Umbutho wezeMpilo weHlabathi uthi i-CSBD ibandakanya ukusetyenziswa kwePorn

Iimfuno zokuxilonga

Iimpawu ezibalulekileyo (ezifunekayo):

• Ipateni ethe gqolo yokusilela ukulawula iminqweno yesondo eqatha, ephinda-phindayo okanye iminqweno ekhokelela kuphindaphindo lokuziphatha ngokwesondo, ebonakaliswa kwenye okanye ngaphezulu kwezi zilandelayo:
  • Ukuphinda-phinda ukuziphatha ngokwesondo kube yeyona nto iphambili kubomi bomntu ukuya kuthi ga kwinqanaba lokutyeshela impilo kunye nokhathalelo lomntu okanye eminye imidla, imisebenzi kunye noxanduva.
  • Umntu wenze iinzame ezininzi ezingaphumelelanga zokulawula okanye ukunciphisa ngokuphawulekayo ukuziphindaphinda ukuziphatha ngokwesondo.
  • Umntu uyaqhubeka ebandakanyeka ekuziphatheni ngokwesondo okuphindaphindiweyo ngaphandle kwemiphumo emibi (umzekelo, ukungquzulana komtshato ngenxa yokuziphatha ngokwesondo, imiphumo yemali okanye yezomthetho, impembelelo embi kwimpilo).
  • Umntu uyaqhubeka ebandakanyeka kwisenzo sesondo esiphindaphindayo nangona umntu efumana ukwaneliseka okuncinci okanye akukho nto kuyo.
• Ipatheni yokungaphumeleli ukulawula iimpembelelo zesondo ezibukhali, eziphindaphindiweyo okanye izibongozo kunye nesiphumo sokuziphatha okuphindaphindiweyo ngokwesondo kubonakaliswa kwixesha elide (umzekelo, iinyanga ze-6 okanye ngaphezulu).
• Ipatheni yokusilela ukulawula impembelelo yesondo ebukhali, ephindaphindayo okanye iminqweno kunye nesiphumo sokuziphatha ngokwesondo okuphindaphindayo ayibalelwa ngcono yenye ingxaki yengqondo (umz., Isiqendu seManic) okanye enye imeko yezonyango kwaye ayibangelwa yimpembelelo yento okanye iyeza.
• Ipateni yokuphindaphinda ukuziphatha ngokwesondo kubangela unxunguphalo oluphawulweyo okanye umonakalo omkhulu kumntu, usapho, intlalontle, imfundo, umsebenzi, okanye kwezinye iindawo ezibalulekileyo zokusebenza. Uxinzelelo olunxulumene ngokupheleleyo nezigwebo zokuziphatha kunye nokungavunyelwa malunga neempembelelo zesini, izibongozo, okanye ukuziphatha akwanele ukuhlangabezana nale mfuneko.

Iimpawu ezongezelelweyo zeklinikhi:

• I-Compulsive Sexual Behaviour Disorder inokubonakaliswa ngeendlela ezahlukeneyo zokuziphatha, kubandakanywa ukuziphatha ngokwesondo nabanye, ukuphulula amalungu esini, ukusebenzisa iphonografi, i-cybersex (i-intanethi ye-intanethi), ukwabelana ngesondo ngomnxeba, kunye nezinye iindlela zokuphindaphinda ukuziphatha ngokwesondo.
• Abantu abane-Compulsive Sexual Behavior Disorder bahlala bebandakanyeka ekuziphatheni ngokwesondo ngokuphendula iimvakalelo zokudakumba, ixhala, ukukruquka, ubulolo, okanye ezinye iimeko ezingathandekiyo. Nangona kungenakuqinisekiswa ngokuxilonga, ukuqwalaselwa kobudlelwane phakathi kweemvakalelo kunye nokuziphatha kunye nokuziphatha ngokwesondo kunokuba yinto ebalulekileyo yokucwangcisa unyango.
• Abantu abenza izigwebo zenkolo okanye zokuziphatha malunga nokuziphatha kwabo ngokwesondo okanye bajonge ukungamkelwa, okanye abaxhalabele izigwebo kunye nokungavunywa kwabanye okanye malunga neziphumo ezinokuthi zenzeke kukuziphatha kwabo ngokwesondo, banokuzichaza 'njengamakhoboka esondo' okanye bachaze ukuziphatha ngokwesondo 'njengokunyanzeliswa' okanye ukusebenzisa amagama afanayo. Kwiimeko ezinjalo, kubalulekile ukuvavanya ngononophelo ukuba ezo mbono zibangelwa kuphela izigwebo zangaphakathi okanye zangaphandle okanye iziphumo ezinokubakho okanye ukuba kukho ubungqina bokuba ukulawulwa okungahambi kakuhle kwiminqweno yesini, iminqweno, okanye ukuziphatha kunye nezinye iimfuno zokuxilonga ze-Compulsive Sexual Behavior. Ukuphazamiseka kukho ngokwenene.

Imida ngeNsiqhelo (Threshold):

• Kukho umahluko obanzi kwindalo kunye namaxesha eengcinga zomntu ngokwesondo, iintelekelelo, iimpembelelo kunye nokuziphatha. Olu xilongo lufanelekile kuphela xa umntu efumana imvakalelo ebukhali, ephindaphindayo yesondo okanye iminqweno eyenzeka ngokungenakuthintelwa okanye engalawulekiyo, ekhokelela ekuphindaphindweni kokuziphatha ngokwesondo, kunye nephethini yokuziphatha ngokwesondo okuphindaphindwayo kukhokelela kuxinzelelo oluphawulweyo okanye ukonakala okubalulekileyo kobuqu, usapho, intlalontle. , imfundo, umsebenzi, okanye ezinye iinkalo ezibalulekileyo zokusebenza. Abantu abanamanqanaba aphezulu omdla wezesondo kunye nokuziphatha (umzekelo, ngenxa ye-sex drive ephezulu) abangabonisi ulawulo olungalunganga malunga nokuziphatha kwabo ngokwesondo kunye noxinzelelo olumandla okanye ukonakala ekusebenzeni akufuneki kufunyaniswe ukuba bane-Compulsive Sexual Behavior Disorder. Ukuxilongwa akufuneki kunikezelwe ukuchaza amanqanaba aphezulu omdla wesondo kunye nokuziphatha (umzekelo, ukuphulula amalungu esini) okuxhaphakileyo phakathi kolutsha, nangona oku kunxulunyaniswa noxinzelelo.
• I-Compulsive Sexual Behaviour Disorder akufuneki ifunyanwe ngokusekwe kuxinzelelo olunxulumene nezigwebo zokuziphatha kunye nokungavunyelwa malunga neempembelelo zesini, izibongozo, okanye iindlela zokuziphatha ebezingayi kuthathwa njengento ebonisa i-psychopathology (umzekelo, ibhinqa elikholelwa ukuba akafanelanga ukuba neenkanuko zesini. konke konke;umfana okholwayo okholelwa ukuba akafanelanga aphulule amalungu esini;umntu okhathazwa ngumtsalane wakhe wobufanasini bakhe). Ngokufanayo, i-Compulsive Sexual Behaviour Disorder ayinakufunyaniswa ngokusekwe kuphela kuxinzelelo olunxulumene nokwenyani okanye ukoyikwa kokungamkeleki kwentlalo ngokwesondo okanye indlela yokuziphatha.
• I-Compulsive Sexual Behaviour Disorder akufuneki ifunyanwe ngokusekwe kuphela kumaxesha amafutshane (umzekelo, ukuya kuthi ga kwiinyanga ezininzi) zokwanda kweempembelelo zesini, iminqweno, kunye nokuziphatha ngexesha lokutshintshela kwiimeko ezibandakanya ukwanda kokufumaneka kweendawo zokuthengisa ngesondo ebezingekho ngaphambili (umz., ukufudukela kwisixeko esitsha, utshintsho kwimo yobudlelwane).

Iimpawu zeekhosi:

• Abantu abaninzi abane-Compulsive Sexual Behavior Disorder banika ingxelo ngembali yokwabelana ngesondo ngexesha langaphambi kokufikisa okanye kwishumi elivisayo (okt, ubungozi bokuziphatha ngokwesondo, ukuphulula amalungu esini ukulungelelanisa impembelelo embi, ukusetyenziswa kakhulu kwephonografi).

Iintetho eziPhuhlisayo:

• I-Compulsive Sexual Behaviour Disorder kubuntu obudala inxulunyaniswe namazinga aphezulu okwenzakala kwabantwana kubandakanywa ukuxhatshazwa ngokwesondo, kunye nabasetyhini abaxela amazinga aphezulu kunye nobukhulu boxhatshazo.
• Abakwishumi elivisayo kunye nabantu abadala abane-Compulsive Sexual Behavior Disorder badla ngokuba namazinga aphezulu okuhlangana kweMental, Behavioural, okanye Neurodevelopmental Disorders, kubandakanywa ukuphazamiseka ngenxa yokusetyenziswa kweziyobisi.
• Ukuvavanya ubukho be-Compulsive Sexual Behaviour Disorder kunokuba ngumngeni ngakumbi ngexesha lokufikisa ngenxa yeembono ezahlukeneyo malunga nokufaneleka kokuziphatha ngokwesondo ngeli nqanaba lobomi. Ukonyuka rhoqo kokuziphatha ngokwesondo okanye iminqweno yesondo engalawulekiyo ehambelana nokutshintsha kwamanqanaba ehomoni ngokukhawuleza ngeli nqanaba lophuhliso kunokuqwalaselwa njengokubonakalisa amava aqhelekileyo okufikisa. Ngokwahlukileyo, ukuziphatha rhoqo okanye okuyingozi ngokwesondo phakathi kolutsha kunokujongwa njengento engaqhelekanga ngenxa yendlela yokuziphatha ephazamisana nophuhliso lwentlalo kunye neemvakalelo.

Iimpawu eziNxulumene neNkcubeko:

• Ukwahluka kwenkcubeko nangokwenkcubeko kunokubakho kukuziphatha okunyanzelekileyo ngokwesondo. Izithethe zento ethathwa njengefanelekileyo yokuziphatha ngokwesondo, imisebenzi ebonwa njengengamkelekanga, kunye neembono malunga neendima zesini zinempembelelo kwisenzo sesondo. Ezi zinto zinokuchaphazela izithethe malunga nokuphulula amalungu esini, ukusetyenziswa kwephonografi, ukuba namaqabane amaninzi ngesondo ngaxeshanye, kunye nenani lamaqabane okwabelana ngesondo ubomi bonke.
• Inkcubeko ibumba unxunguphalo olubangelwa kukuziphatha ngokwesondo kunye nokuba isenzo sesondo sijongwa njengento ephazamisekileyo. Umzekelo, kwiinkcubeko apho iinjongo zobudoda zinxulunyaniswa nokoyiswa ngokwesondo, amazinga aphezulu okuziphatha ngokwesondo anokuthathwa njengesiqhelo kwaye akufuneki abe sisiseko esiphambili sokwabela uxilongo.

Isini- kunye/okanye iNgcaciso eNxulumene neSini:

• Amadoda kusenokwenzeka ukuba kufunyaniswe ene-Compulsive Sexual Behavior Disorder.
• Abasetyhini abane-Compulsive Sexual Behaviour Disorder kunokwenzeka ngakumbi kunamadoda ukuba baxele imbali yokuxhatshazwa ngokwesondo kwabantwana.

Imida enezinye iziphazamiso kunye neeMeko (Uxilongo olwahlukileyo):

• Umda oneBipolar okanye iziphazamiso ezinxulumeneyo: Ukunyuka kweempembelelo zesondo, izibongozo okanye ukuziphatha kunye nokungakwazi ukuzilawula kunokwenzeka ngexesha leManic, Mixed, okanye Hypomanic Episodes. Ukuxilongwa kwe-Compulsive Sexual Behavior Disorder kufuneka kunikezelwe kuphela ukuba kukho ubungqina bokungaphumeleli okuzingisileyo ekulawuleni impembelelo enkulu, ephindaphindiweyo yesondo, ukukhuthaza okanye ukuziphatha kunye nobukho bazo zonke ezinye iimfuno zokuxilonga ngaphandle kwee-Mood Episodes.
• Umda oneSifo sokuBonelela-eSinyanzelo: Nangona igama elithi 'isinyanzelo' libandakanyiwe egameni lale meko, ukuziphatha ngokwesondo kwi-Compulsive Sexual Behavior Disorder ayithathwa njengesinyanzelo sokwenyani. Izinyanzelo kwi-Obsessive-Compulsive Disorder phantse azinakwenzeka zithandeka ngokwemvelo kwaye ziqhele ukwenzeka ekuphenduleni iingcinga ezingathandekiyo, ezingafunwayo, kunye nesiqhelo ezixhokonxa ixhala, akunjalo ngokuziphatha ngokwesondo kwi-Compulsive Sexual Behaviour Disorder.***
• Umda onesiphene sobuntu: Abanye abantu abaneSiphene soMntu banokubandakanyeka ekuziphatheni ngokwesondo okuphindaphindayo njengesicwangciso solawulo lwe-maladaptive (umzekelo, ukuthintela okanye ukunciphisa uxinzelelo lweemvakalelo okanye ukuzinzisa imvakalelo yabo yeziqu). Nangona ukuxilongwa kokubini kunokwabelwa kunye, ukuba ukuziphatha ngokwesondo kubalwa ngokupheleleyo yi-emotion dysregulation okanye ezinye iimpawu eziphambili ze-Personality Disorder, ukuxilongwa okongeziweyo kwe-Compulsive Sexual Behavior Disorder ayiqinisekiswanga.
• Umda oneParaphilic Disorders: Olona phawu luphambili lwe-Compulsive Sexual Behavioral Disorder yipatheni eqhubekayo yokusilela ukulawula iminqweno yesondo ephindaphindayo okanye iminqweno ekhokelela ekuphindaphindweni kokuziphatha ngokwesondo okukhokelela kuxinzelelo oluphawulweyo okanye ukonakala ekusebenzeni. I-Paraphilic Disorders, kwelinye icala, ibonakala ngokuzingisa kunye neepateni ezinzulu zokuvuswa ngokwesondo okungaqhelekanga okubonakaliswa ngeengcinga zesini, iingcamango, izibongozo, okanye ukuziphatha kwaye zibangele izenzo kubantu abaneminyaka yobudala okanye isimo sibenza bangafuni okanye bangakwazi ukuvuma okanye abanakho ukuvuma. ezinxulumene noxinzelelo oluphawulweyo okanye umngcipheko omkhulu wokwenzakala okanye ukufa. Ukuba umntu onesifo seParaphilic Disorder uyakwazi ukusebenzisa iqondo elithile lolawulo kwiindlela zokuziphatha zepatheni yokuvusa, ukuxilongwa okongeziweyo kwe-Compulsive Sexual Behavioral Disorder ngokuqhelekileyo akuvumelekanga. Ukuba, nangona kunjalo, iimfuno zokuxilonga zombini i-Compulsive Sexual Behavioral Disorder kunye neParaphilic Disorder zidibene, zombini ukuxilongwa kunokwabelwa.
• Umda kunye neziphumo zezinto zengqondo, kubandakanywa namayeza: Ukusetyenziswa kwamayeza athile amiselweyo okanye izinto ezingekho mthethweni (umzekelo, i-dopamine agonists efana ne-pramipexole ye-Parkinson Disease okanye i-Restless Legs Syndrome okanye izinto ezingekho mthethweni ezifana ne-methamphetamine) ngamanye amaxesha zingabangela ukulawulwa kakubi kweempembelelo zesondo, iminqweno okanye ukuziphatha ngenxa yeziphumo zabo ezithe ngqo kumbindi. inkqubo yemithambo-luvo, ngokuqala okuhambelana nokusetyenziswa kweziyobisi okanye iyeza. I-Compulsive Sexual Behaviour Disorder akufanele ifunyanwe kwiimeko ezinjalo.
• Umda oneziphazamiso ngenxa yokusetyenziswa kweziyobisi: Iziqendu zokuziphatha ngokungxama okanye okungathintelwanga ngokwesondo zinokuthi zenzeke ngexesha lokunxila. Kwangaxeshanye, ukuhlangana kwe-Compulsive Sexual Behaviour Disorder kunye nokusetyenziswa kweziyobisi kuxhaphakile, kwaye abanye abantu abane-Compulsive Sexual Behavior Disorder basebenzisa izinto ngenjongo yokuzibandakanya kwimikhwa yesondo okanye ukomeleza ulonwabo kuyo. Ukwahlula phakathi kweSinyanzelo sokuziphatha ngokwesondo okunyanzelekileyo kunye neepateni eziphindaphindwayo zokusetyenziswa kweziyobisi kunye nokuziphatha okuhambelana nesondo ngoko ke sisigwebo esintsonkothileyo seklinikhi esekwe kuvavanyo lolandelelwano, umxholo, kunye nenkuthazo yendlela yokuziphatha efanelekileyo. Ukuxilongwa kwe-Compulsive Sexual Behaviour Disorder kunokwabelwa kunye neDisorder ngenxa yokusetyenziswa kweziyobisi ukuba iimfuno zokuxilonga zombini iziphazamiso zihlangatyezwana.
• Umda ngeDementia kunye neemeko zonyango ezingahlelwanga phantsi kweMental, Behavioral okanye Neurodevelopmental Disorders: Abanye abantu abanesifo sengqondo esixhalabisayo, izigulo zeNervous System, okanye ezinye iimeko zonyango ezinefuthe kwinkqubo ye-nervous ephakathi banokubonisa ukusilela ukulawula iimpembelelo zesini, izibongozo okanye indlela yokuziphatha njengenxalenye yendlela eqhelekileyo yokunqanda ulawulo lwempembelelo ngenxa ye-neurocognitive. ukonakala. Uxilongo olwahlukileyo lwe-Compulsive Sexual Behavior Disorder akufanele lunikezelwe kwiimeko ezinjalo.

LINK - I-ICD-11 yokuxilonga i-CSBD.

Ukufumana imbali engakumbi malunga nezopolitiko zokulutha ngokwesondo, funda UMvuzo wePolitiko yokuLuleka ngokweSondo (2011)