Udliwano-ndlebe lweeNtsholongwane kunye neNtsholongwane yokuThengisa iNtsholongwane
Udliwano-ndlebe lusetyenziso lwezonyango olunceda oogqirha, iingqondo zeengqondo kunye nabaphandi benza i-diagnostic echanekileyo yezifo ezahlukeneyo zengqondo, njengengxaki yokunyanzelisa i- OCD. Kukho iintlobo ezimbini eziqhelekileyo: Iintetho zengxoxo zeclini kunye nodliwano-ndlebe lwamaxilongo.
Udliwano-ndlebe lwezonyango
I-standard standard yegolide ye-interview interviews yeklinikhi yintlanganiso edibeneyo yeClinial Interviews ye-DSM-5, eyaziwayo njenge-SCID.
Ingumzekelo wesikhokelo sodliwano-ndlebe oluhleliweyo olulawulwa yesazi sengqondo okanye enye ingcali yengqondo yengqondo eyayazi inkcazo yokuxilongwa kweemeko zempilo yengqondo.
Injongo yeNgxowa-ngxowa-nkonzo yeCandelo leNtsholongwane
Udliwano-ndlebe olulungisiweyo lwee-intanethi lunokusetyenziswa kweentlobo ezahlukeneyo, kubandakanya ukuhlola izigulane ukwenzela ukuba kwenziwe ukuxilongwa ngokusekelwe kwiNcwadana yokuHlola kunye neSatistim of Disorders Health , u-5 Edition (DSM-5); ukuphanda ukufundisisa amaqela athile abantu abaneempawu ezifanayo; izilingo zekliniki; okanye kubafundi abaya kwintsimi yempilo yengqondo ukuze baqhelanise ukuze babe ngabacebisi abangcono. I-SCID inokukunceda ukunquma ukuba unesifo esinye. Ziqukethe imibuzo eqinisekisiwe ukuqinisekisa ukuba isigulane ngasinye sixoxwa ngumbono ngendlela efanayo.
Ekubeni imininzi yemibuzo malunga neendlela zokuxilonga zizithoba (ngokuthelekisela, umzekelo, kwinani ekuhlolweni kwegazi olungasetyenziswa ukuxilonga ingxaki yomzimba), isikhokelo esifanelekileyo solu kunceda ekuqinisekiseni ukuba ukhangele abantu kunye neempawu ezifanayo.
Ngamanye amazwi, kunceda ukwenza ukuxilongwa ngokuthe ngqo kwinjongo engakumbi.
Iintlobo zeeMbuzo kwiNgxowa-ngxoxo yeCliniki eCwangcisiweyo
Imibuzo kwi-SCID iqela ngokubuza malunga nosapho lwakho kunye nembali yezokwelapha kwizigulane zakho kunye nezikhalazo zangoku, kunye nobunjani, ubunzima, kunye nobude beempawu ozibonayo.
Imibuzo ifumanekile ngokucacileyo kwaye ingqalileyo, kodwa akuyiyo yonke imibuzo eya kufuna iimpendulo kuba i-SCID ihlanganisa uluhlu olubanzi lwezifo, eninzi enoba awunayo.
I-SCID ingathatha naphi na imizuzu engama-15 ukuya kwiiyure eziliqela ukugqiba, kuxhomekeka ngobunzima kunye neentlobo zempawu zakho.
Imibuzo enokuthi ibuzwe ngexesha ludliwano-ndlebe oluhlelekile olubhekiselele kwi-OCD lubandakanya:
- Ziziphi iinkcukacha ezizodwa zokunyusa kwakho kunye nokunyanzeliswa ?
- Kuze kube nini uye waba nale mizila kunye nokunyanzeliswa?
- Ezi zintsipho kunye nokunyanzeliswa kukuchaphazele njani ubomi bakho?
- Ngaba iimpawu zakho zaqala emva kwesifo esitsha okanye ukuthatha isixhobo esitsha?
- Ngaba ubugula ngokwenyama ngaphambi kokuba uqale ukuvalelwa kunye / okanye ukunyanzeliswa?
- Ngaba usebenzise iziyobisi ngaphambi kokuba uqalise ukuthotywa kunye / okanye ukunyanzeliswa?
- Uneminyaka emingakanani xa le mpawu zaqala?
Udliwano-ndlebe lweengcali
Enye indlela efanelekileyo yokuvavanya kunye / okanye ukuxilonga isifo sengqondo kukusebenzisa udliwano-ndlebe lwe-clinic interview (CDI). Ii-CDI ziyahlukileyo kuba zibandakanya intetho, okanye ingxelo, phakathi kweengcali zempilo yengqondo kunye nesigulane endaweni yoluhlu lwemibuzo echanekileyo njenge-SCID. Olu dliwano-ndlebe lithatha malunga neeyure ezimbini neyesigidi kunye neengcali zempilo yengqondo xa wenza udliwano-ndlebe unokuthi uthathe amanqaku njengoko uthethayo.
Uluhlu lokuhlola kwakhona lunokusetyenziswa kunye ne-CDI ukuncedisa udliwano-ndlebe ukuba enze i-diagnostic.
Iintlobo zeeMbuzo kwiNgxowa-ndlebe yeCliniki Diagnostic Interview
Imibuzo kwi-CDI ininzi kwaye ikushiye igumbi linika iinkcukacha. Imizekelo yemibuzo yile:
- Ubuntwaneni bakho bunjani?
- Ulwalamano lwakho kunye nonyoko / utata / abantakwabo bafana njani?
- Yintoni efana nesikolo?
- Luhlobo luni lobuhlobo obunalo njengomntwana?
- Ubuhlobo bakho obuthandana bube bunjani?
- Nguwuphi umsebenzi wakho kwaye wenze ixesha elingakanani?
Ngaba Uhlobo Olunye Lweengxoxo Zonyango Eyona Mfuneko Kulo Mnye?
Uvavanyo olutshanje lubonise ukuba zombini iindlela zokudliwano-ndlebe zisebenza ngokufanelekileyo kwaye zisebenziseka.
Yiyiphi indlela ugqirha esebenzisayo kuya kuxhomekeka kwimilinganiselo yabo yentlangano kunye / okanye ukhetho lwazo.
Ngaphantsi kweNtsholongwane yeeNtsholongwane
Kungakhathaliseki ukuba yeyiphi indlela yovandlakanyo oluye lincoma ukuba ugqirha ukukhathazeka ngokunyanisekileyo okanye enye imeko yempilo yengqondo, kubaluleke kakhulu ukuba indlela echanekileyo yokuxilongwa njengolu hlobo isetyenziswa.
Kaninzi, ukuxilongwa kwezempilo yengqondo kwenziwa ngaphandle kokuncediswa kwezi zixhobo. Ngolwazi olukhoyo kwi-intanethi, abantu baqhubeka bezihlola ngokwabo izimo zempilo yengqondo. Kwaye kunqongophala kwabanikezeli bempilo yengqondo (kunye neengxaki kwixesha kunye neentlawulo ezibekwa ngabahlawuli bentengiso ye-3td), ngezinye izihlandlo ngamanyathelo ahlengahlengiswa kakuhle.
Ngokuqwalasela impembelelo enkulu i-OCD kunye nezinye iingxaki zempilo yengqondo ezinokubakho ebomini bomntu, kubalulekile ukuba aba dliwano-ndlebe bokuqala abanokuxilongwa. Ukwenza ukuxilongwa ngokuchanekileyo kunceda ekunqumeni uhlobo lwezonyango kunye nezokwelapha ezifumene ziphumelele kwizifundo zeklinikhi zokufumana ukuxilongwa. Kwakhona kubaluleke kakhulu ukuqhuba olu dliwano-ndlebe ukuba ufumane isiseko esimalini malunga nokuba imeko iphazamise njani ubomi bakho. Inkqubela phambili kwimpilo yengqondo ngamanye amaxesha ingancinci kwaye idla ngokuphindaphindiweyo amanyathelo amathathu ahamba phambili kunye namanqanaba amabini emva. Ukuqonda kakuhle oko ubenokujamelana nayo ngexesha ofunyenwe ngayo unokuncedisa ugqirha wakho ukuba ubone ukuba isicwangciso sakho sonyango sonyango sisebenza, okanye ukuba kukho indlela eyahlukileyo.
Imithombo:
Drill, R., Nakash, O., DeFife, J., noD. Westen. Uvavanyo loLwazi lweKliniki: Ukuthelekiswa kweNgcaciso yeCandelo leNgxowa-ngxoxo eCwangcisiweyo (i-SCID) kunye noNxibelelwano lweNtsholongwane yeCliniki. Umbhalo Weengxaki Neentliziyo Neengqondo . 2015. 203 (6): 459-62.
Rapp, A., Bergman, L., Piacentini, J., noJ. McGuire. Uvavanyo olusekelwe kwiNkcazo ye-Obsessive-Compulsive Disorder. I-Journal ye-Central Nervous System System . 2016. 8: 13-29.