I-American Society ye-Addiction Medicine: Inkcazo entsha yoLungiso (Agasti, 2011)

Inkcazo yelogo ye-ASAM yokuluthaIsiganeko esiphambili senzekile kwindawo yesayensi kunye nonyango. Iingcali eziphezulu zokulutha eMelika kwiAmerican Society of Addiction Medicine (ASAM) zisandula ukukhupha inkcazo yabo entsha yokutshaya. Inkcazo entsha, kunye nee-Q & A ezihambelana nayo, ihambelana namaqaku aphambili enziwe apha www.yourbrainonporn.com. Eyona nto iphambili, ukuba likhoboka lokuziphatha kakubi kuchaphazela ingqondo kanye njengokuba iziyobisi zisenza — kuzo zonke iinkalo eziphambili. Le nkcazo intsha, kuzo zonke iinjongo ezifanelekileyo, iphelisa ingxoxo malunga nokuba isini kunye neziyobisi ezingamanyala "zilikhoboka lokwenyani."

le inqaku Isishwankathelo sishwankathela umbono ka-ASAM malunga neziyobisi:

Inkcazo entsha ishiya ngaphandle kwamathandabuzo ukuba zonke iziyobisi-nokuba kungotywala, i-heroin okanye isini, zithi-ziyafana ngokufanayo. Ugqirha Raju Haleja, owayesakuba ngumongameli we-Canadian Society for Addiction Medicine kunye nosihlalo wekomiti ye-ASAM eyila inkcazo entsha, uxelele i-The Fix, “Sijonge ukuba likhoboka njengesifo esinye, ngokuchaseneyo nabo bababona njengabahlukileyo izifo. Iziyobisi likhoboka. Ayinamsebenzi into yokuba ingqondo yakho ibheka ngaphi, ukuba nje itshintshile, usengozini yokufumana lonke utywala. ” Ukuba [i-ASAM] iye yabeka isitampu ekuchongeni isini okanye ukungcakaza okanye iziyobisi njengokutya njengako konke okusemandleni ngokwezonyango njengotywala okanye i-heroin okanye i-crystal meth kunokubangela impikiswano engaphezulu kunaleyo inobuqhophololo kodwa ibango elilinganayo.

Eli candelo linamaphepha amathathu ASAM (qhagamshela kwiwebhusayithi ye-ASAM),

  1. Umbutho waseMelika woNyango lwezeMpilo: Inkcazo yesiyobisi-Inguqulelo ende
  2. Inkcazo ye-ASAM yoTywala-Imibuzo ebuzwa rhoqo.
  3. ASAM Press Release.

kunye namacandelo amabini kumaphephandaba

Amanqaku amabini esabhala:

Oku kulandelayo isishwankathelo esifutshane samanqaku aphezulu anxulumene nokulutha kwezilonda:

  1. Umlutha omnye "isifo" nokuba ngaba kubangelwa yimichiza okanye ukuziphatha.
  2. Ukuziphatha okunokuba ngumlutha kunye nezinto zinako ukubangela utshintsho olufana nolwesibini kumjikelezo ofanayo we-neural: imvakalelo, ukuguqulwa kwesekethe yangaphambili, ukutshintsha kwenkqubo yoxinzelelo kunye nokuzithoba.
  3. "Ukusetyenziswa okuqhubekayo ngaphandle kwemiphumo emibi" kubonisa ukubonakaliswa kwezi nguqu zengqondo zilapha ngasentla. Umlutha awunakukhetha. Ukuziphatha okuluthayo kukubonakaliswa kwesifo, hayi unobangela.
  4. Isusa umahluko “wokulutha ngokuchasene nokunyanzelwa”, owawusoloko usetyenziselwa ukwala ubukho bokuziphatha kakubi, kubandakanya umlutha wamanyala.
  5. Umlutha sisifo esiyintloko-ngamanye amagama, ayibangelwa yimicimbi yezempilo yengqondo enje ngemood okanye ukuphazamiseka kobuntu, ukubeka umbono oqhelekileyo wokuba isimilo sokuziphatha ziluhlobo "lokuzinyanga ngokwakho", yithi, thomalalisa iintlungu. yoxinzelelo okanye unxunguphalo.

Inkcazelo entsha ye-ASAM ayibhekiseli kumlutha we-intanethi we-intanethi, okanye uyayichaza ngokuxhatshazwa ngokwesini (apho ichaza amaxesha amaninzi). Ngokucacileyo, isitatimende somgaqo-nkqubo asikwazi ukulungisa yonke into, kodwa kucacile ukuba umlutha we-intanethi ku-intanethi uthinta iqela elibanzi kunokuba unesilonda socansi. Ukwabelana ngesondo ngumvuzo wendalo oye wahlala ngonaphakade, kanti i-intanethi ye-intanethi, njengokutya okungafunekiyo, yinto engaphelelekanga yomvuzo wendalo (jonga I-Porn Now And Now: Siyakwamukela kwiBrain Training kwaye Iimpawu zokuxhatshaza: I-300 Vaginas = I-Dopamine).

Makhe sihlolisise ii-FAQ ezintathu ezivela kwi-ASAM ezinxulumene nesondo kunye neziyobisi ezingamanyala. Lo mbuzo wokuqala uyenza icace into yokuba zonke iziyobisi zikwabelana ngokutshintshwa kwengqondo ethile, ezibonakalisa njengeendlela ezithile zokuziphatha kunye neempawu zengqondo.

UMBUZO: Yintoni eyahlukileyo malunga nale ncazelo entsha?

I MPENDULO:

Ugxininiso kwixesha elidlulileyo sele libhekiselele kwizinto ezinxulumene nokulutha, njengotywala, i-heroin, i-marijuana okanye i-cocaine. Le ncazelo entsha ichaza ukuba umlutha awukho malunga neziyobisi, malunga nobuchopho. Akunjalo izinto ezisetyenziswa ngumntu ezenza zibe ngumlutha; ayikho ubungakanani okanye ubukhulu bokusetyenziswa. Umlutha ngento eyenzekayo kwingqondo yomntu xa zibonakalisa izinto ezivuzayo okanye iziphatho ezivuzayo, kwaye kuninzi malunga nomsebenzi wesiphaluka kumbono kunye neengcinga zengqondo ezinxulumene neengcali zamaphandle okanye ukuziphatha "okuqhubekayo" okuvuzayo besiphaluka.

Isicatshulwa esihle- "Ukulutha malunga nento eyenzekayo kwingqondo yomntu." Kukangaphi sithetha lento? Inkcazo igxininisa ukuba ayisiyiyo le fomu okanye ubungakanani besikhuthazi, kodwa endaweni yoko iziphumo yokuvuselela. Ngokucacileyo, iimpawu eziqhelekileyo kunye neempawu ezabelwana ngazo zonke izilingo zikhomba utshintsho olusengqondweni. (Thatha le mibuzo ukuze ubone ukuba inkqubo yokulutha umlutha ibamba ingqondo yakho.)

Ukusetyenziswa koononophelo lwe-intanethi akuyona inkxalabo yokuziphatha, ngaphandle kokukhahlela i-cocaine okanye ukutshaya ugwayi. Yonke imicimbi yezempilo echaphazela isakhiwo nokusebenza kwengqondo. Utshintsho lwebongo oluqhelekileyo kwiziyobisi kunye nemivuzo yemvelo ichazwe kula manqaku: Isiphelo seSplex Ingxabano? kwaye Iindaba ezimnandi zabasebenzisi beSigxina: I-Internet Addiction Atrophies Brains.

Le mibuzo emibili elandelayo idibanisa isondo kunye nezobisi zokutya.

UMBUZO: Le ncazelo entsha yokukhwela umlutha ibhekisela kumlutha wokubandakanya ukugembula, ukutya, kunye nokuziphatha ngokwesini. Ngaba i-ASAM ikholelwa ngokwenene ukuba ukutya kunye nesondo kuyingozi?

I MPENDULO:

Umlingo wokungcakaza uchazwe kakuhle kwiincwadi zenzululwazi kwiminyaka emininzi. Enyanisweni, ukushicilelwa kwangoko kwe-DSM (i-DSM-V) kuya kubhala uluhlu lokugembula kwinqanaba elifanayo kunye neengxaki zokusetyenziswa kweziyobisi.

Intsha entsha ye-ASAM ichaza ukuhamba ngokulingana nokuxhomekeka kwendalo, ngokuchaza indlela umlutha uhlobene ngayo nokuziphatha okuvuzayo. Elikuqala ngethuba i-ASAM ithathe isikhundla esisesikweni sokuba umlutha awukho "kuxhomekeke kwinto ethile".

Le ncazelo ithi ukuxhatshazwa ngokumalunga nokusebenza kunye nengqondo yesiphaluka kunye nokuba isakhiwo kunye nomsebenzi wobomi babantu abanomlutha bahluke njani kwisakhiwo kunye nomsebenzi wabantu abangenalo umlutha. Ithetha ngomvuzo wesiphaluka kwingqondo kunye neesekethe ezihambelanayo, kodwa ugxininiso alukho kwimbuyekezo yangaphandle esebenza kwi-system reward. Ukutya kunye nokuziphatha ngokwesondo kunye nokuziphatha ngcakazo kuya kuhambelana "nokuphishekela ukufumana umvuzo" okuchazwe kule nkcazelo entsha yokulutha.

UMBUZO: Ngubani ophethe umlutha wokutya okanye ukuxhatshazwa ngokwesondo?

I MPENDULO:

Sonke sinomvuzo wesiphaluka wezobuchopho obangela ukutya nokulala ngesini. Enyanisweni, le yindlela yokuphila. Kwimpilweni ephilileyo, le mivuzo ineendlela zengxelo zengqondo okanye 'ezaneleyo.' Kumntu onomlutha, isiphaluka siyinto engasebenziyo kangangokuba umyalezo kumntu uba 'ngaphezulu', okhokelela ekuqhubekeni kwemiphumo kunye / okanye ukunceda ngokusebenzisa izinto kunye nokuziphatha.

I-ASAM ayinakucaca. Ubunzima bezocansi bukhona, kwaye kubangelwa utshintsho olufanayo oluyisiseko kwisakhiwo sobuchopho kunye ne-physiology njengezilwalathiso zeziyobisi. Oku kuyenza ingqiqo njengokuba iziyobisi eziluthayo zingenzi nto kodwa ukwandisa okanye ukunciphisa imisebenzi eqhelekileyo yezinto eziphilayo. Baqhawula izijikelezo zengxoworho kwimbuyekezo yemvelo, ngoko kuya kufuneka kubonakale ukuba iinguqulelo ezigqithiseleyo zembuyekezo zendalo zingashenxisa ezo zijikelezo.

U-ASAM wakhetha ukupapasha le ncazelo entsha kuba ubungqina obuninzi obuvela kwi-addiction neuroscience bukhokelela kwisigqibo esisodwa kuphela. Amaphepha alandelayo abonisa isampululo lophando lwezilungo zendalo: I-Intanethi kunye neMidlalo yoMdlalo weVidiyo, Utywala, kwaye UkuGembula.

Inkcazo entsha ye-ASAM iqinisekisile ukuba zeziphi i-neuroscientits kunye uninzi lweengcali zokulutha esele zisazi: Imivuzo yemvelo ingabangela ukulutha. Oko kulahlekileyo yingxoxo kwi-mushrooming ye-intanethi nokusetyenziswa kwezilwanyana. Ukusetyenziswa koononophelo lwe-intanethi kukhulu kunokwenzeka ukukhokelela ekugqithiseni kunokuziphatha kukaTiger Wood.

Incwadi entsha kaDavid Linden "Ikhampasi yoLonwabo" icacisa ukuba likhoboka hayi ngokuhambelana ngokukodwa nobukhulu befuthe le-dopamine. I-cigarettes, umzekelo, uhamba malunga ne-80% yabo bazama, ngelixa i-heroin ihamba ngeyona nto incinci yabasebenzisi. Oku kungenxa yokuba umlutha u kufunda, kunye nabantu abatshayayo bahlala beqeqesha iingqondo zabo "ngemivuzo" encinci yedopamine. Abasebenzisi beHeroin bafumana "izifundo" ezinzulu ze-neurochemical, kodwa bambalwa kakhulu kubo. Ke i-heroin ihombisa abantu abambalwa. Izilonda zokwenene zesini (kunye namaqabane okwenyani), njengabasebenzisi be-heroin, ngokubanzi abanakufumana "ulungiso" olungenamda. Banokuba namasiko akhuthazayo ngakumbi, ngokungafaniyo neheroin, okanye ezinye, iziyobisi.

Ukusetyenziswa koononophelo lwe-intanethi kufana nokubhema kwinto yokuba umfanekiso ngamnye wenombolo unikeza i-dopamine encinane. Njengoko abasebenzisi bobugqwetha bajonga ezininzi iimifanekiso / ividyo kliphu, rhoqo imihla ngemihla, baqeqesha ubuchopho babo rhoqo, njengokuba ababhemayo benza. Njengoko kuchazwe kuyo I-Porn, Intsingiselo, kunye ne-coolidge, isiqhelo esingenamkhawulo sibavumela ukuba banqobe ukunyamekela okuqhelekileyo. Ngaphezulu, iimpawu ze-intanethi ze-intanethi zichaphazela i-dopamine ngendlela iindlela zokuxhatshazwa ngokwesondo ezingenakwenzeka I-Porn Now And Now: Siyakwamukela kwiBrain Training.

Ngamanye amagama, ayisiyiyo i-neurochemical blast ye-orgasm ebambisa iziyobisi ze-Intanethi, nangona imbuyekezo engapheliyo ye-orgasm iqinisa ngakumbi ukusetyenziswa kwe-porn. Ke ngoko, ukubakho kweziyobisi kwi-Intanethi ayisiyiyo "into yokuba likhoboka lesini." Ityhoboza ukujikeleza ngokunxulumene nezinto eziphambili kwimfuza yethu: ukuzala kwakhona-kwaye ngakumbi inkqubo yokufumana umvuzo owongezelelekileyo we-neurochemical ukuphendula amaqabane enoveli. Zombini zifana nomlutha wevidiyo yevidiyo kunye nokunye okunjengokulutha kokutya.

Ngamafutshane, mhlawumbi i-masturbation addiction will be rare and rarely without access to porn. Nangona ukuxhatshazwa kwe-masturbation (ngaphandle koononophala) kunokuthi kube ngumlutha wesondo kunye nokungaqhelekanga, ukugqithisa i-intanethi ye-intanethi yinto eyahlukileyo-kunye neyona ndlela iyenzayo.

Ngapha koko, ngophando lwamva nje, umlutha we-Intanethi phakathi kwabakwishumi elivisayo eHungary nakwi-Intanethi ngaphandle kwe-porn e China bakwi-18% kunye ne-14% ngokwahlukeneyo. (Jonga "Ukuqinisekiswa kweModeli yeThathu yokuSebenzisa iNgxaki yokuSebenzisa i-Intanethi kwi-Offline Adolescent nakwiiSampulu zaBadala" kunye "neMicrostructure engaqhelekanga kubantwana abafikisayo abanengxaki yokufumana iziyobisi kwi-Intanethi." . Ngaba amazinga okuxhatshazwa kwe-intanethi angaphezulu kunokuba sikholelwa ngenxa yokucinga kwethu ukuba "kufuneka" bahambelane namazinga okuxhatshazwa ngokwesini?