Ivolumu 4, No. 9, p663-664, Septhemba 2017
I-DOI: http://dx.doi.org/10.1016/S2215-0366(17)30316-4
UMarc N Potenza, uMateusz Gola, uValerie Voon, u-Ariel Kor, uShane W Kraus
Ngamazwana wabo ku I-Lancet Psychiatry, UJohn B Saunders kanye nozakwethu1 ngokucacile kuchaza izimpikiswano zamanje eziphathelene nokucubungula nokuhlelwa kokugembula kanye nokuphazamiseka kwezemidlalo njengenkinga yokulutha, okwenzeka ngesikhathi sokuzalwa kwe-DSM-52 futhi kulindeleke i-ICD-11.3 Ukucindezeleka kokuziphatha kocansi okuphoqelelwe kuphakanyiswa njengesiyaluyalu sokulawula umfutho we-ICD-11.3 Kodwa-ke, sikholelwa ukuthi i-logic esetshenziswa yi-Saunders kanye nozakwethu1 futhi kungasebenza ekuziphatheni kocansi okuphoqelekile.
Ukucindezeleka kokuziphatha ngokobulili (ukuhlinzwa njengengozi yokuxoshwa kwe-hypersexual) kwakucatshangwa ukuthi kufakwe ku-DSM-5 kodwa ekugcineni kungabandakanywa, naphezu kokukhiqizwa kwezinqubo ezisemthethweni nokuhlolwa kwesilingo.2 Lokhu kukhishwa kuye kwavimbela imizamo yokuvimbela, yokucwaninga, nokwelashwa, futhi abahlengikazi bashiya ngaphandle kokutholakala ngokusemthethweni kokucindezeleka kokuziphatha ngokocansi.
Ukucwaninga kwi-neurobiology yokucindezeleka kokuziphatha ngokobulili kuye kwadala ukutholakala okuphathelene nokukhathazeka okubambe iqhaza, izibopho zokukhuthaza umqondo, nobuciko obusekelwe ebuchosheni obubonisa ukufana okukhulu nezidakamizwa.4 Ukucindezeleka kokuziphatha ngokocansi okucatshangelwayo kuphakanyiswa njengengcindezi yokulawula ukucindezeleka ku-ICD-11, ehambisana nombono ohlongozwayo wokuthi ukulangazelela, ukubandakanya okuqhubekayo naphezu kwemiphumela emibi, ukubandakanyeka okuphoqelekile, nokulawulwa kokunciphisa kubonisa izici ezisemqoka zokucindezeleka kokulawula ukucindezeleka.5 Lo mbono kungenzeka ukuthi wawulungele ezinye ze-DSM-IV izifo zokulawula ukucindezeleka, ngokugembula ukugembula. Kodwa-ke, lezi zakhi sekuye kwacatshangwa ukuthi ziyinhloko yezidakamizwa, futhi ekushintsheni okuvela ku-DSM-IV kuya ku-DSM-5, isigaba se-Impulse Control Disorders Akuyona Esinye Isinye Isihlonzi sasihlelwa kabusha, futhi ukugembula okubizwa ngokuthi i-pathological name kabusha futhi kwakhiwe kabusha njengesifo somlutha.2 Njengamanje, i-ICD-11 ye-beta yesayithi yokuhlela ibhala uhlu lwezinkinga zokulawula ukucindezeleka, futhi ihlanganisa ukucindezeleka kokuziphatha kocansi, i-pyromania, i-kleptomania, nokuphazamiseka okuphazamisayo okuphakathi.3
Kukhona kokubili ubuhle nobuqili mayelana nokuhlelwa kokucindezeleka kokuziphatha ngokocansi njengesiyaluyalu sokulawula umfutho. Ngakolunye uhlangothi, ukufakwa kokucindezeleka kokuziphatha ngokobulili ku-ICD-11 kungathuthukisa ukuhambisana nokuxilongwa, ukwelashwa, nokufunda ngabanye abanalesi sifo. Ngakolunye uhlangothi, ukuhlukaniswa kwezinkinga zokuziphatha ngokocansi njengokucindezela ukulawula ukucindezeleka ngokungafani nesifo somlutha kungase kuthinte kabi ukwelashwa nokutadisha ngokunciphisa ukutholakala kokwelashwa, ukuqeqeshwa kokwelapha, kanye nemizamo yokucwaninga. Ukucindezeleka kokuziphatha kocansi okuphoqeleka kubonakala kufanelana kahle nezinkinga ezingalona izidakamizwa ezihlongozwayo nge-ICD-11, ehambisana nesikhathi esincane sokuxilonga ngokobulili okwamanje okuhlongozwayo ukucindezela ukuziphatha kobulili kwi-website ye-ICD-11.3 Sikholelwa ukuthi ukuhlukaniswa kwengcindezi yokuziphatha ngokobulili njengesifo sokulutha kuyaphambene nedatha yamuva futhi kungase kuzuze odokotela, abacwaningi, kanye nabantu abathintekayo futhi bathinteke ngalesi sifo.
IVV ibika izibonelelo ezivela kuMkhandlu Wocwaningo Lwezokwelapha. I-MNP ibika izibonelelo nokunye ukusekelwa okuvela esikhungweni Sikazwelonke Sokubhekelela Imidlalo Yezemidlalo kanye Nesikhungo Sikazwelonke Sokulutha Nezidakamizwa. Bonke abanye ababhali bathi abanazintshisekelo zokuncintisana.
Okubhekwayo
- AbakwaSaunders, JB, Degenhardt, L, noFarrell, M. Ukugembula okwedlulele nemidlalo yokudlala: ukuphazamiseka okuluthayo ?. I-Lancet Psychiatry. I-2017; I-4: 433-435
- I-American Psychiatric Association. Iseluleko sokuxilonga nesibalo sokuphazamiseka kwengqondo (DSM-5). I-American Psychiatric Association Publishing, e-Arlington; I-2013
- UBANI. Okusalungiswa kwe-beta ye-ICD-11. ((kufinyelelwe uJulayi 18, 2017).) http://apps.who.int/classifications/icd11/briking/lm/en Usuku: 2017
- IKraus, SW, Voon, V, nePotenza, MN. Ngabe kufanele ukuthi ukuziphatha okucansini okuphoqayo kubhekwe njengomlutha? Umlutha. I-2016; I-111: 2097-2106
- UGrant, JE, Atmaca, M, Fineberg, NA et al. Ukuphazamiseka kokulawula impulse kanye "nokulutha kokuziphatha" ku-ICD-11. Umhlaba Psychiatry. I-2014; I-13: 125-127
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