Fundamentals of Mental Health

Fundamentals of Mental Health

Comparing the effectiveness of imago therapy and object relations therapy on self-differentiation and self-regulation in women with multiple divorces

Document Type : Research Paper

Authors
Mojgan Hazratzadeh 1
Ebrahim Alizadeh Mosavi 2
Seyed Hossein Mirzaei 2
1 Ph.D. student in clinical psychology, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2 Assistant professor, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
10.22038/JFMH.2024.71935.3059
Abstract
Introduction: Regarding the importance of emotional well-being in marriage sustainability, the present study was carried out to compare the effectiveness of imago therapy and object relations therapy on self-differentiation and self-regulation in women with multiple divorces.
 
Materials and Methods: The statistical population of this clinical trial included women who had multiple divorces and were referred to counseling centers in Tehran, Iran, in 2021. Thirty-six women were selected through the convenient sampling method, and they were assigned through a simple random method in the groups of imago therapy (12 participants), object relations therapy (12 participants), and control (12 participants). The experimental groups participated in therapy sessions, and during this period, the control group did not receive any intervention. The participants fulfilled the Differentiation of Self Inventory and Self-Regulation Questionnaire. Data were analyzed using descriptive statistics and analysis of variance with repeated measures.
 
Results: The findings revealed significant effects of object relations therapy and imago therapy on self-regulation and self-differentiation (P< 0.05). Also, regarding the effect sizes, it seems that object relations therapy had greater effects than imago therapy on self-differentiation (0.24 vs. 0.23) and self-regulation (0.82 vs. 0.72) in women with multiple divorces.
 
Conclusion: Based on the results, object relations therapy and imago therapy are effective in increasing self-differentiation and self-regulation in women with multiple divorces. However, it seems that object relations therapy is more effective.
Keywords
Couples
Differentiation
Imago therapy
Object-relations
Self-regulation
  1. Thompson P, Bertaux D. Between generations: Family models, myths and memories. New York: Routledge; 2020.
  2. Fuller HR, Ajrouch KJ, Antonucci TC. The convoy model and later‐life family relationships. J Fam Theory Rev 2020; 12(2): 126-46.
  3. Van Dijk R, Van Der Valk IE, Deković M, Branje S. A meta-analysis on interparental conflict, parenting, and child adjustment in divorced families: Examining mediation using meta-analytic structural equation models. Clin Psychol Rev 2020; 79: 101861.
  4. Damota MD. The effect of divorce on families’ life. Journal of culture, society, and development 2019; 46: 6-11.
  5. Gholami Jam F, Maarefvand M, Hosseinzadeh S, Khubchandani J. The effectiveness of a co-parenting intervention on parenting stress among divorced Iranian adults. Children Youth Serv Rev 2021; 130(2): 106265.
  6. Eikrem T, Jevne KS. I do it for the children, and it's not a walk in the park: Parents' stories about how to maintain cooperative co-parenting during the divorce process. Child Fam Soc Work 2022; 27(4): 815-24.
  7. La Toya LP. Coparenting and divorce. In: Hartenstein JL. (editor). Marriage and divorce in America: Issues, trends, and controversies. London: Bloomsbury Academic; 2023.
  8. Sassler S, Lichter DT. Cohabitation and marriage: Complexity and diversity in union‐formation patterns. J Marriage Fam 2020; 82(1): 35-61.
  9. Falehkar A, Bordan Z, Kosha MD, Amani O, Moghadamfar N. [The relationship between self-differentiation and early maladaptive schemas with marital satisfaction of divorced women]. Iranian journal of nursing research 2020; 14(6): 27-34. (Persian)
  10. Aryani E, Hadi A, Ningsih R, Saputri NSD, Laras PB, Nurbaiti AT. Self-regulation and resilience in adolescents in divorced Families. Proceeding of the 1st Annual International Conference: A Transformative Education: Foundation & Innovation in Guidance and Counseling (AICGC 2022). Netherlands: Athlantic; 2023: 65-72.
  11. Işık E, Özbiler Ş, Schweer-Collins ML, Rodríguez-González M. Differentiation of self predicts life satisfaction through marital adjustment. Am J Fam Ther 2020; 48(3): 235-49.
  12. Ozhiganova GV. Self-regulation and self-regulatory capacities: Components, levels, models. RUDN journal of psychology and pedagogics 2018; 15(3): 255-70.
  13. Noori J, Nejat H, Nameni E, Fariborzi E. Comparison of the effectiveness of the treatment of a monotheistic integrated and the objective relationship on self-differentiation and marital intimacy. Am J Fam Ther 2020; 48(1): 70-86.
  14. Kashefi F, Azkhosh M, Khanjani MS, Aghaei H. [The effectiveness of intensive short-term dynamic psychotherapy on self-differentiation and attachment behavior in couple relationships in women with tendency to marital infidelity]. Iranian journal of psychiatric nursing 2023; 11(1): 1-16. (Persian)
  15. Nazarpour D, Zahrakar K, Pouryahya M, Davarniya R. [Effectiveness of couple therapy based on imago relationship therapy: Its impact on couple burnout]. The neuroscience journal of Shefaye Khatam 2019; 7(4): 51-60. (Persian)
  16. Goldstein EG. Ego psychology and object relations theory. Paradigms of clinical social work. New York: Routledge; 2020: 19-43.
  17. Dohaei S, Aghayoosefi A, Farghadani A. [The effectiveness of self-differentiation treatment on egocentrism and marital adjustment in couples based on Bowen’s family systems theory]. Journal of applied psychological research 2022; 12(4): 421-40. (Persian)
  18. Ulu Yalçınkaya A. Differentiation of self: Examination of the concept in the interplay of stress, life satisfaction, and marital satisfaction. Ph.D. Dissertation. Turkey: Middle East Technical University, 2019.
  19. Peixoto-Freitas J, Rodríguez-González M, Crabtree SA, Martins MV. Differentiation of self, couple adjustment and family life cycle: A cross-sectional study. Am J Fam Ther 2020; 48(4): 299-316.
  20. Mohammadi M, Alibakhshi SZ, Sedighi M. The effect of self-differentiation training based on Bowen theory on women's self-differentiation and marital satisfaction. Journal of midwifery and reproductive health 2019; 7(4): 1914-21.
  21. Mohannaee S, Rishehri AP, Golestaneh S, Keykhosrovani M. [The effectiveness of couple therapy by Hendrix imago therapy method on improving couples communication patterns and reduction of emotional divorce in couples applying for divorce Bushehr city]. Iranian journal of psychiatric nursing 2019; 7(1): 58-65. (Persian)
  22. Matin H, Yoosefi N, Solgi M, Arjmand Mazidi M. [The effect of couple therapy based on Imago Relationship Therapy (IRT) on quality of marital relationship in married women]. Knowledge and research in applied psychology 2022; 23(3): 1-12. (Persian)
  23. Cooke JE, Racine N, Plamondon A, Tough S, Madigan S. Maternal adverse childhood experiences, attachment style, and mental health: Pathways of transmission to child behavior problems. Child Abuse Negl 2019; 93: 27-37.
  24. Svrakic DM, Zorumski CF. Neuroscience of object relations in health and disorder: A proposal for an integrative model. Front Psychol 2021; 12: 583743.
  25. Honarparvaran N. [The effectiveness of integrated approach imago therapy and object relationship to controlling emotions couples treacherous]. Psychological methods and models 2017; 8: 15-28. (Persian)
  26. Zamani ST, Isanejhad O. Meta-analysis of Iranians researches on the effect of couple therapy and family therapy in reducing divorce of couples approaching divorce in the years (2011-2020). Family counseling and psychotherapy 2022; 11(2): 25-66.
  27. Corey MS, Corey G, Corey C. Groups: Process and practice. Boston: Cengage Learning; 2018.
  28. Skowron EA, Friedlander ML. The differentiation of self inventory: Development and initial validation. J Couns Psychol 1998; 45(3): 235.
  29. Jahanbakhshi Z, Kalantarkousheh SM. [Relationship between dimensions of early maladaptive schemas and desire for marriage among females and males students at Allameh Tabatabai University]. Family counseling and psychotherapy 2012; 2(2): 234-56. (Persian)
  30. Ahmadi K, Paknejad F. [Status of differentiation indicators in the families of Tehran]. Counseling culture and psycotherapy 2017; 8: 219-39. (Persian)
  31. Brown J, Miller W, Lawendowski L. The Self-Regulation Questionnaire. In: Vandecreek L, Jackson TL. Innovations in clinical practice. Illinoise: Sourcebooks; 1999: 17.
  32. Ahanchiyan M, Arfaa F, Bahmanabadi S. [The association between attribution style and self-regulation among students of School of Nursing and Midwifery in Mashhad University of Medical Sciences during 2011-12 academic years]. Iranian journal of medical education 2014; 14(4): 350-62. (Persian)
  33. Clarkin JF, Kernberg OF. Transference-focused psychotherapy for borderline personality disorder: A clinical guide. Washington, D.C.: American Psychiatric Association; 2015.
  34. Hendrix H. Getting the love you want: A guide for couples. New York: St. Martin's Griffin; 2007.
  35. Jafari Soltanabadi A, Monirpoor N, Mirzahouseini H. [The association of couples' feeling of happiness with Differentiation of Self (DoS) and early object relations with the mediating role of religious marital satisfaction]. Journal of applied family therapy 2021; 2(1): 159-76. (Persian)
  36. Cheraey L, Goudarzi M, Akbary M. [Comparing the effectiveness of couple therapy with imago-therapy and Feldman's integrated approach on intimacy commitment of conflicting spouses]. Quarterly journal of woman and society 2019; 10: 239-54. (Persian)
  37. Nasab RJ, Toosi MS, Naseri NS, Amarghan HA. [The effectiveness of imago-based couple therapy on improving marital turmoil and quality of life in women affected by marital infidelity]. Journal of applied family therapy 2021; 2(4): 519-33. (Persian)
  38. Safavi S, Mohammadkhani P, Sabahi P. Impact of object relations couple therapy on marital intimacy of divorce applicant couples with high-level borderline personality organization: A pilot study considering the moderating role of executive functions. Practice in clinical psychology 2022; 10(2): 141-52.
  39. Khodadadi Jokar F, Panahifar S, Yazdanbakhsh K. Comparison of imago couple therapy and acceptance and commitment couple therapy on emotion regulation strategies in couples applying for divorce. Family counseling and psychotherapy 2023; 12(2): 177-206.
  40. Abbasi L, Azadfallah P, Fathi-Ashtiani A, Farahani H. [The relationship between the dimensions of object relations and marital satisfaction]. Journal of clinical psychology and personality 2021; 19(1): 81-92. (Persian)
  41. Hashemi SM, Shiroudi SG, Khalatbari J, Abolghasemi S. The effectiveness of communication imagery training (imago therapy) approach on post-traumatic growth and development in couples with spouse infidelity. International journal of applied behavioral sciences 2021; 8(4): 19-26.
  42. Ensink K, Normandin L. Trust in therapeutic work with adolescents with and without personality disorders: A transference-focused therapy perspective. J Pers Disord 2023; 37(5): 580-603.
Fundamentals of Mental Health
Volume 26, Issue 1
2024
Pages 27-36