Zvirwere Zvemapfungwa Zvinowanzopararira
Borderline person disorder (BPD) inowanzobatanidzwa nezvimwe zvinetso zvemunhu. Chimwe chezvinhu zvinowanzosavhiringidza avo vane BPD vanewo ruzivo rwehutano hwehutano hwehutano.
Chii Chinonzi Munhu Akazvimirira Anonetseka?
DPD ihu hunhu hwehutano hunoonekwa nehuwandu hwakawanda uye hunonyanya kukosha hunofanira kutarisirwa. MuKutsvaga uye Statistical Manual yeMental Disorders -5th edition , bhuku rinoshandiswa nevashandi vehutano hwepfungwa kuti vasarudze maitiro ekuongorora, DPD inorondedzerwa seCluster C, musumbu wakagadzirwa nekutya uye kutyisa kunetseka.
Zvimwe zvinetso zvinowanikwa muCluster C zvinodzivisa uye zvinokanganisa-zvinokonzera kusawirirana kweunhu; vose vatatu vanoratidza hukuru hwekuzvidya mwoyo.
Vanhu vane hutano hwakanaka vanowanzove vakanyanyisa uye vane matambudziko kuita mabasa kana kuita zvisarudzo pasina rubatsiro rwevamwe. Vanotsigira kune vamwe kuti vasangane nemafungiro avo emanzwiro uye epanyama. Vanowanzofunga kuti havana kukwana uye havagoni kushanda uye vanogona kuva nezvinetso muhukama hwavo nekuda kwekuda kwavo nguva refu-kubatsirwa. Vanhu vane DPD havanyanyi kuvimba kana kuti kuvimba. Izvi zvinogona kuita kuti vanyatsovimbana nemumwe wavo kunyange panyaya yekubatwa zvisina kunaka.
Zviratidzo zvinozivikanwa zvinosanganisira:
- Kutya kuva oga
- Kudzivisa kutora matanho kana kuita basa
- Kutsigira kutsoropodza
- Kusava nemafungiro
Kunyange zvazvo chikonzero chaicho chisingazivikanwi, kuzvidzora kwehutano hwehutano hunozviratidza huri muhuduku uye hunovhiringidza varume nevakadzi zvakaenzana.
Kuzvidzivirira Manhu Kutambudzika neBorderline Personality Disorder
Kusiyana neavo vane DPD, vanhu vane BPD vanewo hasha, kushushikana , uye utsinye. Vanogona kuva vasina hanya uye vanogona kuzvibatanidza nekuzvikuvadza uye kuona nyika sechitsvuku uye yakachena, isina nzvimbo yepakati. Matambudziko maviri anowanzotarisana nemanzwiro okusurukirwa, kudzivisa mutoro uye kuoma kusachengetedza ukama.
The Frequency of Co-Occurring DPD uye BPD
Kunyange zvazvo zvidzidzo zvekubatana-siyana, iyo inozivikanwawo sekuti comorbidity , yehutano hwemunhu hahukwanisiki, vamwe vatsvakurudzi vakaongorora kuwirirana pakati pevanhu vanovimbika uye vakagadzikana. Chimwe chidzidzo chakawana kuti kupfuura makumi mashanu kubva muzana yevarwere vane BPD vanosanganawo nemitemo yeDPD.
Kuwanda kwezvivhiringidzi izvi kunogona kuva nekuti zvimwe zvezvinhu zveDPD zvakanyatsofanana nezvinoitwa neBPD. Semuenzaniso, vanhu vane BPD vane ruzivo rwekuramba kukanganisa - vane chido chekunzwa zvakanyanya kunyange kunyange zvishoma zvakaratidzwa kurambwa. Vanhu vane DPD vanogona kuita zvakafanana nekutsoropodza kana kuonekwa kuti vakasiyiwa nevadiwa.
Kubatsira Anoda DPD uye Co-Occurring BPD
Kutsvakurudza kwakaratidza kuti zvose zvinotarisirwa uye zvinokonzerwa nehutano hwemunhu zvinorapwa. Kuburikidza nekubatanidzwa kwerapi uye mishonga, zviratidzo zvechirwere chimwe nechimwe zvinogona kutarisirwa, zvichigonesa munhu akabatwa kuti ararame hupenyu hwakakwana. Kuti zvive zvakakosha, kurapwa kuchada kuratidzira matambudziko maviri panguva imwechete kuitira kuti uwane hupenyu hunogara huripo.
Semuenzaniso, Dialectical Behavior Therapy (DBT), Schema-Focused Therapy , uye Transference-Focused Therapy vose vane zvirongwa zvekurapa zvinotarisana nezvinetso zvehukama.
Izvi zvinogona kunge zvakakodzera kusarudzwa kwemumwe munhu ane BPD uye DPD.
Mune zvimwe zviitiko, zvekugara kana kunze kwemashumiro angave akadikanwa. Aya masangano ekurapa achava nehutano hwakadzidziswa hunoti hunoita kuti utsungirire dambudziko racho rinogona kugadziriswa.
Sources:
American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Disorders-5th edition, 2013.
Zanarini MC, Frankenburg FR, Dubo ED, Sickel AE, Trikha A, Levin A, Reynolds V. Axis II kuwirirana kwepakati pehutano hwehutano hwevanhu. Comprehensive Psychiatry , 39 (5): 296-302, 1998.