Kubvuma uye kuzvipira kurapa (ACT) chirwere chepfungwa chinowanikwa mukurwara kwehutano hwekushungurudzika zvakadai sewe generalized anxiety disorder (GAD). Inoshandiswawo kubata mamwe mamiriro ezvinhu kusanganisira kuora mwoyo, zvinetso zvekudya, kurwadziwa kusingaperi, uye zvinetso zvekushandisa zvinhu.
MITENDE dzimwe nguva kunonzi "yechitatu yevhunduka" kana "itsva wave" psychotherapy.
Muchirevo chechirevo ichi, "rutsoka rwokutanga" rinoreva chimiro chekugadzirisa uye kushandiswa kwekudzidza-based behavioral approaches yakagadzirwa muna 1950s. Iyo "yechipiri" inorapwa maitiro anowedzera pamusoro pekugadziriswa kwemashoko - uye kunyanya kunyatsoziva, kugadziriswa kwemagariro - uyewo maitiro ekudzidza maitiro. "Kushinjwa kwechitatu" mishonga inobatanidza ruzivo nemitambo iyi yapfuura asi inowedzera kune dzimwe nzira zvichienderana nemhando.
Izwi rokuti "kushandiswa kwechitatu" rinoreva huwandu hwepfungwa dzepfungwa - kusanganisira ACT, dialectical behavioral therapy (DBT), chirongwa chechima , uye pfungwa-based cognitive therapy - iyo yakaratidzwa inobatsira vanhu vakawanda.
Nhoroondo, yechitatu-maawa ekurapa aifungidzirwa sezvinonyanya kukodzera kuvarwere vakanga vasingabatsiri nemishonga yakagara isati yasvika yakadai seyechigunun'una cognitive behavioral therapy (CBT). Zvisinei, ikozvino inotenda kuti kune vamwe vanhu, chetatu-wave therapy chirongwa chinogona kuita senjere seyero yekutanga kurapwa.
Kutsvakurudza kwakaratidza kuti ACT inogona kubudisa zviratidzo zvekuvandudza kune vanhu vane GAD, uye inogonawo kuva yakakodzera zvakakwana kune vakwegura .
Chii Chaicho Chaicho CHITSA?
CHITENDA chirongwa chekutaura chinosimbisa nzira iyo yatinoshandisa nayo mazwi edu kurwisana chero chii chiri kuitika mukati memisoro yedu. Nzira yacho inotarisa - sezita rinoreva - pakugamuchirwa.
Nheyo yacho inoratidza kuti kuwedzera kukugamuchirwa kwemamiriro ako, pfungwa dzinoramba dzichifamba mupfungwa dzako, uye kurwisana kwako nezviratidzo zvinogona kutungamirira pakuwedzera kwepfungwa kuchinja. Kugamuchirwa kunotarisirwa kudzivirirwa pakurwisana nemamwe pfungwa kana kuitika mupfungwa uye kusagadzikana kubata.
Zvose, chirwere ichi chinokurudzira kuwana ruzivo rwemaitiro ekufunga, maitiro ekudzivisa, uye kuvapo kana kusavapo kwechiito chinowirirana nehupenyu hwakasarudzwa hutsika.
Kusiyanisa Kubasa reCt. CBT
Kusiyana ne CBT, chinangwa cheACT hachisi kuderedza kuwanda kana kuoma kwezviitiko zvisingafadzi zvemukati (zvakadai sekugumbura kukanganisa kwepfungwa, manzwiro kana kukumbira). Pane kudaro, chinangwa ndechokuderedza kuedza kwako kuronga kana kubvisa zviitiko izvi uye panguva imwechete kuti uwedzere kubatanidzwa mumabasa ehupenyu hunobatsira (kureva, izvo zviitiko zvinowirirana nemitemo yega).
ACT Vapei
Vanachiremba vanove vakanyatsodzidziswa mumhando iyi yepfungwa inowanzopa ACT. Mutevedzeri weECT achava mushumiri anoshanda, anonzwisisa uye ane mutungamiri anoshanda, achikurudzira kuongorora zvakadzama nekusaziva kutonga , panguva dzekudzidza.
Mutevedzeri weCIT angave ari chiremba chepfungwa, chiremba wepfungwa, unyanzvi hwehutano, kana mutungamiri wehutano hwepfungwa . Kana iwe uchida kudzidza zvakawanda pamusoro peiyi nzira, unogona kubvunza pamusoro pekudzidziswa kwawakapa mushandi wehutano nawo kana kutsvaga chiitiko cheAIDS ane ruzivo.
Chii Chinoitika Mukusarudza Session?
Zvimwe zvikamu zve ACT ndezvepfungwa-dzidzo pamusoro penzira dzinokosha dzedzidziso yekurapa, kufunga, kusagadzikana kwekuziva, uye kujekesa kwezvinhu.
Zvidzidzo zvinogona kusanganisira mutsika wekufunga mafungiro akagadzirirwa kukurudzira kusava nehanya, kuziva kwakanaka kwepfungwa, manzwiro, manzwiro, nekuyeuka izvo zvakange zvisina kudzivirirwa.
Kana zvese zviri mukati mako zvakagadziriswa, murapi anoshandisa kukurukurirana uye maitiro ekuziva kuti anobatsira kuti uwanezve pfungwa kana kuti iite pfungwa yakasiyana yenyaya uye woigamuchira semuzviitiko zvako pachako. Kusvika pamatambudziko ako zviito zvisingaenderani nehutano hwako hunoita kuti huve noupenyu hune chinangwa, mushonga unobatsira kusimbisa kusawirirana nekukuita iwe mukukurukurirana pamusoro pezvaunofunga uye zviito zvingakuita kuti uwedzere pedyo navo.
ACT vanyori vanogona kupa basa rechikoro kuti vaite pakati pezvirongwa, zvakadai sekufunga, kunzwisisa, kana kujekesa maitiro ekujekesa. Basa rechikoro rinobvumirana pamusoro pako iwe nemushandi wako uye rinogona kugadziriswa kuti riite semunhu oga uye rinoshanda sezvinobvira.
Ndekupi Kwandinogona Kudzidza Zvakawanda?
Kuti udzidze zvakawanda pamusoro pemutemo weCIT, chengetedza idzi podcasts, mahwendefa, uye maitiro ekufunga.
Kuti uwane rubatsiro kuwana MUTA wechiremba, edza kuendesa zvinhu zvakadai seChirungu cheChirangariro Chekuita Mazano, Psychology Today, kana The Association for Behavioral and Cognitive Therapies.
> References
> Hoge EA, Ivkovic A, Fricchione GL. Chirwere chekunyanya kuzvidya mwoyo: Kuongororwa uye kurapwa. British Medical Journal 2012; 345: e7500.
> Kahl KG, Winter L, Schweiger U. Nzira yechitatu yekufungisisa > behavioral > therapies: Chii chitsva uye chii chinoshanda? Current Opinion Psychiatry 2012; 25: 522-528.
> Roemer L, Orsillo SM. Chiyero chakazaruka chekubvuma-based based therapy therapy for general anxiety disorder. Therapy Therapy 2007; 38: 72-85.
> Roemer L, Orsillo SM, Salters-Pedneault K. Kubudirira kwekugamuchira-based based therapy for > general anxiety disorder >: kuongorora mumutambo unogadziriswa wakaitwa. Nhaurirano yeKubvunzurudza uye Clinic Psychology 2008; 76: 1083-1089.
> Wetherell JL, Afari N, Ayers CR, et al. Kubvuma uye kuzvipira kurapwa kwehutano hwehutano hwevanhu vakawanda vakuru: mushumo wekutanga. Therapy Therapy 2011; 42: 127-134.