Kunzwisisa Connection uye Zvinokonzera IED
Kunyangwe kutsamwa kutsamwa uye kuoma kusarudza kutsamwa kunogona kuitika mune hutano hwehutano hwepfungwa, kune chirwere chimwe chete muDaagnostic uye Statistical Manual yeMental Disorders, 5th Edition (DSM-5) iyo inonyanya kutaura nezvehasha -Intermittent Explosive Disorder (IED ).
Chii chinonzi Intermittent Explosive Disorder?
IED chirwere chepfungwa chinotanga kuonekwa muhucheche kana kuti kuyaruka uye chakaumbwa nezviratidzo zvinotevera:
- Zviitiko zvakawanda zvekusakwanisa kudzivisa mafungiro ane utsinye anounza mabasa makuru ane utsinye, zvakadai sokurova kana kuparadza nzvimbo. Izvi zvinogona kusanganisira zviitiko zvechisimba zvisingatambudzi munhu kana chimwe chinhu.
- Nhamba yekutsamwa yakaratidzwa panguva idzi zvikamu zvakanaka zvisinganzwisisiki kune imwe nzira inotangira chiitiko.
- Izvi zvikamu hazvisi nani zvinoratidzwa nezvimwe chirwere, zvakadai semuganhu wehutano hwehutano kana hwehutano hwehutano hwehutano.
Muduku haazivi nezveIED; zvisinei, zvidzidzo zvenguva pfupi zvinoratidza kuti pakati pe3 kusvika ku7% yevanhu vazhinji vanogona kukura IED pane imwe nguva muupenyu hwavo. IED yakawanikwa zvakare kuti iite pakutanga kwehupenyu hwomunhu, kazhinji munguva yekuyaruka. Inowanzoitika pamwe chete nedambudziko rehutano hwepfungwa uye, sezvinogona kutarisirwa, zvinogona kupindira zvikuru nemunhu.
Chinokonzera IED
Tichifunga kuti IED inogona kupindira zvakasimba nehukama uye hunochinja hutano hwehupenyu hwomunhu, vatsvakurudzo vehutano hwepfungwa vakaedza kuziva chikonzero chechirwere ichi.
Imwe nzvimbo iyo vatsvakurudzi vanoverengeka vakaisa pfungwa pamusoro pechiri kuitika zviitiko zvinotyisa , kunyanya izvo zvinoitika muhuduku.
Semuenzaniso, kumwe kuongorora kweboka guru revanhu kubva kune vagari vese vari mhiri kweUnited States vakatarisa ukama huri pakati pekushungurudzwa kwehutambudzo hwevana uye IED.
Vakaona kuti kungoona kushungurudzika kwehutana kwakawanikwa kune imwe yenharo yakasimba kukura IED mukukura.
Kutaura zvazviri, kushungurudzika kwevana pachako kwakange kuri nani kutarisa IED pane kuoma kwekuvhiringidza kunetseka uye kuva nehupenyu hunotambudza mupfungwa (PTSD). Mukuwedzera, chidzidzo chacho chakawana kuti kuburikidza nekushungurudzika kwehutano hwemwana, somuenzaniso, kushungurudzwa kwepabonde, kwakanyanyobatanidzwa nekuvandudza IED.
Kunzwisisa Kubatana Pakati Pechidiki Chekutambudzwa neIED
Kubwinya zviri pachena nguva inokosha zvikuru mukuvandudzika kwedu. Ndiko patinodzidza pamusoro pehukama hwehukama uye kuti tinganyatsobata sei manzwiro edu. Kushungurudzika kwevana kunogona kuvhiringidza zvikuru chiitiko ichi, uye somugumisiro, vanhu vangave vasina kudzidza zvakakwana kugadzirisa manzwiro avo kana kutaurirana hukama hwevamwe. Nokudaro, kana kutsamwa kuchiitika, vanhu vane nhoroondo yekushungurudzika kwevana vangave vasingazivi nzira yekugadzirisa zvakasimba manzwiro avo, zvichiguma nekutsamwa kwakasimba kwemaitiro uye maitiro ekuparadza.
Izvozvo zvakati, zvakakosha kuyeuka kuti izvi zvose zvinobva pane zvidzidzo zvishomanana. Panogona kunge kune mamwe tsanangudzo zvakare. Semuenzaniso, zvinogoneka kuti nyaya dzehutano, dzakadai sekusakwanisa kudzora mamwe mafungiro, zvinogona kuitika.
Kukuvadza kwehupfungwa kunokonzera kuitika kunogonawo kuitika munguva yekudzvinyirirwa uye kunogona kutungamirira kumatambudziko ekudzora hasha uye hutsinye hunoita.
Kuwana rubatsiro rweIED uye Childhood Trauma
Kunyange zvazvo ikozvino haisi mishonga inonyanya kugadzirirwa IED, kune mishonga inowanika inowedzera pakuvandudza mano ekugadzirisa manzwiro . Dialectical behavior therapy (DBT) kunyanya yawanikwa ichibudirira mukudzidzisa vanhu nzira dzakanaka dzekutarisira manzwiro avo uye kuderedza tsika dzinoparadza.
Mukuwedzera, pane marapirwo akaenzanisirwa kuti vana varatidzike pane zvinoshungurudza zvakaitika, zvakadai sekutambudzika -kunongororwa kunzwisisika kwetsika behavioral therapy (TF-CBT).
TF-CBT inoziva kuti kushungurudzika kwevana kunogona kukanganisa hutano hwakanaka hwehupenyu uye hunoita, uye somugumisiro, hunoisa pakubatsira vana kuwana kunzwisisa zviri nani manzwiro avo uye hukama hwakanaka. TF-CBT inogona kubatsira vana kuti vave nehutano hwemagariro ehupenyu hunovadzivirira kubva pakuvandudza IED.
Kuti uwane mushonga anopa TF-CBT, unofanira kutanga utarisa mumwe munhu ane unyanzvi uye ane ruzivo kubata vana vane dambudziko. Iwe unogona kukwanisa kuwana mushonga wakadaro kuburikidza newewebsite yakagadzirirwa kukubatanidza iwe nevanopa kurapa munharaunda yako. Mukuwedzera pakupa ruzivo rwemhuri dzine mwana ari kutarisana nemigumisiro yekushungurudzika, Sidran Institute inopawo ruzivo pamusoro pevanachiremba vanogona kugadzirisa mukurapa vana vakambosangana nechiitiko chinotyisa.
Pakupedzisira, zvingave zvakanaka kutaura nechiremba chepfungwa nezvemamwe mishonga inobatsira pakutevedzera mafungiro anosangana neIED.
Sources:
American Psychiatric Association (2000). Kuongorora uye Statistical Manual yeMental Disorders, 4th Edition - Text Revision. Washington, DC: Munyori.
Nickerson, A., Aderka, IM, Bryant, RA, & Hofmann, SG (2012). Ukama huri pakati pehuduku hunotarisana nehutambudza uye hutachiona hunoputika. Psychiatry Research, 197 , 128-134.
Coccaro, EF "Pakati pezvinokonzera kushungurudza dambudziko." Psychiatric Times, Reports Special, March 25, 2015.
"Pfungwa dzeZvirevo DSM-IV-TR ku DSM-5." American Psychiatric Association (2013).