Tlhahlobo ea boitšoaro bo hlephileng (DBT) e qapiloe qalong ho thusa batho ba loantšanang le matšoao a bothata ba borderline botho (BPD).
Batho ba bangata ba nang le BPD ba boetse ba e-na le PTSD , 'me ka tsela e fapaneng. Le hoja batho ba nang le PTSD le BPD ba e-na le matšoao a sa tšoaneng, ba arolelana mathata a tšoanang, a kang:
- Ho thata ho laola maikutlo
- Mathata a boipheliso
- Kotsi e phahameng ea boitšoaro bo se nang maikutlo
Ka hona, u ke ke ua makatsoa ke ho fumana hore bafuputsi ba bang ba qala ho hlahloba hore na DBT e ka thusa batho ba nang le PTSD.
DBT ke eng?
DBT, e nkoang e le ts'oaetso ea boitšoaro bo botle (CBT), e tsepamisitse maikutlo ho fetola mehopolo e sa thehoang, boitšoaro le litumelo e le tsela ea ho fokotsa matšoao a BPD ea motho. Leha ho le joalo, DBT e fapana le meetlo ea CBT. Joang? Ka ho hatisa hape ho amohela maikutlo le maikutlo a motho. Ha e le hantle, DBT e ne e le e 'ngoe ea litsela tsa pele tsa CBT tsa ho sebelisa tsebo ea ho nahana ho thusa ho finyella kamohelo ena.
DBT e itšetlehile ka maikutlo a hore bothata bo bohlokoa ka ho fetisisa har'a batho ba nang le BPD ke bothata ba ho laola maikutlo a bona (hape a bitsoa maikutlo a khatello ea maikutlo ) . Boits'oaro ba mathata a mangata a batho ba nang le BPD (ka mohlala, ho intša kotsi ka boomo ) ho nahanoa hore e hlaha ho mathata ao ba nang le 'ona.
Mathata a ho laola maikutlo a bakoa ke motsoako oa:
- Biology (e kang mokhoa oa motho oa ho utloa bohloko haholo)
- Tikoloho ea bongoaneng moo ho hlokomolohuoa maikutlo kapa moo ho boleloang ha bona ho ileng ha ahloloa
Ka lebaka leo, DBT e tsepamisitse maikutlo ho ntlafatsa mathata a ho laola maikutlo a maikutlo le mekhoa ea bothata eo ba e bakang. Therapists ba fanang ka DBT sebelisa le ho ruta mefuta e mene ea litsebo:
- Tsebo ea ho thuisa ka kelello
- Tsebo ea katleho ea boits'oaro
- Tsebo ea ho mamellana le mathata
- Tsebo ea taolo ea maikutlo
Ho hlahloba ho sebelisoa ha DBT bakeng sa PTSD
Tsebo e sebelisitsoeng ho DBT, e qalileng pele ho batho ba nang le BPD, e ka boela ea tsoela batho ba nang le PTSD molemo haholo.
Feela joaloka batho ba nang le BPD, batho ba nang le PTSD ba na le mathata a ho laola maikutlo a bona. Ba ka 'na ba e-ba le mathata ka likamano kapa ba kopanela boitšoarong bo senyang , tse kang ho intša kotsi ka boomo .
Ho hlahloba hore na DBT e ka atleha ho batho ba nang le PTSD, sehlopha sa bafuputsi ba Central Institute of Mental Health ea Mannheim, Jeremane, se ile sa tšoara sehlopha sa basali ba nang le PTSD (ho tloha ts'oaetsong ea botona kapa botšehali ka bongoana) ba sebelisa phekolo e matla e kopantseng DBT le tloaelo ea CBT e atamela phekolo ea PTSD, e kang ho pepesa . Phekolo e kopanetsoeng e ne e bitsoa DBT-PTSD.
Ka mor'a hore likhoeli tse tharo li phekoloe, bafuputsi ba fumane hore DBT-PTSD e fokolitse haholo matšoao a PTSD a basali, ho akarelletsa ho tepella maikutlo le ho tšoenyeha . Ho phaella moo, matšoao a PTSD a basali a ne a ntse a ntlafatsa libeke tse tšeletseng ka mor'a hore a phethe phekolo, a fana ka tlhahiso ea hore ba ithutile bokhoni nakong ea thuto e ba thusitseng hore ba tsoele pele ho hlaphoheloa ho tloha PTSD ka mor'a hore phekolo e felile.
Ke Hobane'ng ha ho Hlokahala Phuputso e Eketsehileng
Lipatlisiso ka DBT-PTSD li mekhahlelo ea eona ea pele. Ho hlokahala liphuputso ho hlahloba kamoo DBT-PTSD e bapisoang le litlhare tse ling tsa CBT bakeng sa PTSD. Leha ho le joalo, liphello li tšepisa. Haeba u thahasella ho ithuta ho eketsehileng ka DBT, mehloli e 'maloa e fumaneha ho websaeteng ea Dr. Marsha Linehan's Behavioral Tech, ho kenyeletsa le basebetsi ba litsebi tsa bophelo bo botle ba kelello ba koetlisitsoeng,' me ba ka fana ka, DBT.
Lisebelisoa:
Linehan, MM (1993). Tlhaloso ea ho nahanisisa ka boitšoaro ea bothata ba botho ba borderline. New York: Guilford Press.
Steil, R., Dyer, A., Priebe, K., Kleindienst, N., & Bohus, M. (2011). Tlhahlobo ea boitšoaro bo hlephileng ho latela lefu la khatello ea kelello e amanang le ho hlekefetsoa ka ho kopanela liphate ka bongoana: Thuto ea lifofane ea lenaneo le matla la phekolo ea bolulo. Journal of Traumatic Stress, ea 24 , 102-106.