To taub DSM-IV thiab DSM-5 Hom Kev Ntsuas
Qhov kev kuaj xyuas kab mob uas feem ntau yog siv los kuaj seb puas siab ntsws cwj pwm (BPD) thiab lwm yam kev mob nkeeg uas yog siv txoj kab xev yog tam sim no tsis tas li. BPD thiab lwm yam kev muaj tus cwj pwm tau raug kuaj tau pom tias Axis II mob nyob hauv Diagnostic Diagnostic Diagnostic Diagnostic Diagnostic thiab Cov Ntawv Qhia Teeb Meem ntawm Kev Nyuaj Siab, plaub tsab (DSM-IV). Cov axes no tsis siv nyob rau hauv qhov tam sim no ntawm DSM.
Kev kuaj ntawm BPD hauv DSM-IV raws li Axis II Teeb Meem
Txoj kev tsis sib haum xeeb ntawm tus kheej (BPD) thiab lwm yam kev muaj tus cwj pwm yog feem ntau pom tias siv cov ntaub ntawv qhia kev siv rau cov kev puas siab puas ntsws, Qhov Diagnostic and Statistical Manual of Mental Disorders (tam sim no hauv nws qhov thib tsib tsab, DSM-5).
Tus DSM dhau los, DSM-IV-TR, siv ntau hom kab xev "axial" diagnostic system. Qhov no txhais tau hais tias thaum kuaj tau tus kab mob, qhov tau muab rau tsib qhov chaw sib txawv, los yog cov looj, uas yuav muaj kev cuam tshuam rau tus neeg uas tau kuaj pom.
Axis kuv yog rau kev kuaj mob ntawm cov tsos mob, qhov mob uas tib neeg feem ntau xav txog thaum lawv xav txog cov kev puas siab puas ntsws. Piv txwv li, kev nyuaj siab ploj los sis muaj kev ntxhov siab tom qab tsis muaj teeb meem yuav tau tshawb xyuas txog Axis I.
Axis II raug tshwj tseg rau cov kev mob ntev ntawm cov kev ntsuam xyuas, xws li kev mob tus kheej thiab hlwb ruamqauj.
Cov kev mob no feem ntau dhau los rau xyoo, tuaj ua ntej neeg laus thiab muaj feem xyuam rau kev ua haujlwm.
Kev Ua Haujlwm Rau Kev Tso Tus Kheej Txog Neeg Tus Cwj Pwm ntawm Axis II
Hauv txoj kev xav, cov neeg muaj tus xeeb ceem raug rov mus Axis II vim tias qhov no yog ib txoj kev los xyuas kom meej tias lawv tsis tau saib xyuas.
Yog tias ib tus neeg muaj mob ntau yam mob Axis kuv, vim hais tias tus cwj pwm tsis zoo hauv Axis II pab tau cov kev mob nkeeg no.
Lwm qhov laj thawj uas cov kws kho mob tau txiav txim siab ua tus cwj pwm tsis zoo ntawm Axis II hauv DSM-IV koom nrog rau cov kev mob no. Whereas tus Axis kuv ntshawv siab yuav ua rau mob lub cev, txhais tau tias lawv rov muaj dua, rov ua dua, kev muaj tus cwj pwm tsis zoo siab xav, xws li lawv tshwm sim ntau xyoo.
Kev kuaj ntawm BPD hauv DSM-5
DSM-5 puas tau ua nrog txoj kab xev, rub txhua yam rau ib qho xaj kom ostensibly ua kom mob yooj yim dua. Txawm li cas los xij, kev kuaj mob, kev ntsuam xyuas thiab kev kho tus neeg muaj tus kab mob yog ib yam xws li hauv DSM-IV, nrog rau cov tsos mob uas yuav tsum muaj nyob rau hauv thiaj li kuaj tau BPD.
Cov tsos mob ntawm Borderline Tus Cwj Pwm
Txoj kev saib xyuas ntawm BPD yog qhov tsis muaj kev ntxhov siab thiab muaj kev vam meej nquag hloov . Yuav kom kuaj tau tus kab mob npaws ntawm tus kheej, koj yuav tsum muaj tsawg kawg yog tsib ntawm cov tsos mob nram qab no:
- Kev xaiv tsis zoo thiab kev coj cwj pwm uas yuav ua rau muaj kev pheej hmoo tus cwj pwm, xws li kev twvtxiaj, kev ntaus khoom lossis kev sib daj sib deev nrog ntau tus neeg koom tes.
- Cov cwj pwm txawv zog, hloov pauv thiab qhov kev xav uas dhau los ntawm ob peb teev mus rau ob peb hnub.
- Tus qauv ntawm kev kub ntxhov thiab tsis ruaj khov nrog phooj ywg thiab tsev neeg.
- Hnov tas li bored thiab / los yog tsis muaj
- Cov teeb meem npau taws, nrog rau kev tswj kev npau taws, npau taws heev uas tsis haum rau qhov teeb meem thiab / los yog kev chim siab
- Lub tswvyim daws teebmeem thiab tsis muaj kev tiv thaiv ntawm koj tus kheej uas cuam tshuam txhua yam hauv koj lub neej, los ntawm kev sib raug zoo rau cov hom phiaj rau kev xav thiab kev xav.
- Suicidal thiab / lossis tus cwj pwm phem rau tus kheej, zoo li txiav.
- Kev xav ntawm Paranoid lossis kev siab ntsws sib xws, zoo li koj tsis yog ib feem ntawm koj lub neej lossis koj tawm ntawm koj lub cev.
- Kev ntshai kev ntshai ntawm kev tso tseg uas ua rau muaj peev xwm zoo thiab mus rau siab kom paub tseeb tias koj tsis raug tso tseg.
Qhov chaw:
Mental Association Association. Diagnostic thiab Ntawv Qhia Tawm Ntawm Cov Kev Xiam Hlwb ntawm Kev Nyuaj Siab DSM-IV-TR Plaub Tshooj . Koom Haum Niam Txiv Lub Tsev Kho Mob: 2000.
Westen D, Shedler J. Hloov kho thiab kev txheeb xyuas Axis II, tshooj II: Tawards kev ua haujlwm ntawm tus kheej thiab ua haujlwm ntawm tus cwj pwm. American Journal of Psychiatry , 156 (2): 273-285, 1999.
"Tus Cwj Pwm Nyuaj Siab." Koom Tes Nrog Asmeskas (Psychiatric Association) (2013).
Trestman, RL "DSM-5 thiab Tus Cwj Pwm Cwm Pwm: Qhov twg Axis II mus? Cov Ntawv Tshaj Tawm ntawm American Academy of Psychiatry thiab Txoj Cai, 42 (2), 2014.
"Borderline Tus Cwj Pwm Puas Tsuaj." National Alliance ntawm Kev Mob Hlwb (2016).
"Borderline Tus Cwj Pwm Puas Tsuaj." Lub Koom Haum Lub Tebchaws ntawm Kev Puas Siab Puas Ntsws.