Imwe Mimwe Inogona Kuitika Kana Utano Hwakanaka Husingashandisi
Muongorori wako angangodaro akakurudzira kuti iwe uite chirongwa chemaitiro ehutano hwehutano hwako hunokanganisa (OCD) . Ndeupi rudzi rwehutachiwana urwu uye runofananidzwa sei nedzimwe nzira dzokurapa dze OCD?
Kuchengetedza Kwenyanzvi Hwokurapa kweEngessive Compulsive Disorder
Kugadzirisa manzwiro ehutano (CBT) chirwere chepfungwa chinotarisa maonero uye manzwiro angatungamirira kune maitiro.
Yakawanikwa ichibatsira zvikuru munguva pfupi uye kwenguva refu yevanhu vanogara neOCD.
Chirongwa chekuziva kugadzirisa utano hunonzi exposure-response prevention therapy (ERP) yave ichitaridzirwa kuti ndiyo yegoridhe yekutarisira OCD. Asi kune avo vanoona kuti kurapwa-kupindira kunopedza kurapwa hakubashandi kwavari, chirwere chemaitiro chinodhaka chingangodaro.
Chii chinonzi Dialectical Behavior Therapy?
Dialectical behavior therapy (DBT) inoratidziro rwehutano hwehutano hunoisa pfungwa pakufunga, kubvuma, kuvimbiswa, nekuvaka kuvimba. Yakave yakarongedzwa kune vanhu vane borderline person disorder, asi yakamboonekwa kune vanhu vane hutano hwakasiyana-siyana hwehutano hwepfungwa. Chimwe chekusiyana kukuru pakati peDBT nemamwe maitiro erapi ndiyo pfungwa yekugamuchirwa. Pasinei nemafungiro ako, haasi akanaka kana akaipa.
Dialectical Behavior Therapy's History
Dialectical behavior therapy (DBT) yakagadzirwa naMasha Linehan kuma1970 apfuura paYunivhesiti yeWashington.
Linehan akashanda nevarwere vaiva nemafungiro ekuzviuraya asingagoni kuzviuraya, kuzviedza kuzviuraya uye kuzvibata kunokuvadza izvo zvinowanzokonzerwa nemaronda akakomba kubva pakushungurudzwa kwevana uye / kana kusaregererwa. Vanhu vazhinji vane unhu uhwu hunoonekwa neine borderline personality disorder (BPD) , nepo vamwe vangave vachitambura ne posttraumatic stress disorder (PTSD) .
Panguva iyo DBT yakagadziridzwa, kugadziriswa kwehutano hwehutano (CBT) kwave kuonekwa sekurapa kwekusarudzwa kwakanyanya kwazvo chirwere chepfungwa. Linehan, zvakadaro, akaziva kuti varwere vaakashanda navo vakanga vasingakwanisi kubatsirwa neBBCT nekuda kwezvakananga zvebasa uye kugara vachifunga nezvekuchinja. Ava varwere vainzwa CBT iri kutonga, kukwikwidza uye kusavhiringidza. Linehan akachenjera akagadzirisa tsika dzeCBC kuti nzira yacho iwedzere kusimbisa . Kubva panguva iyo, DBT yakaratidza kuti yakagadzikana yehutano hwakawanda hwehutano hwehutano hwepfungwa, kunyanya kuora mwoyo uye kushungurudzika kwepfungwa .
Dialectical Behavior Therapy (DBT) Skill Sets
DBT ine zvigadziro mana zvidzidzo zvepamusoro (zvinokurukurwa zviri pasi apa) izvo vanhu vanogona kudzidza kushandisa muupenyu hwavo. Izvi zvinosanganisira:
- Kutambudzika kushivirira
- Murairo wekutema
- Kubudirira kwehukama
- Kufungisisa
DBT inowanzodzidziswa mumapoka anotevera maitiro ehupi hwehutano. Vanhu vari kudzidza kudzidzira ruzivo rweDBT nyanzvi kuti sei uye nguva yakawanda sei vanoshandisa unyanzvi pakati pezvikamu zveboka uye kurukura izvi zvakadzama nemumwe munhu mushonga.
DBT ye OCD uye Kuzvidya mwoyo: Kubvuma uye Kwete Kutonga
Unyanzvi hweDBT hunoshandiswa kurarama nemarwadzo uye kutya kunobatanidzwa noupenyu hwezuva nezuva.
DBT inonyanya kutaura nezveBuddhist pfungwa dzekubvuma, kusaruramisira, uye kufunga. Izvi zvakawanikwa kuti inyanzvi hukuru hwekutarisira OCD.
Kusiyana ne CBT, iyo inonyanya kukoshesa pakugadzira uye kuenzanisa kuchinja kwehutsika, DBT inotarirwa pakugamuchirwa uye kusati kutonga. Ukama hwehutano hwakakosha sezvo vanhu vakadzidza kuva vakatendeseka pamusoro pemafambiro avo uye manzwiro avo pasina kunyadziswa kana kunzwa sokuti vakundikana. Iko kuvimbiswa kwemabasa avo ekuratidza uye kutaura pamusoro pekufambira mberi kwavo (kana kushaikwa kwayo) izvo zvinokosha kune vanhu vazhinji. Pane imwe nguva kuvimba nechiremba inotangwa, vanhu vanowanzotora mungozi yakawanda mukurapa.
Iyi danho inowanzodiwa vasati vagadzirira kuchinja.
Zvidzidzo zvakawana kuti DBT inogona kuvandudza hupenyu hwehupenyu uye kuzvidzora pamwe nekuderedza kusatenda kune vanhu vane matambudziko ehupenyu hwakadai seOCD.
Nzira Yokushandisa DBT Skills kuna OCD
Kana uri kushamisika kuti ungakwanisa sei kushandisa unyanzvi hweDBT neOCD yako, heino mienzaniso yekuti unyanzvi huri hushandiswa sei:
Kushungurudzika Kushivirira: Unyanzvi uhwu hunoshandiswa kuti huvhiringidze kana kuzvidzora kana uchitarisana nemanzwisisiro pfungwa kana manzwiro.
Emotional Rules: Nekudzidza unyanzvi kuti uchengetedze kuzvidya mwoyo kwakabatana nekunyengera uye / kana kutya, iwe uchatanga kuona kuti kushushikana kwako kunoderera nekupera pasina kupiwa mukati memagariro anowanzosimudzira kana kuvimbiswa.
Kubudirira kwehukama: Iyi shanho yeunyanzvi inokubatsira kugadzirisa manzwiro ako ane chokuita nekubatana nevamwe, izvo zvinogona kusanganisira kudiwa kutsvaka kuvimbiswa.
Kungwarira: Unyanzvi hwekufunga hukubatsira kuti uwedzere kuvapo panguva iyo . Kuyeuka kunosanganisira kusatenderera mberi nekubatanidza pfungwa dzinoshungurudza, uchiita sekusaruramisira (uchiziva kuti pfungwa dzako hadzina kunaka kana zvakaipa,) nekudzorera pfungwa dzako kusvika panguva ino iyo inopisa, pfungwa dzinodzokorora dzinoitika.
DBT Ndeyeimwe nzira kuRP
DBT haina kunyatsotarisa kuvhara uye kukwikwidzana sezvinoita kufanirwa-kupedza kudzivirira therapy (ERP). Unyanzvi hweDBT hunoshandiswa kurarama nekuzvidya mwoyo kunobatanidzwa nemafungiro anotyisa kana kuvhiringidza kunokonzera kusagadzikana maitiro.
Kuwedzera Kurapa Kunogona Kudiwa
Pane mishonga yakawanda inogona kuonekwa seOCD. Vanhu vazhinji vanoda mishonga pamwe nekurapa kurapa OCD . Kuongororwa kunoitwa nehutano hwepfungwa kunokurudzirwa kuti uone kana mishonga inogona kubatsira mune chirongwa chako chekurapa.
Pasi pepamusoro paDialectical Behavior Therapy ye OCD
Dialectical behavior therapy chironga chekufunga kwehutano hwehutano hunove hunobudirira kune vamwe vanhu vane OCD. Kunyanya, avo vakawana kuvhara-kugadzirisa kurapwa kwehutano, iyo yegoridhe yeOCD, haina kubudirira. Zvinogona kukanganisa kurarama naOCD, asi kurapwa uye dzimwe nguva mishonga inogona kuwedzera zvikuru zviratidzo zvako uye kuderedza kushungurudzika kwako kwakabatana nechirwere.
> Sources:
> Conrad, A., Sankaranarayanan, A., Lewin, T., uye A. Dunbar. Kubudirira kwe-10-Week Group Program Kubva pane Dialectical Behavior Therapy Skills Pakati pevarwere vane Unhu uye Matambudziko eMafungiro: Tsvaga kubva kuPilot Study. Australas Psychiatry . 2017 Jun 1. (Epub mberi kwekudhinda).
> Fassbinder, E., Schweiger, U., Martius, D., Brand-de-Wilde, O., uye A. Arntz. Kushungurudzika Mutemo muSyma Therapy uye Dialectical Behavior Therapy. Mitsva muPsychology . 2016. 7: 1373.
> Neacsiu, A., uye Tkachuck. Dialectical Behavior Therapy Skills Kushandisa uye Kushungurudzika Dysregulation In Personality Disorders and Psychopathy: Community Community Report Report. Borderline Manality Disorder and Emotion Dysregulation . 2016. 3: 6.