Enye indlela ekhoyo Xa Utyholongwane oluPhephayo alusebenzi
Ingcali yakho ingacetyiswa ukuba uphonsele unyango lwezocwangciso lwezocwangciso lweengxaki zokunyanzelisa ukunyanzela (OCD) . Luhlobo luni lonyango olu kwaye luchaza njani na kwezinye iindlela zokwelapha ze-OCD?
Uphulo loKhuseleko lweZenzo zoKhuseleko lwe-Obsessive Compulsive Disorder
Ulwaphulo lwezengqondo (CBT) luhlobo lwesifo se-psychotherapy egxininisa indlela iingcamango neemvakalelo ezinokubangela ngayo ukuziphatha.
Kufunyenwe ukuba luncedo kakhulu kwixesha elifutshane kunye nexesha elide kubantu abahlala ne-OCD.
Olunye uhlobo lwe-cactical behavior treatment olubizwa ngokuba yi- off-response response remedy (ERP) ithathwa njengezinga legolide ekuphatheni i-OCD. Kanti kulabo bafumene ukuba unyango olukhuselekileyo lokuthintela impendulo alusebenzi kubo, unyango lwendlela yokuziphatha lunokukhetha.
Ziyiphi i-Dialectical Behavior Treatment?
Ulwaphulo lwe-Dialectical behavior (DBT) luhlobo lwe-cognitive therapy yokuziphatha olujolise ekukhuliseni, ukwamkelwa, ukuqinisekiswa kunye nokwakha ithemba. Kwakujoliswe okokuqala kubantu abaneengxaki zomntu ongekho emngceleni, kodwa sele bekhangelwe abantu abaneengxaki ezahlukeneyo zempilo yengqondo. Enye yeyona ntlukwano enkulu phakathi kweDBT kunye nezinye iindlela zonyango ngumgaqo wokwamkelwa. Kungakhathaliseki ukuba zakho iingcamango, azintle okanye zibi.
Imbali Yokuziphatha Ngomlando Wonyango
Ulwaphulo lwe-Dialectical behavior (DBT) lwaphuhliswa nguMarsha Linehan ngasekupheleni kwee-1970 kwiYunivesithi yaseWashington.
U-Linehan wasebenza nezigulane ezinengqondo yokuzibulala, ukuzizama ukuzibulala nokuziphatha okuzilimazayo okuqhelekileyo kuba ngumphumo wezilonda ezinzulu ukususela kakubi kwabantwana kunye / okanye ukunganakwa. Abantu abaninzi abaneziphumo bafunyaniswa ukuba baneengxaki zomntu ongekho emngceleni (BPD) , ngelixa abanye banokubandezeleka ngenxa yokugula kwengxaki (postTS) .
Ngexesha elaphuhliswa yi-DBT, unyango lwengqondo yokuziphatha (CBT) luye lwafunyanwa njengonyango olukhethiweyo kakhulu kwisifo sengqondo. U-Linehan, ke, waqonda ukuba izigulane awayezisebenzisana nazo azikwazanga ukuzuza kwi-CBT ngenxa yobume bomsebenzi kunye nokugxininiswa rhoqo kwenguqu. Ezi zi gulane zathi i-CBT yayigweba, idibeneyo kwaye ingasebenzi. I-Linehan ngokuhlakanipha iguqule i-CBT yendabuko ukwenzela ukuba indlela iqinisekise ngakumbi . Ukususela ngelo xesha, i-DBT ibonakaliswe ngempumelelo kwiintlobo ezininzi zeengxaki zempilo yengqondo, ingakumbi imiqobo kunye neengxaki zokuxhalabisa .
Ulwaphulo lweZenzo zoLwazi (DBT) Iisetyenzisi seZakhono
I-DBT inezixhobo ezine zakhono eziphambili (zixutywe ngezantsi) ukuba abantu bafunde ukufaka isicelo ebomini babo. Ezi ziquka:
- Ukunyamezela
- Ummiselo womzwelo
- Ukusebenza ngokusemgangathweni
- Ingqiqo
I-DBT ngokubanzi ifundiswa kumaqela ahamba kunye neeseshoni zonyango. Abantu abafunda ukusetyenziswa kwexwebhu lwezakhono ze-DBT indlela kwaye bahlala besetyenziswe njani izakhono phakathi kweeseshoni zeqela kwaye baxoxe ngokubanzi nangomgqirha ngamnye.
I-DBT ye-OCD kunye nokuxhalabisa: Ukwamkelwa kunye nokungabonisi
Izakhono zeDBT zisetyenziselwa ukujamelana nentlungu kunye nokwesaba okubandakanya ubomi bemihla ngemihla.
I-DBT idonsa kakhulu kwiingcamango zeBuddhism zokwamkela, ukungabikho komgwebo kunye nokuqonda. Ezi zifunyenwe zibe zakhono kakhulu zokulawula i-OCD.
Ngokungafani ne-CBT, apho kugxininiswe ekwenzeni nasekulinganiseni utshintsho ekuziphatheni, i-DBT ijolise ekwamukelweni nangengenagwebo. Ubuhlobo bonyango lubaluleke kakhulu njengoko abantu bafunda ukunyaniseka ngokuziphatha kwabo kunye neemvakalelo ngaphandle kokuhlazeka okanye ukuziva ngathi bahlulekile. Kuqinisekiswa kwemizamo yabo yokubonisa nokuthetha ngempumelelo yabo (okanye ukungabi naso) ebalulekileyo kubantu abaninzi. Xa kuthembele kwithenda, abantu bavame ukuthatha ingozi engakumbi kwiyeza.
Le nyathelo ibambeka imfuneko ngaphambi kokuba ilungele ukwenza utshintsho.
Ucwaningo lufumene ukuba i-DBT inokuphucula umgangatho wobomi kunye nokuzithiba kunye nokunciphisa ukungaphelelwa yithemba kubantu abaneengxaki zobuntu ezifana ne-OCD.
Indlela yokufaka isicelo se-DBT Skills kwi-OCD
Ukuba uyazibuza ukuba ungakwazi njani ukusebenzisa izakhono ze-DBT nge-OCD yakho, nantsi imimandla yendlela ezo zakhono ezisetyenziswa ngayo:
Ukuxhatshazwa kweengxaki: Ezi zakhono zisetyenziselwa ukuphazanyisa okanye ukuzihlaziya xa zijamelene neengcamango okanye iimvakalelo eziphazamisayo.
Ulawulo lomzwelo: Ngezakhono zokufunda ukulawula uxhalaxano olunxulumene nokunyaniseka kunye / okanye ukwesaba, uya kuqalisa ukuqonda ukuba ukuxhalaba kwakho kuya kunciphisa ixesha ngaphandle kokunikezela ukunyanzeliswa okanye ukuqinisekiswa okuqhelekileyo.
Ukusebenza ngokubambisana: Le setethi yezakhono kukunceda ukulawula iimvakalelo zakho ezihlobene nokusebenzisana nabanye, oku kuquka ukufuna ukuqinisekiswa.
Ingqiqo: Ikhono lokwenza ingqondo lunceda ukuba ubekhona okwangoku . Ukukhumbuza akubandakanyi ukuxhoma kunye nokuxhomekeka kwiingcamango ezixakekayo, ukuziqhelanisa ukungazigwebi (ukuqonda ukuba iingcamango zakho azilungile okanye ziphosakeleyo,) kwaye uqondisa iingcamango zakho kumzuzu wangoku xa uhlakulela, ukuphindaphinda iingcinga .
I-DBT Ingenye indlela eya kwi-ERP
I-DBT ayilungisi ngokukhawuleza ukugqithiswa kunye nokunyanzeliswa njengokuba kukho unyango lokuthintela impendulo (ERP). Izakhono ze-DBT zisetyenziselwa ukujamelana nokuxhalabisa ezinxulumene neengcamango okanye izinto eziphazamisayo ezibangelwa ukuziphatha okunyanzelisayo.
Unyango olongezelelweyo olungadinga
Kukho uninzi lwezonyango ezingaqwalaselwa kwi-OCD. Uninzi lwabantu lufuna unyango ngaphezu kwonyango ukulawula i-OCD . Ukuvandlakanywa ngumsebenzi weengqondo kuyanconywa ukuba kuqinisekiswe ukuba unyango lunokuba luncedo njani kwisicwangciso sonyango.
Ngaphantsi kwi-Treatment of Dialectical Treatment ye-OCD
Ulwaphulo lokuziphatha oluxhomekeke kumsebenzi luhlobo lonyango lweendlela zokuziphatha ezinokusebenza kwabanye abantu abane-OCD. Ngokukodwa, abo bafumene unyango olukhuselekileyo lokuphendula, impatho yegolide ye-OCD, engasebenzi. Kunokudinakalisa ukuba uhlale ne-OCD, kodwa amayeza kwaye ngamanye amayeza unokuphucula kakhulu iimpawu zakho kwaye unciphise uxinzelelo lwakho olunxulumene nengxaki.
> Imithombo:
> Conrad, A., Sankaranarayanan, A., Lewin, T., kunye no-A. Dunbar. Ukusebenza kweNkqubo yeeVeki zeeveki ezili-10 ngokuSebenzisana nezobuGcisa kwiZakhono zobuGcisa phakathi kwezigulane ezinobuntu kunye neengxaki zemiba: Iziphumo ezivela kwiSifundo seSifundo. Australas Psychiatry . 2017 Juni 1. (Epub ngaphambi kokuprinta).
> Fassbinder, E., Schweiger, U., Martius, D., Brand-de-Wilde, O., kunye no-A. Arntz. Ummiselo woMoya kwi-Schema iTradio kunye neNyathelo lokuLawula ukuziphatha. Umda weeNgqondo . 2016. 7: 1373.
> Neacsiu, A., kunye noTkachuck. Ukuziphatha kobugcisa Ukusetyenziswa kobuchule kunye nokuvakalelwa kwesifo Ukuxhatshazwa koBuntu kunye neengqondo: I-Study Self-Report Report. Umngcipheko woMntu woMntu oMdaka kunye noMoya wokuDabulisa . 2016. 3: 6.