The investigation and comparison of the efficacy of emotionally focused couple therapy and solution focused couple therapy on reducing fear of intimacy and increasing couples' sexual satisfaction

Document Type : Original Research

Authors

1 phd student counseling

2 Assistant Professor of Psychology, Islamic Azad University, Isfahan Branch (Khorasgan)

Abstract

This researchwas conducted to aim investigate and compare the training of emotionally focused couple therapy and solution focused couple therapy on reducing fear of intimacy and increasing couples' sexual satisfaction. This research was the type of quasi-experimental of type with pretest, posttest and follow-up with the control group. The population of this study is was consisted 30 couples referred to counseling centers (Grohamrah and Mehravar) in Tehran city. Scale (FIS) and that were assigned randomly to three group emotionally focused therapy couple (10 couples), solution focused therapy couples (10 couples), and control group (10 couples). The exeriment groups participated in 8 sessions of 90-minutes of emotionally focused couple therapy and solution focused couple therapy, and they were assemented in the fear of intimacy and sexual satisfaction variables three stages of pretest, posttest and follow-up (two-month). The data were analyzed by repeated measures analysis of variance (mixed). The results showed that the emotionally focused couple therapy and solution focused couple therapy are effective in decreasing the fear of intimacy and increasing sexual satisfaction, and also the group of emotionally focused couple therapy more affective than the group of solution focused couple therapy. Therefore, the group training of emotionally focused couple therapy and solution focused couple therapy can be used as an effective therapeutic methods to increase intimacy and sexual satisfaction in couples.

Keywords


Ahangar, A., Sedghpour, B. S., & Ashrafi Khozani, H. (2013). Reform, validating, stabilization and normalization scale fear of intimacy women. Cultural-Educational Quarterly of Women and Family, 8(24), 47-65. (Persian)
Asadpour, E., & Veisi, S. (2017). The effectiveness of emotionally focused couple therapy on sexual self-esteem and sexual function in women with multiple sclerosis. Arak Medical University Journal, 20(7), 1-12. (Persian)
Bahrami, N., Yaghoobzadeh, A., Sharif Nia, H., Soliemani, M., & Haghdoost, A. (2016). Psychometric properties of the persian version of larsons sexual satisfaction questionnaire in a sample of Iranian infertile couples. Iranian Journal of Epidemiology, 12 (2), 18-31. (Persian)
Badihi Zeraati, F., & Mousavi, R. (2016)  Efficacy of emotion-focused couple therapy on the change of adult attachment styles and sexual intimacy of couples. Counseling Culture and Psychotherapy, 7(25), 71-90. (Persian)
Bois, K., Bergeron, S., Rosen, N. O., McDuff, P., & Gregoire, A. B. (2013). Sexual and relationship intimacy among women with provoked vestibulodynia and their partners: Associations with sexual satisfaction, sexual function, and pain self-efficacy. The Journal of Sexual Medicine, 10(8), 2024-2035.
Capouzzi, D., & Stauffer, M. (2015). Foundation of couples: marriage and family counseling. Translated by: Shokouh Navabi Nejad, Nadereh Saadati and Mehdi Rostami. Tehran: Publishing, Jungle. (Persian)
Conoley, C., Graham, J. M., Neu, T., Craig, M. C., O'pry, A. M. Y., Cardin, S. A., & Parker, R. I. (2003). Solution‐ focused family therapy with three aggressive and oppositional-acting children: An empirical study. Family Process, 42(3), 361-374.
Constantine, G., Graham, S., Portman, D. J., Rosen, R. C., & Kingsberg, S. A. (2015). Female sexual function improved with ospemifene in postmenopausal women with vulvar and vaginal atrophy: Results of a randomized, placebo-controlled trial. Climacteric. 18(2), 226-32.
Dahl, J., Stewart, I., Martell, C. H., & Kaplan, J. S. (2015). Act & Rft in relationships; helping clients deepen intimacy and maintain healthy commitments using acceptance and commitment therapy and relational frame theory. Translation: Navabinejad, Saadati and Rostami. Tehran: Jangal. (Persian)
Descutner, C. J., & Thelen, M.H. (1991). Development and validation of a fear of intimacy scale. Psychological Assessment, 3(2), 218-225.
Falahzadeh, H., Sanani Zaker, B., & Farzad, V. (2013). A study on the effectiveness of emotionally focused couple therapy and integratedsystemic couple therapy on reducing intimacy anxiety. Journal of Family Research, 8(4), 465-484. (Persian)
Falahzadeh, H., Farzad, V., & Falahzadeh, M. (2010). A study of the psychometric characteristics of fear of intimacy scale (FIS). Journal of Research in Psychological Health, 5(1), 70-80. (Persian)
Fletcher, G. (2002). The new science of intimate relationships. Oxford: Blackwell Publishers Ltd.
Ghaderi, Z., Refahi, Z.H., & Baghban, M. (2015). The effect of emotion focused method training approach on marital intimacy. Knowledge & Research in Applied Psychology, 16(2), 77-83. (Persian)
Ghamari, M. (2009). The effectiveness of solution-focused counseling in decreasing different dimensions of marital conflict of dual-career couples. Journal of Family Research, 5(3), 347-359. (Persian)
Glina, S., Roehrborn, C.G., Esen, A., Plekhanov, A., Sorsaburu, S., Henneges, C., Büttner, H., & Viktrup, L. (2015). Sexual function in men with lower urinary tract symptoms and prostatic enlargement secondary to benign prostatic hyperplasia: results of a 6-month, randomized, double-blind, placebo- controlled study of tadalafil coadministered with finasteride. The Journal of Sexual Medicine, 12(1), 129–138
Girard, A., & Woolley, SR. (2017). Using emotionally focused therapy to treat sexual desire discrepancy in couples.  Journal of Sex & Marital Therapy, 43(8), 720-735.
 
Honarparvaran, N., Tabrizi, M., Navabi Nejad, SH., & Shafi Abadi, A. (2010). The effectiveness of emotion-oriented approach on sexual satisfaction of couples. Journal of Clinical Psychology Andishe VA Raftar, 4(15), 59-70. (Persian)
Hudson, W. W., Harrison, D. F., & Crosscup, P. C. (1981). A short‐form scale to measure sexual discord in dyadic relationships. Journal of SexResearch, 17(2), 74-157.
Hoseini, T., Amiri Majd, M., & Ghamari, M. (2013). The effectiveness of solution-focused qroup counseling in enhancing marital intimacy of married women. Journal of Health Breeze, 1(4), 52-58. (Persian)
Johnson, S. M. (2004). The practice of emotionally focused couple therapy: creating connection (2nd Ed.). New York: Brunner-Routledge.
Johnson, S. M. (2007). The contribution of emotionally focused couple therapy. Journal of Contemporary Psychotherapy, 37(1), 47-52.
Johnson, S. M., & Wittenborn, A. K. (2012). New research findings on emotionally focused therapy. Journal of Marital and Family Therapy, 38(1), 18-22.
Johnson, S. M., Simakhodskaya, Z., & Moran M. (2018). Addressing issues of sexuality in couples therapy: emotionally focused therapy meets sex therapy.
Larson, J. H., Anderson, S.M., Holman, T. B., & Niemann, B. K. (1998). 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, 24, 193-206
Makinen, J. A., & Johnson, S. M. (2006). Resolving attachment in couple using emotionally focused therapy insteps toward forgiveness and reconciliation. Journal of Consulting and Clinical Psychology, 84(6), 1055- 1064.
Macdonald, A. J. (2007). Solution focused therapy theory, research & practice. SAGE Publications Asia-Pacific Pte Ltd.
Mofid,V., Fatehi Zadeh,M., Ahmadi,A., & Etemadi, O. (2015). The effect of solution-focused counseling on sexual satisfaction and family function among women in isfahan. Knowledge & Research in Applid Psychology, 17(3), 73-80. (Persian)
Montesi, J. L., Conner, B.T., Gordon, E.A., Fauber, R.L., Kim, K.H., & Heimberg, E. (2013). On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Archives of Sexual Behavior, 42(1), 81–91.
Mooshkbid Haghighi, M., Shams Mofarahe, Z., Majd Timory, M. M .V., & Hosseini, F. (2002). The effect of marital counseling on sexual satisfaction of couples. Iran Journal of Nursing, 15 (32 & 33), 15-19 (Persian)
Miri, M., Miri, M., Sharifzade, G., & Miri, M. (2014). Evaluating the impact of relationship enrichment education on marital satisfaction of primary school female teachers in Birjand, Modrn Care Journal, 11 (3), 177-185. (Persian)
Nazari, A. M., & Beyrami, M. (2008). The study of effects of solution-focused counseling on subscales of aggression, togetherness, finantial issues, and sex of marital satisfaction of dual-career couples. Journal Management System, 3(9), 93-117. (Persian)
Rezaeian, H., Massumy, S., & Hosseinian, S. (2017). The study and comparison self-differentiation, communication patterns, and sexual satisfaction in divorce-applicant and normal couples. Biannual Journal of Applied Counseling, 7(2), 17-32.
Seyyed Moharrami, I., Ghanbari Hashem Abadi, B.A., & Asghari Ebrahim Abad, M.J. (2014). The effect of solution-focused group counseling on family function and marital satisfaction. Biannual Journal of Applied Counseling, 5(1), 23-40. (Persian)
Shakarami, M., Davarniya, R., Zahrakar, K., & Talaeian, R. (2015). Effectiveness of brief solution-focused group couple therapy on improving marital quality in women. Razi Journal Medical Sciences, 22 (131),1-13. (Persian)
Sherma, R. (2007). A task analytic examination of dominance in emotionfocusedcouple therapy. Thesis for degree of doctor of psychology of York University, Toronto.
Sobral, M. P., & Costa, M.E. (2015). Development of the fear of intimacy components questionnaire (FICQ) embracing a dependence component. European Journal of Psychological Assessment, 31(4), 302-309.
Sobral, M. P.,  Teixeira, C. P., & Costa, M. E. (2015). Who can give me satisfaction? partner matching in fear of intimacy and relationship satisfaction. The Family Journal, 23(3), 247-253.
Sobral, M. P. , Matos, P. M., & Costa, M. E. (2014). Fear of intimacy among couples: dyadic and mediating effects of parental inhibition of exploration and individuality and partner attachment. Journal Family Science, 6 (1), 380-388.
Stalker, C., Levene, J., & Coady, N. (1999). Solution-focused brief therapy-one model fits all? Families in society: The Journal of Contemporary Social Services, 80(5), 468-477.
Szymanski, D. M., & Hilton, A. N. (2013). Fear of intimacy as a mediator of the internalized heterosexism-relationship quality link among men in same-sex relationships. Contemporary Family Therap, 35(4), 760-772.
Stewart, J.W. (2011). A pilot study of solution focused brief therapeutic intervention for couples. [Dissertation]. Utah State University.
Phillips, T. M., Wilmoth, J. D., Wall, S.K., Peterson, D. J., Buckley, R., & Phillips, L.E. (2013). Recollected parental care and fear of intimacy in emerging adults. The Family Journal, 21(3), 335-341.
Popovice, M. (2005).Intimacy and its relevance in human functioning. Sexual and RelationshipTherapy, 20(1), 31-49.
Vangelisti, A. L., & Beck, G. (2007). Intimacy and fear of intimacy. In L. L. Abate, D. D. Embry, & M. S. Baggett (Eds.), Handbook of low-cost interventions to promote physical and mental health: Theory, research, and practice (pp. 395-414). Mahwah, New Jersey: Lawrence Erlbaum.
Wolven, L. J. (2009). Real estate and divorce: Breaking up is hard to do. Tax management real estate Journal Washington & Lee University of Law, 25(9), 203-211.
Woldarsky, C. (2006). A task analysis of forgiveness in emotion-focusedcouple therapy. Thesis for degree of Master of Arts of York University, Toronto.
Young, M., & Lurise, R. (1998).Correlates of sexual satisfaction in marriage. Canadian. Journal of Ltuman Sexuality, 7(3), 115–127.
Zimmer-Gembeck, M. J., & Ducut, W. (2010). Positive and negative romantic relationship quality: Age, familiarity, attachment and wellbeing as correlates of couple agreement and projection. Journal of Adolescence, 33(4), 981-910.
 
 
 
 
 
 
 
 
 
 
 
 
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