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      Proceso de Cambio Psicoterapéutico: Análisis de Episodios Relevantes en una Terapia Grupal con Pacientes Adictos Translated title: Therapeutic Change Process: Analysis of Relevant Episodes in a Group Therapy With Addict Patients

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          Abstract

          En el presente artículo se presentan los resultados de una investigación que tuvo como objetivo determinar y describir el tipo de acciones comunicacionales realizadas por terapeutas y pacientes durante las sesiones de una terapia grupal. Para esto se utilizó una metodología orientada al descubrimiento empleando un análisis cualitativo de contenido. En los resultados se incluye tanto la descripción de las acciones identificadas de acuerdo al nivel de análisis, así como los patrones ideales de secuencia de dichos componentes asociados al cambio y propios de esta modalidad terapéutica. Finalmente, los resultados son discutidos considerando los principales antecedentes teóricos y empíricos en materia de investigación en psicoterapia.

          Translated abstract

          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, and their ideal sequential patterns, associated to in-session change and particularly to this therapeutic modality. Finally, the results are discussed considering the main theoretical and empirical frameworks in psychotherapy research.

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          Most cited references52

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          Clinical significance: a statistical approach to defining meaningful change in psychotherapy research.

          In 1984, Jacobson, Follette, and Revenstorf defined clinically significant change as the extent to which therapy moves someone outside the range of the dysfunctional population or within the range of the functional population. In the present article, ways of operationalizing this definition are described, and examples are used to show how clients can be categorized on the basis of this definition. A reliable change index (RC) is also proposed to determine whether the magnitude of change for a given client is statistically reliable. The inclusion of the RC leads to a twofold criterion for clinically significant change.
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            The role of the therapeutic alliance in psychotherapy.

            The article traces the development of the concept of the therapeutic working alliance from its psychodynamic origins to current pantheoretical formulations. Research on the alliance is reviewed under four headings: the relation between a positive alliance and success in therapy, the path of the alliance over time, the examination of variables that predispose individuals to develop a strong alliance, and the exploration of the in-therapy factors that influence the development of a positive alliance. Important areas for further research are also noted.
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              Defining empirically supported therapies.

              A scheme is proposed for determining when a psychological treatment for a specific problem or disorder may be considered to be established in efficacy or to be possibly efficacious. The importance of independent replication before a treatment is established in efficacy is emphasized, and a number of factors are elaborated that should be weighed in evaluating whether studies supporting a treatment's efficacy are sound. It is suggested that, in evaluating the benefits of a given treatment, the greatest weight should be given to efficacy trials but that these trials should be followed by research on effectiveness in clinical settings and with various populations and by cost-effectiveness research.
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                Author and article information

                Journal
                psykhe
                Psykhe (Santiago)
                Psykhe
                Pontificia Universidad Católica de Chile (Santiago, , Chile )
                0718-2228
                November 2005
                : 14
                : 2
                : 3-18
                Affiliations
                [03] orgnamePontificia Universidad Católica de Chile orgdiv1Facultad de Medicina orgdiv2Centro de Diagnóstico (CEDIUC) Chile
                [02] orgnamePontificia Universidad Católica de Chile orgdiv1Centro Psicológico (CEPUC) Chile
                [01] Santiago orgnamePontificia Universidad Católica de Chile orgdiv1Escuela de Psicología Chile nlvaldes@ 123456puc.cl
                Article
                S0718-22282005000200001 S0718-2228(05)01400201
                10.4067/S0718-22282005000200001
                859b116c-a7ff-4f35-9e0d-45d749e5ba9c

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : April 2005
                : August 2004
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 53, Pages: 16
                Product

                SciELO Chile

                Categories
                Artículos

                acciones comunicacionales,psychotherapeutic change,episodes of change,communicative actions,cambio psicoterapéutico,episodios de cambio

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