Document Type : Research Paper

Authors

Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.

Abstract

Mentalizing is a fundamental capacity for understanding one's own and others' mental states, playing a crucial role in the formation of romantic relationships. This study aimed to compare the effectiveness of Mentalization-Based Intervention (MBI) and Emotionally Focused Couples Therapy (EFT) on mentalizing capacity and emotional style in couples. A single-case research design was employed, and the sample consisted of six couples, selected voluntarily, who were then randomly assigned to either the mentalization-based intervention or emotionally focused therapy group. Data were collected using the Mentalizing Questionnaire by Dimitrijević et al. (2017) and the Emotional Style Questionnaire by Kesebir et al. (2019) and analyzed through visual analysis, Reliable Change Index (RCI), and percentage improvement formula. The results indicated that both interventions were effective in enhancing mentalizing capacity and emotional style in couples; however, the mentalization-based intervention had a greater impact on mentalizing capacity, whereas emotionally focused therapy showed a stronger effect on emotional style. The findings indicated differences in the pattern of effectiveness of the two interventions across the cognitive and emotional domains of couples’ relationships.

Keywords

Main Subjects

صفری موسوی، سید سینا؛ صادقی، مسعود و سپهوندی، محمدعلی (1399). ساختار عاملی و ویژگی‌های روان‌سنجی پرسشنامۀ ذهنی‌سازی: یک ابزار خودگزارشی برای ارزیابی ظرفیت ذهنی‌سازی. پژوهش‌های علوم شناختی و رفتاری، 10(1)، 123-134. صمد زاده، نسیم؛ هاشمی نصرت‌آباد، تورج؛ محمود علیلو، مجید و بیرامی، منصور (۱۴۰۱). بررسی ویژگی‌های روان‌سنجی پرسشنامه سبک‌های هیجانی (ESQ). فصلنامه علمی پژوهشی علوم روان‌شناختی، ۲۱ (۱۰۹)، ۳۲-۱۹. گوهری، سمیرا؛ رسول‌زاده طباطبایی، سید کاظم و قنبری، سعید (1401). اثربخشی آموزش ذهنی‌سازی بر ظرفیت ذهنی‌سازی و رضایت زناشویی در متأهلین ایرانی ناراضی. روان‌شناسی بالینی، 14(3)، 51-70. گوهری، سمیرا؛ رسول‌زاده طباطبایی، سید کاظم و قنبری، سعید (1401). وارسی مؤلفه‌های ذهنی‌سازی در الگوی ارتباطی متأهلین ناراضی ایرانی: تحلیل محتوا. روانشناسی بالینی و شخصیت، 20(2)، 120-105. حسینی، سید محمد، برآبادی، حسین احمد، عباسی، هادی و نساییان، عباس (۱۴۰۵). مدل‌یابی معادلات ساختاری رابطه الگوهای پردازش حسی، کارکردهای اجرایی و تاکتیک‌های حل تعارض با نقش میانجی ذهنی‌سازی در زنان متأهل. فرهنگ مشاوره و روان‌درمانی، 17(66)، 189-214. https://doi.org/10.22054/qccpc.2026.87785.3506 متین، حسین؛ اعتمادی، عذرا و عابدی، محمدرضا (1402). ظرفیت ذهنی‌سازی و سبک‌های هیجانی در افراد متأهل با و بدون تعارض زناشویی. خانواده پژوهی، 19(4)، 583-598. 10.48308/jfr.19.4.583 مهدویان فرد، راحله؛ امین یزدی، سید امیر؛ کیمیایی، سید علی و کارشکی، حسین (1404). تدوین مدل سرخوردگی زناشویی بر اساس سبک پردازش حسی با میانجی‌گری ظرفیت ذهنی‌سازی. روانشناسی خانواده، 12(1)، 15-32. https://doi.org/10.22034/ijfp.2025.2043281.1362 نکویی مهر، یاسمن و طباطبایی نژاد، فاطمه سادات (1401). اثربخشی درمان مبتنی بر ذهنی‌سازی بر بهبود دل‌بستگی ناایمن و روابط بین فردی زنان مبتلابه افسردگی شهر اصفهان. مطالعات روانشناسی و علوم تربیتی، 37(18)، 140-123. References Adshead, G., Moore, E., Humphrey, M., Wilson, C., & Tapp, J. (2013). The role of mentalising in the management of violence. Advances in psychiatric treatment, 19(1), 67-76. Asen, E., & Fonagy, P. (2017). Mentalizing Family Violence Part 2: Techniques and Interventions. Family Process, 56(1), 22-44. https://doi.org/10.1111/famp.12276 Asen, E., & Fonagy, P. (2021). Mentalization-based treatment with families. Guilford Publications. Beasley, C. C., & Ager, R. (2019). Emotionally focused couples therapy: A systematic review of its effectiveness over the past 19 years. Journal of Evidence-Based Social Work, 16(2), 144–159. https://doi.org/10.1080/23761407.2018.1563013 Bateman, A. W., & Fonagy, P. (2019). Handbook of mentalizing in mental health practice. American Psychiatric Pub. Bateman, A., Fonagy, P., Campbell, C., Luyten, P., & Debbané, M. (2023). Cambridge guide to mentalization-based treatment (MBT). Cambridge University Press. Dimitrijević, A., Hanak, N., Altaras Dimitrijević, A., & Jolić Marjanović, Z. (2018). The Mentalization Scale (MentS): A self-report measure for the assessment of mentalizing capacity. Journal of personality assessment, 100(3), 268-280. De Oliveira, C., Rahioui, H., Smadja, M., Gorsane, M. A., & Louppe, F. (2016). Mentalization based treatment and borderline personality disorder. L'encephale, 43(4), 340-345. Davidson, R. J., & Begley, S. (2012). The emotional life of your brain. New York, NY: Hudson Street Press. Euler, S., Hüwe, L., Gablonski, T.-C., Dehoust, M., Schulz, H., Brütt, A.-L., & Andreas, S. (2022). Mentalizing Mediates the Association between Narcissism and Psychotherapeutic Treatment Outcome in a Mixed Clinical Sample. Psychopathology, 55(5), 282-291. https://doi.org/https://doi.org/10.1159/000524203 Fonagy, P., & Bateman, A. W. (2016). Adversity, attachment, and mentalizing. Comprehensive Psychiatry, 64, 59-66. https://doi.org/10.1016/j.comppsych.2015.11.006 Fonagy, P., Luyten, P., Allison, E., & Campbell, C. (2017). What we have changed our minds about: Part 2. Borderline personality disorder, epistemic trust and the developmental significance of social communication. Borderline personality disorder and emotion dysregulation, 4(1), 1-12. https://doi.org/https://doi.org/10.1186/s40479-017-0062-8 Johnson, S. M. (2007). The contribution of emotionally focused couples therapy. Journal of Contemporary Psychotherapy, 37, 47–52. Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families. Guilford Publications. Kallos-Lilly, V., & Fitzgerald, J. (2021). An emotionally focused workbook for couples: The two of us. Routledge. Kesebir, P., Gasiorowska, A., Goldman, R., Hirshberg, M. J., & Davidson, R. J. (2019). Emotional Style Questionnaire: A multidimensional measure of healthy emotionality. Psychological assessment, 31(10), 1234. Lassri, D., & Gewirtz-Meydan, A. (2024). Breaking the cycle: Mentalizing moderates and mediates the link between childhood sexual abuse and satisfaction with adult romantic relationships. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. https://doi.org/10.1037/tra0001692 Liberman, B. (2025). The Influence of Mentalization and Adult Attachment Style on Relationship Satisfaction and Interpersonal Violence in Intimate Partnerships (Doctoral dissertation, Alliant International University). Lebow, J. L., & Snyder, D. K. (Eds.). (2022). Clinical handbook of couple therapy. Guilford Publications.‏ Lee, N., Furrow, J. L., & Myung, H. S. (2024). Emotionally focused couple therapy. In Case Conceptualization in Couple Therapy (pp. 195–221). Routledge. Matin, H., Etemadi, O., & Abedi, M. R. (2025). Facilitating Factors of Mentalizing in Marital Relationships: A Thematic Analysis of Content and Process Dynamics. The Family Journal, 33(4), 587-597. https://doi.org/10.1177/10664807251335642 Matin, H., Etemadi, O., & Abedi, M. R. (2025). Barriers to Balanced Mentalizing in Couples’ Relationships: Understanding Relational Misattunement through Qualitative Inquiry. Journal of Child and Family Studies, 34(10), 2625-2638. https://doi.org/10.1007/s10826-025-03136-6 McCann, D. (2022). Thinking under fire: Mentalization‐based couple therapy for high conflict and domestically abusive couples. Journal of Clinical Psychology, 78(1), 67–79. MacIntosh, H. B., Fletcher, K., & Ainsworth, L. (2019). Measuring mentalizing in emotionally focused therapy for couples with childhood sexual abuse survivors and their partners. Journal of Couple & Relationship Therapy, 18(4), 303–329. Reynolds, S., Searight, H. R., & Ratwik, S. (2014). Adult attachment styles and rumination in the context of intimate relationships. North American Journal of Psychology, 16(3), 495–506. Schwarzer, N. H., Nolte, T., Fonagy, P., Griem, J., Kieschke, U., & Gingelmaier, S. (2021). The relationship between global distress, mentalizing and well-being in a German teacher sample. Current Psychology, 1-10. Şenol, A., Gürbüz, F. A. T. M. A. G. Ü. L., & Tuzgöl Dost, M. E. L. İ. H. A. (2023). Duygu Odaklı Çift Terapisi: Teori ve Uygulamaya Yönelik Bir Derleme. Psikiyatride Güncel Yaklaşımlar, 15(1). Trombetta, T., Rizzo, M., Gattino, S., & Rollè, L. (2024). Violence in the Family of Origin, Mentalization, and Intimate Partner Violence Perpetration. Partner Abuse, 15(3). Wang, S., Hou, W., Wang, Y., Tang, Q., Tao, Y., & Liu, X. (2023). The impact of romantic relationships on deception detection: Exploring the gender differences and the mediating role of mentalizing. PsyCh Journal, 12(6), 844–856. https:// doi.org/10.1002/pchj.683 Wiebe, S., & Johnson, S. (2016). A review of the research in emotionally focused therapy for couples. Family Process, 55(3), 390-407. Zeytinoglu‐Saydam, S., & Niño, A. (2019). A tool for connection: Using the Person‐of‐the‐Therapist Training (POTT) model in Emotionally Focused Couple Therapy supervision. Journal of marital and family therapy, 45(2), 233-243.