Nhanganyaya kuDMM Personality Disorders

Kwete zvakawanda kuchinja mu DSM-5

Kushushikana kwehutano kune mamiriro ekurwara kwepfungwa anotanga muhucheche kana kuti akwegura, pfuurira mberi kwemakore mazhinji, uye kukonzera kushungurudzika kukuru. Kushushikana kwehutano hwevanhu kunowanzovhiringidza nekukwanisa kwako kunakidzwa noupenyu kana kuzadzikisa kuzadzika muhukama, basa kana chikoro.

Bhuku Rekuongorora uye Statistical of Mental Disorders (DSM-5) rinorondedzera kukanganiswa kwemunhu gumi, kusanganisira borderline personality disorder (BPD).

Kuziva

Iyo DSM-IV-TR yakashandisa "multi-axial" chirwere chekuongorora. Izvi zvinoreva kuti kana kuongororwa kwakagadzirwa uchishandisa DSM-IV, kucherechedza kwakabhadharwa kunzvimbo shanu dzakasiyana, kana zvikwangwani, zvinogona kunge zvakakanganisa munhu ari kuonekwa.

Kushushikana kwehupenyu kwakaonekwa kune Axis II ye-multi-axial system. Izvi zvinosungirirwa kwenguva yakareba-mamiriro ezvinhu emakiriniki anokosha. Kuora kwepfungwa ndiyo imwe chete mamiriro ezvinhu akawanikwa paAxis II.

Mu DSM-5. iyo shanduro yazvino ichangobva kuitika, hapana majeko.

Clusters

Unhu hwehutano hwevanhu huri kurongwa kuva "masumbu" matatu muDMM-IV-TR uye DSM-5. Izvo zvinetso mune rimwe nerimwe masumbu akagovera zvikamu zvakakosha kana kuti zvinopindirana maererano nemamiriro evanhu vanoonekwa kuti vari mukati memusumbu iwoyo.

'Cluster A'

I "Cluster A" hutano hwehutano hunoonekwa nenzira isingafungidziki kana yekunamata. Vanhu vane hutano hwehupenyu mumusumbu uyu vanowanzosangana nekuvhiringidzika kukuru muhukama nokuti mufambiro wavo unogona kuonekwa sechinhu chakanaka, chikavhiringidza kana chakavharwa.

I "Cluster A" zvinetso zvemunhu zvinosanganisira:

• Schizotypal Personality Disorder
• Paranoid Personality Disorder
• Schizoid Personality Disorder

'Cluster B'

I "Cluster B" hutano hwemunhu hunoratidzwa nenzira inoshamisa kana inoshamisa. Vanhu vane hutano hwemunhu mumusumbu uyu vanowanzosangana nekunetseka kwemanzwiro kana kuti kuita zvekunyanyisa, zvinyorwa, zvepabonde kana maitiro ekuputsa mutemo.

I "Cluster B" hutano hweunhu hunosanganisira:

• Borderline Personality Disorder
• Histrionic Personality Disorder
• Unhu hwehukama hwehutano
• Narcissistic Personality Disorder

'Cluster C'

I "Cluster C" hutano hwemunhu hunoratidzwa nekuzvidya mwoyo. Vanhu vane hutano hwemunhu mumusumbu uyu vanowanzova nekunyanya kunetseka uye / kana kutya.

I "Cluster C" matambudziko emunhu anosanganisira:

• Kudzivirirwa Kwevanhu Kunetseka
• Obsessive-Compulsive Personality Disorder
• Kudzivisa Unhu Hwekuvhiringidzika

Kurapa

Kuenzaniswa nezvinetso zvepfungwa, kune tsvakurudzo shoma shoma pamusoro pekurapwa kwehutano hweunhu. Zvizhinji zvekutsvakurudza izvo zviripo zvinotarisa mukurapa kweBPD. Pamusoro peBPD, pane marapirwo akawanda anoonekwa sekubudirira mukuderedza zviratidzo, kusanganisira psychotherapy uye kusarudzwa kwemishonga.

Nenzira yakawanda, nyanzvi dzakawanda dzinofunga kuti kusagadzikana kwehupenyu kwakaoma kurapa nokuti ivo, nekutaura, mararamiro akareba emunhu. Izvozvo zvakati, uyu mubvunzo usina kumboiswa kune zvizhinji zvekutsvakurudza kwakanyatsonaka. Kutsvakurudza kwakawanda kunodiwa kuti uongorore kubudirira kwehutano hwehutano hwemunhu.

Zvisinei, kutsvakurudza kwemazuva ano kwakaratidza kuti muganhu wehutachiona hwehutano hwakaoma kurapa kupfuura zvaimbofunga uye kuti vanhu vakawanda vanovandudza nekuenderera mberi kwehutano.

Comorbidity

Pane huwandu hwakawanda huri pakati pehutano hwehutano, hunoreva kuti munhu anogadzirisa zvirwere zvehutano hwehumwe hutano hunowanzosanganawo nemiganhu yeimwe kana zvimwe zvinowedzera zvinetso zvemunhu. Imwe yongororo yapfuura yakabhadharwa neNational Institute of Mental Health yakawana kuti vanenge 85 muzana yevanhu vane BPD vanosanganawo nehutano hwekuongorora humwe humwe humwe huno kana hutano hwepfungwa.

_Sources:

_{American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Disorders DSM-IV-TR Yechechina . American Psychiatric Association: 2000.}

_{BF, Chou SP, Goldstein RB, et al. "Kuwanda, Correlates, Kuremara, uye Kurasikirwa kweDMM-IV Borderline Personality Disorder: Mhinduro kubva kuWave 2 National Epidemiologic Survey pamusoro Pezvinodhaka Nezvimwe Zvimwe Zvimwe," Journal of Clinical Psychiatry , 69 (4): 533-545, 2008.}

_{"Unhu Hwakashata Hwendefa." American Psychiatric Association (2013).}

_{"Kukanganisa Kwemunhu." Mayo Clinic (2014).}

_{"Borderline Personality Disorder." National Institute of Mental Health (2016).}