Ndeipi migumisiro yekuva nemiganhu yemuganhu wehutano (BPD) uye mushure mekutambudzika kwepfungwa (PTSD) ? Izvozvo zvinorevei pamusoro pekurapa?
PTSD uye BPD Co-Occurence
PTSD uye muganhu wehutano hwehutano (BPD) yakawanikwa kuti inowanzobatana . Zvechokwadi, zvakawanikwa kuti chero pakati pe25 uye anenge makumi matanhatu kubva muzana yevanhu vane BPD vanewo PTSD-chiyero chakakwirira kupfuura izvo zvinowanikwa munharaunda yakawanda .
Saizvozvowo, imwe yekuongorora veterans nePTSD yakabatana-kurwisana kutsvaga kurapwa yakawana kuti 76 muzana yevowo vakagadziriswa neBPD.
Haisi kusimudzira kuona kuti muganhu wehutachiona hwehutano uye hurumende inotambudza chirwere chinowanzoitika pamwe chete patinoona zvikonzero uye zviratidzo. Mamiriro ezvinhu anowanzokonzera BPD anowanzowanzoisa njodzi yePTSD. Semuenzaniso, kushungurudzwa kwepabonde hwevechidiki chinhu chinonyanya kukosha muBPD uye PTSD.
Mukuwedzera, zviratidzo zveBPD zvinogona kuisa mumwe munhu panjodzi yekuve mumamiriro ezvinhu anogona kuunza PTSD. Haisi BPD chete, zvisinei; PTSD inosanganiswa nehutano hwakasiyana-siyana hwehutano.
Zviratidzo
Tsvakurudzo dzinoverengeka dzakatarisa zvinokonzerwa mumuviri uye mupfungwa zvekuva nePTSD neBPD. Izvo zvave zvichiwanzoonekwa kuti vanhu vane zvirwere zviviri zvinosangana nezvinetso zvepfungwa uye zvepanyama, kusanganisira, somuenzaniso:
- Dambudziko rose rakawanda
- Zvimwe zvinetso zvepfungwa
- Kuora mwoyo
- Kufunganya
- Kucherechedza-kumanikidzira zviratidzo
- Utano hwakaipa hunoratidzika
- Kushushikana
- Kuzviuraya pfungwa
- Zvimwe zvipatara
- Zvinetso zvehasha
- Dissociation
- Zvinetso zvepamberi
Sezvakataurwa pamusoro apa, pane zvakawanda zvinokonzerwa nekuwana PTSD uye BPD pamwe chete, asi vatsvakurudzi vakatarisa zvakadzama kune avo vane BPD chete nevaya vane BPD yakaoma nePTSD.
PTSD inowedzera vamwe, asi zvechokwadi haisi zviratidzo zvose zveBPD. Zviratidzo zvinowedzera kuwedzera nekuwedzera kwePTSD zvinosanganisira kuora mwoyo, kufungidzira, kuparadzanisa, kuedza kuzviuraya, uye kuzvidzora. Pakati idzi, kuparadzaniswa kunogona kunge kwakanyatsopindirana nehutano hwepabonde hwekusangana pabonde sechiitiko chekutengesa mumatambudziko ose maviri.
BPD Kuziva
BPD chikamu cheboka rehutano hwepfungwa dzinotumidzwa sehutano hwehutano ne 4th edition ye Diagnostic and Statistical Manual ye Mental Disorders (DSM-IV). Maererano neDSM-IV, kushungurudzwa kwehutano kunomiririra nguva yakareba yezvipikiso zvinotambudza, pfungwa, uye manzwiro anowanzotanga mukuyaruka kana kuti akwegura. BPD inoumbwa nezviratidzo zvinotevera:
- Kuramba uye kuedza zvakanyanya kudzivisa kuponeswa kwechokwadi kana kufungidzira nevamwe
- Chimiro cheukama husina kugadzikana, hukuru, uye hutsinye apo munhu angangogara achitsauka pakati pekufungidzira nekuderedza shamwari yake
- Zvinetso nehuzivi, kuzvimiririra kana kuti pfungwa yekuti ndiani chaizvoizvo
- Kuva nemwoyo murefu munzira dzinotambudza kana dzinokuvadza (somuenzaniso, kushandiswa kwezvinhu zvinoshandiswa, kushandisa hupombwe, kutyaira zvisina kukodzera, kudya binge, nezvimwewo)
- Kudzokorora kuzviuraya kana kutyisidzira , kana kuzvipira nemaune kuzvikudza .
- Kuramba uye kufunganya mafungiro kunoshanduka
- Nguva dzose manzwiro ekusaziva
- Chiitiko chakanyanya chokutsamwa uye / kana kutadza kudzora hasha
- Paranoia kana kuparadzana kunouya uye kunoenda nekuda kwekutambudzika
Kuti ugamuchire kuongororwa kweBPD, unofanirwa kuratidza zvisati zvishanu zvezviratidzo izvi. Zvechokwadi, sekune zvinetso zvose zvepfungwa, mupfungwa chete wehutano hwepfungwa anogona kupa kuongororwa kweBPD.
Kurapa
Kune huwandu hwehutano hwakanaka hunowanika PTSD. Kutsvaga kurapwa kweBPD, yakadai sa dialectical behavior therapy (DBT) inogonawo kubatsira kuderedza zviratidzo zvePTSD uye kutarisa zviratidzo zveBPD.
Unyanzvi hwakawanda hunodzidziswa muDBT (somuenzaniso, mutemo wekunzwa, unoshanda muhukama huri pakati pevanhu) hunogona kutarisa mamwe matambudziko anoonekwa pakati pevanhu vane PTSD. Pakupedzisira, pane humwe hutano hwakanaka huripo huripo hweBPD pamwe chete hunogona kubatsira nematambudziko ose maviri.
Pasi Pasi
BPD nePTSD zvakabatana nenzira dzakawanda, asi zvakaoma kuparadzanisa kana imwe yemamiriro ezvinhu inotarisana kune imwe kana kana imwe yehukama uye zviratidzo inotanga ne causation inowanikwa kare muupenyu huno sehutano hwekusangana pabonde.
Achiona kuti migumisiro pamusoro pezvizhinji zvezviratidzo izvi inokurudzirwa ne-co-diagnosis, inogona kuoneka yakakosha kune avo vanotambura nekubatanidzwa kwemamiriro ekutsvaka rubatsiro.
Sources:
Cackowski, S., Neubauer, T., naN. Kleindienst. The Impact of Posttraumatic Stress Disorder pa Symptomatology ye Borderline Personality Disorder. Borderline Manality Disorder and Emotion Dysregulation . 2016. 3: 7.
Frias, A., uye C. Palma. Kusagadzikana Pakati Pokudengenyeka Kwepfungwa Dambudziko uye Borderline Personality Disorder: Kuongorora. Psychopathology . 2015. 48 (1): 1-10.
Scheiderer, E., Wood, P., naT. Trull. Kuparadzisa Kwemamiriro Evanhu Vakagadzikana Nehutano Kushungurudzika uye Posttraumatic Dambudziko reDambudziko: Kuongororazve Kuwanda uye Masangano muGeneral Population Sample. Borderline Manality Disorder and Emotion Dysregulation . 2015. 2:11.