Comparison of the Effectiveness of Schema-Focused and Life Style-Focused Group Training on Cognitive Insight Enhancement in Couples with Marital Dissatisfaction

Document Type : Original

Authors

1 Assistant Professor, Department of Psychology, Faculty of Education and Psychology, Azarbaijan Teacher Training University, Tabriz, Iran

2 Assistant Professor of Psychology, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran

3 Assistant Professor of Psychiatry and Psychiatry Research Center, Mazandaran University of Medical Sciences, Sari, Iran

Abstract

Background and aim: Most interventions and therapeutic methods seek to enhance the couples’ self-awareness, or the so-called insight levels. The aims of this study were to investigate the effectiveness of schema-focused and life style-focused group training interventions on enhancement of cognitive insight in couples with marital dissatisfaction. Method: After applying the inclusionary criteria (scoring lower than 40 in ENRICH questionnaire, having at least amid-school degree, being married for more than two years, having no history of separation or divorce) and the exclusionary criteria (history of mental disorder or inpatient, substance use, candidate for divorce)106 couples from among the clients of public and private counseling centers in Iran’s Khoi province were screened. Then 90 subjects (husbands and wives) were randomly assigned to two experimental groups of schema-focused training (N=30) and lifestyle-focused training (N=30) and one control group (N=30). The interventions consisted of 11 sessions (1.5 hour each) for the experimental groups; the control group did not receive any interventions and was placed on the waiting list. Immediately upon implementation of the interventions, posttests and one month later a follow up test were administered on all the three groups. Findings: Findings showed that both schema-focused and life style-focused interventions were effective on enhancement of cognitive insight. Also findings showed that self-reflection was influenced by both interventions but self-certainty was not influenced by either intervention.There is no significant difference between two interventions about effectiveness on enhancement of cognitive insight. Conclusion: Schema-focused and life style-focused group training  interventions may be used as an effective, inexpensive, and easy method to administer interventions to enhance cognitive insight by family and couple counselors.
 

Keywords


Beck, A. T., Baruch, E., Balter, J. M., Steer, R. A., Warman, D. M. (2004). A new instrument for measuring insight: the Beck Cognitive Insight Scale. Schizophrenia Research, 68, 319- 329.
Castonguay, L. G., & Hill, C. E.(2007). Insight in Psychotherapy, American Psychological Association, Washington DC.
Cooke,M.H., Peters, E. R., Fannon, D., Aasen, I., Kuipers, E., Kumari, V.(2010). Cognitive insight in psychosis: The relationship between self-certainty and self-reflection dimensions and neuropsychological measures. Psychiatry Research,178, 284-289.
Dattilio, F. M.(2006).Restructuring schemata from family of origin in couple therapy. Journal of CognitivePsychotherapy: An International Quarterly, 20(4), 359–373.
 
Faircloth, B. W., Cummings, M. E. (2008).Evaluating a parent education program for preventing the negative effectsof marital conflict. Journal of Applied Developmental Psychology, 29, 141–156.
 
Gurman, A. S.(2009). Clinical Handbook of Couple Therapy. The Guilford Press, New York.
 
Harway, M. (2005). Handbook of Couples Therapy. Published by John Wiley & Sons, Inc., Hoboken, New Jersey.
 
Harvey, J., Wenzel, A.(2002). A Clinical's Guide to Maintaining and Enhancing Close Relationships. Mahwah, NewJersey: Lawrence Erlbaum Associates, Publishers.
 Hayes, A. M., & Feldman, G. C. (2005). The Change andGrowth Experiences Scale (CHANGE). Unpublished manuscript.
 
Heatherington, L., & Friedlander, M. L. (2007). Manifestations and Facilitation of Insight in Couple and FamilyTherapy.In l.G. Castonguay & C. E. Hill (Eds.), Insight in psychotherapy,.81-100. American PsychologicalAssociation, Washington DC.
 
Lepage, M., Buchy, L., Bodnar, M., Bertrand, M. C., Joober, R., Malla, A. (2008). Cognitive insight and verbalmemory in first episode of psychosis. European Psychiatry, 23, 368-374.
 
Martin, J. M., Warman, D. M., Lysaker, P. H.(2010). Cognitive insight in non-psychiatric individuals and individualswith psychosis: An examination using the Beck Cognitive Insight Scale. Schizophrenia Research, 121, 39-
45.
 
Olson, D. H. & Olson, A. (1997). Enrich Canada, inc. Journal of Family Mistry, 11, 4, 28-53.
 
Oltmanns, T. F., Emery, R. E. (2012). Abnormal Psychology. Pearson Publication. USA
.
Orfei, M. D., Spoletini, I., Banfi, G., Caltagirone, C., Spalletta, G.,(2010) Neuropsychological correlates of cognitiveinsight in schizophrenia. Psychiatry Research, 178, 51-56.
 
Prochaska, J. O., & Norcross, J. C. (2007). Systems of psychotherapy:A Transtheoretical analysis (5th ed.). PacificGrove, CA: Thomson, Brooks/Cole.
 
Riso, L. P., DuToit, P. L., Stein, D. J., Young, J. E.(2007). Cognitive Schemas and Core Beliefs in PsychologicalProblems, Published by American Psychological Association, Washington DC, 199-220.
Snyder, D. (2002). Integrating Insight-Oriented Techniques Into Couple Therapy. In Harvey, J., Wenzel, A. AClinician’s Guide to Maintaining and Enhancing close Relationships. New Jersey: Lawrence ErlbaumAssociates, Inc., Publishers.
Sprecher, S.,Wenzel, A.Harvey, J.(2008).Handbook of Relationship Initiation. NewYork: Taylor & Francis Group.,pp,337-353
.
Stein, H. T. (2003). Training classical Adlerian couple therapy. Retrieved 2004 From: http://our world.
CompuServe. Com/ home page/ hstein/ dt303.htw.
 
Sweeney, T. J. (2009). Adlerian Counseling and Psychotherapy: A Practitioner’s Approach. New York: Taylor &Francis Group, LLC.
 
Warman, D. M., Dunahue, S., Martin, J. M., Beck, A. T.(2004).November. An investigation of the Beck CognitiveInsight Scale in the general population. Poster Presented at the 38th Annual Meeting of the Association forthe Advancement of Behavior Therapy, New Orleans, LA.
 
Warman, M. D., Martin, J. M. (2006). Cognitive insight and delusion proneness: An investigation using the BeckCognitive Insight Scale. Schizophrenia Research, 84,297-304.
 
Warman, D. M., Lysaker, P. H., Martin, J. M. (2007).Cognitive insight and psychotic disorder: The impact of activedelusions. Schizophrenia Research, 90, 325-333.
 
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: a practitioner’s guide. New York: GuilfordPress.
Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Sarasota,
FL: Professional Resource Press.
 
Young, J., Gluhoski, V.(1997). A schema-focused perspective on satisfaction in close relationships.In R.J. Sternberg,
 
M Hojjat. Satisfaction in close relationships, 356-381. New York , Guilford Press.