Dialectical behavior therapy (DBT) yakatanga kusimbiswa kubatsira vanhu vanotambura nezviratidzo zve borderline personality disorder (BPD).
Vanhu vazhinji vane BPD vanewo PTSD , uye pamwe chete. Kunyange zvazvo vanhu vane PTSD neBPD vane zviratidzo zvakasiyana, vanogovana zvimwe zvezvinetso zvakafanana, zvakadai se:
- Dambudziko rokudzora manzwiro
- Zvinetso zvepamberi
Iwe haungashamisi, saka, kuziva kuti vamwe vatsvakurudzi vari kutanga kuongorora kana DBT inogona kubatsira vanhu vane PTSD.
Chii chinonzi DBT?
DBT, inofungidzirwa kuti inonzwisisa maitiro ehutano (CBT), inoisa pfungwa pakuchinja mafungiro asina kunaka, maitiro, uye zvitendero senzira yekuderedza zviratidzo zveBPD zvemunhu. Zvisinei, DBT yakasiyana nechekare yeCBC. Sei? Nokusimbisa zvakare kugamuchirwa kwemanzwiro omunhu nemafungiro ake. Kutaura zvazviri, DBT yaiva imwe yenzira dzokutanga dzeBBCT kushandisa unyanzvi hwokufunga kuti ubatsire kuita izvi.
DBT inobva pane pfungwa yokuti dambudziko rinonyanya kukosha pakati pevanhu vane BPD nderekuoma kutarisira manzwiro avo (anonziwo manzwiro ekuderedza dysregulation ) . Zvakawanda zvezvinetso zvevanhu vane BPD (somuenzaniso, kuzvizvivadza nemaune ) zvinofungidzirwa kuti zvinomuka kubva kune zvinetso zvavanenge vaine manzwiro avo.
Mafungiro-matambudziko ekutungamirira anobva mukubatanidzwa kwe:
- Biology (yakadai semafungiro omunhu wekutambudzika zvakanyanya)
- Mharaunda yehuduku apo manzwiro akange asina hanya kana kuti kuitaura kwacho kwakarangwa
Saka, DBT inotarisa pakuvandudza matambudziko ekutungamirirwa nemafungiro uye zvinetso zvinetso zvavanokonzera. Therapists vanopa DBT kushandisa uye vanodzidzisa marudzi mana emhando dzakasiyana-siyana:
- Kufungisisa unyanzvi hwokufungisisa
- Unyanzvi hwekushanda pamwe nevamwe
- Unyanzvi hwokutambura kwekutambudzika
- Mafungiro ehutano hwemagetsi
Kuongorora kushandiswa kweDBT yePTSD
Unyanzvi hunoshandiswa muDBT, hwakagadzirwa pakutanga nevanhu vane BPD, hunogonawo kubatsira vanhu vane PTSD.
Kungofanana nevanhu vane BPD, vanhu vane PTSD vane matambudziko ekugadzirisa manzwiro avo. Vanogonawo kunge vane matambudziko nehukama kana kuti vanoita maitiro ekuzvivadza , zvakadai sekuzvivaraidza nemaune .
Kuti uone kana DBT inogona kubudirira kune vanhu vane PTSD, boka revanotsvakurudza muCentral Institute of Mental Health muMannheim, Germany, vakabata boka revakadzi vakanga vane PTSD (kubva pakushushwa kwepabonde kwevana vaduku) vachishandisa kurapa kukuru kwakabatanidza DBT uye tsika yeCBC inoswedera kune PTSD kurapwa, yakadai sekuratidzwa. Kubatana pamwe kwakatumidzwa seDBT-PTSD.
Pashure pemwedzi mitatu yekurapa, vatsvakurudzi vakaona kuti DBT-PTSD yakaderedza zvikuru zviratidzo zvePTSD zvevakadzi, kusanganisira kuora mwoyo uye kuzvidya mwoyo . Mukuwedzera, zviratidzo zvePTSD zvevakadzi zvakaramba zvichivandudza vhiki matanhatu mushure mekunge vapedza kurapa, vachiratidza kuti vangave vakadzidza unyanzvi panguva yekudzidza iyo yakavabatsira kuti varambe vachidzoka kubva kuPTSD mushure mokunge kurapwa kwapera.
Nei Kuwedzera Ongororo Inodiwa
Tsvakurudzo pamusoro peDBT-PTSD iri mumatanho ekutanga. Dzidzo dzinodiwa kuti uongorore kuti DBT-PTSD inofananidzwa sei nedzimwe mishonga ye CBT yePTSD. Zvisinei, zvibereko zviri kuvimbisa. Kana iwe uchida kudzidza zvakawanda pamusoro peDBT, zvimwe zviwanikwa zvinowanika paDhina Marsha Linehan's Behavioral Tech website, kusanganisira d database yehutano hwepfungwa dzakadzidziswa, uye dzinogona kupa, DBT.
Sources:
Linehan, MM (1993). Kuchenjerera-maitiro ekurapa kwemiganhu yemunhu. New York: Guilford Press.
Steil, R., Dyer, A., Priebe, K., Kleindienst, N., & Bohus, M. (2011). Dialectical behavior therapy for posttraumatic stress disorder inobatanidza kushungurudzwa kwepabonde kwevana: A pilot study of a deep intensive treatment program. Nyaya Yekutambudzika Kunetseka, 24 , 102-106.