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Öğe A preliminary study of group therapy intervention for bipolar disorder based on the integrative cognitive model(Cambridge Univ Press, 2020) Mackali, Zeynep; Guneri, Gulin; Korkmaz, Ann; Cakir, SibelThe main aim of this research was to investigate the effect of the 8-week group therapy intervention based on the integrative cognitive model (ICM) of bipolar disorder. The sample was composed of 10 patients with bipolar I and bipolar II diagnoses. The group sessions were held once a week for 1.5 hours. For the quantitative measures, the group participants were assessed during pre-test, post-test and 3-month follow-up using the Turkish versions of the Beck Depression Inventory, the Hypomanic Attitudes and Positive Predictions Inventory, the Psychological Well-being Scale and the Satisfaction with Life Scale. Quantitative analyses revealed that a reliable change was seen only in pre-test and post-test depression scores. However, this change could not be maintained at 3-month follow-up. For the qualitative analyses, data collected during semi-structured interviews were used. The thematic analyses results showed that the 8-week ICM-based group therapy was found to help participants make sound observations about their behaviors, decrease their feelings of loneliness and increase self-acceptance, and acceptance of the role of mood swings in their lives. Moreover, the results showed that participants found the following activities very beneficial: describing their emotions, evaluating the intensity of their emotions, identifying their life goals, coping with interpersonal conflicts, evaluating resources and going over strengths. In conclusion, the 8-week ICM-based group therapy had a positive impact on participants' self-awareness, self-acceptance and self-perception. Key learning aims (1) To learn more about the integrative cognitive model and how it has been reconceptualized for group-based intervention. (2) To understand the structure and content of group CBT protocol for bipolar disorders based on the integrative cognitive model. (3) To consider possible advantages of group CBT for bipolar disorders during the recovery process.Öğe Art Therapy in Psychosocial Intervention for Alcohol Use Disorder: A Case Study(2025) Dinçelli, Buket Canan; Mackali, Zeynep; Eracar, Hatice Nevin; Bilici, RabiaThis case study aims to show how art therapy, as a part of psychosocial intervention in the treatment of alcohol use disorder, can help the patient increase their self-expression skills and symbolization skills, develop appropriate coping methods, and increase one’s functioning. The client was diagnosed with alcohol use disorder and has been in remission for 14 months, had 42 (+1) sessions during the 15-month process using art therapy. In each session, various art therapy exercises were carried out from different art modalities such as painting, literature, music, dance/movement, taking into account the client’s situation and needs. In this article, eight sessions, which are thought to reflect the psychological conflict and progress experienced by the client are included. It is seen that art therapy techniques experienced by individuals with alcohol use disorder can be helpful in diagnosis and evaluation at the beginning. Besides these techniques can have positive effects on increasing the ability of self-expression and symbolization, developing appropriate coping skills and increasing psychosocial functioning by enabling the client to establish causal relationships between symptoms, complaints, and life cycles. It is suggested that such programs might be included in psychosocial interventions to prevent relapses of individuals suffering from addiction and to strengthen their psychological resilience.Öğe Enhancing work life through social cognition: the effect of SCIT in bipolar disorder(Frontiers Media Sa, 2025) Bikmaz, Zeynep Anaforoglu; Mackali, Zeynep; Cakir, SibelObjectives This study aimed to investigate the effectiveness of social cognition and interaction therapy (SCIT) in improving occupational functioning in individuals diagnosed with bipolar disorder I (BD-I). The effects of SCIT intervention with standard treatment methods were investigated on social cognition and functioning effects, which are often negatively affected in patients with BD-I.Methods The research involved 28 participants, allocated into two groups: An experimental group (n = 12) receiving SCIT for 8 weeks alongside standard treatments (pharmacotherapy and psychiatric interviews), and a control group (n = 16) undergoing standard treatment without additional interventions. Outcome measures were assessed using a suite of tools, including the Hamilton Depression Rating Scale (HDRS), Young Mania Rating Scale (YMRS), Eyes Test (ET), Metacognition Scale (MCI), Internalized Stigma of Mental Illnesses (ISMI), and Functioning Assessment Short Test (FAST). Given the small sample size, non-parametric tests were employed for data analysis. Analyses were conducted using the Mann-Whitney U test and Wilcoxon test for comparisons between the experimental and control groups and within groups. Also, the effects of the intervention on social cognition, occupational functioning and resistance to stigmatization were dealt.Results The findings revealed that participants in the experimental group showed significant improvements in social cognition and occupational functioning after SCIT compared to the control group. However, the levels of stigmatization experienced by individuals as a result of ISMI measurements were significantly lower in the SCIT group compared to the control group.Conclusion The study concludes that SCIT can be an effective intervention for enhancing certain psychosocial and cognitive functions in individuals with BD-I, thereby improving their occupational functioning. Nevertheless, the persistent levels of stigma indicate the need for additional strategies to address the broader challenges faced by individuals with BD-I in terms of societal perception and self-stigmatization.Öğe Exploring Healing Bonds: The Mediator Role of Relational Needs in the Relationship Between Childhood Traumas and Psychological Distress and Well-Being(Routledge Journals, Taylor & Francis Ltd, 2025) Gokdag, Ceren; Mackali, Zeynep; Toksoy, Safak EbruErskine's Relational Needs Model, a core component of Relationally focused and Developmentally based Integrative Psychotherapy, emphasizes that relational needs are intrinsic to human nature, highlighting their vital role in shaping our emotional well-being and interpersonal interactions. When these needs are met, individuals may experience feelings of importance and love, but when they remain unfulfilled, negative emotions can adversely impact their well-being. These needs develop at the beginning of life and are influenced by childhood experiences. This study's primary objective was to investigate the relationship between childhood trauma, relational needs, psychological distress, and well-being. We also tested a model incorporating relational needs as a mediator. Measures related to childhood trauma, relational needs, psychological distress, and well-being were administered to a total of 364 adults. Pearson correlation results demonstrated a negative association between the satisfaction of relational needs, childhood traumas, depression, anxiety, and stress, while also revealing a positive correlation with well-being. Structural equation modeling results confirmed the mediating role of relational needs in the relationship between childhood trauma and psychological state (distress and well-being). Our findings are consistent with the theoretical framework of the Relational Needs Model, suggesting that childhood maltreatment negatively affects current relational needs satisfaction, thereby increasing psychological distress and reducing well-being. This study is the first to empirically demonstrate the connection between Erskine's model and key variables, highlighting the importance of addressing relational needs in psychotherapy to promote client well-being.Öğe Individual effect of scit on bipolar disorder in terms of clinical and practical significance(Wiley, 2022) Bikmaz, Zeynep Anaforoglu; Mackali, Zeynep; Cakir, Sibel[Abstract Not Available]Öğe The structural associations among childhood traumas, attachment dimensions, and relational needs(Springer, 2025) Mackali, Zeynep; Gokdag, Ceren; Toksoy, Safak EbruThis study aimed to understand the combined effect of childhood traumas and insecure attachment on relational needs. We hypothesized that childhood traumas and insecure adult attachment dimensions would be negatively associated with the satisfaction of relational needs. Employing a fully latent structural equation model (SEM), childhood traumas and insecure attachment dimensions were expected to account for a significant variance in satisfaction with relational needs. Three hundred sixty-four adults aged between 18 and 63 voluntarily completed three self-report scales via an online survey. Correlation results demonstrated that anxious and avoidant attachment dimensions were negatively associated with satisfaction in all relational needs. As the level of childhood traumas increased, satisfaction with relational needs decreased. Multiple regression analysis indicated that anxious and avoidant attachment, along with emotional neglect and physical neglect significantly predicted lower relational needs satisfaction. The results of SEM revealed that insecure attachment and childhood trauma, as latent variables, had shared effects on the decrease in satisfaction of relational needs and explained 60% of the variance in satisfaction with relational needs. These findings suggest that abuse, neglect in childhood, and insecure attachment are factors that might have a negative impact on the satisfaction of these relational needs. This understanding has the potential to inform psychotherapy practices.Öğe Turkish adaptation of a brief self-report measure of fantasy proneness: The Creative Experiences Questionnaire (CEQ)(Springer, 2024) Cekmez, Musa; Mackali, ZeynepThis research addresses the construct of fantasy proneness that is unexplored in the context of Turkey by adapting and assessing the psychometric properties of the widely accepted Creative Experiences Questionnaire (CEQ), aiming to fill a significant gap in existing literature and contribute to the understanding of this construct and its correlates in a population aged between 18 and 60 years. The Turkish version of the CEQ demonstrated face validity, aligning participant responses with fantasy, imagination, and dissociation (n = 15). Exploratory Factor Analysis confirmed a single-factor solution based on the scree plot graphic, without item removal (n = 310). Reliability and validity analyses (N = 464) affirmed robustness with adequate internal consistency (Cronbach's Alpha = 0.78, McDonald's Omega = 0.77) and test-retest reliability (n = 110, r = .72). Convergent validity was supported by correlations with dissociative experiences (r = .51) and magical ideation (r = .51). Discriminant validity was evident in negative correlations with social desirability (r = -.10, p < .05), notably, impression management (r = -.12, p < .05), indicating unbiased capture of fantasy experiences. Predictive validity was supported by a positive correlation observed between fantasy proneness and interest in creative activities (r = .21). Participants engaged in or aspiring to engage in creative activities professionally scored notably higher, broadening implications for creativity research. Similarities between the original and Turkish versions suggested cultural variations do not significantly affect fantasy proneness in adults. Considering limitations, future research should explore age-related variations of fantasy proneness as well as its association with social desirability. Implications extend to clinical research, emphasizing consideration of fantasy proneness and its correlates in psychopathological and broader psychological health studies in Turkey and globally.
