Yiyiphi i-Disabled Attachment Disorder?

Yintoni eyenza ingxaki yokuqhotyoshelana kunye nendlela yokuyiphatha ngayo

Iintsana ezinxulumene nabantu abadala abanikezela ngononophelo onothando nolunothando. Baqaphela abantu abadala abakhuselayo baze bazinciphe xa beziva bexinezelekile.

Kwiimeko ezininzi, bahlakulela iziqhotyoshelo ezinempilo kubanonophelo babo abaziintloko, njengabazali babo, umboneleli wezinsuku, okanye mhlawumbi nootatomkhulu ochaphazelekayo.

Kodwa ngamanye amaxesha, iintsana ziyanzima ukudala ubudlelwane obuhle kunye nomntu omdala ozinzile.

Ngenxa yoko, banokuhlakulela ingxaki yokudibanisa, ingxaki yempilo yengqondo eyenza kube nzima ukwenza ubudlelwane obunempilo kunye nothando.

Iingxaki zeNgcaciso yokuQiniseka kokuSebenzayo

Ingxaki yokuqhotyoshelweyo ingabangela xa abantwana benganikelwa unyameko olufanelekileyo ngabagcini bemihlali abanokuzimela. Ukuba umkhathaleli akasaphenduli ukukhala komntwana okanye umntwana akalondolozwa kwaye uyathandwa, akanakho ukuvelisa isinamathiselo esinempilo.

Nazi ezinye izihlandlo zamaxesha apho umntwana engenako ukukwazi ukufakela isinamathiselo ekhuselekileyo kumnakekeli oyintloko :

Naliphi na ixesha kukho ukungahloneli iimfuno zomntwana ngokomzimba okanye ngokomzimba, umntwana angasengozini yokuhlakulela ingxaki yokuqhafaza okusebenzayo. Ukungabikho kokuvuselela kunye nomdla kungabamba indima.

Iimpawu zeNgcaciso yokuQinisekisa okuHlangeneyo

Abantwana abanenkinga yokuqhafaza ngokuthe ngxiba kaninzi bayenqaba ukulandela imigaqo kwaye banokukrazula ngaphandle kwabanye. Kodwa ingxaki yokuqhafaza ngokuthe tye iya ngaphaya kweengxaki zokuziphatha.

Ukuze kulungele ukuxilongwa kweengxaki zokuqhotyoshelweyo, umntwana kufuneka abonise umzekelo ohambelanayo wokuziphatha okungavumelekanga, ukuhoxiswa ngokomzwelo kubanakekeli abadala. Abantwana abanenkinga yokuqhafaza

Ukuhlangabezana neendlela ezifanelekileyo, kufuneka zibonise ezimbini zeempawu ezilandelayo:

Ukongezelela ekuboniseni loo mpawu, umntwana kufuneka abe neembali zokunyamekela okwaneleyo njengoko kubonakaliswe ubuncinane kwezi zinto zilandelayo:

Iimpawu mazibe khona phambi kobudala be-5. Umntwana kufuneka abe nexesha lokuphuhlisa ubuncinane ubuncinane beenyanga ezilisithoba ukuze afumane ukuxilongwa kwengxaki yokuqhotyoshelweyo.

Ubuninzi beNgcaciso yokuQinisekiswa kokuSebenza

Ekubeni ingxaki yokuqhafaza isisombululo isifo esitsha ngokutsha-kwaye abantwana abaninzi bayaphathwa kakubi, abaqinisekanga ukuba baninzi abantwana abanokuhlangabezana nale ndlela. Ngo-2010, uphando oluthile lufumene ngaphantsi kwama-0.4 ekhulwini kwabantwana baseDenmark babenenkinga yokuqhafaza okusebenzayo.

Uphononongo olwenziwa ngo-2013 oluqikelelwe malunga neepesenti ezingama-1.4 zabantwana abahlala kwindawo ehluphekileyo e-United Kingdom babenenkinga yokuxhamla.

Kuqikelelwa ukuba abantwana abasondelene nabantwana-kwaye abo bahlala kwiinkedama-zezindlu zeenkedama-babonisa amazinga aphezulu kakhulu okuxhatshazwayo okuxhamlayo. Imbali yokungabikho kakubi kunye nokuphazamiseka kwenkathalo yabantwana inokunyusa ingozi.

Ingxaki yokuQinisekisa ekuHlanganiseni ichongwa

Ootitshala, ababoneleli bemihla, kunye nabanonophelo bokuqala bayabona ukuba umntwana onenkinga yokuqhafaza okusebenzayo ubonisa imiba yeemvakalelo nokuziphatha.

Uvavanyo olusisigxina ngengcali yezempilo yengqondo lunokumisela ukuba umntwana unengxaki yokuqhafaza.

Uvavanyo luquka:

Kukho ezinye iimeko ezinokuthi ziveze ngeempawu ezifanayo zokuziphatha okanye iimpawu zokuziphatha. Iingcali zempilo yengqondo ziza kugqiba ukuba impawu zomntwana zingachazwa ngezinye iimeko ezifana nale:

Ngamanye amaxesha, abantwana abaneengxaki zokudibanisa ngokuthe tye Uphando lubonisa ukuba abantwana abanenkinga yokuxhamla bafumana amazinga aphezulu e- ADHD , iingxaki zokukhathazeka , kunye neengxaki zokuziphatha .

Imbali yesiCwangciso soKhuseleko lweNgcaciso yeSifo sokuHlola

Ingxaki yokuqhotyoshelweyo ixilongo olutsha. Kwaqala kuqala ngo-1980.

Ngowe-1987, ezimbini iingxenyana zengxaki yokuqhafaza ezisebenzayo zaziswa; ivalwe kwaye ikhutshwe. Ngo-2013, ukuxilongwa kwahlaziywa kwakhona. I-DSM-5 ibhekisela kuhlobo olungasinakukhutshwa njengemeko eyahlukileyo ebizwa ngokuba yi-disinhibited disorder's engagement disorder.

Ingxaki yokuxhatshazwa kwezenhlalakahle ekukhutshweni kwezentlalo yinkinga yokuncedisa ebangelwa ukungabikho kokuqhotyoshelweyo okukhuselekileyo kunye nomncedisi-onjenge-disactive attachment disorder. Abantwana abanokuthintela indlela yokusebenzisana neengxaki zentlalo kunye nokusebenzisana nabantu abadala abangaqhelekanga ngaphandle kokwesaba. Bahlala bekulungele ukuhamba nomfokazi ngaphandle kokungabaza.

IsiCwangciso sokuThathelana kweziNyango eziLawulayo

Isinyathelo sokuqala ekuphatheni umntwana ngengxaki yokuqhotyoshelana nesifo esithintekayo kuquka ukuqinisekisa ukuba umntwana unikwe indawo enothando, enokhathalelayo neyozinzile. Ulwaphulo aluyi kusebenza xa umntwana eqhubeka ehamba esuka kwikhaya elikhuselekileyo ukuze ahlale ekhaya okanye ukuba uyaqhubeka ehlala kwindawo yokuhlala kunye nabanonophelo abangekho.

Ulwaphulo oluqhelekileyo lubandakanya umntwana kunye nomzali okanye umnakekeli oyintloko. Umncedisi ufundiswe ngxaki yokuqhotyoshelweyo kunye nokunikezelwa ngolwazi malunga nendlela yokwakha ithemba kunye nokuphuhlisa uxhamlo oluhle.

Ngamanye amaxesha, abaxhasi babakhuthazwa ukuba baye kwiiklasi zabazali ukuba bafunde indlela yokulawula iingxaki zokuziphatha. Yaye ukuba umkhathaleli unzima ukubonelela umntwana ngomfudumalo nangothando, ukuqeqeshwa komzali kunokunikwa ukuba kuncede umntwana azive ekhuselekileyo kwaye ethandwa.

Iingxaki ezingaboniswanga

Kwixesha elidlulileyo, amanye amaziko enyango asebenzisa iindlela ezininzi zokuphikisana nabantwana abaneengxaki zokuqhafaza.

Ngokomzekelo, ukubamba unyango kubandakanya umgqirha okanye umgcini-mntwana onqanda umntwana. Umntwana kulindeleke ukuba ahambe uluhlu lweemvakalelo de ekugqibeleni ekuyeke ukulwa naye. Ngelishwa, abanye abantwana baye bafa ngoxa bevinjelwe.

Olunye unyango oluphikisanayo lubandakanya ukuvuselelwa kwakhona. Ngexesha lokuzalwa kwakhona, abantwana abane-disability attachment disorder bahlanganiswe ngeengubo zeembotyi kwaye abaphengululi balingisa inkqubo yokubhinqa ngokusebenza njengokuba umntwana ehamba ngomsele wokuzalwa. Ukuzalwa kwakhona kwakungekho mthethweni kumazwe ambalwa emva kokuba umntwana ehluthwe.

Umbutho we-American Psychiatric Association kunye ne-American Academy of Child kunye ne-Adolescent Psychiatry lumkisa malunga nokuthintela imithi kunye nobuchule bokuvuselela. Ezi ndlela zithathwa njengezingcaphephe kwaye akukho bungqina bokuba banciphisa iimpawu ezihambelanayo nengxaki yokuncedisa.

Ukuba ucinga naluphi na unyango ongowona wesintu kumntwana wakho, kubalulekile ukuthetha nodokotela wengane yakho ngaphambi kokuqala unyango.

Isibhengezo sexesha elide kwabantwana abane-Disabled Attachment Disorder

Ngaphandle kokonyango, umntwana onenkinga yokuqhafaza ngokuthe ngcikiyo angakwazi ukufumana iingxaki eziqhubekayo zentlalo, iimvakalelo kunye nokuziphatha. Kwaye oko kunokubeka umntwana engozini kwiingxaki ezinkulu njengoko ekhula.

Abaphandi baqikelela ukuba ama-52 ekhulwini abaphulaphuli abancinci banenkinga yokuncedisa okanye ingxaki yokuxhamla umda. Uninzi lwaloo mfana lwaluye lwajongelwa kakubi okanye lugxothwa ngethuba lobomi.

Ukungenelela kwangethuba kunokuba lube luphambili ekuncedeni abantwana ukuba bathuthele iziqhotyoshelweyo ezinobomi ngaphambili. Kwaye ngokukhawuleza bafumana unyango, iingxaki ezimbalwa abanokuba nazo emva kwexesha.

Indlela Yokunciphisa Umngcipheko Wengxaki Yokuncedisa Okusebenzayo

Kukho iindlela eziliqela apho abanonophelo bokuqala abanokukwazi ukunciphisa umngcipheko wokuba umntwana uya kuhlakulela ingxaki yokuqhotyoshelweyo.

Kuphi Ukufumana Uncedo

Ukuba unenkxalabo yokuba umntwana wakho unokufumana ingxaki yomzwelo okanye yokuziphatha, qalisa ngokuthetha nodokotela wengane yakho. Udokotela wezingane unokuhlalutya umntwana wakho kwaye anqume ukuba ukuhanjiswa kumboneleli wezempilo yengqondo kulungile.

> Imithombo:

> I-Mayes SD, iCalhoun SL, i-DA ye-Waschbusch, i-Breaux RP, i-Baweja R. Isiqhotyoshelo sokuthintela / ukukhubaza ukungabikho kokubandakanyeka kwezentlalo: Ukuziphatha okungahambi ngokungahambelani kunye neengxaki ezidityanisiweyo. Uphando kwiZakhono zokuPhuhlisa . 2017; 63: 28-37.

> Minnis H, Macmillan S, uPritchett R, et al. Ubuninzi benkinga yokuqhotyoshelweyo yokuhlala kunye nabantu abathintekayo. I-British Journal ye-Psychiatry . 2013; 202 (5): 342-346.

> Moran K, Mcdonald J, Jackson A, Turnbull S, Minnis H. Uphononongo lweengxaki zokuqhotyoshelweyo kumatyala amancinci aya kwiinkonzo zengcali. UkuShatshazwa kwabantwana kunye nokunganakwa . 2017; 65: 77-87.

> Skovgaard, AM Iingxaki zempilo yengqondo kunye ne-psychopathology kwasebuntwaneni nasebuncinaneni. Ucwaningo lwe-epidemiological. IDanish Medical Bulletin. 2010; 57: 193.