Comparing the Effectiveness of Reality Therapy Based on Choice Theory and Schema Therapy on Identity Dimensions in People with Gender Dysphoria

Document Type : Original Article

Authors

1 PhD candidate in Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

2 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

3 Department of psychology Karaj branch Islamic azad university, Karaj, Iran

10.22075/jcp.2024.34491.2920

Abstract

Background: Gender dysphoria is a psychological condition that presents individuals with identity challenges from childhood to adulthood. This study aimed to compare the effectiveness of Reality Therapy based on Choice Theory and Schema Therapy on dimensions of identity in individuals with gender dysphoria (transsexuals).
Method: The present study employed a quasi-experimental design with a pre-test, post-test, control group, and follow-up period. The population consisted of all individuals with gender dysphoria referred to the Mehtaa Association in Tehran in 2023. A purposeful sampling method was used to select 45 individuals who were randomly assigned to three groups of 15: Reality Therapy, Schema Therapy, and a control group. Data was collected using the Chick et al. (2000) Identity Dimensions Scale and analyzed using mixed-design ANOVA.
Results: The results showed that both Reality Therapy based on Choice Theory and Schema Therapy were effective in improving the personal and relational dimensions of identity in individuals with gender dysphoria but had no significant effect on the social and collective dimensions of identity. Moreover, there was no significant difference in the mean scores between the post-test and follow-up phases, and the effectiveness of the interventions was maintained during the follow-up period.
Conclusion: The findings suggest that both Reality Therapy based on Choice Theory and Schema Therapy are effective in improving the dimensions of identity in individuals with gender dysphoria. Therefore, by employing the techniques of these two approaches, the dimensions of identity involved in gender dysphoria can be strengthened or preserved.

Keywords

Main Subjects

References

  1. منابع

    1. Kocsis RN. Book review: diagnostic and statistical manual of mental disorders: 2013. https://doi.org/10.1177/0306624X13511040
    2. Littman L. Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners. Arch Sex Behav, 2021, 50, 3353–3369. https://doi.org/10.1007/s10508-021-02163-w
    3. Galupo MP, Pulice-Farrow L, Pehl E.“There Is Nothing to Do About It”: Nonbinary Individuals' Experience of Gender Dysphoria. Transgender Health, 2021, 6(2), 101-110. https://doi.org/10.1089/trgh.2020.0041
    4. Karvonen M, Goth K, Eloranta SJ, & Kaltiala R. Identity integration in adolescents with features of gender dysphoria compared to adolescents in general population. Frontiers in Psychiatry,2022, 13, 848282. https://doi.org/10.3389/fpsyt.2022.848282
    5. Nadaf F, Tizdast T. Predicting the meaning of life based on identity dimensions in students of Tonkabon University. Health Psychology and Social Behavior,2020, 1(1): 31-49. 30495/hpsbjourna.2021.680962
    6. Cheon YM, Haskin M, Yip, T. Profiles of adolescent identity at the intersection of ethnic/racial identity, American identity, and subjective social status. Frontiers in Psychology, 2020, 11, 959. https://doi.org/10.3389/fpsyg.2020.00959
    7. Koller V. How to analyse collective identity in discourse: Textual and contextual parameters. tekst i dykurs-text und diskurs,2022, 16, 215-240.
      DOI: 10.7311/tid.16.2022.11
    8. Doyle DM, Begeny CT, Barreto M. Identity-Related Factors Protect Well-Being Against Stigma for Transgender and Gender Non-Conforming People. Arch Sex Behav, 2021, 50, 3191–3200. https://doi.org/10.1007/s10508-021-0029-1
    9. Griffin L, Clyde K, Byng R, Bewley S. Sex, gender and gender identity: a re-evaluation of the evidence. BJPsych Bulletin,2021, 45(5), 291-299.
      DOI: https://doi.org/10.1192/bjb.2020.73
    10. Emmelkamp PM, Meyerbröker K. Virtual reality therapy in mental health. Annual review of clinical psychology,2021, 17, 495-519.‏ https://doi.org/10.1016/j.brat.2015.08.010
    11. Maskey M, Rodgers J, Grahame V, Glod MA. randomised controlled feasibility trial of immersive virtual reality treatment with cognitive behaviour therapy for specific phobias in young people with autism spectrum disorder. Journal of autism and developmental disorders,2019, 49, 1912-1927. https://doi.org/10.1007/s10803-018-3861-x
    12. Pakdaman S. Nazeri R. The effectiveness of group counseling with reality therapy approach on personal identity and common health of female students in art School s of Tehran Education Department. Journal of Mental Health,2015, 5(1), 8-15
    13. Rezaei Hosseinabadi N, Khayatan F. The effectiveness of reality therapy on identity crisis and feelings of homesickness among male secondary school students in boarding schools in Isfahan city. Educational Psychology Quarterly, 2016, 8(3), 1-10. https://sanad.iau.ir/Journal/psyedu/Article/953531
    14. Lin J, Latoschik ME. Digital body, identity and privacy in social virtual reality: A systematic review. Frontiers in Virtual Reality, 2022, 3, 974652. https://doi.org/10.3389/frvir.2022.974652
    15. Bachrach N, Rijkeboer MM, Arntz A, Huntjens RJ. Schema therapy for Dissociative Identity Disorder: a case report. Frontiers in Psychiatry,2023, 14, 1151872.‏ https://doi.org/10.3389/fpsyt.2023.1151872
    16. Van Dijk SD, Veenstra MS, van den Brink RH, Oude Voshaar RC. A systematic review of the heterogeneity of schema therapy. Journal of Personality Disorders,2023, 37(2), 233-262.‏ https://doi.org/10.1521/pedi.2023.37.2.262
    17. Yazdkhasti M, Molaeinezhad M, Tarrahi MJ, Karahmadi M, Salimi H. Investigating the Relationship between Early Maladaptive Schemas and Sexual Self-Confidence and Sexual Self-Efficacy in Individuals with Gender Dysphoria. Adv Biomed Res. 2023 Sep 28;12:232.
      doi: 10.4103/abr.abr_443_22. PMID: 38073737; PMCID: PMC10699240
    18. Feyzioglu A, Taslioglu A, Ozselik D, Tarimtay, F, Budak E. The mediating role of early maladaptive schemas in the relationship between early childhood trauma and alexithymia. Current Psychology.2022, 3(2), 1-11 https://doi.org/10.1007/s12144-022-02988-1
    19. Namavari, Z., Jalil, M., Khashei, S., Shah Sanaei, S., & Sadeghi, E. (2023). Investigation of Differences in Early Maladaptive Schemas and Defense Mechanisms in Individuals with Gender Identity Disorder Compared to Normal Individuals. Health Nexus, 1(2), 87-93. https://doi.org/10.61838/kman.hn.1.2.12
    20. Güler, K., & Yüksel, S. (2021). The Relationship Between Gender Roles In Women And Early Maladaptive Schemas. American Journal of Humanities and Social Sciences Research (AJHSSR), 5(11), 07-19.‏
    21. Cheek JM, Smith SM, Tropp LR. Relational identity orientation: A fourth scale for the AIQ. Paper presented at the meeting of the Society for Personality and Social Psychology, Savannah, GA.2023. https://www.researchgate.net/publication/32512618
    22. Prado LF, Wainer I, Chiessi CM, Ledru MP, Turcq B. A mid-Holocene climate reconstruction for eastern South America, Clim. Past, 9, 2117–2133, https://doi.org/10.5194/cp-9-2117-2013, 2013
    23. Eisazadeh F, heidary S, Agajanbaglu S. saffarinia, M. Study of the Effectiveness of Schema Therapy on Improving Social Adjustment and Psychological Capital in Transsexual Persons. Social Psychology Research, 2020; 10(37): 13-28.
    24. Mashhadi A, Ghanbari Hashemabad B, Rafaee Saeedi N. The Effectiveness of Group Reality Therapy on Personal Identity Crisis Improvement with an Emphasis on Life Expectancy. Razavi International Journal of Medicine, 2018; 6(4): 13-17. doi: 10.30483/RIJM.2018.33
    25. kakia L. Effect of group counseling based on reality therapy on identity crisis in students of guidance schools. Journal of Fundamentals of Mental Health, 2010; 12(45): 7-430.
      doi: 10.22038/jfmh.2010.1121

     

    1. Daiiani M. Avatar Versus Self The Correlation of Iranian Digital Role-Players with Self-Estrangement and Identity Crisis. In 2018 2nd National and 1st International Digital Games Research Conference: Trends, Technologies, and Applications (DGRC)2018, (pp. 95-103). IEEE.‏ DOI: 1109/DGRC.2018.8712059
    2. Nowruzpoor E, Vakili P, Rezakhani S D. The effectiveness of Reality therapy on Self-efficacy and Identity Styles of Female Students. International Journal of Pediatrics,2021, 9(8), 14212-14223.‏
    3. Smith C, Gregory C, Bryant L. Utilizing Virtual Reality for Gender‐Affirming Voice Training: Surveying the Attitudes and Perspectives of Potential Consumers. International Journal of Language & Communication Disorders,2024: 59(3), 976-990.‏
    4. Movahed M, Hosienzadeh Kasmani M. The relationship between gender identity disorder and quality of life. Soc Welf.2012, 12(44):111-42
    5. Mohammadi F, Taleb N, Rezaei Shojaei S, Emami roudi T. The Effectiveness of Schema Therapy on Cognitive Flexibility and Resiliency in Patients with Generalized Anxiety. medical journal of mashhad university of medical sciences, 2019; 62(2): 34-42. doi: 10.22038/mjms.2020.16176
    6. Huntjens RJ, Rijkeboer MM, Arntz A. Schema therapy for Dissociative Identity Disorder (DID): rationale and study protocol. European Journal of Psychotraumatology,2019, 10(1), 1571377. https://doi.org/10.1080/20008198.2019.1571377
    7. ‏Tomlins L. Prescribing for transgender patients. Journal of AAPS.2019, 42(1), 10-13.
    8. Dierckxsens G, Baron TR Phenomenological interview and gender dysphoria: A third pathway for diagnosis and treatment. In The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 2024: 49(1), 28-42). US: Oxford University Press.‏
    9. Bachrach N, Rijkeboer MM, Arntz A, Huntjens R J. Schema therapy for Dissociative Identity Disorder: a case report. Frontiers in Psychiatry, 2023:14, 1151872.‏
    10. Rajabzadeh F, Makvand Hosseini S, Talebian Sharif J, Ghanbari Hashemabadi B. The Effect of group new reality therapy based on choice theory on social anxiety disorder in Student of university. Journal of Psychological Achievements,2015, 22(1), 133-152. https://doi.org/10.1089/trgh.2020.0041
    11. Fassbinder E, Arntz A. Schema therapy with emotionally inhibited and fearful patients. Journal of contemporary psychotherapy.2019, 49(1), 7-14 https://doi.org/10.1007/s10879-018-9396-9
    12. Kaya-Demir D, Cirakuglu O. The role of sense of coherence and emotion regulation difficulties in the relationship between early maladaptive schemas and grief. Death Stud.2021, 11(23), 1-9. https://doi.org/10.1080/07481187.2021.1936295
    13. Feyzioglu A, Taslioglu A, Ozselik D, Tarimtay, F, Budak E. The mediating role of early maladaptive schemas in the relationship between early childhood trauma and alexithymia. Current Psychology.2022, 3(2), 1-11 https://doi.org/10.1007/s12144-022-02988-1
    14. Ghafari R, ghanadzadgan H, Fakhri MK. The effectiveness of reality therapy on self-control, difficulty in regulating emotion, resilience and psychological flexibility in patients with practical obsession. medical journal of mashhad university of medical sciences, 2021; 64(3): 3240-3252.
      doi: 10.22038/mjms.2021.19460
Journal of Clinical Psychology
Volume 16, Issue 3 - Serial Number 63
September 2024
Pages 83-97

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History

  • Receive Date: 18 June 2024
  • Revise Date: 18 November 2024
  • Accept Date: 30 December 2024

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