Paula Dagnino

Paula Dagnino
San Sebastian University | USS · Faculty of Psychology

PhD. Phil

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46
Publications
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650
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Publications

Publications (46)
Article
Full-text available
Brief psychodynamic psychotherapy has gained importance in current clinical practice. To achieve brevity, a focus must be established and worked through. Different conceptualizations have emphasized the relational patterns and/or conflict foci as central but adopting a mono-schematic approach. However, patients come to treatment with more than one...
Article
Full-text available
Mentalizing, conceived as the capacity to attribute intentional mental states as implicit or underlying behavior of an individual or others, has gained interest within psychodynamic clinical research due to its potential as a change mechanism. Variations and qualities of mentalization have been studied through reflective functioning (RF). But only...
Article
Background Studies show that 16-77% of psychotherapy patients abandon therapy within the first sessions. The aim of this study is to examine how patient personality variables, specifically the patients’ structural integration and the personality traits dependency and self-criticism, are associated with symptomatic change and therapy dropout. Metho...
Article
Full-text available
Background This is the validation of the Operationalized Psychodynamic Diagnosis—Structure Questionnaire (OPD-SQ). Methods A clinical sample of 399 adults and a nonclinical general population sample of 50 healthy adults completed measures of depression, attachment, psychiatric symptomatology and distress. Internal consistency and concurrent validi...
Chapter
After our journey through the ongoing paradigm shift from a disorder-centred approach to a person-centred approach and then to a functional domains perspective, we introduce the RDoC framework as a current working model and research agenda to support this paradigm shift. Furthermore, we discuss how it orients the authors of each chapter of this boo...
Chapter
This chapter reviews the concept of affect regulation from the perspective of the functional domain criteria, in an attempt to understand and describe its role for psychopathology, and specifically for depression and personality dysfunction. It incorporates the ongoing discussions within the fields of psychiatry, psychology, and psychopathology res...
Chapter
As shown in this volume and others in this series, it is untenable nowadays to regard depression as a unidimensional phenomenon in terms of diagnosis and treatment. The notion of complex depression is closer to the clinical-etiological reality of the disorder and also provides a clearer impression of what professionals must deal with in highly dema...
Preprint
Full-text available
Background This is the validation of the Operationalized Psychodynamic Diagnosis - Structure Questionnaire (OPD-SQ) Methods A clinical sample of 399 adults and a nonclinical sample of 50 healthy adults completed measures of depression, attachment, psychiatric symptomatology and distress. Internal consistency and concurrent validity were assessed. T...
Book
This book analyses the clinical interaction between depression and personality dysfunction to help clinicians better understand and treat patients with complex depression. It proposes an innovative perspective to clinical work that moves away from a disorder-centered approach to a person-centered approach by analysing complex depression through the...
Article
Full-text available
Background: Depressive disorder is one of the main health problems worldwide. Many risk factors have been associated with this pathology. However, while the association between risks factors and adult depression is well established, the mechanisms behind its impact remains poorly understood. A possible, yet untested explanation is the mediating imp...
Article
Full-text available
As we all know, COVID-19 has impacted the entire world. Quarantine disrupts people's lives, with high levels of stress and negative psychological impacts. Studies carried out mostly in the Far East, Europe, or the United States have started to provide evidence on survivors, frontline healthcare workers, and parents. The present study is the first s...
Article
Full-text available
Brief dynamic psychotherapy has been increasingly important in the actual clinical practice. For its brevity, focalization must be accomplished. The work on focus consolidates the material, abbreviates psychotherapy, and is considered to be a change mechanism. Operationalized Psychodynamic Diagnosis OPD-2 proposes a concept of focus as the specific...
Article
Depression is a heterogeneous disorder that can manifest itself in multiple ways (self-critical or dependent style) and whose structural functioning differs among patients. This study aimed to assess the relationship between structural functioning and depressive styles, along with the effect of the latter on changes in outcomes during therapy. Base...
Article
Considerando la perspectiva de las polaridades de la personalidad (Blatt, 2004, 2007, 2008), el objetivo de este estudio fue describir la relación entre los niveles de autocriticismo y dependencia (DEQ) en pacientes con depresión (BDI-I) y su abandono de la psicoterapia, explorando el rol mediador de la alianza terapéutica (WAI-P) y el rol moderado...
Article
Full-text available
Personality functioning may be a vulnerability factor for the development of depressive disorders and will influence how these are expressed in each patient. Diagnosing the structural capacities and vulnerabilities of a patient's personality will facilitate the planning of therapy. This article introduces the Operationalized Psychodynamic Diagnosis...
Article
Full-text available
The aim of this study is to reconstruct and understand, through a collaborative process between researcher and clinician, the therapist's subjective experience of a single case during significant episodes of therapy. This case study draws on a combination of two methodological approaches that we believe are relevant for practice oriented research....
Article
Full-text available
Van Praag states that the underlying psychic dysfunctions in psychopathology must be evaluated (and treated) in patient-centered treatments. In line with this idea, Blatt and colleagues propose the concept of self-critical (introjective) and dependent (anaclitic) functioning. The research program Millennium Initiative has studied self-critical and...
Article
Resumen La depresión es un cuadro clínico de alta prevalencia en el mundo y de difícil abordaje por su heterogeneidad. Este estudio exploró las asociaciones entre dimensiones autocríticas y dependientes de la experiencia depresiva y funciones estructurales en 43 pacientes chilenos con sintomatología depresiva. Los pacientes mostraron un estilo depe...
Article
Full-text available
The purpose of this study is to improve the current understanding of the relation between depression and attachment through the evaluation of the role of personality styles (dependent vs self-critical) and social support in this association. These variables were studied in a clinical sample of 70 depressed outpatients (83% women; M=41.47 years, SD=...
Article
Full-text available
Over the last decades, brief dynamic psychotherapy has been increasingly important in the actual clinical practice. For its brevity focalization must be accomplished. The work on focus has shown to have many advantages; it consolidates the material, abbreviates psychotherapy and is considered to be a change mechanism. For this thesis the Operationa...
Article
Full-text available
The relevance of patients' change over the course of psychotherapy is relevant. This article examines change episodes of four four successful therapeutic processes, from two perspectives of change; one of them is Subjective Theory and the other is the Integration Therapeutic Focus, the first decanted into a list of Generic Change Indicators (IGC) a...
Article
Full-text available
The present study examines the heterogeneity of the therapeutic process through the analysis of the conversation between therapists and clients in psychotherapy. The Communicative Intentions dimension of the Therapeutic Activity Coding Sys-tem (TACS) was applied to 69 change episodes taken from 100 sessions that belong to five brief psychotherapies...
Article
Full-text available
Resumen La investigación ha demostrado la fuerte relación entre alianza terapéutica y resultados en psicoterapia. Una buena alianza está asociada a mejores resultados en psicoterapia. Para medir alianza se han desarrollado una serie de instrumentos para terapeutas, pacientes, y observadores. Los instrumentos observacionales son menos intrusivos, di...
Article
Full-text available
Research has shown the strong association between therapeutic alliance and therapeutic outcomes. A good alliance is linked with better outcomes in psychotherapy. A number of instruments have been developed to measure the alliance aimed at therapists, patients, and observers. Observational instruments are less intrusive, and reduce the possible effe...
Article
Full-text available
The present study examines the heterogeneity of the therapeutic process through the analysis of the conversation between therapists and clients in psychotherapy. The Communicative Intentions dimension of the Therapeutic Activity Coding System (TACS) was applied to 69 change episodes taken from 100 sessions that belong to five brief psychotherapies....
Article
Full-text available
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 outco...
Conference Paper
Aim: The aim of this study was to review the previously demonstrated fact that patient-reported working alliance is the strongest predictor of therapeutic outcome, compared to therapists and external observers (Horvath, 2005). For that purpose, this research intends to establish the relationship between the quality of the therapeutic alliance accor...
Article
Full-text available
Introduction: OPD (Operationalized Psychodynamic Diagnosis) is a recently introduced semi-structured and operationalized method of personality evaluation and diagnosis in developing countries. This preliminary report assess the impact of intensive training on OPD’s criterion validity and inter rater reliability. Method: 15 psychotherapists recently...
Article
Full-text available
Introducción: El OPD (Diagnóstico Psicodinámico Operacionalizado) es un método semi-estructurado de evaluación y diagnóstico de personalidad, recientemente introducido en países desarrollados. Este reporte preliminar evalúa la validez de criterio y la confiabilidad inter -evaluador, a partir del impacto generado por un un entrenamiento intensivo en...
Article
Full-text available
This article presents a theoretical systematization of concepts regarding psychotherapeutic difficulties, from different perspectives and levels of analysis. It proposes a theoretical structure that allows comparing, differentiating and synthesizing the multiple concepts and empirical findings regarding psychotherapeutic difficulties. Concepts were...
Article
Full-text available
El presente artículo tiene como objetivo presentar el resultado de una revisión teórica de los conceptos asociados a dificultades en psicoterapia desde distintas perspectivas y niveles de análisis, para luego proponer una estructura que permita sintetizar, diferenciar y comparar los distintos conceptos y hallazgos relevantes que tienen que ver con...
Article
Full-text available
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...
Conference Paper
Full-text available
Introduction: since its introduction in 1992, the OPD has been widely used all over the world. In the meantime has proved to be a reliable and useful clinical assessment tool. Psychotherapy relevant issues like relationship patterns, psychodynamic conflicts as well as personality structure, are specially addressed, just allowing clinicians to desig...
Article
Full-text available
Therapeutic change was studied in four short- term psychodynamic oriented therapies. Micro-changes were analyzed through the hierarchy of Generic Change Indicators (CI) and through the “subjective discomfort”, “interpersonal relation- ships” and “social role” scales of Lamberts’ OQ-45.2. The four therapies showed a positive correlation between the...
Article
Full-text available
Therapeutic change was studied in four short-term psychodynamic oriented therapies. Micro-changes were analyzed through the hierarchy of Generic Change Indicators (CI) and through the "subjective discomfort", "interpersonal relationships" and "social role" scales of Lamberts' OQ-45.2. The four therapies showed a positive correlation between the evo...
Article
Full-text available
Drawing 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 a...
Article
Full-text available
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...
Article
Full-text available
In-session change episodes were studied in four psychotherapeutic processes: a brief psychodynamic, psychodynamic-cognitive, a family social-constructionist, and a group integrative therapy. A qualitative confirmatory methodology was applied to assess observed and video-recorded sessions. The analysis instrument was a hierarchical list of generic q...
Article
Full-text available
Se estudiaron episodios de cambio en cuatro procesos de psicoterapia: psicoanalítica breve, psicoanalítico-cognitiva, familiar construccionista-social e integrativa de grupo. Se aplicó metodología cualitativa, confirmatoria, a sesiones observadas y grabadas en audio y video. El instrumento de análisis fue una jerarquía de indicadores de cambio gené...
Article
This article presents the results of a study aimed to determine and describe the type of communicative actions made by therapists and patients during the sessions of a group therapy. A discovery-oriented methodology was applied, conducting qualitative content analysis. Results include the description of the identified actions by levels of analysis,...
Article
Full-text available
El presente artículo es parte de una investigación de proceso terapéutico, orientada al descubrimiento de las interacciones que favorecen el cambio experimentado durante la psicoterapia. Específicamente, persigue la fundamentación teórica y metodológica para un análisis de la conversación terapéutica -a través de la teoría de los actos de habla- en...
Article
Full-text available
In-session change episodes were studied in four psychotherapeutic processes: a brief psychodynamic, a psychodynamic-cognitive, a family social-constructionist, and a group integrative therapy. A qualitative confirmatory methodology was applied to assess observed and video-recorded sessions. The analysis instrument was a hierarchical list of generic...

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