Development and Validation of “Divorcing the Self-Incompatible Scale” (DSIS)

Research Article | DOI: https://doi.org/10.31579/2690-1919/230

Development and Validation of “Divorcing the Self-Incompatible Scale” (DSIS)

  • Ebrahim Khodadady 1*
  • Sholeh Bagheri 2

1 Ferdowsi University of Mashhad, Iran.
2 Bureau of Education in Western Azerbaijan, Iran.

*Corresponding Author: Ebrahim Khodadady, Ferdowsi University of Mashhad, Iran.

Citation: Ebrahim Khodadady and Sholeh Bagheri. (2022). Development and Validation of “Divorcing the Self-Incompatible Scale” (DSIS). J Clinical Research and Reports, 10(4); DOI:10.31579/2690-1919/230

Copyright: © 2022, Ebrahim Khodadady. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 10 January 2022 | Accepted: 01 February 2022 | Published: 10 February 2022

Keywords: divorce; psychiatry; psychology; religion; schema theory; self; parasyntactic

Abstract

Background: Divorce has become an individualistic as well as collective problem in all societies requiring a sound theory and statistics to address it explanatorily and empirically.

Objective: Almost all studies in various fields of knowledge have addressed divorce categorically. The present study was, however, designed to explore it as a cognitive domain by resorting to psychiatry, psychology, and religion and schema theory.

Methodology: Several male and female individuals who were divorcing or divorced were interviewed to develop the 30-item divorcing the self-incompatible scale (DSIS). The scale was then administered to 548 divorcing and/or divorced selves (DDS) and their responses were subjected to Principal Axis Factoring and Promax with Kaiser Normalization to specify what factors underlie the scale.

Results: The 30 items comprising the DSIS loaded acceptably on eight factors representing the cognitive families of Having Various Conflicts, Prioritizing Personal Interests, Having No Principles, Having No Decency, Having Different Tastes, Social Media Addiction, No Marital Education, and Misunderstanding Married Life. The families correlated significantly not only with each other but also with the DSIS representing the domain of divorce.

Conclusion: Divorce is a cognitive domain through which the DDS reveal their self-theistic, polytheistic or practicing monotheistic selves.

Introduction

The mental concept or schema represented by the noun “self” is important not only in physical sciences such as biology[1] but also in social sciences such as psychiatry, psychology and religion [2]. The importance lies in its frequency or token of 46, 249, 37 and 62 in the textbooks that represent the four fields, respectively: “Life: The Science of Biology” [3], “Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry” [4], “Abnormal Psychology” [5] and “the Quran”.

The present researchers’ chi-square analysis of the frequency with which the schema “self” is employed in the representative texts of biology, psychiatry, psychology and religion, however, shows that these fields differ significantly from each other (X2= 309.858df=3, < .0001). The difference lies in the biological, psychiatric, psychological and religious conceptualization and application of “self” as explained by Linnaeus’ [6] taxonomy and Khodadady’s [7] microstructural approach of schema theory (MICAST).

Linnaeus [6] argued that the biological characteristics of any living things such as humans can be employed to name them at eight levels or taxa, i.e., species, genus, family, order, class, phylum, kingdom, and domain. He did, for example, call humans sapiens who belong to the genus of Homo sapiens, the family of hominidae, order of primates, class of mammals, phylum of vertebrates, kingdom of animals, and domain of organisms, Based on the MICAST and empirical findings Khodadady [8] and his associates, e.g., Khodadady and Dastgahian [9], however, argued that Linnaeus’ eight-taxon hierarchical structure is not only biological but also cognitive in characteristics.

The very scientific name Linnaeus [6] himself gave to a human, i.e., sapiens is, for example, cognitive rather than physiological because it means “wise” or “rational” [3, p. 7] in Latin. Furthermore, all the words through which living things are named in fields such as biology depend first and foremost on cognition rather than any other feature such as morphology in order to be understood. For this very reason, all hierarchical structures including that of Linnaeus can be used to study sapiens as selves as conceptualized by their developers.

Maslow’s [11, 12] classification of needs within a five-taxon structure is, for example, not only biological but also cognitive. As the first taxon, human “physiological needs”, for instance, require eating food, drinking water and having sex. Upon satisfying these basic physiological needs, sapiens face the second taxon of “safety needs” requiring security, order, and stability. The satisfaction of “safety needs” helps sapiens focus on their “belongingness and love”, “esteem” and “self actualization” needs as the third, fourth and fifth taxa, respectively. Maslow’s taxonomy of needs have, therefore, not only “a hereditary component” [13, p. 246) such as sex instinct but also cognitive components such ass elf-actualization.

According to biology, plant species belonging to Leptosiphon genus, for example, follow their “hereditary component”, i.e., instincts, to “regularly fertilize their ovules using their own pollen; they are, therefore, referred to as self-fertilizing, or selfing, species, and their gametes as self- compatible” [3, p. 460). Sapiens, according to religion, are, however, the only species on the earth that possess cognition and emotion along with God’s psyche, allowing them to behave as His vicegerents (e.g., Q6:165), not only to satisfy their own instincts or needs but also regulate them along with those of other species including Leptosiph on by following God (e.g., Q2:189).

Biology and religion do, therefore, differ from each other in their treatment of schemata such as self-compatibility, i.e., sexual reproduction or marriage. While the former confines itself to securing sexual reproduction or selfing as the only key to life on the earth, religion renders it sapiens-specific by setting certain criteria to be optionally accepted and followed by sapiens themselves to secure life not only on the earth but also in the hereafter. They are, for example, instructed not to marry “idolatresses [polytheistic selves] until they believe [and become practicing monotheists]. Truly a believing slave woman is better than a [free] idolatress, though she be pleasing to you. And marry none to the idolaters until they believe. Truly a believing slave is better than a [free] idolater, though he should impress you [through wealth and social class and status]”(Q2:221). (Nasr, Dagli,Dakake, Lumbard and Rustom’s [14] English translations of the Arabic Quranic Ayat are reproduced in this study unless stated otherwise.]

Furthermore, in sharp contrast to biology which adopts biologists as its authorities and defines incompatibility as “self” vs. “other-than-self” in all species including sapiens, by resorting to God as its one-and-only authority religion forbids its believing sapiens from mating certain “other- than-self” such as “their mothers, daughters, sisters, fathers’ sisters, mothers’ sisters, brothers’ daughters, sisters’ daughters … and the mothers of your wives ..” (Q4:23). Biology also falls short of bringing up “divorce” in its representative text even once. The present researchers’ statistical analysis, however, shows that the representative texts of psychiatry, psychology and religion have used eight cognitive features to address “divorce” as a sapiens-specific schema (Table 1). While psychiatry and psychology address divorce most frequently as a simple noun, i.e., 115, 21 times, respectively, religion employs it as a simple verb to achieve the same function, i.e., 7 times.

NoLinguistic speciesCognitive speciesPsychiatryPsychologyReligionTotal
1complex nounpost-divorce1001
2compound noundivorce-celibacy1001
3simple nounDivorce115212138
4simple verbDivorce81716
5simple third person verbdivorces0011
6objective adjectivedivorced429455
7subjective adjectivedivorcing3003
8simple past verbdivorced1001
 Total 1713114216

Table 1: Frequency of linguistic and cognitive species of “divorce” employed as psychiatric, psychological and religious

In spite of employing various linguistic species of “divorce” 171 and 31 times, respectively (Table 1), neither psychiatry nor psychology tells the readers of their representative texts what cognitive domain the schema “divorce” belongs to and when sapiens can divorce their mates. They do, however, relate it to various types of mental disorder. Psychiatry, for example, announces that “The only social factor identified as contributing to the development of panic disorder is a recent history of divorce or separation” [4, p. 392]. Similarly, psychology refers to researchers such as Kumari et al [15] and Martens [16] who found that people with antisocial personality disorder “are more likely than others to have had significant stress in their childhoods, particularly in such forms as … conflict or divorce” [5, p. 532].

Religion, nonetheless, relates “divorce” to “self” as a schema addressed at eight cognitive taxa [2]. While its firstfour highest taxa,i.e., God’s self, the practicing monotheistic self, the polytheistic self, and the self-theistic self are religion-specific, its remaining four taxa of self are implicitly shared by both psychiatry and psychology, i.e., psyche (mind), cognition and emotion, instincts, and body. Psychiatrists and psychologists have, however, related divorce to adjustment [17], anxiety [18], bipolar [19], cocaine  use [20],   conduct  [21], derealization  [22],   gambling  [23], gastrointestinal [24], enuresis [25], and Tourette [26] disorders, to name a few.

In spite of establishing a relationship between divorce and various mental disorders, no scholar has approached divorce as a willful choice as religion does. Akiskal [27], for example, related mania to divorce reporting that ‘A 37-year-old engineer had experienced three manic episodes for which he had been hospitalized; all three episodes were preceded by several weeks of moderate psychomotor retardation. Although he had responded to lithium (Eskalith) each time, once outside the hospital, he had been reluctant to take it and eventually refused to do so. Now that he was “euthymic,” after his third and most disruptive episode during which he had badly beaten his wife, he could more accurately explain how he felt when manic. He experienced mania as “God implanted in him,” so he could serve as “testimony to man’s communication with God.” He elaborated as follows: “Ordinary mortals will never, never understand the supreme manic state which I’m privileged to experience every few years. It is so vivid, so intense, so compelling. When I feel that way, there can be no other explanation: To be manic is, ultimately, to be God. God himself must be super manic: I can feel it when mania enters through my left brain like laser beams, transforming my sluggish thoughts, recharging them, galvanizing  them.

My thoughts acquire such momentum, they rush out of my head, to disseminate knowledge about the true nature of mania to psychiatrists and all other ordinary mortals. That’s why I will never accept lithium again— to do so is to obstruct the divinity in me.” Although he was on the brink of divorce, he would not yield to his wife’s plea to go back on lithium’ (p. 4210).

As the case reported above shows researchers have paid little, if any, attention to the active role the patients themselves play in divorce. The inattention is supported by the statistical analyses run on the texts representing psychiatry and psychology in this study. They show that the objective adjective “divorced” had the second highest frequency, i.e., 42 and 9 in these two fields (Table 1). Furthermore, both patients and their therapists have no religiously informed understanding of what “divinity” (27, p. 4210) is. It is, in fact, for this very reason that religion requires its observants to deliver themselves from theistically incompatible selves through divorce.

Mrs. M, A, a shy 32-year-old patient of the present researchers, was, for example, suffering from depression when she sought their help. After three sessions of schema therapy she admitted that she had serious problems with her husband. She had married him mainly because of falling in love with his exceptionally beautiful physique and blond hair. Feeling more comfortable with expressing her feelings and attitudes she also admitted that he had physically abused her quite often, particularly whenever he drank alcohol. She had finally found no choice but to leave him and live with her parents. For supporting herself and becoming independent she had started working in wedding saloons where she had met many women like herself.

Finding no scales to relate Mrs. M’s marital problems to depression as well as low academic achievement,  the present researchers asked     her

whether she had filed for divorce in a court. Upon receiving her positive answer she was asked to write down as many reasons as she had for divorcing her husband and submit them to the present researchers. The analysis of these reasons along with those voluntarily brought up by female and male divorcees interviewed by Mrs. M in various places ranging from wedding saloons to divorce and family courts helped design and validate the DSIS in this study. The questions below were raised to guide it.

1. How many statistical factors representing the cognitive families of divorce underlie the DSIS?

2 How reliable are the DSIS and its underlying cognitive families?

3. Do the cognitive families of divorce correlate significantly with their domain as well as with each other?

Methodology

Participants

A total of 548 divorcing and/or divorced selves (DDSs) took part in this study voluntarily. The number was, however, reduced to 541, i.e., 327 female (60.4%) and 214 male (39.6%) because seven had not responded to the majority of items comprising the three measures administered in the study, i.e., 7-item demographic scale (DS), 30-itemDSIS and 48-item Quranic Orientation Scale (QOS). The age of the DDSs ranged between 16 and = 75 (mean = 34.73, SD = 9.562). The majority were Iranians (92%) who spoke Persian (85%) as their mother language. They had majored in humanities and social sciences in tertiary education centers (34%) and received their bachelor degree (30%) as shown in Table 2.

CategorySubcategoryNumberPercent
NationalityIranian49992.2
Afghan213.9
Arab213.9
Mother languagePersian45984.8
Turkish407.4
Kurdish275.0
Arabic142.6
Missing10.2
Educational levelElementary7714.2
Secondary13024.0
Tertiary33361.6
Missing10.2
Educational fieldTechnical and engineering10519.4
Humanities and social sciences18333.8
Agriculture295.4
Medical sciences437.9
Physical sciences427.8
Missing13925.7
Educational degreeBA/BS16330.1
MA/MD/MS8115.0
Associate Diploma7413.7
PhD356.5
Missing18834.8

Table 2: Descriptive statistics of participants

Instruments

Three Persian instruments were employed in this study: the DS, QOS and DSIS. The first two were designed by Khodadady and Dastgahian [9] to collect the demographic data of pre-university students and explain their religious  orientation  from a  scriptural  perspective, respectively. (The validation of the QOS with the DDSs will be reported in a separate article.) The DSIS was, however, designed in this study by interviewing five divorced women and men. It was conducted by a woman who was herself divorcing her husband as described at the end of the introduction section  of  this paper.  The  interviewees were  acquaintances  of the interviewer who had accepted to meet her in a coffee shop to talk about their divorce. Upon completing the interviews their content was transcribed, sorted out and modified in 30 items representing cognitive genera such as “my spouse is addicted to traditional/synthetic drugs or alcohol”.

The 30 items comprising the DSIS were also analyzed by utilizing Khodadady’s [10] 125 codes so that their readability level could be estimated. To this end, the language of the DSIS was operationalized as a linguistic domain consisting of three kingdoms: semantic, syntactic, and parasyntactic (Table 3). The semantic kingdom consisting of adjective, adverb, noun and verb genera plays the most important role in cognition because they consist of schema species or types which are meaningful by themselves. The adjective schema type “barren”, for example, activates the mental image of a woman who bears no children or a man who is sterile when a DSIS taker reads the cognitive genus “My spouse is barren”.

Linguistic KingdomsLinguistic GeneraExample schema typeTokenType
F%F%

 

 

Semantic

Adjectivesbarren, foreign, Joint,3912.33019.5
AdverbsExtremely82.553.2
Nounslife, family, spouse,7624.14227.3
Verbsfollows, married5015.83220.8
 Total17354.710970.8

 

 

 

Syntactic

Conjunctionsand, nor, or227.031.9
Determinersher/his, my, our4714.995.8
Prepositionsabout, between, with3210.1138.4
Pronounsher/him, I, me, mine216.674.5
Syntactic verbscannot, do, is82.553.2
 Total13041.13724.0

 

 

Parasyntactic

AbbreviationsTV10.310.6
NamesTelegram30.931.9
Para-adverbsalways, not, too72.231.9
ParticlesTo20.610.6
 Total134.185.2
 Total316100.0154100.0

Table 3: Frequency (F) and percentage (%) of linguistic kingdoms and example schema types constituting the DSIS

In contrast to semantic schema types such as “barren”, the syntactic and parasyntactic schemata carry little, if any, independent meaning by themselves. They do, therefore, depend on the semantic schemata they substitute. The syntactic pronoun “I” and the parasyntactic proper name “Telegram,” for example, depend on “who takes the DSIS” and the phrasal noun schema “social media” in order to be understood within the two genera of “I am barren” and “My spouse is continuously busy with and abuses social media such as Telegram”, respectively.

Upon determining the number of schema types comprising the linguistic kingdoms of the DSIS, they were used to determine its readability level utilizing Khodadady Readability Ease Score (KRES), i.e., (Ʃ syntactic + parasyntactic schema types) ÷ Ʃ semantic schema types. The KRES ranges from .99 (extremely easy) to .01 (extremely difficult). The results obtained by inserting the relevant values in the formula, i.e., (37 + 8) ÷ 109, specified the KRESs of 0.41 for the DSIS. Since it was higher than the KRESs of 0.34 obtained by Khodadady and Ghergloo [28] on the textbook “Learning to Read English for Pre-University Students” [29] taught to Iranian high schools it showed that the takers of DSIS whose educational level ranged from secondary to tertiary could easily read and understand it.

In addition to rendering the content of each item of the DSIS readable to its takers of secondary and tertiary educational levels, it was presented with 5-points on the Likert scale through which they could strongly disagree (1), disagree (2), express no idea (3), agree (4) or strongly agree (5) with the cognitive genus it represented. Thus, the scores obtained on the DSIS  ranged from 30  to 150.  They were utilized  to determine the number of factors underlying the DSIS if validated statistically through factor analysis.

Procedures

Upon preparing the final version of DSIS, it was printed along with the DS and QOS as a single booklet and presented to six undergraduate and four graduate students of a private higher education institute. They had taken the course “Research II” and “Measurement and Evaluation”, respectively, with the first author of the present paper. The undergraduate students were told that they would receive 10 out of 20 in their final examination if they distributed the booklets and reported their administration each week starting with the second academic semester on February 25 and ending on June 19, 2021. The graduate students who had already passed the “Research Principle and Methods” with the author in the previous semester were, however, told they would receive an extra four scores in their final examination if they administered the scales as instructed. Both undergraduate and graduate students were also informed that their names would be acknowledged if any papers were published based on the scales. Upon their verbal agreement, a session lasting for one and a half hours was held with the students to read the scales and discuss their content and administration in as many details as possible.

Being in direct contact with the present researchers via their cell phones, the undergraduate and graduate students started distributing the scales among the DDSs who accepted to take them in a place of their choice, i.e., coffee shops, counseling centers, divorce registration offices, family gatherings,  lawyers'  offices, prisons,  language  institutes and     sports centers in Mashhad and Neyshabur, two cities in Khorasan-e-Razavi province, Iran. The scales were also administered in social media such as Telegram virtually. The distributors reported the number of volunteers who took the DSIS and discussed their interactions with the DDSs at the very beginning of each class session held virtually every week. They submitted the completed booklets to the first author at the end of June 2021.

Data Analysis

Principal Axis Factoring (PAF) was utilized to extract the factors representing the cognitive families of divorce because it is “preferable to principal components analysis” [30] and provides a true factor analysis [31-40]. For simplifying the structure of factors suggested by Landau and Everitt [41], Gorsuch [42] was followed by utilizing the oblique rotation of Promax with Kaiser Normalization (PKN). Since Cronbach’s [43] alpha reliability coefficient provides “the most important and pervasive statistics” [44, p. 98] of the internal consistency, it was applied to the DSIS and its underlying factors. For being “the most frequently used measure of association” [45, p. 56] the Pearson product-moment correlations were estimated to explore the association between the cognitive domain of divorce and its families on the one hand and the association between the cognitive families of divorce themselves on the other. All descriptive and inferential statistical analyses were run via IBM SPSS Statistics 24.

Results

The descriptive statistics as well as communalities of 30 items comprising the DSIS were estimated to scrutinize their functioning (Table 4). Their means and standard deviations (SDs) ranged from 2.15 (item 25) and 1.401(item 4) to 3.50 (item 24) and 1.583 (item 7), respectively, indicating that they were all homogenous in terms of the cognitive domain they dealt with. Similarly, extraction communalities ranged from 0.184 (item 25) to 0.605 (item 2). Since none of the communality values equaled or exceeded 1” they indicated that there were no problems with “the number of factors extracted” [45, p. 653].

ItemMeanSDInitialExtractionItemMeanSDInitialExtraction
12.531.5400.4060.510163.251.4250.4510.513
22.931.5310.4610.605172.651.5830.1820.234
32.711.4600.2260.241183.021.4400.3610.493
43.271.4010.3790.407192.521.4690.2640.229
52.621.4530.2650.289203.161.4370.3560.417
63.231.4150.3630.549212.951.5630.3060.391
73.291.4090.2980.375223.071.4980.3850.399
82.701.4480.2380.252233.361.4660.4290.545
92.531.4640.3220.383243.501.4340.4090.573
102.281.4270.3740.539252.151.4100.2120.184
112.691.4750.2870.346263.011.5180.3810.425
122.921.4490.2640.259272.891.4540.3710.415
132.401.4890.2340.277282.601.5560.4450.537
143.441.4490.2750.422292.631.4690.4330.494
153.091.4880.4000.436302.231.4110.4230.546

Table 4: Descriptive statistics and communalites of items comprising the DSIS

Before extracting any factors, however, the Kaiser-Myer-Olkin (KMO) measure of sampling accuracy [46] was estimated. The obtained KMO value of 0.863 showed that applying a common-factor model to the data collected in this study was appropriate. Since it was in 0.80sthe measure, according to Kaiser [47], provided a “meritorious” [48, p. 250]) index for the factors extracted from the DSIS. Running Bartlett's [49, 50] test of sphericity yielded a significant chi-square, i.e., χ2= 4302.136, df=435, p<.0001, showing that the correlation matrix was not “an identity matrix” [51, p. 397], and thus there existed “patterned relationships amongst the variables” [52, p. 88] explored by the DSIS.

The PAF and PKN were then applied to the data to answer the first research question. They resulted in the extraction of eight factors having eigenvalues of 1 and higher (Table 5). The adoption of loadings higher than 0.32 as the minimum acceptable magnitude suggested by Tabachnick and Fidell [45], however, showed that only five items, i.e., 10, 13, 14, 17, and25, had loaded acceptably on just one factor. The remaining 25 items had cross loaded acceptably on other factors as well. The factor upon which each of these items had the highest acceptable loading was, therefore, adopted as the cognitive family to which it contributed exclusively and its acceptable cross loadings were removed from the structure of other factors.

 

 

Factor

 

Initial Eigenvalues

Extraction Sums of Squared LoadingsRotation        Sums       of Squared Loadingsa
TVCTVCT
16.81822.72822.7286.25520.84920.8493.622
22.0626.87329.6021.4864.95425.8042.818
31.7705.90035.5021.2344.11529.9193.654
41.4064.68540.1870.8382.79432.7123.255
51.3004.33544.5220.7292.43035.1424.020
61.2534.17748.6980.6442.14837.2904.266
71.1463.81952.5170.5701.90039.1912.916
81.0373.45655.9730.5261.75440.9441.882

Extraction Method: Principal Axis Factoring. Rotation Method: Promax with Kaiser Normalization.
a. When factors are correlated, sums of squared loadings cannot be added to obtain a total variance. 

Note. Total = T, V=% of Variance, C= Cumulative %

Table 5: Total variance explained

Having specified the cognitive families of divorce represented by the eight statistical factors they were named Having Various Conflicts (HVC),  Prioritizing  Personal Interests  (PPI),  Having No   Principles (HNP), Having No Decency (HND), Having Different Tastes (HDT), Social Media Addiction (SMA), No Marital Education (NME), and Misunderstanding Married Life (MML). These families consisted of 4, 6, 4, 4, 4, 4, 2, and 2 cognitive genera, respectively (Table 6).

ICognitive GeneraHVCPPIHNPHNDHDTSMANMEMML
27There is a social class conflict between me and my spouse..508.230.378.203.394.464.361-.069
28My spouse continuously hits me with no reason..723.211.297.375.334.298.357.090
29My spouse is suffering from a mental disorder such as OCD..672.155.278.291.269.348.226.238
30My spouse has physical, biological or physiological disability..715.247.261.377.210.254.216.149
9My own family interferes in everything related to my married life..258.588.148.260.342.270.246.231
10My spouse has decided to continue her/his studies without considering our joint life conditions..150.721.079.250.181.159.122.122
11My spouse is extremely formal and follows wrong social ethics and principles.032.484.300.136.301.293.087.167
12I knew nothing about characteristic desires and demands of opposite sex..226.416.225.226.261.302.392.178
13My spouse is barren..131.394-.034.197-.079-.082.221-.108
25I am barren..288.341.124.279.093.125.187-.032
16My spouse violates many of my lawful rights of which I had no information before marrying..337.120.570.228.459.508.564.260
17My marriage is not done traditionally..154.171.452.120.219.230.222.073
18My spouse is not committed to any religious, spiritual or ethical principles..272.053.677.268.333.363.185.288
19There is a huge difference between my spouse’s educational level and mine..320.227.391.219.269.347.281.268
1My spouse is addicted to traditional/ synthetic drugs or alcohol..396.260.153.687.157.142.261.109
2My spouse has no decency or modesty and indulges in extramarital relations..359.245.417.748.320.346.204.255
3There is a huge age difference between me and my spouse.149.298.132.416.317.202.220.229
5Neither my spouse nor I am capable of meeting our joint economic needs..244.318.129.444.395.218.197.188
4My spouse is extravagant with many unwarranted expectations..145.215.423.420.541.439.183.305
6Our differences in taste and style of life are unbearable..225.212.401.259.725.394.284.187
7My spouse follows her/his family’s views as regards our joint life..283.154.292.147.581.413.213.284
8I cannot (or do not like to)satisfy my spouse’s emotions or feelings.272.363.150.340.393.264.305.109
22My spouse is extremely suspicious and always doubts me..378.318.389.303.483.516.349.427
23My spouse is continuously busy with and abuses social media such as Telegram..228.230.457.214.393.707.226.398
24Before marrying I was not adequately and completely familiar with my spouse’s family..323.191.310.203.424.718.388.185
26I suspect my spouse and am extremely suspicious of her/him..346.238.530.308.438.554.308.024
14Before marrying I hadno education regarding the issues and problems involved in joint life..140.159.205.155.242.274.616.162
15My spouse can not satisfy my sexual needs..399.269.437.317.363.402.595.252
20My spouse watches foreign TV channels and expects me to behave like foreign actors/ actresses..245.183.497.276.331.429.201.530
21I married too young without understanding the problems involved in married life..268.230.232.292.340.300.344.540

Note. I = Item, HVC = Having Various Conflicts, PPI = Prioritizing Personal Interests, HNP = Having No Principles, HND = Having No Decency, HDT = Having Different Tastes, SMA = Social Media Addiction, NME = No Marital Education, MML = Misunderstanding Married Life

Table 6: Principal Axis Factor Loadings Rotated via Promax with Kaiser Normalization

Cronbachalpha reliability analysis was run to answer the second research question. The results showed that the internal consistency of not only the DSIS but also its eighth factor representing the family of Misunderstanding Married Life were “high” [53, p. 115)    because their coefficients were greater than 0.80 (i.e., 0.876 and 0.839, respectively). The remaining seven factors underlying the DSIS, however, enjoyed “moderate” reliability because their alphas fell between 0.50 and 0.80 (Table 7).

F/DFamilies and Domain# of itemsMinMaxMeanSDAlpha
1Having Various Conflicts442010.354.4350.744
2Prioritizing Personal Interests663014.975.1910.636
3Having No Principles442011.444.0300.613
4Having No Decency442010.794.1750.648
5Having Different Tastes442012.483.8940.626
6Social Media Addiction442012.944.3170.707
7No Marital Education22106.532.4120.518
8Misunderstanding Married Life22106.112.4580.839
DDivorcing the Self-Incompatible303014085.5720.5850.876

Table 7: Descriptive statistics and reliability estimates of DSIS and its underlying factors (F)
Pearson correlations were finally run to answer the third research question. The results showed that all families constituting the domain of divorce not only correlate significantly with the domain itself but also with each other (Table 8). Among the eight factors, factor six representing the cognitive family of Depending on Social Media correlated the highest with the domain i.e., r= 75, p<.01. This particular family did also correlate the highest with the families of Having Different Tastes, r= 52, p<.01, and Having No Principles, i.e., r= 49, p<.01).

FCognitive familiesDSIS1234567
1Having Various Conflicts.670**       
2Prioritizing Personal Interests.619**.280**      
3Having No Principles.680**.389**.242**     
4Having No Decency.664**.386**.366**.288**    
5Having Different Tastes.706**.369**.303**.420**.442**   
6Depending on Social Media.751**.440**.326**.489**.344**.515**  
7Having No Marital Education.585**.290**.280**.421**.280**.324**.405** 
8Misunderstanding Married Life.607**.296**.243**.434**.352**.378**.440**.367**

**. Correlation is significant at the 0.01 level (2-tailed).

Table 8: Correlations between DSIS and its underlying factors (F)

Discussion

Following Khodadady and Zahani [1] the present researchers approached self as a cognitive domain whose kingdom, phylum, class and order are formed by the practicing monotheistic, polytheistic and self-theistic sapiens and the psyche, respectively. These taxa are clearly defined in the Quran by the one-and-only one God as a self who occupies its highest taxon Himself (Table 9). The findings of this study show that instead of following God as the practicing monotheistic DDSs do, the polytheistic and self-theistic DDSs follow their own desires and their own selves as their main authorities, respectively, and create their own eight families, 30 genera and 154 species of divorce.

TaxaDivorceConstituting features
DomainGod (excluded)Sets the causes and conditions of divorce
KingdomThe     practicing     monotheistic (excluded)Believes in and follows none but god in divorce
PhylumThe polytheisticBelieves and follows its own desires in divorce
ClassThe self-theisticBelieves and follows only itself in divorce
OrderPsycheGod’s soul enabling sapiens to exercise their adopted self
Family8 factors underling the DSIS8 families represented by the factors
Genus30 items comprising the DSIS30 genera represented by the items
Species154 word types comprising the DSIS154 species represented by the word types

Table 9: The taxa of divorce within the cognitive domain of self

In contrast to the hierarchical and schema-based definition of divorce offered by religion above, psychiatry and psychology provide no taxonomical definition for divorce [e.g.,5, 54]. Even those who have tried to address it as comprehensively as possible have adopted an instrumental rather than explanatory approach. Bohannan [55], for example, categorized divorce as psychic, legal, no-fault, economic, community, and co-parental, paying little attention to the self who brings it about. The psychic divorce, for example, bypasses the DDSs altogether and highlights “the love object”, which “is given up, and a grief reaction about the death of the relationship occurs” [4, p. 1332). In other words, Bohannan addresses the taxon of cognition and emotion in self rather than divorce [1].

The findings of the present study established divorce as a distinct cognitive domain whose species, genus and family consists of 154 word types, 30 sentences and eight factors. Among the word types, spouse, has the highest frequency (23) and percentage (7%) in the DSIS. It also has the highest token (3 out of 40) and percentage (8%) in the first cognitive family of Having Various Conflicts consisting of four genera the first  of which is my spouse continuously hits me with no reason. It brings up the divorcing self’s being hit as a routine and then offer sits underlying causes in the remaining three genera: the divorced self’s having physical, biological or physiological disability, suffering from a mental disorder such as OCD and being from different social class.

In addition to establishing itself as the first cognitive family of divorce, Having Various Conflicts provides empirical evidence to challenge treating the divorced self as a patient in psychiatry and psychology. In stark opposition to psychiatry and psychology which portrays the divorced as an “affected” [56, p. 76) self via the objective adjective divorced as their second most frequent species (Table 10), the DSIS singles it out as the very agent of divorce as described in case studies. It was, for example, the self-on-the-brink of divorce that “had badly beaten his wife” [27, p. 4210]. In other words, while psychiatry and psychology pinpoint mental disorders such as mania as the cause of divorce, i.e., hitting the spouse, the DSIS relates it to the self’s having a conflict of personal interest with its spouse.

Linguistic speciesCognitive speciesPsychiatryPsychologyReligion
complex nounpost-divorce100
compound noundivorce-celibacy100
simple noundivorce115212
simple verbdivorce817
simple third person verbdivorces001
objective adjectivedivorced4294
subjective adjectivedivorcing300
simple past verbdivorced100
 Total1713114

Table 10: Linguistic and cognitive species of divorce

The 37-year-old engineer was, for example, the self-on-the-brink of divorce not because of his mania as Akiskal [27] claimed it to be. He was making sense of his life in the easiest possible way through mania. He preferred mania to health because it made him a self-theist, e.g., to “be manic is, ultimately, to be God”. By becoming a god he gave himself every right to do whatever he liked and follow his own personal desires such as disseminating “knowledge about the true nature of mania to psychiatrists and all other ordinary mortals”! [It must be mentioned Akiskal and his manic patient’s understanding of God has no basisin any Holy Scripture in general and the Quran in particular.]

In addition to self-theism, the patients suffering from mental disorders adopt a polytheistic orientation in divorce as explained by one of McQuaid and Thase’s [57] patients: a “47-year-old, divorced Caucasian man … [having] mixed symptoms of depression and mania” (p. 4374). After facing difficulty in treating the divorced self psychiatrically McQuaid and Thase's referred him to a psychotherapist. He confessed to his psychotherapist that in spite of taking his medications he could not overcome his problems, i.e., “I have no friends, I have no girlfriend, I have no job, I have no money, no one helps me, my family’s disowned me. And when I’m taking my medication, I just become a lump, and none of that gets better” (p. 4375).

In other words, McQuaid and Thase’s [57] patient was a divorced polytheistic self who had conflicts with his spouse because he followed the second cognitive family of Prioritizing Personal Interests in divorce. He indulged in “excessive spending, alcohol and drug use, and sexual acting out” (p. 4374) when he was in the military resulting in his being divorced! These polytheistic behaviors are broadly brought up in its six genera: continuing studies at higher educational levels without considering the joint life conditions, allowing one’s parents and siblings interfere with one’s married life, being formal and following wrong social ethics and principles, not paying attention to the characteristic desires and demands of opposite sex, and exploiting its own or spouse’s barrenness.

The polytheistic orientation of the divorced as well as divorcing selves is best described by the four genera constituting Having No Principles, the third family of DSIS: i.e., not being committed to any religious, spiritual or ethical principles, violating many of the spouse’s lawful rights of which it had no information before marrying, not marrying traditionally, and the existence of a huge difference between the divorcing and divorced spouses’ educational level. Along with the divorcing selves some scholars have addressed Having No Principles from a polytheistic perspective.

Safizadeh and Nakhaee [58], for example, utilized the so-called grounded theory and interviewed five Muslim clergymen presiding family courts as judges, three female and three male lawyers with at least five years of experience in marital cases and seven people active in counseling and couple therapy with degrees in psychology, social work, and counseling and interviewed them in order to examine “the recent trends in divorce in Iran” and analyze the “data about the determinants and consequences of divorce” (p. 53). The interviewees also took part in social group discussions conducted by three psychiatrists and two sociologists.

One of the experts interviewed, for example, asserted that “I think divorce is like the side effect of an illness in the society which can be called ‘fading religious beliefs”. Based on this and similar views Safizadeh and Nakhaee [58] concluded that “a lack of religious beliefs, brought on by a rapid adoption of Western culture, was the major reason behind the increased divorce rate in the country” (p. 2). More than half of the “divorcing selves” in the present study, i.e. 303 out of 541 (54%), however, did not agree with the genus that “My spouse is not committed to any religious, spiritual or ethical principles”, challenging Safizadeh and Nakhaee’ conclusion.

Safizadeh and Nakhaee’s [58] approach towards divorce is polytheistic because they believed that it was not the spouses themselves but their rapid adoption of Western culture that brought about the divorce. Transferring the cause of divorce from the spouses themselves to the adoption of Western culture serves the personal desires of specialists such as Safizadeh and Nakhaee because it not only justifies but also requires the patients to seek psychiatric, psychological, sociological and theological help, i.e., the main constituting features of polytheism [1].

Having No Principles is also closely related to the fourth family of divorce, Having No Decency, because its constituting four genera provide more features of polytheistic selves, i.e., having no decency or modesty and indulging in extramarital relations, being addicted to traditional/ synthetic drugs or alcohol, not being capable of meeting joint economic needs and the existence of a huge age difference between the spouses.

Similar to Having No Decency the fifth family of divorce, Having Different Tastes, provides more distinctive features of polytheism practiced by DDSs through its four genera, i.e., unbearable differences in taste and style of life, following their family’s views as regards their joint life, being extravagant with many unwarranted expectations, and being unable to satisfy the emotions or feelings of each other. Since Having Different Tastes correlates the highest with Having No Decency (r=44, p<.01) it highlights DDSs’ deliberate attempt to blame not themselves but other things such as the style of life and other people such as the spouse’s family.

As the sixth family, Social Media Addiction offers spouses’ avoidance of religiously endorsed principles resulting in seeking and establishing social media relations as the cause of divorce. The four constituting genera of Social Media Addiction provide its distinctive features, i.e., not being adequately and completely familiar with the spouse’s family before marrying; being continuously busy with and abusing social media such as Telegram, suspecting and being extremely suspicious of the spouse and always doubting each other. Because of these genera Social Media Addiction correlates the highest with Having Various Conflicts (r=44, p<.01).

Along with relations established in Social Media Addiction education is blamed for divorce in its seventh family, i.e., No Marital Education. It consists of two genera, i.e., having no education regarding the issues and problems involved in joint life before marrying and not being sexually satisfied. Since No Marital Education correlates the highest with Having No Principles (r=42, p<.01) it shows that the DDSs did not seek education. Nor did they adopt any religious, spiritual or ethical principles to orient their married life. Not having education cannot result in divorce for at least two reasons.

First, the number of educational centers at primary, secondary and tertiary levels has dramatically increased recently in Iran due to privatization. There is, for example, at least one private university in any of the cities and towns in Iran now. Secondly, a large amount of budget is spent on religious education. The budget approved by the Iranian parliament for the High Council of Seminaries (HCS) in 2021 was, for example, 7,520,000,000,000 where as that of Tehran University, the first and oldest higher education center, was 5,456,665,000,000 riyal (Roohani, 59). (In 2021 42000 riyals was officially exchanged for an American dollar.) It was to cover “an increase in the managerial centers of seminaries and the program to produce content for virtual cites” (p. 13). 4,260,000,000,000 riyal was also allocated to the Islamic Propagation Organization (IPO) for paying salaries to clergymen and their training. Furthermore, the virtual IPO received the budget of 2,000,000,000,000 riyal for producing electronic social media!

As regards not being sexually satisfied, one of the two genera comprising the family of No Marital Education, Frootan and Milani [60]    analyzed 400 DDSs’ responses to a number of questions in their study. When asked whether they were sexually satisfied in their marriage the highest percentage of DDSs, i.e., 197 female (68.4%) and 71 male (66.7%), responded negatively. These statistics are misleading because they establish a linear and causal relationship between sexual dissatisfaction and divorce. The present study, however, showed that rather than being a linear or one-dimensional variable, divorce is an eight-dimensional or familial domain in which sexual dissatisfaction is addressed as only one of the two genera forming the family of No Marital Education. Even in this particular family its loading (0.60)is lower than that of the first genus having no education regarding the issues and problems involved in joint life, i.e., 0.62 (see Table 6).

The relatively low loading of sexual dissatisfaction is due to its having the same percentage, i.e., 49%, in the present study for both female (160 out of 327) and male (65 out of 212) DDSs. In Frootan and Milani’s [60] study, however, the second highest percentage of the same DDSs, i.e., 201 female (61%) and 118 male (57%), agreed that they did not have education regarding the issues and problems involved in joint life. These findings indicate that sexual dissatisfaction is explanatorily cognitive and emotional, i.e., the third taxon of self, rather than physiological, i.e., the first taxon of self, or instinctual, i.e., the second taxon of self [1]. The findings are further supported by the fact that the DDSs had not made the best of their primary, secondary and tertiary education because of the variables of power and money.

Education has little to offer as regards problems involved in joint life because its objectives have been shifted from truth to power and from academic to unacademic norms on the part of educators and exploitation of the power and norms on the part of the students whose parents or they themselves pay for the services they receive in the name of education. As regards the educators, a full professor academic member of a department, for example, usually had 21 graduate students he was supervising at the same time! In a departmental meeting he boastingly confessed that he did not even read their theses and dissertations before their being defended. The defenders had chosen him as their supervisor to get the highest score for whatever they had written not because of its academic quality but because of their supervisor’s strong relationships known as networking in the west!

The power holding educators establish unacademic norms and their students exploit them because there is a positive and significant relationship between their leniency and the students’ achievement. Khodadady and Dastgahian [61], for example, validated the English Language Teachers’ Attribute Scale (ELTAS) designed by Khodadady, Fakhrabadi, and Azar [62] with 1483 grade four senior high school (G4SHS) students in order to explore the relationship between teacher effectiveness and English language achievement. Khodadady and Dastgahian’s results showed that as a measure of teacher effectiveness the ELTAS consists of 92 items and 11 factors representing the families of Qualified, Social, Proficient, Humanistic, Stimulating, Organized, Pragmatic, Systematic, Prompt, Exam-Wise, and Lenient.

Along with the ELTAS Khodadady and Dastgahian [63] administered a multiple choice item reading comprehension test called S-Test to 440 G4SHS students and tailored its constituting items to 39 based on their difficulty and discrimination indices (see Kamimoto [64]). The S-Test was developed and validated by Khodadady and Ghergloo [28] on the textbook “Learning to Read English for Pre-University Students” [29] taught nationally to G4SHSstudents during their school year. Khodadady and Dastgahian also obtained the students’ scores on their grade three final English examination (G3FEE) designed by the Iranian ministry of education and correlated them with the cognitive domain of teacher effectiveness and its constituting families (Table 11).

Domain and its familiesG3FEE N=440S-Test 39 N=440Domain and its familiesG3FEE N=440S-Test 39 N=440
Teacher effectiveness.272**-.113*Organized.250**-.105*
Qualified.288**-.153**Pragmatic.292**-.087
Social.254**-.074Systematic.193**-.159**
Proficient.172**-.099*Prompt.093-.147**
Humanistic.226**-.080Exam-Wise.284**-.086
Stimulating.067.057Lenient.178**-.011

* Correlation is significant at the 0.05 level (2-tailed)
** Correlation is significant at the 0.01 level (2-tailed)

Table 11: Correlations between teacher effectiveness (domain), its families, G3FEE and S-Test

As the results presented in Table 11 above show the cognitive Lenient family of teacher effectiveness correlates significantly with the scores on the G3FEE, i.e., r=.18, p<.01. Based on the three genera constituting the family, the findings empirically show that the more teachers ignore cheating, the more good grades they give to their students and the simpler and easier tests they design, the higher their students achieve in learning the English language! Had the students’ English achievement been measured by the objective S-Test, these students’ failure in learning English would, however, have been easily documented because their scores on the test show no significant relationship with the family of lenient teachers.

Similarly, many students enter and graduate from tertiary educational centers without acquiring the education required to solve problems involved in true personal and joint life. The main reason is that there were only 141 state universities in Iran. After the revolution in 1957, however, 2428 private higher educational institutes and universities have been allowed to operate throughout the country. Having reported these statistics, Iranian Students’ News Agency [65] acknowledged that the mushroom-like increase in the number of higher education institutes has brought about many problems among which is studying-for-degree, a euphonious expression for gaining university degrees through money and/or networking.

Similar to higher education institutes many private schools have been founded at primary and secondary education levels whose main objective is nothing but money. The majority of graduates from these private schools do, therefore, gain degrees without any qualification. Due to the fact that their parents hold power along with money, they also enter and gradate from higher education centers. These graduates along with those of state universities being so-called educated by power holding professors get employed not only in private but also in public organizations through networking. Their qualifications are evaluated not by valid measures such as S-Tests but through questionnaires such as the ELTAS. They also gain acceptance and popularity among the students by holding examinations such as the G3FEEs. They do, however, face Misunderstanding Married Life when the variables of power and money lose their relevance in single and married life.

As the last cognitive family of divorce, Misunderstanding Married Life consists of two cognitive genera: marrying too young without understanding the problems involved in married life and watching foreign TV channels and expecting the spouse to behave like foreign actors/ actresses. Since Misunderstanding Married Life correlates the highest with Depending on Social Media (r=42, p<.01), it highlights the fact that the DDSs do not know why they married and do, therefore, follow the relationships outside their married life to make their own relationships meaningful. These findings highlight the polytheistic orientation of the DDSs when they expect their spouses to behave like foreign actors/ actresses as their lords (Q6:164)

Conclusion

While divorce has been broadly described from various perspectives such as being a “multistage process” (Leopold [66] cited in Eslami et al,  [67,1]), “acute life crisis or times of life transition” [22, p. 4960) and “other conditions that may be a focus of clinical attention” [68, p. 715), the present study establishes divorce as a cognitive domain measured by the DSIS. The domain not only taps into psychiatric and psychological disorders but also characterizes the religious orientation of divorcing and divorced sapiens as self-theistic, polytheistic and practicing monotheistic selves.

Declarations

Acknowledgements: We are grateful to Dr. Reyhaneh Hashempour and Dr. Hamidreza Eshaqi who kindly accepted to distribute and collect the DSIS in Bahar Andisheh Counseling Center. We also thank Ali Nazarian Saralang, Maedeh Asgari Bashkani, Mahla Hemmaty Osqe, Maryam Vaezi, Milad Golchin, Muhammad Afsharvala, Raheleh Hashempour, Saeedeh Dolatshai, Seyedeh Hoorie Madany Taleb, Yunus Milan Tash who did the same in as many places as possible to help us explain divorce theoretically and empirically.

Conflict of interest: None 

Funding: None 

References

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Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

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Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

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Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

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Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

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Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

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Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

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Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

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Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga