Zviratidzo, Co-Occurrence uye Treatment
Kudengenyeka kwepfungwa kunetseka (PTSD) uye muganhu wehutano hwehutano (BPD) hunowanzoitika pamwechete. Zvave zvichiwanikwa kuti vanhu vakawanda vane PTSD vanoratidzawo BPD, uyewo, kuongororwa kwePTSD kwakajairika pakati pevanhu vane BPD.
Chii Chinonzi Borderline Personality Disorder?
Borderline hutano hwehutano hwave huchinyanya kutariswa mune zvenhau pamusoro pemakore uye yakaratidzwa mumavhidhiyo akaita seMusikana Akapindurwa.
BPD chikamu chekirasi inokosha yehutano hwepfungwa iyo inotumidzwa sehutano hwehutano neKutsvaga uye Statistical Manual yeMental Disorders , yechishanu edition (DSM-5). Maererano neDSM-5, kushungurudzwa kwehutano kunomiririra maitiro akareba ekuzvibata, zvinetso uye manzwiro anowanzotanga muhucheche kana kuti akwegura.
Zviratidzo zveBPD
Borderline person's disorder 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 kana kuti chimiro chisina kugadzikana kana chimiro chekuti ndiani chaizvoizvo.
- Kuva nemwoyo murefu mune nzira dzakaoma kana dzinokuvadza, somuenzaniso, kushandisa zvinhu zvinoshandiswa, kushandisa zvepabonde, kutyaira kusina maturo kana kudya binge.
- Kuzvidzivirira kuzviuraya kana kutyisidzira kana kuzviita nemaune kuzvikuvadza .
- 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 zvinenge zvishanu zvezviratidzo izvi. Zvechokwadi, sekune zvinetso zvose zvepfungwa, mupfungwa chete wehutano hwepfungwa anogona kupa kuongororwa kweBPD.
The Co-Occurrence yeBPD uye PTSD
Chimwe chidzidzo chevarwi vehondo nehondo yePTSD yakarwisana kutsvaga kurapwa yakawana kuti 76% yevowo vakanga vaongororwa neBPD. Saizvozvowo, imwe ongororo yakawana kuti vanenge 56% yevanhu vane BPD vanewo chirwere chePTSD. Zvidzidzo zvakasiyana zvakasiyana-siyana muhuwandu hwevanhu vane marwadzo maviri, zvisinei, saka zviyero zvakajeka hazvizivikanwi, asi zvakajeka kuti kuwirirana pakati pezvirwere zviviri.
Nemhaka yei matambudziko maviri aya akabatanidzwa? BPD nePTSD zvose zvakawanikwa zvichibva kune zvakaitika kune zviitiko zvinotyisa . Mifungo, manzwiro uye maitiro anowanikwa muBPD kazhinji zvinowanzoguma nemigumisiro yehuduku. Izvo zvinetso zvehuduku zvinogonawo kuisa munhu pangozi yekukura PTSD. Kutaura zvazviri, vanhu vane BPD nePTSD vanoratidzira ruzivo rwakaitika kare rwekutambudzika sezvo vachienzaniswa nevanhu vane PTSD chete.
Maitiro ekufungidzira uye ukama hwakasimba hunoonekwa pakati pevanhu vane BPD inogonawo kuisa munhu pangozi yakakura yekuwana chiitiko chinotambudza chakaita sengozi yemotokari, kurwisa kana kurwisa zvepabonde .
Pakupedzisira, zviratidzo zvePTSD neBPD zvinowanikwawo. Somuenzaniso, vanhu vane PTSD vangave vane matambudziko ekugadzirisa manzwiro avo.
Nokudaro, vanogona kuva nemanzwiro akaoma uye vanogara vachifunga . Vanokwanisawo kutarisana nezvinetso nekutsamwa. Vanhu vane PTSD, zvikuru avo avo vakarasikirwa nemunhu wavanoda, vanogona kutanga kutya kutya.
Kurapa kweBPD
Kune zvipatara zviviri zvakatsigirwa zvakasimba zveBPD: Dr. Marsha Linehan's dialectical behavior therapy (DBT) uye Drs. Anthony Bateman naPeter Fonagy's-based-based treatment (MBT). Zvidzidzo zvisati zvaongorora kana mushonga uyu unoshandawo mukuderedza zviratidzo zvePTSD; zvisinei, huzhinji hwehutano hwakadzidziswa munezvirapa izvi, sekuraira kwekunzwa, kuziva mupfungwa uye hukama hune hukama hwakanaka, hunogona kutarisa zvimwe zvezvinetso zvakaonekwa pakati pevanhu vane PTSD zvakare.
Dzidza zvakawanda pamusoro peBPD uye kurapa kwayo, kusanganisira iyo mishonga inorondedzerwa pano, kuThe National Education Alliance yeBorderline Personality Disorder uye The Borderline Personality Disorder Center Centre.
Sources:
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Bateman, A., & Fonagy, P. (2001). Kuchengetedzwa kwemiganhu yebhandi yehutano nehutano hwepfungwa nehutano hwehutachiona hwekuchengetedza hutachiona hwekuchengetedza: Kune mwedzi gumi nemasere ekutevera. American Journal of Psychiatry, 158 , 36-42.
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