the study of patient-therapist regulation. Evidence concerning verbal and nonverbal coordination as predictors of therapeutic alliance and outcome in psychotherapy has been cumulating. These, along with others results in the field of social neuroscience, suggest that behavioural coordinat...
Article
http://www.clinicapsicologica.org.ar/articulos_recientes.php DOI: 10.24205/03276716.2018.1055 La función reflexiva como aprendizaje procedural en la interacción terapéutica: el funcionamiento reflexivo-relacional Mentalization as procedural learning in psychotherapeutic interaction: a relational reflective functioning Cecilia de la Cerda Pao...
Article
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The relevance of experience and meaning in qualitative research is mostly accepted and is common ground for qualitative studies. However, there is an increasing trend towards trivializing the use of these notions. As a consequence, a mechanistic use of these terms has emerged within qualitative analysis, which has resulted in the loss of the origin...
Article
Background: Qualitative research has provided knowledge about the subjective experiences of therapists and patients regarding the psychotherapy process and its results. Only few studies have attempted to integrate both perspectives, considering the influence of a patient's characteristics and diagnosis in the construction of this experience. Aim:...
Article
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This study examines the relationship between the dependent and self-criticism Cognitive dimensions of personality with emotional, cognitive and social deficits associated with depres-sive symptoms. The sample included 91 college students, aged 18 to 24, from Pontificia Universidad Católica de Chile and Universidad de Chile. The Beck Depression Inve...
Conference Paper
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Aim: Differences in therapeutic outcome can be explained to a significant extent as a therapist effect (Baldwin & Imel, 2013; Owen, Drinane, Idigo, & Valentine, 2015; Wampold, 2001). In the study of treatment success and failure, knowledge about the subjective experience of the therapist has only recently been studied, including how this varies ove...
Conference Paper
Full-text available
Background: Mentalizing, conceived as the capacity to attribute intentional mental states as implicit or underlying one's own behavior or that of others, has gained interest within clinical research due to its relation to normal or psychopathological behavior, and in its explicative potential as an important mechanism of change in psychotherapy.
Article
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aim: In efforts to develop reliable methods to detect the likelihood of impending suicidal behaviors, we have proposed the following. Objective: To gain a deeper understanding of the state of suicide risk by determining the combination of variables that distinguishes between groups with and without suicide risk. Method: A study involving 707 patien...
Article
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An investigation of the patients and their therapists' perspectives about the relevance of the voice in their psychotherapy is presented, emphasizing its subjective and relational effects. Six patients in a Family Health Center (CESFAM) at Santiago de Chile, diagnosed with depressive and/or anxious disorders were interviewed. Additionally, their ps...
Article
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Abstract This paper presents the Vocalization–Silence Dynamic Patterns (VSDP) method for the analysis of coordination in psychotherapeutic conversation. The objectives of its development are to empirically account for vocal coordination patterns in dialogs and to examine the association between interactional coordination and positive relational out...
Article
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El presente estudio explora la relación entre las dimensiones de personalidad dependiente y autocrítica, con los déficits emocionales, cognitivos y sociales asociados a la sintomatología depresiva. La muestra del estudio la conformaron 91 estudiantes universitarios pertenecientes a la Pontificia Universidad Católica de Chile y a la Universidad de C...
Article
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Abstract The purpose of this paper is to describe verbal and nonverbal expressions of mutual regulation between patients and therapists through the analysis of relevant episodes of five psychotherapy processes. Microanalyses of discourse, vocal quality and facial expression of emotions were conducted on both patients and therapists in 67 Episodes o...
Article
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Background: Lesbian, gay, bisexual and trans (LGBT) populations have a high prevalence of suicide behaviors. Aim: To review the literature on suicide among LGBT populations. Material and Methods: A systematic review of the scientific literature published between 2004 and 2014 on suicidality among LGBT people was conducted. Forty-five articles were...
Conference Paper
Full-text available
Aim: Differences in therapeutic outcome can be explained to a significant extent as a therapist effect (Baldwin & Imel, 2013; Owen, Drinane, Idigo, & Valentine, 2015; Wampold, 2001), but in the study of treatment success and failure, knowledge about the subjective experience of the therapist has only recently been studied, including how this varies...
Conference Paper
Full-text available
The voice is one of the main mediums through which verbal communication occurs in psychotherapeutic dialog. Vocal qualities such as pitch, rhythm, tempo, resonance, control, and accent add meaning and context to spoken words. Moreover, the vocal quality of the "speeches" of patient and therapist constitute expressions of regulatory and self-regulat...
Article
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Background: Teaching methods of the undergraduate medical curriculum change considerably from the first years to clinical training. Clinical learning occurs in complex and varied scenarios while caring for patients. Students have to adapt their learning approaches and strategies to be able to integrate theory and clinical practice and become experi...
Article
Full-text available
Background: Teaching methods of the undergraduate medical curriculum change considerably from the first years to clinical training. Clinical learning occurs in complex and varied scenarios while caring for patients. Students have to adapt their learning approaches and strategies to be able to integrate theory and clinical practice and become experi...
Conference Paper
Full-text available
Background: Among the groups of suicide risk, young lesbian, gay, bisexual and transgender (LGBT) people have been those that have shown a higher prevalence of this mental health problem. The association between suicide risk and sexual minority has been understood from the perspective of the social determinants of health. It is noted that the LGBT...
Research
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Expositores del ámbito de la psicología, la psiquiatría, la política, el derecho, la antropología y la historia, expondrán en este Seminario dedicado a este fenómeno que año a año aumenta sus tasas en el país. La actividad se realizará el jueves 19 de noviembre 2015, de 8.30 a 13.30 horas en el Auditorio Facultad de Psicología, Vergara 275, piso -1...
Conference Paper
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Aim: In the research of psychotherapeutic process, verbal and nonverbal coordination has been associated with the alliance and the outcomes. There are evidence about coordination in body movements, facial expression, rhythm of speech, voice and speech quality. This set of results, along with others of neurosocial research, suggests that this kind o...
Conference Paper
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“I couldn’t change the past, the answer wasn’t there”: Subjective construction of the psychotherapeutic change. Background: The qualitative research tradition for the study of processes of change in psychotherapy has provided knowledge about the subjective experiences of therapists and patients regarding psychotherapy and its results. Nevertheless,...
Article
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Background: In Chile, postpartum depression is a prevalent and disabling condition. Universal screening is available but has not been translated into better treatment rates, suggesting the existence of access barriers. Aim: To describe access barriers to postpartum depression treatment in six primary health care clinics in Metropolitan Santiago, Ch...
Article
Full-text available
This study seeks to provide evidence of the dynamics associated with the configurations of discourse-voice regulatory strategies in patient-therapist interactions in relevant episodes within psychotherapeutic sessions. Its central assumption is that discourses manifest themselves differently in terms of their prosodic characteristics according to t...
Article
div>Objective: The psychotherapeutic process, like any intimate relationship between two human beings, involves mutual and self regulation processes that support effective communication. In psychotherapy, such regulatory processes are relevant to maintain a positive working alliance and contribute to therapeutic change. Rupture episodes in the alli...
Article
Full-text available
Background: There is growing interest in the treatment and return-to-work of workers with labor related mental illnesses. Aim: To perform a systematic review of practices and interventions that improve return to work. Material and methods: Systematic literature review. Thirty articles were selected for in- depth analysis. Results: Self efficacy per...
Article
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Background: There is growing interest in the treatment and return-to-work of workers with labor related mental illnesses. Aim: To perform a systematic review of practices and interventions that improve return to work. Material and Methods: Systematic literature review. Thirty articles were selected for in- depth analysis. Results: Self efficacy per...
Article
Full-text available
This study seeks to display therapeutic dialogue as a discursive genre. By using dialogic discourse analysis, the psychotherapeutic dialogue present in a set of excerpts from a time-limited psychotherapy is analyzed. This micro analytical methodology makes it possible to account for both the dialogal and the dialogic level of therapeutic conversati...
Article
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El presente estudio se propone establecer, respecto de una psicoterapia supervisada, la manera en que el discurso del paciente se presenta en la interacción entre terapeuta y supervisor. A través de un estudio de caso único y con metodología cualitativa, se realiza un análisis dialógico a los discursos producidos en dos sesiones consecutivas de psi...
Conference Paper
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Las posiciones discursivas, con sus marcas o huellas lingüísticas, son equivalentes a perspectivas ideológicas dominantes y consistentes expresadas a través del proceso terapéutico, que teoricamente corresponden a diferentes aspectos del self de quien habla (Hermans, 1996; Bakhtin, 1973). Estas posiciones pueden ser pensadas a su vez, como expresio...
Conference Paper
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The sounds of speech are important components of coordination and mutual regulation in psychotherapy. Vocal Quality Patterns (VQP) have been defined as more or less stable configurations of voice parameters that impact the listener in a specific way, regardless of the content of speech (Tomicic et al., 2009, 2011). VQP analyses of relevant psychoth...
Conference Paper
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General Statement: (i) many researchers have increasingly paid attention to nonlinear and discontinuous changes in psychotherapy (such as alliance ruptures, depression spikes etc.), by using corresponding methodologies (longitudinal modeling strategies for identifying singularities in time courses of variables); (ii) only rarely have these empirica...
Article
Full-text available
Background: The transition to the clinical courses represents a major challenge for medical students who are expected to become experiential learners, able to integrate theory and practice in the context of patient care. There are questions about how students face this challenge. Aim: To understand and compare the perceptions of students and clinic...
Article
Full-text available
Background: The transition to the clinical courses represents a major challenge for medical students who are expected to become experiential learners, able to integrate theory and practice in the context of patient care. There are questions about how students face this challenge. Aim: To understand and compare the perceptions of students and clinic...
Article
Full-text available
Objective: The purposes of this article were to compare the characteristics of the vocal quality of therapists and patients in change and stuck episodes, and to depict patient-therapist interaction sequences of vocal properties, in order to analyze micro-regulatory processes within the psychotherapeutic interaction. Method: Application of the Vo...
Article
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¿Es la música una creación humana? Yo digo que lo es. Aun cuando no quedan vestigios de su origen–puesto que inicialmente fue utilizado el cuerpo humano como el instrumento de producción musical-, se estima que su invención se remonta al hombre pre-histórico. La música, como una de tantas otras prácticas, es una asignación de orden, en este caso,...
Article
Full-text available
The psychotherapeutic process, like any intimate relationship between two human beings, involves mutual self-regulation processes that support effective communication. In psychotherapy, such regulatory processes are necessary to maintaining a positive working alliance and also contribute to therapeutic change. Episodes in which the alliance is rupt...
Article
Full-text available
Despite the efforts at prevention and promotion, suicide rates are increasing. Recent researches have tried to understand suicide as a process consisting of stages beginning with suicidal ideation, which followed more active phases with verbal threats and gestures, planning, attempt and finally completed suicide. This study aimed to identify dissua...