Ulwaphulo olujoliswe kwiSikimu loxinzelelo lwabantu bemizila (BPD) luhlobo lwe- psychotherapy olugxininise ekuboneni nasekutshintsheni iindlela ezithile zokungcola. Ulwaphulo luquka ezinye izakhi eziyinxalenye yemveli yonyango-yokuziphatha (CBT) kodwa iquka ezinye iindidi zenye iindidi zengqondo.
Izidingo zabantwana kunye namaSmartwork Malamaptive
Inkcazo esekelwe kwi-schema-igxininiso lonyango lubonisa ukuba xa iintswelo zethu ezisisiseko zobuntwana (ezifana neemfuno zokukhusela, ukuwamkela, nothando) zihlangene ngokungathandekiyo, sihlakulela iindlela ezingenampilo zokutolika kunye nokusebenzisana nehlabathi, okubizwa ngokuba yi-schedaptive early schemas.
I-Schemas yimizekelo ebanzi neyobanzi yokucinga nokuziphatha. Oku akukho nje iinkolelo; Iimpawu ziphethwe ngendlela ephathekayo ehambelana kakhulu nomoya wethu wokuzibona kunye neembono zehlabathi.
Iingcamango ze-Schema ziphakamisa ukuba izicwangciso zibangelwa xa iziganeko ezenzeka kwimpilo yethu yangoku zifana nezo zivela kwixesha lethu elidlulileyo ezihlobene nokubunjwa kwe-schema. Ukuba siye sahlakulela izicwangciso ezingenampilo ngenxa yeengxaki ezinzima ebuntwaneni bethu, siya kuphendukela kwiindlela ezingenampilo zokucinga nokuziphatha ngokuphendula kule meko entsha.
Iingcamango ze-Schema ziphakamisa ukuba ezininzi iimpawu ze-BPD zibangelwa ngamava anzima kubantwana (njengokungabikho kakubi okanye ukuhlukana kwangaphambili kubaxhasi), okukhokelela ekubunjweni kwama-schemas early schemas.
Iinjongo
Iinjongo zokuqala zonyango olujoliswe kwi-schema ukulungelelaniswa kwemida yomntu kufuneka zichonge izicwangciso zesigulane esifanelekileyo kwaye zidibanise ezi zihlomelo kwiziganeko ezidlulileyo kunye neempawu zangoku.
Ukulandela lo msebenzi wokuqala, ugqirha kunye nesigulane usebenza ngeendlela zokuchukumisa iimvakalelo ezihambelana nezicwangciso kunye nokutshintsha iindlela zokuziphatha ezingekho emzimbeni ezibangelwa zizicwangciso ze-maladaptive (izicwangciso ezingenampilo ezingabangela iimpawu kwi-BPD). Ngokomzekelo, ugqirha kunye nomthengi unokuqhuba ukuzilolonga kugxininise ekuvuthweni komsindo, ukuphulwa kweendlela zokuziphatha ezingahambi kakuhle, nokuguqula iindlela ezingabonakaliyo zokucinga.
Inkxaso yoPhando
Nangona kungekho uphando olunzulu kwi-cure-focal-focused, uphando olunye luye lwashicilelwa kuze kube yimhla olubonisa ukuba izigulane ezinikezelwe ngokukhawuleza ukufumana unyango olujoliswe kwi-schema zibenciphise kakhulu impawu zengxaki zomntu kunezo zabelwe ukufumana unyango lwe-psychodynamic. Ngoxa lo bubungqina bokuqala bokusebenza kwe-cure-focal-focused, lisikisela ukuba olu unyango lubonisa isithembiso ekuphatheni i-BPD.
Ukongezelela, uhlalutyo lwezifundo ezininzi zophando lwezengqondo zengxaki yomntu ogqithiseleyo luye lwagqiba ukuba i-schema-egxininisa unyango lubonakala lusebenza kakuhle, kodwa ababhali bathi uphando olungakumbi lufunekayo.
Imithombo:
UGiesen-Bloo J et al. I-Psychotherapy yangaphandle ye-Borderline Personality Disorder: I-Randomized Trial ye-Schema-Focused-Treatment vs Transfer-Focused Psychotherapy. IiNqoloba zeeNgcaciso zengqondo , 63: 649-658, 2006.
Abagcini beJM et al. Iingcali zengqondo zengqondo kubantu abanobuchopho bendoda. I-Cochrane Database yeeNkqubo eziPhononongo. 2012 uAgasti 15; 8: CD005652.
Young JE. Uncedo lweCognitive for Disorders Person: I-Schema-Focused Approach , i-Sarasota, FL, US: Inkcazelo yoLwazi lweeNkcukacha / uLwazi loQhagamshelwano lweZibonelelo; 1999.