بررسی تغییرات روابط موضوعی در بازه‌های زمانی مختلف درمان معطوف به انتقال در اختلالات شخصیت خوشهB

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانش‌آموخته دکتری روان‌شناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران.

2 دانشیار روان‌شناسی سلامت، گروه روان‌شناسی بالینی، دانشگاه سمنان، سمنان، ایران.

3 استادیار روان‌شناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان،ایران.

4 دانشیار گروه علوم انسانی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران.

چکیده

هدف: پژوهش حاضر باهدف بررسی تغییرات روابط موضوعی در بازه‌های زمانی مختلف درمان معطوف به انتقال در اختلالات شخصیت خوشه B طرح‌ریزی و اجرا شد. روش: مطالعه حاضر شبه آزمایشی است. 32 مراجع اختلالات شخصیت خوشه B (17 مرد و 15 زن) با روش نمونه‌گیری در دسترس انتخاب گردیده، به‌صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. 51 جلسه (یک‌بار در هفته ، به مدت 45 دقیقه) درمان معطوف به انتقال به‌صورت فردی در مورد گروه آزمایش اجرا شد. در بازه‌های مختلف درمان یک پیش‌آزمون و سه پس‌آزمون (مقیاس روابط موضوعی بل) برای هر دو گروه اجرا شد و همچنین برای گروه آزمایش بعد از شش ماه پیگیری انجام شد برای تجزیه‌وتحلیل داده‌ها از طرح واریانس با اندازه‌گیری‌های مکرر و آزمون t زوجی استفاده شد. یافته‌ها: بر اساس یافته‌های پژوهش درمان معطوف به انتقال بر ابعاد مختلف روابط موضوعی اثر داشته (p=0/05) و این تغییرات در مرحله پیگیری نیز پایدار باقی‌مانده است. نتیجه‌گیری: نتایج مطالعه نشان داد طلیعه تغییرات در دلبستگی ناایمن زودتر و در بیگانگی دیرتر از سایر ابعاد قابل‌مشاهده است و به نظر می‌رسد بیگانگی عمیق‌تر از سایر ابعاد است و به زمان طولانی‌تری برای تغییر نیاز دارد و نتایج پیگیری نشان داد علائم بعد از درمان بهبود پیداکرده‌اند ازآنجایی‌که درمان معطوف به انتقال موجب بهبود اختلالات شخصیت خوشه B می‌شود می‌توان از آن به‌عنوان روش مداخله‌ای مؤثر در درمان اختلالات شخصیت بهره برد.

کلیدواژه‌ها

عنوان مقاله [English]

The Study of Changes in Object Relation at Different time Serials Transference Focused Psychotherapy with Cluster B Personality Disorders

نویسندگان [English]

  • Giti Zarei 1
  • Isaac Rahimian Boogar 2
  • Ameneh Moazediyan 3
  • Ali Jahan 4
1 Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran.
2 Associate Professor of Health Psychology, department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Mahdishahr, Semnan, Iran.
3 Assistant Professor of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran.
4 Department of Human Science, Semnan Branch, Islamic Azad University, Semnan, Iran.
چکیده [English]

Aim: This study aimed to investigate changes in object relations during different time intervals of Transference-Focused Psychotherapy (TFP) for individuals with Cluster B personality disorders.
 
Method: A quasi-experimental research design was employed, involving 32 patients diagnosed with Cluster B Personality Disorders (17 male and 15 female) selected through the available sampling method. Participants were randomly assigned to experimental and control groups. The experimental group underwent 51 TFP sessions (once a week for 45 minutes). Pre-test and three post-tests using Bell's Object Relation Inventory were conducted at various treatment stages, with follow-up assessments for the experimental group. Data were analyzed using repeated measures analysis of variance and paired T-tests.
 
Results: Findings revealed that TFP had a significant impact on various dimensions of object relations, and these changes remained stable during the follow-up phase, with no significant variations between the third stage and follow-up.
 
Conclusion: The study demonstrated that initial changes in insecure attachment manifested earlier than other dimensions, while changes related to alienation occurred later and were more profound, necessitating an extended duration for transformation. Follow-up results indicated symptom improvement post-treatment, highlighting TFP's efficacy in enhancing object relations. Overall, Transference-Focused Psychotherapy emerges as a valuable intervention method for ameliorating Personality Disorders within Cluster B.

کلیدواژه‌ها [English]

  • Object Relation
  • Personality Disorders
  • Psychoanalysis
  • Transference Focused Psychotherapy

مراجع

American Psychiatric Association, D. S. M. T. F., & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5, No. 5). Washington, DC: American psychiatric association. [Link]
Bion, W. (1963) Elements of Psychoanalysis. New York: Basic Books
Caligor, E., Kernberg, O. F., Clarkin, J. F., & Yeomans, F. E. (2018). Psychodynamic therapy for personality pathology: Treating self and interpersonal functioning. American Psychiatric Pub. [Link]
Caligor, E., Kernberg, O. F., Clarkin, J. F., & Yeomans, F. E. (2018). Psychodynamic therapy for personality pathology: Treating self and interpersonal functioning. Washington, DC: American Psychiatric Association Publishing. [Link]
Cassidy, J., Phillip, R. (2016) Handbook of attachment: Theory, research, and clinical application. New York: Guilford Press, 2016.
Clarkin, JF., Cain, NM., Lenzenweger, M. (2017). Advances in transference-focused psychotherapy derived from the study of borderline personality disorder: clinical insights with a focus on mechanism. Curr Opin Psychol; 21:80-5. [Link]
Diamond, D., Hersh, RG. (2020). Transference-Focused Psychotherapy for Narcissistic Personality Disorder: An Object Relations Approach. J Pers Disord;34(Supplement):159-76. [Link]
Einy S, Narimani M, Atadokht A, Basharpoor S, Sadeghi Movahhed F. Effectiveness of Cognitive-analytical Therapy on Ego-strength and Object Relations of Persons with Borderline Personality Disorder. Studies in Medical Sciences 2018; 29 (1) :1-11. [Link]
Fonagy, P., Luyten, P., Moulton-Perkins, A. Lee, YW., Warren, F., Howard, S., et al. (2016). Development and validation of a self-report measure of mentalizing: The reflective functioning questionnaire. PLoS One.; 11(7): e0158678. [Link]
Huprich, S.K., Nelson, S.M., Lenqu, K., & Albright, J. (2017). Object relations predicts borderline personality disorder symptoms beyond emotional dysregulation, negative affect, and impulsivity. Journal of Personality Disorders, 8(1): 46-53. [Link]
Kernberg, O. F. (2018). Treatment of severe personality disorders: Resolution of aggression and recovery of eroticism. Washington, DC: American Psychiatric Publishing. [Link]
Kernberg, OF, (2015). Borderline (patient) personality. 2nd ed: International Encyclopedia of the Social & Behavioral Sciences.
Khorianian, M., Bakhshipour-Roudsari, A., Mahmoud-Alilou, M., & Hashemi, T. (2019). Effectiveness of Transference-focused Psychotherapy on Reflective Functioning and Symptomatology of the Borderline Personality Disordered patients. Journal of Clinical Psychology, 10(4), 45-58. [Link]
Klein M. (1945) The Oedipus complex in the light of early anxieties. In Contributions   to Psychoanalysis. London: Hogarth Press.
Levy, KN., Clarkin, JF., Yeomans, FE., Scott, LN., Wasserman, RH., Kernberg, OF. (2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. J. Clin. Psychol.; 62(4): 481-501. [Link]
Mahmood Aliloo M, Hashemi Nosratabad T, Karimpour Vazifehkhorani A. The Role of Impulsivity, Sensitivity to Reward and Anhedonia in Distinction People with Symptoms of Borderline Personality Disorder from Ordinary People. IJPCP 2018; 24 (2) :136-147. [Link]
Mesgarian, F., Azadfallah, P., Farahani, H., & Ghorbani, N. (2020). Psychometric properties of Bell object relations inventory (BORI). Clinical Psychology and Personality, 15(2), 193-204. [Link]
Monajem, A., Monirpour, N., & Mirzahosseini, H. (2018). Structural Relationships of the Personality Organization, Object Relations and Defense Mechanisms with Pathological Eating Disorder. Journal of Clinical Psychology, 10(2), 1-14. [Link]
Mullin, A.S.J, Hilsenroth, MJ., Gold, J., Farber, BA. (2017). changes in object relations over the course of psychodynamic psychotherapy. clin Psychol psychother. 2017; 24:501-11. [Link]
Pourshahriar, H., Alizade, H., & Rajaeinia, K. (2018). Childhood Emotional Abuse and Borderline Personality Disorder Features: The Mediating Roles of Attachment Style and Emotion Regulation. Iranian Journal of Psychiatry and Clinical Psychology, 24(2), 148-163. [Link]
Rahimian Boogar, I., & Moazedian, A. (2020). Improvement of borderline personality disorder at different time frames of transference focused psychotherapy: A case report. Studies in Medical Sciences, 31(4), 255-266. [Link]
Ramos, V, Canta, G., de Castro, F., Leal, I. (2016). The relation between attachment, personality, internalizing, and externalizing dimensions in adolescents with borderline personality disorder. Bulletin of the Menninger Clinic. 2016;80(3):213-33. [Link]
Rashn, S., Makvand-Hosseini, S., Rezaei, A., & Tabatabaee, S. (2018). The effect of long-term dynamic psychotherapy on the personality structure of patients with Dependent Personality Disorder. Journal of Clinical Psychology, 9(4), 1-12. [Link]
Ronningstam, E. (2018). NPD basics. Unpublished manuscript. McLean Hospital Medical School. [Link]
Stern, BL., Diamond, D., Yeomans, FE. (2017). Transference-focused psychotherapy (TFP) for narcissistic personality: Engaging patients in the early treatment process. Psychoanalytic Psychology.;34(4):381-96. [Link]
Svrakic DM and Zorumski CF (2021) Neuroscience of Object Relations in Health and Disorder: A Proposal for an Integrative Model. Front. Psychol. 12:583743. doi: 10.3389/fpsyg.2021.583743[Link]
Zarei, G., Rahimian Boogar, I., Moazedian, A., & Jahan, A. (2020). Changes Personality Organization at Different Time Serials in Transference Focused Psychotherapy in Cluster B Personality Disorders. Journal of Applied Psychology, 14(4), 493-473. [Link]
Zarrati, I., Bermas, H., & Sabet, M. (2020). Correlation between Childhood Trauma and Suicidal Ideation by Mediation of Mental Pain and Object Relations. Journal of Health Promotion Management, 9(3), 34-48. [Link]

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