Obsessive compulsive disorder uye kukanganisa

Ichokwadi kuti kuva neOssessive-Compulsive Disorder (OCD) kunowedzera mikana yemunhu yekukudziridza kupindwa muropa. Mukukakavara vachipesana nepfungwa yekupindwa muropa nehunhu, kusanganisira kupindwa muropa nezvinonyadzisira, vanogunun'una vanowanzo taura kuti kupindwa muropa kwepabonde ndiko 'kumanikidza' kwete 'kupindwa muropa'. Iyo inodhakwa "yakafanana" OCD. Kana zvikaenderera zvichimanikidzirwa pamusoro pekuti 'kumanikidzwa kushandisa X' kwakasiyana sei (physiologically) kubva kune 'kupindwa muropa neX', kudzoka kwakajairika kweava vasina chokwadi vasina chokwadi ndekwekuti "Kupindwa muropa nemaitiro kungori OCD." Hachisi chokwadi. Kutsvagisa kunoratidza kuti kupindwa muropa kwakasiyana neOCD munzira dzakawanda dzinoshanda Muchokwadi, iyo DSM-5 ine akasiyana zvikamu zveOCD uye hunhu hunodhakwa, saka nyanzvi dzayo dzinoona kuti iwo mamiriro maviri akasiyana physiologically. An excerpt kubva muchirongwa che 2016 inowedzera iyo:

Matambudziko anonzi Obsessive-compulsive spectrum ave achifungidzirwa kuti anofungidzira kugadzirisa zvepabonde (40) nokuti zvimwe zvidzidzo zvakawana vanhu vane hukama hwehutano hwepabonde dziri pane zvinokanganisa-kuvhiringidzika kwepabonde (OCD). OCD yehutano hwehutano husina kufanana neDSM-5 (1) kuongororwa kunzwisiswa kweOCD, iyo inosanganisa kubva kuongororwa kwezviito izvo vanhu vanofarira. Kunyange zvazvo pfungwa dzisina kukwana dze OCD dzinowanzova nehupombwe, izvo zvinosanganiswa zvinomanikidzwa zvakaitwa mushure mekunyangarika hazvisi kuitwa nekuda kwekunakidzwa. Vanhu vane OCD vanorondedzera manzwiro ekuzvidya mwoyo nekunyangadza panzvimbo pane chido chepabonde kana kumutswa kana vachitarisana nemamiriro ezvinhu zvichikonzera kukanganisa uye kumanikidzirwa, nechokupedzisira ichiitwa chete kungoderedza kusagadzikana pfungwa dzisina kunaka dzinomutsa. (41)

Zvinonyadzisira zvinokanganisa naysayers zvinowanzoreva kuti CSBD haisi chinhu chisingaiti chinokonzera kushungurudzika kwepfungwa (OCD), asi nhaurirano iyi yakanyatsokurukurwa inobatsira zvishoma: (kutsvaga kubva Kudzokorora basa rekusagadzikana uye kusagadzikana mune zvinetso zvekuita zvepabonde, 2018).

Zvishoma zvidzidzo zvakaongorora kushamwaridzana pakati pekumanikidza uye hupombwe. Pakati pevanhurume vane nonparaphilic hypersexual kusagadzikana, kuwanda kwehupenyu hwekunyanyisa kusagadzikana kusagadzikana-chirwere chepfungwa chinoratidzirwa nekumanikidzika-kubva pa0% kusvika 14% (Kafka, 2015). Obsessiveness-iyo inogona kuve inofambidzana neyakaomesera maitiro (Minnesota Multiphasic Personality Inventory 2 (MMPI-2); Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) - mune vanotsvaga kurapwa varume vane hupombwe hwakawanikwa hwakakwidziridzwa zvine hukama ne boka rekuenzanisa, asi saizi yemusiyano iyi yaive isina kusimba (Reid & Carpenter, 2009). Kana iko kusangana pakati peyero yekunyanyisa-kumanikidza maitiro - kuongororwa nekasiyamu reiyo Yakarongeka Clinical Bvunzurudzo yeDSM-IV (SCID-II) (Chekutanga, Gibbon, Spitzer, Williams, & Benjamin, 1997) -uye danho rehupombwe. yakaongororwa pakati pevanotsvaga kurapwa nevarume vane hypersexual kusagadzikana, maitiro anoenda kune yakanaka, isina kusimba kushamwaridzana yakawanikwa (Carpenter, Reid, Garos, & Najavits, 2013). Pamusoro pemigumisiro yataurwa pamusoro apa, kusurukirwa kunoita sokuti kunobatsira nenzira shoma kudarika zvepabonde.

Relevant excerpts kubva Kubva paIndaneti Kunetseka: Zvatinoziva uye Zvatisingaiti-Ongororo Yakarongeka (2019):

Kubva pakufungidzira kuora mwoyo chirwere, hutano hwehupombwe hunozivikanwa seCompulsive Sexual Behavior (CSB). Coleman [56] anotsigira pfungwa iyi. Paanenge achitaura maitiro eparaphilic pasi peshoko iri [57], uye vanogona kugara pamwe chete mune dzimwe nguva, anozvisiyanisa zvakasiyana kubva kuSRP isingarapiki, izvo zvatinoda kufunga pamusoro pekuongorora uku. Zvinonakidza, kusava nemafungiro ehupombwe hwemashuga kunowanzosvika kakawanda, kana kwete, kune vamwe vanonyadzisa [43,58].
Zvisinei, tsanangudzo dzakawanda dzevaScB dzinowanzotaura nezvezviito zvepabonde zvakasiyana siyana zvinogona kumanikidzira: inonyanya kuzivikanwa kuva mhombwe, inoteverwa nekushandiswa kwekuona zvinonyadzisira, nekuita zvepabonde, kufamba kwechisimba, uye hukama huzhinji (22-76%) [9,59,60].
Kunyange zvazvo pane zvakanyatsoputika pakati pehupombwe nemamiriro ezvinhu akadai sokunyengera-kusagadzikana kwepfungwa (OCD) nezvimwe zvinetso zvekudzivirira zvinokonzera [61], kunewo zvimwe zvakasiyana-siyana kusiyana kwakaratidza: somuenzaniso, OCD maitiro haabatanisi mubairo, kusiyana nekuita zvepabonde. Uyezve, kana uchiita zvekumanikidziro kungaita kuti varwere ve OCD vasunungurwe kwenguva pfupi [62], hukama hwehupombwe huzhinji hunobatanidzwa nemhosva uye kuzvidemba mushure mokuita chiito [63]. Uyewo, kusagadzikana kunogona kuitika pane dzimwe nguva mufambiro wemurwere hakuwirirani nekugadzirisa kuronga kunowanzodiwa mu CSB (somuenzaniso, maererano nehutano hwepabonde) [64]. Goodman anofunga kuti kushungurudzwa kwepabonde kunowanikwa mumakamukwi ekumanikidzwa kwepfungwa (izvo zvinosanganisira kuderedza kuzvidya mwoyo) uye kusagadzikana kwepfungwa (zvinosanganisira kugutsikana), uye zviratidzo zvinowanikwa neurobiological method (serotoninergic, dopaminergic, noradrenergic, uye opioid systems) [65]. Stein anobvumirana nemuenzaniso unobatanidza nzira dzakasiyana-siyana dzehutanoti hwepamusoro uye unopa maitiro eABC (affective dysregulation, behavioral addiction, uye cognitive dyscontrol) kudzidza iri sangano [61].
Kubva pakuona maitiro ekurara, hutano hwehupombwe hunoenderana nekugovana zvakakosha zvezvinhu zvinodhaka. Izvozvi, maererano neDSM-5 [1], rinoreva zvinetso zvakataurwa zvinoshandiswa zvinoshandiswa kuhutano hwehupombwe, zvose zviri paIndaneti uye paIndaneti [6,66,67]. Uchapupu hwekuregerera uye kubvisa mune varwere izvi zvinogona kuva chinhu chinokosha pakuratidzira chikamu ichi sechirwere chechirwere [45]. Kutambudza kushandiswa kweIndaneti neIndaneti kunowanzofungidzirwa sehutsika hwekuzvibata [13,68].

Kunyunyuta kwehutano hwehutano hwehupombwe mukunyanyisa-kusagadzikana kwepfungwa: Kuwandisa uye kuwirirana kwakafanana (2019) - Chidzidzo chakataura kuti CSBD mitengo iri kudzikira kune avo vane OCD kupfuura muhuwandu hwevanhu:

Muchidzidzo ichi, taive nehanya nehuwandu hwehuwandu hwehuwandu hwevanhu uye hwehutano hwehutano hwehutano hwevanhu uye hwechirongwa chechikwata cheCSBD kune varwere vane OCD. Chokutanga, tawana kuti 3.3% yevarwere vane OCD vakanga vane CSBD yemazuva and 5.6% yaive neupenyu hwose CSBD, ine huwandu hwakanyanya kupfuura hwevarume kupfuura vakadzi. Chechipiri, takaona kuti mamwe mamiriro ezvinhu, kunyanya mafungiro, kukanganisa-kusagadzikana, uye kusavhiringidzika kwekutonga, zvaive zvakajairika muOCD varwere vane CSBD kupfuura kune vasina CSBD, asi kwete zvinetso zvekushandisa zvinodhaka kana kuti zvinodhaka.

Kuongororwa kwokutanga kwehuwandu hwehuwandu hweCBBD hwakapiwa neCarnes (1991) uye Coleman (1992) yakaratidza kuti kusvika ku6% yevanhu vanobva kune vanhu vakawanda vanobatwa nekumanikidzira kuita zvepabonde. Kunyangwe zvisina kujeka kuti fungidziro idzi dzakawanikwa sei (Nhema, 2000), yakatevera epidemiological tsvagurudzo yakasimbisa kuti kuita zvebonde zvekumanikidza, izvo zvinogona kusanganisira kuwedzera bonyora nguva zhinji, kushandisa zvinonyadzisira, huwandu hwevanoita zvepabonde, uye zvekuita zvepabonde, zvakajairika muhuwandu hwevanhu (Dickenson et al., 2018). Zvatinowana pane huwandu hwehuwandu hweCSBD muOCD zvinoita kunge hwakaenzana neavo mune huwandu hwevanhu (Langstrom & Hanson, 2006; Odlaug et al., 2013; Skegg, Nada-Raja, Dickson, & Paul, 2010).

Mukupedzisa, data yedu inoratidza kuti kupararira kwemaSBB kuOCD kwakaenzana nevaya vari munharaunda yevanhu uye mune dzimwe nhengo dzekuongorora. Uyezve, takaona kuti CSBD muOCD yaiwanzovhiringidza nezvimwe zvinokonzerwa nekufungidzira, kusagadzikana, uye manzwiro, asi kwete nemitemo yekuzvibata-kana yezvimwe zvinodhaka. Izvi zvinotsigira kukanganisa kweSBB semhirizhonga inomanikidzika. Kuenderera mberi, zviyero zvakarongeka nemanzwiro emapfungwa ezvepfungwa dzinodiwa kuti uongorore kuvapo nekuoma kweCSBD. Ongororo inotevera inofanira kuramba ichisimbisa kugadzirisa kwechirwere ichi uye kuunganidzazve mamwe mashoko emhando, kuitira kuti pakupedzisira igadzirise kuchengetwa kwechipatara.

Huwandu hweanowanikwa-akapfeka hunhu hunopindwa muropa-kutsvaga vanhu vane obsessive-inomanikidzira kusagadzikana: rondedzero yekutanga (2020) - Chidzidzo chakataura kuti hunhu hwekupindwa muropa nemitero (kusanganisira internet kupindwa muropa uye CSBD) zvakada kufanana nezvinoitika muhuwandu hwevanhu. Nekudaro, kupindwa muropa hakuenzane neOCD kana kumanikidza:

Kuwedzera kweObsessive-Compulsive Disorder Nekuda Kwekunyanyisa Kushandisa Porn: Nyaya Yenyaya

Isu tinotsanangura nyaya yemurume ane makore makumi maviri nemasere ane hunyoro maficha e-obsessive-compulsive disorder (OCD) iyo yakatora chimiro chikuru nekuuya kwekupindwa muropa nezvinonyadzisira.

Muzvizhinji zvezvidzidzo zvakanyorwa mumapeji ezasi pasi, vatsvakurudzi vanofananidza zvinhu zvinodhakwa nekubhejera kusagadzikana nokuti kubhejera kunokanganisa ndiyo chete yekuita zvinodhaka kusvika ikozvino zvakanzwisisika mune itsva DSM-5 (2013).