Iri peji rinotsanangura maitiro akaona Compulsive Sexual Behavior Disorder yakagamuchirwa neWorld Health Organisation muICD-11. Ona pazasi pepeji pamapepa ari kukakavara kusarudzika kweCSBD.
Zvinonyadzisira Zvinodhaka Zvinoonekwa Uchishandisa WHO's Diagnostic Manual (ICD-11)
Sezvaunogona kunge wakanzwa, mu2013 vaparidzi ve Kuongorora uye Statistical Manual (DSM-5), iyo inotaura nezvehutano hwehutano hwehutano, yakaramba kuwedzera chirwere chinonzi "Hypersexual Disorder." Kuziva kwakadaro kungave kwave kushandiswa kuongororodza zvinodhaka zvepabonde. Nyanzvi dzinoti kuti izvi zvakakonzera matambudziko makuru kune avo vanotambudzika:
Kuregererwa uku kwakadzivisa kuvhara, kutsvakurudza, nekuedza kurapwa, uye kubva kumakiriniki pasina chikonzero chekuongorora chirwere chepabonde chepabonde.
World Health Organisation kuti isunungure
The World Health Organization inoparidzira iyo yekuongorora tsananguro, inozivikanwa sa Kurongeka Kwepasi rose kwezvirwere (ICD), iyo inosanganisira zviratidzo zvekuongororwa kwezvirwere zvose zvinozivikanwa, kusanganisira zvinetso zvehutano hwepfungwa. Inoshandiswa pasi pose, uye inobudiswa pasi pekodzero yakazaruka.
Saka nei DSM inoshandiswa zvikuru muUnited States? I APA inokurudzira kushandiswa kweDMM panzvimbo ye ICD nokuti APA inowana mamiriyoni emadhora kutengesa zvinhu zvayo zvekodzero zvine chokuita neDMM. Kune imwe nzvimbo munyika, zvisinei, vashandi vakawanda vanovimba neIndaneti isina ruzivo. Ichokwadi, iyo nhamba yenhamba mumitauro miviri inoenderana neCII.
Iyo inotevera edition yeICD, iyo ICD-11, yakagamuchirwa muna Chivabvu, 2019, ichafambiswa zvishoma nezvishoma nyika nenyika. Heino mutauro wekupedzisira.
Heino rugwaro rwechirwere ichi:
6C72 Kuita zvepabonde kuita zvepabonde inoratidzirwa nemaitiro anoramba achienderera mberi ekutadza kudzora zvakanyanya, kudzokorora mafungiro ezvepabonde kana zvishuwo zvinoguma nekudzokorora maitiro epabonde. Zviratidzo zvinogona kusanganisira kudzokororwa kuita zvepabonde kunova musimboti wehupenyu hwemunhu kusvika pakuregeredza hutano nekuchengeta kwake kana zvimwe zvido, zviitwa uye mabasa; zvakawanda zvisina kubudirira kuedza kuderedza zvakanyanya kudzokorora maitiro epabonde; uye kuramba uchidzokorora kuita zvepabonde pasinei nemigumisiro yakaipa kana kuwana zvishoma kana kusagutsikana kubva pazviri. Maitiro ekutadza kudzora zvakanyanya, zvishuwo zvepabonde kana zvinokurudzira uye zvinokonzeresa kudzokorora maitiro epabonde zvinoratidzwa kwenguva yakareba (semuenzaniso, 6 mwedzi kana kupfuura), uye zvinokonzeresa kushushikana kwakanyanya kana kukanganisa kwakanyanya mumunhu, mhuri, magariro, dzidzo, basa, kana dzimwe nzvimbo dzakakosha dzekushanda. Kushungurudzika kwakabatana zvachose nekutonga kwetsika uye kusatenderwa pamusoro pezvishuwo zvepabonde, zvishuwo, kana maitiro hazvina kukwana kuzadzisa ichi chinodiwa.
Zvinokosha (Zvinodiwa) Zvimiro:
Nzira inopfuurira yekutadza kudzora zvakanyanya, kudzokorora zvishuwo zvepabonde kana zvikumbiro zvinokonzeresa kudzokorora maitiro epabonde, anoratidzwa mune chimwe kana zvimwe zvezvinotevera:
- Kuita zvekudzokorora hunhu hwepabonde kwave kutarisisa kwehupenyu hwemunhu kusvika pakuregeredza hutano nekuchengeta kwake kana zvimwe zvido, zviitwa uye mabasa.
- Munhu wacho akaita nhamburiko dzakawanda dzisina kubudirira kudzora kana kuderedza zvakanyanya kudzokorora maitiro epabonde.
- Munhu wacho anoenderera mberi nekudzokorora maitiro epabonde pasinei nemigumisiro yakaipa (semuenzaniso, kukakavara kwewanano nekuda kwemaitiro epabonde, zvemari kana mutemo, kukanganisa kuhutano).
- Munhu wacho anoenderera mberi achiita zvekudzokorora hunhu hwepabonde kunyangwe kana munhu wacho achiwana kugutsikana kushoma kana kusatombogutsikana nazvo.
Maitiro ekutadza kudzora zvakanyanya, kudzokorora zvishuwo zvepabonde kana zvinokurudzira uye zvinokonzeresa kudzokorora maitiro epabonde zvinoratidzwa kwenguva yakareba (semuenzaniso, 6 mwedzi kana kupfuura).
Maitiro ekutadza kudzora zvakanyanya, kudzokorora zvishuwo zvepabonde kana zvikumbiro uye zvinokonzeresa kudzokorora maitiro epabonde hazviverengerwe zviri nani neimwe kusagadzikana kwepfungwa (semuenzaniso, Manic Episode) kana imwe mamiriro ekurapa uye haisi nekuda kwemhedzisiro yechinhu kana mushonga.
Maitiro ekudzokorora maitiro epabonde anounza kushushikana kwakajeka kana kukanganisa kwakanyanya mumunhu, mhuri, magariro, dzidzo, basa, kana zvimwe zvakakosha zvekushanda. Kushungurudzika kwakabatana zvachose nekutonga kwetsika uye kusatenderwa pamusoro pezvishuwo zvepabonde, zvishuwo, kana maitiro hazvina kukwana kuzadzisa ichi chinodiwa.
Mutsva "Kuita zvepabonde kuita zvepabonde” (CSBD) kuongororwa kuri kubatsira vanhu kuti varapwe uye kubatsira vaongorori pakuongorora zvekumanikidzira kushandisa zvinonyadzisira. Nekudaro, iyi ndima ine zvematongerwo enyika zvekuti dzimwe nyanzvi dzezvepabonde dzakaenderera mberi nedanidziro yavo yekuramba kuti kuongororwa kunosanganisira kumanikidza kushandiswa kwepabonde. Uku kunongova kurwisana kwekupedzisira mu mushandirapamwe wakareba kwazvo. Kuti uwane rumwe ruzivo nezve kuyedza kwazvino, ona VaPropagandists vanonyengera mapepa akaongorora-peer uye ICD-11 tsvaga yekutsvaga kuti ifukidze nhema dzokuti ICD-11 yeOW "yakaramba kutengesa zvepabonde nekudhakwa kwepabonde".
Muna 2022, ICD-11 yakayedza kumisa kuparapatika kwevanoongorora zvepabonde nekudzokorora "Zvimwe Zvimwe Zvipatara Zvimwe” chikamu chekutaura nezve “kushandiswa kwezvinonyadzisira” zvakananga.
Compulsive Sexual Behavior Disorder inogona kuratidzwa mumhando dzakasiyana siyana, kusanganisira kuita pabonde nevamwe, bonyora, kushandisa zvinonyadzisira, cybersex (internet sex), zvepabonde parunhare, uye mamwe maitiro ekudzokorora maitiro ezvepabonde.
Parizvino, ICD-11 yatora nzira yekuchengetedza, yekumirira-uye-kuona uye yakaisa CSBD muchikamu che "Impulse control disorders" (kunova ndiko kwakatanga kubhejera kusati kwaendeswa kuchikamu chinonzi "Kusagadzikana nekuda kwekushandisa zvinodhaka kana kupindwa muropa maitiro.” Kumwe kutsvagurudza kucharatidza nzvimbo yayo yekupedzisira yekuzorora. (Zvichakadaro, iyo sexology-inotongwa DSM yakagadziridzwa pasina kusanganisira CSBD zvachose! Zvinokatyamadza.
Gakava redzidzo riri kutekeshera, sezvauri kuona pazasi pepeji rino. The neuroscientists uye kupindwa muropa nenyanzvi vanoenderera mberi nesainzi yavo yekutanga zvichienderana nekuchinja kwehuropi kunowanikwa kune zvese zvinopindwa muropa (maitiro uye zvinhu). Nyanzvi dzezvepabonde dzinoramba dzichidzivirira zvepamusoro-soro, kazhinji zvinotungamirirwa nehurongwa ("zvinonyadzisira hazvingambovi dambudziko") tsvakurudzo uye propaganda kuedza.
Misimboti nzira
Makomo ekutsvagisa anoratidza kuti maitiro akapindwa muropa (zvokudya zvinodhaka, pathological kubhejera, vhidhiyo yemitambo, Internet addiction uye porn addiction) uye zvinodhaka zvinodhaka zvinowanzova zvizhinji zvakafanana nzira dzakakosha zvichiita kuti a kuunganidzwa kwekugoverana kwakagoverana muhutano hutano uye chemhemikari.
Tichifunga nezvekufambira mberi kwesainzi, kutsoropodza kwemaitiro ekuita zvepabonde-maitiro ekupindwa muropa kuri kuwedzera kusakosha uye kusapera nguva (uye hapana zvidzidzo zvisati zvanyengedza zvinonyadzisira zvinodhaka). Kutsigira mufananidzo wezvinodhaka, pane ikozvino zvinopfuura 60 neurological zvidzidzo pane zvinonyadzisira vashandisi / pabonde vanopindwa muropa. Nechisarudzo chimwe chete, vanoratidza shanduko dzehuropi dzinoratidzira izvo zvinoitika muzvinodhaka (uye akawanda eurouroscience-yakavakirwa ongororo yemabhuku). Pamusoro pe, zvidzidzo zvakawanda zvinoshuma zvakawanikwa zvinoenderana nekuwedzera kwekushandisa zvinonyadzisira (kushivirira), kugara kune zvinonyadzisira, uye kunyange kuregera zviratidzo. - izvo zviri zvese zvakakosha zviratidzo zvekupindwa muropa.
Mission inhau
ICD inotsigirwa neWorld Health Organisation. Maererano neICD's Chinangwa, "Inobvumira pasi rose kuenzanisa uye kugovera ruzivo rwehutano vachishandisa mutauro wakafanana. ICD inotsanangura zvisikwa zvezvirwere, kusagadzikana, kukuvara uye mamwe mamiriro ehutano ane hukama. Masangano aya akanyorwa nenzira yakazara kuti zvese zvifukidzwe. " (World Health Organization, 2018). Saka chinangwa ndechekuvhara dambudziko rega rega reutano, kuti rikwanise kurondwa nekudzidzwa pasi rese.
Vese varapi (vanachiremba vepfungwa, nyanzvi dzehutano hwepfungwa, vanachiremba vepfungwa, vanopindwa muropa nevanorapa uye avo vanoshanda mukudzivirira) vanofarira zvikuru ICD kuongororwa kweCSBD.
Zvisinei, yeuka kuti kune mamwe maitiro. Vazhinji vasiri vakiriniki, semuenzaniso, vane hurongwa hwavo. Vangatove nekukurudzira kunopesana nekuwana varwere rubatsiro rwavanoda, uye dzimwe nguva vane manzwi ane ruzha munhau. Mapoka anombowira muchikamu ichi chisiri chekiriniki anogona kuwanikwa munhau dzepfungwa dzepfungwa, maindasitiri emitambo uye zvinonyadzisira (nevaongorori vavo), nyanzvi dzemagariro evanhu, dzimwe nyanzvi dzezvepabonde, uye vaongorori vezvenhau.
Hazvisi zvisizvo kuti maindasitiri makuru abhadhare "vatungamiriri vepfungwa" vachengeti vakakura kuti vataure vachitsigira zvinzvimbo izvo maindasitiri akadai angade kuona achive / kuramba ari mutemo. Saka, paunoverenga zvinyorwa mumapepanhau makuru, ramba uchifunga kuti maitiro akasiyana anogona kunge aine vavariro dzakasiyana. Hungwaru kubvunza kana vavariro dzevatauriri dzichiwedzera kugara zvakanaka kwevanhu, kana kukanganisa kugara zvakanaka kwevanhu.
Nhaurirano yeClassification: Mapepa ezve nzira yakanakisa yekuisa CSBD muICD-11 (ine zvinyorwa kubva kune vamwe):
Compulsive Sexual Behavior Disorder haifanirwe kurongeka nekuvimba chete nechikamu/zviratidzo zvemhando • Mhinduro kune gakava: "Kupindwa muropa muICD-11" (2022)
Zvinoenderana nemaitiro emazuva ano ekufungidzira kwekupindwa muropa maitiro (semuenzaniso, Brand et al., 2019; Perales et al., 2020), tinokakavara kuti kufunga nezvemaitiro-yakavakirwa maonero kuchabatsira kujekesa kuti kana kwete CSBD ingave yakanyatso fungwa mukati mekupindwa muropa nehurongwa.
Mune ino pepa retsananguro, inokurukurwa kana Compulsive Sexual Behavior Disorder (CSBD) yakanyatso kurongeka seImpulse Control Disorder, Obsessive-Compulsive Disorder kana muchiedza chekupindirana kwehunhu neGaming uye Kubhejera Disorder semupindwa hunhu. Zvinhu zvinopindirana ndezvi: kurasikirwa kwekutonga pamusoro pemaitiro akawandisa, kupa kukosha kunowedzera kune maitiro ekunyanyisa ari pasi pekuferefetwa uye kusimudzira maitiro akadaro kunyangwe nemhedzisiro yakaipa. Kunze kwehumbowo hwehumbowo maererano nemagadzirirwo ari pasi, phenomenology inoitawo basa rakakosha kurongedza nenzira kwayo CSBD. Iwo phenomenological maficha eCSBD anotaura zvakajeka achifarira yekuisa CSBD pasi peamburera yekupindwa muropa maitiro.
pamusoro pebasa re zvakaipa zvekusimbisa zvinokurudzira kuti Gola et al. (2022) tsanangura senzira huru mukukura kweCSBD, kuchipatara, zvishoma pakutanga kwemaitiro ekukura akafanana nekushandisa zvinhu. zvakanaka kusimbisa zvinokurudzira kazhinji dzinokosha zvikuru. Izvi zvinoshanduka mukufamba kwebudiriro4. Mufananidzo 1 inotaridza kuti izvi zvinogona kutungamira sei kune "kupindwa muropa se" zviratidzo zvine zvinhu zvekufungira, kumanikidza, uye kupindwa muropa.
Kunyange zvazvo Brand uye vashandi vachitarisa pamusoro pekuti dzidziso uye nzira dziri pasi pemaitiro ekupindwa muropa dzinoshanda kune zvakarongwa zvekupindwa muropa zvine musoro zvachose, tinogona kutarisira uye tinofanira kukurudzira gakava pamusoro pemhando chaiyo yekupindwa muropa nemaitiro ...
..kukosha kwenzira inopindirana yehutano hwepfungwa yeruzhinji pakushandisa zvinodhaka uye zvinechekuita nekupindwa muropa kwakakosha pakuderedza kukuvara. Ikoko zvidzidzo kubva kubasa nezvehutano hwepfungwa hweveruzhinji nzira dzekushandisa zvinodhaka uye kusarongeka kwekubhejera, zvine chekuita nezvimwe zvinopindwa muropa nehunhu, izvi zvinogona kunge zviri chikonzero chakakosha chekubatanidzwa kwavo pasi peiyi rubriki.
Iyi tsananguro inoongorora chirevo chakaitwa naBrand et al. (2022) maererano nehurongwa hunotsanangudza maitiro akakodzera ekutarisisa zvingangopindwa muropa nemaitiro mukati meiyozvino World Health Organisation's International Classification of Diseases (ICD-11) chikamu che 'mamwe matambudziko akatsanangurwa nekuda kwekupindwa muropa nemaitiro'. Isu tinobvumirana nehurongwa sezvo hunoratidza maonero ekiriniki anoda kubvumirana-pamusoro pezvikamu uye maitiro ekugadzira nzira dzekuongorora dzinoshanda uye kurapa kunoshanda. Pamusoro pezvo, isu tinokurudzira kuwedzera kudiwa kwekuziva hunhu hunogona kupindwa muropa kuburikidza nekubatanidzwa kwechina meta-level criterion: 'grey mabhuku euchapupu'.
Kusagadzikana nekuda kwemaitiro ekupindwa muropa: Dzimwe nyaya, nharo, uye kukakavara • Mhinduro kune gakava: "Kupindwa muropa muICD-11" (2022)
Kupesana nekupatsanurwa, mazita, uye maitiro ekuongorora eCompulsive Sexual Behavior Disorder (CSBD) uye mafambiro emangwana • Mhinduro kune gakava: "Kuzvibata muICD-11 (2022)
Maonero ehutano hwepfungwa uye hwepabonde eInternational Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder • Mhinduro kune gakava: "Kupindwa muropa muICD-11" (2022)
Ko kumanikidza kuita zvepabonde (CSB) kunofanirwa kutariswa sekupindwa muropa nehunhu? Bepa rekupokana rinoratidza maonero anopikisa (2022)
Maitiro ekugadzwa kwehutsika hutsva hwekupindwa muropa • Mhinduro kune gakava: "Kupindwa muropa muICD-11" (2022)
Ongororo yekumanikidzira kuita zvepabonde kusagadzikana pakati pengochani, ngochani, bisexual, transgender, uye queer vatengi • Mhinduro kune gakava: "Kupindwa muropa muICD-11" (2022)
Kusagadzikana kunokonzerwa nemaitiro ekupindwa muropa: Dzimwe nyaya, nharo, uye kukakavara.
Maonero ehutano hwepfungwa uye hwepabonde eInternational Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder (nevanoramba kupindwa muropa)
Update. Ona izvi zvinyorwa zve2 zvimwe:
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