Umbiko wezinto ezitholakele ku-DSM-5 Field Trial for Disorder Sex Disorder. (I-2012)

IZIMPENDULO: I-DSM-5 ezayo izama ukunquma ukuthi ngabe ukugula okuphathelene nengculazi kufanele kufakwe. Isiphetho siwukuthi ukungahambi kahle ngokocansi kukhona njengalabo abanokuqeqeshwa okuthobekile bangakwazi ukuqonda kahle isimo. Bheka isihloko esingaphansi kwesifundo sichaza lokho okutholwe.

I-J Med Med. 2012 Oct 4. i-doi: 10.1111 / j.1743-6109.2012.02936.x.

Reid RC, Umbazi BN, Hook JN, I-Garos S, I-Manning JC, Gilliland R, Cooper EB, UMcKittrick H, Davtian M, I-Fong T.

Umthombo

Umnyango we-Psychiatry kanye ne-Biobehavioral Sciences, i-University of California, iLos Angeles, i-Los Angeles, i-CA, i-USA, uMnyango Wezokwelapha, uBrigham Young University, i-Provo, UT, eU.SA UMnyango Wezokwelapha, i-University of North Texas, iDenton, TX, USA. I-Psychology, i-Texas Tech University, i-Lubbock, i-USA, i-USA Practice Private, i-Denver, i-CO, e-USA UMnyango Wezokwelapha, I-Temple University, Philadelphia, PA, eU.SA.

abstract

Isingeniso.  

I-Manual Yokuhlola Nezibalo Zezinkinga Zengqondo, Isimiso Sesishiyagalombili (DSM-5) se-hypersexual disorder (HD) sihlongozwa ukuba sithathe izimpawu ezibikwe iziguli ezifuna usizo lokuziphatha okungahambisani nokuziphatha ngokocansi. I-criteria ehlongozwayo eyakhiwe yi-DSM-5 Work Group kwi-Sexual and Gender Identity Disorders idinga ukuhlolwa esimweni esilungisiwe senkundla.

Inhloso. 

Le-DSM-5 Field Trial yenzelwe ukuhlola ukuthembeka nokusebenza kwemigomo ye-HD kusampula yeziguli ezifuna ukwelashwa ngokuziphatha okuxubile, isimo somqondo jikelele, noma isifo esihlobene nezidakamizwa. Indlela. Iziguli (N = 207) zahlolwa ngengqondo ye-psychopathology ne-HD ngabaqaphi abaphuphuthekile ukuze banqume ukuthembela kwe-HD ekuhambeni kwesikhathi futhi balandele isikhathi se-2 ngesonto elinesithathu sokuhlola ukuzinza kwe-HD criteria ngokuhamba kwesikhathi. Iziguli nazo zaqedela izinombolo zokuzibika ezizimele zokuhlola ukufaneleka kwe-HD criteria.

Izinyathelo Eziyinhloko Zomphumela. 

I-HD ne-psychopathology zilinganiswa nezingxoxo ezihloswe zokuxilonga, i-Hypersexual Behavior Inventory, Isisindo Sokucindezela Ngokwecansi, kanye ne-Hypersexual Behavior Scale Scale. Ukuhlukumezeka ngokomzwelo nokucindezeleka ukulinganisa kwakulinganiswa ngezici kwi-Neo Ubuntu Inventory-Kubukeziwe. Imiphumela. Ukuthembela kokungena ngaphakathi kwakuphakeme futhi i-HD criteria yabonisa ukuqina okuhle ngokuhamba kwesikhathi. Ukuzwela kanye nezinkomba ezicacile kubonise ukuthi indlela ye-HD ibonisa ngokunembile inkinga yokuveza phakathi kweziguli. I-criteria yokuhlonza i-HD ibonise ukufaneleka okuhle ngezinyathelo ezihlobene nokuxilonga ngokobulili, ukungafuni, ukucindezeleka ngokomzwelo, nokucindezeleka ngokomzimba, kanye nokuhleleka kwangaphakathi ngaphakathi. Iziguli ezihlolwe i-HD nazo zabika imiphumela eminingi yemiphumela yokuziphatha ngokocansi eyayinkulu kakhulu kunalabo abatholakala benesimo esijwayelekile sengqondo noma isifo esithinta izidakamizwa.

Iziphetho. 

Imigomo ye-HD ehlongozwa yi-DSM-5 Work Group kwi-Sexual and Gender Identity Disorders ibonakala ikhombisa ukuthembeka nokuqinisekiswa okukhulu uma isetshenziselwa iziguli endaweni yokutholwa phakathi kweqembu labaqaphi ngokuqeqeshwa okuthobekile ekuhloleni i-HD.

Reid RC, Umbazi weBN, Hook JN, Garos S, Manning JC, Gilliland R, Cooper EB, McKittrick H, Davtian M, noFong T. Umbiko wezinto ezifunyenwe ku-DSM-5 Field Trial ngenxa yokungaxilongo kwe-hypersexual. I-Sex Med **; **: ** - **.

© 2012 International Society for Medical Medicine.

Abezindaba bathi 'ukulutha ngokocansi' kungokoqobo

“Ukuba umlutha wezocansi KUYISIKHATHI sangempela,” kusho iDaily Mail. Indaba yaleli phephandaba isuselwa ocwaningweni oluhlola ukunemba kokuhlonza okusha okuhlongozwayo kwezokwelapha, okubizwa nge- hypersexual disorder.

I-hypersexual disorder (HD) igama elisetshenziselwa ukuchaza izimpawu eziningana ezihlobene. Lokhu kufaka phakathi ukuchitha isikhathi esiningi ngokweqile ekubandakanyekeni kwemizwa yocansi kanye nokukhuthaza noma ekuhleleni nasekuziphatheni ngokocansi. Lokhu okukhathazayo kuyabangela ukucindezeleka okuphawulekayo noma ukukhubazeka ekuphileni komphakathi noma emsebenzini.

Ngenkathi le modeli yamukelwa kahle, ayikakhiwa ngokomthetho njengesiyaluyalu sengqondo. Ngokucacile, ukuphazamiseka kwe-hypersexual akukazanga ukungezwa kumbhalo ohlongozwayo we-Manual Diagnostic and Statistical of Disabilities Mental, Edition Fifth (DSM-5). Lona umsebenzi ocacile wohlu lwazo zonke izimo zempilo yengqondo ezibonakalayo. I-DSM-5 kufanele ishicilelwe ku-2013.

Esicwaningweni, abacwaningi baxoxisana nabangaphezu kweziguli ze-200 ezazidluliselwa emitholampilo yezempilo yengqondo ngenxa yezimo eziningana ezifaka i-HD. Ababukeli babengazi ukuthi kungani iziguli zithunyelwe, kepha izingxoxo zabo zenzelwe ukukhombisa indlela entsha ehlongozwayo ye-HD. Ucwaningo lwathola ukuthi abaxoxisana nabo babevumile ukuthi iziphi iziguli ezine-HD, nokuthi izindlela ezintsha ezihlongozwayo zibonisa ngokuqondile izinkinga ezibikwe iziguli. Ucwaningo lubonisa ukuthi 'uhlu lokuhlola' oluhlongozwayo lwe-HD iyithuluzi eliwusizo. 

Lezi zinhlobo zokuhlola okwenzekayo yizingxenye ezibalulekile zocwaningo ezinkingeni zobulili, okuyinto, naphezu kokugxila kwezinye izingxenye zabezindaba, kungabangela ukucindezeleka okukhulu kulabo abathintekayo. 

Isifo se-hypersexual

Indlela yokuhlola (noma 'uhlu lokuhlola') lwe-hypersexual disorder isekelwe ezintweni ezintathu eziyinhloko. 

A. Ngesikhathi esingenani izinyanga eziyisithupha, ukubhekana nokucabanga okuphindaphindiwe nokucindezela okukhulu kocansi, izifiso zocansi kanye nokuziphatha ngokocansi ngokubambisana nezigaba ezine noma ngaphezulu ezilandelayo:

  • isikhathi esiningi sidliwa yizicabango zocansi kanye nezikhalo, nangokuhlela nokuhlanganyela ekuziphatheni ngokobulili
  • ukuphindaphinda ngokuphindaphindiwe kulezi zithombe zocansi, izikhalo nokuziphatha ekuphenduleni izimo zemizwelo enhle (isibonelo, ukukhathazeka, ukucindezeleka, ukukhathazeka nokucasula)
  • ngokuphindaphindiwe ukuhlanganyela emibonweni yezocansi, izikhalo nokuziphatha ekuphenduleni izenzakalo zokucindezeleka zokuphila
  • ukuphindaphinda kodwa ukungaphumeleli ukuzama ukulawula noma ukunciphisa kakhulu lezi zithombe zocansi, izikhalo nokuziphatha
  • ukuphindaphindiwe ekuziphatheni ngokocansi ngenkathi ungayinaki ingozi yokulimala ngokomzimba noma ngokomzwelo kumuntu noma kwabanye

B. Kukhona ukucindezeleka komuntu siqu noma ukukhubazeka emphakathini, emsebenzini noma kwezinye izindawo ezibalulekile ezihambisana nalezi zithombe zocansi, izikhalazo nokuziphatha.

C. Amaphupho ezocansi, ukunxusa nokuziphatha akubangelwa yimiphumela eqondile yomzimba yezinto zangaphandle (ngokwesibonelo, izidakamizwa noma ukusetshenziswa kabi kwemithi), esinye isimo sezokwelapha noma iziqephu ze-manic.

Indaba ivelaphi?

Ucwaningo lwenziwe ngabacwaningi abavela eNyuvesi yaseCalifornia, eBrigham Young University, eNyuvesi yaseNorth Texas, eTexas Tech University naseYunivesithi yethempeli. Ayikho ulwazi mayelana nokuxhaswa kwangaphandle.

Ucwaningo lushicilelwe ku ukubuyekezwa kontanga Umagazini wezokwelapha.

Ngokubikezelayo, iMeyili ixilisa indaba yayo isebenzisa isithombe sokuthi "umlutha wezocansi" uqobo uqobo, uRussell Brand kanye nencazelo yokulutha ngocansi njengento ethi "ngokujwayelekile ibhalwe phansi njengesizathu sokuthi" ukuhlonishwa kwabantu ".

Leli phepha alilungile ukubiza u-hypersexual disorder ukuba umlutha. Ayikahlelwa njengalokhu. Incazelo yokulutha izidakamizwa ngokuvamile ihlanganisa isici sokuxhomekeka komzimba.

Kungaba nenembile kakhulu ukuchaza ukuphazamiseka kwe-hypersexual njengoba uhlobo lwe-disorder yomuntu. Ukuphazamiseka komuntu yizimo lapho amaphrofayili okucabanga aphikisayo angaholela engavamile, futhi evame ukulimaza, ukuziphatha.

Uhlobo luni locwaningo lwalokhu?

Lokhu kwakuyisivivinyo sezinsimu, okusho ukucwaningwa okwenziwa "esimweni" sangempela, kulokhu imitholampilo yengqondo. Abacwaningi bathi iziguli ezifuna usizo nge-HD ngokuvamile azikwazi ukulawula isikhathi esichitha abahlanganyeli emibonweni yezocansi, isikhuthazo kanye nokuziphatha, kuhlanganise nokushaya indlwabu, izithombe zobulili ezingcolile, i-cycling yobulili, ucansi lwezingcingo kanye namaqembu ezinqunu.

I-hypersexual disorder, abacwaningi bathi, kubangela ukucindezeleka okubalulekile futhi kuphazamise iziguli emphakathini nasemisebenzini. Nakuba izincazelo zokuziphatha kobulili obucansi zikhona isikhathi eside, izifo zengqondo zamuva nje zamukele ukuthi kungenzeka kube yinkinga yomtholampilo kunokuba kube nokuhluka okuvamile kokukhuluma ngokocansi.

Ukuxilongwa okusha kwe-hypersexual disorder kuye kwaphakanyiswa ku-Manual Diagnostic and Statistical of Mental Disorders, ukuhlukaniswa okuphelele kwezinkinga zempilo yengqondo, eyanyatheliswa yi-American Psychiatric Association. Ukubuyekezwa ngezikhathi ezithile, i-DSM isetshenziselwa ochwepheshe bezempilo yengqondo emhlabeni jikelele. Abanye odokotela baye bahlongoza ukuthi ukuxilongwa kwe-hypersexual kufakwe njengendlela yokuxilongwa okusha ku-edition olulandelayo (DSM-5).

Ucwaningo luhilelani?

Ucwaningo lwaluhlanganisa neziguli ze-207 ezineminyaka engu-18 nangaphezulu, ezikhethiwe ngezikhathi ezithile emitholampilo eyahlukene e-US ehlinzeka ngemithi yokwelashwa kokuxilongwa ngokobulili, izimo zengqondo kanye nezifo ezihlobene nezidakamizwa. Kulezi ziguli, i-152 ibizwe ngokuthi i-hypersexual disorder.

Abacwaningi babeyi-13 abantu abavela ezizindeni eziningi ezihlanganisa izifo zengqondo, izazi zengqondo, abasebenzi bezenhlalakahle, ababelethi bomndeni kanye nababelethi bomndeni, kanye nabafundi bezokwelapha ze-postgraduate. Abacwaningi bathi lokhu kuhlukahluka kwenzelwe ukubonisa ububanzi obubanzi bezobuchwepheshe abasebenzisa i-DSM emisebenzini yabo yokwelashwa. Cishe isigamu seqembu asizange sisebenze neziguli ezingcolile ngokocansi ngaphambi kwecala.

Akekho owamathimba owaziyo ukuthi iziguli zihanjelwe yini. Bonke bathola ukuqeqeshwa ekuqhutshweni kwengxoxo yokuhlola ngengqondo futhi baphinde balalele izingxoxo eziningana eziqoshiwe lapho imibuzo yenzelwe ukukhombisa indlela entsha yokungaxilongwa kwe-hypersexual (ebizwa ngokuthi i-HD yokuxilongwa kwengxoxo yomtholampilo noma i-HD-DCI).

Zonke iziguli zaqala ukuxoxwa ngokujwayelekile kwengqondo futhi ngamunye wabe esexoxwa ngokuningiliziwe nenye yeqembu, ehlose ukuhlola ukuthi ngabe banesifo sengqondo sokuxoshwa kwe-hypersexual. Imibuzo yahlungwa ukuze ibuke ngokuseduze ne-criteria ehlongozwayo yokuxilonga. Phakathi nesonto lokuqala lokucwaninga, iziguli nazo zaqeda izinamba zokuzibika ezizimele futhi zenzelwe ukukhombisa izindlela ezintsha, ukusiza ukuhlola ukufaneleka kwazo.

Kuxoxwa ngalunye, "abalingisi" ababili babevame ukukhona ababephuphuthekiswe ekulinganisweni komunye nomunye. Omunye umgibeli wenza lolu daba ngenkathi omunye ebona.

Emasontweni amabili emva kokuxoxwa kokuqala, umgibeli wesithathu waphinda wabukeza ingxoxo ye-HD-DCI nesiguli ngasinye.

Abacwaningi base bebheka ukuthi izilinganiso ezihlukene zivumelane kangakanani lapho bexilongwa ngecala lokuxilongwa kwe-hypersexual futhi, esigabeni esithile seziguli ze-32, babuke nokuthi ngabe ukuxilongwa kokuhlolwa kwesibili, amasonto amabili kamuva, kufanelana nokuxilongwa kwangempela. Basebenzisa izivivinyo ezihlukahlukene zokuhlola izibalo ukuze bahlole ukuthi ngabe izindlela zokuxilonga zisebenza futhi zithembekile.

Yayiyini imiphumela eyisisekelo?

Abacwaningi bathi: 

  • Ukuthembeka kokungena ngaphakathi (IRR) kwakuphakeme, ku-93%. Lokhu kusho ukuthi abacwaningi bavumile kakhulu ukuthi ngabe iziguli zihlangabezana yini nenqubo yokuxilonga yesifo socansi (0.93, 95% isikhathi sokuzethemba I-0.78 ku-1).
  • Ukuthembeka kwe-test-retest kwakungaphezulu, ne-29 yamacala we-32 enza isivumelwano.
  • Ukuzwela (inani leziguli ezibhekiswe enkingeni ye-hypersexual eyaziwa kahle) kanye nesimo esiqondile (inani leziguli ezibhekiswe kwezinye izinto ngaphandle kwesifo sobulili obuxoshiwe ngokuqondile) kubonisa ukuthi indlela entsha yokugula ngengculaza iboniswe ngokunembile izinkinga ezibhekiswe kuzo iziguli ngoba.
  • Iziguli ezihlolwe ukugula ngengculazi nazo zabika "ukuhlukana okukhulu" kwemiphumela emibi yokuziphatha kobulili obucansi "obukhulu kakhulu" kunalabo abatholwa nesimo somqondo jikelele noma isifo esihlobene nezidakamizwa. Lokhu kwakuhlanganisa ukulahlekelwa umsebenzi, ukulahlekelwa ubudlelwane bomshado, izinkinga zomthetho nezomnotho.

Abacwaningi bahumusha kanjani imiphumela?

Abacwaningi bakhomba ukuthi lena yile ncwadi yokuqala yokuhlolwa kwegciwane le-DSM-5 ngenxa yokuxilongwa okusha kwe-hypersexual disorder. Kutholakale ukuthi le nqubo entsha ibonakala ikhombisa ukuthembeka okuphezulu nokuqinisekiswa uma isetshenziselwa iziguli endaweni yokutholwa komzimba, besebenzisa iqembu labaqaphi ngokuqeqeshwa okuthobekile ekuhloleni ukugula okubandlululana.

Isiphetho

Ukutadisha ukuxilongwa kwe-hypersexual indawo yenzalo ekhulayo emkhakheni wezempilo yengqondo kanye nemithi yezocansi (futhi kuyoba yinto enesithakazelo kumaphephandaba). Lolu cwaningo lubonakala lubonisa ukuthi izinqubo ezihlongozwayo zokuhlonza zibonisa izinkinga ezikhona kule ndawo futhi nokuthi ziyasebenza ngokusebenza. Ucwaningo olwengeziwe luyadingeka ukuze kuqinisekiswe lezi zindlela kanye nangenkinga yokuthi ingculaza ingase iphathwe kangcono kanjani.

Okunye okubuthakathaka okungase kube khona ekutadisheni kuyindlela yokuziphendulela ngokwabo kanye nokuxoxwa okuhloswe ngokuhlolisisa, okungeke kube nokwethembeka kwezinyathelo ezingaphezulu. Ngokufanelekile, lezi zinhlobo zezifundo ziphindaphindiwe ezindaweni lapho lesi sifo singavamile khona ukuthi ubukhulu besiphi isimo sengqondo samanga noma ukuxilongwa okungalungile kungahlolwa kwisampula okungaphezulu kokujwayelekile komphakathi ongenakukhulunywa.

Uma ukhathazekile ukuthi ungase ube nesimo sengqondo esiphelele futhi esingenampilo ngokuphathelene nobulili okuthinta impilo yakho, kunezindlela eziningana zokwelashwa ezitholakalayo, njengokwelashwa okukhulumayo ukuziphatha kwengqondo. Funda kabanzi mayelana ukuphatha umlutha wezocansi.

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