Yimiphi imiphumo yokuba neengxaki zomntu ongapheliyo (BPD) kunye ne- post-traumatic stress syndrome (PTSD) ? Yintoni ekufuneka ithetha ngayo ngokuphathelele unyango?
I-PTSD kunye ne-BPD Co-Occurence
I-PTSD kunye neengxaki zomntu ongenamkhawulo (BPD) zifunyenwe ukuba zenzeke ngokufanayo . Enyanisweni, kufunyenwe ukuba phakathi naphakathi kwama-25 kunye nama-60 ekhulwini ekhulwini labantu abane-BPD nabo bane-PTSD-izinga eliphakamileyo kakhulu kunezinto ezibonakala kubantu bonke .
Ngokufanayo, uphando oluthile lwabalindi bezilwanyana kunye ne-PTSD enxulumene nokulwa nokufuna unyango lwafumanisa ukuba iipesenti ezingama-76 zazo ziye zaxilongwa nge-BPD.
Akungabonakali ukuba kubone ukuba ukuphazamiseka komntu ongenamkhawulo kunye nesifo soxinzelelo lwangemva kokubandezeleka ngokuqhelekileyo kubonakala kunye xa sibona izizathu kunye neempawu. Iimeko ezinokubangela i-BPD nazo zihlala zibeka ingozi kwi-PTSD. Ngokomzekelo, ukuxhaphazwa ngokwesini ngoxhatshazo lwezesondo luyinto ebalulekileyo kwiBPD kunye ne-PTSD.
Ukongezelela, iimpawu ze-BPD zingenza umntu abe mngciphekweni wokuba usemgangathweni onokubangela i-PTSD. Akunjalo kuphela i-BPD; I-PTSD idibene neengxaki ezahlukeneyo zobuntu.
Iimpawu
Izifundo ezininzi ziye zajonga iziphumo zomzimba nezengqondo zokuba ne-PTSD kunye ne-BPD. Kuye kwafunyanwa ngokuqhelekileyo ukuba abantu abanezifo ezixhamlayo bafumana ubunzima obungokwengqondo nangokwenyama, kubandakanya, umzekelo:
- Uxinzelelo jikelele jikelele
- Ezinye izifo zengqondo
- Ukuxinezeleka
- Ukuxhalabisa
- Izimpawu eziqathayo
- Impilo ebuhlungu kakhulu
- Impulsivity
- Iingcamango zokuzibulala
- Ezinye izibhedlele
- Iingxaki zobushushu
- Dissociation
- Iingxaki zentsebenziswano
Njengoko kuphawuliwe ngasentla, kukho imiphumo emininzi yokuhlangabezana kunye ne-PTSD kunye ne-BPD kunye, kodwa abaphandi baye bajonga ingcinci kulabo abane-BPD yedwa kunye nalabo abane-BPD eyinkimbinkimbi yi-PTSD.
I-PTSD ikhuphula abanye, kodwa ngokuqinisekileyo ayinayo yonke impawu yeBPD. Iimpawu ezigqithisileyo kakhulu ngokufakelwa kwe-PTSD ziquka ukuchaphazeleka kwe-dysregulation, intrusions, dissociation, iinzame zokuzibulala, kunye nokuzilalisa. Kule ndawo, ukuhlukana kungahle kube nxalenye ehambelana nentsholongwane yobundlobongela bezesondo njengobungozi obunobungozi kwezo zombini iingxaki.
I-BPD Diagnosis
I-BPD iyingxenye yeqela leengxaki zengqondo ezibhekiselwe kuzo njengengxaki yobuntu nge- 4 edition ye-Diagnostic and Statistical Manual of Disabilities (DSM-IV). Ngokutsho kwe-DSM-IV, ukuphazamiseka komntu kubonisa umzekelo omdala wokuziphatha, iingcinga kunye neemvakalelo ezivame ukuqala ebusheni okanye ekudala. I-BPD yenziwe ngampawu ezilandelayo:
- Imizamo engapheliyo kunye nemigudu ekhuselekileyo yokuphepha ukushiya ngokwenene okanye ukucingelwa ngabanye
- Umzekelo wothando oluzinzileyo, oluqinileyo, nolunqabileyo apho umntu angashenxisa ngokuphindaphindiweyo phakathi kokulungelelanisa nokuhlaziya iqabane lawo
- Iingxaki malunga nobunikazi, ukuzimela okanye ukuqonda ukuba ngubani owenene ngokwenene
- Ukunyamekela ngeendlela ezinengxaki okanye ezilimazayo (umzekelo, ukubandakanya ukusetyenziswa kweziyobisi, ukuziphatha kakubi ngokwesondo, ukuqhuba ngokungahambi kakuhle, ukutya ukutya, njl njl)
- Izenzo zokuzibulala okanye izinto ezisongelayo , okanye ukuzilimaza ngamabomu .
- Ukuguquka kwemizwa rhoqo kwaye
- Imvakalelo engapheliyo
- Amava amaninzi omsindo kunye / okanye ubunzima bokulawula umsindo
- Iparanoia okanye ukuhlukana okuza kwaye kuhamba ngenxa yokufumana uxinzelelo
Ukufumana ukuxilongwa kwe-BPD, kufuneka ubonise okungenani 5 kwezi zimpawu. Kakade, njengokuba kukho konke ukuphazamiseka kwengqondo, ingcali yezempilo yengqondo kuphela inokubonelela nge-BPD.
Unyango
Kukho uninzi lwezonyango ezisebenzayo ezifumanekayo kwi-PTSD. Ukufuna unyango lwe-BPD, njengoluphiko lwe- dialectical behavior (DBT) lunokunceda kwakhona ukunciphisa iimpawu ze-PTSD kunye nokujongana neempawu ze-BPD.
Uninzi lwezakhono ezifundiswa kwi-DBT (umzekelo, umgaqo-mmoya, osebenzayo kwiintsebenziswano ezingalinganiyo) unokujongana nezinye iingxaki ezibonwe kubantu abane-PTSD. Ekugqibeleni, kukho ezinye izibonelelo ezinokuzibonela ezifumanekayo kwi-BPD kunye nokuba lunokunceda kwiintlungu zombini.
Okukwintsusa
I-BPD kunye ne-PTSD zidibeneyo ngeendlela ezininzi, kodwa kunzima ukuhlukanisa ukuba enye yeemeko ibeka phambili kwenye okanye ukuba ezinye zezilwanyana kunye neempawu zivela kwiimeko eziqhelekileyo ngaphambili ebomini ezifana nokusetyenziswa kakubi ngokwesini.
Ekubeni ukuba imiphumo ngokuphathelele ezininzi zeempawu ziyakhuliswa ngoxilongo, kuya kubonakala kubaluleke ngakumbi kulabo baxhamlayo kwiinkalo zokufuna uncedo.
Imithombo:
Cackowski, S., Neubauer, T., kunye no-N. Kleindienst. Impembelelo ye-Posttraumatic Distress Disorder kwi-Symptomatology ye-Borderline Personality Disorder. Umngcipheko woMntu woMntu oMdaka kunye noMoya wokuDabulisa . 2016. 3: 7.
Frias, A., noCalma. Ukuxhatshazwa phakathi koxinzelelo lwengqondo emva koxinzelelo kunye ne-Borderline Personality Disorder: Ukuhlaziywa. Psychopathology . 2015. 48 (1): 1-10.
Scheiderer, E., Wood, P., kunye noT. Trull. Ukuxhatshazwa koMntu oMngcipheko woMntu kunye neTratraaticatic Stress Disorder: Ukuhlaziywa kokuBaluleka kunye neMibutho kwiSample General Population. Umngcipheko woMntu woMntu oMdaka kunye noMoya wokuDabulisa . 2015. 2:11.