Chiratidzo chakanyanya chinowanzokonzera hutsinye hunhu
Kutsamwa kwakanyanya, kusina kukodzera ndechimwe chezviratidzo zvinotambudza zve borderline personality disorder (BPD) . Ichokwadi, yakanyanyisa zvokuti inowanzotumidzwa se "borderline rage."
Kunyangwe zvakadaro, kunyange kutsamwa chinhu chikuru cheBPD, zvishoma zvishoma zvinozivikanwa nei vanhu vane BPD vakashatirwa nehasha kusiyana nevamwe vanhu kana kuti izvi zvakasangana zvakasiyana sei.
Kutsvakurudza kutsva, zvisinei, kuri kujekesa mararamiro emuganhu wakatsamwa.
Basics of Borderline Hasha
Kutsamwa kwepakati pekutsamwa hakusi kungofanana nemafungiro emuitiro. MuKutsvaga uye Statistical Manual yeMental Disorders, Chechipiri Edition, kutsamwa muBPD kunorondedzerwa se "zvisina kukodzera, kutsamwa kukuru kana kuoma kusarudza kutsamwa."
Chikonzero chinotsamwira muBPD chinonzi "chakashata," ndechokuti hutano hwehasha hunoratidzika kuva hwakanyanya kupfuura hwakarongedzwa nemamiriro ezvinhu kana chiitiko chakakonzera. Semuenzaniso, munhu ane BPD anogona kuita chimwe chiitiko chingaita sechidiki kana chisingakoshi kune umwe munhu, sekusava kunzwisisa, nemanzwiro ane simba ekutsamwa uye kusina kunaka kwekutsamwa, sekudanidzira, kutyisidzira, kana kuva mhirizhonga .
Tsvakurudzo pamusoro peHasha Dzakare
Kunyange zvazvo kutsamwa kwakasvibiswa kwenguva refu kwave kuri kukurukurirana kwekukakavadzana nekufungidzira pakati pevadzidzisi veBPD, yakangobva kuve chinangwa chekutsvakurudza kwakanyatsonaka.
Nyanzvi dziri kuongorora iye zvino kuti kukanganiswa kutsamwa kwakasiyana sei nekutsamwa kwemazuva ose uye nei zvichiitika.
Kunyanya zvakanyanya, vatsvakurudzi vari kuedza kunzwisisa kana kuti vanhu vane BPD vanotsamwiswa nyore nyore, vane mhinduro dzakawanda dzekutsamwa, kana kuti vane nguva yakareba yekutsamwa kwevanhu kupfuura vanhu vasina BPD (kana kuti ihwo humwe hutsanana hwezvinhu izvi).
Chimwe chidzidzo chakaongorora kutsamwa kune vanhu vane BPD vachienzaniswa nevanhu vasina BPD, mukupindura nyaya yekutsamwa. Ichi chidzidzo chakawana kuti vanhu vane BPD vakatsanangura mukana wakafanana wehasha sezvo sangano rinodzora (mukupindura nyaya). Asi, hutano hwakanaka hwakashuma kuti kutsamwa kwavo kwakaderera nokukurumidza kupfuura nguva kupfuura vanhu vane BPD vakashuma.
Saka zvingave zvisingaiti kuti vanhu vane BPD vane simba rakanyanya kupindura, asi kuti kutsamwa kwavo kune nguva yakareba kupfuura vamwe vanhu vanoona.
Uyezve, kumwe kutsvakurudza kunoratidza kuti kutsamwa muBPD kunogona kukurudzira (apo mumwe munhu anofunga kakawanda pamusoro pehupenyu hwake hutsamwa). Iyi yekufunga kudzokorora inokonzera kushungurudzika mupfungwa kunokonzera kutsamwa kwomunhu uye kunowedzera nguva yaro (sekusimbiswa neongororo yakataurwa pamusoro). Pakupedzisira, kutsamwa kwenguva refu uye kwakasimba kunokonzera unhu hunotyisa, izvo munhu anopindira kuti abvise kutsamwa kwavo
Kutsvakurudza munharaunda ino kunotangira, uye mamwe mabasa akawanda anodiwa kuti anzwisise kuti sei uye nei vanhu vane BPD vane ruzivo rwekutsamwa kwemhirizhonga.
Kurapwa kweHasha Dzakare
Kune huwandu hwemishonga inogona kushandiswa kubata mutsetse wehutano hwehutano, kusanganisira iyo inowanzokonzera chiratidzo chekutsamwa.
Psychotherapy
Nyaya dzakawanda dzepfungwa dzeBPD dzinotarisana nehasha dzakapindura mhinduro iyo vanhu vane BPD vanorondedzera uye vakaratidza. Semuenzaniso, mune chirwere chinonzi dialectical therapy (DBT) , varwere vanodzidziswa unyanzvi kuvabatsira kuti varambe vakashatirisa kutsamwa kwavo uye kuderedza kutsamwa kwehasha. Mamwe maitiro e-psychotherapy yeBPD, kusanganisira schema-focal-therapy , martial-focused therapy , uye chirongwa -based therapy , chinangwa kutsamwa pamwe chete.
Mishonga
Kunyange zvazvo pasina mishonga yeBPD iyo ikozvino FDA inogamuchirwa kuti irape chirwere ichi, pane zvimwe zvakaratidzwa kuderedza hasha muBPD. Zvisinei, mishonga iyi yeBPD inogona kunyanya kushandiswa iyo inoshandiswa pamwe chete nemapfungwa.
Izvi ndezvokuti apo mishonga inogona kuchinja kusimba kwehasha, haigoni kudzivirira zvizere kana kubvisa kutsamwa kwomunhu apo hupenyu hunooma kana kuti mamiriro ezvinhu akaoma anobuda.
Shoko Rinobva
Kana iwe kana munhu waunoda ane dambudziko nemuganhu wakatsamwa, tapota tsvaka rubatsiro kubva kunechiremba kana mumwe unyanzvi hwehutano hwepfungwa. Iwe (kana mudiwa wako) unogona kuwana simba pamusoro pechirwere ichi chinoodza mwoyo uye unonzwa zviri nani.
Pamusoro pekupedzisira, zvakakosha kuyeuka kuti hasha pachayo maitiro anowanzoitika, saka kusangana nekutsamwa kwehasha hakurevi kuti une BPD. Yeuka, munhu ane ruzivo rwehutano hwehutano hunoitika nguva dzose, zvakanyanya, uye zvisina kukodzera kutsamwa kunowanzoita kuti tive nemafambiro anokuvadza sekurwa kwepanyama.
Kunyange zvakadaro, kana uine matambudziko nekudzivirira kutsamwa, kufambira mberi kune unyanzvi hwehutano hwepfungwa ingano yakanaka.
> Sources:
American Psychiatric Association. Kuongororwa uye Statistical Manual ye Mental Disorders 5th edition. 2013
Jacob GA et al. Nguva yenguva yekutsamwa nemamwe manzwiro kuvakadzi vane borderline person disorder: a preliminary study. J Behav Ther Exp Psychiatry. 2008 Sep; 39 (3): 391-402.
Martino F. Hasha uye kushungurudzika kunononoka semafungiro ezvakaipa zvakashata mumuganhu wehutano hwehutano. Clin Psychol Psychother. 2017 Oct 11.