DBT inoshanda here mukurapa mitemo iyi?
Pane zvakawanda zvinosarudza pakusarudza kuti ndeupi rudzi rwekurapa kutsvaga chirwere chekudya. Imwe rudzi rwehutano iwe unogona kugoverwa ndedzelectical behavior therapy (DBT).
DBT inyaya yakasiyana-siyana yekuziva-maitiro ekurapa . Yakagadzirwa kumapeto kwema1970 naMasha Linehan, Ph.D. kuzobata chirwere chisingaperi chekuzviuraya chinonzi chinonzi borderline personality disorder (BPD).
Iko zvino inozivikanwa seyo kurapa kwesarudzo yehuwandu hwevanhu. Mukuwedzera, tsvakurudzo yakaratidza kuti inoshanda kune hutano hwehumwe hutano hwepfungwa kusanganisira kuzvidzivirira kwezvinhu, kuora mwoyo, post-traumatic stress disorder (PTSD), nekushaiwa kwekudya .
Izwi rokuti "dialectical" rinoreva kuti muDBT, vanachiremba nevatengi vanoshanda nesimba kuti vaenzanise kuchinja nekugamuchirwa, maitiro maviri anoita seanopesana kana mazano. Semuenzaniso, paunenge uchitarirwa nehutano hwemaitiro , mushonga wako achashanda newe kuitira kuti imi mose mugamuchire sezvauri, uye inokurudzirwa kuchinja.
DBT Inoda Zvikamu Zvishanu
Kutevedzera kwakakwana DBT kurapa kunoda zvikamu zvishanu:
1) DBT Skills Training
Kudzidziswa unyanzvi hweDBT kunowanzowanikwa mumapoka eboka rinomhanya sekirasi panguva iyo vatungamiri veboka vanodzidzisa unyanzvi hwekuita uye kupa basa rechikoro. Basa rechikoro rinobatsira vatengi kushandisa kushandisa unyanzvi muupenyu hwezuva nezuva.
Mapoka anoungana pavhiki nevhiki, uye zvinotora masvondo makumi maviri nemana kuti upfuure hutano hwakakwana huridzidzo.
Kudzidzisa unyanzvi kunoumbwa nemamiriyumu mana:
- Kufungisisa: tsika yekuziva zvakakwana uye iripo panguva ino
- Kushungurudzika Kushivirira: sei kubvumira manzwiro anorwadza
- Kubudirira kwevamwe vanhu: nzira yekuratidza zvinodiwa nomunhu uye kugadzirisa miganhu yekuvaka hukama hwakanaka
- Kushungurudzika Mutemo: ungashandura sei manzwiro aunoda kuchinja
2) Therapy Yega
DBT chirwere chimwechete chinonyanya kuwedzera kuwedzera makambani ekukurudzira uye kubatsira vashandi kushandisa zvigadziro kune zvinetso nezviitiko muupenyu hwavo. Kurapa mumwe nomumwe kunowanzoitika kamwechete pavhiki kwemazuva ose kana mutengi ari kurapwa, uye inotarisana panguva imwechete nedzidzo yekudzidzira unyanzvi hweDBT.
3) Kudzidzisa Kuita Kuti Kuve Nokugadzirwa Kwemagetsi
DBT inoshandisa foni coaching kuti ipe mutsigiri-munguva-iyo. Chinangwa ndechekudzidzisa vatengi kuti vashandise sei maitiro avo eDBT kuti vakwanise kubata nemamiriro ezvinhu akaoma anowanikwa muupenyu hwavo hwezuva nezuva. Vatengi vanogona kushevedza varwere vavo pachavo pakati pezvirongwa kuti vagamuchire kudzidzisa panguva dzinoda rubatsiro.
4) Kuronga Zvakatipoteredza neChite Management
Maitiro ekugadzirisa mazano anobatsira muchengeti kudzidza kudzidzisa hupenyu hwake, zvakadai semamiriro avo ezvinhu uye zvemagariro evanhu.
5) DBT Consultation Team kutsigira Murapa
Dare rekubvunzurudza reDBT rinopa rubatsiro rwakakosha kune nhengo dzedare dzakasiyana-siyana dzinopa zvinhu zvakasiyana-siyana zvekurapa kweDBT, kusanganisira vanachiremba, vadzidzisi veboka rekudzidzisa, vatungamiri vemhosva, nevamwe vanobatsira kubata muteresi kana murwere.
Mamwe Mafomu eDBT
Kunewo vazhinji vanodzidza vanoshandisa unyanzvi hweDBT mukurapa mumwe nomumwe nevatengi. Vamwe vanachiremba vanogonawo kupa sangano reBBT-mazano ekudzidzisa. Zvisinei, chimwe chezvikamu izvi chete hazvisi chokwadi kana zvakakwana zvinotsigira DBT kurapa. Izvi zvikamu zvehutano zveDBT zvinogona kunge zvichiri kubatsira asi zvingave zvisina kubatsira sekugamuchira zvikamu zvose zvishanu zvekurapa. Dialectical behavior therapy yakave yakashandurwa kuti ishandiswe munzvimbo dzekugara uye dzisina kurapa zvirwere.
Kurapa Kwekuita Maitiro Kunobatsira Kudya Kudya Kwekudya Here?
Kunyange zvazvo kunzwisisa-behavioral therapy (CBT) yakaratidza kubudirira kune varwere vakawanda vane zvinetso zvekudya uye inowanzokurudzirwa seyero rokutanga remishonga, harishandi kune munhu wose.
Izvi zvakaita kuti vatsvakurudzi vatsvake mamwe marapirwo angashanda kune varwere vasingateereri CBT. Nyanzvi mune zvinetso zvekudya zvakadzidza pamusoro peDBT, yakagadzira kuenzanisa pakati pebasa rekusawirirana kwekudya maitiro mukudya chirwere chevarwere uye basa rekuzvivaraidza mumuganhu wehutano hwehutano hwevarwere. Mhando mbiri dzekuzvibata dzinowanzopa rusununguko rwechinguvana kubva kune mafungiro asina kunaka. Nokudaro, kudzidzisa varwere nzira yekugadzirisa nekugadzirisa zvinetso kunonzwisisika.
Migumisiro yakave ichivimbisa sezvo kurapwa kunoratidzika kubudirira mukuderedza kana kumira maitiro ekutambudza mukudya kwekudya. Zvisinei, zvizhinji zvekutsvakurudza zvakaitwa hazvina kuenzanisa chirwere chinonzi dialectical therapy kune mamwe marapirwo (kana kuti pasina kana kurapwa zvachose). Chimwe chidzidzo chakaenzanidza DBT nekuenzanisa kweboka rinoratidzira boka rekutengesa kudya kunowanikwa pasina misiyano chaiyo-dzose mishonga yakashanda zvakafanana.
Zvizhinji zvezviongorori zvakaitwa pamutauro wehutachiona hwetsika zvakaratidza kubata vanhu vane dinge-kudya chirwere uye bulimia nervosa, kwete anorexia nervosa .
Ndiani Anofanira Kuedza Dialectical Behavior Therapy?
Zvichigovera tsvakurudzo yemazuva ano pamusoro peshanduro yekushaya maitiro uye chirwere chekudya, inogona kunge yakakosha zvikuru kune vanhu vanotambura nebulimia nervosa kana binge kudya chirwere. Izvo zvinogonawo kubatsira kune vatengi vari kutambura nemuganhu wehutano hwehutano uye / kana zvikuru manzwiro kunze kwekudya kwekudya. DBT inowanzova yakawanda kwazvo, inodhura, uye yakareba-nguva kupfuura munhu wese kunze kwekurapa kwakadai seBBCT, uye saka haisati yashandiswa semutambo wekutanga. Iyo inogona kunge iri nzira yakanakisisa kune varwere vasina kumbovandudza neBBC kana mamwe maitiro epfungwa, uye avo vanorwisana nezvokudya zvakadzama zviitiko zvakajeka zvakakonzerwa nemafungiro asina kunaka.
Kudzidzisa unyanzvi hweDBT kunogona kuva kurapa kwakagadziriswa kwehutachiona hwehutano hwehutano hwekudya.
Kuongororwa kwakanaka kwehumwe hutano hweDBT hunogona kubatsira kune avo vane matambudziko hunogona kuwanikwa mubhuku rino rekushandisa iri paIndaneti.
Sources:
Bankoff SM et al. Kugadziriswa kwakarongeka kwechirwere chemaitiro chinoshandiswa pakurapa zvinetso zvekudya. Kudya Matambudziko. 2012; 20 (3): 196-215.
> Yakachengeteka, Debra L. 2015. "Dialectical Behavior Therapy (DBT) yeDambudziko rekudya." MuEncyclopedia of Feeding uye Eating Disorders, rakagadziridzwa naTracey Wade, 1-7. Springer Singapore. http://link.springer.com/referenceworkentry/10.1007/978-981-287-087-2_77-1.
> Yakachengeteka, Debra L., Christy F. Telch, & Eunice Chen, 2009. Dialectical Behavior Therapy for Binge kudya uye Bulimia. Guilford Press.
Yakachengetedzeka, DL, Robinson, AH, & Jo, B. 2010. Kubva pamusana wekutarisa kunongororwa kwechikwata chechikwata chechirwere chekushaya chirwere chekudya: Kuenzanisa dialectical behavior therapy yakagadzirirwa kudya zvakadzama kune boka rinoshandiswa rekuenzanisa boka. Therapy Therapy , 41, 106-120.
Wisniewski, L. & Kelly, E. 2003. Kushandiswa kwesarudzo yehutanolectical pakurapwa kwekutambudzika kwekudya. Unyanzvi hwekufunga uye hwekuita, 10, 131-138.