I-PTSD kunye neNgcaciso yoMntu weMida

Iimpawu, u-Co-Occurrence kunye noTyango

I-post-traumatic disorder disorder (PTSD) kunye nomngcipheko womntu ongenamkhawulo (BPD) ngokuqhelekileyo kuqhutyana ndawonye. Kufunyenwe ukuba abantu abaninzi abane-PTSD babonisa kwakhona i-BPD, kwaye ngokuchaseneyo, ukuxilongwa kwe-PTSD kuqhelekileyo phakathi kwabantu abane-BPD.

Yintoni Eyona Ngxaki Yomntu?

Umngcipheko wobuntu borderline ufumene ingqalelo ngakumbi kwiimidiya kwiminyaka kwaye ibonakaliswe kumabhayisikobho afana neNtombazana ephazamisekile.

I-BPD inxalenye yeklasi ekhethekileyo yokukhathazeka kwengqondo ebizwa ngokuba yimpikiswano yobuntu yiNcwadana yokuHlola kunye neSatistim of Disabilities of the Mind , edition 5 (DSM-5). Ngokutsho kwe-DSM-5, ukuphazamiseka komntu kubonisa umzekelo omdala wokuziphatha, iingcamango neemvakalelo ezivame ukuqala ebusheni okanye ekudala.

Iimpawu zeBPD

Umngcipheko wobuntu bomda wenziwe ngolu hlobo lulandelayo:

  1. Imizamo engapheliyo kunye nemigudu ekhuselekileyo yokuphepha ukushiya ngokwenene okanye ukucingelwa ngabanye.
  2. Umzekelo wothando oluzinzileyo, oluqinileyo, nolunqabileyo apho umntu angashenxisa ngokuphindaphindiweyo phakathi kokulungelelanisa nokuhlaziya iqabane lawo.
  3. Iingxaki kunye nobunikazi okanye umfanekiso ozinzileyo okanye ukuqonda ukuba ngubani ngokwenene.
  4. Ukunyamekela ngeendlela ezinengxaki okanye ezilimazayo, umzekelo, ukusebenzisana nokusetyenziswa kweziyobisi, ukuziphatha kakubi ngokwesondo, ukuqhuba ngokungahambi kakuhle okanye ukutya ngokutya.
  5. Ukuziphindaphinda izenzo okanye ukutshatyalaliswa okanye ukuzibandakanya ngokuzilimaza ngokuzikhethela .
  1. Ukuguquka kwemizwa rhoqo kwaye
  2. Imvakalelo engapheliyo.
  3. Amava amaninzi omsindo kunye / okanye ubunzima bokulawula umsindo.
  4. Iparanoia okanye ukuhlukana okuza kwaye kuhamba ngenxa yokufumana uxinzelelo.

Ukufumana ukuxilongwa kwe-BPD, kufuneka ubonise okungenani ezintlanu zezi zimpawu. Kakade, njengokuba kukho konke ukuphazamiseka kwengqondo, ingcali yezempilo yengqondo kuphela inokubonelela nge-BPD.

I-Occ-Occurrence ye-BPD kunye ne-PTSD

Uphando olulodwa lwabalindi bezilwanyana kunye ne -PTSD echaphazelekayo yokulwa nokufumana unyango lwafumanisa ukuba i-76% yazo ikwaxilongwa yi-BPD. Ngokufanayo, olunye uphando lubone ukuba malunga nama-56% abantu abaneBPD banokuxilongwa kwe-PTSD. Izifundo ezahlukeneyo ziye zahluka ngokubanzi kwipesenti zabantu abaneengxaki zombini, nangona kunjalo, ngoko manani ayaziwa, kodwa kukho ngokucacileyo ukungafani phakathi kwezi zifo zimbini.

Kutheni le miba mibili idibeneyo? I-BPD kunye ne-PTSD zifunyenwe zivela kwiimeko ezibuhlungu . Iingcamango, iimvakalelo kunye neziphathamandla ezibonwayo kwi-BPD zidla ngokuba yimiphumo yengxaki yobuntwana. Ezi ngxaki zengane nazo zingafaka umntu engozini yokuphuhlisa i-PTSD. Enyanisweni, abantu abane-BPD kunye ne-PTSD babika ingxelo yangaphambili yentlekele xa kuthelekiswa nabantu abanePTSD nje.

Ukuziphatha okungazenzisiyo kunye nobudlelwane obungakhawulekanga obonakele phakathi kwabantu abane-BPD banokubeka umntu engozini enkulu yokufumana isiganeko esibuhlungu esinjengengozi yemoto, ukuhlaselwa ngokomzimba okanye ukuhlaselwa ngokwesondo .

Ekugqibeleni, iimpawu zePTSD kunye ne-BPD nazo ziyaqhubeka. Ngokomzekelo, abantu abane-PTSD banokuba nobunzima bokulawula iimvakalelo zabo.

Ngoko ke, banokuvakalelwa kakhulu kwaye bahlale bexhala . Basenokuba neengxaki zomsindo. Abantu abane-PTSD, ngakumbi abo balahlekelwa ngumthandayo, banokuqala ukwesaba ukulahlwa.

Unyango lweBPD

Kukho unyango olwenziweyo oluxhaswa kakuhle lwe-BPD: Udokotela kaDean Linehan unyango lwezobuchwephesha (DBT) kunye noDkt. U-Anthony Bateman noPeter Fonagy unyango olusisiseko-based (MBT). Uphando alukaze luhlolisise nokuba ezi zonyango ziphumelele ekunciphiseni iimpawu ze-PTSD; Nangona kunjalo, uninzi lwezakhono ezifundiswe kule zonyango, njengemimiselo yomzwelo, ukuqonda ngokomzwelo kunye nolwalamano olusebenzayo, kungabhekisana nezinye iingxaki ezibonwa ngabantu abane-PTSD.

Funda kabanzi malunga ne-BPD kunye nonyango lwayo, kuquka ezo zonyango ezidweliswe apha, kwi-National Education Alliance ye-Borderline Personality Disorder kunye ne-Borderline Personality Disorder Centre Centre.

Imithombo:

Umbutho wezeMpilo waseMelika (1994). Incwadana yokuxilonga kunye neenkcukacha zeengxaki zengqondo, 4th ed . Washington, DC: Umbhali.

Bateman, A., & Fonagy, P. (2001). Ukunyangwa kweengxaki zomntu ongenamkhawulo kunye nokulaliswa kwezibhedlele ezihamba ngokukhawuleza kwengqondo: Iinyanga ezi-18 zokulandelelana. I-American Journal ye-Psychiatry, 158 , 36-42.

Gunderson, JG, & Sabo, AN (1993). Ingqamaniso yezinto ezibonakalayo kunye neengcamango phakathi kweengxaki zomntu ongenanto kunye ne-PTSD. I-American Journal ye-Psychiatry, 150 , 19-27.

UHeffernan, K., & Cloitre, M. (2000). Uthelekiso lwesifo sengqondo esisemva kwe-posttraumatic kunye nokungenawo umda wobunzima bomda phakathi kwabantu besetyhini abaneembali zokuxhaphazwa ngokwesini: I-Journal ye-Nervous and Mental Disease, 188 , 589-595.

Linehan, MM (1993). Ukunyangwa kwengqondo yokuziphatha komngcipheko wobuntu bomda . ENew York, NY: Guilford Press.

ISouthwick, SM, Yehuda, R., & Giller, E. (1993). Ukuphazamiseka komntu ekufuneni unyango lwaseVietnam kulwa namaqhawe aseburhulumenteni abaneengxaki zokuxinzelela emva kokudandatheka. I-American Journal ye-Psychiatry, 150 , 1020-1023.

Wagner, AW, & Linehan, MM (2006). Izicelo zoLwazi lweZenzo zoKhuseleko kwi-posttraumatic disorder disorder kunye neengxaki ezinxulumene nazo. Kwi-VM Follette & JI Ruzek (i-Ed.), Iindlela zokhathazeka kwengqondo yokuziphatha, ukushicilelwa kwe-2 (iphe 117-145). ENew York, NY: Guilford Press.

Zanarini, MC, Frankenburg, FR, Dubo, ED, Sickel, AE, Trikha, A., Levin, A., & Reynolds, V. (1998). I-Axis Ndiyinto engathandabuzekiyo yintlupheko yomntu. I-American Journal ye-Psychiatry, 155 , 1733-1739.

I-Scheiderer, i-EM, i-Wood, i-PK, ne-Trull, i-TJ "Ukuxhatshazwa komngcipheko womntu ongenamkhawulo kunye nesifo sengqondo esisemva kwe-posttraumatic: ukuphindaphinda ukuxhaphaka kunye nemibutho kwisampula yabemi jikelele.