Ingabe Ukhunjulwe Ezingcolile? Buza i-ASAM (2011)

I-American Society of Addiction Medicine logo

Abasebenzisi be-Porn bachaza lokho okuthandana ukuyobamba khona

Ngenyanga edlule, odokotela be-3000 be-American Society for Addiction Medicine bakhululwe isitatimende somphakathi esiletha incazelo yokulutha ngokuhambisana namashumi eminyaka ocwaningo lokulutha. “[Umlutha] umayelana nobuchopho…. Imayelana nezinzwa eziyisisekelo, hhayi izenzo zangaphandle, ”kuchaza i-ASAM UDkt Michael Miller.

Incazelo ye-ASAM ibamba izinto ezibalulekile zokulutha ezichazwe yinhloko yeNIDA uNora Volkow, MD kanye neqembu lakhe kusibuyekezo Isiyaluyalu: Ukwehlisa Ukuzwela Komvuzo kanye Nokwanda Kokulindela Ukuzwela Kokulungiselela Ukunqoba Isifunda Sokulawula Ubuchopho Ukuziphatha kabi komlutha kuyisici sezinguquko ezilinganiselwe zobuchopho-nokuthola kabusha ukubuyela emuva lezi zinguquko. I izinguquko zokutshela ukuzungeza umjikelezo wokuvuza obuchopho: impendulo ejabulisayo, ukuzwela ngokweqile kumakhombo ahlobene nokulutha, nokunciphisa ukusebenza kwangaphambili kwe-cortex.

I-ASAM iphinde iqinisekise lokho ukuziphatha ngokobulili kungaba umlutha:

Sonke sinomvuzo we-brainry umjikelezo okwenza ukudla nokucansi kube nomvuzo. Eqinisweni, lokhu kuyindlela yokusinda. Ebuchopho obuphephile, le mivuzo inezinqubo zempendulo zokusondeza noma 'okwanele.' Kumuntu onomlutha, izakhi ziba nzima kakhulu kangangokuthi umlayezo kumuntu uba 'ngaphezulu', okuholela ekuphishekeleni ukuhlaziywa ngokwemvelo kwemiklomelo kanye / noma ukusiza ngokusebenzisa izinto nezinto zokuziphatha.

Uma ubheka izithombe zobulili ezingcolile, ingabe ungumlutha noma umsebenzisi nje?

Lo mbuzo usetshenziselwa ukuba yisisindo sabasebenzisi abaningi be-porn. Ngaphambi kwe-intanethi, ukusebenzisa i-porn (uma ikhona) kunezihlobo ezihlobene ne-libido eyiqiniso. Lapho umuntu esenele ngokwanele, lo magazini waphindela phansi ngaphansi komugumbi. Izithombe ze-intanethi, noma kunjalo, zinamandla ukwedlula izindlela zendalo zemvelo ebuchosheni abaningi. Lokhu kwandisa ingozi yokuthi ubuchopho obuhlobene nobudlova buyashintsha i-ASAM.

Ngokuphathelene nezocansi, kunjalo hhayi isikhathi esichithwa ukubuka noma ini ubheke lokho kunquma ukuthi ubuchopho bakho bushintshile yini. Esikhundleni salokho, bheka lezi zimpawu: I-Dopamine isibhamu esinezidakamizwa ezingcolile

  • Ukungakwazi ukuyeka;
  • Ukulawulwa kokucindezeleka okungaphelele;
  • Ukukhanga;
  • Ukuqonda okunciphile kwezinkinga zomuntu; futhi
  • Izimpendulo ezingokomzwelo ezinzima. (Uhlu olufingqiwe lwe-ASAM)

Ufuna ukwazi ukuthi lezi zimpawu ze-telltale zingavela kanjani kubasebenzisi banamuhla be-porn? Sikhiphe le mibuzo elandelayo kusuka emibikweni yangempela yezidakamizwa ezingaziwa zobulili ezingcolile. Abasebenzisi abaningi abenzi ukuxhumana phakathi kwezimpawu zabo nokusetshenziswa kwabo kocansi kuze kube yilapho beyeka izithombe ezingcolile amasonto, kepha le mibuzo, namazwi angezansi kwazo, angakusiza ukuthi unqume ukuthi ngabe udinga usizo yini ukubuyisa ushintsho olungafuneki futhi ubuyisele ubuchopho bakho ukulinganisela.

  • Ngibe nawe wazama ukumisa usebenzisa i-porn futhi yehlulekile? Uke uqaphele izimpawu zokuhoxiswa?
  • Ingabe uhlangabezana nezifiso ezimbi uma ungenakho ukufinyelela ku-porn ezinsukwini ezimbalwa?
  • Uma ususebenzisa futhi ubona ukukhula okusheshayo kokunye okungaphezulu kakhulu?
  • Uke waphawula izinguquko ezithandweni zakho zobulili?
    • Uke wahlola izinhlobo ezintsha ze-porn ukuze uthole amazinga okuthokozisa kwangaphambili?
    • Ingabe ubuka izinto ezingazange zikuvule?
    • Ingabe usebenzisa i-porn engavumelani nesimo sakho sezocansi?
  • Ingabe i-porn yokubuka into ejabulisa kakhulu ekuphileni kwakho? Ingabe ukuphila kubonakala kunzima?
  • Ingabe uzizwa ungenamandla okuzigwema ukusebenzisa izithombe zobulili ezingcolile uma ubona noma uhlangabezana nokuthile okuhambisana nokusetshenziswa kocansi, njengokuthi:
    • ngokuba yedwa endlini,
    • ukubona umbukiso we-TV nge-fetish oyikhonzile ekhonjiswe noma ekhonjisiwe,
    • ukubona izindaba mayelana nenkanyezi yezintandokazi ze-porn?
  • Uyabona abalingani abangakwaziyo-ngokungafani nezingxenye zomzimba kunabantu?
  • Njengoba usebenzisa i-Internet ye-Internet, ingabe uzizwa ukhuluma olunye ulimi, ungaphephile, ungathandeki noma ukhathazeke nabanye abantu-ikakhulukazi abashade naye?
  • Ingabe kunzima ukuxhuma nabanye? Ingabe uzizwa wedwa? Ingabe ukhathazekile kakhulu ngalokho abanye abakucabangayo ngawe?
  • Ingabe wena (noma labo abakhathalelayo ngawe) waphawula wena:
    • ukubambezela okuningi kunakuqala kokusebenzisa, unesisusa esiphansi (ungakhathaleli), ukukhathala okungapheli, inkungu yobuchopho, noma ubunzima bokugxila noma ukukhumbula izinto?
    • bebexhala kakhulu, bephumula, bengenasisindo, bagxilile, behlukumezekile, bengajabuli, bangabi namathemba, banomzwelo ngokomzwelo, noma bacindezelekile?
    • ziye zaba yimfihlo kakhulu, noma zihlukanisa ngaphezulu?
  • Uke waqaphela ukwehla emsebenzini wakho wezocansi ngesikhathi sezocansi: u-ejaculation okusheshayo (PE), ukuhluleka ukugcina i-erection ngaphandle kokuzivuselela, i-porn noma i-fantasy ye-porn (ngisho noma ungathola i-porn-hard to porn), ukubambezeleka kwe-ejaculation (noma ukuhluleka kuya e-orgasm), i-orgasm enganeliseki encane, idinga ukukhanya ngesikhathi sokulala ngocansi ukuze ivuke, ingavulwe ngumlingani okhangayo, akukho isifiso sobulili?
  • Ngabe ukubonile ukwehla kokusebenza kwakho kocansi ngesikhathi sokushaya indlwabu: ukungakwazi ukushaya indlwabu ngaphandle kocansi noma iphupho lokuzijabulisa ukuchama kaningi?
  • Selokhu usebenzise i-porn ye-Intanethi, uzizwa sengathi ulahlekelwe yi- "mojo" yakho, noma ukukhanga kocansi? Uyakungabaza ukuheha kwakho noma uzizwe ukhathazeke kakhulu ngobukhulu / ukubukeka kwezitho zakho zobulili?
  • Ingabe izwi lakho lizwa ukhathazekile, lingenalutho, liqinile, noma liphakeme kakhulu? Ukuphefumula okungenangqondo?
  • Ingabe uhlezi ngokushaya indlwabu kuze kube seqophelweni lokuhlukunyezwa noma ukulimala ngokomzimba?
  • Ungabe ulale ngaphandle kokusebenzisa i-porn? Ingabe unenkinga enkulu yokulala ngokuzwakalayo ebusuku?
  • Uma usebenzisa ingcindezi engaphezu kokucindezeleka?
  • Ingabe unezinhlayiya ezingcolile zobulili ezingcolile?
  • Ubeka engozini umsebenzi wakho, imfundo noma ubudlelwane ukubuka izithombe ezingcolile, noma ukuchitha imali eningi kuso?
  • Ingabe ulahlekelwe ubuhlobo noma umsebenzi, noma ulahlekelwe esikoleni ngenxa yokusebenzisa kwakho i-porn (noma izimpawu ezihlobene nalo)?
  • Ngemuva kokuphefumula, ubona yini ukuguquguquka okukhulu kwemizwelo (ukucasula, ukucindezeleka, ukukhathazeka)?

Laba abasebenzisi baye baphawula izimpawu ezingase zibonise izinguquko zobuchopho:

Ukuzindla kuzibuko ezibukwayo zobukeli be-pornUJuan: Ngineminyaka engama-23. Umndeni wami wangitshela ezikhathini eziningi ukuthi ngangiyigobolondo lami uma ngiqhathaniswa nangesikhathi ngineminyaka engu-18 (ngendlela enothando). Abangani bami bebengaqondile nami, kepha bekucaca. Ngangisondelene nomuntu ofanayo. Eminyakeni embalwa nje yokusebenzisa kabi i-porn, ngathola ukukhathazeka ngokweqile kwezenhlalo, ukucindezeleka, ukungabi nokushayela, ukukhathala ngokomzimba, ukukhathala kwengqondo, ukungakwazi ukubamba umsebenzi, angikwazi ngisho nokuhamba phansi emahholo eyunivesithi ngaphandle kokwesaba ukufa abantu, bazizwa besabeka lapho bezungeza abesifazane kusuka kwabancane kuya kwabadala njll.

UGreg: Konke ukubuyela emuva kwezocansi zocansi kwakuwukugcina kwami. (Ngiqondile.) Kungani le nto yaheha ngokuzumayo kangaka, esikhathini esifushane kangaka? Nganginomuntu oshaya indlwabu ezintweni ezazinginyanyisa ngaphambili, futhi ngangisazonginyanyisa ngemuva kokugcoba.

Ryan: Ngesaba ukuzibhikisha uma ngisebenzisa i-porn. Ngiyazi ngendaba yami yamuva ukuthi uma nginomuntu oshaya indlwabu ngenkathi ngibukela i-porn, ngiyakwenza njalo izinsuku.

Davy: Ngangingenalo mqondo wokuthi ngibhekene nokukhishwa kwe-porn. Nganginqamule ukuyeka izithombe zobulili ezingcolile, njengoba kwakungumkhuba wami lapho ngithandana nentombazane entsha. Kubonakala sengathi angikaze ngifinyelele kulelizinga lokulutha. I-90% yalezi zimpawu yizinto engizange ngazibonela ekuphileni kwami. ZONKE zazo ziye zanciphisa, noma zithuthukisiwe kakhulu, ngaleli phuzu (izinsuku ezingu-13 azikho izithombe zocansi / ukushaya indlwabu / i-orgasm).

  • Ukukhathazeka, ukuqina kwesifuba, ukuhlaselwa kwesibindi, izinga eliphezulu lenhliziyo nokucindezela kwegazi
  • Imizwa yesimo esizayo. Ukucindezeleka kuze kube seqophelweni lokuzibulala
  • Izimpawu zokuphelelwa yisikhathi ezingapheli
  • Ukungakwazi ukuzijabulisa noma yini: ukudla, ukufunda, ukubukela i-movie, ukudlala umculo noma ukudala ubuciko (ngingumculi nomculi.)
  • Ukuthokozeka okumangalisayo kokubuzwa ngokomzimba
  • Ukulala okukhulu: inani lamahora angu-18 okulala phakathi nemasonto amathathu
  • Ukwenyuka okukhulu kokushaya indlwabu-kuze kube izikhathi ezingu-10 ngosuku
  • Ukukhathala ngokocansi, ukulahleka kwe-libido, ukulahlekelwa inzalo ekuphileni, ubuhlungu be-testicular kanye nobuhlungu, kodwa namanje isifiso esinamandla sokushaya indlwabu (sibone ukuthi umuntu ophumayo)
  • Yengeza
  • Inkulumo engafanele
  • Izinkinga zokugaya
  • Ukuphathwa yikhanda

U-Adrian: Ngangingazi ngempela ukuthi ngangiyingozi kangakanani ngize ngizame ukuyeka. Ngiyaqaphela ukuthi ngiyakwazi ukuvuswa kuphela nge-porn.

UTyrone: Ngiye ngazizwa ngiphazamisekile ngokomzwelo iminyaka manje ukuthi ngizizwa sengathi ngilahlekelwe yilokho engiyikho. Angazi ukuthi ngizizwa kanjani ngezinto. Ayikho into engijabulisayo / edabukisayo.

UBen: Bengingazi ukuthi ngiyisigqila, okuyinto ehlekisayo uma ngicabanga ukuthi ngizochitha amahora amaningi ngosuku ngaphambi kwekhompyutha ngibuka ividiyo eqala ngokwengeziwe ngemuva kwevidiyo. Uma i-Intanethi yami yayihamba kancane futhi ngangingakwazi ukuyibuka, ngangiya ngithukuthele ngigqigqe. Akukho okunye ebengingakwenza ngaphandle kokulinda ividiyo iqale futhi.

I-Tim: Cishe cishe inyanga ngemuva kokuyeka izithombe zobulili ezingcolile, angikwazanga kanzima ukushaya indlwabu, futhi lapho "ngikuphoqa" ukuthi ama-orgasms ami ayenganeliseki.

Ingabe: Ngihamba ubusuku bonke ngize ngikhathale, bese ngiya kwezinye. Ngizizwa ngikhathele ngakusasa kungakholeki. Ngizizwa ngigula ngokomzimba nginobuhlungu bomzimba, umphimbo obuhlungu, amehlo abomvu, njll Kunzima kakhulu ukugxila emsebenzini. Ngigqolozela isikrini sekhompyutha, bese ngikhohlwa engikwenzayo. Ukukhathazeka komphakathi kuphakeme ngemuva kokubuyela emuva. Angifuni ukuba seduze komuntu, futhi ngicasuke kalula. Umzimba wami ukhathele ngokweqile ngemuva kokuzitika ngotshwala, kepha kunzima ukulala ngoba ingqondo yami isebenze ngokukhathazeka. Kunjengokungathi ngihhafu lapho, ngiyigobolondo lendoda engingaba yilo. Izwi lami liphakeme kakhulu, futhi lizwakala libuthakathaka. Angithandi ngisho nokuzibuka esibukweni. Ngesikhathi sokugcina, kwakukhona amantombazane ambalwa ayethanda ukuhlanganyela nami, kodwa ngacindezeleka kabi lapho ngicabanga ukuzihlalela. Anginayo i-zero libido ngemuva komjaho wami wokushaya indlwabu, futhi angifisi ukuba phakathi kwabesifazane bangempela. Konke engikuzwayo ukukhathazeka.

UKyle: Ngangizizwa ngehlukanisiwe nawo wonke umuntu, futhi ngenxa yalokho ngangiphuza ngokweqile ngethemba lokuthi ngizovela ngithembeke kakhudlwana… Angisebenzanga i-LOL. Into ukuthi, ngangivame ukuzethemba kakhulu futhi ngithandwa. Ngaze ngabona umeluleki nge-ED yami, ukungazethembi nokukhathazeka komphakathi njll, kepha angikaze ngibuzwe ngokusetshenziswa kocansi.

Andrew: Okwesikhashana okungenani, ngangibuyele njalo ezintweni "ezithambile" ukuze ngehle. Kubonakale kimi into engafanele ngokuya entweni ebengiyibuka ngaphandle kokushayisana kwemoto ngentamo yenjoloba, ilukuluku elibi. Kodwa-ke ngolunye usuku, empeleni ngaqala ukushaya indlwabu kulezi zinhlobo zamavidiyo. Yilapho ngabona khona ukuthi nginqamulile umugqa. Ngangiya entweni engiyitholile i-repellant, hhayi ukuvusa ucansi ngomqondo ojwayelekile. Ngingavuswa kalula futhi ngibe ne-orgasm ngokushaya indlwabu, kodwa hhayi lapho ngilala nomkami. Uma unenkinga yokuvuswa noma ukukhipha umlingani nabalingani bangempela, uyazi ukuthi unomlutha. Lapho uzithola ucela oshade naye ukuthi amfake i-eel bukhoma ku-p—- ngenkathi wena f— wakhe a–, bese ethi “Cha,” bese uthi, “Ungakwenza uma ubungithanda. Lena iphupho lami. ” Yileyo ndlela owazi ngayo ukuthi ungumlutha.

Ubuchopho bunguplastiki. Yilokho okwenza babe sengozini yokulutha, kodwa futhi yikhona okwenza ukutakula kube nokwenzeka. Uma ufuna ukwenza ushintsho, thola ukwesekwa. Ushintsho kungenzeka ngokuphelele. Bona okungeziwe self-imibiko yezimpawu, ukukhula futhi ukuhoxiswa ukucindezeleka. Futhi ubone imibiko yokuzimela imiphumela ishintsha ngokwabo ngemva kokuyeka.

Futhi bona - Ungahle ube umlutha we-PMO uma …………….


AMAKHAYA:

  1. Ukulutha kobulili / ucansi? Leli khasi libala Ucwaningo lwe-45 lwe-neuroscience (I-MRI, i-FMRI, i-EEG, i-neuropsychological, i-hormonal). Banikeza ukusekela okuqinile ngesimodeli sokulutha kwezidakamizwa njengoba iziphumo zabo zibuyisa ukutholakala kwezinzwa ezibikiwe ezifundweni zokulutha izidakamizwa.
  2. Imibono yangempela yezobuchwepheshe ekubhekaneni nocansi / ucansi? Lolu hlu luqukethe Ukubuyekezwa kwezincwadi ezingama-25 zakamuva nezincazelo ngezinye zezazi eziphezulu zezinzwa emhlabeni. Bonke basekela imodeli yokulutha.
  3. Izimpawu zokulutha umlutha nokukhula kwezinto ezimbi kakhulu? Izifundo ezingaphezu kwe-45 ezibika okutholakele zihambisana nokukhula kokusetshenziswa kocansi (ukubekezela), ukujwayela izithombe zobulili ezingcolile, ngisho nezimpawu zokuhoxiswa (zonke izimpawu nezimpawu ezihlobene nokulutha).
  4. Ukuxilongwa okusemthethweni? Umbhalo wezokwelapha wezokwelapha osetshenziswa kakhulu emhlabeni, I-International Classification of Diseases (ICD-11), iqukethe ukuxilongwa okusha efanelekile ukulutha izidakamizwa: "Ukucindezeleka Ngokuziphatha Ngokwemvelo