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اثربخشی روان درمانی انتقال محور بر کنش تأملی و کاهش نشانه شناختی بیماران مبتلا به اختلال شخصیت مرزی | ||
| روانشناسی بالینی: نوآوریها در پژوهش و عمل | ||
| مقاله 5، دوره 10، شماره 4 - شماره پیاپی 40، اسفند 1397، صفحه 45-58 اصل مقاله (634.62 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22075/jcp.2019.15996.1531 | ||
| نویسندگان | ||
| مهدی خوریانیان* 1؛ عباس بخشی پور رودسری2؛ مجید محمودعلیلو2؛ تورج هاشمی2 | ||
| 1دکتری روانشناسی دانشگاه تبریز، تبریز، ایران | ||
| 2استاد، گروه روانشناسی دانشگاه تبریز، تبریز، ایران | ||
| تاریخ دریافت: 16 مهر 1397، تاریخ بازنگری: 31 فروردین 1398، تاریخ پذیرش: 11 اسفند 1397 | ||
| چکیده | ||
| مقدمه: پژوهش حاضر با هدف تعیین اثربخشی رواندرمانی انتقالمحور بر کنش تأملی و کاهش نشانه شناختی در مراجعانِ مبتلا به اختلال شخصیت مرزی صورت گرفت. روش: هدف پژوهش، کاربردی و طرح آن نیمهآزمایشی، از نوع A-B-A بود. ازمیان مراجعانِ دارای اختلال شخصیت مرزی که به بیمارستان ابنسینا شهر مشهد رجوع کردند، 3 نفر بهروش نمونهگیری در دسترس انتخاب شدند و به مدت یکسال تحت رواندرمانی انتقالمحور قرار گرفتند. دادهها در سه مرحلهی خطپایه، درمان و پیگیری طی 15 ماه، بااستفادهاز پرسشنامههای کنش تأملی و پرسشنامه صفت اسکیزوئیدی (نسخهی B) جمعآوری شد. برای تحلیل نتایج از شاخصهای تحلیل دیداری، درصد بهبودی، اندازه اثر و تغییر پایا استفاده شد. یافتهها: نتایج نشان داد که در مراحل درمان و پیگیری، نمرهی کلی کنش تأملی، افزایش و نشانههای مرزی، کاهش معنادار داشت. شاخصِ اطمینانِ کنش تأملی، افزایشِ معنادار نشان داد، حالآنکه شاخصِ عدماطمینان، تغییر معناداری نداشت. بعلاوه، شاخصهای تحلیل بیانگرِ کاهش معنادارِ ناامیدی و تکانشگری بودند، منتها این تغییر برای نشانهی تجزیه و پارانویا مشاهده نشد. نتیجهگیری: رواندرمانی انتقالمحور می تواند در مدت زمان یکسال موجب افزایش کنش تأملی و تغییرات ساختاری و نشانه شناختی مهم در بیماران مرزی شود. پژوهشهای بیشتر درخصوصِ ابعاد ژرفتر درمان نیاز است. | ||
| کلیدواژهها | ||
| رواندمانی انتقال محور؛ تفکر تأملی؛ اختلال شخصیت مرزی؛ رواندرمانی پویشی | ||
| عنوان مقاله [English] | ||
| Effectiveness of Transference-focused Psychotherapy on Reflective Functioning and Symptomatology of the Borderline Personality Disordered patients | ||
| نویسندگان [English] | ||
| M Khorianian,1؛ A Bakhshipour-Roudsari,2؛ M Mahmoud-Alilou,2؛ T. Hashemi,2 | ||
| 1psychology department, education and psychology faculty, tabriz university, iran | ||
| 2tabriz university | ||
| چکیده [English] | ||
| Introduction: The present study aims to determine the effectiveness of a transference-focused psychotherapy (TFP) on reflective functioning (RF) and symptomatic reduction in clients with Borderline Personality Disorder(BPD). Method: This applied research was a semi-experimental, single-subject A-B-A design. Among the clients with BPD who referred to Ibn-e-Sina Hospital in Mashhad, 3 persons, were selected by purposeful sampling, and were subjected to TFP for one year. Data were collected using (RFQ) and Borderline Personality Questionnaire (STB) in three stages of baseline, treatment and follow-up in 15 months. Results: The findings revealed significantly increased RF total scores and decreased BPD symptoms in the treatment and follow-up stages. Reflective function of certainty has been significantly increased whereas no change detected for uncertainty. Further, a significant reduction in hopelessness and impulsivity observed, but this changes was not evident in paranoia and dissociation symptoms. Conclusion: The one year TFP treatment could effectively increase the reflective functioning and create important structural and symptomatic changes in the BPD patients. Future research is required for deeper understanding of the treatment dimensions. | ||
| کلیدواژهها [English] | ||
| transference-focused psychotherapy, reflective function, borderline personality disorder, dynamic psychotherapy | ||
| مراجع | ||
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