Ba bangata baa ipotsa hore na moeli oa moeli o tlile joang ho hlalosa bothata ba moeli oa botho . A re ithute ho eketsehileng ka tšimoloho ea lentsoe lena, le hore na ke hobane'ng ha ho sebelisoa ha eona litsebi tse ling kajeno.
Histori ea "Borderline" ho Borderline Personality Disorder
Lentsoe "borderline" le ile la qala ho tsejoa United States ka 1938. E ne e le lentsoe le sebelisitsoeng ke li-psychiatric tsa pele ho hlalosa batho ba neng ba nahanoa hore ba le "moeling" pakeng tsa ho hlahlojoa, haholo-holo kelello ea kelello le bothata ba pelo.
Nakong eo, batho ba nang le kankere ea meriana ba ne ba lumeloa hore ba ka phekoloa, athe batho ba nang le psychosis ba ne ba nkoa ba se na tšoaetso.
Joale, lilemong tsa bo-1970, kutloisiso e tebileng ea bothata ba moeli oa botho bo qalile ho hlaha. Batho ba nang le BPD ba ne ba hlalosoa ba le boikutlo ba maikutlo , ba hlokang, ba boima, ba kotsing ea ho ipolaea , le ho ba le maemo a sa tsitsang a sebetsang.
Ka potlako, mokhoa o mong oa matšoao o ile oa qala ho hlalosa batho ba nang le bothata ba botho ba borderline. Tsena li kenyeletsa:
- Liphetoho tse potlakileng ho tloha linakong tsa kholiseho ho felloa ke tšepo
- Ho iketsetsa setšoantšo se tsitsitseng
- Ho feto-fetoha ha maikutlo ka potlako
- Tšabo ea ho lahloa
- Tloaelo e matla ea ho intša kotsi le ho ipolaea
Ka 1980, BPD e ile ea fetoha bothata ba botho bo botle ka ho hlahlojoa le ho Statistical Manual ea Mental Disorders III kapa DSM-III.
Tekano ea Botho ea Boikarabello Bocha Kajeno
Kajeno ho tsebahala haholo ka BPD. Lentsoe "neurosis" ha le sa sebelisoa tsamaisong ea rona ea ho hlahloba, 'me BPD ha e sa nkoa e le lefu la psychotic.
Hona joale BPD e nkoa e le boloetse bo khetholloang ke liphihlelo tse matla tsa maikutlo le ho se tsitse ha likamano le boitšoaro bo qalang ho ba motho e moholo le ho iponahatsa ka maemo a mangata (mohlala, lapeng le mosebetsing).
Ho phaella moo, litsebi li hlokometse hore ho na le karolo e matla ea liphatsa tsa lefutso ho BPD-e bolelang hore e ka sebetsa malapeng.
Ho ea ka DSM-5, e le hore motho a fumane hore o na le BPD, motho o tlameha ho finyella litekanyetso tsena:
- E-ba le ts'oaetso ho boitsebiso bo itseng (boithati) kapa boithuto (mohlala, lipakane tsa bophelo).
- E-ba le bothata ba ho sebetsana le batho ba bang ka kutloelo-bohloko (ho sitoa ho lemoha maikutlo a ba bang) kapa kamano e haufi-ufi (likamano tse matla, tse sa tsitsang le tse fapaneng).
Ho phaella moo, motho o tlameha ho ba le litšobotsi tse latelang tsa botho:
- Phoso ea ho ba le bothata: e khetholloang ke maikutlo a tloaelehileng a fetoha, ho tšoenyeha, tšabo ea ho lahloa, ho ikutloisa bohloko khafetsa, le menahano le boitšoaro ba ho ipolaea
- Ho thibela ho fokotsa kotsi: ho khetholloa ka ho hloka maikutlo le ho nka likotsi (ka mohlala, ho sebelisa litšenyehelo, ho kopanela liphate)
- Likamano: tse khetholloang ke bora (ka mohlala, bohale bo arabelang ka ho nyelisoa ho nyenyane)
Phehisano e Tsoelang Pele
Mantsoe a borderline a ntse a ngangisana le batho ba bang. Litsebi tse ngata hona joale li letsetsa hore BPD e boleloe lebitso hobane ba lumela hore "moeli" o felile nako. Ba bang ba lumela hore BPD ha ea lokela ho khetholloa e le botho ba botho, empa e le lefu la maikutlo , kapa bothata ba boitsebiso.
Litlhahiso tsa lebitso le lecha li kenyelelitse:
- Emotion Dysregulation Disorder
- Boemo bo sa tsitsang ba Botho
- Impulse Spectrum Disorder
- Khatello ea Khatello ea Kelello ea Posttraumatic Complex
Sena se Bolela'ng ho 'na Haeba ke na le BPD?
Ke habohlokoa hore u se ke ua fanyehoa hape ka lentsoe "borderline". Lentsoe lena le tsofetse 'me le ka fetoha nakong e tlang. Ho e-na le hoo, tsepamisa kelello mosebetsing le ngaka kapa setsebi ho fumana phekolo e nepahetseng e le hore u fumane bophelo bo botle.
> Mehloli:
> Mokhatlo oa Maiketsetso oa Amerika. (2013). Buka ea ho hlahloba le ea lipalo-palo ea mathata a kelello (5th ed.). Arlington, VA: American Psychiatric Publishing.
> Bernstein DP le al. Litlhaloso tsa botho bo ferekanyang litsebi mabapi le tsamaiso ea litsebo tsa botho ba DSM-IV. J Pers Pers Disord. 2007 Oct; 21 (5): 536-51.
> Borderline Personality Disorder: Phekolo le Tsamaiso. Likhoebo tsa Meriana ea NICE, No. 78. Setsi sa Sechaba se Kopanetsoeng sa Bophelo ba kelello (UK). Leicester (UK): British Psychological Society; 2009.
> Gunderson JG. Borderline Personality Disorder: Li-ontogeny tsa Tlhahlobo. Am J Psychiatry . 2009 May; 166 (5): 530-39.