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IRCT20181208041890N1 IRCT 2019-09-16 University of Kurdistan Challenging the role of challenge in intensive short-term dynamic psychotherapy for Social Anxiety Disorder: a randomized controlled trial Comparing the effects of challenge and interpretation in treating patients with social anxiety disorder by intensive short-term dynamic psychotherapy; a process and outcome research 2015-01-21 anticipated 41 Complete https://irct.ir/trial/35788 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The volunteer participants, who had the entrance criteria were randomly assigned to one of three groups using the selection of one from 42 envelopes, including numbers of 1, 2, and 3; blinded to randomization (unaware if they had been randomized to which group). The three groups were standard ISTDP, no challenge ISTDP (NC-ISTDP) and a wait-list control. N/A Social Anxiety Disorder (Social Phobia). Intervention 1: The standard challenge-based central dynamic sequence of ISTDP including eight phases:Phase 1 (inquiry); Phase 2 (pressure); Phase 3 (challenge); Phase 4 (transference resistance); Phase 5 (direct access to the unconscious); Phase 6 (systematic analysis of the transference); Phase 7 (dynamic exploration into the unconscious); Phase 8 (consolidation). Standard ISTDP focused on accessing and experiencing the unconscious feelings through clarification, challenge to resistance and head on collision with resistance. For each group, a ten-session protocol of ISTDP for SAD was used. The first four sessions aimed at making the dynamic unconscious accessible. Sessions 5 to a maximum of eight focused on uncovering the pathogenic emotional forces underling SAD through the ISTDP formulation of unprocessed feelings and defenses leading to symptoms. Termination focused on ending the therapist-patient relationship. Intervention 2: The non-challenge-based central dynamic sequence of ISTDP including eight phases:Phase 1 (inquiry/preparation); Phase 2 (pressure); Phase 3 (interpretation/analysis); Phase 4 (transference resistance); Phase 5 (direct access to the unconscious); Phase 6 (systematic analysis of the transference); Phase 7 (dynamic exploration into the unconscious); Phase 8 (consolidation/analysis). The non-challenge-based ISTDP used clarification, recapitulation, and head on collision but did not use challenge. For each group, a ten-session protocol of ISTDP for SAD was used. The first four sessions aimed at making the dynamic unconscious accessible. Sessions 5 to a maximum of eight focused on uncovering the pathogenic emotional forces underling SAD through the ISTDP formulation of unprocessed feelings and defenses leading to symptoms. Termination focused on ending the therapist-patient relationship. Intervention 3: Control group: The Control Group; this group receive no intervention until the end of treatment. Then they underwent treatment for ethical reasons, But, the results were not considered in the research. Yes - There is a plan to make this available What will be shared: All of Data will be shared. When: After Publishing the article. To whom: All the researchers who work in university research centers. Conditions: Every required analysis for meta-analyses Where to obtain: Contact the responsible researcher How to obtain: To introduce the research team, their works and what they do to the data Comments:
public Fateh Rahmani
University Street
Sanandaj Iran (Islamic Republic of) 66177-15175 +98 87336646008 F.rahmani@uok.ac.ir University of Kurdistan scientific Fateh Rahmani
University Street
Sanandaj Iran (Islamic Republic of) 66177-15175 +98 87336646008 F.rahmani@uok.ac.ir University of Kurdistan Iran (Islamic Republic of) Social Anxiety Disorder Student of the University of Kurdistan 18 years 34 years Both History of Psychosis substance use Being under treatment F40.1 Social Phobias Treatment - Other Treatment - Other N/A The standard challenge-based central dynamic sequence of ISTDP including eight phases:Phase 1 (inquiry); Phase 2 (pressure); Phase 3 (challenge); Phase 4 (transference resistance); Phase 5 (direct access to the unconscious); Phase 6 (systematic analysis of the transference); Phase 7 (dynamic exploration into the unconscious); Phase 8 (consolidation). Standard ISTDP focused on accessing and experiencing the unconscious feelings through clarification, challenge to resistance and head on collision with resistance. For each group, a ten-session protocol of ISTDP for SAD was used. The first four sessions aimed at making the dynamic unconscious accessible. Sessions 5 to a maximum of eight focused on uncovering the pathogenic emotional forces underling SAD through the ISTDP formulation of unprocessed feelings and defenses leading to symptoms. Termination focused on ending the therapist-patient relationship. The non-challenge-based central dynamic sequence of ISTDP including eight phases:Phase 1 (inquiry/preparation); Phase 2 (pressure); Phase 3 (interpretation/analysis); Phase 4 (transference resistance); Phase 5 (direct access to the unconscious); Phase 6 (systematic analysis of the transference); Phase 7 (dynamic exploration into the unconscious); Phase 8 (consolidation/analysis). The non-challenge-based ISTDP used clarification, recapitulation, and head on collision but did not use challenge. For each group, a ten-session protocol of ISTDP for SAD was used. The first four sessions aimed at making the dynamic unconscious accessible. Sessions 5 to a maximum of eight focused on uncovering the pathogenic emotional forces underling SAD through the ISTDP formulation of unprocessed feelings and defenses leading to symptoms. Termination focused on ending the therapist-patient relationship. Control group: The Control Group; this group receive no intervention until the end of treatment. Then they underwent treatment for ethical reasons, But, the results were not considered in the research. The Subjects Score in The Liebowitz Social Anxiety Scale. Timepoint: Before-After Treatment and 6 Months Follow up. Method of measurement: The Liebowitz Social Anxiety Scale. no Approved 2018-12-12 National Committee of Ethics in Biomedical Researches University of Kurdistan Street Sanandaj Kurdistan Iran (Islamic Republic of)