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اثربخشی روان‌درمانی تحلیلی یکپارچه‌نگر بر واکنش تأملی و مشکلات بین‌فردی افراد مبتلا به نارضایتی جنسیتی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی بالینی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

2 گروه روانشناسی بالینی، واحد اهر، دانشگاه آزاد اسلامی، اهر، ایران

3 گروه روانشناسی بالینی، پردیس بین المللی ارس دانشگاه تهران، تهران، ایران

4 گروه روانشناسی بالینی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

5 دانشجوی دکتری روانشناسی بالینی، گروه روانشناسی، دانشکده روانشناسی وعلوم اجتماعی، دانشگاه آزاد اسلامی واحد رودهن، تهران، ایران

6 دانشیار گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

چکیده

زمینه و هدف: افراد دارای نارضایتی جنستی با مشکلات اجتماعی و روان‌شناختی متعددی روبه‌رو هستند. هدف از پژوهش حاضر تعیین اثربخشی روان­درمانی تحلیلی یکپارچه­نگر بر واکنش تأملی و مشکلات بین‌فردی افراد مبتلا به ملال جنسیتی بود.
مواد و روش­ها: این پژوهش کاربردی با طرح نیمه­آزمایشی، از نوع تک‌آزمودنی با خط پایه بود. از میان مراجعان دارای اختلال ملال جنسیتی که به پزشکی قانونی استان تهران در سال 1401مراجعه کرده بودند، 4 نفر به روش نمونه­گیری در دسترس انتخاب و به مدت 8 ماه تحت درمان تحلیلی یکپارچه­نگر قرار گرفتند. داده­ها در سه مرحله خط پایه، درمان و پیگیری به مدت 9 ماه با استفاده از پرسش‌نامه واکنش تأملی فوناگی (1991) و مشکلات بین­فردی بارخام (1996) جمع­آوری شدند. به‌منظور تجزیه و تحلیل داده‌ها از تحلیل دیداری و محاسبه درصد بهبودی استفاده شد.
یافته­ها: نتایج نشان داد که در مراحل درمان و پیگیری، نمره کلی واکنش تأملی، افزایش و مشکلات بین‌فردی کاهش معناداری داشته است (P<0.05). شاخص اطمینان واکنش تأملی افزایش و شاخص عدم‌اطمینان کاهش معناداری داشته است که این تغییرات در طول زمان پایا بودند. همچنین، اندازه اثر درمان در ابعاد گشودگی، پرخاشگری، حمایت دیگران و وابستگی زیاد است. از لحاظ پایابودن تغییرات می‌توان نتیجه گرفت که در تمام ابعاد تغییرات، پایا هستند.
نتیجه‌گیری: می‌توان گفت که روان‌درمانی تحلیلی یکپارچه­نگر می­تواند موجب بهبود واکنش تأملی و کاهش مشکلات بین‌فردی در افراد مبتلا به ملال جنسیتی شود. از این رو متخصصان سلامت روان می‌توانند از این درمان در بهبود بهداشت روانی افراد دارای ملال جنسیتی استفاده کنند.

تازه های تحقیق

https://scholar.google.co.uk/scholar?hl=en&as_sdt=0,5&q=Fatemeh+abolhassani&btnG=

https://scholar.google.co.uk/scholar?hl=en&as_sdt=0,5&q=hanifeh+nohekhan&btnG=

https://scholar.google.co.uk/scholar?hl=en&as_sdt=0,5&q=Masoumeh+Ahmadpour+Hoseinizadeh&btnG=

https://scholar.google.co.uk/scholar?hl=en&as_sdt=0,5&q=fatemeh+asirhom&btnG=

 

https://scholar.google.com/citations?hl=en&user=dsMyQacAAAAJ

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effectiveness of Integrative Analytical Psychotherapy on Reflective Reaction and Interpersonal Problems of People with Transgender

نویسندگان [English]

  • Fatemeh Abolhassani 1
  • Hanifeh Nohekhan 2
  • Masoumeh Ahmadpour hoseinizadeh 3
  • Fatemeh Asirhom 4
  • Mansoureh Khalili 5
  • Vaziri Shahram 6

1 Department of Clinical Psychology, Roudehen Branch, Islmaic Azad University, Roudehen, Iran

2 Department of Clinical Psychology, Ahar Branch, Islmaic Azad University, Ahar, Iran

3 Department of Clinical Psychology, University of Tehran Aras International Campus. Tehran, Iran

4 Department of Clinical Psychology, Sari Branch, Islmaic Azad University, Sari, Iran

5 Phd student in clinical psychology, Department of Psychology, Islamic Azad University, Roodehen Branch, Roodehen, Iran

6 2 Associate Professor, Department of psychology, Roudehen Branch , Islamic Azad University,Roudehen,Iran

چکیده [English]

Introduction: People with gender dissatisfaction face numerous social and psychological challenges. The aim of the current research was to determine the effectiveness of integrative analytical psychotherapy on the reflective reactions and interpersonal problems of transgender individuals.
Materials and Methods: This research was practical in nature and employed a semi-experimental design of the single-subject type with a baseline. Among the clients with gender dysphoria who visited the forensic medicine department of Tehran province in 2022, four were selected using an availability sampling method and underwent integrative analytical treatment for eight months. Data were collected at three stages: baseline, treatment, and follow-up for nine months, utilizing the Fonagi Reflective Reaction Questionnaire (1991) and the Barkham Interpersonal Problems Questionnaire (1996). To analyze the data, visual analysis was employed to calculate the recovery percentage.
Results: The results indicated that during the treatment and follow-up stages, the overall score of reflective reactions increased, while interpersonal problems decreased significantly (P < 0.05). The confidence index of reflective reactions increased, and the uncertainty index decreased significantly, with these changes remaining stable over time. Additionally, the treatment effect size was high in the dimensions of openness, aggression, support from others, and dependence. Regarding the stability of changes, it can be concluded that improvements were stable across all dimensions.
Conclusion: Integrative analytical psychotherapy can effectively improve reflective reactions and reduce interpersonal problems in individuals experiencing gender dysphoria. Therefore, mental health professionals should consider using this treatment to enhance the mental health of those with gender dissatisfaction.

کلیدواژه‌ها [English]

  • Transgender: Integrative analytical Psychotherapy: Reflective reaction: Interpersonal problems
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مجله دانشگاه علوم پزشکی سبزوار
دوره 31، شماره 4
مهر و آبان 1403
صفحه 416-428
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  • تاریخ دریافت: 25 آذر 1402
  • تاریخ بازنگری: 19 فروردین 1403
  • تاریخ پذیرش: 30 تیر 1403
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