Ingqungquthela kwiNgcaciso yoMntu weBorderline Disorder (BPD)
Umngcipheko wobuntu borderline yimeko enzulu yengqondo. Ziziphi iimpawu ? Kuphathwa njani? Ngezantsi, funda i-summary of some of the basics of BPD.
Sibanzi
I-BPD yenye yeengxaki ezininzi zobuntu eziqashelwa nguMbutho we-American Psychiatric Association. Ukuphazamiseka komuntu yimiba yengqondo eqala ebuntwaneni okanye ekhulile, qhubela phambili kwiminyaka emininzi, kwaye ubangele uxinzelelo olukhulu.
Ukuphazamiseka komntu kunokuthi kuphazamise ukukwazi ukunandipha ubomi okanye ukufezekiswa kobudlelwane, umsebenzi okanye isikolo.
Iimpawu
I-BPD idibene neengxaki ezithile kwiintsebenziswano, ubudlelwane, iimvakalelo, ukuziphatha kunye nokucinga.
- Ubudlelwane: Abantu abane-BPD banomdla obunzulu obuninzi ngenxa yeengxabano ezininzi, iingxabano kunye nokuqhekeka. I-BPD idibaniswa nobutyebi obukhulu ukulahla, okubandakanya ukwesaba okukhulu kokushiywa ngabantu abathandayo kunye nokuzama ukuphepha ukulahla kwangempela okanye okucatshulwayo.
- Ukuzimela: Abantu abaneBPD banobunzima obuhlobene nokuzinza kwabo. Bika amaninzi "aphezulu kunye neentsikelelo" ngendlela abavakalelwa ngayo. Omnye umzuzwana banokuziva bazive kakuhle ngabo, kodwa ngokulandelayo banokuziva bebubi okanye banobubi.
- Iimvakalelo: Ukungazinzi ngokomoya kuyinto ebalulekileyo yeBPD. Abantu abathile abane-BPD banokuthi bavakalelwa kukuba bahamba ngokukhawuleza, kunye nokutshintsha ngokukhawuleza kwintliziyo (umzekelo, ukuphuma ekubeni uzive ulungele ukuziva uhle kakhulu okanye uhlaza okwangoku emininzi imizuzu). I-BPD idibaniswa kunye neemvakalelo zomsindo omkhulu kunye nokungabi nalutho.
- Iingxaki: I- BPD inxulumene nokuthambekela kokuzibandakanya ezinobungozi kunye nokuziphatha okungazenzisiyo , njengokungena kwiivenkile zokuthenga, ukusela utywala obuninzi okanye ukusetyenziswa kakubi kwezidakamizwa, ukuziphatha ngokwesini ngokuziphatha kakubi, okanye ukutya. Kwakhona, abantu abane-BPD banamathuba amaninzi okubandakanyeka ekuziphatheni okuzilimazayo, ezifana nokusika okanye ukuzama ukuzibulala.
- Izinguqu ezinxulumene noxinzelelo ekucingeni: Kwiimeko zokuxinezeleka, abantu abane-BPD banokufumana utshintsho ekucingeni, kuquka iingcamango zengqondo (umzekelo, iingcamango abanye abazame ukuzenza zilimale), okanye ukuhlukana (ukuziva kungekude okanye kunzima).
Izizathu
Njengazo zonke iingxaki zengqondo, isizathu esona sizathu seBPD asiyazi. Nangona kunjalo, kukho uphando lokubonisa ukuba inxalenye yentsebenziswano (i-biology okanye i-genetics) kunye nokondla (imo) yindawo yokudlala.
Uphando lubonisile ukuba abaninzi abantu abafumene i-BPD baye bafumana kakubi ukuxhaphazwa kwabantwana okanye bahoywa okanye bahlukana nababelethi babo beselula. Nangona kunjalo, akubona bonke abantu abaneBPD abanamanye amava (kunye nabantu abaninzi abaye bafumana la mava angenayo i-BPD).
Kukho ubungqina beminikelo yezofuzo kunye nokwahlukana kwesakhiwo sengqondo kunye nokusebenza kubantu abaneBPD.
Unyango
Nangona ngezinye iingcali zazikholelwa ukuba i-BPD ayinakwenzeka ukuphendula unyango, uphando ngoku lubonise ukuba i-BPD iyaphathwa kakhulu. Iinkqubo ezahlukeneyo zonyango ziyafumaneka kwi-BPD, kwaye ezi zonyango zingathunyelwa kwisigulana okanye izilwanyana zesibhedlele (izibhedlele). I-BPD ivame ukuphathwa ngokudibanisa kwengqondo kunye neyeza.
Izibhedlele okanye iimpawu ezininzi zonyango ziyimfuneko xa kunzima.
Ukujamelana
Kungaba nzima kakhulu ukuhlala kunye neempawu zeBPD. Intlungu evakalelwa yintlungu kunye neemvakalelo zokungabi nalutho, ukuphelelwa lithemba, umsindo, ukungathembeki, kunye nesizungu ziqhelekile. Ngenxa yezi zihlandlo, abaninzi abantu abane-BPD ingxelo yokuba bacinga ngokuzibulala, okanye baye bazama ukuzibulala okanye ukuzenza. Abanye abantu abaneBPD bazibandakanya ekuziphatheni okuzilimazayo ezifana nokusika okanye ukuzitshisa ngokwenza umgudu wokunciphisa intlungu yabo (okanye, xa kunokwenzeka ukuba ungenakunaphakade, "uziva into ethile.")
Iimpawu zeBPD zinokuchaphazela indawo ezahlukeneyo, kubandakanya umsebenzi, isikolo, ubudlelwane, isimo somthetho kunye nempilo yempilo. Nangona kunjalo, nangona ubandezeleka obubangelwa yi-BPD, abaninzi abantu abane-BPD bakhokela ngokuqhelekileyo, bazalisekisa ubomi. Kukho amabali amaninzi impumelelo!
ILizwi
Ukuba ucinga ukuba wena okanye othandekayo unokufumana i-BPD, kubaluleke kakhulu ukufuna uncedo lweengcali zempilo yengqondo, njengomcebisi wezempilo yengqondo, unontlalontle, isazi sezengqondo, okanye isifo sengqondo. Kubalulekile ukukhumbula ukuba ezininzi iimpawu ze-BPD ziyimpawu umntu wonke azifumana ngezikhathi ezithile. Kwakhona, ezinye zeempawu ze-BPD zihamba kunye nezinye iimeko zengqondo nezomzimba. Ubungcali obunemvume kuphela onokuyihlola i-BPD.
Iindaba ezilungileyo kukuba xa sele kutyunjwa, kukho ithemba. Umgqirha okanye ugqirha unokunceda ekufumaneni isicwangciso senzo, esinokubandakanya i- psychotherapy, imishanguzo, okanye ezinye izibonelelo . Uphando lubonise ukuba ngonyango olungileyo, iimpawu zeBPD zingancitshiswa kakhulu. Abantu abaninzi abaye baxilongwa ngokuba ne-BPD abasayi kuhlangabezana neempendulo ze-disorder ngonyango kunye nexesha.
Imithombo:
Umbutho wezeMpilo waseMerika. Incwadana yokuxilonga kunye neenkcukacha zeengxaki zokugula ngengqondo, i-4th ed, i-text revised. Washington, DC, Umbhali, 2000.
Kraus, G, noReynolds, DJ. "I-ABC yeCluster B: Ukuchonga, ukuqonda nokuPhatha iCluster B. Ukuhlolwa kweSiklinikhi yePhysical Psychology 21: 345-373, 2001.