Chirongwa chechimiro-focal for borderline personality disorder (BPD) rudzi rwechirwere chepfungwa chinotarisa pakuziva uye kuchinja nzira dzisina kunaka dzekufunga. Chirwere ichi chinosanganisira zvimwe zvikamu izvo zvetsika dzenharaunda dzenjere-behavioral therapy (CBT) asiwo dzinosanganisira zvimwe zvinhu zveimwe mhando dzehutano hwepfungwa.
Vana Vechido Nezvokudya Zvisina Kuita
Nheyo inofungidzirwa nezvechirongwa-inofungidzirwa yehutano inofungidzira kuti apo isu hwedu hwemucheche hunodiwa (zvakadai sekudikanwa kwekuchengetedzwa, kugamuchirwa, uye rudo) zvinosangana zvisina kukodzera, tinokudziridza nzira dzisina kunaka dzekududzira nekubatana nenyika, iyo inonzi maladaptive early schemas.
Schemas maitiro akapararira uye akapararira ekufunga uye mufambiro. Izvi hazvisi kungotenda chete; zvirma zvakanyatsorongeka maitiro akabatana zvikuru nemanzwiro edu uye maonero enyika.
Schema theory inotsanangura kuti zvirongwa zvinokonzerwa kana zviitiko zvinenge zvichiitika muupenyu hwedu hwemazuva ano zvakafanana naizvo kubva kune zvakaitika kare zvakange zvine chokuita nekuumbwa kwechirongwa. Kana takaita zvirongwa zvisina kunaka nekuda kwezviitiko zvakaoma muhuduku hwedu, tichazoshanda nenzira dzisina kunaka dzekufunga uye kuzvibata mukugadzirisa mamiriro ezvinhu matsva aya.
Schema theory inotsanangura kuti dzakawanda zvezviratidzo zveBPD zvinokonzerwa nezvakaoma zvakaoma zvehutano (zvakadai sokusavhiringidzwa kana kuparadzaniswa kwepakutanga kubva kune vakatarisira), izvo zvinoita kuti pave nekugadzirisa maradaptive kutanga zvirongwa.
Zvinangwa
Zvinangwa zvekutanga zvechirongwa-chirongwa chakakonzerwa ne-boundline person disorder ndechokuziva zvirongwa zvevarwere zvakakodzera uye kubatanidza zvirongwa izvi kune zviitiko zvekare uye zviratidzo zvemazuva ano.
Kuteerera basa iri rekutanga, mushonga uye murwere anoshandira nzira dzekugadzirisa manzwiro akaenzana nezvirongwa uye kuchinja mararamiro asina kukodzera ekugadzirisa ayo anokonzerwa ne maladaptive schemas (zvirongwa zvisingabatsiri zvingave zvichikonzera zviratidzo muBPD). Semuenzaniso, muongorori uye mutengi anogona kuita maitiro ekutsvaga kutsamwa, kuputsa zvisina kunaka mararamiro ekuzvibata, nekuchinja nzira dzisingabatsiri dzekufunga.
Research Research
Nepo apo kusati kwave kuve nekutsvakurudzwa kwakawanda pamusoro pehutachiona hunongororwa, imwe yekuongorora yakave yakabudiswa kusvika nhasi iyo inoratidza kuti varwere vanongororwa kuti vagamuchire chirongwa chema-schema chakakosha zvikuru kuderedza muganhu hwemunhu zvirwere zvirwere kupfuura avo vakagamuchira kugamuchira chirwere chepfungwa. Kunyange zvazvo ichi chiri uchapupu hwekutanga hwekubudirira kwerama-focusing therapy, inoratidza kuti kurapa uku kunoratidza kuvimbiswa mukurapa BPD.
Mukuwedzera, kuongororwa kweongororo dzakawanda dzekutsvakurudza panyaya dzepfungwa dzemuganhu weruzhinji rwehutano hwevanhu dzakagumisa zvakare kuti chirongwa chinonzi schema-chinotarisa chinoratidzika zvinobudirira, asi vanyori vakatiwo zvimwe tsvakurudzo dzinodiwa.
Sources:
Giesen-Bloo J et al. Outpatient Psychotherapy yeBorderline Personality Disorder: Randomized Trial Schema-Focused Therapy vs Transfer-Focused Psychotherapy. Archives of General Psychiatry , 63: 649-658, 2006.
Vagadziri JM et al. Psychological therapies kuvanhu vane borderline person disorder. Nhamba yeChrane yeChrane yeUkuongorora kwakarongeka. 2012 Aug 15; 8: CD005652.
Young JE. Kugadziriswa kweCognitive for Personality Disorders: A Schema-Focused Approach , Sarasota, FL, US: Professional Resource Press / Professional Resource Exchange; 1999.