ICD-11 Mokhatlo oa Lefatše oa Bophelo: Bothata ba ho Kopanela Liphate ka ho Kopanela Liphate

ICD-11

Leqephe lena le hlalosa ts'ebetso e ileng ea bona Ts'oarelo e Kopaneng ea Boitšoaro ba Botona le Botšehali e amoheloang ke Mokhatlo oa Lefatše oa Bophelo ho ICD-11.

Litlamo Tsa Bootsoa li Tla Felisoa haufinyane Ho sebelisa buka ea WHO Diagnostic Manual (ICD-11)

Joalokaha u ka 'na ua utloa, ho 2013 bahlophisi ba Buka ea ho hlahloba le ea litlhahlobo (DSM-5), e thathamisang maloetse a bophelo bo botle ba kelello, a hana ho eketsa bothata bo bitsoang "Hypersexual Disorder." Ho tseba joalo ho ka be ho sebelisitsoe ho hlahloba lithethefatsi tsa boitšoaro bo bobe ba ho kopanela liphate. Litsebi li re hore sena se bakile mathata a maholo ho ba utloang bohloko:

Ho khethoa hona ho sitisitse boiteko ba ho thibela, ho etsa lipatlisiso, le ho phekola, le ho tloha lingaka lingaka ntle le ho hlahlojoa ka molao bakeng sa khatello ea boitšoaro bo bobe ba ho kopanela liphate.

Mokhatlo oa Lefatše oa Bophelo ho ba pholosa

The Mokhatlo oa Lefatše oa Bophelo e phatlalatsa buka ea eona ea ho hlahloba, e tsejoang e le Kemiso ea Machaba ea Maloetse (ICD), e kenyeletsang lintlha tsa ho hlahloba mafu ohle a tsejoang, ho akarelletsa le mathata a bophelo ba kelello. E sebelisoa lefatšeng ka bophara, 'me e hatisoa tlas'a copyright.

Joale ke hobane'ng ha DSM e sebelisoa haholo United States? APA e khothalletsa tšebeliso ea DSM ho e-na le ICD hobane APA e fumana liranta tse limilione ho rekisa thepa ea eona e nang le litokelo tsa molao tse amanang le DSM. Leha ho le joalo, libakeng tse ling lefatšeng, litsebi tse ngata li itšetlehile ka ICD ea mahala. Ha e le hantle, linomoro tsa khoutu libukeng tsena ka bobeli li lumellana le ICD.

Khatiso e latelang ea ICD, ICD-11, e loketse nako e itseng ka selemo sa 2018 (leha karolo ea bophelo bo botle ba kelello e ka lieha 'me ea phatlalatsoa ka thoko). Ho fapana le bahlophisi ba DSM-5, bahlophisi ba ICD-11 ba khothalletsa ho kenyelletsa tlhahlobo e ncha ea bophelo bo botle ba kelello e neng e tla kenyelletsa ba nang le mathata a amanang le boits'oaro bo bobe ba thobalano.

Mona ke puo e ncha e hlalositsoeng:

6C92 Ts'oaetso ea boitšoaro bo bobe ba ho kopanela liphate e tšoauoa ka mokhoa o phehellang oa ho sitoa ho laola litakatso tsa thobalano tse matla, tse pheta-phetoang kapa litabatabelo tse lebisang ho phetheng bohlola. Matšoao a ka kenyelletsa liketso tse pheta-phetoang tsa thobalano e ba ntho ea mantlha bophelong ba motho ho isa ntlheng ea ho se tsotelle bophelo bo botle le tlhokomelo ea motho kapa lithahasello tse ling, mesebetsi le boikarabello; liteko tse ngata tse sa atleheng ho fokotsa boitšoaro ba thobalano bo pheta-phetang; mme ra tsoela pele ho pheta-pheta boits'oaro ba thobalano le ha re bile le litlamorao tse mpe kapa re sa khotsofala hanyane ka hanyane.

Sebopeho sa ho se laole taolo e matla, thobalano kapa likeletso le boitšoaro bo pheta-phetoang ba thobalano li bonahatsoa nako e teletsana (mohlala, likhoeli tse 6 kapa ho feta), mme se baka khatello ea maikutlo kapa ts'oenyeho e kholo lithutong tsa botho, lelapeng, sechabeng, thutong, mosebetsing, kapa likarolo tse ling tsa bohlokoa tsa ho sebetsa. Matšoenyeho a amanang ka ho felletseng le melao ea boitšoaro le ho se lumellane ka litšusumetso tsa thobalano, litakatso, kapa boits'oaro ha bo lekane ho fihlela tlhoko ena.

Sena se secha "Mathata a boitšoaro bo hlephileng ba ho kopanela liphate"(CSBD) ho hlahlojoa ke bohlokoa haholo. Ea pele, e tla thusa ba utloang bohloko hore ba fumane phekolo eo ba e hlokang. Ea bobeli, boteng ba ho hlahlojoa ka molao lefapheng la bongaka la bongaka bo tla thusa ho etsa lipatlisiso nakong e tlang. Ntle le ho hlahlojoa ka molao, limakasine tse ling tsa litaba tsa thobalano le limakasine tsa litsebi (ho akarelletsa le tse ratoang Psychology kajeno) ba hanne ho hatisa patlisiso e amanang le litlhaloso. (E arolelitsoe ka ngollano ea sekhukhu le ea morao-rao PT Blogger.) Ho ba sieo ha tlhahlobo ea molao ho thibela ho hatisoa ha lipatlisiso tsa bohlokoa haholo le ho fokotsa kutloisiso e kholo ea likotsi tsa lefu lena.

Baetsi ba litšoantšo ba bootsoa ba re'ng?

Litsebi tse ling tsa thobalano tse khahlanong le bokhoba ba bootsoa li hlalositse tlhatlhobo e ncha ea CSBD e le "ho lahla" mohopolo oa bokhoba ba thobalano. Litsebi tsa thobalano tse khahlano le ho lemalla lithethefatsi li ka thetsa litho tsa boralitaba tse nang le kutloelo-bohloko le tse nang le kutloelo-bohloko, empa tseko ea bona ha e na thuso, kaha DSM-5 kapa ICD-11 ha e sebelise lentsoe "bokhoba" ho hlalosa lithethefatsi tse amoheloang. Ebang ke meth, heroin, ho tsuba, papali ea chelete, kapa papali ea inthanete, libuka tse peli tsa tlhahlobo ea mafu li sebelisa lentsoe "ho hloka taolo" ho fapana le "bokhoba." Ka lehlakoreng le leng, ba-says ba nepile - u ke ke ua fumana "bokhoba ba litšoantšo tsa bootsoa," "bokhoba ba thobalano," kapa "bokhoba ba li-cybersex," bo thathamisitsoeng ho ICD-11 kapa DSM-5. Empa hape ha u na ho fumana “bokhoba ba methamphetamine,” “koae ea cocaine,” kapa “bokhoba ba papali ea chelete,” leha tsena e le mathata a tsebahalang a DSM-5. Seo ho thoeng ke "ho hana" ho kopanela liphate le ho lemalla lit soant so tsa bootsoa ke tseko e khelosang ke balekane.

Holim'a moo, sekhechana sa morao tjena World Psychiatry (koranta ea lefats'e e phahameng ka ho fetisisa ea lefapha la kelello) e ntse e tsoela pele ho fokotsa lipolelo tse se nang letho. Mona ke tlhaloso e tsoang ho World Psychiatry karolo, e ngotsoeng ke litsebi tse sebetsang ICD-11. Ka sebele mongoli Geoffrey Reed ke eena ea ikarabellang ka lefu la mafu a kelello bakeng sa ICD-11. Bangoli ba hlakisa hore ICD-11 ha e elelloe hore boitšoaro bo bobe ba ho kopanela liphate e ka 'na ea e-ba lithethefatsi. Ho e-na le hoo, ICD-11 e amohetse mokhoa o tsitsitseng, o lebeletseng le o bonang ha lipatlisiso tse ling li hatisoa.

Ho lemalla boitšoaro

... Hona joale, ho na le puisano e sebetsang ea saense mabapi le hore na khatello ea boitšoaro bo bobe ba ho kopanela liphate e ka ba ponahalo ea ho lemalla boitšoaro. Bakeng sa ICD-11, boemo bo batlang bo itekanetse bo 'nile ba khothalletsoa, ​​ho hlokomela hore ha re e-s'o fumane boitsebiso bo hlakileng mabapi le hore na mehato e amehang ho nts'etsopele le ho boloka lefu lena e lekana le e fumanoang ka mathata a sebelisoang ke lithethefatsi, papali ea chelete le papaling. Ka lebaka lena, khatello ea boitšoaro bo bobe ba ho kopanela liphate ha e kenyelletsong ea lik'homphieutha tsa ICD-11 ka lebaka la tšebeliso ea lithethefatsi le boitšoaro bo hlephileng, empa ho e-na le bothata ba ho laola maikutlo. Tlhaloso ea khatello ea boitšoaro bo hlephileng ba ho kopanela liphate e tla fetoha ha lipatlisiso li hlahisa liketsahalo tse hlahelletseng le mekhoa ea methapo ea pelo ea boemo boo.

Boloetse ba ho becha

Ka bokhutšoanyane, ICD-11 e amohetse leano le tšoanang ha le sebelisitsoe mabapi le "bothata ba papali ea chelete." Ha papali ea chelete e qala ho fumanoa ka bongaka, le eona e ne e bitsoa "boloetse ba ho laola maikutlo" ha e ntse e phenyekolloa. Liphuputso tse makholo hamorao, bothata ba papali ea chelete e se e khetholloa e le ho kula ha boitšoaro. Joalokaha ho hlalositsoe "Bopaki ba Pudding boa latsoa: Ditaba di hlokeha ho leka lits'oants'o le likhopolo tse amanang le litlamorao tsa likamano tsa thobalano "(2018):

Joalokaha ho hlalositsoe libakeng tse ling (Kraus, Voon, & Potenza, 2016a), ho na le palo e ntseng e eketseha ea lingoliloeng ho CSB, e fihletseng ho feta 11,400 ka 2015. Leha ho le joalo, lipotso tsa mantlha mabapi le mohopolo oa CSB li lula li sa arajoa (Potenza, Gola, Voon, Kor, & Kraus, 2017). E ka ba hoa bohlokoa ho hlahloba hore na DSM le Kemiso ea Machaba ea Maloetse (ICD) e sebetsa mabapi le litlhaloso le lits'ebetso tsa tlhahlobo. Ka ho etsa joalo, re nahana hore ho bohlokoa ho tsepamisa maikutlo bothateng ba papali ea chelete ea ho becha (hape bo tsejoa e le ho becha ha li-pathological) le hore na ho ne ho nkuoe joang ho DSM-IV le DSM-5 (hammoho le ho ICD-10 le ICD-11 e tlang.

Ho DSM-IV, papali ea papali ea methapo ea methapo e ile ea aroloa e le "Phokotso ea ho Laola Litšusumetso E seng Moo ho Khethiloeng." Ka DSM-5, e ile ea nchafatsoa hape e le "Disistance e Amanang le Diritibatsi." . 2014;; Kraus et al., 2018).

CSBD ho falla?

Seo se boletse hore ba bang ba bangoli ba sehlahisoa se ka holimo ba se ba boletse phatlalatsa hore ho na le bopaki bo lekaneng ba ho khetholla CSBD e le boloetse ka lebaka la boitšoaro bo hlephileng (e leng ho becha le papaling ho tla khetholloa ka ICD-11 e tlang). Ka hona, litsebi tse ling li lebeletse hore CSBD e qetella e fallela moo hape. Mona ke seo litsebi tsena li se buileng sekhechana sa morao tjena:

Lipatlisiso mabapi le methapo ea matšoao ea likokoana-hloko tsa boitšoaro bo hlephileng ba ho kopanela liphate li entse hore ho fumanoe liphuputso tse amanang le ho hlokomoloha lintho, ho ba le boikarabelo ba ho ba le boikutlo bo matla ba ho ba le boikutlo bo matla, le ho ts'oanela ho etsa lintho tse nang le bokooa. ... Re lumela hore likarolo tsa khatello ea boitšoaro bo bobe ba ho kopanela liphate e le bothata ba ho lemalla ho tsuba li lumellana le lintlha tsa morao-rao 'me li ka' na tsa rua lingaka, bafuputsi le batho ba hlaheloang ke lefu lena.

Ho hlakile hore litsebi tse ling li ntse li sa etsa qeto mme li batla ho bona lipatlisiso le litlhaloso tse ngata pele li beha ICD boemong bona. Sena ha se ntho e sa tloaelehang ha ho fumanoa litlhahlobo tse ncha. Leha ho le joalo, Jon E. Grant, JD, MD, MPH ea kahare ho DSM, Moprofesa - Lefapha la Psychiatry le Behaeveal Neuroscience, University of Chicago, Pritzker School of Medicine, o phatlalalitse 2018 sehlooho se reng Psychiatry ea morao-rao, ho hlakisa hore CSBD "e ka fumanoa ka nepo mme ea phekoloa ka katleho." O hlokomela hore CSBD "e boetse e bitsoa bokhoba ba thobalano kapa bosodoma." Sena se bolela hore ka maikutlo a hae a litsebi, ICD-11 ha e "hane" ho lemalla boitšoaro bo hlephileng ba thobalano; e mpa e khetha sekhele sa CSBD.

Mekhoa ea metheo

Ho phaella moo, lithaba tsa lipatlisiso li senola hore lithethefatsi tsa boitšoaro (lijo tse lemalla lijo, papali ea papali ea chelete, papali ea video, Inthaneteng e lemalla 'me ho lemalla ho kopanela liphate) le lithethefatsi tsa lithethefatsi li na le tse ngata tse tšoanang mekhoa ea motheo e lebisang ho pokello ea liphetoho tse arolelanoeng ka mokhoa oa boko ba bokhoni le oa chemistry.

Ka lebaka la tsoelo-pele ea morao-rao ea saense, lits'oants'o tsa mekhoa ea ho kopanela liphate le boitšoaro bo hlephileng ha e na motheo ebile ha ea fela nako ('me ha ho liphuputso tse ntseng li fosahetse mokhoa oa ho lemalla lithethefatsi). Ho tšehetsa mohlala oa ho lemaletse, ho na le hona joale Thuto ea 38 ea methapo ea kutlo ea batho ba sebelisang litšoantšo tsa bootsoa le ba ho kopanela liphate, ho senola liphetoho tsa boko tse hlasimollang tse hlahang ka lithethefatsi tsa lithethefatsi (le Litlhahlobo tsa 14 tse nang le litsebi tsa boitsebiso ba libuka). Holim'a moo, Lipatlisiso tsa 22 li tlaleha liphuputso tse lumellanang le ho eketseha ha tšebeliso ea litšoantšo tsa bootsoa (ho mamella), tloaelo ea bootsoa, ​​esita le matšoao a ho tlohela - tseo kaofela e leng matšoao a bohlokoa a bokhoba ba tahi.

Ntlha ea bohlokoa ke hore ha ICD-11 e ncha e phatlalatsoa ba nang le lithethefatsi tse ts'oanang le lithethefatsi, ba tla hlahlojoa ka ho hlahlojoa ha HIV - ha lerōle le tsoela pele ho lula lefapheng la bongaka.

Litaba tsa bohlokoa

ICD e tšehelitsoe ke Mokhatlo oa Lefatše oa Bophelo. Ho ea ka Morero oa ICD, "E lumella lefats'e ho bapisa le ho arolelana tlhaiso-leseling ea bophelo bo botle ka puo e tloaelehileng. ICD e hlalosa bokahohle ba mafu, mathata, likotsi le maemo a mang a amanang le bophelo. Litokelo tsena li thathamisitsoe ka botlalo e le hore tsohle li koaheloe. ” (Mokhatlo oa Lefatše oa Bophelo, 2018). Morero, he, ke ho koahela bothata bo bong le bo bong bo nepahetseng ba bophelo bo botle, ka hona bo ka latelloa le ho ithutoa lefatšeng ka bophara.

Ho tšoana ho joalo ke habohlokoa bakeng sa ho hlahloba ka ho hlakileng, phekolo e nepahetseng le thibelo. Kahoo hoo e batlang e le lingaka tsohle (lingaka tsa mafu a kelello, litsebi tsa bophelo bo botle ba kelello, litsebi tsa kelello tsa bongaka, bafani ba phekolo ea lithethefatsi le ba sebetsang ho thibela) ba rata ka matla ho hatisoa ha tlhahlobo ea ICD e khethiloeng ea CSBD.

Leha ho le joalo, hopola hore ho na le lithuto tse ling. Ba bangata bao e seng lingaka, ka mohlala, ba na le merero ea bona. Hangata ha li phekole ba mahlomoleng. Ebile, ba kanna ba ba le litšusumetso tse hananang le ho fa bakuli thuso eo ba e hlokang, mme ka linako tse ling ba na le mantsoe a phahameng haholo ho boralitaba. Lihlopha tseo ka linako tse ling li oelang sehlopheng sena seo e seng sa bongaka li ka fumanoa mecheng e tloaelehileng ea litaba tsa kelello, indasteri ea lipapali le ea bootsoa (le bafuputsi ba bona), litsebi tsa kahisano, litsebi tse ling tsa thobalano le bafuputsi ba litaba. Ho tloaelehile hore liindasteri tse kholo li lefe "baeta-pele ba nahanang" ba bolokang haholo ho bua bakeng sa maemo ao liindasteri tse joalo li ka ratang ho bona hore li lula li le teng.

Ketsahalong efe kapa efe, ho hotle ho utloisisa hore lithuto tse fapaneng li ka ba le sepheo se fapaneng haholo. Ho bohlale ho belaella hore na sepheo sa babuelli se itseng se ntšetsa pele boiketlo ba batho, kapa se senya boiketlo.

Phetoho. Sheba lihlooho tsena tsa 2 bakeng sa ho feta: