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IRCT20220705055380N1 IRCT 2022-07-30 Islamic Azad University Investigating the Effect of Short-Term Dynamic Psychotherapy (ISTDP) on Mindfulness, attachment Styles and Psychological Wellbeing The Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Mindfulness, Attachment Styles and Well-Being in Women with Marital Conflict 2022-08-06 anticipated 30 Complete https://irct.ir/trial/64644 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Each of the people in the sample will be assigned a special number, then we will write each of the numbers on a small piece of paper and fold them and put them in a container and mix them, then tear the papers one by one and divide them into intervention groups. and control group. N/A Women with marital conflict. Intervention 1: Intervention group: In this research, Davanlo's intensive and short-term psychodynamic psychotherapy (adjusted method) is used, and the treatment method is as follows. Treatment process: The first treatment session lasts between one and a half to 3 hours, and after that the sessions are weekly and one hour long. This treatment can be divided into seven distinct stages, each of which is explained. First stage: In this stage, we start from the nature of the patient's problem and ask for an explanation of a specific and objective example of his problem. In the process of questioning the patient's problems, it is emphasized on providing personal, objective and specific explanations that give clarity to the patient's speech. At this stage, the patient's emotional tolerance capacity is actually evaluated. Patients enter the treatment with 4 different states: 1- emotional activation 2- anxiety activation 3- defense activation 4- without any of the mentioned symptoms .We continue questioning the patient until the signal is activated (defense, anxiety or emotion). If the patient comes in with anxiety, we will adjust the anxiety, if he comes in with defense, we will clarify and challenge him with defense, and if he comes in with a feeling, we will help him to fully experience that feeling on three levels, cognitive, physical and with impulse, and if none of these We will continue the questioning without being active. The second stage: pressure for more objective answers and experience of feeling, in this stage, the main defense systems are gradually activated in the patient. The therapist asks the patient for specific and objective answers. The patient is asked to give an example of the events that caused problems for him. An attempt is made to direct the interview to anxiety-provoking issues. Third step: identifying, clarifying and challenging the defenses. The therapist at this stage through pressure enters the stage of defense analysis and verification, since the purpose of this method is to create experience for experience at the highest level, all defenses against the experience of emotion are identified and challenged to be neutralized. . At this stage, the therapist pays attention to the types of defenses that are active in clients, events that caused problems for him. An attempt is made to direct the interview to anxiety-provoking issues. If the client uses tactical and non-verbal defenses such as lack of eye contact, involuntary laughter, reasoning, etc., the therapist tries to make these defenses clear and specific. This point is checked whether the client is aware of such defensive behaviors or can he simply become aware? Attention should be paid to the patient's ability to understand his defenses to avoid emotions. In patients with low ability, defenses in all dimensions of life are identified and clarified by performing appropriate interventions. The fourth stage: transference resistance In the fourth stage, the therapist watches the transference symptoms, which are mostly non-verbal. Signs that may be used to defend one's anger, such as clenching fists, clinging to the chair, tension and cramping, sighing, etc. When the therapist feels that the tension has increased to a suitable level, he directs the interview to focus on the transference. And in this process, he directs the patient's attention to the non-verbal signs that he shows. . The characteristics of this intervention are: targeting the therapeutic contract and mobilizing it against resistance, emphasis on transference resistance, special emphasis on clients' refusal to get emotionally close to the therapist and not allowing the therapist to enter their private world. The fifth stage: direct access to the unconscious in the fifth stage, focusing on defenses, identifying and clarifying and challenging them leads to the movement of intense and complex transference emotions in the patient. The pressure and challenge continues until the unconscious shows signs that emotions and impulses are approaching the surface. When the patient is able to express his feeling to the therapist, he is asked to describe his inner experience of that feeling. All three components of an emotion must be experienced for full penetration and real touching of emotions. Transference emotions are usually complex. Anger is the first layer of transitional emotions, followed by guilt and grief. But instead of the first anger, it may be a feeling of sadness and regret. The sixth stage: Systematic analysis of the transition, the result of the intrapsychic crisis is a major reduction in tension and a significant change within the patient, followed by the predominance of the therapeutic contract. Transference feelings lead to the opening of the patient's repressed memories and feelings either spontaneously or by asking the therapist. As a result, it becomes possible to explore areas outside of transmission. Seventh stage: dynamic exploration of the unconscious In the seventh stage, due to the dominance of the therapeutic contract, traumatic events that cause anxiety and unconscious feelings of anger, sadness and guilt are revealed and experienced. The therapist helps the person gain insight into them. After the systematic analysis of the transference and the triangle of conflict and person, the therapist explores the current and past relationships of the patient, and in this direction, the conflict structure and the core of the patient's disorder are clarified. Facing painful emotions may provoke some resistance, but resistance can be easily overcome with a little push and challenge. The therapist's effort is to bring the patient's most painful feelings to the surface and enable him to experience them directly. The second session to the tenth session continues according to the protocol that was explained in the first session and according to the conflict triangle and the person triangle and the follow-up of other referral problems. Intervention 2: Control group: Control group: no intervention is done for the control group. Before the intervention, a pre-test was taken from the control group and they were put on the waiting list. At the end of the intervention, they will be given a post-test and the results will be analyzed. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.
public Mohamad Reza sarafraz
Semnan ,Shahark,Daneshgahy,Islamik,Azad University,Semnan Branch
Semnan Iran (Islamic Republic of) 3513137111 +98 23 3365 4040 mohamadrsarafraz@gmail.com Islamic Azad University scientific Mohamad Reza Srafraz
Shahrak Daneshgahy Islamic Azad University Semnan Branch
Semnan Iran (Islamic Republic of) 1438964575 +98 21 8802 6670 mohamadrsarafraz@gmail.com Islamic Azad University Iran (Islamic Republic of) All married women with marital conflict Having a minimum score of the Kansas Marital Conflict Questionnaire. Confirmation of marital conflict in clinical interview. Absence of acute and chronic diseases. Absence of a divorce in one year before and during the implementation of the research. Absence of death of closed relative in the past 6 months or during the implementation of the research. no limit no limit Female Having substance abuse Having mental retardation Other Other Intervention group: In this research, Davanlo's intensive and short-term psychodynamic psychotherapy (adjusted method) is used, and the treatment method is as follows. Treatment process: The first treatment session lasts between one and a half to 3 hours, and after that the sessions are weekly and one hour long. This treatment can be divided into seven distinct stages, each of which is explained. First stage: In this stage, we start from the nature of the patient's problem and ask for an explanation of a specific and objective example of his problem. In the process of questioning the patient's problems, it is emphasized on providing personal, objective and specific explanations that give clarity to the patient's speech. At this stage, the patient's emotional tolerance capacity is actually evaluated. Patients enter the treatment with 4 different states: 1- emotional activation 2- anxiety activation 3- defense activation 4- without any of the mentioned symptoms .We continue questioning the patient until the signal is activated (defense, anxiety or emotion). If the patient comes in with anxiety, we will adjust the anxiety, if he comes in with defense, we will clarify and challenge him with defense, and if he comes in with a feeling, we will help him to fully experience that feeling on three levels, cognitive, physical and with impulse, and if none of these We will continue the questioning without being active. The second stage: pressure for more objective answers and experience of feeling, in this stage, the main defense systems are gradually activated in the patient. The therapist asks the patient for specific and objective answers. The patient is asked to give an example of the events that caused problems for him. An attempt is made to direct the interview to anxiety-provoking issues. Third step: identifying, clarifying and challenging the defenses. The therapist at this stage through pressure enters the stage of defense analysis and verification, since the purpose of this method is to create experience for experience at the highest level, all defenses against the experience of emotion are identified and challenged to be neutralized. . At this stage, the therapist pays attention to the types of defenses that are active in clients, events that caused problems for him. An attempt is made to direct the interview to anxiety-provoking issues. If the client uses tactical and non-verbal defenses such as lack of eye contact, involuntary laughter, reasoning, etc., the therapist tries to make these defenses clear and specific. This point is checked whether the client is aware of such defensive behaviors or can he simply become aware? Attention should be paid to the patient's ability to understand his defenses to avoid emotions. In patients with low ability, defenses in all dimensions of life are identified and clarified by performing appropriate interventions. The fourth stage: transference resistance In the fourth stage, the therapist watches the transference symptoms, which are mostly non-verbal. Signs that may be used to defend one's anger, such as clenching fists, clinging to the chair, tension and cramping, sighing, etc. When the therapist feels that the tension has increased to a suitable level, he directs the interview to focus on the transference. And in this process, he directs the patient's attention to the non-verbal signs that he shows. . The characteristics of this intervention are: targeting the therapeutic contract and mobilizing it against resistance, emphasis on transference resistance, special emphasis on clients' refusal to get emotionally close to the therapist and not allowing the therapist to enter their private world. The fifth stage: direct access to the unconscious in the fifth stage, focusing on defenses, identifying and clarifying and challenging them leads to the movement of intense and complex transference emotions in the patient. The pressure and challenge continues until the unconscious shows signs that emotions and impulses are approaching the surface. When the patient is able to express his feeling to the therapist, he is asked to describe his inner experience of that feeling. All three components of an emotion must be experienced for full penetration and real touching of emotions. Transference emotions are usually complex. Anger is the first layer of transitional emotions, followed by guilt and grief. But instead of the first anger, it may be a feeling of sadness and regret. The sixth stage: Systematic analysis of the transition, the result of the intrapsychic crisis is a major reduction in tension and a significant change within the patient, followed by the predominance of the therapeutic contract. Transference feelings lead to the opening of the patient's repressed memories and feelings either spontaneously or by asking the therapist. As a result, it becomes possible to explore areas outside of transmission. Seventh stage: dynamic exploration of the unconscious In the seventh stage, due to the dominance of the therapeutic contract, traumatic events that cause anxiety and unconscious feelings of anger, sadness and guilt are revealed and experienced. The therapist helps the person gain insight into them. After the systematic analysis of the transference and the triangle of conflict and person, the therapist explores the current and past relationships of the patient, and in this direction, the conflict structure and the core of the patient's disorder are clarified. Facing painful emotions may provoke some resistance, but resistance can be easily overcome with a little push and challenge. The therapist's effort is to bring the patient's most painful feelings to the surface and enable him to experience them directly. The second session to the tenth session continues according to the protocol that was explained in the first session and according to the conflict triangle and the person triangle and the follow-up of other referral problems. Control group: Control group: no intervention is done for the control group. Before the intervention, a pre-test was taken from the control group and they were put on the waiting list. At the end of the intervention, they will be given a post-test and the results will be analyzed. Mindfulness, the score obtained from the Freiburg Mindfulness Questionnaire. Timepoint: Measurement periods at the beginning of the study and before the intervention and one week after the intervention. Method of measurement: Freiburg measuring scale. Attachment styles: the score obtained from Hazen and Shaver's attachment questionnaire. Timepoint: Measurement periods at the beginning of the study and before the intervention and one week after the intervention. Method of measurement: Hazen and Shaver measurement scale. Psychological well-being: score obtained from RIF questionnaire. Timepoint: Measurement periods at the beginning of the study and before the intervention and one week after the intervention. Method of measurement: Reef measurement scale. Islamic Azad University Approved 2022-05-24 Research ethics committee of Islamic Azad University, Semnan branch Sharak Daneshgahi Islamic Azad University Semnan Branch Semnan Semnan Iran (Islamic Republic of)