Klinik Psikoloji
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Browsing Klinik Psikoloji by Author "Fişek, Güler Okman."
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Item Examining different aspects of mentalization capacity among adolescents(Thesis (Ph.D.)-Bogazici University. Institute for Graduate Studies in the Social Sciences, 2022., 2022.) Dedeoğlu, Ceyda.; Müderrisoğlu, Serra.; Fişek, Güler Okman.Mentalization is considered a core human capacity, necessary for personal awareness and reciprocal interaction (Bleiberg, 2013). The features of mentalizing in the important period of adolescence are not sufficiently studied. The current study examines mentalization in adolescents, investigating whether there are differences in the mentalizing ability of two diagnostic groups, externalizers vs internalizers, compared with each other, as well as those with no symptoms of psychopathology. With this aim, two main hypotheses were tested. The first hypothesis claims that adolescents with no symptoms of psychopathology will have better mentalization scores. The second hypothesis claims that there will be differences between the mentalization scores of internalizers and externalizers, internalizers being better mentalizers. In addition, the Turkish adaptation of the How I Feel Questionnaire and the Turkish version of the Youth Reflective Functioning Scale were administered. To test the hypotheses, a community sample of 700 high school students from Istanbul were reached and they completed several measurement tools. Both hypotheses were supported, indicating that mentalizing scores are worse when there are symptoms of psychopathology. The profiles of internalizers and externalizers were significantly different from each other in their mentalization scores. The community sample provides detailed information about the relation of mentalization and symptoms of psychopathology among adolescents, indicating that externalizers need support to develop mentalizing skills, whereas too much mentalizing can be associated with internalizing symptoms.Item Relational cutoff and its role in protecting the self in social contexts(Thesis (M.A.) - Bogazici University. Institute for Graduate Studies in the Social Sciences, 2019., 2019.) Koçyiğit, Metin.; Müderrisoğlu, Serra.; Fişek, Güler Okman.The present study aimed to explore defensive features of relational cutoff in social contexts. Relational cutoff was conceptualized as stopping speaking to another person for a variable length of time, because of seemingly unresolvable conflict between intimates. Relational cutoff was investigated conditions in which the participants had the role of the offended or the offender in the conflict. The data were collected from 12 participants including 6 university students and 6 adults through a semi-structured one time interview. Grounded theory (Charmaz, 2006) was applied to analyze the interviews. It appeared that relational cutoff involved both intrapsychic and interpsychic processes, beginning with a narcissistic injury, followed by counteractions, relational evaluation. Relatioanal cutoff ended with forgiveness, resolved partially or stayed as unresolved. The results revealed that relational cutoff can be considered as having defensive elements consisting of avoiding overwhelming unpleasant emotions and having an unconscious motivation to protect the cohesiveness of self and self-esteem. The findings were discussed through the classical and the relational psychoanalytical perspectives by taking into consideration of the norms in the Turkish culture. Generational and gender differences in experiencing relational cutoff were also debated. Limitations and implications of the present study were also reviewed.Item Surviving male partner violence in Turkey :|women’s stories of powerlessness, empowerment, and recovery(Thesis (Ph.D.)-Bogazici University. Institute for Graduate Studies in the Social Sciences, 2019., 2019.) Yalçınöz Uçan, Büşra.; Müderrisoğlu, Serra.; Fişek, Güler Okman.Alternative to the psychopathology-oriented approaches on women’s responses to male partner violence, research grounded on strength-based perspectives has contributed significantly to a better conceptualization of women’s experiences of coping with and surviving violence. Much research in psychology, however, focused on intrapersonal and interpersonal aspects while neglecting the socio-structural determinants of leaving and empowerment. Integrating a feminist, multidimensional approach, the present study provides a contextualized framework of women’s pre- and post-separation processes. As no previous studies in Turkey systematically examined women’s leaving and post separation experiences, this research also aimed to identify the processes shaped by the particular context of the country. The participants included 16 women survivors of male partner violence. Two in-depth interviews were conducted with each woman. The Constructivist Grounded Theory was used for the analysis. The results demonstrated the substantial effect of the degree of women’s socio-economic power on their stay/leave decision-making and their experiences after separation, which indicated the complexity of sociocultural and structural factors in Turkey, incumbering women’s escape and healing. The narratives also revealed nonlinear, coexistent processes that constituted women’s unceasing struggle to survive disempowering circumstances in their lives, both before and after separation. While not reflecting an end to their distress, their efforts to resist violence and powerlessness, as strengthened by the relational and practical support available to them, were shown to evolve into a profound sense of well-being and empowerment. The results are discussed from the perspective of feminist intersectional approaches, and social/clinical implications in relation to the country context are presented.Item Testing the effectiveness of a dating violence prevention program among college students in Istanbul(Thesis (Ph.D.)-Bogazici University. Institute for Graduate Studies in the Social Sciences, 2018., 2018.) Üstünel, Anıl Özge.; Köksal, Falih.; Fişek, Güler Okman.Dating violence among college students is a psychological and social issue associated with serious academic, psychological and physical health risks. In Turkey, there has been no published work on any systematic effort or program for the prevention of dating violence in college samples. The present study aimed to fill this gap by implementing a dating violence prevention program to college students attending a university in Istanbul and employed a mixed-methods approach to evaluate its effectiveness. A program was designed to promote equality, safety, mutuality and responsibility in dating relationships, informed by feminist clinical approaches. The program was pilot tested and implemented to five groups (47 participants) in eight weekly consecutive sessions between February-May 2017. In the quantitative part, a quasi-experimental pretest-posttest design with a control group (49 participants) was used to explore the program’s effect on behavioral and attitudinal outcome measures. A series of ANCOVAs on posttest scores whilst controlling for pretest scores and relevant covariates showed no improvement in emotion approach coping, accommodative behavior, benevolent attitudes towards women, ambivalent attitudes towards men and attitudes towards psychological dating violence. The significant changes obtained in hostile attitudes towards women and in attitudes towards physical dating violence were promising. In the qualitative part, semi-structured individual interviews were conducted with the prevention groups to explore the processes which facilitated and hindered change. A constructivist grounded theory approach was used. The present results showed that feminist clinical perspectives with skills-based components can provide a valuable guiding framework for future dating violence prevention efforts.Item The Armenian granddaughters of 1915(Thesis (Ph.D.)-Bogazici University. Institute for Graduate Studies in the Social Sciences, 2022., 2022.) Karahoda, Berrak.; Müderrisoğlu, Serra.; Fişek, Güler Okman.The aim of this study was to qualitatively explore the experiences of Armenian granddaughters who are the descendants of those who experienced 1915 and to explore the possible intergenerational consequences of a massive social trauma via a psychoanalytically informed perspective. Ten participants were found through convenience sampling. Face-to-face interviews were conducted in an open-ended question format. The analyses revealed some intergenerational consequences involving transmission of trauma, a disrupted intergenerational and familial communications as well as operation of silences within various contexts, a range of emotional responses that coincide with sequelae of trauma, an interrupted sense of cohesion and continuity of culture, identity, and history as well as a discussion on how mechanisms of transmission may operate non-verbally. The accounts of participants also indicated some consequences of being embedded in a “traumatogenic” social context. Although the sample size only gives a cross sectional view of the experiences of Armenian granddaughters living in Turkey, mostly Istanbul, the intergenerational traces of trauma were observed through the existence of a variety of intense emotions, responses and mechanisms of transmission as well as a struggle between a sense of disrupted personal agency and attempts at resurrecting agency and healing.Item Understanding the relational processes of Turkish couples before and after a breast cancer experience(Thesis (Ph.D.)-Bogazici University. Institute for Graduate Studies in the Social Sciences, 2019., 2019.) Serbest, Pınar.; Müderrisoğlu, Serra.; Fişek, Güler Okman.Cancer is a life threatening illness which has effects on both individual and relational levels. The present study aims to understand the intrapersonal and interpersonal relational processes obtaining in a sample of Turkish breast cancer survivors' and their male partners' before and after the cancer experience. The present study employed the Family Systems Illness Model and the Intimacy Model of Relational Competence Theory as the analytical frame.11 heterosexual couples; 11 female breast cancer survivors and 11 male partners between the ages of 30-65 and from middle to upper SES levels participated in this study. Each participant was interviewed individually and face to face, using a semi structured interview format developed by the researcher. The interviews were coded in accordance with a Grounded Theory approach using MaxQDA12 Data Analysis Software. The core couple categories to emerge from this qualitative study were; harmonious/responsive relational processes which was named as "being we" couples, conflictual relational processes which was named as "never feeling as we" couples and a transition from conflictual relational processes to more harmonious/responsive ones as a result of the cancer experience which was named as "becoming we" couples. Thus the study findings indicated three different relational processes that reflect three different courses of development for the participants.