Uphawu olunzulu olusoloko lubangela ukuziphatha okubi
Intukuthelo enkulu, engafanelekanga ingenye yeempawu eziphazamisayo zomngcipheko wobuntu bomda (BPD) . Enyanisweni, kunzima kangangokuthi ngokuqhelekileyo kuthiwa "ngumsindo ogqithiseleyo."
Nangona kunjalo, nangona umsindo ubaluleke kakhulu kwi-BPD, kuncinci kakhulu kuyaziwa ukuba kutheni abantu abaneBPD bafumana umsindo ohlukileyo kunabanye abantu okanye ukuba la mava ahluke njani.
Uphando olutsha, nangona kunjalo, lucacisa ukukhanya kwimiqathango yokufutheka komda.
Isiseko sobushushu bomsindo
Umsindo ongasemgangathweni ungaphezulu nje kokusabela komoya. KwiNcwadana yokuHlola kunye neSatistim of Disabilities of the Mind, Uhlobo lwesihlanu, umsindo ku-BPD uchazwa ngokuba "engalunganga, umsindo obunzima okanye ubunzima bokulawula umsindo."
Isizathu somsindo kwi-BPD kuthiwa "asifanelekanga," kukuba umgangatho wengqumbo ubonakala ukhulu ngakumbi kunokuba kuqinisekiswe yimeko okanye isiganeko esabangela. Umzekelo, umntu onokwenza i-BPD unokusabela kwisiganeko esinokubonakala sibancinci okanye singabalulekanga komnye umntu, njengokungaqondakali, kunye nemvakalelo enomsindo kakhulu nangobonakalo obunempilo obunomsindo, njengokumemeza, ukuhlambalaza okanye ukunyanzelisa .
Uphando olumngcipheko weBorderline
Nangona umsindo ongqambileyo uye waba ngumxholo wengxoxo kunye nokucatshulwa phakathi kweengcali zeBPD, ngoku nje kube yintloko yophando olucokisekileyo.
Iingcali ngoku zihlolisisa indlela umsindo ongqambileyo ohluke ngayo kunomsindo oqhelekileyo nokuba kutheni kwenzeka.
Ngokugqithiseleyo, abaphandi bazama ukuqonda ukuba ngaba abantu abane-BPD bavutha kalula, banokuba nempendulo enamandla kakhulu, okanye banokuba nempendulo engapheliyo yomsindo kunabantu abangenaye i-BPD (nokuba ingaba kukho ukuhlanganiswa kwezi zinto).
Olunye uphando luhlolisise umsindo kubantu abano-BPD xa kuthelekiswa nabantu abangenayo i-BPD, ngokuphendula ibali elivelisa umsindo. Olu pho nonongo lufumene ukuba abantu abaneBPD babika inqanaba elifanayo lomsindo njengoko kulawulo oluphilileyo (ekuphenduleni ibali). Kodwa, ulawulo oluphilileyo luchaze ukuba umsindo wabo wehla ngokukhawuleza emva kwexesha kunokuba abantu abane-BPD babike ingxelo.
Ngoko kungenjalo ukuba abantu abane-BPD banomdla ogqithiseleyo, kodwa ukuba umsindo wabo unokude ixesha elide kunabanye abantu abanamava.
Ngaphezu koko, olunye uphando lubonisa ukuba umsindo ku-BPD unokubangela ukuhlanjululwa (xa umntu ecinga ngokuphindaphindiweyo malunga namava akhe amsindo). Uku kucinga okuphindaphinda kubangela umjikelezo onobuhlungu obuthathaka umsindo womntu kwaye ukwandisa ixesha (njengoko kuxhaswe ngolu hlobo lukhankanywe ngasentla). Ekugqibeleni, umsindo ohlala ixesha elide kunye novuthayo ubangela ukuziphatha okubi, into eyenziwa ngumntu ekunciphiseni ubushushu
Uphando kulo mbandela luyintloko, kwaye kuninzi umsebenzi ofunekayo ukuqonda ngokucacileyo ukuba kutheni abantu kunye ne-BPD bafumana ulaka olungapheliyo.
Unyango lweNkqutyana yoMsindo
Kukho uninzi lwezonyango ezingasetyenziselwa ukuphatha ingxaki yomntu ongenamdaka, kubandakanywa uphawu oluvuthayo lwengqumbo.
Psychotherapy
Uninzi lweengqondo ze-BPD zijolise kwiimpendulo ezinzima zengqungquthela apho abantu abane-BPD ingxelo bebonisa. Ngokomzekelo, kwipilisi yokuziphatha ngokwezentetho (DBT) , izigulane zifundiswa izakhono zokubanceda ukuba ziphathe kakuhle umsindo wazo kwaye zinciphise ukuthukuthela komsindo. Ezinye iintlobo ze-Psychotherapy kwi-BPD, kubandakanywa unyango olujoliswe kwi-schema, unyango olujoliswe kwi-transfusion , kunye nophando olusisekelwe ngengqondo, ujolise umsindo.
Mayeza
Nangona kungekho mishanguzo ye-BPD okwangoku i-FDA ivunyelwe ukunyanga ingxaki, kukho ezinye eziye zaboniswa ukunciphisa umsindo kwi-BPD. Nangona kunjalo, le mishanguzo ye-BPD ingcono kakhulu xa isetyenziswa ngokubambisana ne-psychotherapy.
Oku kungenxa yokuba nangona iyeza liyakwazi ukuguqula ubungqumbo bomsindo, azikwazi ukukhusela okanye ukucima umsindo womntu xa uxinzelelo lobomi okanye imeko enzima.
ILizwi
Ukuba wena okanye othandekayo unenkinga ngomsindo ongqamliyo, nceda ufune unonophelo kwiphrogram okanye enye ingcali yezempilo yengqondo. Wena (okanye umthandayo) unokufumana ukulawula kulo mqondiso obandezelekileyo kwaye uzive ungcono.
Kwinqaku lokugqibela, kubalulekile ukukhumbula ukuba umsindo ngokwawo uyimvakalelo evamile, ngoko ukuvalelwa ngomsindo akuthethi ukuba unayo i-BPD. Khumbula, umntu onenkathazo yomntu ongenamkhawulo ufumana amaxesha amaninzi, okugqithiseleyo kunye nokungalunganga komsindo odla ngokukhokelela ekuziphatheni okuphazamisayo njengempi yokulwa.
Sekunjalo, ukuba unobunzima bokulawula umsindo, ukufikelela kwiingcali zempilo yengqondo yinto efanelekileyo.
> Imithombo:
Umbutho wezeMpilo waseMerika. I-Diagnostic and Statistical Manual yeNgxaki yokuphazamiseka kwengqondo yesi-5. 2013
UJacob GA et al. Ixesha lexesha lomsindo kunye nezinye iimvakalelo kubasetyhini abaneengxaki zomntu ongenamkhawulo: isifundo sokuqala. J Behav Ther Exp Psychiatry. 2008 Sep; 39 (3): 391-402.
UMartino F. Intukuthelo kunye neentlungu ezixinzelelekileyo njengengqiqo yeziphatho ezidityanisiweyo kwimiba yabantu. I-Psychol Psychother. 2017 Oktobha 11.