Richard B. Krueger*
ETSA: 10.1111 / eketsa.13366
Keywords: Btemallo ea boitšoaro; tlhekefetso ea boitšoaro bo bobe ba thobalano; DSM-5; boitšoaro bo feteletseng; hypersexual boitšoaro bo sa foleng; ICD-10; ICD-11; ntle le taolo ea thobalano; tlhekefetso ya thobalano
Lits'oaetso tse ka supang boitšoaro bo qobelloang ba thobalano li kenyellelitsoe ho DSM le ICD ka lilemo tse ngata 'me joale li ka bonoa ka molao United States li sebelisa ka bobeli DSM-5 le ICD-10 ea tlhahlobo ea tlhahlobo ea tlhahlobo. Tlhatlhobo ea boitšoaro bo qobelloang ea thobalano e ntse e shejoa bakeng sa ICD-11.
Kraus et al a. o ngotse hore tlhahlobo ea boitšoaro bo qobelloang ba thobalano e ne e ntse e hlahlojoa bakeng sa ho kenyelletsoa ICD-11 mme o hlokometse hore tlhahlobo ea lefu la hypersexual e lahliloe ke American Psychiatric Association (APA) bakeng sa ho kenyelletsoa ho DSM-5 [1]. Ho lokela ho hlokomeloe hore ho tsebahala ho ka bolelang boits'oaro bo matla ba thobalano ho kenyellelitsoe DSM ho tloha ha DSM-III e phatlalatsoa ka 1980 [2], 'me ho ICD ho tloha ha e qala ho kenyelletsa sehlopha se kenyelletsang mathata a kelello le ICD-6 ho 1948 [3]. Ho DSM-IV le DSM-IV-TR, ho fumanoa ha 'mafu a thobalano a sa hlalosoang ka mokhoa o mong [NOS]' (302.9) ho kenyellelitsoe; Sena se ne se lumella tlhahlobo ea mali e neng e kenyelletsa boitšoaro bo feteletseng [4]. Ho ICD-6 le -7 poleloana 'ho kopanela liphate ho amanang le thobalano' e kenyelelitsoe [5, 6]; ho ICD-8, polelo 'ho arohantsoe ka thobalano ea thobalano', e neng e kenyelletsa 'ho ts'oaroa ha thobalano NOS' [7]. Ho ICD-9, e phatlalalitsoeng ho 1975, mme e sebelisoa ke linaha tse ngata kantle ho United States, sehlopha sena se ile sa ntšetsoa pele e le 'kheloha ka thobalano le mathata a sa hlalosoang' [8]. Ho ICD-9-CM (tlhabollo ea bongaka), khatiso e phatlalalitsoeng ka ho khetheha bakeng sa United States e qalileng ho sebelisoa 1989, 'pherekano e sa hlalosoang ea bong bo fapaneng' [9], e kenyelelitsoe. Matšoao ana ka bobeli a ne a bile le khoutu ea tlhahlobo ea 302.9.
Ho makatsang ke hore, le ha lefu la hypersexual le ile la qheleloa ka thoko ke American Psychiatric Association bakeng sa DSM-5 [10], ka la 1 Mphalane 2015 tšebeliso ea likhoutu tsa tlhahlobo ea ICD-10 e ile ea fetoha tlamo United States, e nolofalletsa ho e hlahloba. Likhoutu tsena li kenyellelitsoe ho masakaneng le mengolong e mehlooho ho DSM-5 haufi le likhoutu tsa DSM-9-CM tse hlahisitsoeng ka mongolo o motenya. [11]. Ho ICD-10, mofuta oa 'drive e feteletseng ea thobalano' o kenyelelitsoe e le F52.7; mofuta ona, o bonts'a polelo ea mehla le mehla ea boiphetetso ke: ([12], leq. 194):
Banna le basali ka linako tse ling ba ka tletleba ka ho ikoetlisa ka ho feteletseng ka thobalano e le bothata ka ho le letona, hangata nakong ea bohlankana kapa boroetsaneng. Ha khatello e feteletseng ea thobalano e kenella bothateng bo amanang le ho kula (F30-F39), kapa ha e etsahala methating ea pele ea dementia (F00-F03), bothata bo ka tlase bo lokela ho fanoa ka likhopi. ho kenyeletsa: nymphomania satyriasis. '
'Phetoho ea bongaka' ea WHO ICD-10 e phatlalalitsoe United States e le ICD-10-CM [13] ho 2016. Khoutu ea ho tsebahala bakeng sa ts'ebetso ea thobalano e feteletseng, F52.7, e ne e 'laotsoe' hore e sebelisoe United States ha ICD-10-CM e ne e lokiselitsoe qalong 1990s [14]. Khoutu e khothalelitsoeng, ho latela index ea ICD-10-CM, ke F52.8, e leng khoutu ea 'ho hloka thobalano ka thobalano eseng ka lebaka la ntho kapa boemo bo tsebahalang ba' mele '; mantsoe a kenyelletsoeng a ho 'drive e feteletseng ea thobalano', 'nymphomania' le 'satyriasis' a thathamisitsoe tlasa F52.8. DSM-5 e boetse e thathamisa 'dysfunction e' ngoe e boletsoeng ka thobalano 'e le F52.8 [13]. Ka hona, tlhahlobo ena e ka sebelisoa bakeng sa khatello ea maikutlo.
Le ha ICD-11 e sa hlophisoa hore e phatlalatsoe ho fihlela 2018, ho hlahlojoa ha Tlhokahalo ea ho Kopanela Liphate tsa Botona le Botšehali ho ntse ho nahanoa [15]'me litlhaloso tse khothalelitsoeng li ngotsoe webosaeteng ea Beta Draft ea ICD-11 [16], mongolo oa eona ke:
Bothata ba boitšoaro bo hlephileng ba ho kopanela liphate bo khetholloa ke litakatso tsa thobalano tse phehellang le tse pheta-phetoang kapa litabatabelo tse nang le boiphihlelo e le tse ke keng tsa qojoa kapa tse sa laoleheng, tse lebisang ho boits'oaro bo pheta-phetoang ba thobalano, mmoho le lits'oants'o tse ling tse joalo ka liketso tsa thobalano e ba tsepamiso ea maikutlo bophelong ba motho ho isa ntlheng ea ho se tsotelle. bophelo bo botle le tlhokomelo ea botho kapa mesebetsi e meng, boiteko bo sa atleheng ba ho laola kapa ho fokotsa boits'oaro ba thobalano, kapa ho tsoela pele ho etsa boits'oaro bo pheta-phetoang ba thobalano leha ho bile le litlamorao (mohlala, ho senyeha hoa likamano, litlamorao mosebetsing, litlamorao tse mpe bophelong bo botle). Boiphihlelo ba motho ka mong bo ile ba eketsa tsitsipano kapa ho tsosa maikutlo hanghang pele ho thobalano, le phomolo kapa ho qhala ha tsitsipano kamora moo. Mokhoa oa litakatso le boits'oaro ba thobalano o baka khatello ea maikutlo kapa ho holofala ho hoholo bathong, lelapeng, sechabeng, thutong, mosebetsing kapa likarolong tse ling tsa bohlokoa tsa ts'ebetso.
Ntle le moo, ho lokela ho hlokomeloa hore, leha boitšoaro ba hypersexual bo hanetsoe ke APA, ha e le hantle ICD ke sehlopha se sebelisoang ka ho fetesisa sa mafu a kelello lefatšeng ka bophara, 'me likhoutu tsa eona tsa tlhahlobo li laetsoe hore li sebelisoe United States le tse ling. linaha ka selekane sa machabeng [17, 18] khahlanong le tlhahlobo ea DSM-5, e se nang tumello e joalo. Kahoo ho bonahala eka mekhoa ea boits'oaro e kenyelletsang boitšoaro bo bobe ba botona kapa botšehali e ntse e ka etsoa mme e tla tsoela pele ho fana ka moralo o tla lebisa ho ntlafatseng nomenclature ea tlhahlobo le mekhoa le ho tsosa lipatlisiso tse ling ka tlhaho le lisosa tsa boitšoaro bo joalo.
Tlhaloso ea lithahasello
RBK e ne e le setho sa Lits'ebeletso tsa Thobalano ea Bong le Thobalano ea bong ba Batho ba Bong le Botsamaisi 'me ke setho sa Komiti ea Bophelo bo Botle le Tlhekefetso ea Mokhatlo oa Lefatše oa Bophelo, o qosoa ka ho etsa litlhahiso tsa mathata a thobalano ho ICD-5; pampiri ena e bontša feela maikutlo a mongoli enoa, eseng lintho tsena tse ling.