Ndiani "Ed" Zvakadaro?
Kunze kwekusawirirana kwekudya inzira yekurapa inowanikwa mubhuku rinonzi Life Without Ed , naJenni Schaefer naT Thom Rutledge. Mumuviri wake, iyo inopfupikiswa mubhuku, Jenni Schaefer akafananidzira dambudziko rekudya se "Ed," mukomana anotambudza. Sezvo Jenni anotsanangura pa webhusaiti yake, "Nokufunga nezvekudya kwake chirwere sehumwe humwe hwakasiyana hwakasiyana naye, [iye] akakwanisa kuputsa Ed kamwechete zvachose." Mubhuku iye naTim (mushandi wake) vanotsanangura zvidzidzo zvakasiyana-siyana zvaakashandisa, kusanganisira kutaurirana kumashure ekudya chirwere nekugadzira "chirevo chekurambana." MuChikoro Chekudya Zvokudya (AED) tweetchat (2014) pamusoro pehurukuro, Jenni Schaefer akanyora kuti, "Ed anogona kutaura chero zvaaida.
Kuti ndive kubudirira, ndaifanira kuita chisarudzo chokusawirirana uye kusamuteerera. "
Iro chirongwa chairo, chinonzi "kubuda kunze" chirwere chekudya, chinobva mukurapa kunorondedzera. Imwe nyanzvi yekurapa inoratidzira ndeyekuti munhu haasi dambudziko - pane kudaro, dambudziko ndiro dambudziko . Munhu wacho ari muukama nechinetso. Kuburikidza nekunze kwekunze, dambudziko rinotaridzirwa sechimwe chinhu chiri kukanganisa munhu panzvimbo yekuve chikamu chemunhu.
Mhuri yekurapa (FBT), humwe uchapupu-hwakagadziriswa kwevechiri kuyaruka kurwara kwekudya, hunokwereta nzira yekuderedza chirwere chekudya kubva munharaunda inorapwa. Mune FBT, vanachiremba vanoita basa rokuparadzanisa mwana wechidiki kubva mukurwara kwekudya. Mukutaurirana nemhuri, vanoshandisa chirevo chekufananidzira mufananidzo wekunze kwakapinda mudiki uye vakapamba pfungwa dzavo. Zvakajairika kupa zita kune chirwere chakadai se "monster" kana kuti "Voldemort" uye kukurudzira vabereki kubatana kuti vabatsire vana vavo vari kuyaruka kurwisa dambudziko rekudya.
Kune varwere vakawanda uye nhengo dzemhuri, kubuda kunze kwechirwere ichi chinonzwisisika nokuti munhu anoonekwa se "munhu akasiyana" pasi pesimba rekushaya chirwere. Kunze kwekunze kunojekesa mamiriro acho ezvinhu: pane kutaura kuti murwere anoda kuvhara kudya kwavo, tinotaura kuti dambudziko rekudya ibasa rinosvibisa rinoita kuti vaite izvi.
Kunyange zvazvo kunze kwekunze kwave kwakakurumbira, kutsvakurudza hakugoni kupindura zvakananga kana iri nzira inobatsira. Isu tine uchapupu pamusoro pekushanda kweFBT, iyo iyo kunze kwechikamu chinhu chinokosha, asi FBT inosanganisira zvinhu zvakawanda zvokuti vose vatinoziva FBT vangashanda pasina iyo. Tichada kuburitsa zvidzidzo (zvidzidzo zvinotarisa mumwe nomumwe chikamu chekuzadzwa kwakakwana) kusarudza mupiro wekunze kunze kwehuwandu hwehutano hwekuita; ichi ndicho chikwata chekutanga chekutsvakurudza.
Mikana inobatsira yekuderedza chirwere chekudya:
- Inopa mhizha yakajeka uye iri nyore, "Kudya kwekudya kune iwe / iwe mwana wako."
- Zvinogona kubatsira mukuparadzanisa varwere kubva kuzviratidzo izvo zviri egosyntonic (zvinoreva kusavhiringidza kwavari).
- Iyo inogona kubatsira kubatanidza murwere kurwisana neshure rekushaya chirwere nekuona ichi sechaparadzaniswa uye chiri kure kune ivo pachavo.
- Inogona kubatsira mhuri nevanotarisira kutungamirira kutsamwa kwavo kune chirwere chekudya uye, semugumisiro, kuchengetedza tsitsi kune anotambura.
- Inogona kuisa munhu wose muboka rimwechete kurwisana muvengi akafanana (chinetso chekudya).
- Inogona kubatsira murwere kuti azvidavirire nokuda kwekuzvidzivirira kwake nekudzidza kusabvumirana uye kusateerera Ed.
Zvimwe zvinokonzera kukanganisa chirwere chekudya:
- Dzimwe nyanzvi dzinonetseka kuti:
- Kupa dambudziko rekudya iro pachako rinopa hutano hwekudya simba rakawandisa.
- Zvinogona kubvumira murwere kupa mhosva kudya kwekudya uye kusatora mutoro wekuwana kwavo.
- Externalization inogona kusimbisa kufunga nemaonero uye kusabatsirika kune chikamu chemurwere.
- Izvi zvinogona kuratidzika sezvakanakira "wezvokwadi" uye unosunungura murwere wezvose zvinotarisirwa.
- Varwere vanogona:
- Hazvifariri pfungwa yekuparadzanisa dambudziko rekudya sezvazvinonzwa sechikamu chavo.
- Tsvaga nzira iyi isingaregi kana kusavhiringidza zvezviitiko zvavo.
- Ita hasha apo nhengo dzemhuri dzavo dzinopedza dambudziko rekudya.
- Sezvo zvizhinji zvezviitiko zvevarwere vane zvinetso zvekudya zviripo unhu hunhu hwuri mukati uye hwomene hunovhiringidza, kune dambudziko rekunyadzisa murwere
- Vamwe vanhu vanoona kunze kwemashoko - izvo zvinongova chirevo chete - zvakare (nokuda kwekushaiwa kweshoko rakanaka) "cutesy" uye vanobviswa semugumisiro.
Saka iwe unofanira kuzviita here?
Vanachiremba uye vemhuri dzinoda kushandiswa kunze kunobatsira kuburikidza nekufungidzira zvingangove zvipingamupinyi uye zvikomborero zvekushandisa sarudzo iyi. Kana iwe uri munhu mukudzoka uye chirevo ichi chinonzwisisika kwauri, unogona kudzidza zvakawanda pamusoro pegadziriro nekuverenga Upenyu Husina Ed . Kana iwe uri nhengo yemhuri yemunhu yekudzoka uye / kana mubereki ari kuita FBT, zvinogona kubatsirawo kufunga izvi sechirongwa chekutaura pamusoro pekudya chirwere nemudiwa wako. Upenyu husina Ed uyewo kuverenga zvakanaka kuvabereki uye kunyange vamwe vechidiki mukudzoka. Chiito chekushandisa ichi chinogona kuwanikwawo pano .
Kana uri kutsigira munhu mukurarama uye iye kana asingadi kutaura pamusoro pekudya kwekudya sekune simba rekunze, iwe unogona kuchigadzirira kushandisa iwe pachako kunzwisisa kana uchideredza kutaura pamusoro pazvo pamberi pewakada.
Saizvozvowo asi dzimwe nzira dzekuwedzera kunze dzinosanganisira zvinotevera. Iwe unogona kuteerera murwere uye kushandisa mazwi avo kureva chirwere chekudya. Imwe nzira inoshandiswa nekudya chirwere chepfungwa chirwere Carolyn Costin, MA, MED, MFT ndeyekufunga nezvechiremba seine zvinhu zviviri zvehuga, "hutano hwakanaka" uye "chirwere chekudya iwe pachako." Chimwe chisarudzo chinokonzerwa nekusawirirana kwekudya Muongorori Kelly Vitousek, PHD ndeyekusiya chirevo ichi uye kutsanangura maitiro aya kumurwere sezviratidzo zvekushaya nzara . Zvose zvezvimwe izvi zvinogona kujekesawo murwere kuti ambivalence yake yekudzoka.
Pakupedzisira, zvakakosha kusimbisa izvi, zvisinei nokuti nzira yekudya kwekudya yakagadziriswa sei, kuchinja kwehutano kunokosha kuti uwane. Zvakawanda zvezviratidzo uye njodzi dzedambudziko rekudya zvinogona kuwirirana nekuderera kwezvokudya uye zviratidzo izvi zvinowanzovandudzwa nekudya kwakakodzera uye kuisa tsika yekudya mafambiro . Kurapa kwechiremba kunowanzokurudzirwa kuti utarisire kupora kubva pane chirwere chekudya.
References:
Academy for Eating Disorders Tweetchat Summary (2014)
National Eating Disorders Association Google hangout (February 18, 2014)
Ramey, Heather H., Tarulli, Donato, Fritters, Jan C., naFis, Lianne (2009). Kuongororwa Kuenzanisira kweKuratidza Kunze kweArrative Therapy Nevana. Contemporary Family Therapy .
Schaefer, J. & Rutledge, T. (2004). Upenyu Husina Ed: Mukadzi Mumwe Akazivisa Kuzvimiririra kubva paEating Eating Disorder uye Zvaunogona Kuita.
Vitousek, Kelly (2005). Basa Rokuparidzira: Kupa varwere kubva ku "Anorexic Self": Kutarisa kunze uye nzira dzakabatana, Seventh International Conference pamusoro pekudya kweEast London, April 6, 2005