I-World Health Organization ithi i-CSBD ihlanganisa nokusetshenziswa kwe-Porn

Ukuziphatha Kocansi Okuphoqelekile

IZINDABA: I-World Health Organization ithi I-Compulsive Sexual Behaviour Disorder ihlanganisa nokusetshenziswa kwe-Porn

YBOP COMMENT: I-World Health Organization isanda KUBUYEKEZA indlela yokuxilonga ye-ICD-11 Compulsive Sexual Behavior Disorder ebeka ngokucacile "ukusetshenziswa kwezithombe ezingcolile." Lokhu kuhlanganisa okubalulekile ngoba Ukusetshenziswa Kwezithombe Zocansi Okuyinkinga kuwukuziphatha okuvame kakhulu phakathi kwalabo abafuna ukwelashwa kwe-Compulsive Sexual Behavior Disorder (CSBD). Empeleni, ucwaningo lukhombisa "Ngaphezu kwe-80% yabantu abafuna ukwelashwa ngenxa yokuphazamiseka kokuziphatha kocansi okuphoqelelwe baye babika ukungakwazi ukulawula ukusebenzisa kwabo izithombe ezingcolile, naphezu kwemiphumela emibi."

Uma othile ethi i-CSBD ayifaki ukusetshenziswa kocansi okuyinkinga, banephutha.

Esigabeni Sezici Zomtholampilo Ezengeziwe i-WHO ithi “I-Compulsive Sexual Behaviour Disorder ingase ibonakale ngezindlela ezihlukahlukene zokuziphatha, okuhlanganisa ukuziphatha kocansi nabanye, ukushaya indlwabu, ukusetshenziswa kwezithombe zobulili ezingcolile, i-cybersex (ubulili be-inthanethi), ucansi ngocingo, nezinye izinhlobo zokuziphatha kobulili okuphindaphindiwe.” 

Lokhu bekungakaze kube mbuzo, kodwa lesi sibuyekezo esibalulekile senqubo yokuxilonga ye-ICD-11's CSBD sizosiza ukumisa. abasakazi benkulumo-ze ekuzameni ukusabalalisa imininingwane engamanga.

Incazelo
Ukuphazamiseka kokuziphatha kocansi okuphoqelekile kubonakala iphethini eqhubekayo yokwehluleka ukulawula izifiso zocansi ezinamandla, eziphindaphindayo noma izifiso eziholela ekuziphatheni kocansi okuphindaphindiwe. Izimpawu zingase zihlanganise izenzo zocansi eziphindaphindayo eziba yingqikithi yempilo yomuntu kuze kufike ezingeni lokudebeselela impilo nokunakekelwa komuntu siqu noma ezinye izithakazelo, imisebenzi kanye nezibopho; imizamo eminingi engaphumelelanga yokunciphisa kakhulu ukuziphatha kocansi okuphindaphindayo; kanye nokuziphatha kocansi okuqhubekayo okuphindaphindayo naphezu kwemiphumela emibi noma ukuthola ukwaneliseka okuncane noma cha 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 okuphawulekayo 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.

okungafakiwe

Izidingo zokuxilonga

Izici ezibalulekile (ezidingekayo):

  • 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.
  • Iphethini yokwehluleka ukulawula izifiso zocansi ezinamandla, eziphindaphindayo noma izifiso kanye nokuziphatha okuphindaphindayo kocansi kubonakala esikhathini eside (isb, izinyanga ze-6 noma ngaphezulu).
  • 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.
  • 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.

Izici Zomtholampilo Ezengeziwe:

  • I-Compulsive Sexual Behaviour Disorder ingase ivezwe ngezindlela ezihlukahlukene zokuziphatha, okuhlanganisa ukuziphatha kocansi nabanye, ukushaya indlwabu, ukusetshenziswa kwezithombe ezingcolile, ucansi lwe-inthanethi (ucansi lwe-inthanethi), ucansi lwefoni, nezinye izinhlobo zokuziphatha kocansi okuphindaphindayo.
  • Abantu Abane-Compulsive Sexual Behavior Disorder bavame ukuzibandakanya ekuziphatheni kocansi ngenxa yemizwa yokucindezeleka, ukukhathazeka, isizungu, isizungu, noma ezinye izimo ezingathandeki. Nakuba kunganqunyelwe ukuxilonga, ukucatshangelwa kobudlelwano phakathi kwezimpawu zomzwelo nokuziphatha kanye nokuziphatha kocansi kungase kube isici esibalulekile sokuhlela ukwelashwa.
  • Abantu abenza izahlulelo ezingokwenkolo noma zokuziphatha mayelana nokuziphatha kwabo kwezocansi noma abakubuka ngokungakugunyazi, noma abakhathazeke ngezahlulelo nokungavunyelwa kwabanye noma ngeminye imiphumela engaba khona yokuziphatha kwabo ngokobulili, bangazichaza 'njengabayimilutha yocansi' noma bachaze izenzo zabo. ukuziphatha kocansi 'njengokuphoqeleka' noma ukusebenzisa amagama afanayo. Ezimweni ezinjalo, kubalulekile ukuhlola ngokucophelela ukuthi leyo mibono iwumphumela wesinqumo sangaphakathi noma sangaphandle kuphela noma imiphumela engaba khona noma ingabe kunobufakazi bokuthi bukhona yini ubufakazi bokuthi bukhona yini ubufakazi bokuthi bukhona yini ubufakazi bokuthi kukhona okuphazamisayo ukulawula izifiso zocansi, izinkanuko, noma ukuziphatha kanye nezinye izidingo zokuxilonga ze-Compulsive Sexual Behavior. Ukuphazamiseka kukhona ngempela.

Imingcele Ngokujwayelekile (I-Threshold):

  • Kunokwehluka okubanzi kwemvelo kanye nemvamisa yemicabango yomuntu yocansi, amaphupho, izifiso kanye nokuziphatha. Lokhu kuxilongwa kufaneleka kuphela lapho umuntu ehlangabezana nezifiso zobulili ezinamandla, eziphindaphindayo noma izifiso ezitholwa njengezingenakuvinjelwa noma ezingalawuleki, okuholela ekuziphatheni kocansi okuphindaphindiwe, kanye nephethini yokuziphatha kocansi okuphindaphindayo kubangela ukucindezeleka okuphawulekayo noma ukukhubazeka okuphawulekayo komuntu siqu, umndeni, umphakathi. , imfundo, umsebenzi, noma ezinye izindawo ezibalulekile zokusebenza. Abantu abanamazinga aphezulu ezithakazelo zocansi kanye nokuziphatha (isb., ngenxa yokushisekela ucansi) abangabonisi ukulawula okukhinyabezekile ngokuziphatha kwabo kocansi kanye nokucindezeleka okuphawulekayo noma ukonakala ekusebenzeni akufanele kutholakale ukuthi bane-Compulsive Sexual Behavior Disorder. Ukuxilongwa akufanele futhi kwabelwe ukuchaza amazinga aphezulu ezithakazelo zocansi nokuziphatha (isb, ukushaya indlwabu) avamile phakathi kwentsha, ngisho noma lokhu kuhlotshaniswa nokucindezeleka.
  • I-Compulsive Sexual Behaviour Disorder akumele itholwe ngokusekelwe ekucindezelekeni okuhlobene nezahlulelo zokuziphatha kanye nokungavunyelwa mayelana nezifiso zocansi, izifiso, noma ukuziphatha obekungeke kubhekwe njengenkomba ye-psychopathology (isb, owesifazane okholelwa ukuthi akufanele abe nezifiso zocansi. nhlobo;insizwa ekholwayo ekholelwa ukuthi akufanele neze ishaye indlwabu;umuntu ocindezelwe ukukhangwa noma ukuziphatha kwakhe kobungqingili). Ngokufanayo, I-Compulsive Sexual Behavior Disorder ayikwazi ukutholwa ngokusekelwe kuphela ekucindezelekeni okuhlobene nokungavunyelwa kwangempela noma okwesatshwayo emphakathini kwezifiso zocansi noma ukuziphatha.
  • I-Compulsive Sexual Behaviour Disorder akumele itholwe ngokusekelwe ezikhathini ezimfushane kuphela (isb, kufika ezinyangeni ezimbalwa) zokukhuphuka kwezifiso zocansi, izifiso, kanye nokuziphatha ngesikhathi sokushintshela kuzimo ezibandakanya ukutholakala okwengeziwe kwezindawo zocansi ebezingekho ngaphambilini (isb. ukuthuthela edolobheni elisha, ushintsho esimweni sobudlelwane).

Izici zesifundo:

  • Abantu abaningi abane-Compulsive Sexual Behavior Disorder babika umlando wokwenza ucansi ngaphambi kokuthomba noma ukuthomba (okungukuthi, ukuziphatha kocansi okuyingozi, ukushaya indlwabu ukulungisa ukuthinta okungekuhle, ukusetshenziswa kakhulu kwezithombe zocansi).

Izethulo ezithuthukisayo:

  • I-Compulsive Sexual Behaviour Disorder ekukhuleni kwayo ihlotshaniswe namazinga aphezulu okuhlukumezeka kwezingane okuhlanganisa nokunukubezwa ngokocansi, abesifazane ababika amanani aphezulu kanye nobukhulu bokuhlukunyezwa.
  • Intsha kanye nabantu abadala abane-Compulsive Sexual Behavior Disorder ngokuvamile bahlangabezana namazinga aphezulu okuba khona kwe-Mental, Behavioural, noma Neurodevelopmental Disorders, okuhlanganisa Ukuphazamiseka Okubangelwa Ukusetshenziswa Kwezidakamizwa.
  • Ukuhlola ubukhona be-Compulsive Sexual Behavior Disorder kungase kube inselele ikakhulukazi ngesikhathi sobusha ngenxa yemibono ehlukene mayelana nokufaneleka kokuziphatha kocansi phakathi nalesi sigaba sempilo. Ukwenyuka kwemvamisa yokuziphatha kocansi noma izifiso zocansi ezingalawulwa ezihlobene namazinga amahomoni ashintsha ngokushesha phakathi nalesi sigaba sokukhula kungase kubhekwe njengokubonisa okuhlangenwe nakho okuvamile kwentsha. Ngakolunye uhlangothi, ukuziphatha kocansi okuvamile noma okuyingozi phakathi kwentsha kungase kubhekwe njengokungavamile ngenxa yamandla okuthi ukuziphatha kuphazamise ukukhula komphakathi nokomzwelo.

Izici Ezihlobene Namasiko:

  • Ukwehluka kwamasiko nangokwesiko kungase kube khona ekuziphatheni kocansi okuyimpoqo. Izinkambiso zalokho okubhekwa njengokuziphatha okufanele kwezocansi, imisebenzi ethathwa njengengamukelekile, kanye nemibono ephathelene neqhaza lobulili ithonya umsebenzi wocansi. Lezi zici zingase zithinte izinkambiso eziphathelene nokushaya indlwabu, ukusetshenziswa kwezithombe zocansi, ukuba nabalingani bocansi abaningi ngesikhathi esisodwa, kanye nenani labalingani bocansi bempilo yonke.
  • Isiko lilolonga usizi olubangelwa ukuhlanganyela ekuziphatheni kocansi nokuthi ingabe ucansi lubukwa njengoluphazamisekile. Isibonelo, emazweni lapho imibono yamadoda ihlotshaniswa nokunqotshwa ngokocansi, amanani aphezulu okuziphatha kocansi angase abhekwe njengejwayelekile futhi akufanele kube isisekelo esiyinhloko sokunikeza ukuxilongwa.

Izici Ezihlobene Nobulili kanye/noma Ubulili:

  • Amadoda maningi amathuba okuthi atholwe ane-Compulsive Sexual Behavior Disorder.
  • Abesifazane Abane-Compulsive Sexual Behavior Disorder kungenzeka kakhulu kunabesilisa ukuthi babike umlando wokunukubezwa kwezingane ngokocansi.

Imingcele Enezinye Izinkinga Nezimo (Ukuxilongwa Okuhlukile):

  • Umngcele one-Bipolar noma Izinkinga Ezihlobene: Ukwenyuka kwezifiso zocansi, izifiso noma ukuziphatha kanye nekhono elikhinyabezekile lokuzilawula kungenzeka phakathi Neziqephu ze-Manic, Mixed, noma Hypomanic. Ukuxilongwa kwe-Compulsive Sexual Behavior Disorder kufanele kunikezwe kuphela uma kunobufakazi bokwehluleka okuphikelelayo ukulawula izifiso zocansi ezishubile, eziphindaphindayo, izifiso noma ukuziphatha kanye nokuba khona kwazo zonke ezinye izidingo zokuxilonga ngaphandle Kweziqephu Zesimo Semizwa.
  • Umngcele one-Obsessive-Compulsive Disorder: Nakuba igama elithi 'impoqo' lifakiwe egameni lalesi simo, ukuziphatha kocansi ku-Compulsive Sexual Behavior Disorder akubhekwa njengempoqo yangempela. Ukuphoqeleka ku-Obsessive-Compulsive Disorder cishe akukaze kwenzeke njengokujabulisa ngokwemvelo futhi kuvame ukwenzeka ngenxa yemicabango ephithizelayo, engafunwa, futhi ngokuvamile ekhathazayo, akunjalo ngokuziphatha kocansi Ku-Compulsive Sexual Behaviour Disorder.***
  • I-Boundary With Personality Disorder: Abanye abantu abanePersonality Disorder bangase bahlanganyele ekuziphatheni kocansi okuphindaphindiwe njengendlela yokulawula i-maladaptive (isb, ukuvimbela noma ukunciphisa ukucindezeleka ngokomzwelo noma ukuzinzisa umuzwa wabo wobugovu). Nakuba kokubili ukuxilonga kunganikezwa ndawonye, ​​uma ukuziphatha kocansi kubalwa ngokuphelele ngokuphazanyiswa kwemizwelo noma ezinye izici eziyinhloko ze-Personality Disorder, ukuxilongwa okwengeziwe kwe-Compulsive Sexual Behavior Disorder akuqinisekisiwe.
  • Umngcele oneParaphilic Disorders: Isici esiyinhloko se-Compulsive Sexual Behavioral Disorder iphethini eqhubekayo yokwehluleka ukulawula izifiso zocansi eziphindaphindayo noma izinkanuko eziholela ekuziphatheni kocansi okuphindaphindiwe okuholela ekucindezelekeni okuphawulekayo noma ukonakala ekusebenzeni. I-Paraphilic Disorders, ngakolunye uhlangothi, ibonakala ngamaphethini aphikelelayo nanamandla okuvusa inkanuko yobulili okungavamile okubonakala ngemicabango yocansi, amaphupho, izifiso, noma ukuziphatha futhi kuholele ezenzweni ezibhekiswe kubantu abaminyaka yabo noma isimo sibenza bangafuni noma bangakwazi ukuvuma noma okuhambisana nokucindezeleka okuphawulekayo noma ingozi enkulu yokulimala noma ukufa. Uma umuntu one-Paraphilic Disorder ekwazi ukusebenzisa izinga elithile lokulawula izinkulumo zokuziphatha zephethini yokuvusa inkanuko, ukuxilonga okwengeziwe kwe-Compulsive Sexual Behavioral Disorder ngokuvamile akuqinisekisiwe. Uma, nokho, izidingo zokuxilonga zakho kokubili i-Compulsive Sexual Behavioral Disorder kanye neParaphilic Disorder zihlangatshezwa, kokubili ukuxilonga kungase kunikezwe.
  • Umngcele onemiphumela yezinto ezithinta ingqondo, okuhlanganisa nemithi: Ukusetshenziswa kwemithi ethile enqunyiwe noma izinto ezingekho emthethweni (isb, ama-dopamine agonists afana ne-pramipexole ye-Parkinson Disease noma i-Restless Legs Syndrome noma izinto ezingekho emthethweni njenge-methamphetamine) ngezinye izikhathi kungabangela ukulawulwa okungalungile phezu kwezifiso zobulili, izifiso noma ukuziphatha ngenxa yemiphumela yazo eqondile endaweni emaphakathi. uhlelo lwezinzwa, oluqala oluhambisana nokusetshenziswa kwento noma umuthi. I-Compulsive Sexual Behavior Disorder akufanele itholakale ezimweni ezinjalo.
  • Umngcele Onokuphazamiseka Ngenxa Yokusetshenziswa Kwezidakamizwa: Iziqephu zokuziphatha kocansi okungalawuleki noma okungavimbelwe kungenzeka ngesikhathi sokudakwa yizidakamizwa. Ngasikhathi sinye, ukuvela kanyekanye kwe-Compulsive Sexual Behavior Disorder kanye nokusetshenziswa kwezidakamizwa kuvamile, futhi abanye abantu abane-Compulsive Sexual Behavior Disorder basebenzisa izinto ngenhloso yokuzibandakanya ekuziphatheni kocansi noma ukuthuthukisa injabulo kukho. Ukwehlukanisa phakathi kwe-Compulsive Sexual Behavior Disorder kanye namaphethini aphindaphindayo okusetshenziswa kwezidakamizwa nokuziphatha okuhlobene nocansi ngakho-ke kuyisinqumo somtholampilo esiyinkimbinkimbi esisekelwe ekuhloleni ukulandelana, umongo, kanye nezisusa zokuziphatha okufanele. Ukuxilongwa Kwe-Compulsive Sexual Behavior Disorder kungase kwabelwa kanye Nokuphazamiseka Ngenxa Yokusebenzisa Izidakamizwa uma izidingo zokuxilonga zazo zombili iziyaluyalu kuhlangatshezwana nazo.
  • Umngcele onokuwohloka komqondo kanye nezimo zezokwelapha ezingahlukaniswanga ngaphansi kweMental, Behavioral noma Neurodevelopmental Disorders: Abanye abantu abane-Dementia, Izifo Zohlelo Lwezinzwa, noma ezinye izimo zezokwelapha ezinemiphumela ohlelweni lwezinzwa olumaphakathi bangabonisa ukwehluleka ukulawula izifiso zobulili, izinkanuko noma ukuziphatha njengengxenye yephethini evamile yokunqanda ukulawula umfutho ngenxa ye-neurocognitive. ukukhubazeka. Ukuxilongwa okuhlukile kwe-Compulsive Sexual Behavior Disorder akufanele kunikezwe ezimeni ezinjalo.

LINK - I-ICD-11 yokuxilonga i-CSBD.

Ukuze uthole umlando owengeziwe ngepolitiki yokuluthwa ucansi, funda Umholo Wepolitiki Yokulutha Ucansi (2011)