Buka ea 4, che. 9, p663-664, Loetse 2017
DOI: http://dx.doi.org/10.1016/S2215-0366(17)30316-4
Marc N Potenza, Mateusz Gola, Valerie Voon, Ariel Kor, Shane W Kraus
Lipolelo tsa bona ho Lancet Psychiatry, John B Saunders le basebetsi-'moho1 e hlalositsoe ka mokhoa o nepahetseng mabapi le ho nahanisisa le ho aroloa ha papali ea chelete le mathata a lipapali e le mathata a ho lemalla, a ileng a etsahala nakong ea moloko oa DSM-52 le ka tebello ea ICD-11.3 Ho kula ha boitšoaro bo hlephileng ba ho kopanela liphate ho ntse ho etsoa tlhahiso ea hore e be lefu la ho laola maikutlo a ICD-11.3 Leha ho le joalo, re lumela lintlha tse sebelisoang ke Saunders le basebetsi-'moho1 e kanna ea sebetsa le ho qobelloang ha boitšoaro ba thobalano.
Ho kula ha boitšoaro bo hlephileng ba ho kopanela liphate (ts'ebetsong e le lefu la hypersexual) ho ne ho nkoa e le ho kenngoa DSM-5 empa qetellong ha e kenyelletsoe, ho sa tsotellehe ho hlahisa litekanyetso tsa molao le tlhahlobo ea liteko tsa tšimo.2 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.
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.4 Ho kula ha boitšoaro bo hlephileng ba ho kopanela liphate ho ntse ho nkoa e le lefu la ho laola maikutlo ho ICD-11, tumellanong le pono e boletsoeng e lakatsehang, e tsoetse pele ho kopanela ho sa tsotellehe liphello tse bohloko, ho kopanela liphate, le ho laoloa ho emela likarolo tse ka sehloohong tsa mathata a ho laola maikutlo.5 Pono ena e ka 'na ea e-ba e loketseng mathata a mang a ho laola maikutlo a DSM-IV, haholo-holo ho bapala papali ea chelete. Leha ho le joalo, likarolo tsena li 'nileng tsa nkoa e le tsona tse ka sehloohong tsa lithethefatsi,' me phetohong e tsoang DSM-IV ho DSM-5, sehlopha sa Impulse Control Disorders Ntle ho E 'ngoe Classified e ne e tsosolosoa, ka ho becha ho thoe lebitso le ho khetholloa e le lefu la ho lemala.2 Hona joale, mochine oa li-beta oa ICD-11 o thathamisa mathata a ho laola maikutlo, 'me o kenyelletsa khatello ea boitšoaro bo bobe ba ho kopanela liphate, pyromania, kleptomania, le bothata ba ho phatloha ha sekhahla.3
Ho na le melemo le boiketlo mabapi le ho khetholla ha boitšoaro bo bobe ba ho kopanela liphate e le lefu la ho laola maikutlo. Ka lehlakoreng le leng, ho kenngoa ha khatello ea boitšoaro bo bobe ba likamano tsa botona le botšehali ka ICD-11 ho ka ntlafatsa ts'ebetso ea ho hlahloba, ho phekola le ho ithuta batho ba nang le boloetse bona. Ka lehlakoreng le leng, ho hlophisoa ha lefu la boitšoaro bo bobe ba ho kopanela liphate ho fapana le bothata ba ho lemalla ho ka ba le tšusumetso e mpe khahlanong le phekolo le thuto ka ho fokotsa ho fumaneha kalafo, koetliso ea kalafo le boiteko ba ho etsa lipatlisiso. Ho kula ha boitšoaro bo hlephileng ba ho kopanela liphate ho bonahala ho lumellana hantle le mathata a se nang lithethefatsi a lemalletsang ICD-11, e lumellanang le nako e fokolang ea ho lemalla ho kopanela liphate hona joale e hlophisitsoeng bakeng sa khatello ea boitšoaro bo bobe ba likamano tsa botona le botšehali mocheng oa boitsebiso oa ICD-11.3 Re lumela hore likarolo tsa khatello ea boitšoaro bo bobe ba ho kopanela liphate e le bothata ba ho lemalla ho lemalla lits'oaetso li lumellana le lintlha tsa morao-rao 'me li ka' na tsa rua lingaka, bafuputsi le batho ba nang le khatello ea lefu lena.
VV e tlaleha lithuso tse tsoang ho Lekhotla la Patlisiso ea bongaka. MNP e tlaleha limpho le tšehetso e 'ngoe e tsoang Setsing sa Naha sa Lipapali Tse Ikarabellang le Setsi sa Naha sa Tlhekefetso le Tlhekefetso ea Tlholeho. Bangoli ba bang kaofela ha ba phatlalatse lithahasello tsa tlholisano.
References
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- Mokhatlo oa American Psychiatric Association. Tataiso ea tlhahlobo le tlhaiso-leseling ea mathata a kelello (DSM-5). American Psychiatric Association Publishing, Arlington; 2013
- WHO. ICD-11 ho beta moralo. ((e fihlile ka July 18, 2017).) http://apps.who.int/classication/icd11/briking/lm/en Date: 2017
- Kraus, SW, Voon, V, le Potenza, MN. Na boitšoaro bo qobelloang ba thobalano bo ka nkuwa e le temallo? Ho lemalla. 2016; 111: 2097-2106
- Grant, JE, Atmaca, M, Fineberg, NA et al. Mathata a taolo ea tšusumetso le "litlamorao tsa boitšoaro" ho ICD-11. Psychiki ea Lefatše. 2014; 13: 125-127
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