Abaninzi bayazibuza ukuba i-term borderline ichaza njani ukuchaza ukuphazamiseka kwemida yomda . Makhe sifunde kabanzi malunga nemvelaphi yeli gama, kwaye kutheni ukusetyenziswa kwalo kuxoxwa ngamanye iingcali namhlanje.
Imbali ye "Borderline" kwiNgcaciso yoMntu woLuntu
Igama elithi "umngcele" lwenziwa kuqala eMelika e-United States ngowe-1938. Kwakuyigama elisetyenziswe ngabadala beengqondo ekuchazeni abantu ababecingelwa ukuba "emngceleni" phakathi kokuxilongwa, ingakumbi yengqondo kunye neurosisisti.
Ngelo xesha, abantu abane-neurosis babekholelwa ukuba bayonyango, kanti abantu abaneengqondo babonwa bengenakugula.
Emva koko, ngowe-1970, ukuqonda okujulileyo kwimiba yokuziphatha komda we-borderline yaqala ukuvela. Abantu abane-BPD bachazwa njengabavakalelwa kakhulu, abanesidingo, abanzima, besengozini yokuzibulala , kwaye babe nenqanaba elipheleleyo lokusebenza.
Kungekudala, impawu zeempawu zaqala ukuvelisa ukuchaza abo abaneengxaki zomntu. Ezi ziquka:
- Ukutshintsha ngokukhawuleza kwixesha lokuzithemba ukuphelelwa yithemba
- Ukuzimelela
- Ukuguquka kwemizwelo ngokukhawuleza
- Uloyiko lokushiya
- Isimo esinamandla sokuzilimaza kunye nokuzibulala
Ngo-1980, i-BPD yaba yintlupheko yobuntu kwi-Diagnostic and Statistical Manual of Disabilities III okanye iDSM-III.
Umngcipheko woMntu woMda weMida namhlanje
Namhlanje ude luyaziwa ngeBPD. Igama elithi "neurosis" alisetyenziswanga kwinkqubo yethu yokuxilonga, kwaye i-BPD ayisayi kucingwa ngokuba yintlupheko yengqondo.
Ngoku i-BPD ibonwa njengengxaki eyenziwa ngamava amaninzi kunye nokungazinzi kwezobudlelwane kunye nokuziphatha okuqala ekuqaleni kwabantu abadala kwaye kubonakalisa kwiimeko ezininzi (umzekelo, ekhaya, nasemsebenzini).
Ukongezelela, iingcali ziye zaqaphela ukuba kukho inxalenye ebalulekileyo yokuvelisa i-BPD-ithetha ukuba inokusebenza kwiintsapho.
Ngokutsho kwe-DSM-5, ukuze kufumaneke i-BPD, umntu kufuneka ahlangabezane nale miqathango:
- Unokukhubazeka kwesozisi (umqondo wokuzimela) okanye ukuzimela (umzekelo, iinjongo zobomi).
- Unobungozi ekusebenzisaneni ngokubambisana kunye novelwano (ongenakukwazi ukuqonda iimvakalelo zabanye) okanye ukuthandana (ubudlelwane obunzulu, obuzinzileyo kunye obuphikisanayo).
Ukongeza, umntu kufuneka abe nale miba yobuntu:
- Ukuphazamiseka okubi: okubonakala ngokutshintshwa kwemihla ngemihla, ukuxhala, ukwesaba ukugatywa, ukuziva uhla rhoqo, kunye nokuzibulala nokuziphatha
- Ukuxhatshazwa kwezinto: ezibonakaliswe ukungathandabuzeki kunye nokuthatha ingozi (umzekelo, ukuchitha imali, isondo)
- I-antagonism: ibonakaliswa yintlanzi (umzekelo, umsindo wempendulo ngento encinci)
Ingxabano eqhubekayo
Ixesha elimisiweyo liyaqhubeka lixutyushwa ngabanye abantu. Iingcali ezininzi ngoku zibiza ukuba i-BPD ibizwe kwakhona ngokuba zikholelwa ukuba igama elithi "umda wexesha" lidlulileyo. Abanye bakholelwa ukuba i-BPD ayifanele ihlelwe njengengxaki yomntu, kodwa kunokuba ibe yintlupheko yesimo sengqondo , okanye i-disorder disorder.
Iziphakamiso zamagama amatsha zibandakanya:
- Umoya weDysregulation Disorder
- Ukungaxakeki komntu
- Impulse Spectrum Disorder
- Inkxalabo yokuPhathwa kweNgxaki yokuThuthuka kwengqondo
Lithetha ntoni oku kum ukuba ndiba ne-BPD?
Kubalulekile ukuba ungayi kulubopha kwixesha elithi "umngcele." Eli xesha lidala kwaye lingatshintshwa kwixesha elizayo. Kunoko, gxila ekusebenzeni nodokotela wakho okanye ugqirha ekufumaneni unyango olufanelekileyo ukuze ufumane impilo.
> Imithombo:
> I-American Psychiatric Association. (2013). Incwadana yokuxilonga kunye neenkcukacha zeengxaki zeengqondo (5th ed.). Arlington, VA: Ukushicilela kwe-Psychiatric yaseMerika.
> Bernstein DP et al. Iingcamango zeengxaki zeengxaki zobuntu malunga ne-DSM-IV yobunzima bokuhlengahlengiswa komntu. J Pers Disord. 2007 Oct; 21 (5): 536-51.
> Umngcipheko woMntu woLuntu oPhezulu: Uphulo noLawulo. I-NICE Izikhokelo zeeNkcazo, uNombolo 78. Isiko sokuBambisana sikaZwelonke seMpilo yengqondo (UK). Leicester (UK): Umbutho wezeNgqondo weBritish Psychological Society; 2009.
> Gunderson JG. Umngcipheko woBuntu woMdawulo: I-Ontogeny ye-Diagnosis. IJ Psychiatry . 2009 ngoMeyi; 166 (5): 530-39.