بررسی اثربخشی درمان صمیمیت از درون به برون (IFIO) در بهبود ارتباط ایمن زوجین

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری مشاوره، دانشگاه شهید چمران اهواز، اهواز، ایران

2 دانشیار گروه مشاوره، دانشگاه شهید چمران اهواز، اهواز، ایران

3 استاد گروه مشاوره، دانشگاه شهید چمران اهواز، اهواز، ایران

چکیده

هدف: بررسی اثربخشی درمان صمیمیت از درون به برون (IFIO) در بهبود ارتباط ایمن زوجین در زوج ­های مراجعه ­کنندۀ شهرستان دزفول بود. روش: در این پژوهش از طرح تجربی تک موردی از نوع خط پایۀ چندگانۀ ناهم­زمان استفاده شد. جامعة پژوهش شامل کلیۀ زوج­ های مراجعه ­کننده به کلینیک ­های­ روان­شناختی شهرستان دزفول در سال 1399 بود. نمونۀ پژوهش شامل 4 زوج (8 نفر) از افراد مراجعه کننده این کلینیک­ ها­ بودند که با توجه به نمرۀ پرسشنامه ارتباط ایمن (BARE) جزء زوج ­های با ارتباط ناایمن قرار می­ گرفتند. پروتکل درمان صمیمیت از درون به برون (IFIO) در سه مرحلۀ خط پایه، مداخلۀ 8 جلسه ­ای و 3 پیگیری 1 ماهه اجرا گردید و آزمودنی­ ها قبل از درمان، میانۀ درمان، پایان درمان و هر ماه پس از پایان درمان به مدت 3 ماه به پرسشنامۀ ارتباط ایمن (BARE) و پرسشنامۀ امنیت صمیمانه (ISQ) پاسخ دادند. یافته ­ها: نتایج حاصل از داده­ ها به روش ترسیم دیداری، شاخص تغییر پایا (RCI) و فرمول درصد بهبودی نشان داد که: درمان صمیمیت از درون به برون (IFIO) در افزایش ارتباط ایمن و امنیت هیجانی و خود بودن زوج­ ها تأثیر معنادار داشته است و زوجین در پیگیری سه ماهه توانستند اثرات درمانی را حفظ کنند. نتیجه ­گیری: براساس داده ­ها می­ توان نتیجه گرفت که درمان صمیمیت از درون به برون (IFIO) در افزایش ارتباط ایمن و امنیت هیجانی و خود بودن زوج ­ها مؤثر بوده است و ارتباط ایمن زوج ­ها را ارتقا می­ دهد.

کلیدواژه‌ها


عنوان مقاله [English]

Evaluation of the Effectiveness of Intimacy From the Inside Out Relationship.Therapy (IFIO) in Improving a Couple's Secure

نویسندگان [English]

  • narges Heydarianfar 1
  • khaled aslani 2
  • gholamreza Rajabi 3
  • abbas Amanelahi 2
1 PhD. Student of Counseling, , Shahid Chamran University of Ahvaz, Ahvaz, Iran.
2 Associate Professor, Department of Family Counseling, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
3 Professor, Department of Family Counseling, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
چکیده [English]

Aim: The aim of this study was to evaluate the effectiveness of IFIO in improving the safe relationship between couples among couples in Dezful. Method: In this study, a single case experimental design of multiple asynchronous baseline was used. The study population included all couples who referred to psychological clinics in Dezful in 1399. The research sample was selected using purposive sampling method. The sample consisted of 4 couples (8 people) referred to these clinics who were considered as insecure couples according to the score of the Safe Communication Questionnaire (BARE). The IFIO protocol was implemented in three phases: baseline, 8-session intervention, and 3 to 1-month follow-up. Subjects answered the BARE Questionnaire and the Intimate Security Questionnaire (ISQ) before treatment, in the middle of treatment, at the end of treatment, and every month after treatment for 3 months. Results: The results of the data using visual drawing method, stable change index (RCI) and recovery percentage formula showed thatIntimacy From the Inside Out therapy (IFIO) has a significant effect on increasing safe communication and emotional security and couples' self-esteem. And the couple were able to maintain the therapeutic effects in the quarterly follow-up. Conclusion: Based on the data, it can be concluded that (IFIO) has been effective in increasing the secure relationship and Emotional Security, Secure to Being self of couples.

کلیدواژه‌ها [English]

  • Inside Out Intimacy From the therapy (IFIO)
  • Secure Communication
  • Emotional Security
  • Secure to Being self
ایمانی، مهدی (1391). بررسی کارآیی رفتاردرمانی مبتنی بر پذیرش و زوج درمانی رفتاری یکپارچه نگر در کاهش آشفتگی زناشویی و علائم اختلال اضطراب فراگیر در زنان شهر ماهشهر. پایان نامه­ی دکترا. اهواز دانشگاه شهید چمران اهواز.(پیوند).
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.(Link).
 Arnold, E. & Boggs, K. (2015). Professional Communication Skills for Nurses. Interpersonal Relationships.7th Edition. 9780323328579. Saunders. 8th January. Page Count: 576. (Link).
Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York, NY: Basic Books. (Link).
Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation: Anxiety and anger. New York: Basic Books. (Link).
Cordova, J. V., Gee, C. B., & Warren, L. Z. (2005). Emotional skillfulness in marriage: Intimacy as a mediator of the relationship between emotional skillfulness and marital satisfaction. Journal of Social and Clinical Psychology, 24(2), 218–235. (Link).
Feeney, J. A. (2002). Attachment, marital interaction, and relationship satisfaction: A diary study. Personal Relationships, 9(1), 39–55. doi:10.1111/1475-6811.00003. (Link).
Feeney, J. A. (2008). Adult romantic attachment: Development in the study of couple relationships. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 456–481). New York, NY: The Guilford Press. (Link).
Hammill, C. (2010). The relationship of childhood maltreatment and adult style to functional recovery in chronic fatigue syndrome and fibromyalgia. Dissertation Abstracts International Section B, 70, 5820. (Link).
Herbine-Blank, T.Kerpelman, D. & Sweezy, M. (2016). Intimacy From the Inside Out therapy. Courage and Compassion in Couple Therapy. by Routledge 711 Third Avenue, New York, NY 10017. (Link).
Høeg,B. L., Johansen, C., Christensen, J., Frederiksen, K., Dalton, S. O., Dyregrov, A., ... & Bidstrup, P. E. (2018). Early parental loss and intimate relationships in adulthood: A nationwide study. Developmental psychology, 54(5), 963. (Link).
Johnson, S. M. (2004). The practice of emotionally focused couple therapy: Creating connection (2nd edn). New York: Brunner-Routledge. (Link).
Johnson, S. M. (2008). Hold me tight: Seven conversations for a lifetime of love. New York: Little, Brown and Company. (Link).
Johnson, S., & Greenman, P. (2013). Commentary: Of course it is all about attachment. Journal of Marital and Family Therapy, 39, 421–423. (Link).
Knapp, D. J., Sandberg, J. G., Novak, J., & Larson, J. H. (2015). The mediating role of attachment behaviors on the relationship between family-of-origin and couple communication: Implications for couples therapy. Journal of Couple & Relationship Therapy: Innovations in Clinical and Educational Interventions, 14(1), 17–38. (Link).
Koçyiğit Özyiğit, M. (2017). The Meaning of Marriage According to University Students: A Phenomenological Study. Educational Sciences: Theory & Practice: Vol. 17 No. 2. (Link).
Mcevoy, D. (2005). Attachment styles among violent and non-violent mentally ill and non-mentally ill jail inmates. Dissertation Abstracts International Section B, 65, 4839. (Link).
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press. (Link).
Oka, M., Sandberg, J. G., Bradford, A. B., & Brown, A. (2014). Insecure attachment behavior and partner violence: Incorporating couple perceptions of insecure attachment and relational aggression. Journal of Marital and Family Therapy, 40(4), 412–429. (Link).
Ponzetti, J. J., & Mutch, B. H. (2006). Marriage as a covenant: Tradition as a guide to marriage education in the pastoral context. Pastoral Psychology, 54 (3),215-230. (Link).
Reis, S., & Grenyer, B. (2004). Fear of intimacy of women: Relationship between attachment style and depressive symptoms. Psychopathology, 37, 299–303. (Link).
Rholes, W. S., Simpson, J. A., Campbell, L., & Grich, J. (2001). Adult attachment and the transition to parenthood. Interpersonal Relations and Group Processes, 81(3), 421–435. doi:10.1037//0022-3514.81.3.421. (Link).
Sandberg, J. G., Busby, D. M., Johnson, S. M., & Yoshida, K. (2012). The brief accessibility, responsiveness, and engagement (BARE) scale: A tool for measuring attachment behavior in couple relationships. Family Process, 51, 512–526. (Link).
Seedall, R. B., & Wampler, K. S. (2013). An attachment primer for couple therapists: Research and clinical implications. Journal of Marital and Family Therapy, 39, 427–440. doi:10.1111/jmft.12024. (Link).
Tremblay, I., & Sullivan, M. (2010). Attachment and pain outcomes in adolescents: The mediating role of pain catastrophizing and anxiety. The Journal of Pain, 11, 160–171. (Link).