Gaskiya ne cewa samun Cutar Tashin hankali (OCD) yana ƙaruwa da damar mutum don haɓaka jaraba. A cikin jayayya da ma'anar cin zarafin hali, gami da jarabar batsa, masu shakka sau da yawa suna da'awar cewa jarabar batsa 'tilastawa ce' ba 'jaraba' ba. Wannan jarabawar “kamar” OCD ce. Lokacin da aka kara matsawa game da yadda 'tilasta yin amfani da X' ya bambanta (a likitance) daga 'jarabawar zuwa X', dawowar da waɗannan masu ƙididdigar da ba su sani ba suka nuna ita ce "tionswarewar ɗabi'a kawai OCD ce." Ba gaskiya bane. Bincike ya nuna cewa shaye-shaye sun bambanta da OCD a hanyoyi masu mahimmanci. A zahiri, DSM-5 yana da rukuni daban don OCD da ƙwarewar ɗabi'a, don haka ƙwararrun masanan suka farga cewa yanayin biyu sun bambanta da ilimin lissafi. Wani bayani daga wannan nazarin 2016 Ya ƙayyade shi:
An yi la'akari da rashin ciwo mai rikitarwa-nau'ikan bidiyon da ke tattare da fahimtar jima'i (40) saboda wasu nazarin da aka gano wadanda ke da halayyar halayya ta halayya a kan rashin tausananciyar cuta (OCD). OCD don halin jima'i ba daidai da DSM-5 (1) fahimtar ganewa na OCD ba, wanda ya ware daga ganewar asali waɗannan dabi'un da mutane ke jin dadi. Kodayake tunanin tunanin na OCD sau da yawa yana da jituwa ta jima'i, haɗin da ake haɗuwa da shi don mayar da martani ga al'amuran ba'ayi dashi ba don jin dadi. Kowane mutum tare da rahoton OCD ya ji labarin jin tsoro da ƙyama fiye da sha'awar jima'i ko ƙwaƙwalwa lokacin da aka fuskanci yanayi da ke haifar da ra'ayi da ƙaddamarwa, tare da ƙarshen abin da aka yi kawai don kawar da rashin jin daɗin abubuwan da ke damuwa. (41)
Rashin jima na yau da kullum wanda ake yin sauti yana cewa CSBD ba kome ba ne kawai fiye da matsalolin rashin ƙarfi (OCD), duk da haka wannan maganganun da aka yi amfani da shi yana da goyon baya kaɗan: (fassarar daga Ganawa Ƙungiyar Aikatawa da Ƙarfafawa a Matsanancin Jima'i, 2018).
Studiesan karatu kaɗan ne suka bincika ƙungiyoyi tsakanin tilastawa da liwadi. Daga cikin maza da ke fama da rikice-rikice tsakanin maza da mata, yawan rikicewar rikice-rikice na rayuwa-rashin lafiyar mahaukaci wanda ke tattare da tilastawa-ya kasance daga 0% zuwa 14% (Kafka, 2015). Lura da hankali - wanda na iya kasancewa tare da halayyar tilastawa (Inventory na Multiabi'ar Multiabi'ar Multiabi'ar Minisota ta 2 (MMPI-2); Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) - a cikin maza masu neman magani da liwadi an gano cewa an ɗaukaka su dangane da ƙungiya mai kwatanci, amma girman tasirin wannan bambancin yayi rauni (Reid & Masassaƙa, 2009). Lokacin da aka haɗu tsakanin matakin ɗabi'a mai rikitarwa-wanda aka ƙididdige ta ta hanyar ƙaramin tsarin tattaunawar Clinical Interview na DSM-IV (SCID-II) (Na farko, Gibbon, Spitzer, Williams, da Benjamin, 1997) -da kuma matakin luwadi an bincika tsakanin maza masu neman magani tare da rikicewar rikicewar jima'i, an sami ci gaba zuwa ga tabbatacce, ƙungiya mai rauni (Kafinta, Reid, Garos, & Najavits, 2013). Bisa ga sakamakon da aka ambata, compulsivity ya nuna taimakawa a cikin ƙananan ƙananan dabi'u ga liwadi.
Karin bayani daga Shafin Farko na Yanar Gizo: Abin da muka sani da kuma abin da ba mu kasance ba-wani nazari na yaudara (2019):
Daga tsarin kulawar rikici na hanzari, halayyar halayyar zinare gaba ɗaya ana kiransa "Compulsive Sexual Behavior (CSB)". Coleman [56] shi ne mai goyon bayan wannan ka'idar. Duk da yake ya hada da halayen kirki a karkashin wannan lokaci [57], kuma suna iya zama tare a wasu lokuta, ya bambanta shi daga CSB, wanda shine abin da muke so mu mayar da hankalin a cikin wannan bita. Abu mai ban sha'awa, al'adar jima'i ba tare da zane ba ne yawancin lokaci, idan ba haka ba, fiye da wasu alamu [43,58].Duk da haka, ƙayyadaddun ma'anar CSB yawanci suna magana ne akan yawancin halayen jima'i da zasu iya zama masu tilastawa: yawancin da aka ruwaito shi ne al'aura, ana biye da shi ta yin amfani da batsa, da lalata kamfani, daɗaɗɗen tafiya, da kuma dangantaka da yawa (22-76%) [9,59,60].Yayinda akwai tabbacin mahimmanci tsakanin haɗin kai da kuma yanayin kamar yanayin rashin tausananci-gajiya (OCD) da sauran cututtuka na rikici [61], akwai wasu bambance-bambance masu ban mamaki da aka nuna: alal misali, al'amuran OCD basu ƙunshi lada ba, ba kamar halin jima'i ba. Bugu da ƙari, yayin da yake shiga cikin ƙwarewa zai iya haifar da taimako na wucin gadi na OCD marasa lafiya [62], halin jima'i yakan haɗu da halaye da kuma baƙin ciki bayan aikata aikin [63]. Har ila yau, damuwa wanda zai iya rinjaye wani hali na mai haɗari a wasu lokuta ba tare da haɗuwa da shiri mai kyau da ake bukata a wasu lokuta a CSB (alal misali, game da saduwa da jima'i)64]. Goodman yana tunanin cewa maganin rikitarwa ya ta'allaka ne a tsaka-tsaki na rikitarwa masu rikitarwa (wanda ya haɗa da raguwa da juyayi) da kuma nakasa (wanda ya haɗa da jin dadi), tare da bayyanar da alamun kwayoyin halitta (serotoninergic, dopaminergic, noradrenergic, da tsarin opioid)65]. Stein ya yarda da samfurin da ke hada da hanyoyin da ke da nau'o'in ethiopathogenical kuma ya gabatar da samfurin ABC (dysregulation shafi, halayyar hali, da dyscontrol) don nazarin wannan mahallin [61].Daga dabi'un hali na jaraba, halayyar halayyar halayen haɗin kai ya dogara ne akan raba bangarori na buri. Wadannan fannoni, bisa ga DSM-5 [1], koma zuwa samfurin mai amfani da aka ambata da aka ambata dangane da halin halayen haɗin kai, duka biyu da layi [6,66,67]. Shaida na haƙuri da janyewa a cikin wadannan marasa lafiya zai iya zama maɓalli a cikin halayyar wannan mahaluži azaman ƙwayar cuta [45]. Amfani da matsalar cybersex mawuyacin hali shine sau da yawa an yi la'akari da shi azaman buri na hali [13,68].
Rashin halin halayen jima'i mai rikitarwa a cikin rikice-rikice-rikice-rikice: Tsakanin adadi da haɗin kai (2019) - Nazarin ya ruwaito cewa ƙimar CSBD a zahiri tana ƙasa da waɗanda ke tare da OCD fiye da yawan jama'a:
A cikin wannan binciken, muna sha'awar lalatawa da kuma alaƙa da zamantakewa na zamantakewa na CSBD a cikin marasa lafiya tare da OCD. Na farko, mun gano cewa 3.3% na marasa lafiya tare da OCD na da CSBD a yanzuan 5.6% yana rayuwa CSBD, tare da haɗuwa da maza da mata fiye da mata. Na biyu, mun gano cewa wasu yanayi, musamman yanayi, muni da damuwa da cuta, sun kasance mafi yawa a cikin marasa lafiya na OCD tare da CSBD fiye da wadanda ba tare da CSBD ba, amma ba cuta ba saboda amfani da kayan aiki ko kuma halayya.
Rahotanni na farko na CSBD da Carnes (1991) da Coleman (1992) suka bayar sun nuna cewa har zuwa 6% na mutane daga yawancin jama'a suna fama da halayen halayen jima'i. Kodayake ba a san yadda aka samo waɗannan ƙididdigar baƙar fata (Black, 2000) ba, binciken bincike na annoba na gaba ya tabbatar da cewa tilasta yin jima'i, wanda zai iya haɗawa da yawan al'aura, amfani da batsa, yawan abokan jima'i, da al'amuran aure, ya zama ruwan dare a cikin jama'a (Dickenson) et al., 2018). Abubuwan da muka gano game da yawan adadin CSBD a cikin OCD suna kama da waɗanda suke cikin yawan jama'a (Langstrom & Hanson, 2006; Odlaug et al., 2013; Skegg, Nada-Raja, Dickson, & Paul, 2010).
A ƙarshe, bayanan mu sun nuna cewa CSBD a cikin OCD sun kasance kamar waɗanda suke a cikin yawan jama'a da kuma sauran masu bincike na bincike. Bugu da ƙari kuma, mun gano cewa CSBD a OCD ya fi dacewa da wasu matsalolin da ba su da haɓaka, da matsaloli, amma ba tare da halayyar halin mutum ba. Wannan binciken yana goyan bayan CSBD a matsayin wani abu mai rikitarwa. Ana ci gaba, daidaitattun matakan tare da halayen halayen halayen halayen halayen kayan aiki suna buƙata don tantance kasancewa da tsananin ƙarfi na CSBD. Dole ne bincike na gaba ya ci gaba da ƙarfafa fahimtar wannan matsalar da kuma tara ƙarin bayanan jarrabawa, don inganta kyakkyawar kulawa na asibiti.
Ratesimar da ke tattare da cutarwar addinai a cikin haɗarin neman magani da ke neman daidaituwa: rahoton farko (2020) - Nazarin ya ba da rahoton cewa ƙimar halayyar ɗabi'a (gami da jarabar intanet da CSBD) sun yi daidai da abin da ke faruwa a cikin yawan jama'a. Saboda haka, jaraba ba ya daidaita da OCD ko tilastawa:
Hanyar: An gayyaci cibiyoyin ƙasa da ƙasa da ke ƙwarewa kan lura da OCD don shiga cikin binciken yanayin ƙididdigar jarabawar halayen da sauran ƙa'idodi masu dacewa a cikin samfuran su.
Sakamako: Goma sha shida na 23 (69.6%) cibiyoyin da aka gayyata daga ƙasashe 13 suna da isasshen bayanan da zasu shiga cikin binciken. Yin amfani da ingantattun kayan aikin bincike ya kasance da banbanci, tare da yawancin cibiyoyin dogaro da '' bincike na asibiti 'don gano ƙwayoyin halayyar. Samplearshe samfurin na ƙarshe ya ƙunshi marasa lafiya 6916 tare da ainihin maganin OCD. Matsakaicin da aka ruwaito na jaraba halayyar sun kasance kamar haka: 8.7% don amfani da intanet na matsala, 6.8% don tashin hankali na lalata jima'i, 6.4% don siyan tilastawa, 4.1% don matsalar caca da 3.4% don cuta na caca.
Ci Gaba Da Tabarbarewar Ciwon Zuciya Saboda Yawan Amfani da Batsa: Rahoto
Mun bayyana wani lamari na wani mutum mai shekaru 28 da ke da sassauƙan fasali na cuta mai ruɗi (OCD) wanda ya ɗauki babban tsari tare da zuwan jarabar batsa.
A mafi yawan binciken da aka jera a cikin shafukan yaran da ke ƙasa, masu bincike sun kwatanta jita-jita da cin gajiyar caca saboda cin abincin caca ne kawai abin da ake yi a halin yanzu a cikin sabon DSM-5 (2013).
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