اثربخشی زوج درمانی هیجان مدار به شیوه "محکم مرا در آغوش بگیر" بر رفتار دلبستگی در روابط زناشویی و رضایت از زندگی جنسی در زنان قربانی اجبار جنسی در روابط صمیمی
محورهای موضوعی : روانشناسی زوجینندا لاهوتی آذر 1 , الهام آقایی 2 *
1 - کارشناس ارشد روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.
2 - (نویسنده مسئول)، استادیار، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران. Elhamaghaei87@yahoo.com Tel: 09358937503
کلید واژه: اجبار جنسی در روابط صمیمی, رضایت از زندگی جنسی, رفتار دلبستگی در روابط زناشویی, زوج درمانی هیجانمدار, محکم مرا در آغوش بگیر. ,
چکیده مقاله :
چکیده مقدمه: هدف از پژوهش حاضر مقایسه اثربخشی زوج درمانی هیجان مدار به شیوه محکم مرا در آغوش بگیر بر رفتار دلبستگی در روابط زناشویی و رضایت از زندگی جنسی در زنان قربانی اجبار جنسی در روابط صمیمی بود. روش پژوهش: روش پژوهش نیمه¬آزمایشی با طرح پیش¬آزمون، پس¬آزمون با گروه کنترل همراه با مرحله پیگیری 2 ماهه بود. جامعه آماری پژوهش حاضر کلیه زنان قربانی اجبار جنسی در روابط صمیمی شهر تهران در زمستان سال 1402 بود. در مرحله اول تعداد 30 نفر با نمره 34 و بالاتر در مقیاس مقیاس اجبار جنسی در روابط صمیمی انتخاب و سپس به شیوه تصادفی ساده در 1 گروه آزمایش (15 نفر) و یک گروه کنترل (15 نفر) جایگزین شدند. سپس زنان گروه¬ه آزمایش تحت زوج درمانی هیجان مدار به شیوه محکم مرا در آغوش بگیر قرار گرفت و اما گروه کنترل هیچ‌گونه مداخلهای دریافت نکرد و در لیست انتظار باقی ماند. از مقیاس اجبار جنسی در روابط صمیمی، مقیاس دسترسی¬پذیری، پاسخگویی و همدم¬طلبی و پرسشنامه رضایت جنسی به منظور گردآوری اطلاعات استفاده شد. تحلیل دادهها از طریق نرمافزار SPSS نسخه 28 با استفاده از تحلیل واریانس با اندازه¬گیری مکرر انجام شد. یافته¬ها: نتایج نشان داد مداخله مذکور تاثیر معناداری بر رفتار دلبستگی در روابط زناشویی و رضایت از زندگی جنسی در زنان قربانی اجبار جنسی در روابط صمیمی داشته¬ است(05/0>P). نتیجه¬گیری: بر اساس نتایج پژوهش حاضر، میتوان گفت که زوج درمانی هیجان مدار به شیوه محکم مرا در آغوش بگیر می¬¬تواند به عنوان شیوه¬ زوج درمانی مناسب برای افزایش رفتار دلبستگی در روابط زناشویی و رضایت از زندگی جنسی در زنان قربانی اجبار جنسی در روابط صمیمی در مراکز مشاوره زناشویی به کار برده شود.
© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
Abstract Introduction: The purpose of this study was to The effectiveness of emotion-focused couple therapy based hold‐me‐tight relationship‐education program on attachment behavior in marital relationships and sexual satisfaction in women victims of sexual coercion in intimate relationships. Method: This semi-experimental study was conducted with a pretest-posttest design with control group and follow-up 2 month. The statistical population of the present study was all women victims of sexual coercion in intimate relationships in Tehran city in winter 2024. In the first stage, the number of 30 women with a score of 34 and above on the sexual coercion in intimate relationships scale was selected and then randomly divided into 1 experimental groups (15 women) and one control group (15 women) were replaced and experimental group underwent emotion-focused couple therapy based hold‐me‐tight relationship‐education program, but the control group received no training and remained in the waiting list. To collect data sexual coercion in intimate relationships scale (SCIRS), brief accessibility, responsiveness, and engagement scale (BARES) and sexual satisfaction questionnaire (SSQ). Data analysis was performed using SPSS-28 software with analysis of variance with repeated measures and Bonferroni. Findings: The results of the study showed that of emotion-focused couple therapy based hold‐me‐tight relationship‐education program had a significant effect on attachment behavior in marital relationships and sexual satisfaction in women victims of sexual coercion in intimate relationships (P<0.05). Conclusion: Based on the results of the present study, it can be said that emotion-focused couple therapy based hold‐me‐tight relationship‐education program can be used as a treatment method to on attachment behavior in marital relationships and sexual satisfaction in women victims of sexual coercion in intimate relationships.
1. Struckman-Johnson C, Struckman-Johnson D, Anderson PB. Tactics of sexual coercion: When men and women won’t take no for an answer. Journal of Sex Research, 2003; 40(1): 76–86. https://doi.org/10.1080/00224490309552168
2. Bouffard JA, Miller HA. Comparing perception of sexual intent and the use of sexual coercion in men and women college students. The Journal of Sex Research, 2024; 61(3): 441-453. https://doi.org/10.1080/00224499.2023.2204097
3. DiMarco D, Savitz R. An examination of sexual coercion perpetrated by women. Sexuality & Culture, 2024; 28(1): 41-53. https://doi.org/10.1007/s12119-023-10102-1
4. Goetz AT, Shackelford TK. Sexual coercion in intimate relationships scale. Handbook of sexuality-related measures, 2010: 125-127. https://www.researchgate.net/profile/Todd-Shackelford/publication
5. Oram S, Khalifeh H, Howard LM. Violence against women and mental health. The Lancet Psychiatry, 2017; 4 (2): 159–170. https://doi.org/10.1016/S2215-0366
6. Stermac L, Bance S, Crippts J, Horowitz S. Sexual coercion and women’s education: A pilot study. Violence and Gender, 2018; 5 (2): 110–118. https://doi.org/10.1089/vio.2017.0001
7. Lyons M, Houghton E, Brewer G, O’Brien F. The dark triad and sexual assertiveness predict sexual coercion differently in men and women. Journal of interpersonal violence, 2018; 37 (7-8): 4889-4904. https://doi.org/10.1177/0886260520922346
8. Birke JB, Jern P, Johansson A, Bondü R. Links between aggressive sexual fantasies and sexual coercion: a replication and extension of a multifactorial model. Archives of sexual behavior, 2024; 1(1): 1-17. https://doi.org/10.1007/s10508-023-02782-5
9. Marshall E, Bouffard JA, Miller H. Pornography use and sexual coercion: Examining the mediation effect of sexual arousal. Sexual Abuse, 2021; 33 (5): 552-578. https://doi.org/10.1177/1079063220931823
10. Dugal C, Brassard A, Claing A, Lefebvre AA, Audet A, Paradis-Lavallée R, Péloquin K. Attachment insecurities and sexual coercion in same-and cross-gender couples: The mediational role of couple communication patterns. Journal of Sex & Marital Therapy, 2021; 47 (8): 743-763. https://doi.org/10.1080/0092623X.2021.1944937
11. Sandberg DA, Valdez, CE, Engle JL, Menghrajani E. Attachment anxiety as a risk factor for subsequent intimate partner violence victimization: a 6-month prospective study among college women. Journal of interpersonal violence, 2019; 34 (7): 1410-1427. https://doi.org/10.1177/0886260516651314
12. Sandberg JG, Busby DM, Johnson SM, Yoshida K. The brief accessibility, responsiveness, and engagement (BARE) scale: A tool for measuring attachment behavior in couple relationships. Family Process, 2012; 51 (4): 512-526. https://doi.org/10.1111/j.1545-5300.2012.01422.x
13. Lecompte V, Robins S, King L, Solomonova E, Khan N, Moss E, Zelkowitz P. Examining the role of mother-child interactions and DNA methylation of the oxytocin receptor gene in understanding child controlling attachment behaviors. Attachment & Human Development, 2021; 23 (1): 37-55. https://doi.org/10.1080/14616734.2019.1708422
14. Sandberg JG, Novak JR, Davis SY, Busby DM. The brief accessibility, responsiveness, and engagement scale: A tool for measuring attachment behaviors in clinical couples. Journal of Marital and Family Therapy, 2016; 42 (1): 106-122. https://doi.org/10.1111/jmft.12151
15. Fontanesi L, D’Urso G, Panzeri M, Pace U. The role of attachment style in predicting emotional abuse and sexual coercion in gay and lesbian people: An explorative study. Sexuality & Culture, 2020; 24 (1): 504-515. https://doi.org/10.1007/s12119-019-09643-1
16. Mikulincer M, Shaver R. Attachment in adulthood: Structure, dynamics, and change. new york, ny: Guilford. 2007. https://www.scirp.org/reference/referencespapers?referenceid=1772330
17. Shaver PR, Mikulincer M. Adult attachment and sexuality. The Wiley‐Blackwell Handbook of Couples and Family Relationships, 2012: 159-174. https://onlinelibrary.wiley.com/doi/book/10.1002/9781444354119#page=167
18. Tracy JL, Shaver PR, Albino AW, Cooper ML. Attachment styles and adolescent sexuality. In Adolescent romantic relations and sexual behavior. Psychology Press. 2003: 137-159. https://www.taylorfrancis.com/chapters/edit/10
19. Gentzler AL, Kerns KA. Associations between insecure attachment and sexual experiences. Personal relationships, 2004; 11 (2): 249-265. https://doi.org/10.1111/j.1475-6811.2004.00081.x
20. Schachner DA, Shaver PR. Attachment dimensions and sexual motives. Personal relationships, 2004; 11 (2): 179-195. https://doi.org/10.1111/j.1475-6811.2004.00077.x
21. Karantzas GC, McCabe MP, Karantzas KM, Pizzirani B, Campbell H, Mullins ER. Attachment style and less severe forms of sexual coercion: A systematic review. Archives of sexual behavior, 2016; 45 (1): 1053-1068. https://doi.org/10.1007/s10508-015-0600-7
22. Davis D, Shaver PR, Vernon ML. Attachment style and subjective motivations for sex. Personality and social psychology bulletin, 2004; 30 (8): 1076-1090. https://doi.org/10.1177/0146167204264794
23. Shackelford TK, Goetz AT. Men’s sexual coercion in intimate relationships: Development and initial validation of the Sexual Coercion in Intimate Relationships Scale. Violence and Victims, 2004; 19 (5): 541-556. https://doi.org/10.1891/vivi.19.5.541.63681
24. Cervilla O, Álvarez-Muelas A, Sierra JC. Relationship between Solitary Masturbation and Sexual Satisfaction: A Systematic Review. In Healthcare, 2024; 12(2): 235-235. https://doi.org/10.3390/healthcare12020235
25. Lawrance KA, Byers ES. Sexual satisfaction in long-term heterosexual relationships: The interpersonal exchange model of sexual satisfaction. Personal Relationships, 1995; 2(4): 267–285. https://doi.org/10.1111/j.1475-6811.1995.tb00092.x
26. Ferenidou F, Kapoteli V, Moisidis K, Koutsogiannis I, Giakoumelos A, Hatzichristou D. Women’s sexual health: Presence of a sexual problem may not affect women’s satisfaction from their sexual function. The Journal of Sexual Medicine, 2008; 5(3): 631–639. https://doi.org/10.1111/j.1743-6109.2007.00644.x
27. Kovacevic K, Tu E, Rosen NO, Raposo S, Muise A. Is Spontaneous Sex Ideal? Beliefs and Perceptions of Spontaneous and Planned Sex and Sexual Satisfaction in Romantic Relationships. The Journal of Sex Research, 2023; 1(2): 1-15. https://doi.org/10.1080/00224499.2022.2163611
28. Javidi H, Widman L, Evans-Paulson R, Lipsey N. Internal consent, affirmative external consent, and sexual satisfaction among young adults. The Journal of Sex Research, 2023; 60(8): 1148-1158. https://doi.org/10.1080/00224499.2022.2048628
29. Chadwick SB, Grower P, Van Anders, SM. Coercive sexual experiences that include orgasm predict negative psychological, relationship, and sexual outcomes. Journal of Interpersonal Violence, 2022; 37 (23-24): 22199-22225. https://doi.org/10.1177/08862605211073109
30. Johnson SM. The practice of emotionally focused couple therapy: Creating Connection. 3rd Edition. New York, Routledge. 2019. https://www.taylorfrancis.com/books/mono/10
31. Johnson S. Hold me tight: Seven conversations for a lifetime of love. Little, Brown Spark. 2008. https://www.amazon.com/Hold-Me-Tight-Conversations-Lifetime-ebook/dp/B0011UGLQK
32. Borden L, Allan, R. Integrating Sex Therapy with Emotionally Focused Therapy to Treat Sexual Desire Discrepancy. The Family Journal, 2024; 1(1): 1-10. https://doi.org/10.1177/10664807241264813
33. Olson DH. PREPARE/ENRICH. In: Lebow, J.L, Chambers, A.L, Breunlin, D.C. (eds) Encyclopedia of Couple and Family Therapy. Springer, Cham. 2019. https://doi.org/10.1007/978-3-319-49425-8_402
34. Nouri, N, Iranmanesh I. The Effectiveness of Emotionally Focused Couple Therapy Using the “Hold Me Tight” Method on Attachment Styles, Marital Adjustment and Sexual Intimacy. Journal of Applied Psychological Research, 2022; 13 (1): 363-387. (In Persian) https://doi.org/10.22059/japr.2022.318332.643749
35. Morgis BL, Ewing K, Liu T, Slaughter-Acey J, Fisher K, Jampol R. A hold me tight workshop for couple attachment and sexual intimacy. Contemporary Family Therapy, 2019; 41 (1): 368-383. https://doi.org/10.1007/s10591-019-09504-x
36. Johnson SM. Emotionally focused couple therapy. Clinical handbook of couple therapy, 2015; 4(1): 107-137. https://books.google.com/books?
37. Smith EJ, Bailey BA, Cascio A. Sexual coercion, intimate partner violence, and homicide: a scoping literature review. Trauma, Violence, Abuse, 2024; 25 (1): 341-353. https://doi.org/10.1177/15248380221150474
38. Buss DM, Shackelford TK, McKibbin WF. The mate retention inventory-short form (MRI-SF). Personality and Individual Differences, 2008; 44 (1): 322-334. https://doi.org/10.1016/j.paid.2007.08.013
39. Rasouli M, Babaei Gharmkhani M, Davarniya R. The Evaluation of the Psychometric Properties of Brief Accessibility, Responsiveness, and Engagement Scale (BARE): A Tool for Measuring Attachment Behavior in Couple Relationships. Zanko J Med Sci, 2018; 19 (62): 1-17. (In Persian) http://zanko.muk.ac.ir/article-1-358-fa.html
40. Larson JH, Anderson SM, Holman TB, Niemann BK. A longitudinal study of the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage. Journal of sex & marital therapy, 1998; 24 (3): 193-206. https://doi.org/10.1080/00926239808404933
41. Ghaderi N, Ghofranipour F, Zarei F. Survey of sexual satisfaction in married men in Sanandaj in 2020. Shenakht Journal of Psychology and Psychiatry, 2022; 8 (6): 1-9. (In Persian) http://dx.doi.org/10.32598/shenakht.8.6.1
42. Hudson WW, Harrison DF, Crosscup P. A short‐form scale to measure sexual discord in dyadic relationships. Journal of Sex Research, 1981; 17 (2): 157-174. https://www.jstor.org/stable/3812253
43. Bahrami N, Yaghoobzadeh A, Sharif Nia H, Soliemani M, Haghdoost A. Psychometric Properties of the Persian Version of Larsons Sexual Satisfaction Questionnaire in a Sample of Iranian Infertile Couples. Iranian Journal of Epidemiology, 2016; 12 (2): 18-31. (In Persian) http://irje.tums.ac.ir/article-1-5513-fa.html
44. Sanderfer K, Johnson S. Created for connection: The" hold me tight" guide for Christian couples. Little, Brown Spark. 2016. https://www.amazon.com/Created-Connection-Tight-Christian-Couples/dp/0316307416
45. Torabi AA, Afrooz GA, Hassani F, Golshani F. Designing a Family-Centered Behavioral Management Program (FBMP) and Evaluating its Effectiveness in Marital Satisfaction of Parents of Children with ADHD. Quarterly Journal of Family and Research, 2021; 18 (3): 25-42. (In Persian) http://dorl.net/dor/20.1001.1.26766728.1400.18.3.2.5
46. Borjali A, Mehradsadr M. Effectiveness of "Hold Me Tight" Educational Program on Intimacy, Attachment Behaviors, and Marital Satisfaction among Married Students. Journal of Woman and Family Studies, 2021; 9(3): 9-32. (In Persian) https://doi.org/10.22051/jwfs.2021.34205.2593
47. Rathgeber M, Bürkner PC, Schiller EM, Holling H. The efficacy of emotionally focused couples therapy and behavioral couples therapy: A meta‐analysis. Journal of marital and family therapy, 2019; 45 (3): 447-463. https://doi.org/10.1111/jmft.12336
48. Greenberg LS, Paivio SC. Working with emotions in psychotherapy (Vol. 13). Guilford Press. 2003. https://books.google.com/books?
49. Davis D, Shaver PR, Widaman KF, Vernon ML, Follette WC, Beitz K. “I can’t get no satisfaction”: Insecure attachment, inhibited sexual communication, and sexual dissatisfaction. Personal Relationships, 2006; 13 (4): 465-483. https://doi.org/10.1111/j.1475-6811.2006.00130.x