Abantu abaninzi abaneengxaki zomntu ongekho emngceleni (BPD) abanamavakalelo anzulu. Kwincwadi ye- Diagnostic and Statistical of Mental Illnesses , i- 5th edition (DSM-5) , ababoneleli benkonzo yokunakekelwa kwezempilo basebenzisa ukuxilongwa, ezininzi iimpawu ze-BPD zihambelana nemimiselo yokulawulwa kwemizwelo.
Uthini Ummiselo?
Ummiselo womzwelo udibanisa ngendlela edibeneyo yindlela umntu ahambelana nayo kwaye enze ngayo kwiimeko zakhe zokuvakalelwa.
Oku kubandakanya:
- Ukukwazi kwakho ukuqonda nokwamkela iimvakalelo zakhe
- Ukukwazi kwakho ukubandakanya izicwangciso eziphilileyo ukulawula iimvakalelo ezingenakukhathazeka xa kuyimfuneko
- Ukukwazi kwakho ukuziphatha ngendlela efanele xa uxinezelekile
Abantu abanezakhono zomgaqo-mpawu ezifanelekileyo banokukwazi ukulawula izibongozo zokubandakanyeka ekuziphatheni okungazenzisiyo , njengokuzilimaza, ukuziphatha ngokungenakucala okanye ukunyanzeliswa ngokomzimba, ngexesha loxinzelelo lwengqondo.
Umzekelo weMimiselo yoMzwelo kunye noDysregulation kwi-BPD
Umzekelo, ukuba umntu ongenayo i-BPD uhamba ngokuhlukana, mhlawumbi uziva edabukile kwaye usenokudandatheka, kodwa usakwazi ukulawula iimvakalelo zakhe kwaye uqhubeke nomsebenzi wakhe. Uya kuhlala eseklasini okanye aye emsebenzini. Nangona kunjalo, umntu ophethe i-BPD akakwazi ukulawula iimvakalelo ngokufanelekileyo. Ukuba uhamba ngenye imeko, unokuxinezeleka ukuya kwinqanaba lokungasebenzi, njengokubandakanyeka ekuziphatheni okonakalisayo okanye obundlobongela okanye izinto ezinomdla ezifana nokuziphatha kakubi.
Umngcipheko woMntu weMida kunye nemizwelo
Kwiinkqubo zokuxilonga i-BPD, uninzi luquka imiba kunye neemvakalelo. Ezinye zezi ziquka:
- Ukutshintsha ngokukhawuleza kwemizwelo kunye nokukhungatheka : Abantu abaneengxaki zomntu ongenamkhawulo banokujongana nokulawula iimvakalelo kunye nokuvakalisa iimvakalelo, ezikhokelela ekuxhalabeni okukhulu kunye nokukhungatheka. Ukuguquguquka kwemoya kunokuba nzima kwaye kukhawuleze. Ukuxhalaba nokukhubeka kungaphazamisa imisebenzi eqhelekileyo njengokusebenza emsebenzini okanye ukuzinyamekela. Abanye banokuba neengxaki zokuba bajikeleze ngawe kwezi ziqendu ngenxa yezizathu ezininzi, oko kungonakalisa ubuhlobo bakho.
- Iimvakalelo zokungcola : Labo abane-BPD bahlala beziva bengenasiphelo. Baza kubandakanyeka kuzo zonke iintlobo zemisebenzi ukuze bazame ukugcwalisa ukungabikho komsebenzi, ngaphandle kwempembelelo. Kungakhathaliseki ukuba bangaphi abahlobo kunye nabathandekayo abanalo, bahlala beziva bodwa bebuhlungu. I-BPD inokuthi, ngokuyinene, iqalise umjikelezo onobungozi. Iingxaki ezilawula iimvakalelo zingakhokelela ekulahlekelweni kwabahlobo. Ukunxunguleka , kunokunokuba nzima ukulawula iimvakalelo, kwaye ukuvakalelwa kwedwa kunokuphazamisa ukukhuthazwa kwakho ukufunda ukulawula iimvakalelo zakho.
- Ubunzima bokulawula umsindo: Kuqukumbela kwemizwelo enomsindo oza kubuhlungu , kubonakala kungekho ndawo. Ukunciphisa ukuphazamiseka okanye iziqwenga zingabangela ukugxeka kulabo abane-BPD, ezinokukhokelela ekuziphatheni okubi okanye ezinobundlobongela.
- Iparanoia kunye nokwesaba ukulahlelwa: Abantu abahlala ne-BPD ba soloko bekwesaba ukuba bodwa okanye banqatshelwe, kubangele i-paranoia enkulu. Oko kunokubangela ukuba benze ngokugqithiseleyo kwaye bahlale befuna ukuqinisekiswa. Ngelishwa, ezininzi iindlela zokuziphatha ezibangelwa yimfuneko yokuqinisekisa zingakhokelela abantu ukuba bashenxise umntu ongekho kwi-BPD kude. (Funda kabanzi malunga neengcinga ze-paranoid kwi-BPD .)
Ngobunzima bokulawula iimvakalelo, ukuba unayo i-BPD, unokufumana ubunzima obuvela kumsindo okanye ukuvalelwa kwemizwa yokulahlwa.
Usenokungakwazi ukulawula iimvakalelo zakho ngokufanelekileyo, kubangela ukuziphatha okuphazamisayo. Oku kunokuba nefuthe elibi kubundlelwane bakho, kubandakanye nabanye bakho abalulekileyo, abahlobo kunye nosapho.
Ukulawula iiMvakalelo ngeNgcaciso yoMntu weMida
Nangona i-BPD inokwenza umgaqo-mmo wemoyiko unzima, akunakwenzeka ukuba ufunde olu buchule kwaye uphinde uphume kwi-BPD.
Ukuba ulwa ne-BPD kunye neemvakalelo, unokufuna ukucinga ngokubona umgqirha onguchwepheshe wengxaki yomntu oza kuba nokuqonda okungcono imvelaphi ekhokelela ekuhluphekeni kwakho kwemizwelo. Ngokuqinisekileyo, unokusebenza kwiinkqubo zokunceda ukulawula iimvakalelo zakho.
Iintlobo ze-psychotherapy ezithe zafunyanwa ngokukhethekileyo kubantu abane-BPD ziquka unyango lwezobuchule kunye nendlela yokwenza utywala .
Kukho ininzi enokuyifumana kunyango. Uya kufunda iimpendulo ezifanelekileyo kunye nezakhono zokulawula ukuguquka kwemizwelo yakho. Ngokuhamba kwexesha, umgaqo wakho wokumangalisa uya kuphucula, kukunceda kubuhlobo bakho kunye nobomi bemihla ngemihla.
Ukongeza kwonyango, kukho izicwangciso ezininzi zokuncedisa i-BPD enokuphucula ukukwazi kwakho ukulawula iimvakalelo zakho.
Ngaphantsi kweMimiselo yoMzwelo kunye neNgcaciso yoMntu weMida
Njengoko kuphawuliwe ngasentla, ummiselo womzwelo udlala indima enkulu kwiimpawu ezininzi ze-BPD, kodwa oku akuthethi ukuba kuya kufuneka uhlale nale miqondiso ngonaphakade. Uphando olutsha lufumanisa ukuba, kulabo abathintekayo, unyango lunokwenza ummahluko omkhulu onokuthi uthinte phantse yonke indawo ebomini bakho ngendlela efanelekileyo. Ngonyango oluqhubekayo kunye neengcali zonyango, ukubuyiswa kwi-BPD kunokwenzeka.
Imithombo:
Cristea, I., i-Gentile, C., iCotet, C., Palomba, D., Barbui, C., kunye noP. Cuijpers. Ukusebenza kweengqondo ze-Psychotherapi ye-Borderline Personality Disorder: Uhlolo lokuHlola kunye ne-Meta-Analysis. JAMA Psychiatry . Ngo-2017 uMar 1. (Epub ngaphambi kokuprinta).
"Umngcipheko woMntu weMida." I-Diagnostic and Statistical Manual yezifo zengqondo, i- 5th edition. Umbutho wezeMpilo waseMelika, ngo-2013.
Terzi, L., Martino, F., Beraldi, D., Bortolotti, B., Sasdelli, A., noMn. Menchetti. Ukuziphatha okuxhatshazayo nokuzilimaza kwiMida yoLuntu oluMngcipheko: Inxaxheba yokungahambi kakuhle kunye neengqondo Ukutyunjwa kwiSample of Outpatients. Uphando loPhando . 2017. 249: 321-326.