Ukushintsha Isitembu Sokwemvelo: Ukulutha Kwezithombe Zobulili Ezingcolile, I-Neuroplasticity, ne-ASAM ne-DSM Perspectives. (I-2012)

Le nkulumo ihanjiswe kamuva SASH (The Umphakathi Wokuthuthuka Kwezempilo Yezocansi) ngu-neurosurgeon uDonald L. Hilton, Jr., MD, FACS. Inesihloko esithi, “Ukushintsha Isitembu Sokwemvelo: Ukulutha Kwezithombe Zobulili Ezingcolile, I-Neuroplasticity, ne-ASAM ne-DSM Perspectives. "

Umbhali uphinde wabhalele lokhu iphephandaba i-athikili ekubhekaneni nokulutha kwezidakamizwa ezingcolile.

Nayi ingcaphuno evela kule nkulumo:

Okwamanje azikho izifundo ezibuyekezwa kontanga ezithombeni zobulili ezingcolile noma ukulutha ngokocansi, ngalokho, kumongo we-neuroscience. Ucwaningo olungenamkhawulo ngokweqiniso kwezocansi lomuntu cishe alunakwenzeka endaweni yanamuhla yamasiko, ikakhulukazi uma kunikezwa imali. Ngama-dollar ayizigidi eziyizinkulungwane eziyikhulu ngonyaka i-porn ibhizinisi elikhulu, ukusho okuncane. Ubushoshovu be-Pro-porn buqinisekisile ukuthi noma yiluphi ucwaningo lweqiniso oluphathelene nezocansi olungavinjelwe luzokwenzeka endaweni yesayensi. Noma imuphi umzamo wokwethula ucansi olungenamkhawulo njengoluyingozi ubhalwa ngokushesha njengobuhlakani bokuziphatha kukaVictoria, ukwephulwa kwamalungelo okuchibiyela okuqala. Ukuthi ingxoxo ingahle ingene kwimiphumela yebhayoloji kanye / noma yedemokhrasi ngakho-ke ayikaze ibe yinkinga. Uma nje amakhondomu evikelekile futhi kunamagciwane aqukethe, noma imuphi umsebenzi wezocansi ngemuva kwalokho 'uphephile' ngaphandle kwemiphumela yomzwelo, yokuziphatha, noma ikakhulukazi, yokulutha.

Isimboni sika-100 dollar embonini yezocansi isizathu sokulwa nelebuli lokulutha kuyabonakala, futhi sinikezwe izwi yilowo oyedwa imboni:

Yize okuningi sekubhaliwe kwathiwa izithombe zobulili ezingcolile ziba umlutha, ngokuhambisana nezidakamizwa, uphuzo oludakayo nogwayi, kubalulekile ukucabanga ukuthi lokhu kwaziswa okungelona iqiniso kusekelwe “kusayensi” engabazekayo kanye nemibono yezishoshovu ezilwa nezocansi - hhayi kunoma yiziphi ezisemthethweni, ucwaningo olungachemile. Cabanga futhi ngeqiniso lokuthi "izidakamizwa, uphuzo oludakayo nogwayi" konke kungamakhemikhali angokwenyama, amakhemikhali afuthwayo futhi angaba nemiphumela elinganisekayo, eyingozi, neyomlutha. Ukubukwa nje kwanoma yiluphi uhlobo lwendaba akukaze kwehlele kulesi sigaba futhi, empeleni, kubukela phansi izimpi zangempela imilutha ebhekana nazo ngezidakamizwa, utshwala nogwayi - konke okungabulala. Akekho owake wafa ngokubuka izithombe ezingcolile. Yize ezinye izinhlobo eziyimpoqo zingaba “yizigqila” zanoma yini, njengokubuka umdlalo wethelevishini owuthandayo, ukudla u-ayisikhilimu noma ukuya ejimini, akekho noyedwa ophakamisa ukuthi u-ayisikhilimu ufana ne-crack cocaine futhi kufanele ilawulwe ukuvikela… abantu kubo - esikhundleni salokho, lezi zenzo eziphoqelelayo zibhekwa ngokufanele ngumphakathi njengobuthakathaka bobuntu kumuntu ngamunye…[1]

Isibonelo salo mbono ofanayo kubonakala sengathi ukuxolisa ngokwezemfundo ngokuphathelene nobulili babantu kubonakala kusihloko esanda ku-in Salon.  Umbhali wamacilongo e-athikili ukulandelana kwezibalo zengqondo ezisekela okuhlukile kwesitatimende esifanayo "Akukho ukutadisha okuqondile kwizithombe zobulili ezingcolile okubonisa noma yimiphi imiphumela ebuchosheni."  Isibonelo, omunye wathi, “Akukho ngisho nesisodwa sobufakazi obunjalo obukhona…,”[2]

Qonda ukuthi "ngobufakazi" basho ukuthi bazoba nokulawula okuyimpumputhe kabili lapho, njengoba kusho umthombo owodwa we-Salon athi, kufanele sithathe ama-cohorts amabili wezingane, sikhombise eyodwa kwi-porn futhi sivikele enye ukufakazela i-causation.  Ngokusobala lokhu ngeke kwenzeke kunikezwe izinkinga zokuziphatha ngokutadisha okunjalo. Kodwa ngicabanga ukuthi lezi zengqondo zengqondo zizovuma ukuthi ugwayi uyalutha ngaphandle kokufuna okufanayo, isifundo esisekelwe emntwaneni.  Ngamanye amazwi, ukuphi ukuhlolisisa okuzokwenziwa ngotshani ezinganeni? Lowo ohlukanisa izingane, unikeza ugwayi uhhafu, uvikela abanye, futhi uwalandele?  Awukho, yebo, futhi akasoze athanda, ngakho-ke labo abathandana nabo basasho ukuthi ukubhema akulona umlutha, ngisho nanamuhla.  Uthe abaphathi abayisikhombisa begwayi phambi kwekomidi elincane likaHenry Waxman lezeMpilo neZemvelo.  Ngokulandelana, ngamunye wathi "Cha" lapho ebuzwa ukuthi ukubhema kwakuyilutha.

Kodwa ngokusekelwe ekucwaningweni kwamaphesenti cishe wonke umuntu kodwa bonke abaphathi begwayi bakholelwa ukuthi kukhona ubufakazi bokuthi ugwayi ngempela ungumlutha.  Umehluko omkhulu wukuthi manje siyaqonda imitholampilo, kuhlanganise ne-nicotinic acetylcholine kanye ne-dopamine receptors, kangcono kakhulu ukuthi senze esikhathini esedlule.  Manje sibona umlutha, kungakhathaliseki ukubhema, i-cocaine, noma ubulili ngokusebenzisa i-lens ye-receptionor ye-neuronal.

Ingabe bukhona ubufakazi obusekela ukuba khona kwezidakamizwa zocansi? Kuya ngokuthi umuntu wamukelani, noma angaqonda kanjani, njengobufakazi, futhi lokhu kungumbono wombono nemfundo. …

 


[1] Ingxoxo noStephen Yagielowicz, umhleli omkhulu we-XBIZ, http://www.postregister.com/special/pandorasboxxx/story.php?accession=1013-08292007

[2] I-Porn Porn Science Science,  I-Salon, ngo-Mashi 20, i-2012 http://www.salon.com/2012/03/20/santorums_bad_porn_science/