Ndiko kurapa-kuisa pfungwa yakakosha iwe here?
Kufambisa-kugadziriswa kwepfungwa ye borderline personality disorder (BPD) inonzi psychotherapy inonyanya kushandiswa pakushandisa ukama hwako nemushonga wako kuchinja mararamiro ako kune vanhu vari munyika.
Chii chinoshandurwa?
Kushandiswa ndiyo nzira yekufungidzira iyo manzwiro anoshandiswa kubva kune mumwe munhu kune mumwe. Kuisa pfungwa chinhu chinokosha mupfungwa yepfungwa.
Mune marudzi aya emishonga, zvinofungidzirwa kuti manzwiro ako pamusoro pevanhu vakakosha muupenyu hwako, sevabereki vako kana vana vomunin'ina wako, anotamirwa kune chiremba. Iwe unosvika pakunzwa uye kugadzirisa kune unyanzvi sezvamunoda kumunhu uyu anokosha muupenyu hwavo. Zvinotendwa kuti kuburikidza nokuwedzerwa, mutapi anogona kuona kuti iwe unobatana sei nevanhu uye mushonga anoshandisa ruzivo urwu kuti akubatsire kuvaka hukama hwakanaka.
Vanachiremba vanoita kuwedzerwa kurapwa kwakasimba kweBPD vanodavira kuti chinokonzera kukonzera BPD kune chokuita nekusawirirana kweukama muhuduku hunoramba huchibata hukama hwevechiri kuyaruka uye hwevanhu vakuru. Dzidziso ndeyokuti kuburikidza nekubatana nevatarisiri vedu muhuduku, tinokudziridza manzwiro edu uyewo maitiro ekufunga kwevamwe. Kana chimwe chinhu chisingafadzi panguva ino, tinogona kuoma kuumba pfungwa yakasimba pachedu kana kuti tine matambudziko mune zvatinoita kune vamwe vanhu.
Nokuti kune uchapupu hwokuti kushungurudzwa kwevana kana kurasikirwa kwepakutanga kwevatarisi kunobatanidzwa nehuwandu hwehuwandu hweBPD uye nokuti zviratidzo zveBPD zvinosanganisira matambudziko makuru muhukama uye kusagadzikana mupfungwa yega, dzimwe nyanzvi dzakaronga kuti BPD inoda kupiwa nekuvaka hutano hwakanaka hukama kuburikidza nokushandiswa kwekuendeswa.
Zvaunotarisira Mukutengesa-Kutarisa Kurapa kweBPD
Mukupindira kwehutano hweBPD, hukuru huri pamusoro pekubatana pakati pako nemudzidzisi. Murapa wacho haawanzopa mazano kana kukuraira pane zvaunofanira kuita. Pane kudaro, mushonga wacho angangokubvunza mibvunzo yakawanda uye anokubatsira kuti uongorore maitiro ako munguva dzezvikamu.
Mukufambiswa kwekurapa kwakanyatsotarisa, kusimbiswa kunowanikwa pane nguva yemazuva ano kupfuura pane yapfuura. Panzvimbo pokutaura nezvekuti iwe unoratidze sei kune vatarisi vako, iwe uchapedza nguva yakawanda uchitaura nezvekuti uri kurondedzera sei kurapa kwako. Murapi uyu anoedzawo kuramba asingatori mune zvechirwere ichi uye achadzivisa kupa maonero ake uye hazviwaniki kunze kwechirongwa chekurapa kunze kwekuda kwenguva pfupi.
Tsvakurudzo Inotsigira Kutora-Kutarisa Utano hweBPD
Kutsvakurudza kwokutanga kunotsigira kushandiswa kwekuendeswa kwehutano hweBPD. Kuongorora kwakasarudzwa kunongororwa, imwe yenzira dzakaoma zvikuru dzekutsvakurudza, kwakaratidza kuti kuiswa kune-transfered-remedirapiro yakanga yakaenzana nehanarectical behavior therapy (DBT) mukuderedza zvimwe zviratidzo zveBPD, zvakadai semafungiro ekuzviuraya, uye zvaive nani kudarika DBT mu kuderedza zvimwe zviratidzo semafungiro asina kufanira kana kutsamwa.
Kunyange zvazvo izvi zvichivimbisa kutsigirwa kwekutanga kwehutano hwechirwere ichi, zvakakosha kucherechedza kukanganisa kukuru kwechidzidzo ichi: Varwere mukutengesa-focal-focused therapy boka vakagamuchira zvepfungwa dzakasiyana-siyana pane dzepachiitiko cheDBT. Kunyange zvazvo zvichibvira kuti kurapwa-tarisa remishonga inofadza kana kusina kunaka kudarika DBT pakuderedza zviratidzo zveBPD , zvinogona zvakare kuti kuvandudzwa kwaive kwakonzerwa nevarwere vanowana kurapwa kwakanyanya. Kutsvakurudza kwakawanda kunodiwa kuti uongorore kubudirira kwerapa iyi.
Kunyange zvazvo zvimwe zvidzidzo zviri kuitika, unogona kufunga kutaura nemushandi wako pamusoro pekuti kana kuti kwete kutengesa-tarisa remishonga ingakushandira iwe.
Anokutaurira kuburikidza nezvibatsiro uye zvipingamupinyi zvechirwere ichi uye anogona kukupa mazano maererano nemamiriro ako akasiyana.
Sources:
Clarkin JF, Levy KN, Lenzenweger MF, & Kernberg OF. "Kuongorora Zvirwere Zvitatu Zvomuganhu Wemuganhu Wemunhu: Chidzidzo cheManywave." American Journal of Psychiatry , 164: 922-928, 2007.
Yeomans FE, Clarkin JF & Kernberg OF. A Primer of Transfer Focused Psychotherapy for the Borderline Patient . Jason Aronson, 2002.