Ukubuyela kwakhona kuyenzeka kwaye badikibala xa besenza. Nangona kunjalo, asithethi ukuba awuphumelelanga okanye ukuba awuyi kuphinda uhlaziywe ngokupheleleyo. Ezi zibuyiselwayo ngokwenene ziyinxalenye eqhelekileyo yenkqubo yokubuyisela kwaye zinike ithuba lokufunda nokuqinisa ukubuyiswa.
Masiqale sichaze imigaqo: Ukulahleka okanye ukusalalisa kukubonakala kwesibonakaliso esincinci ngelixa ukuphindaphinda kubhekisela kukuphindaphinda kokutya okanye ukucoca.
Ngenxa yokuba ukuphazamiseka ngumcimbi owodwa akubangela ukuba kubuyiselwe kwakhona. Ukongezelela, indlela umntu asabela ngayo kwimidlalo ephosakeleyo inendima enkulu nokuba ingaba yinto ephindekayo.
Makhe sijonge kule nkcukacha: Imirhumo yokubuyela kubathengi baphathwa ngokuphumelelayo kwi- bulimia nervosa ukusuka kwi-31% ukuya ku-44% phakathi neminyaka emibili yokuqala yokubuyiselwa. Ngoko, ukuba uye wafumana ukuphindaphindiwe kwakhona, unobungqina obuhle. Olunye uphando luye lwazama ukuchonga iimpawu zomxhasi oqikelela ukuphindaphindeka (njengokukhawulwa kwekhalori, iimpawu zokukhutshwa, kunye nokuphazamiseka komzimba); Nangona kunjalo, kwimeko yam yekliniki, ndikholelwa ukuba umgca ophandle ngakumbi wophando unokujonga igalelo leziganeko zobomi ezixinzelelekileyo kwizibonakaliso ezingokwenyama nangokwengqondo (kwaye ibuye kwakhona).
Ucwaningo olwenziwa yiGrilo kunye noogxa (2012) luhlolisise ubudlelwane phakathi kweziganeko zobomi ezixinzelelekileyo kunye nokuphindaphinda kwezigulane nge-bulimia nervosa kunye nokutya kwesifo ngaphandle kokuchazwa ngenye indlela (AKA EDNOS, uluhlu olwaziwa njengoluphi uhlobo oluthile lwengxaki yokutya).
Kulo pho nonongo, abaphandi baphathe iMvavanyo yeZenzo zoBomi, isixhobo esihlola iziganeko ezingalunganga ezingama-59 kunye neziganeko ezingama-23 ezihlelwe kwiindawo ezixinzelelekileyo ezibandakanya umsebenzi, isikolo, intlalo / ubuhlobo, uthando, intsapho, impilo kunye nemali. Olu pho nonongo lufumanise ukuba iziganeko eziphambili zengcinezelo zomsebenzi, ngokukodwa uxinzelelo lomsebenzi ophezulu (umzekelo, ubunzima obunzima emsebenzini, ukucima okanye ukuxothwa) kunye nokuxinzelela kwengqondo (umzekelo, ukuphulwa okanye ukulahlekelwa ngumhlobo), kwandisa amathuba okubuyela kwakhona.
Izinto ezifanayo zifunyenwe kwezinye iifundo ezichaphazela kakubi ezinye iziphumo zempilo (umz.
Kumsebenzi wam klinikhi kunye nabaxhasi abachaphazelekayo kunye nokubuyela kwakhona, ndiyifumana kuncedo ukujonga isixhobo esifanayo, Isilinganiselo sokulinganiswa kokuhlaziywa koluntu , uluhlu lokutshekisha kweziganeko eziphilayo ezixinzelelekileyo ezingama-43. Lo mqathango ushicilelwe ngo-1967 nguHolmes noRahe. Injongo yesaziso yayikukhuphela iiteko zemvelo eziye zachongwa kwizigulane zezigulane njengoko zingaphambi kokuqala kwesifo sengqondo. Iqela lejaji elinikezelwe kwiCandelo loTshintsho loBomi (LCU) kwiziganeko. Umlinganiselo wawubandakanya iziganeko ezinjengoku: ukufa komlingane (wabelwa inani eliphezulu le-LCU le-100), ukufa kwelungu losapho (63), ukukhulelwa (40), utshintsho kwiimeko zezemali (38), kunye nomntwana ophuma ekhaya ( 29). Nangona iziganeko eziqhelekileyo zibhekwa njengezinto ezintle, ezifana nomtshato (50), zibandakanyiwe kuba nganye zidla ngokuxinwa noxinzelelo.
Xa bepapasha ireyithi, uHolmes noRahe babike ukuba iziganeko zongezelelekileyo. Ngaloo ndlela, ukuba iqabane lakho lafa kwaye lishiya ungenayo imali engenayo kwaye umntwana ushiye ekhaya ngelo xesha, umlinganiselo wakho we-LCU uza kuba ngu-100 + 40 + 29 = 169. Abaphandi bathi amaqela angaphezulu kwama-300 abeka umntu engozini yokugula.
Amanqaku angama-150 ukuya ku-299 abonisa umngcipheko othe ngqo wokugula (30% ngaphantsi kwezinga eliphezulu). Amanqaku angaphantsi kwe-150 anxulumene nomngcipheko omncane wokugula.
Imodeli yaseHolmes-Rahe igxekwa ngokuyinhloko ngenxa yokungaphumeleli kwaloo nto. Isilinganisi sithatha ukuba inkxalabo nganye ichaphazela abantu ngendlela efanayo, engekho yinyaniso; Ngokomzekelo, abanye abantu banokufumana isahlukaniso esixinzeleleke kakhulu, ngelixa abanye bengabakhupha.
Nangona kungenakuba yinto ephilileyo yengqondo, mna ndiyifumana iklinikhi ewusizo ukunceda abathengi ukuba baqonde nini kwaye kutheni kwenzeka kwakhona.
I-quantification yeziganeko zobomi kunceda abathengi ukuba babone iingcinezelo apho bangenakunceda. Ukuba ubuyaphinda uphinde ubuyeke, kulungile ukuba uhlolisise le milinganiselo, enokukwazi ukulawulwa ngokwakho, kwaye ucinge ukuba unokukwazi ukubona izixinzelelo zangoku nje ebomini bakho.
Ngokuqhelekileyo xa abathengi bafumana ukubuyela kweempawu, kulandela iziganeko zobomi kunye / okanye utshintsho olunjengokuya kwikholeji okanye ukuqala umsebenzi omtsha. Oku akumangalisiyo-ukuziphatha kakubi kwe-maladaptive ukubuyela xa umntu eziva ekhululekileyo okanye ejongene nesimo esingaziwayo kunye nezakhono ezintsha zokuphikisana okunempilo azange zibe njengongqongqo.
Ukuba ubuye uhlaziya ngokutsha kubalulekile ukuphonononga okwenzekile kwaye wenze icebo lokubuyela kumzila. Indlela oyiphendula ngayo ekuphelelweni okanye ukuphinda ubuyeke ngokwenene kubaluleke ngakumbi kunokuba ilahlekile. Ukuthetha ngokukhawuleza kunye nokukhuthaza kunokuthintela ukuphelelwa kwesinye isithuba sokuba kubuyiselwa kwakhona okanye ukuphazamisa ngokwenene ukubuyiswa kwakho.
Nazi ezinye iziphakamiso zento onokuyenza:
- Qaphela kwaye uqaphele ukuba ukuphelelwa okanye ukuphindaphinda kwenzeka
- Musa ukuzibetha; zenze uvelwano
- Sombulula ukubuyela kumzila.
- Fumana uncedo kwi-network yokuncedisa kunye / okanye nonyango.
- Zama ukufumanisa ukuba zeziphi izinto ezibangele ukulahleka / ukubuyela kwakhona kunye nendlela onokujamelana ngayo neemeko zokubangela ezifanayo kwixesha elizayo.
- Ukuchonga iziphi iindlela kunye nezicwangciso zokujamelana nazo ezikuncede ukuba uphinde uphinde uphinde usebenze (umz. Ukugqiba iirekhodi zokutya, ukucwangciswa kokutya okukhutheleyo, njl.).
- Cinga ukubuyela kwonyango mhlawumbi kwiseshoni ye-booster okanye ezimbini.
Kwiimeko ezininzi, unyango olulandelayo emva kokuphelelwa okanye ukuphinda luphinde lube lubi ngaphezu kweyonyango lokuqala, kwaye kungekudala unokubuyela emva kwindlela yokubuyisela.
> Imithombo:
> Brownell, KD, Marlatt, GA, Lichtenstein, E., Wilson, GT (1986). Ukuqonda nokukhusela ukubuyela kwakhona. I-American Psychologist, 41 , 765-782.
> Dohrenwend, BP (2006). Ukuqulunqa iziganeko ezixinzelelekileyo zobomi njengeziphumo zobungozi be-Psychopathology: KuSombululo seNgxaki yeTracategory Variability, i- Psychological Bulletin, 132, 477-495.
> Grilo, CM, Pagano, ME, Sout, RL, Markowitz, JC, Ansell, EB, Pinto, A., Zanarini, MC, Yen, S., Skodol, AE (2012). Iziganeko zobomi ezixinezelekileyo Ukuqikelela ukugula kokugula Ukubuyela emva kokuxolelwa: > Iminyaka emithandathu > IziPhumo eziPhambili. I-International Journal ye-Disorders, 45 , 185-192.
> Halmi, KA, Agras WS, Mitchell, J., Wilson, GT, Crow, S., Bryson, SW, Kraemer, H. (2002). Ukuphindaphinda Ixesha eliphambi kwezigulane kunye neBulimia Nervosa Ngubani oye wafumana ukuzikhusela ngokuCheculwa kweZenzo zokuziphatha. IiNgcaciso zeeNgcaciso zengqondo , 59 , 1105-9.
> Holmes, TH, & Rahe, RH (1967). I-Social Adjustment Rating Rating. I-Journal ye-Psychosomatic Research, 11, 213- 218.
> Marlatt, G. & Gordon, JR. (i-eds.), Ukuthintela Ukukhusela: Izisombululo zokuSondeza kwiNyango yoTywala , i-Guilford, eNew York, ngo-1985.
> Olmsted > MP, > Kaplan AS, i-Rockert W. (1994) Inani kunye nokubikezela kokubuyela kwiBulimia Nervosa. I-American Journal ye-Psychiatry. 151, 738-43.