The effectiveness of short-term intensive Dynamic psychotherapy Interventions and twelve-step method in reducing drug temptation and reducing the Projective defense mechanisms of recovering addicts in Tehran province

Document Type : Original Article

Authors

1 Department of Health psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.

2 Full professor, Psychology department, Allameh Tabatabai University, Department of psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.

3 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

Abstract

The aim of the present study was to evaluate the effectiveness of short-term intensive dynamic psychotherapy interventions and the 12-step method in reducing drug temptation and reducing the projective defense mechanism of recovering addicts in Tehran province. The study method was pretest-posttest with experimental and control groups. The statistical population of the study consisted of all recovering addicts in Tehran province in 1399, of which 58 people (30 people in the intervention group and 28 people in the control group) were selected using purposive non-random sampling. Data were collected using the Defense Styles Questionnaire (DSQ-40) by Anders et al. (1993) and Wright craving (2003). Data were analyzed using univariate analysis of covariance. The results of univariate analysis of covariance showed that by controlling the effect of F-tests obtained on the variable mechanisms of projection and temptation "at the level of 0.05 is significant. In other words, there are significant differences in the post-test scores of these variables in the "experimental group" and the "control group". The results of univariate analysis of variance in the first to fourth hypotheses also showed the difference between the two intervention groups and the control group in the variables of drug temptation, defense mechanisms of denial, projection and splitting. It is concluded that short-term intensive scanning psychotherapy and the twelve-step method are effective in reducing drug temptation and reducing the projective defense mechanism of addicts.

Keywords


Abbass, A. A., & Town, J. M. (2021). Alliance rupture‐repair processes in intensive short‐term dynamic psychotherapy: Working with resistance. Journal of Clinical Psychology77(2), 398-413.
Abbass, A., Kisely, S. & Kroenke, K (2009). Short-Term Psychodynamic Psychotherapy for Somatic Disorders: Systematic Review and Meta-Analysis of Clinical Trials. Psychotherapy and Psychosomatics, 78, 265-274.
Abbass, A., Town, J., Holmes, H., Luyten, P., Cooper, A., Russell, L., ... & De Meulemeester, C. (2020). Short-Term Psychodynamic Psychotherapy for Functional Somatic Disorders: A Meta-Analysis of Randomized Controlled Trials. Psychotherapy and Psychosomatics,19, 1-8.
Alivardinia, A.  (2009). Sociological explanation of drug-related arrests: A case study of Mazandaran province. Journal of Social Welfare, 28, 308-285.
Batool, S., Manzoor, I., Hassnain, S., Bajwa, A., Abbas, M., Mahmood, M., & Sohail, H. (2017). Pattern of addiction and its relapse among habitual drug abusers in Lahore, Pakistan. EMHJ, 23(3), 168-72.
Chiang, J. A. (2021). Time-Limited Dynamic Psychotherapy in University Counseling Centers: A Quantitative Survey of Clinicians (Doctoral dissertation, Azusa Pacific University).
Ewing, W. B. (2021). Twelve Steps to Religionless Spirituality: The Power of Spirituality with or without God. Wipf and Stock Publishers.
Frederickson, J., DenDooven, B., Abbass, A., Solbakken, O. A., & Rousmaniere, T. (2018). Pilot study: An inpatient drug rehabilitation program based on intensive short-term dynamic psychotherapy. Journal of Addictive Diseases, 37(3-4), 195-201.
Galanter, M., White, W. L., & Hunter, B. D. (2019). Cross-cultural applicability of the 12-Step model: A comparison of Narcotics Anonymous in the USA and Iran. Journal of Addiction Medicine, 13(6), 493–499.
Geng, Y., Gu, J., Wang, J., & Zhang, R. (2021). Smartphone addiction and depression, anxiety: The role of bedtime procrastination and self-control. Journal of Affective Disorders293, 415-421.
Goldstein, R. Z., & Volkow, N. D. (2011). Dysfunction of the prefrontal cortex in addiction: neuroimaging findings and clinical implications. Nature reviews neuroscience, 12(11), 652–669.
Heidari Nasab, L., & Sha'iri, M. (2011) Factor design of defense styles questionnaire in Iranian non-clinical samples. New Psychological Research, 6 (21), 97-67.
Ishaq, G., Ghayas, S., & Adil, A. (2021). Development and Validation of News Addiction Scale. Pakistan Journal of Psychological Research, 1-18.
Kelly, J. F., & Bergman, B. G. (2016). Twelve-step mutual-help organizations and facilitation interventions. In W. Mistral (Ed.), Integrated approaches to drug and alcohol problems: Action on addiction (pp. 169-1 81). London, UK: Routledge.
Kelly, J. F., Humphreys, K., & Ferri, M. (2020). Alcoholics Anonymous and other 12‐step programs for alcohol use disorder. Cochrane database of systematic reviews, 3, 1465-1 858.
Khantzian, E. J. (2012). Reflections on treating addictive disorders: A psychodynamic perspective. The American journal on addictions, 21(3), 274-279.
Koob, G. F., Everitt, B. J., & Robbins, T. W. (2013). Reward, motivation, and addiction. In Fundamental neuroscience (pp. 871-898). Academic Press.
McInerney, K., Garip, G., & Benson, T. (2022). “We all need Purpose and Reason to be here.”: A Qualitative Investigation of howmembers of Alcoholics Anonymous with Long-term Recovery Experience Aging. Alcoholism Treatment Quarterly40(1), 100-115.
Nia, A. B. (2018). Opioid addiction and borderline personality disorder. The American journal on addictions, 27(1), 54-55.
Shirazi Tehrani, A.,  &  Mazaheri, F. (2017). The effectiveness of group therapy with 12-step (NA) method on the degree of stability in recovery, quality of life and anxiety of patients with heroin use disorder. 7th Scientific-Research Conference on Educational Sciences and Psychology, Social and Cultural Harms of Iran.
Sripada, C. (2022). Impaired control in addiction involves cognitive distortions and unreliable self-control, not compulsive desires and overwhelmed self-control. Behavioural brain research418, 113639.
Tang, Y.Y., Posner, M.I., Rothbart, M.K., & Volkow, N.D., 2015. Circuitry ofself-control and its role in reducing addiction. Trends in Cognitive Sciences, 19, 439–444.
Tonigan, J. S., Book, S. W., Pagano, M. E., Randall, P. K., Smith, J. P., & Randall, C. L. (2010). 12-Step therapy and women with and without social phobia: A study of the effectiveness of 12-step therapy to facilitate Alcoholics Anonymous engagement. Alcoholism Treatment Quarterly, 28(2), 151-1 62.
Webb, J. R. (2021). Understanding Forgiveness and Addiction: Theory, Research, and Clinical Application. Routledge.
White, W., Budnick, C., & Pickard, B. (2011). Narcotics Anonymous: Its history and culture. Counselor, 12(2), 10-15.