Exploring the Comparative Efficacy of Reality and Paradox Therapy in Treating Post-Traumatic Stress Disorder in Traumatized Adolescents: An Analytical Review
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Abstract
In this study, we conducted a comparative analysis between reality therapy and paradox therapy approaches for treating post-traumatic stress disorder (PTSD) in traumatized adolescents. This research, undertaken through a comprehensive library review, draws upon research findings from various databases including ISI, SID, Magiran, ScienceDirect, Google Scholar, SCOPUS, and JCR. Among the 31 studies analyzed, encompassing both quantitative and qualitative methodologies, the focus was on research conducted within the past eight years. Our findings suggest that paradox therapy emphasizes the consolidation of the patient's psychological foundation or self by introducing mechanisms to address the conflict between personal perception (real anxiety) and this is done by creating and developing mechanisms to resolve the conflict between the institution and the objective facts (real anxiety) and change the value and meaning of signs related to unfortunate or traumatic events. Notably, this approach offers advantages in terms of efficiency and cost-effectiveness. Conversely, reality therapy centers on fostering emotional engagement with the illness, emotions, thoughts, and related symptoms encouraging patients to confront and manage their symptoms with the support of their families. Through this therapeutic process, patients are empowered to assume responsibility for their thoughts, behaviors, emotions, and overall well-being, ultimately fostering a sense of autonomy, courage, and self-worth often associated with mental health.