Puo ea Gary ea TEDx - "Boiteko bo Boholo ba Litšoantšo Tsa Bootsoa" (2012)


Litlhaloso li fumaneha bakeng sa lipuo tse ling, ho kenyelletsa le Searabia,한국의, Português, Czech, Deutsch, Dutch, SeEstonia, Sefora, Segerike, עברית, Sehungary, Setaliana, Sejapane, Persia, Polski, , Serussia, Seserbia, Seslovak, Sepanish le Seturkey.  Ho ba bona, tobetsa logo ea 'YouTube' ho e shebella ho YouTube. Joale, ha u fihla moo, tobetsa "CC" bakeng sa litlhaloso (ka tlase ho le letona la skrine). Sehlooho sa Ver YBOP ho Español. etsa litlhaloso tsa puo ka puo ea hau! Bona - Tlaleho ea "Boiteko bo Boholo ba Litšoantšo" - TEDx Glasgow (2012).

Tšehetso e felletseng ea "The Big Porn Experiment" (2012)

Ke habohlokoa ho hlokomela hore Boiteko bo Boholo ba Litšoantšo e ile ea phethoa mme ea romelloa ho TEDx ka December 2011, ha puo e fanoa ka Hlakubele, 2012. Puo ena ea TEDx e ne e le karabelo e tobileng ho "Philip Zimbardo"Demise of Guys”Puo ea TED, eo bamameli ba Glasgow ba neng ba e shebile pele ho puo.

Ho tloha ka December 2011, sehlopha se seholo sa lipatlisiso tse tšehetsang le bopaki ba bongaka bo fihlile ho tšehetsa Boiteko bo Boholo ba Litšoantšo Tsa Bootsoa litemoso tse tharo tse ka sehloohong tse neng li le:

  1. Litšoantšo tsa bootsoa Inthaneteng li ka baka tšoaetso ea thobalano;
  2. Ho sebelisa litšoantšo tsa bootsoa Inthaneteng ho ka lebisa liphetohong tse kholo tsa bokooa ba 3 tse amanang le ho lemalla lithethefatsi; le
  3. Ho sebelisa litšoantšo tsa bootsoa Inthaneteng ho ka eketsa maemo a mang a kelello le a maikutlo (mathata a mahloriso, ho tšoenyeha ha sechaba, ho tepella maikutlong, joalo-joalo).

Se latelang ke kakaretso e khutšoanyane ea bopaki le boitsebiso ba bongaka bo tšehetsang lipolelo tse entsoeng ka Boiteko bo Boholo ba Litšoantšo (Sheba maqephe a ka holimo a 2 bakeng sa tšehetso ea slide-by-slide).

1) Ho sebelisa litšoantšo tsa bootsoa Inthaneteng ho ka baka liketso tsa thobalano:

Boiteko bo Boholo ba Litšoantšo ho thathamisitsoe litlatsetso tse leshome tsa inthanete "lithuto tsa boko," tse tšehetsang mohopolo oa ka oa hore bokhoba ba inthanete (le mefuta e meng ea lithethefatsi ea inthanete joalo ka papali le litšoantšo tsa bootsoa) e teng mme e kenyelletsa mekhoa e ts'oanang ea mantlha le liphetoho tsa boko joalo ka tse ling tse lemalloang. Lefapha lena la thuto le ntse le hola haholo. Ho tloha ka 2017, ho na le lithethefatsi tse 370 ​​tsa "inthanete" tse lemalloang inthaneteng. Kaofela ha bona ba tlaleha se fumanoeng ke methapo le liphetoho tsa boko ho ba lemaletseng inthanete tse lumellanang le mofuta oa lithethefatsi (lenane la Ho lemalla marang-rang "lithuto tsa boko"). Ho phaella moo, moralo oa lithuto tse 'maloa tsa lithethefatsi tsa lithethefatsi li tšehetsa boipiletso ba hore marang-rang a sebelisoa ke inthanete ho baka (tse ling) matšoao a kang ho tepella maikutlo, ADHD, matšoenyeho, joalo-joalo. Lenane la lipatlisiso tse joalo: Boithuto bo bontšang ts'ebeliso ea Marang-rang le tšebeliso ea litšoantšo tsa bootsoa ho baka matšoao le liphetoho tsa boko.

Liphetoho tsa bongo

Boiteko bo Boholo ba Litšoantšo o ile a hlalosa liphetoho tse tharo tse khōlō tsa boko tse hlahang ka ho lemalla ho kopanela liphate: (1) Sensitization, (2) ho hlaseloa ha maikutlo, le (3) lipotoloho tse sa sebetsaneng tsa boipheliso (boikaketsi). Ho tloha ka March, 2012, lipatlisiso tse ngata tsa batho ba sebelisang litšoantšo tsa bootsoa le ba lemaletseng ho kopanela liphate li phatlalalitsoe. Liphetoho tsena tse tharo tsa boko li fumanoe har'a tsona Liphuputso tse thehiloeng ho 54 tse nang le litsebo tsa maikutlo tse sebelisoang hangata ka basebelisi ba litšoantšo tsa bootsoa le ba lemaletseng thobalano:

  • Boithuto ba ho tlaleha sensitization (cue-reactivity & cravings) ho basebelisi ba litšoantšo tsa bootsoa / ba lemaletseng thobalano: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27.
  • Liphuputso tsa tlaleho ea ho hloka boithati kapa ho tloaela ho ba teng (ho fella ka ho mamelleha) bathong ba litšoantšo tsa bootsoa / ho kopanela liphate: 1, 2, 3, 4, 5, 6, 7, 8.
  • Liphuputso tsa lipatlisiso tse tlalehang ts'ebetso e fokolang ea tsamaiso (hypofrontality) kapa ketso e fetotsoeng ea pele ho basebelisi ba bootsoa / makhoba a thobalano: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19.

The Liphuputso tse thehiloeng ho 54 tse fanang ka maikutlo a kelello (MRI, fMRI, EEG, lefu la methapo ea pelo, li-hormone) li fana ka tšehetso e matla bakeng sa mokhoa oa ho lemalla, joaloka 30 litlhahlobo tsa morao-rao tsa lingoliloeng le litlhaloso ke tse ling tsa litsebi tsa mantlha tse phahameng ka ho fetisisa lefatšeng.

Ho phahama kapa ho itloaetsa

Ke boetse ka hlalosa ho nyoloha kapa ho lula ka puo ea ka ea TEDx (e ka bang sesupo sa ho lemalla). Ka basebelisi ba litšoantšo tsa bootsoa, ​​ho mamella kapa ho lula ntlong ea mofuta o mong oa bootsoa kapa ho ba le mofuta o mong oa litšoantšo tse manyala tse hlephisang boitšoaro: hangata ho khothatsoa ho atoloha ka mefuta e mecha kapa e fetelletseng ea litšoantšo tsa bootsoa. Le ha ho na le bopaki bo bongata ba tlhahlobo ea bongaka le bo botle bo fumanehang bakeng sa mamello e lebisang ho ho nyoloha hoa batho ba sebelisang litšoantšo tsa bootsoa, ​​na ho na le lithuto? Re sebelisa mekhoa e fapaneng e sa tobang, ho feta lithuto tsa 45 ba tlalehile liphuputso tse lumellanang le tloaelo ea "litšoantšo tse litšila tse tsosang takatso" kapa ho nyolohela mefuteng e feteletseng le e sa tloaelehang.

Qetellong, e ne e se ho fihlela 2017 moo lihlopha tsa lipatlisiso li ileng tsa botsa basebelisi ba marang-rang ka kotloloho mabapi le matšoao a ho tlohela. Ho tloha ka 2020 ho na le Lithuto tse 13 tse tlalehang matšoao a ho tlohela chelete ho basebelisi ba litšoantšo tsa bootsoa.

Na keketso ea bootsoa ke 'nete?

Ho thoe'ng ka lithuto tsa likokoana-hloko tse hlahisang bokhoba ba ho kopanela liphate? Ha ho na letho. Le hoja e le mongoli ea etellang pele oa Prause et al., 2015 a re o ile a ithuta a le mong feela oa thuto ea litšoantšo tsa bootsoa 'me a qhekella lekhoba la litšoantšo tsa bootsoa.  Litlhaloso tse hlahlojoang ke lithaka tsa Prause et al., 2015 Bo-ramahlale ba litsebo tsena tsa pampiri ea 10 ba bolela hore Prause et al. e hlile e fumane ts'oaetso / tloaelo (e lumellanang le tsoelo-pele ea tahi), joalo ka Nyane Ho tsosoa ha bokooa ho li-vanilla (litšoantšo) ho amana le e kholoanyane tšebeliso ea litšoantšo. Ha ho makatse hore ebe Prause et al. sehlopha se ile sa bolela ka sebete hore se entse phoso ea setšoantšo sa ho lemalla lithethefatsi ka serapa se le seng se nkiloeng ho sena "Lengolo le eang ho mohlophisi" la 2016 Ha e le hantle, lengolo le ngotsoeng ke Prause ha lea ka la fosa letho, kaha tlhaloso ena e pharaletseng e senola: Lengolo ho mohlophisi "Prause et al. (2015) mekhoa ea ho qetela ea ho lemala " (2016).

Empa 'lithethefatsi tsa bootsoa' ha li li-APA DSM-5, ho joalo? Ha APA e qetella e ntlafalitse buka ea 2013 (DSM-5), ha hoa ka ha e-ba joalo e nahanang ka "lithethefatsi tse ts'oanang le lithethefatsi tsa inthanete," ho e-na le hoo ho khetha ho pheha khang ka "bothata ba hypersexual." Sekhele sa ho qetela sa boitšoaro bo hlephileng ba ho kopanela liphate se khothalletsoa ho kenngoa ke DSM-5's ea ho kopanela liphate lebenkeleng ka morao ho lilemo tsa tlhahlobo. Leha ho le joalo, ka hora ea leshome le motso o mong "kamoreng ea linaleli" lenaneo (ho ea ka setho sa Sehlopha sa Basebetsi), tse ling DSM-5 ba boholong ba ile ba hana bosodoma, ho bolela mabaka a hlalositsoeng e le a sa utloahaleng.

Nakoana pele ho ea DSM-5's moqolo oa 2013, Thomas Insel, eo e neng e le Motsamaisi oa Setsi sa Sechaba sa Bophelo bo Botle ba kelello, o ile a lemosa hore e ne e le nako ea tšimo ea bophelo ba kelello hore e khaotse ho itšetleha ka DSM. Ea eonabofokoli ke ho hloka matla ha bona, ”O hlalositse,“re ke ke ra atleha haeba re sebelisa mekhahlelo ea DSM e le "maemo a khauta."A eketsa,"Ke ka lebaka leo NIMH e tla tsosolosa lipatlisiso tsa eona ho tloha DSMs. ” Ka mantsoe a mang, NIMH e rerile ho emisa lipatlisiso tsa lichelete tse ipapisitseng le mabitso a DSM (le ho ba sieo ha tsona).

Mokhatlo oa Amerika oa Meriana ea ho Lemalla

Mekhatlo e kholo ea bongaka e ntse e tsoela pele ka APA. The Mokhatlo oa Amerika oa Tlhekefetso ea Meriana (ASAM) e ile ea senya sepheo sa ho qetela sekhukhung sa bothata ba ho kopanela liphate ka August, 2011, likhoeli tse 'maloa pele ke lokisetsa puo ea ka ea TEDx. Litsebi tse phahameng tsa tahi ea ASAM li ile tsa lokolla tlhaloso e tsitsitseng ea ho lemala. Tlhaloso e ncha e etsa tse ling tsa lintlha tse kholo Ke entse puo ea ka. Mokhoa o ka sehloohong oa ho lemalla boitšoaro o ama boko ka litsela tse tšoanang le tsa lithethefatsi. Ka mantsoe a mang, ho lemalla ho lemalla ke lefu le le leng (boemo), eseng ba bangata. ASAM e hlalositse ka ho hlaka hore ho lemalla boitšoaro ba thobalano ho teng 'me e tlameha ebe e bakoa ke liphetoho tse tšoanang tsa boko bo fumanoang meleng ea lithethefatsi.

Mokhatlo oa Lefatše oa Bophelo o bonahala o ikemiselitse ho lokisa tlhokomelo e feteletseng ea APA. Khatiso e hlahlamang ea eona ea ho hlahloba buka, ea ICD-11, e bakoa ke ho amohela tumello ea ho qetela 2019. The ICD-11 e ncha e akarelletsa ho fumanoa ka "ho kula ha boitšoaro bo hlephileng ba ho kopanela liphate," e loketseng ho hlahloba seo batho ba bangata ba se nahanang e le "bokhoba ba litšoantšo tsa bootsoa." Re tšepa hore DSM e tla oela mocheng.

3) Ho sebelisa litšoantšo tsa bootsoa Inthaneteng ho ka eketsa maemo a mang a kelello le a maikutlo

Boiteko bo Boholo ba Litšoantšo e hlalositse "Teko e 'Ngoe ea Litšoantšo Tsa Bootsoa" eo ho eona bahlankana ba felisang ts'ebeliso ea litšoantšo tsa bootsoa ba tlalehileng tšoarelo ea mathata a maikutlo le a kelello. TGPE e boetse e hlalositse "ho tsuba ho tsuba" (ho lemalla marang-rang le li-subtypes tsa eona) ho eketsa kapa ho baka matšoao a kang moholi oa boko, bothata ba ho tsepamisa mohopolo, ho tšoenyeha ka kakaretso, khatello ea maikutlo le khatello ea maikutlo sechabeng. Ho tloha ka 2017 ho teng lithuto tse makholo tse amanang le liphuputso tse 'maloa tsa lithuto tse tšehetsang taba ena.

Ka 2016 Gary Wilson o ile a hatisa lipampiri tse peli tse hlahlojoang ke lithaka: