Leli khasi lichaza inqubo ebone I-Compulsive Sexual Behavior Disorder yamukelwe yi-World Health Organization ku-ICD-11. Bheka phansi ekhasini ukuze uthole amaphepha aphikisana ngokuhlukaniswa kwe-CSBD.
I-Porn Addicts Itholakala Ngokusebenzisa I-WHO's Diagnostic Manual (ICD-11)
Njengoba kungenzeka ukuthi uke wezwa, ku-2013 abahleli be- Incwadi Yokuhlola Nezibalo (I-DSM-5), echaza ukuxilongwa kwezempilo yengqondo, wenqabe ukwengeza isifo esibizwa ngokuthi "i-Hypersexual Disorder." Ukuxilongwa okunjalo kungasetshenziselwa ukuxilonga izidakamizwa zokuziphatha ngokobulili. Ochwepheshe bathi ukuthi lokhu kubangele izinkinga ezinkulu kulabo abahlupheka:
Lokhu kukhishwa kuye kwavimbela imizamo yokuvimbela, yokucwaninga, nokwelashwa, futhi abahlengikazi bashiya ngaphandle kokutholakala ngokusemthethweni kokucindezeleka kokuziphatha ngokocansi.
I-World Health Organization iyasindisa
The World Health Organization ishicilela incwadi yayo yokuhlonza, eyaziwa ngokuthi i Ukuhlukaniswa Kwezifo Zomhlaba Wonke (I-ICD), okufaka amakhodi wokuxilonga kuzo zonke izifo ezaziwayo, kuhlanganise nezinkinga zempilo yengqondo. Lisetshenziswa emhlabeni wonke, futhi lishicilelwa ngaphansi kwe-copyright evulekile.
Ngakho kungani i-DSM isetshenziswa kakhulu e-United States? I-APA ikhuthaza ukusetshenziswa kwe-DSM esikhundleni se-ICD ngoba i-APA ihola izigidi zamaRandi ukuthengisa izinto zayo ezine-copyright eziphathelene ne-DSM. Kwezinye izindawo emhlabeni, odokotela abaningi bathembele kwi-ICD yamahhala. Eqinisweni, izinombolo zekhodi kuzo zombili izincwadi zihambisana ne-ICD.
Uhlelo olulandelayo lwe-ICD, i-ICD-11, lwamukelwa ngoMeyi, 2019, kancane kancane luzosatshalaliswa izwe ngalinye. Nali ulimi lokugcina.
Nawu umbhalo wokuxilongwa:
6C72 Ukucindezeleka kokuziphatha ngokocansi ibonakala ngephethini eqhubekayo yokwehluleka ukulawula izifiso zocansi ezinamandla, eziphindaphindayo noma izifiso eziholela ekuziphatheni kocansi okuphindaphindiwe. Izimpawu zingase zihlanganise izenzo zocansi eziphindaphindayo zibe into esemqoka empilweni yomuntu kuze kufike ezingeni lokunganaki impilo nokunakekelwa komuntu siqu noma ezinye izithakazelo, imisebenzi kanye nezibopho; imizamo eminingi engaphumelelanga yokunciphisa kakhulu ukuziphatha kocansi okuphindaphindayo; kanye nokuziphatha kocansi okuphindaphindayo naphezu kwemiphumela emibi noma ukuthola ukwaneliseka okuncane noma okungekho nhlobo kukho. Iphethini yokwehluleka ukulawula izifiso zocansi noma izifiso ezinamandla kanye nomphumela wokuziphatha kocansi okuphindaphindayo kubonakala isikhathi eside (isb., izinyanga ze-6 noma ngaphezulu), futhi kubangela ukucindezeleka okuphawulekayo noma ukukhubazeka okukhulu komuntu siqu, umndeni, umphakathi, imfundo, umsebenzi, noma ezinye izindawo ezibalulekile zokusebenza. Ukucindezeleka okuhlobene ngokuphelele nezahlulelo zokuziphatha kanye nokungavunyelwa mayelana nezifiso zobulili, izifiso, noma ukuziphatha akwanele ukuhlangabezana nale mfuneko.
Izici ezibalulekile (ezidingekayo):
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Iphethini eqhubekayo yokwehluleka ukulawula izifiso zocansi ezinamandla, eziphindaphindayo noma izifiso eziholela ekuziphatheni kocansi okuphindaphindayo, okubonakala kokukodwa noma ngaphezulu kwalokhu okulandelayo:
- Ukuzibandakanya ekuziphatheni ocansini okuphindaphindayo sekuphenduke into esemqoka empilweni yomuntu kuze kube seqophelweni lokudebeselela impilo nokunakekelwa komuntu siqu noma ezinye izintshisekelo, imisebenzi kanye nezibopho.
- Umuntu wenze imizamo eminingi engaphumelelanga yokulawula noma ukunciphisa ngokuphawulekayo ukuziphatha kocansi okuphindaphindayo.
- Umuntu uyaqhubeka nokuhlanganyela ekuziphatheni kocansi okuphindaphindiwe naphezu kwemiphumela emibi (isb., izingxabano zomshado ngenxa yokuziphatha kocansi, imiphumela yezezimali noma yezomthetho, umthelela ongemuhle empilweni).
- Umuntu uyaqhubeka nokuzibandakanya ekuziphatheni kocansi okuphindaphindayo ngisho noma umuntu ethola ukwaneliseka okuncane noma engakutholi nhlobo kukho.
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Iphethini yokwehluleka ukulawula izifiso zocansi ezinamandla, eziphindaphindayo noma izifiso kanye nokuziphatha okuphindaphindayo kocansi kubonakala esikhathini eside (isb, izinyanga ze-6 noma ngaphezulu).
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Iphethini yokwehluleka ukulawula izifiso zocansi ezinamandla, eziphindaphindayo noma izifiso kanye nomphumela wokuziphatha okuphindaphindayo kocansi akubalwa kangcono okunye ukuphazamiseka kwengqondo (isb., Isiqephu Sokuphila) noma esinye isimo sezempilo futhi asibangelwa yimiphumela yento ethile noma umuthi.
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Iphethini yokuziphatha kocansi ephindaphindayo iphumela ekucindezelekeni okumakiwe noma ukonakala okuphawulekayo kumuntu siqu, umndeni, umphakathi, imfundo, umsebenzi, noma ezinye izici ezibalulekile zokusebenza. Ukucindezeleka okuhlobene ngokuphelele nezahlulelo zokuziphatha kanye nokungavunyelwa mayelana nezifiso zobulili, izifiso, noma ukuziphatha akwanele ukuhlangabezana nale mfuneko.
I "Ukucindezeleka kokuziphatha ngokocansi” (CSBD) ukuxilongwa ukusiza abantu bathole ukwelashwa nokusiza abacwaningi ekuphenyeni ukusetshenziswa kwezithombe zocansi okuyimpoqo. Kodwa-ke, lo mkhakha ungowezepolitiki kangangokuthi abanye ochwepheshe bezocansi baye baqhubeka nomkhankaso wabo wokuphika ukuthi ukuxilongwa kuhlanganisa ukusetshenziswa kwe-porn okuyimpoqo. Lokhu kodwa ukungqubuzana kwakamuva kwe-a umkhankaso omude kakhulu. Ukuze uthole imininingwane eyengeziwe mayelana nemizamo yakamuva, bheka Ama-propagandist aphikisa amaphepha abuyekezwe ngontanga kanye nezici zokusesha ze-ICD-11 ukunikeza isimanga samanga ukuthi ICD-11 ye-WHO "inqabe umlutha wezocansi nokulutha kobulili".
Ngo-2022, i-ICD-11 yazama ukuqeda imizamo yenkulumo-ze eqhutshwa yi-ajenda ngokubuyekeza “Izici Zomtholampilo Ezengeziwe” isigaba sokukhuluma “ngokusetshenziswa kwezithombe zobulili ezingcolile” ngokuqondile.
I-Compulsive Sexual Behaviour Disorder ingase ivezwe ngezindlela ezihlukahlukene zokuziphatha, okuhlanganisa ukuziphatha kocansi nabanye, ukushaya indlwabu, ukusetshenziswa kwezithombe zobulili ezingcolile, i-cybersex (ucansi lwe-inthanethi), ucansi ngocingo, nezinye izinhlobo zokuziphatha kocansi okuphindaphindayo.
Okwamanje, i-ICD-11 yamukele indlela yokulondoloza, yokulinda nokubona futhi ibeke i-CSBD esigabeni esithi “Impulse control disorders” (okuyindawo lapho ukugembula kwaqala khona ngaphambi kokuthi kuyiswe esigabeni esibizwa ngokuthi “Ukuphazamiseka okubangelwa ukusetshenziswa kwezidakamizwa noma ukuziphatha okuluthayo.” Ucwaningo olwengeziwe luzonquma indawo yalo yokugcina yokuphumula. (Okwamanje, i-DSM elawulwa yi-sexology ibuyekeziwe ngaphandle kokufaka i-CSBD nhlobo! Kuyashaqisa.
Inkulumo-mpikiswano yezemfundo iqhubeka ngokugcwele, njengoba ubona ekugcineni kwaleli khasi. Ososayensi bezinzwa kanye nochwepheshe bokulutha baqhubeka nesayensi yabo eyisisekelo esekelwe ekushintsheni kobuchopho okujwayelekile kuzo zonke izilutha (ukuziphatha nezidakamizwa). Izazi zezocansi ziyaqhubeka nokuvikela okukha phezulu, okuvame ukuqhutshwa yi-ajenda ("izithombe zobulili ezingcolile azisoze zaba yinkinga") ucwaningo nemizamo ye-propaganda.
Izinqubo eziyisisekelo
Izintaba zocwaningo zembula ukuthi umlutha wokuziphatha (ukulutha kokudla, ukugembula okungokwemvelo, ukudlala ividiyo, Ukulutha kwe-intanethi futhi umlutha wezocansi) kanye nezidakamizwa ezidakamizwa zihlanganyela okuningi okufanayo izindlela eziyisisekelo okuholela ku ukuqoqwa kokushintshwa okwabiwe e-anatomy yobuchopho nakumakhemikhali.
Ngenxa yentuthuko yakamuva yesayensi, ukugxekwa kwemodeli yokulutha ucansi kuya ngokuya kungenasisekelo futhi kuphelelwe yisikhathi (futhi azikho izifundo ezisekhohlisayo imodeli yokulutha izidakamizwa). Ukusekela imodeli yokulutha, kukhona manje izifundo ezingaphezu kwe-60 ze-neurological kubasebenzisi be-porn / imilutha yocansi. Ngaphandle kokukodwa kuphela, baveza izinguquko zobuchopho ezifanekisela lezo ezenzeka emiluthweni yezidakamizwa (kanye inqwaba yokubuyekezwa okusekelwe ku-neuroscience kwezincwadi). Ngaphezu kwalokho, Ucwaningo oluningi lubika okutholakele okuhambisana nokwanda kokusetshenziswa kwe-porn (ukubekezelelana), ukujwayela izithombe zobulili ezingcolile, ngisho nezimpawu zokuhoxiswa. - okuyizinkomba zonke zokulutha.
Izindaba zentuthuko
I-ICD ixhaswe yi-World Health Organization. NgokweNjongo ye-ICD, “Kuvumela umhlaba ukuthi uqhathanise futhi wabelane ngolwazi lwezempilo usebenzisa ulimi olulodwa. I-ICD ichaza indawo yonke yezifo, ukuphazamiseka, ukulimala kanye nezinye izimo zezempilo ezihlobene. Lezi zinhlaka zibalwe ngendlela ebanzi ukuze konke kukhavwe.” (Inhlangano Yezempilo Yomhlaba, 2018). Ngakho-ke, umgomo uwukuhlanganisa zonke izinkinga zempilo ezingokomthetho, ukuze zilandelelwe futhi zifundwe emhlabeni wonke.
Bonke odokotela (odokotela bengqondo, ochwepheshe bezempilo yengqondo, izazi zokusebenza kwengqondo zasemtholampilo, abahlinzeki bokwelashwa kokulutheka kanye nalabo abasebenza ekuvimbeleni) bathanda kakhulu ukuhlonzwa kwe-ICD kwe-CSBD.
Nokho, khumbula ukuthi zikhona ezinye iziyalo. Abaningi abangewona odokotela, isibonelo, bane-ajenda yabo. Bangase babe nezisusa ezingqubuzana nokuthola iziguli usizo eziludingayo, futhi ngezinye izikhathi baba namazwi aphakeme kakhulu emaphephandabeni. Amaqembu ngezinye izikhathi awela kulesi sigaba esingewona odokotela angatholakala kumithombo yezokuxhumana evamile, izimboni zokudlala nezocansi (nabacwaningi bazo), izazi zezokuhlalisana kwabantu, ezinye izazi zobulili, nabacwaningi bemidiya.
Kuvamile ukuthi izimboni ezinkulu zikhokhele “abaholi abacabangayo” ababambe iqhaza elikhulu ukuthi bakhulume bavune izikhundla lezo zimboni ezingathanda ukuzibona ziba/zihlale ziyinqubomgomo. Ngakho-ke, njengoba ufunda izindatshana emaphephandabeni ajwayelekile, khumbula ukuthi iziyalo ezahlukene mhlawumbe zinezisusa ezihluke kakhulu. Kuwukuhlakanipha ukungabaza ukuthi izinjongo zabakhulumeli abathile zithuthukisa inhlalakahle yabantu, noma zikhinyabeze ukuphila kahle.
Ingxoxo Yezigaba: Amaphepha amayelana nendlela engcono yokuhlukanisa i-CSBD ku-ICD-11 (ngezingcaphuno ezivela kwabanye):
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I-Compulsive Sexual Behaviour Disorder akufanele ihlukaniswe ngokuthembela kuphela engxenyeni/ezicini eziyizimpawu • Ukuphawula kwimpikiswano: "Izidakamizwa zokuziphatha ku-ICD-11" (2022)
Ngokuhambisana nezindlela zamanje zokwenziwa komqondo wokuziphatha okuluthayo (isb, UBrand et al., 2019; I-Perales et al., 2020), siphikisa ngokuthi ukucabangela umbono osuselwe enqubweni kuzosiza ukucacisa ukuthi i-CSBD ingase icatshangwe kangcono yini ngaphakathi kohlaka lokulutha.
Kuleli phepha lokuhlaziya, kuxoxiswana ngalo uma i-Compulsive Sexual Behavior Disorder (CSBD) ihlukaniswa kangcono njenge-Impulse Control Disorder, i-Obsessive-Compulsive Disorder noma ngenxa yokugqagqana kwezici ezinakho kokubili i-Gaming and Gambling Disorder njengokuziphatha okuluthayo. Izici ezigqagqene yilezi: ukulahlekelwa ukulawula ukuziphatha okweqisayo okulandelanayo, ukunikeza ukubaluleka okwandayo ekuziphatheni okweqile okuphenywayo kanye nokusekela ukuziphatha okunjalo naphezu kwemiphumela emibi. Ngaphandle kobufakazi obunamandla mayelana nezinqubo eziyisisekelo, i-phenomenology nayo idlala indima ebalulekile ekuhlukaniseni kahle i-CSBD. Izici ze-phenomenological ze-CSBD zikhuluma ngokusobala ezivuna yokuhlukanisa i-CSBD ngaphansi kwesambulela sokuziphatha okuluthayo.
ngaphezu kwendima ye izisusa ezingezinhle zokuqinisa ukuthi Gola et al. (2022) chaza njengendlela eyinhloko ekuthuthukisweni kwe-CSBD, ngokomtholampilo, okungenani ekuqaleni kwenqubo yentuthuko efana nokusetshenziswa kwezidakamizwa. izisusa ezinhle zokuqinisa ngokuvamile zibaluleke kakhulu. Lokhu kuyashintsha ngesikhathi sokuthuthuka4. Umdwebo 1 ikhombisa ukuthi lokhu kungaholela kanjani ku-symptomatology "eluthayo efana" nezici zokuthatheka, ukuphoqeleka, kanye nokulutheka.
Nakuba iBrand kanye nozakwabo begxila ekutheni izinkolelo-mbono kanye nezindlela eziwumsuka wokuziphatha okuluthayo ziyasebenza ekuluthweni okuhlongozwayo kunengqondo ngokuphelele, singalindela futhi kufanele sikhuthaze inkulumo-mpikiswano mayelana nesimo esinembile sezici nezindlela zokulutha...
..inani lendlela yezempilo yengqondo yomphakathi eyeqayo ekusetshenzisweni kwezidakamizwa nezimo ezihlobene nokulutha kubaluleke kakhulu ekwehliseni ukulimala. Lapho izifundo eziphuma emsebenzini ezindleleni zempilo yengqondo yomphakathi ekuphazamisekeni kokusetshenziswa kwezidakamizwa kanye nokuphazamiseka kokugembula, zihlobene nezinye izilutha zokuziphatha ezihlongozwayo, lokhu kungase kube isizathu esibalulekile sokufakwa kwazo ngaphansi kwale rubrikhi.
Lokhu kuphawula kuhlola isiphakamiso esenziwe nguBrand et al. (2022) mayelana nohlaka oluchaza indlela efanele yokucutshungulwa ukulutheka okungaba khona kokuziphatha ngaphakathi kwesigaba samanje se-World Health Organization's International Classification of Diseases (ICD-11) 'sezinye iziyaluyalu ezicacisiwe ngenxa yokuziphatha okuluthayo'. Siyavumelana nohlaka njengoba lugqamisa umbono womtholampilo odinga ukuhlukaniswa okuvunyelwene ngakho kanye nemibandela ukuze kukhiqizwe izinqubo zokuxilonga ezisebenzayo kanye nokwelashwa okuphumelelayo. Ukwengeza, siphakamisa ukungeza isidingo sokuqaphela ukuziphatha okungaba umlutha ngokufaka umbandela weleveli yesine ye-meta: 'ubufakazi bezincwadi ezimpunga'.
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Ukuphazamiseka okubangelwa ukuziphatha okuluthayo: Ezinye izindaba, izimpikiswano, nezingxabano • Ukuphawula kwimpikiswano: "Izidakamizwa zokuziphatha ku-ICD-11" (2022)
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Ukuhlukaniswa okuphikisayo, i-nomenclature, kanye nenqubo yokuxilonga ye-Compulsive Sexual Behavior Disorder (CSBD) nezikhombisi-ndlela zesikhathi esizayo • Ukuphawula kwimpikiswano: "Izidakamizwa zokuziphatha ku-ICD-11 (2022)
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Imibono yempilo yengqondo neyocansi ye-International Classification of Diseases (ICD-11) I-Compulsive Sexual Behavior Disorder • Ukuphawula kwinkulumompikiswano: “Izidakamizwa zokuziphatha ku-ICD-11” (2022)
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Ingabe i-Compulsive sex behaviour (CSB) kufanele ibhekwe njengomlutha wokuziphatha? Iphepha lenkulumompikiswano elethula umbono ophikisayo (2022)
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Imibandela yokusungulwa kokulutheka okusha kokuziphatha • Ukuphawula kwinkulumompikiswano: “Imilutha yokuziphatha ku-ICD-11”(2022)
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Ukuhlolwa kokuphazamiseka kokuziphatha kocansi okuphoqelekile phakathi kwabesilisa abathandana nabesifazane, abathandana nabobulili obufanayo, abathandana nabesilisa nabesifazane, abashintsha ubulili, kanye namakhasimende angama-queer • Ukuphawula kwinkulumompikiswano: “Imilutha yokuziphatha ku-ICD-11” (2022)
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Ukuphazamiseka okubangelwa ukuziphatha okuluthayo: Ezinye izinkinga, izimpikiswano, nezingxabano • Ukuphawula kwinkulumompikiswano: “Imilutha yokuziphatha ku-ICD-11”(2022)
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Imibono yempilo yengqondo neyocansi ye-International Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder (ngabaphika umlutha)
Ukubuyekeza. Bona lezi zihloko ze-2 ngokuningi:
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