The Effectiveness of Emotionally Focused Couple Therapy on Interpersonal Forgiveness and Cognitive Flexibility

Subject Areas : Psychological Models and Methods

Fariborz Sedeghi Arfaee ¹ , Mohammad javad navabi semiromi ² , Narges khatoun Mansourzade Semiromi ³

1 - Associate Professor, Department of Psychology, Faculty of Humanities, University of Kashan
2 - M. Sc student in General Psychology, Faculty of Humanities, University of Kashan, Kashan, Iran
3 - M.A. in Counseling, Islamic Azad University, Marvdasht Branch, Marvdasht

Received: 2024-02-14 Accepted : 2024-07-27 Published : 2024-08-05

Keywords: Effectiveness, Emotionally Focused Couple Therapy, forgiveness, flexibility,

Abstract :

Background and purpose: Marriage provides an opportunity for experiencing love and affection with a life partner, but various factors can jeopardize the strength and stability of a marriage. The aim of this study was to investigate the effectiveness of emotionally focused couples therapy (EFCT) on interpersonal forgiveness and cognitive flexibility in couples. Methods: The research design was applied in terms of its practical objective and semi-experimental method, in the form of pre-test, post-test and follow-up. The population of the study consisted of all couples seeking psychological counseling in the city of Semirom, due to marital conflicts in the year 2023. After initial screening (administering the Marital Conflict Questionnaire, clinical/diagnostic interview), 30 couples were selected based on the G*Power analysis and randomly assigned to the experimental and control groups. The experimental group received 8 sessions of 90-minute emotion-focused couple therapy, while the control group received no intervention. Data were collected using the Interpersonal Forgiveness Questionnaire by Eshtemzadeh et al. and the Cognitive Flexibility Inventory by Dennis & Vander Wal. Ultimately, after considering the inclusion and exclusion criteria, 24 couples were subjected to repeated-measures analysis of variance. Findings: The findings of the study indicated that Emotionally Focused Couples Therapy using the "Hold Me Tight" technique significantly increased interpersonal reactivity and cognitive flexibility. These effects were found immediately after the intervention. Furthermore, the results remained stable during the follow-up period. Conclusion: Therefore, the use of Emotionally Focused Couples Therapy (EFCT) "Hold Me Tight," is recommended for couples experiencing marital problems and conflicts. Additionally, it is suggested for professionals in the field to utilize this approach in therapy and counseling centers.

References:

1. Yekanizad A, Soleimannezhad A, Hajizadeh N. Effectiveness couple therapy based on Stair’s family therapy approach on Couple Burnoute and Emotional divorce among divorce application couple Tabriz City. Rooyesh-e-Ravanshenasi Journal (RRJ). 2022; 11(9): 125-34. (Persian)
2. Li X, Liu Q. Parent–grandparent coparenting relationship, marital conflict and parent–child relationship in Chinese parent–grandparent coparenting families. Children and Youth Services Review. 2020; 109: 104733.
3. Shokri M, Rahmani MA, Abolghasemi S. The Effect of Emotion-Oriented Couple Therapy on Forgiveness, Emotional Self-Regulation and Marital Boredom of Couples Seeking Divorce Referring to Family Social Emergencies. Islamic Life Journal. 2022; 6:0. (Persian)
4. Rahmanishamsh, H., Nejat, H., Toozandeh-Jani, H., Zendeh-del, A., Bagherzadeh Golmakanih, Z. Effectiveness of imago relationship Therapy on meta cognitive beliefs, forgiveness, and psychological well-being of divorced women in shahr-e ray. Psychological Methods and Models, 2022; 13(47): 15-28. doi: 10.30495/jpmm.2022.27556.3342 .(Persian)
5. Taghvaei, D, Fatahi Bayat, P, Davoudi, H, Pirani, Z. The Effectiveness of Cognitive-Behavioral Family Therapy Based on an Islamic Approach on Marital Intimacy and Interpersonal Forgiveness of Women Referring to the Counseling Centers. The Islamic Journal Of Women and The Family, 2020; 8(1): 187-204. (Persian)
6. Kluwer ES, van der Wal RC, Visser M, Finkenauer C. Predictors of forgiveness among divorced parents. Journal of Family Psychology. 2021; 35(4): 566.
7. Peetz J, Davydenko M, Wohl MJ. The cost of self-forgiveness: Incremental theorists spent more money after forgiving the self for past overspending. Personality and Individual Differences. 2021; 179: 110902.
8. Rathgeber M, Bürkner PC, Schiller EM, Holling H. The efficacy of emotionally focused couples therapy and behavioral couples therapy: A metaanalysis. Journal of marital and family therapy. 2019; 45(3): 447-63.
9. Tashvighi, M, Rezaei Mollajegh, R., neisi, S, Tayyari, E. Developing a Marital Satisfaction Model Based on Self-Compassion and Emotion Regulation: The Mediating Role of Psychological Flexibility. Cultural Psychology, 2023; 6(2): 65-82. doi: 10.30487/jcp.2023.321851.1357. (Persian)
10. Plys E, Jacobs ML, Allen RS, Arch JJ. Psychological flexibility in older adulthood: a scoping review. Aging & Mental Health. 2023; 27(3): 453-65.
11. Rostampour Brenjestanaki, M., Abbasi, G., Mirzaian, B. Effectiveness of Compassion-focused Therapy on Psychological Flexibility recovery and Self-criticism decrease in Mothers with Mentally Retarded Children. Biannual Journal of Applied Counseling, 2020; 10(2): 1-18. doi: 10.22055/jac.2020.33836.1749.(Persian)
12. Nazinejad, K., rahmati, A. Structural Equation Modeling of The Psychological Flexibility Effect on Tendency to Extramarital Relationship to Mediate Ego Identity. Journal of Family Research, 2022; 18(2): 387-401. doi: 10.48308/jfr.18.2.387.(Persian)
13. Ong CW, Lee EB, Petersen JM, Levin ME, Twohig MP. Is perfectionism always unhealthy? Examining the moderating effects of psychological flexibility and self compassion. Journal of Clinical Psychology. 2021 ; 77(11): 2576-91.
14. Kohandani, M, Abolmaali Alhosseini, K. Factor structure and psychometric properties of Persian version of cognitive flexibility of Dennis, Vander Wal and Jillon. Psychological Methods and Models, 2017; 8(29): 53-70. (Persian)
15. Arán Filippetti V, Krumm G. A hierarchical model of cognitive flexibility in children: Extending the relationship between flexibility, creativity and academic achievement. Child Neuropsychology. 2020; 26(6): 770-800.
16. Goudarzi A, Keykhosrovani M, Deyreh E, Ganji K. The effectiveness of emotion-oriented treatment on cognitive flexibility and social commitment in divorced couples. Razi Journal of Medical Sciences. 2020; 27: 64-73. (Persian)
17. Johnson S. Attachment in action—changing the face of 21st century couple therapy. Current opinion in psychology. 2019 Feb 1; 25:101-104.
18. Cheraghisifabad N, Ehtesham Zadeh P, Asgari P, Johari Fard R. Survey and comparison of the effectiveness of schema mode therapy and emotionally focused couples therapy in increasing secure attachment style and reducing avoidant and ambivalent attachment styles in couples with marital conflict. Biannual Journal of Applied Counseling. 2021; 10(2): 73-98. (Persian)
19. Timulak L, Keogh D. Emotion-focused therapy: A transdiagnostic formulation. Journal of Contemporary Psychotherapy. 2020; 50(1): 1-3.
20. Wong TY, Greenman PS, Beaudoin V. “Hold Me Tight”: The generalizability of an attachment-based group intervention to Chinese Canadian couples. Journal of Couple & Relationship Therapy. 2018 Jan 2; 17(1): 42-60.
21. Shahbazi N, Barabadi HA, Heydarnia A. The effectiveness of hold me tight program on caregiver burden of men whose wives suffer from breast cancer. Biannual Journal of Applied Counseling, 2022; 12(2): 113-128..(Persian)
22. Borjali A, Sadr MM. Effectiveness of" Hold Me Tight" Educational Program on Intimacy, Attachment Behaviors, and Marital Satisfaction among Married Students. The Journal of Woman and Family Studies. 2022; 9(3): 9-32. (Persian)
23. Nouri N, Iranmanesh I. The Effectiveness of Emotionally Focused Couple Therapy Using the “Hold Me Tight” Method on Attachment Styles, Marital Adjustment and Sexual Intimacy. Journal of Applied Psychological Research. 2022; 13(1): 363-87. doi: 10.22059/japr.2022.318332.643749.(Persian)
24. Yuan Q, Fan Z, Leng J. The effect of emotional reactivity on marital quality in Chinese Couples: the mediating role of perceived partner responsiveness. Frontiers in Psychology. 2022; 12: 787899.
25. Asgari A, Azizi ziabari L, Asadi J, Hosseinae A. Comparison of the effectiveness of couple therapy based on acceptance and commitment and emotionally focused couple therapy on marital forgiveness of women affected by extramarital relationships. Rooyesh. 2022; 10(12): 215-226. (Persian)
26. Nameni E, Mohammadpoor M, Noori G. The effectiveness of emotion-focused group therapy on interpersonal forgiveness and hope in divorced women. Counseling Culture and Psycotherapy. 2017; 8(29): 57-78. doi: 10.22054/qccpc.2017.19768.1463. (Persian)
27. Mousavi AS. The effectiveness of emotion focused education on sexual intimacy and interpersonal forgiveness of conflicting couples. Journal of psychologicalscience. 2020; 19(86): 229-36 (Persian)
28. Aghagedi P, Golparvar M, Aghaei A. The Effect of “Forgiveness Based Mindfulness Therapy” and “Emotionally Focused Therapy” on Forgiveness of Women who damaged by their Husbands' Infidelity. Journal of Health Promotion Management. 2018; 7(5): 46-54. (Persian)
29. Imanizad A, Golmohammadian M, Moradi O, Goodarzi M. The effectiveness of emotion-oriented couple therapy on forgiveness and communication beliefs of couples involved in marital infidelity. Journal of Psychological Science. 2021; 20(100): 635-47. (Persian)
30. Schoorl J, van Rijn S, de Wied M, Van Goozen S, Swaab H. Emotion regulation difficulties in boys with oppositional defiant disorder/conduct disorder and the relation with comorbid autism traits and attention deficit traits. PloS one. 2016; 11(7): e0159323.
31. Davoudvandi M, Navabinejad PD, Farzad PD. The effectiveness of emotionally focused couple therapy in improving marital adjustment and couples’ intimacy. Quarterly Journal of Family and Research. 2018; 15(1): 39-56. (Persian)
32. Hosseinzadeh Taghvaie M. The effect of emotion-focused couple therapy on increasing marital adjustment of incompatible couples. Psychological Methods and Models. 2022; 12(46): 163-72.
33. Ehteshamzadeh P, Ahadi H, Enayati MS, Heidari A. Construct and validation of a scale for measuring interpersonal forgiveness. Iranian journal of psychiatry and clinical psychology. 2011. (Persian)
34. Seifi Ghozlu SJ, Sadri Damirchi E, Rezaei Sahrif A, Sheykholeslami A. Comparison of the effectiveness of Affective Reconstructive and Emotion-focused therapies on forgiveness and psychological well-being in women Who Filed for a divorce with a history of early Marriage. Journal of Family Psychology. 2022; 9(1): 45-59. (Persian)
35. Safari M, Rezakhani S, Dokaneh F. Explaining the Relationship between Mindfulness, Self-Compassion, and Social Competence in Female Students: the Mediating Role of Interpersonal Forgiveness. Journal of Applied Psychological Research. 2021; 11(4): 381-396. (Persian)
36. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research. 2010; 34: 241-53.
37. Tanhaeinowghabi F, Samari A, Nejat H. Predicting Divorce Tendency Score Based on Cognitive Flexibility, Emotional Regulation, and Early cognitive behavioral patterns in Iranian Couples Living in Iran and Canada. Razi Journal of Medical Sciences. 2023; 64(5): 4213-4228. (Persian)
38. Behbahani M, Zolfaghari M. The Effectiveness of Solution-Focused Couple Therapy on Cognitive Flexibility of Couples Seeking Divorce. Journal of Assessment and Research in Counseling and Psychology [Internet]. 2021; 3(1(7)): 17-27. (Persian)
39. Watson J, Timulak L, Greenberg L S. Emotion-focused therapy for generalized anxiety disorder. In L. S. Greenberg & R. N. Goldman (Eds.), Clinical handbook of emotion-focused therapy. American Psychological Association, 2019: 315-336.