Ulwaphulo lwe-Dialectical behavior (DBT) lwaluqulunqwe ekuqaleni ukuze luncede abantu abajamelene neempawu zengxaki yomntu we- borderline (BPD).
Abantu abaninzi abane-BPD banayo i- PTSD , nangona kunjalo. Nangona abantu abanePTSD kunye ne-BPD baneempawu ezahlukileyo, babelana ngeengxaki ezifanayo, ezifana:
- Umngcipheko ophezulu wokuziphatha okungachukumisi
Ngoko, awusamangaliswa kukuba abanye abaphandi baqala ukuhlola ukuba i-DBT inokunceda abantu abane-PTSD.
Yintoni i-DBT?
I-DBT, ejongwa njengonyango yokuziphatha kwengqondo (CBT), igxininisa ekutshintsheni iingcamango ezingekho kakuhle, ukuziphatha, kunye neenkolelo njengendlela yokunciphisa iimpawu zeBPD zomntu. Nangona kunjalo, i-DBT iyahluka kwi-CBT yendabuko. Njani? Ngokugxininisa ukwamkelwa kwemvakalelo yomntu kunye nengcamango. Enyanisweni, i-DBT yayiyinye yezokwelapha zokuqala ze-CBT ukusebenzisa izakhono zokucinga ukuze kuncede ukufezekisa uku kwamkelwa.
I-DBT isekelwe kwingcamango yokuba ingxaki ebaluleke kakhulu phakathi kwabantu abane-BPD kunzima ukulawula iimvakalelo zabo (ezibizwa nangokuthi uvakalelo ludityaniso ) . Uninzi lweengxaki zokuziphatha zabantu abane-BPD (umzekelo, ukuzilimaza ngokuzikhethela ) zicinga ukuba zivela kwiingxaki ezilawula iimvakalelo zabo.
Iingxaki zokulawulwa kwemizwelo zivela kudibaniso lwe:
- I-Biology (njengokwakheka komntu ukuvakalelwa kakhulu)
- Ubume bendawo apho abantwana abazange bagxothwe khona okanye apho babethetha khona
Ngoko ke, i-DBT igxininise ekuphuculeni iingxaki zokulawulwa kwemvakalelo kunye neengxaki zokuziphatha abazibangelayo. Iingcali ezibonelela nge-DBT kwaye zifundisa ezine iintlobo ezahlukeneyo zezakhono:
- Izakhono zokucamngca
- Ubungcali bokusebenza kakuhle
- Izakhono zokunyamezela
- Izakhono zolawulo lomzwelo
Ukuhlola Ukusetyenziswa kwe-DBT ye-PTSD
Izakhono ezisetyenziswa kwi-DBT, ezaphuhliswa ekuqaleni kubantu abane-BPD, zinokunceda kakhulu abantu abanePTSD.
Njengabantu abaneBPD, abantu abanePTSD banengxaki yokulawula iimvakalelo zabo. Basenokuba neengxaki zobudlelwane okanye bahlanganyele ekuziphatheni okuzilimazayo , njengokuzilimaza ngamabomu .
Ukuphonononga ukuba i-DBT ingaba isebenzayo kubantu abane-PTSD, iqela labaphandi kwiCentral Institute of Health mentals eMannheim, eJamani, baphatha iqela labasetyhini abane-PTSD (ukususela ngoxhatshazo lwezesondo ngokobuntwana) ngokusebenzisa unyango olunzulu oludibanisa iDBT kunye I-CBT yendabuko iyafikelela kwonyango lwe-PTSD, njengokungabonakali. Unyango oluhlanganyelwe lubizwa ngokuba yi- DBT-PTSD.
Emva kweenyanga ezintathu zonyango, abaphandi bafumanisa ukuba i-DBT-PTSD yanciphisa kakhulu impawu ze-PTSD zamabhinqa, kuquka ukuxinezeleka nokuxhalabisa . Ukongezelela, iimpawu ze-PTSD zamabhinqa ziqhubeka ziphucula iiveki ezintandathu emva kokuba zigqibe unyango, zibonisa ukuba ziye zafunda izakhono ngexesha lohlolisiso olwanceda baqhubeke bebuya kwi-PTSD emva kokuba unyango luphele.
Kutheni kufuneke uphando olungakumbi
Uphando lwe-DBT-PTSD lusezigaba zalo zokuqala. Izifundo zifuneka ukuhlolisisa indlela i-DBT-PTSD efanelana ngayo nezinye i-CBT unyango lwe-PTSD. Nangona kunjalo, iziphumo zithembisa. Ukuba unomdla wokufunda okungakumbi malunga neDBT, inani lezinto ezifumanekayo zifumaneka kwiwebhusayithi yeDkt Marsha Linehan ye-Behavioral Tech, kubandakanywa nedatha yeengcali zempilo yengqondo eziye zaqeqeshwa kuyo, kwaye ziyakunika, i-DBT.
Imithombo:
Linehan, MM (1993). Ukunyangwa kwengqondo yokuziphatha komngcipheko wobuntu bomda. I-New York: I-Guilford Press.
Steil, R., Dyer, A., Priebe, K., Kleindienst, N., & Bohus, M. (2011). Ulwaphulo lokuziphatha kakubi lwe-Dialectic for posttraumatic disorder disorder related to child abuse abuse: Uvavanyo lokuqhubela phambili lweprogram yokhathaza indawo yokuhlala. I-Journal ye-Stress Stress, 24 , 102-106.