Tej zaum koj yuav xav tsis thoob thaum koj paub tias lub sij hawm thaum koj "tawm tsam," xav tias "tsis muaj tseeb," lossis thaum koj nyob ib ncig ntawm koj zoo txawv txawv los sis tsis paub txawv lawm koj txhais tau hais tias koj muaj kev tsis sib haum - ib qho tshwm sim rau cov neeg uas muaj kev nyuaj siab ntawm tus kheej (BPD) .
Kev Sib Hlis Dab Tsi?
Dissociation yuav tsis yooj yim to taub thiab qhwv koj lub taub hau ib ncig. Ntawd tau hais tias, nyob rau hauv cov ntsiab lus sib txawv, kev sib cais yog kev sib txuas ntawm ib tus tib neeg txoj kev xav, tus cwj pwm, tus cwj pwm, kev nco, thiab nws yog leej twg.
Ntxiv dua thiab, tom qab xyoo kawm ntawv, cov kws tshawb nrhiav tam sim no muaj peev xwm piav qhia txog cov kev txawj ntse nrog rau kev sib cais.
Cov no suav nrog:
- Depersonalization . Kev saib xyuas tshwj xeeb yog kev sib cais ntawm koj tus kheej thiab koj lub cev. Cov neeg uas muaj kev tshaj tawm yuav ua rau lawv xav tias lawv pom lawv lub cev tawm sab nraud, lossis zoo li lawv nyob hauv npau suav.
- Derealization . Dai phais yog zoo ib yam li kev tso tawm, tab sis nws yog kev xav ntawm kev txav ntawm lub ntiaj teb sab nraud, xws li lwm tus neeg lossis khoom. Dai plhaw yuav ua rau paub tej yam zoo li coj txawv txawv, tsis muaj tseeb, lossis tsis paub. Derealization thiab depersonalization feem ntau tshwm sim tib lub sij hawm.
- Amnesia . Qee cov neeg uas muaj qhov tsis sib haum xeeb muaj sij hawm ntawm amnesia lossis "poob lub sijhawm." Tej zaum lawv yuav muaj ntau feeb los yog ob hnub thaum lawv tsaug zog tab sis tsis nco qab lawv qhov twg los yog lawv ua dab tsi.
- Yog leejtwg tsis meej pem: Qhov no tshwm sim thaum ib tus neeg tau ntsib ib qho kev tawm tsam nyob sab nraud txog leej twg lawv yog tiag, lawv tus kheej, yog li hais lus.
- Kev Qhia Tias Yog Leej Twg: Kev hloov tus kheej txhais tias ib tug neeg paub tias lawv ua ib yam li lwm tus neeg. Piv txwv li, nws yuav pom tej yam hauv nws lub tsev nws tsis paub, ua ib qho txuj ci uas nws tsis nco qab kawm, los sis lwm tus yuav hais tias nws ua yeeb yam zoo li lwm tus neeg. Kev sib pauv hloov me me yog feem ntau ntawm cov pejxeem sawvdaws thiab tej zaum yuav koom nrog ib tus neeg lub npe. Lub ntsiab yog tias nws tsis ua teeb meem nrog kev ua haujlwm txhua hnub lossis kev sib raug zoo. Hauv lwm lo lus, ib tug neeg paub txog lawv tus kheej lossis lub luag haujlwm hloov. Kev hloov ntawm tus kheej yog nyob rau hauv BPD, thiab koom nrog cov kev hloov hauv kev xav thiab tus cwj pwm uas tsis nyob hauv tus neeg tswj hwm.
Yog tias koj tsis tau ntsib dua, koj tuaj yeem xav tsis thoob los ntawm cov lus piav qhia no. Tab sis txawm tias koj tsis muaj qhov tsis sib haum xeeb, feem ntau cov neeg tau ntsib tej hom mob sib txawv me ntsis txij li ib ntus.
Ib qho piv txwv ntawm kev sib cais nyob rau hauv txhua txhua lub neej yog zoning tawm (thaum koj tsis nco qab tias koj xav li cas los yog ua) thaum koj tsav tsheb hauv kev loj uas ua rau koj tsis tuaj tawm koj.
Puas Yog Sib Hlab?
Muaj qee qhov mob uas muaj xws li kev cais tawm raws li lub hauv paus tseem ceeb. Piv txwv, kev tsis sib haum xeeb (DID) yog ib qhov teeb meem uas tau xav tias yog los ntawm kev sib cais heev uas ua rau ib tus neeg los tsim lwm tus neeg. Feem coob ntawm cov neeg uas muaj kev tsis sib haum xeeb tau pom muaj kev tsim txom thaum yau (xws li, lub cev thiab / lossis kev sib deev) thiab tsis saib xyuas.
Dhau li ntawm cov teeb meem tsis sib haum xeeb, qhov plaub qhov kev sib txawv ntawm kev sib txawv yog:
- Dissociative Amnesia Nrog rau Dissociative Fugue
- Depersonalization / dej dagization tsis meej
- Lwm Cov Kev Ntsuam Xyuas Dissociative Disorder
- Unspecified Dissociative Disorder
Kev sib deev kuj yog ib yam kab mob ntawm lwm yam mob. Piv txwv, ib yam kab mob ntawm BPD yog dissociation thaum muaj kev ntxhov siab.
Dissociation kuj tseem txuam nrog kev nyuab siab thiab kev nyuaj siab tom qab tsis ntev los no (PTSD) .
Kev Kho Mob Rau Sib Hlis
Kev kho rau BPD feem ntau kuj muaj cov khoom uas txhais tau hais tias kom txo cov kev cais tawm. Feem ntau, kev kho rau kev sib cais yog ua raws li kev txawj tsim vaj tse uas pab koj rov koom nrog koj tus kheej, lub sijhawm tam sim no, thiab koj cheeb tsam tam sim no.
Piv txwv li " grounding " yog ib qho txuj ci uas siv tau los txo qhov tsis sib haum xeeb. Kev qoj ib ce cia siv lwm txoj kev stimuli mus rau reconnect. Piv txwv, hauv kev ua kom zoo nkauj, koj yuav tsum qhia kom pom cov lus qhia me me txog cheeb tsam ze koj kom txog thaum koj muaj kev sib raug zoo dua.
Qee cov neeg teb zoo dua rau cov kev ua haujlwm uas siv kev xav-piv txwv, tuav lub pas dej ua ke rau ob peb lub sij hawm tuaj yeem pab coj koj rov los txog tam sim no.
Lo Lus Ntawm
Dissociative cov tsos mob tshwm sim hauv cov neeg uas muaj BPD, tshwm sim ntawm ob feem peb ntawm cov neeg. Txawm li ntawd los, muaj qee cov ntsiab lus ntawm kev loj hlob, txhais tau hais tias qee tus neeg muaj BPD cov kev mob sib txawv me me los sis cov tsos mob me me ntawm qhov tsis sib haum xeeb yog lwm cov neeg muaj kev mob loj dua. Kev tshawb nrhiav qhia tias qhov kev mob hnyav no yuav txuas rau tus neeg keeb kwm kev tsim txom thiab kev raug mob.
Yog tias koj lossis ib tus neeg uas tau hlub raug kho rau BPD nrog cov tsos mob ntawm dissociative (los yog ib qho kev tsis sib haum xeeb), kev kho yuav ua tau yooj yim thiab mob siab, vim koj lossis koj tus neeg hlub yuav tau nco txog yav tas los. Tab sis nrog lub sij hawm thiab xim, kev kho yuav pab tau ib tug neeg rov qab hwj chim dua dissociative cov tsos mob.
> Qhov chaw:
> Koom Haum Xeeb Miskas. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington: American Mental Publishing Publishing; 2013.
> Miskas Kev Sib Koom Tes. (Lub Ib Hlis Ntuj 2016). Dissociative Disorders yog dabtsi?
> Dissociative Disorders. (2017). Traumadissociation.com.
> Korzekwa MI, Dell PF, Txuas Txuas PS, Thabane L, Fougere P. Kev sib txawv hauv npoo kev teeb meem ntawm tus kheej: saib kom ntxaws. J Kev Hloov Teeb Meem . 2009; 10 (3): 346-67.
> Vermetten E, Spiegel D. Kev Taus thiab kev sib cais: qhov cuam tshuam rau kev tsis sib haum xeeb rau tus kheej. Curr Psychiatry Rep. 2014 FEB; 16 (2): 434.