The Co-Occurrence yeBPD uye AVPD
Borderline person disorder (BPD) uye kudzivisa hutano hwehutano (AVPD) kunoitika kakawanda zvokuti mune dzimwe samples, 43 kubva muzana kusvika 47 muzana yevanhu vane BPD vanosanganawo nemirayiro yeAVPD.
Kunzwisisa Kuzvidzivirira Kunhu Kwevanhu
AVPD ndechimwe chekushungurudzika kwehutano gumi kunozivikanwa mumutsara wechishanu weDaagnostic uye Statistical Manual yeMental Disorders (DSM-5).
Icho chinopesana uye chinopesana nehupenyu nekusava nehupenyu hwekusava akakwana zvakakwana, kutya kuti vamwe vanokuona zvakashata, uye kuva kunyara kwazvo uye kunetseka pamusoro pokuramba.
Zviratidzo Zvokudzivisa Kuzvidya Munhu
Iwe unofanirwa kunge uine zviratidzo zvina kana zvimwe zviratidzo zvinowanikwa neAVP, iyo inogona kusanganisira chero ipi zvayo inotevera:
- Kudzivisa kushamwaridzana kwevanhu nekuda kwekutya kwekutsoropodza
- Kunyanya kukanganwa nekuramba
- Kusapindira muhukama nevanhu kunze kwekuti iwe unofunga ivo vanokuda iwe uye kubata shure apo iwe unozobatanidzwa
- Kunyanya kunetseka kuregererwa kana kutsoropodzwa
- Mamiriro asina kunaka ; somuenzaniso, kuona zvinetso zvingave zvakanyanya kudarika zvavari chaizvo
- Kuvhiringidzika kusingazivikanwi mumamiriro ezvinhu evanhu
- Kunyanya kuzvida
Vanhu vane AVPD vanogona kurondedzerwa sevari kunyara kwazvo, kushungurudzika mune zvemagariro evanhu, kuzviziva, uye kuzvidzora. Iyi nzira yekuzvibata inokwira kusvika pamwero wekliniki chirwere apo inonyanya kupindira ukama hwako, basa, kana zvimwe zvinhu zvinokosha zvehupenyu hwako.
Kurwisana kwemashure uye kusakanganiswa kwehupenyu hwevanhu Kuwirirana
Tsvakurudzo dzakawanikwa dzekubatana-kwakaitika kwemiganhu yemuganhu uye kusadzivirira unhu hwehutano kunowirirana zvichienderana nemamiriro ekudzidzira samuenzaniso. Muchienzaniso chekurapa, kureva muenzaniso wevanhu vane BPD vaive vachirapa, 43 muzana yevarwere vane BPD vakawanawo maitiro ekuongororwa kweAVPD.
Mune imwe dzidzo yakashandisa shanduko yemunharaunda, vanopfuura 11 kubva muzana yevanhu vakawana mitemo yeBPD muhupenyu hwavo hwose vakawanawo maitiro eAVP muupenyu hwavo hwose.
Chikonzero nei AVPD neBPD Vachiita Pamwe Chete Saka Kazhinji
Hatizivi kuti nei vanhu vazhinji vane BPD vachiwanawo mazano eAVPD, asi nyanzvi dzakatarisa pamusoro pezvikonzero zviviri zvinokonzera iyi comorbidity. Kutanga, BPD neAVPD vanogovera chiratidzo chikuru: zvose zvinosangana nekutya kukuru kwekutsoropodza uye kurambwa . Zvingave kuti kuva nemuitiro uyu kunowedzera mukana wemunhu wekutarisana nemigariro yematambudziko ose maviri.
Uyezve, zvinogona kunge kuti vanhu vane BPD vane kurwadziwa kwakanyanya mupfungwa muhukama hwavo kuti chigadziro chinogona kubvisa hukama huripo kuitira kuti kuderedza marwadzo aya.
Mishonga yeAVP uye BPD
Ikozvino haisi kubudiswa mumakirini ekuedza izvo zvakaongororera marapirwo ekubatana kweAVPD uye BPD. Zvisinei, kugadzirisa manzwiro ehutano (CBT) kunoita seine hutano mukurapa kweAVP uye kushanduka kweBBCT, kunonzi dialectical behavior therapy (DBT) , ndiyo chirwere cheBPD pamwe nekusimbisa zvakanyanya kutsvakurudza.
Imwe yakabudirira kurapwa kweBPD inofungisisa -based therapy (MBT), iyo inokubatsira kunzwisisa nokunzwisisa kuti iwe nevevamwe mune manzwiro kunze kweiwo kana maitiro avo.
Kuongororwa kwechangobva kuitika kunogumisa kuti mhirizhonga yehutano hwemunhu inowanzoitika pachayo pachayo uye kunyatsorapwa BPD kazhinji inobatsira kubata zviratidzo zvehutano hunokonzerwa pamwe chete. Somuenzaniso, kana uine BPD uye hurukuro yekuora mwoyo (MDD), MDD yako inogona kupindura zviri nani kuhutano hweBPD kupfuura iyo inoda kuvhiringidzika chete.
> Sources:
> Biskin RS, Paris J. Comorbidities muBorderline Personality Disorder. Psychiatric Times. January 9, 2013.
> Choi-Kain LW, Unruh BT. Mentalization-Based Treatment; Nzira Yakangowanikwa-Inofanirwa Nayo Yomuganhu Unhu Wokunetseka. Psychiatric Times. March 31, 2016.
> MedLine Plus. Kudzivisa Unhu Hwekuvhiringidzika. US National Library of Medicine. Yakapedzwa musi waDecember 5, 2017.
> Tomko RL, Trull TJ, Wood PK, Sher KJ. Zviratidzo zveBorderline Personality Disorder in Community Muenzaniso: Kurwisa, Kurapa, uye Kushanda Kushanda. Zvinyorwa zveMunhu Zvinetso . 2014; 28 (5): 734-750. doi: 10.1521 / pedi_2012_26_093.