Ukuqonda i-DSM-IV ne-DSM-5 Inkcazo yokuchonga
Inkqubo yokuxilonga eyayisetyenziselwa ukuxilonga ukuphazamiseka komngcipheko wobuntu (BPD) kunye nezinye izifo zobuntu usebenzisa ii-axis ngoku ziphelile. I-BPD kunye nezinye izifo zobuntu zafunyaniswa njengeengxaki ze-Axis II kwi-Diagnostic yokugqibela ne-Statistical Manual of Disabilities, yesine edition (DSM-IV). Le mijelo ayisasetyenziswanga kwikhompyutha yangoku ye-DSM.
Ukuxilongwa kwe-BPD kwi-DSM-IV njenge-Axis II Disorder
Umngcipheko wobuntu bomda we-Borderline (BPD) kunye nezinye izifo zobuntu zihlolwe ngokusetyenziswa kwe-guidebook esemthethweni yokuxilongwa kweengxaki zengqondo, i- Diagnostic and Statistical Manual of Disabilities Disorders (okwangoku kwincwadi yesihlanu, i-DSM-5).
I-DSM yokugqibela, i-DSM-IV-TR, isetyenzisiwe "inkqubo yokuxilonga" ye-"multiple-axial". Oku kuthetha ukuba xa kugqitywa ukuxilongwa, ingqalelo yahlawulwa kwiindawo ezinhlanu ezahlukeneyo, okanye iinqununu, ezinokuchaphazela umntu ofunyaniswayo.
I-Axis ndaye ndafumana ukuxilongwa kweengxaki zekliniki, iimeko apho abantu becinga ukucinga xa becinga ngeengxaki zengqondo. Ngokomzekelo, ingxaki enkulu yokudandatheka okanye ingxaki yokuxinwa kwengxaki emva kokudandatheka yayiya kufunyaniswa kwi-Axis I.
I-Axis II yayigcinelwe iimeko ezide zenkxaso yekliniki, njengezifo zobuntu kunye nokulibala kwengqondo.
Ezi ngxaki zihlala iminyaka, zikhona ngaphambi kokuba zikhulile kwaye zinempembelelo enkulu ekusebenzeni.
Isizathu Sokubeka Ubuthathaka Bomntu kwi-Axis II
Kwiingcamango, ukuphazamiseka komuntu kwaxhaswa kwiAxis II kuba le ndlela yayiyindlela yokuqinisekisa ukuba abazange bahoywa.
Ukuba umntu uneengxaki ezininzi zeklinikhi kwi-Axis I, ukubhalwa kweengxaki zobuntu kwi-Axis II kwandinceda ukuba loo mingxaki ibonakale.
Esinye isizathu sokuba iingcali zanquma ukubeka iingxaki zobuntu kwiAxis II kwi-DSM-IV zibhekiselele kwiinkqubo zezi ngxaki. Nangona iziphazamiso ze-Axis I zihlala zi-episodic, nto leyo ithetha ukuba iphinda ibuye-kwakhona, ingabuya kwakhona, ukuphazamiseka komntu kuthathwa njengento engapheliyo, ithetha ukuba iyenzeka ngaphezu kweminyaka.
Ukuxilongwa kwe-BPD kwi-DSM-5
I-DSM-5 yatshitshisile inkqubo ye-axis, ibeka yonke into kwi-axis enye ukuze yenza lula ukuyifumanisa. Nangona kunjalo, ukuvavanya, ukuvavanya nokuphathwa kweengxaki zomntu kuyafana ngokufanayo kwi-DSM-IV, kubandakanywa neempawu ezifunekayo ukuba zikhona ukuze kuhlolwe i-BPD.
Iimpawu zoMntu oPhezulu lweMida
Impawu ezibonakalayo ze-BPD kukungazinzi ngokomzwelo kunye nokunyuka kwemizwa rhoqo . Ukufumanisa ukuba unesifo sengqondo semida, kufuneka ube ncinane ubuncinane kwezi zilandelayo:
- Izinyathelo ezikhethileyo kunye nokuziphatha okungabangela ukuziphatha okubi, njengokungcakaza, ukuthenga iintengiso okanye ukubandakanya ngesondo esingakhuselekanga kunye namaqabane amaninzi.
- Iimvakalelo ezinamandla, ezitshintshileyo kunye nemizwa engapheli kwiiyure ezimbalwa ukuya kwiintsuku ezimbalwa.
- Umzekelo wokuxhatshazwa nobudlelwane obuzinzileyo kunye nabahlobo kunye nosapho.
- Ndiziva ndihlala ndibuhlungu kwaye / okanye ndingafumanekanga
- Iingxaki zobushushu, kubandakanywa nobunzima bokulawula umsindo, umsindo ongeke ulungele imeko kunye / okanye ukuthukuthela
- Ingcinga ephosakeleyo neyikhuselekileyo yona eyimpembelelo yonke into ebomini bakho, ngokubambisana kunye neenjongo zokujonga imivo kunye neengcamango.
- Ukuziphatha kakubi kunye / okanye ukuziphatha okubi, njengento yokusika.
- Iingcamango zeparanoid okanye iimvakalelo zokungafani, njengokungathi awunayo inxalenye yobomi bakho okanye ungaphandle komzimba wakho.
- Ukwesaba okungenangqiqo kokushiywa kwezinto ezibangelwa yimvakalelo enamandla kunye nokugqithisa ukuqinisekisa ukuba awushiywa.
Imithombo:
Umbutho wezeMpilo waseMerika. I-Diagnostic and Statistical Manual yeengxaki zeengqondo DSM-IV-TR Inkwenkwe yesine . Umbutho wezeMpilo waseMerika: 2000.
UWesten D, uShedler J. Ukuhlaziya kunye nokuvavanya iAxis II, inxalenye yesi-II: Ngokubhekiselele kwisigaba esichaphazelekayo esisemgangathweni kunye nesekliniki yokukhathazeka komntu. I-American Journal ye-Psychiatry , 156 (2): 273-285, 1999.
"Ukuphazamiseka komntu." Umbutho we-Psychiatric Association (2013).
I-Trestman, i-RL "iDSM-5 kunye neengxaki zoBuntu: Uphi iAxis II eya kuyo?" Umbhalo we-American Academy of Psychiatry noMthetho, 42 (2), 2014.
"Umngcipheko woMntu weMida." Ukusebenzisana kaZwelonke kwiMpilo yengqondo (2016).
"Umngcipheko woMntu weMida." ISiko leSizwe seMpilo yengqondo.