Mokhatlo oa Lefatše oa Bophelo o re CSBD e kenyelletsa tšebeliso ea bootsoa

Litlhoko tsa Tlhahlobo

Lintho tsa Bohlokoa (tse Hlokahalang):

• Mokhoa o phehellang oa ho hloleha ho laola maikutlo a matla, a ipheta-phetang a thobalano kapa litakatso tse bakang ho ipheta-pheta boitšoarong ba thobalano, e hlahang ho e 'ngoe kapa ho feta tse latelang:
  • Ho pheta-pheta boitšoaro ba thobalano e se e le ntho e ka sehloohong bophelong ba motho hoo a bileng a hlokomoloha bophelo bo botle le tlhokomelo ea hae kapa lithahasello tse ling, mesebetsi le boikarabello.
  • Motho o entse matsapa a mangata a sa atleheng ho laola kapa ho fokotsa haholo boitsoaro bo iphetang ba thobalano.
  • Motho o tsoela pele ho kopanela boitšoarong ba ho kopanela liphate ka makhetlo ho sa tsotellehe liphello tse bohloko (mohlala, likhohlano tsa lenyalo ka lebaka la boitšoaro ba thobalano, liphello tsa lichelete kapa tsa molao, phello e mpe bophelong bo botle).
  • Motho o tsoela pele ho kopanela boitšoarong ba ho kopanela liphate ka makhetlo-khetlo le ha motho a sa khotsofatsoe ke hona kapa a sa khotsofatsoe ho hang.
• Mokhoa oa ho hloleha ho laola litšusumetso tse matla, tse pheta-phetoang tsa thobalano kapa litakatso le boitšoaro bo pheta-phetoang ba thobalano bo bonahala ka nako e telele (mohlala, likhoeli tsa 6 kapa ho feta).
• Mokhoa oa ho hloleha ho laola maikutlo a matla, a pheta-phetoang a thobalano kapa litakatso le boitšoaro bo pheta-phetoang ba thobalano ha bo baloe hamolemo ke lefu le leng la kelello (mohlala, Manic Episode) kapa boemo bo bong ba bongaka mme ha se ka lebaka la litlamorao tsa ntho kapa meriana.
• Mokhoa oa ho pheta-pheta boits'oaro ba thobalano o fella ka khatello ea maikutlo kapa ho senyeha ho hoholo hoa botho, lelapa, sechabeng, thutong, mosebetsing kapa libakeng tse ling tsa bohlokoa tsa ts'ebetso. Matšoenyeho a amanang ka ho felletseng le likahlolo tsa boitšoaro le ho se amoheloe mabapi le litakatso tsa thobalano, litakatso, kapa boitšoaro ha lia lekana ho fihlela tlhoko ena.

Likarolo tse Eketsehileng tsa Clinical:

• Bothata ba Boitšoaro bo Kopanetsoeng ba ho Kopanela Liphate bo ka hlahisoa ka mekhoa e fapaneng, ho kenyelletsa boitšoaro ba thobalano le batho ba bang, ho ipholla litho tsa botona kapa botšehali, tšebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro, cybersex (internet sex), thobalano ea mohala le mefuta e meng ea boitsoaro bo ipheta-phetang ba thobalano.
• Batho ba nang le Compulsive Sexual Behavior Disorder hangata ba kopanela boitšoarong ba thobalano ka lebaka la maikutlo a ho tepella maikutlong, matšoenyeho, ho jeoa ke bolutu, bolutu kapa maemo a mang a fosahetseng. Leha e se khetho ea tlhahlobo, ho ela hloko kamano lipakeng tsa maikutlo le boitšoaro le boitšoaro ba thobalano e ka ba karolo ea bohlokoa ea moralo oa kalafo.
• Batho ba etsang likahlolo tsa bolumeli kapa tsa boitšoaro mabapi le boitšoaro ba bona ba thobalano kapa ba bo sa bo amoheleng, kapa ba amehileng ka likahlolo le ho se amoheloe ke ba bang kapa ka litlamorao tse ling tse ka bang teng tsa boitšoaro ba bona ba thobalano, ba ka itlhalosa e le 'makhoba a thobalano' kapa ba hlalosa boemo ba bona. boitšoaro ba thobalano joalo ka 'ho qobella' kapa ho sebelisa mantsoe a tšoanang. Maemong a joalo, ke habohlokoa ho hlahloba ka hloko hore na maikutlo a joalo a bakoa feela ke likahlolo tsa ka hare kapa tsa ka ntle kapa liphello tse ka 'nang tsa e-ba teng kapa hore na ho na le bopaki ba hore ho na le taolo e fokolang holim'a litakatso tsa thobalano, litakatso, kapa boitšoaro le litlhoko tse ling tsa tlhahlobo ea Compulsive Sexual Behavior. Hantle-ntle bothata bo teng.

Meeli e nang le Tloaelehileng (Threshold):

• Ho na le phapang e kholo sebopehong le makhetlong a menahano ea batho ka thobalano, menahano, maikutlo le boitšoaro. Tlhahlobo ena e nepahetse ha motho a e-ba le maikutlo a matla, a pheta-phetoang a thobalano kapa litakatso tse sa laoleheng kapa tse sa laoleheng, tse lebisang boitšoarong ba ho kopanela liphate ka makhetlo-khetlo, 'me mokhoa oa ho pheta-pheta boitšoaro ba thobalano o fella ka khatello ea maikutlo kapa ho senyeha ho hoholo bophelong ba motho, lelapa, sechabeng. , thuto, mosebetsi, kapa likarolo tse ling tsa bohlokoa tsa ts'ebetso. Batho ba nang le thahasello e kholo ea thobalano le boitšoaro (mohlala, ka lebaka la takatso e phahameng ea thobalano) ba sa bonts'ang taolo e fokolang boitšoarong ba bona ba thobalano le khatello e kholo kapa ho senyeha ha ts'ebetso ha baa lokela ho fumanoa ba e-na le Compulsive Sexual Behavior Disorder. Tlhahlobo le eona ha ea lokela ho abeloa ho hlalosa maemo a phahameng a thahasello ea thobalano le boitšoaro (mohlala, ho ipholla litho tsa botona kapa botšehali ho li khotsofatsa) tse atileng har'a bacha, leha sena se amahanngoa le khatello ea maikutlo.
• Bothata ba Boitšoaro bo Kopanetsoeng ba ho Kopanela Liphate ha boa lokela ho fumanoa bo ipapisitse le khatello ea maikutlo e amanang le likahlolo tsa boitšoaro le ho se amoheloe mabapi le litakatso tsa thobalano, litakatso, kapa boitšoaro boo ho seng joalo bo neng bo ke ke ba nkoa e le sesupo sa psychopathology (mohlala, mosali ea lumelang hore ha aa lokela ho ba le takatso ea thobalano. ho hang; mohlankana oa bolumeli ea lumelang hore ha aa lokela ho ipholla litho tsa botona kapa botšehali; motho ea tsielehileng ka lebaka la khoheli kapa boitšoaro ba hae ba bosodoma). Ka mokhoa o ts'oanang, Compulsive Sexual Behavior Disorder e ke ke ea fumanoa ho ipapisitsoe le mahlomola a amanang le maikutlo a 'nete kapa a tšajoang a sechaba mabapi le litakatso kapa boitšoaro.
• Bothata ba Boitšoaro bo Kopanetsoeng ba ho Kopanela Liphate ha boa lokela ho fumanoa bo ipapisitse le linako tse khutšoane feela (mohlala, ho fihlela likhoeling tse 'maloa) tsa takatso e matla ea ho kopanela liphate, litakatso le boitšoaro nakong ea phetoho ea maemo a kenyelletsang ho ba teng ha likamano tsa thobalano tseo pele li neng li le sieo (mohlala, ho fallela motseng o mocha, phetoho ea boemo ba likamano).

Lintlha tsa Thutong:

• Batho ba bangata ba nang le "Compulsive Sexual Behavior Disorder" ba tlaleha nalane ea ho etsa thobalano pele ho bocha kapa bocha (ke hore, boitšoaro bo kotsi ba thobalano, ho ipholla litho tsa botona kapa botšehali ho laola tšusumetso e mpe, tšebeliso e ngata ea litšoantšo tsa bootsoa).

Litlhahiso tsa Nts'etsopele:

• Bothata ba Boitšoaro bo Kopanetsoeng ba ho Kopanela Liphate nakong ea ho ba motho e moholo bo 'nile ba amahanngoa le litekanyetso tse phahameng tsa mahlomola a bongoana ho kenyeletsa tlhekefetso ea thobalano, basali ba tlalehang litekanyetso tse phahameng le ho teba ha tlhekefetso.
• Bacha le batho ba baholo ba nang le Compulsive Sexual Behavior Disorder hangata ba ba le litekanyetso tse phahameng tsa Mathata a Mental, Behavioural, kapa Neurodevelopmental Disorders, ho kenyeletsa le Mathata a Bakoa ke Tšebeliso ea Lintho.
• Ho lekola boteng ba Compulsive Sexual Behaviour Disorder ho ka ba thata haholo nakong ea bocha ka lebaka la maikutlo a fapaneng mabapi le ho nepahala ha boitšoaro ba thobalano nakong ena ea bophelo. Keketseho ea khafetsa ea boitšoaro ba thobalano kapa litakatso tse sa laoleheng tsa thobalano tse amanang le maemo a lihormone a fetohang ka potlako nakong ena ea nts'etsopele li ka nkuoa e le ho bonts'a liphihlelo tse tloaelehileng tsa bacha. Ka lehlakoreng le leng, boitšoaro bo bobe ba thobalano khafetsa kapa bo kotsi har'a bacha bo ka nkoa bo sa tloaeleha ka lebaka la monyetla oa hore boitšoaro bo sitise kholo ea sechaba le maikutlo.

Lintho Tse Amanang le Setso:

• Phapang ea setso le meetlo e ka ba teng bakeng sa boitšoaro bo qobelloang ba thobalano. Litloaelo tsa se nkoang e le boitšoaro bo nepahetseng ba thobalano, liketso tse nkoang li sa amohelehe, le maikutlo a mabapi le likarolo tsa bong li susumetsa liketso tsa thobalano. Lintlha tsena li ka ama litloaelo tse mabapi le ho pholla litho tsa botona kapa botšehali ho li khotsofatsa, tšebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro, ho ba le batho ba bangata ba kopanelang liphate ka nako e le 'ngoe, le palo ea balekane ba bophelo bohle.
• Setso se bopa mahlomola a bakoang ke ho kopanela boitšoarong ba thobalano le hore na ho kopanela liphate ho nkoa e le ho ferekanngoa. Ka mohlala, litsong tseo ho tsona maikutlo a banna a amahanngoang le tlhōlo ea ho kopanela liphate, litekanyetso tse phahameng tsa boitšoaro ba ho kopanela liphate li ka nkoa e le tse tloaelehileng 'me ha ea lokela ho ba motheo o ka sehloohong oa ho fana ka tlhahlobo.

Likarolo tse Amanang le Bong le/kapa Bong:

• Banna ba atisa ho fumanoa ba e-na le Compulsive Sexual Behavior Disorder.
• Basali ba nang le bothata ba ho hlekefetsoa ka thobalano ba na le menyetla e mengata ho feta banna ho tlaleha nalane ea tlhekefetso ea thobalano bongoaneng.

Meeli e nang le Mathata le Maemo a Mang (Boemo bo fapaneng):

• Moeli o nang le Mathata a Bipolar kapa a Amanang: Litakatso tse eketsehileng tsa thobalano, litakatso kapa boitšoaro le bokhoni bo fokolang ba ho li laola li ka etsahala nakong ea Manic, Mixed, kapa Hypomanic Episodes. Tlhahlobo ea Tšoaetso ea Boitšoaro ba ho Kopanela Liphate e lokela ho abeloa feela haeba ho e-na le bopaki ba ho hlōleha ho phehellang ho laola maikutlo a matla, a pheta-phetang a ho kopanela liphate, litakatso kapa boitšoaro le boteng ba litlhoko tse ling tsohle tsa tlhahlobo ka ntle ho Likarolo tsa Mood.
• Moeli o nang le Obsessive-Compulsive Disorder: Le hoja lentsoe 'ho qobella' le kenyelelitsoe lebitsong la boemo bona, boitšoaro ba thobalano ho Compulsive Sexual Behavior Disorder ha bo nkoe e le ntho e qobelloang. Matšoenyeho ho Obsessive-Compulsive Disorder hoo e ka bang ha ho mohla a bang le phihlelo e le e monate ka tlhaho 'me hangata e etsahala ka lebaka la menahano e ferekaneng, e sa batleheng, le e atisang ho baka matšoenyeho, e leng ntho e seng joalo ka boitšoaro ba thobalano ho Compulsive Sexual Behavior Disorder.***
• Boundary with Personality Disorder: Batho ba bang ba nang le Personality Disorder ba ka 'na ba kopanela boitšoarong bo pheta-phetoang ba thobalano e le leano le sa laoleheng la taolo (mohlala, ho thibela kapa ho fokotsa khatello ea maikutlo kapa ho tsitsisa maikutlo a bona). Le hoja litlhahlobo ka bobeli li ka abeloa hammoho, haeba boitšoaro ba thobalano bo ikarabella ka ho feletseng ka ho senyeha ha maikutlo kapa likarolo tse ling tsa bohlokoa tsa Personality Disorder, tlhahlobo e eketsehileng ea Compulsive Sexual Behavior Disorder ha e na mabaka a utloahalang.
• Moeli o nang le Mathata a Paraphilic: Tšobotsi ea mantlha ea Compulsive Sexual Behavioral Disorder ke mokhoa o phehellang oa ho hloleha ho laola takatso e matla e ipheta-phetang ea thobalano kapa litakatso tse bakang boitšoaro bo ipheta-phetang ba thobalano bo bakang khatello kapa ho se sebetse hantle. Ka lehlakoreng le leng, Mathata a Paraphilic a khetholloa ka mekhoa e tsitsitseng le e matla ea ho tsoheloa ke thobalano e sa tloaelehang e bontšoang ke menahano ea thobalano, menahano, litakatso, kapa boitšoaro 'me e fella ka liketso ho batho bao lilemo kapa maemo a bona a etsang hore ba se ke ba ikemisetsa kapa ba sa khone ho lumela kapa e amanang le mahlomola a bonahalang kapa kotsi e kholo ea kotsi kapa lefu. Haeba motho ea nang le Paraphilic Disorder a khona ho laola mokhoa o itseng oa boitšoaro ba mokhoa oa ho tsosoa, tlhahlobo e eketsehileng ea Compulsive Sexual Behavioral Disorder ka kakaretso ha e na mabaka a utloahalang. Haeba, leha ho le joalo, litlhoko tsa tlhahlobo ea bobeli ba Compulsive Sexual Behavioral Disorder le Paraphilic Disorder li fihletsoe, litlhahlobo ka bobeli li ka abeloa.
• Moeli o nang le litlamorao tsa lintho tsa psychoactive, ho kenyelletsa le meriana: Tšebeliso ea meriana e itseng e behiloeng kapa lintho tse seng molaong (mohlala, dopamine agonists tse kang pramipexole bakeng sa lefu la Parkinson kapa Restless Legs Syndrome kapa lintho tse seng molaong tse kang methamphetamine) ka linako tse ling li ka baka ho senyeha ha taolo holim'a litakatso tsa thobalano, litakatso kapa boitšoaro ka lebaka la liphello tsa bona tse tobileng bohareng. tsamaiso ya methapo, ka qaleho e tsamaellanang le tshebediso ya ntho kapa moriana. Compulsive Sexual Behaviour Disorder ha ea lokela ho fumanoa maemong a joalo.
• Moeli o nang le Mathata ka lebaka la Tšebeliso ea Lithethefatsi: Likarolo tsa boitšoaro bo sa tsitsang ba thobalano bo ka hlaha nakong ea botahoa. Ka nako e ts'oanang, ts'ebeliso e kopanetsoeng ea "Compulsive Sexual Behavior Disorder" le tšebeliso ea lithethefatsi e tloaelehile, 'me batho ba bang ba nang le Compulsive Sexual Behavior Disorder ba sebelisa lithethefatsi ka sepheo sa ho kopanela boitšoarong ba thobalano kapa ho ntlafatsa monate oa bona. Phapano lipakeng tsa Mathata a Boitšoaro a Tlameletseng le mekhoa e pheta-phetoang ea tšebeliso ea lithethefatsi le boitšoaro bo amanang le thobalano ka hona ke kahlolo e rarahaneng ea bongaka e ipapisitseng le tlhahlobo ea tatellano, moelelo le sepheo sa boitšoaro bo amehang. Tlhahlobo ea Bothata ba Boitšoaro bo Kopanetsoeng ba ho Kopanela Liphate bo ka abeloa hammoho le Bothata ka lebaka la Tšebeliso ea Lithethefatsi haeba litlhoko tsa tlhahlobo ea mafu ka bobeli li finyelloa.
• Moeli o nang le 'dementia' le maemo a bongaka a sa hlophisoang tlas'a Mental, Behavioral or Neurodevelopmental Disorders: Batho ba bang ba nang le 'dementia', mafu a tsamaiso ea methapo, kapa maemo a mang a bophelo a nang le litlamorao tsamaisong ea methapo e bohareng ba ka bonts'a ho hloleha ho laola maikutlo a thobalano, likhothatso kapa boitšoaro e le karolo ea mokhoa o akaretsang oa ho thibela taolo ea tšusumetso ka lebaka la neurocognitive. ho senyeha. Tlhahlobo e arohaneng ea Compulsive Sexual Behavior Disorder ha ea lokela ho abeloa maemong a joalo.

LINK - Mekhoa ea ho hlahloba ICD-11 bakeng sa CSBD.

Bakeng sa nalane e eketsehileng mabapi le lipolotiki tsa bokhoba ba thobalano, bala Meputso ea Lipolotiki tsa Makhoba a Thobalano (2011)