Comparing effectiveness of Interpersonal Psychodynamic and Emotional-Focused group intervention on female adolescents’ attachment style

Document Type : Original Article

Authors

1 Faculty of Humanistic and Psychology, The Islamic Azad University, Science and Research Branch

2 Professor of psychology. Department of Clinical Psychology, Faculty of Psychology, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Associate Professor of psychology. Department of Psychology, Faculty of Psychology, Baqiyatallah University of Medical Sciences,

Abstract

Aim: The purpose of the present study was to determine the effectiveness of group intervention of Psychodynamic Interpersonal versus Emotional-Focused Therapy on adolescent girls’ insecure attachment style. Method: Research method was experimental with control group and pre-test, post-test and follow-up design. The statistical population included 27641 adolescent girls aged 15-17 in 82 secondary high schools of Shiraz City in 2016-2017 academic year. Using random cluster sampling method, educational districts one and three were chosen, and seven high schools were selected from aforementioned districts. Afterward, according to research criteria, 45 adolescents who scored highest on the avoidance or ambivalence insecure attachment style, based on Collins and Read’s Attachment Style Scale 1994 were randomly assigned to three groups. Tasca, Mikail & Hewitt’s (2005) Psychodynamic Interpersonal Group Therapy in sixteen 90 minutes sessions, and Robinson, Maccague & Whissell’s (2014) Emotional-Focused Group Therapy in eight 90 minutes sessions. Data were analyzed using repeated measure analysis of variance. Result: Results showed that, both interventions are effective on avoidance (F= 69.86, P= 0.001) and ambivalence (F= 52.31, P= 0.001) attachments but there was no significant difference between the effectiveness of the two groups. This effectiveness remained constant after a three month follow up. Nevertheless, the effect of psychodynamic intervention on avoidance attachment was more apparent. Conclusion: Since, Psychodynamic Interpersonal Therapy seems to have an effect on defective relationship patterns and Emotional-Focused therapy seems to help the regulation of emotional processing patterns and thus promote interpersonal functioning, both interventions can be used as effective methods to solve problems caused by insecure attachment in adolescent girls.

Keywords


  1. پاکدامن، شهلا. (1380). بررسی ارتباط بین دلبستگی و جامعه‌طلبی در نوجـوانی. پایـان‌نامـه دکتـرای روان‌شناسی. دانشکده علوم تربیتی و روان‌شناسی. دانشگاه تهران.
  2. دلاور، علی. (1387). احتمالات و آمار کاربردی در روان‌شناسی و علوم تربیتی. تهران. انتشارات رشد.
  3. شکراله‌زاده، معصومه.، سید موسوی، پریسا سادات.، زاده‌محمدی، علی.، نصیری‌هانیس، غفار. (1396). نقش میانجی‌گر دلبستگی به هم‌سال‌ها در رابطه بین دبستگی به پدر و مادر و نمویافتگی هیجانی نوجوانان. فصلنامه روان‌شناسی کاربردی، 11(2 پیاپی 42): 235-215.
  4. عشورنژاد، فاطمه. (1395). اثربخشی آموزش راهبردهای تنظیم هیجان بر افزایش تاب‌آوری و دل‌مشغولی‌های تحصیلی در دانش‌آموزان دختر نوجوان. فصلنامه روان‌شناسی کاربردی، 10(4 پیاپی 40): 521-501.
  5. کمالی‌ایگلی، سمیه،. ابولمعالی‌الحسینی، خدیجه. (1395). پیش‌بینی راهبردهای تنظیم‌شناختی هیجانی بر اساس فرایندهای ارتباطی خانواده و کمال‌گرایی در دختران نوجوان دبیرستانی. فصلنامه روان‌شناسی کاربردی، 10(3 پیاپی 39): 310-291.
  6. Clements-Nolle K., & Rivera, C. M. (2013). The epidemiology of adolescent health. New York, NY: Springer press.
  7. Dubois-Comtois, K., Cyr, C. H., Pascuzzo, K., Lessard, M., & Poulin, C. (2013). Attachment theory in clinical work with adolescents. Journal of Child and Adolescent Behavior, 1(3): 2-8.
  8. Gallagher, M. E., Tasca, G. A., Ritchie, K., Balfour, L., & Bissada, H. (2014). Attachment anxiety moderates the relationship between growth in group cohesion and treatment outcomes in group psychodynamic interpersonal psychotherapy for women with binge eating disorder. Group Dynamics: Theory, Research, and Practice, 18(1): 38–52.
  9. Greenberg L. (2010). Emotion-focused therapy: A clinical synthesis. The Journal of Lifelong Learning in Psychiatry, 3(1): 32–42.
  10. Greene, L. R. (2012). Group therapist as social scientist, with special reference to the psychodynamically oriented psychotherapist. American Psychologist, 67(6): 477–489.
  11. Gresham, D., Gullone, E. (2012). Emotion regulation strategy use in children and adolescents: The explanatory roles of personality and attachment. Personality and Individual Differences, 52(5): 616-621.
  12. Jones, J. D., Fraley, R. C., Ehrlich, K. B., Stern, J. A., Lejuez, C. W., Shaver, P. R., & Cassidy, J. (2017). Stability of attachment style in adolescence: An empirical test of alternative developmental processes. Child Development, 12(7): 211-229. DOI: 10.1111/cdev.12775.
  13. Jounson, S. (2009). Attachment theory and emotionally focused therapy for individuals and couples. In: Obegi, J. H., & Berant, E. (Eds). Attachment theory and research in clinical work with adults (pp: 410-434). Guilford Press.
  14. Levy, K. N., Meehan K. B., Christina M., Temes, CH. M., & Yeomans, F. E. (2012). Attachment theory and research: Implications for psychodynamic psychotherapy. In: Levy R., Ablon J., and Kächele H. (Eds). Psychodynamic Psychotherapy Research (pp 401-416). Current clinical Ppsychiatry, totowa, NJ: Humana Press.
  15. Madigan, S., Brumariu, L. E., Villani, V., Atkinson, L., & Lyons-Ruth, K. (2016). Representational and questionnaire measures of attachment: A meta-analysis of relations to child internalizing and externalizing problems. Psychological Bulletin, 142(4): 367-399.
  16. Marmarosh, C., Markin, R., & Spiegel, E. (2013). Attachment in group psychotherapy. Washington, DC: The American Psychological Association.
  17. Maxwell, H., Tasca, G. A., Ritchie, K., Balfour, L., & Bissada, H. (2014). Chang in attachment insecurity is related improved 0utcomes 1-year post group therapy in women with binge eating disorder. Psychotherapy, 51(1): 57-65
  18. Moser, M. B., Jounson, S., Dalgleish, T., Lafontaine, M. F., Wiebe, S. A., & Tasca, G. A. (2016). Chang hin relationship-specific attachment in emotionaly focused couple therapy. Journal of Marital and Couple Therapy, 42(2): 231-245
  19. Pascuzzo, K., Moss, E., & Cyr. (2015). Attachment and emotion regulation strategies in predicting adult psychopathology. SAGE Journal, 5(3): 1-15.
  20. Pinquart, M., Feussner, Ch., Ahnert, L. (2012). Meta-analytic evidence for stability in attachments from infancy to early adulthood. Attachment & Human Development, 15(2): 189-218.
  21. Pojman, A. (2009). Adolescent group psychotherapy: Method, madness, and the basics. New York: American group psychotherapy association.
  22. Rasco, D., Warner, R. M. (2017). Relationship authenticity partially mediates the effects of attachment on relationship satisfaction. The Journal of Social Psychology, 157(4): 445-457
  23. Robinson, A.l., Maccague, E.A., Whissell, C. (2014). That chair work thing was great: a pilot study of group-based emotion-focused therapy for anxiety and depression. Person-Centered & Experiential Psychotherapies, 13(4): 108-129.
  24. Scott, L. N., Whalen, D. J., Zalewski, M., Beeney, J. E., Pilkonis, P. A., Hipwell A. E., Stepp, S. D. (2013). Predictors and consequences of developmental changes in adolescent girls' self-reported quality of attachment to their primary caregiver. Journal of Adolescent, 36(1): 797-806.
  25. Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2): 98-109.
  26. Sherman, L. J., Rice, K., Cassidy J. (2015). Infant capacities related to building internal working models of attachment figures: A theoretical and empirical review. Developmental Review, 37(3): 109-141.
  27. Tasca G. A., Balfour L., Presniak M. D & Bissada H. (2012). Outcomes of specific interpersonal problems for binge eating disorder: Comparing group psychodynamic interpersonal psychotherapy and group cognitive behavioral therapy. International of group psychotherapy, 62(2): 197-218.
  28. Tasca, G. A., Mikail, S., & Hewitt, P. (2005). Group psychodynamic interpersonal psychotherapy: A manual for time limited treatment of binge eating disorder. In M. E. Abelian (Ed.), Focus on psychotherapy research (pp. 159–188). Hauppauge. NY: Nova.
  29. Tasca, G. A., Ritchie, K., & Balfour, L. (2011). Practice review: Implications of attachment theory and research for the assessment and treatment of eating disorders. Psychotherapy Research, 48(2): 249–259.
  30. Tasca, G. A., Ritchie, K., Conrad, G., Balfour, L., Gayton, J., Daigle, V., & Bissada, H. (2006). Attachment scales predict outcome in a randomized controlled trial of two group therapies for binge eating disorder: An aptitude by treatment interaction. Psychotherapy Research, 16(1): 106–121.
  31. Tschuschke, V., Anbeh, T., & Kiencke, P. (2007). Evaluation of long term analytic group psychotherapy. International Journal of Group Psychotherapy, 40(3): 140-159.
  32. Wiebe, S. A., Jounson, S., Lafontaine, M. F., Moser, M. B., Dalgleish, T., & Tasca, G. A. (2017). Two-year Follow-up outcomes in emotionally focused couple therapy: An investigation of relationship satisfaction and attachment trajectories. Journal of Marital and Family therpy, 43(2): 227-244.
  33. Zuccarani, D., Jounson, S., Dalgleish T. L., Makinen, J. A. (2012). Forgiveness and reconciliation in emotionally focused therapy for couples: The client change process and therapist interventions. Journal of Marital and Family therpy, 39(2): 148-162.