Iyo Iri Iri Iri Rakashandiswa Sei muChina Chechina cheDMM
Muchina yechina yeDaagnostic uye Statistical Manual yeMental Disorders (DSM-IV), iyo yakanyorwa uye yakabudiswa neAmerica Psychiatric Association (APA), "NOS" iri chirevo che "kwete zvakataurwa." Iyo inobata semhando yekubata-yese izwi kuratidza zviratidzo zvisinganyatsogumburwi zvakanyatsorondedzerwa, asi izvo zvinoratidza zvakajeka kuti mumwe munhu ari kurwara nechirwere icho chikamu chemhuri chaiyo yekuongororwa.
Muenzaniso weiyi ndewe "Kushungurudza Dambudziko NOS." Chiremba achishandisa DSM-IV kuti aongorore murwere angave akasarudza kutaura kuti munhu uyu anorwara nenzira iyi nokuti kunyange zvazvo zvakajeka zviratidzo zvake zvakaratidza kuti akanga achitarisana nechimwe chimiro chekuora mwoyo (kwete, anoti, chinotyisa chirwere kana kushushikana kwepfungwa ), pakanga pasina ruzivo rwakakwana kumusha mune imwe rudzi rwekuora mwoyo, zvakadai sedysthymia kana bipolar disorder.
Chikonzero nei "NOS" Isati Yashandiswa
Muna May 2013, APA yakabudisa shanduro yakarongedzwa ye DSM-IV. MuDMM-5 (nyora kuti kushandiswa kwenhamba dzeRoma kwakadonhedzwa kubva pachidziro chebhuku), vanyori vakasarudza kubvisa "kwete zvakanatsanangurwa" uye kuitora (uye "NOS") ne "mamwe akaiswa" uye "asina kuzivikanwa "kuratidzira masumbu ezviratidzo zvisinganyatsopindi mune imwe nzvimbo iripo.
Sei mabhii maviri anotsiva rimwe? Kusiyana kunoenderana nokuti chiremba anoongorora anosarudza kuratidza nei chikonzero chekuongorora chirwere chakanga chisina kugadziriswa.
Muenzaniso we "imwe yakatsanangurwa" inogona kunge iri dambudziko rinodzvinyirira risina huwandu hwakazara hwezviratidzo hunoenderana nehutachiona hunoonekwa.
Kusiyana neizvi, "zvisingazivikanwi" zvinogona kushandiswa mumamiriro ezvinhu umo pasina ruzivo rwakakwana rwekuita kunyanya kuongororwa. Maererano neAAPA, "zvisingazivikanwi" inobvumira vanachiremba kuti vape varwere vane zvakanakisisa kutarisirwa mukati, semuenzaniso, mamiriro ekukurumidzira kana pasina nguva yekuwana ruzivo rwese runodikanwa kuti ruve rwekutsvaga, asi kurapwa hakuna kunyanya kudiwa.
Imwe "isina kufanirwa" iyo ichaita kuti chiremba ave sechinhu chakanaka sezvinobvira mukuongororwa kwake zvisingarevi kuti anoratidza kuti murwere anogadzirisa zvizere zvehutano hunoonekwa.
Kuita Kuti Uongorore Zvimwe Zvose
Kudzorera "NOS" kunounza zvakare DSM-5 zvimwe maererano neWorld Health Organization's International Classification of Diseases (ICD). Ichi chiyero chekuongorora chinonzi "nheyo yekuzivikanwa kwehutano hwehutano uye nhamba pasi rose uye mutemo wepasi rose wekuzivisa zvirwere uye hutano hwehutano .. Ndihwo hutano hwekuongorora hutano hwezvinhu zvose zvekurapwa nekutsvakurudza," maererano newebhu yeWorld Health Organization. III inoda kuti zvidimbu zviratidzo zvekushungurudzika zvisingaiti zvakakwana kutsanangurwa kwezvino kwezvinetso zvikuru.
Sources:
American Psychiatric Association. " Inowanzobvunzwa Mibvunzo Nezve DSM-5 Kushanda-Kwechiremba. " American Psychiatric Association DSM-5 Development . October 7, 2014.
Roger Peele, Gustavo Goldstein, naRaymond Crowel. "DSM-5: Chii Chichareva Kumabasa Ako?" Psychiatric Times . UBM Medica, LLC. Gumiguru 10, 2013.