Nhanganyaya KuBorderline Personality Disorder (BPD)
Borderline hutano hwehutano ndehutano hwakakomba hwepfungwa. Ndezvipi zviratidzo ? Inobatwa sei? Pasi apa, tsvaga mhedziso yezvimwe zvidzidzo zveBPD.
Overview
BPD imwe yenhamo dzakasiyana-siyana dzakabatwa neAmerican Psychiatric Association. Kushushikana kwehutano ndezvemamiriro ekufunga kwepfungwa anotanga muhucheche kana kuti akwegura, ramba uchifamba kwemakore akawanda, uye uite zvinetso zvakawanda.
Kushushikana kwehupenyu kunogonawo kunopesana nekukwanisa kwemunhu kufara hupenyu kana kuzadzikisa kuzadzika muhukama, basa, kana chikoro.
Zviratidzo
BPD inobatanidza nehumwe matambudziko muhukama hwehukama, kuzvidzora, manzwiro, maitiro, nekufunga.
- Ukama: Vanhu vane BPD vanowanzova nehukama hwehukama hunoonekwa nehuwandu hwemakakatanwa, nharo, uye kuputsika. BPD inobatanidzawo nekunzwa kwakasimba kwekusiya, iyo inosanganisira kutya kukuru kwekusiyiwa nevanodiwa uye kuedza kudzivisa kurasa kwechokwadi kana kufungidzira.
- Kuzvifananidza: Vanhu vane BPD vane matambudziko akabatana nekusimba kwehupenyu hwavo. Vanotaura nezve "maps and downs" akawanda mumanzwiro avanoita ivo pachavo. Pane imwe nguva vanganzwa zvakanaka pamusoro pavo, asi zvinotevera vangafunga kuti vakaipa kana kunyange zvakaipa.
- Manzwiro: Kusagadzikana mupfungwa chinhu chinokosha cheBPD. Vanhu vane BPD vanogona kutaura kuti vanonzwa sokuti vari pavanenge vachikurumidza kuchinja mupfungwa, pamwe nekukurumidza kushandura mafungiro (semuenzaniso, kubva pakunzwa kwakanaka kuti uchinzwe zvakanyanya pasi kana bhuruu mumaminitsi mashomanana). BPD inobatanidzawo nemanzwiro ekutsamwa kukuru uye kusina tariro.
- Maitiro: BPD inobatanidza netsika yekuita zvinhu zvinokuvadza uye zvisingatauriki , zvakadai sokuenda kunotengesa zvinyorwa, kunwa doro rakawandisa doro kana kushandisa zvinodhaka, uchiita zvepabonde zvepabonde, kana kudya kudya. Uyewo, vanhu vane BPD vanowanzokwanisa kuita zvinhu zvinokuvadza, sekucheka kana kuedza kuzviuraya.
- Kushungurudzika-Kunobatanidza Kuchinja Mukufungisisa: Pasi pemamiriro ekudzvinyirira, vanhu vane BPD vanogona kuchinjwa pakufunga, kusanganisira pfungwa dzepfungwa (semuenzaniso, pfungwa dzingave dziri kuedza kuvarwisa), kana kuparadzanisa (kunzwa kunoparadzana kana kusina simba).
Zvinokonzera
Kungofanana nezvinetso zvepfungwa, chinonyatsokonzera BPD hachizivikanwi. Zvisinei, kune tsvakurudzo yekuratidza kuti kumwe kusanganiswa kwezvisikwa (biology kana genetics) nekurera (mamiriro ezvinhu) iri kutamba.
Kutsvakurudza kwakaratidza kuti vanhu vazhinji vanoonekwa kuti vane BPD vakambonyadziswa nevana kana kuti havana hanya kana vakaparadzaniswa nevadzivisi vavo vari vaduku. Zvisinei, havasi vanhu vose vane BPD vane chimwe chezviitiko izvi zvehuduku (uye, vanhu vazhinji vakave nezviitiko izvi havana BPD).
Iko kune uchapupu hwekuberekwa kwemafuro uye kusiyana kwehutano hwehuropi uye hunoita kune vanhu vane BPD.
Mishonga
Kunyange zvazvo panguva imwechete nyanzvi dzaidavira kuti BPD yakanga isingagoni kupindura kurapwa, tsvakurudzo yava kuratidza kuti BPD inoporesa zvikuru. Mishonga yakasiyana-siyana inowanika kuBPD, uye idzirapa dzinogona kuendeswa kunze kwepfungwa kana chirwere chepachipatara. BPD inowanzobatwa nekubatanidzwa kwepfungwa uye remishonga.
Hospitalization kana kurapa kwakanyanya kunogona kudiwa munguva dzenhamo.
Kutsungirira
Zvinogona kuva zvakaoma zvikuru kurarama nezviratidzo zveBPD. Kunyanya kurwadziwa mupfungwa nemanzwiro okusakosha, kusuwa, kutsamwa, kusava netariro, uye kusurukirwa zvakanyanya. Somugumisiro wezviitiko izvi, vanhu vazhinji vane BPD vanotaura kuti vanofunga nezvekuzviuraya, kana kuti vakaedza kuedza kuzviuraya kana zviratidzo. Vamwe vanhu vane BPD vanoita maitiro ekuzvikuvadza zvakadai sokuzvicheka kana kuzvipisa pachavo kuedza kuderedza kusuruvara kwavo mupfungwa (kana, mukana wekusingaperi, "kunzwa chimwe chinhu.")
Zviratidzo zveBPD zvinogona kuchinja nzvimbo dzakasiyana-siyana, kusanganisira basa, chikoro, hukama, hutano, uye hutano hwepanyama. Zvisinei, pasinei nokutambura kweBPD kunogona kukonzera, vanhu vazhinji vane BPD vanotungamirira hupenyu hune hupenyu, hunogutsa. Kune dzakawanda nyaya dzakabudirira!
Shoko Rinobva
Kana iwe uchifunga kuti iwe kana munhu waunoda angatambura neBPD, zvakakosha kutsvaka rubatsiro rwechiremba wehutano hwepfungwa, akadai sehutano hwehutano hwehutano, mushandi wehutano, mushandi wepfungwa, kana mupfungwa. Zvakakosha kuyeuka kuti dzakawanda zvezviratidzo zveBPD zviratidzo izvo munhu wose anozviona nguva nenguva. Uyewo, zvimwe zvezviratidzo zveBPD zvinowanikwa nemamwe mamiriro ekufunga uye mumuviri. Chete chiremba ane chiremba anogona kuongorora BPD.
Mashoko akanaka ndeokuti kare kana chirwere ichi chiitwa, pane tariro. Murapi wako kana chiremba anogona kubatsira kugadzirisa hurongwa hwekuita, izvo zvingasanganisira psychotherapy, mishonga, kana dzimwe mishonga . Kutsvakurudza kwakaratidza kuti nekurapa kwakanaka, zviratidzo zveBPD zvinogona kuderedzwa zvikuru. Vanhu vazhinji avo vakamboonekwa kuti vane BPD havasati vawana zviyero zvechirwere pamwe nekurapwa uye nguva.
Sources:
American Psychiatric Association. Kuongororwa uye nhamba yehuwandu hwehutano hwepfungwa, 4th ed, mashoko ekuvandudzwa. Washington, DC, Author, 2000.
Kraus, G, naReynolds, DJ. "IACC yeCluster B's: Kuziva, Kunzwisisa, uye Kuchengeta Cluster B Unhu hwevanhu." Clinical Psychology Review 21: 345-373, 2001.