Cognitive Remediation Therapy (CRT) yeanorexia nervosa inorapwa mutsva. Iyi nzira yakatanga kugadzirwa kuvarwere vane kukuvara kwehuropi uye kune ichangopfuura yakashandurwa kune varwere vane schizophrenia nemamwe mamiriro ehutano hwepfungwa kusanganisira anorexia nervosa. Inoumbwa nemafungiro emagariro anotsvaga kuvandudza maitiro ekufunga uye mano ekufunga kuburikidza nekuita.
Kuziva Njere
Kutsvakurudza pamusoro pevarwere vane anorexia nervosa kunoratidza kukanganisa kwemagariro . Kusvika iye zvino, zvikanganiso zviviri zvepfungwa dzekuziva zvakagadziriswa uye zvinotarisirwa sechikamu cheRCT:
Kusava nemafungiro ekugadzirisa mafungiro (kukwanisa kuchinja kana kuchinja nzira dzepfungwa uye dzetsika). Anorexia vanorwara vanowanzoratidza kuratidzira kufunga panguva yose yakaoma yechirwere uye mushure mekudzorera kuyerwa. Inogona kuratidza semitemo yakasimba pamusoro pezvokudya zvavanogona kudya, maitiro anogadziriswa, uye kunetseka kwe-multi-tasking. Kana tsika dzikavhiringidzika, dzinogona kuvhiringidza zvikuru.
Matambudziko nehutano hwekubatana (kunyanya kufungisisa nemashoko uye kushayikwa kwekufungidzira kumufananidzo mukuru). Varwere vane anorexia vanowanzokwanisa kuisa pfungwa pamashoko, asi kuregererwa kwekuona mufananidzo mukuru. Semuenzaniso, vanogona kunyanya kufungidzirwa nemashoko akadai seakoriyamu zvakagadzirwa kana mafuta ane zvimwe zvezvokudya uye asingakwanisi kufunga nezvechirevo chikuru chekudya kwekudya.
Kupindira kweCRT kukonzera kukanganisa uku zviviri kuburikidza nekuisa pfungwa pamurwere wekufunga, panzvimbo yezvavanofunga. Kusiyana nekugadzirisa kwetsika, CRT haina kuratidzira zvakananga zviratidzo zvakasiyana nezvinetso zvekudya zvakadai sekurema uye maitiro ane chimiro kana kuregererwa kwezvokudya.
Inogara ichiendeswa sechirevo chekurapa kwetsika uye haisi yakagadzirirwa kuva yechirongwa chekuita anorexia nervosa.
Cognitive Remediation Therapy uye Neuropsychology
MuCRT, chiremba anozivisa murwere nemishonga yeurouropsychological, puzzles, mitambo, uye mamwe mabasa ehupenyu chaihwo anogadzirisa kugadzirisa mafungiro uye / kana kubatana kukuru. Mienzaniso yekusatsigira zvematongerwe enyika ingashandiswa kukudziridza kugadzirisa mafungiro anosanganisira:
- Kuchinja urongwa hwekuita tsika (kureva apo kugadzirira kubhedha kusveta mazino ako usati washanduka panzvimbo yekutevera)
- Kusarudza chimwe chinhu chakasiyana chechigadzirwa chimwechete (semuenzaniso, kuchenesa)
- Akagara pane imwe nzvimbo panguva dzekudya
Kuburikidza nekudzidzisa kweuropi nemabasa, hutsva hutsva nemaitiro akadzidziswa. Murapi uyu anopawo chirwere chepfungwa kuti abatsire murwere kunzwisisa manzwiro avo ekufunga, achikurudzira murwere kufungisisa nezvekuita kwavo mukufungisisa kwekuziva uye kuenzanisa nekuzvibata muupenyu hwehupenyu.
Tariro ndeyokuti kuburikidza nekugadzirisa kugadzirisa mafungiro uye kuwirirana kwepakati mune izvi zvisiri zvematongerwe enyika, murwere achakwanisa kushandisa unyanzvi hutsva hwekuziva nezvekudya. Somuenzaniso, nekurovedza, vangave vachida kuedza zvokudya zvitsva kana kutarisa kuenzanisira muurongwa hwavo hwose hwekudya uye kwete kuvharwa muzvigadzirwa zvekudya zvekudya kumwe chete.
Pakave nekuongororwa kwekliniki yeCRT nemwana, wechidiki, uye vakura vakura vane anorexia nervosa. Kutsvakurudza kwokutanga kunoratidza kuti CRT inogamuchirwa kune vazhinji vevarwere. Nemhaka yokuti haigadziri kutakurwa mupfungwa, CRT inogona kunge isingatyisidzi kune varwere vanorwara zvikuru uye vasina kugadzirira kugadzirisa nyaya dzepfungwa kana kuita shanduko dzekuchinja dzine chokuita nekudya. CRT inoita seine simba rekusimudzira kushanda kwemishonga yemagariro, kuderedza kuderedza kurapwa, kunatsiridza mano ekuziva, kuvandudza mararamiro ehupenyu, uye kuderedza zviratidzo zvekushaya zvirwere.
Mabasa Unogona Kuedza Pamba
Kunyange zvazvo zvisingarevi kurongeka kweCRT, mitambo yakawanda yemafaro nemapuzzles zvinogona kubatsira kuwedzera kugadzirisa mafungiro uye kuwirirana kwepakati.
Heano mamwe maonero emabasa aungaita kumba:
- Q-bitz igadziro yemagodhi akafananidzwa akabatanidzwa nenzira dzakasiyana-siyana kuti aenzanise zvigadziro pamagetsi emakadhi. Inotarisa pakubatanidzwa kwezvinhu.
- Kuisa mutambo wemakadhi unotarisa pane zvinoenderana nemitemo yakasiyana-siyana (eg shading, ruvara, chimiro, uye zvimwe zvinhu). Inotaura nezvekushandura. Iyo inowanikawo se app for iPhones uye mapiritsi.
- Zvimwe zvinoshandiswa ishoko rekuisa-shifting game iyo inopesana nemubatiro wekuuya nemamwe mashandisirwo asingashandisi zvezvinhu zvakajairika. Semuenzaniso, panzvimbo yekudya apuro, inogona kutemwa nehafu uye inoshandiswa kutema muvara pamucheka. Pfungwa yemutambo ndeyekufungidzira kushandiswa (haufaniri kuita shanduro imwe!)
- Nguva yekukwira ipfungwa inonzwisisika uye yekugadzirisa zvinetso iyo inowanikwawo mufomu yebhetheni. Inotaura nezvekufungidzira kusinganzwisisi uye haisi kuwira zvakananga pasi pekugadziriswa kana kuwirirana kwepakati.
- Shoko rinotsvaga. Chinangwa chebasa iri ndechekuisa pfungwa pane zvakakosha uye nezvisina ruzivo ruzivo, chimwe chinhu chekubatana kwepakati.
Kutamba mitambo iyi hakuiti kuti Chigadziriswe Remediation Therapy. Anorexia nervosa chirwere chakakomba chepfungwa uye kazhinji chinoda kurapwa kubva muboka revashandi. Kana iwe kana munhu waunoda ane chirwere chinonzi anorexia nervosa kana chimwe chirwere chekudya, tapota tsvagai kurapa kubva kumunhu anokwanisa kurapwa.
> References:
> Dahlgren CL, Rø Ø. (2014). Kuongorora kwakarongeka kwekuziva kugadziriswa kwechiremba ye anorexia nervosa-kukurudzira, ikozvino hurumende uye zvinoshandiswa pakutsvakurudza mune ramangwana uye kuchipatara. Nhoroondo yeDambudziko rekudya . 2 (1): 1-12.
> Fitzpatrick, KK uye Lock, JD (2014). Kuchengetedza Njere > Therapy ne > Vana nevana vaduku muTchanturia, K., Cognitive Remediation Therapy (CRT) yekudya uye kuora kwehutano .
> Tchanturia, K., Davies, H., Reeder, C., Wykes, T. (2010). Kuchengetedza Njere Remediation Therapy yeAnorexia Nervosa .