The Effectiveness of Psychotherapy Based on Core Conflictual Relationship Theme in Ego Development and Self-Destructiveness
Psychotherapy Based on Core Conflictual Relationship
Subject Areas : روانشناسی تحولی
اشرف سادات موسوی 1 , پرویز آزادفلاح 2 , محسن دهقانی 3
1 - استادیار گروه روانشناسی
دانشگاه حضرت معصومه )س(
2 - تربیت مدرس
3 - شهید بهشتی
Keywords: self-destructiveness, ego development, psychotherapy based on core conflictual relationship theme, trend,
Abstract :
This study aimed to evaluate the efficacy of the Core Conflictual Relationship Theme (CCRT) psychotherapy in increasing ego development and decreasing self-destructiveness. The research design of the present study was quasi-experimental with two experimental and control groups. The statistical population consisted of those students of Tehran and Shahid Beheshti universities whose scores on the Beck Depression Scale indicated moderate or severe depression. The sample was selected by the purposive sampling method and 12 subjects were assigned for each experimental and control group according to entry and exit criteria. Chronic Self-Destructiveness Scale (Kelley et al.,1985), Washington University Sentences Completion Test (Manners & Durkin, 2001), Beck Depression Inven- tory-II (1996), and the depression subscales of Symptom CheckList‒90 (Derogates & Cleary, 1977) and Depression, Anxiety and Stress Scales (Lovibond & Lovibond, 1995) were used for data gathering. The experimental group was treated with CCRT psychotherapy, individually. Both groups were evaluated at the beginning, middle, and end of the treatment and one and three months after finishing the treatment in order to evaluate treatment effects. Data were an- alyzed through the variance analysis of repeated measures on one factor. The trend analysis showed that in the exper- imental group, CCRT psychotherapy led to a decrease in self-destructiveness (with two indices of the score of CSDS and depression symptoms) by helping to improve ego development. The application of psychotherapy tech
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association.
Asghari Moghaddam, M.A., Saed, F., Dibajnia, P., & Zangeneh, J. (2008). A preliminary validation of the Depression, Anxiety and Stress Scales (DASS) in non-clinical sample. Daneshvar Raftar, 15(31), 23-38. [In Persian].
Baumeister, R. F., & Scher, S. J. (1988). Self-defeating behavior patterns among normal individuals: review and analysis of common self-destructive tendencies. Psychological Bulletin, 104(1), 3-22.
Briones, E., Tabernero, C., & Arenas, A. (2007). Effects of disposition and self-regulation on self-defeating behavior. The Journal of Social Psychology, 147(6), 657–679.
Brownson, C., & Hartzler, B. (2000). Defeat your self-defeating behavior: Understanding and overcoming harmful patterns. Clearinghouse for Structured-Thematic Groups & Innovative Programs. Austin: University of Texas at Austin.
Carver, C.S., Scheier, M.F., Segerstromc, S.C. (2010). Optimism. Clinical Psychology Review, 30(7), 879-889.
Charman, D. P. (2004). Effective psychotherapy and effective psychotherapists. In D. P. Charman, Core Processes in brief psychodynamic psychotherapy. Advancing effective practice. Mahwah, New Jersey: London, Lawrence Erlbaum Associates, Publishers.
Dadsetan, P. (1998). Developmental psychopathology from infancy through adulthood (Vol 1). Tehran: Samt Pub. [In Persian].
Derogates, L. R., & Cleary, P. A. (1977). Confirmation of dimensional structure of SCL-90: A study in construct validation. Journal of Clinical Psychology, 33(4), 981-989.
Ebrahimi, H., Dejkam, M., & Seghatoleslam, T. (2014). Childhood traumas and suicide attempt in adulthood. Iranian Journal of Psychology and Clinical Psychology, 19 (4), 275-282. [In Persian].
Ghanbari, H., Touzandeh Jani, H., & Nejat, H. (2020). Comparison of the effectiveness of Acceptance and Commitment-Based Therapy (ACT) and Quality of Life therapy (QOLT) on self-destructive behaviors and emotional cognitive regulation in substance abusers. Fundamentals of Mental Health, 22(1), 47-55. [In Persian].
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56-62.
Huntjens, A., van den Bosch, L. M. C.W., Sizoo, B., Kerkhof, A., Huibers, M. J. H., & van der Gaag, M. (2020). The effect of dialectical behaviour therapy in autism spectrum patients with suicidality and/ or self-destructive behaviour (DIASS): Study protocol for a multicenter randomized controlled trial. BioMed Central Psychiatry, 20(127), 1-11.
Hy, L. X., & Loevinger, J. (1996). Measuring ego development. Mahwah, New Jersey: Lawrence Erlbaum Associates Publisher.
Hy, L. X., & Loevinger, J. (1998). Technical foundations for measuring ego development: The Washington University sentence completion test. Hove: Psychology Press.
Johnson, J., Gooding, P. A., Wood, A. M., & Tarrier, N. (2010). Resilience as positive coping appraisals: Testing the schematic appraisals model of suicide (SAMS). Behaviour Research and Therapy, 48(3), 179-186.
Karimi, R., Alipour, F. (2011). Reduce job stress in organizations: Role of locus of control. International Journal of Business and Social Science, 2(18), 232-236. [In Persian].
Kelley, K., Byrne, D., Przybyla, D., Ebery, C., Ebedy, B., Greendlinger, V., Gorsky, J.M. (1985). Chronic self-destructiveness: Conceptualization, measurement, and initial validation of the construct. Motivation and Emotion, 9(2), 135-151.
Krypel, M. N., & Henderson-King, D. (2010). Stress, coping styles, and optimism: Are they related to meaning of education in students’ lives? Social Psychology Education, 13, 409-424.
Loevinger, J. (1979). Construct validity of the sentence completion test of ego development. Applied Psychological Measurement, 3(3), 281-311.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behavioral Research and Therapy, 33(3), 335-343.
Luborksy, L. (1998). The early life of the idea for the core conflictual relationship theme method. In L. Luborsky & P. Crits-Christoph (Eds.), Understanding transference: The core conflictual relationship theme method (pp. 3-14). Washington, DC: American Psychological Association.
Manners, J., & Durkin, K. (2001). A critical review of the validity of ego development theory and its measurement. Journal of Personality Assessment, 77(3), 541–567.
Mousavi, A., Azadfalah, P., Dehghani, M., & Farahani, H. (2016b). Prediction of self-destruction based on depression symptom, internalized self-criticism, shame and guilt, and differences between men and women. International Journal of Behavioral Sciences, 10(2), 57-62.
Mousavi, A.S., Azadfalah, P., Dehghani, M., & Farahani, H. (2016a). Psychometric Properties of the Persian Version of Washington University Sentences Completion Test (WUSCT). Journal of Developmental Psychology: Iranian Psychologists, 13(50), 157-167. [In Persian].
Mousavi, A. S., Azadfalah, P., Farahani, H., & Dehghani, M. (2015). The validity, reliability and factorial structure of the Chronic Self-Destructiveness Scale (CSDS). Iranian Journal of Psychiatry & Clinical Psychology, 21(2), 132-143. [In Persian].
Nock, M. K. (2010). Self-injury. Annual Review of Clinical Psychology, 6, 339-363.
Rosales, K., Wendel Rice, E., & Brown, L. M. (2022). Indirect Self-Destructive Behaviors. In: Maurizio Pompili (Ed.). Suicide risk assessment and prevention. Switzerland: Springer Nature Switzerland AG.
Sahebi, A., Asghari, M.J., & Salari, R.S. (2015). Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian Population. Journal of Developmental Psychology: Iranian Psychologists, 1(4), 36-54. [In Persian].
Salimi, H., Azad Marzabadi, E., & Abedi, M. (2010). Determining the mental health condition and its correlation with job burnout and life satisfaction in a military university personnel. Ebnesina, 13(3 and 4), 4-11. [In Persian].
Stefan-Dabson, K., Mohammadkhani, P., & Massah-Choulabi, O. (2007). Psychometrics characteristic of Beck depression inventory-II in patients with major depressive disorder. Rehabilitation, 8(Special Issue), 82-90. [In Persian].
Taghiyare, F. (2004). The relationship of ego development, attachment to God and religious orientation. Psychology, Shahid Beheshti University, Iran. [In Persian].
Troy, A. S., & Mauss, I. B. (2011). Resilience in the face of stress: Emotion regulation as a protective factor. In S. M. Southwick, B.T. Litz, D. Charney, & M. J. Friedman (Eds.). Resilience and mental health: Challenges across the lifespan. England: Cambridge University Press.
Turp, M. (2002). The many faces of self-harm. Psychodynamic Practice, 8(2), 197-217.
Wang, M., & Saudino, K. J. (2011). Emotion regulation and stress. Journal of Adult Development, 18(2), 95-103.
Wei, M., & Ku, T.Y. (2007). Testing a conceptual model of working through self-defeating patterns. Journal of Counseling Psychology, 54(3), 295-305.
