Xhumanisa kuhlelo lwe-TV (April 06, 2017).
Ingxenye yemizuzu emithathu ibonise uGabe Deem, uDkt.Donald Hilton, kanye nochwepheshe wezocansi oqinisekisiwe we-AASECT u-Emily Deayla, MA. Ukukhathazeka kwami kokuqala kunesihloko sesigaba:
"Umlutha wezithombe zocansi ozibiza ngethemba lokuthi uzokwenza kube nzima ukufinyelela kuzocansi"
Izikhalazo ezimbili kulokhu okuyinhloko:
I-1) Ihlola ukulutha kocansi kukaGabe ngokuthi “izimemezele ngokwakho”, iphakamisa ukuthi bekungeyona yangempela. Kusho ukuthi le ngxenye ye-TV ishiye imininingwane eminingi uGabe ayifaka noma nini lapho exoxa indaba yakhe (ngokwesibonelo le nkulumo or le ngxoxo ye-TV). UGabe akazange ahlangabezane nokukhubazeka okungahleliwe okungapheli okwenzeka esikhathini esingangezinyanga ezingu-9 ukuphulukisa, futhi wabhekana nezimpawu ezibalulekile zokuhoxiswa, kulandelwa (ekugcineni) ngezinzuzo eziningi ezingalindelekile nezingqondweni ezingalindelekile.
2) Isihloko sigcizelela okungaba ukuphawula kokulahla, kunokuhlangenwe nakho okuyisisekelo kukaGabe kwe-ED ebucayi okwenziwe ngocansi nokuthi ukukhipha okuguqukayo okukodwa kwalapha kanjani ukungasebenzi kwakhe ngokocansi. Akungabazeki ukuthi uGabe uchithe isikhathi eside echaza izinkundla lapho izinkulungwane zezinsizwa zilandisa khona izindaba ezifana nezakhe. UGabe uphinde wanikeza izincazelo zezifundo eziningi ezisekela imodeli yokulutha kabi kocansi, kanye nokuhlukunyezwa kocansi okubangelwa ucansi. Yize kunjalo isiteshi se-TV sikhethe isihloko esiveza ukuthi isipiliyoni sikaGabe besingesihle, nokuthi ufuna ukuvimbela i-porn - okuyinto angayifuni.
Ngemuva kwalokho sinombono womelaphi wezocansi ekufuneni wakha "umlutha wangempela" (abelaphi be-AASECT abafundiswa izindlela zokulutha umlutha noma bangazihlola kanjani izidakamizwa):
Uchwepheshe wezocansi eHouston u-Emily Deayla uthe akulungile ukubiza la madoda njengemilutha.
“Abantu bangafa uma kungenjalo kuthuliwe izidakamizwa noma utshwala so, ngokomzimba, into efanayo ayenzeki lapho uyeka inkinga yezocansi noma ye-porn. Yizinqubo ezimbili ezihlukile, yingakho (wena) ungeke wakubhala njengokulutha,”Kusho uDeayla.
Lokhu kuyindlela evamile yokwehlisa ukulayishwa kwelebula njengokwethenjelwa ngokwemvelo (kokubili akufani), futhi kucela isimangalo esingenasisekelo sokuthi, "uma ukuhoxiswa akunakukubulala, khona-ke akusiyo umlutha ngempela"Ngaphambi kokuba sibhekane nalesi simangalo esibucayi, yazi ukuthi isimo samanje socwaningo sisekela ngokugcwele imodeli yokulutha izidakamizwa:
- Leli khasi libala Ucwaningo lwe-32 lwe-neuroscience (I-MRI, i-FMRI, i-EEG, i-neurospychological, i-hormonal) enikeza amandla ngokomzimba ukusekela imodeli yokulutha.
- Leli khasi libala Ukubuyekezwa kwezincwadi ze-11 ngezinye zezinzwa eziphezulu ze-neuros world, konke okubolekisa ukusikisela kobulili obungcolile.
- Lezi Ucwaningo lwe-14 bathola ukukhula noma ukujwayela kubasebenzisi be-porn.
- Lezi Ucwaningo lwe-17 luxhumanisa ukusetshenziselwa ubulili / ukuhlukunyezwa ngokocansi ezinkingeni zobulili. Izifundo zokuqala ze-3 kulolu hlu zibonisa ukucubungula, njengoba abahlanganyeli beqeda ukusetshenziswa kocansi futhi baphulukisa izifo ezingavamile zocansi.
- Nazi phezu kweziqu ze-40 ezixhumanisa ukusetshenziswa kwezithombe zobulili ukuze kube nokwaneliseka okuncane kocansi nokuzwana komndeni.
Ngakho kungani kungathembeki ngokwesayense ukubiza, njengalabo abenza ucansi ngezinye izikhathi, ukuthi umlutha kwenzeka kuphela ngezinto ezingabangela izimpawu zokuhoxiswa eziholela ekufeni?
1) Ngenkathi kungenzeka ukuthi ukuhoxa otshwaleni, i-benzodiazepines, noma ama-opioid kungaholela ekufeni, lokhu kungaba yinto engajwayelekile. Iqiniso ukuthi, iningi lemilutha yezidakamizwa (ekugcineni) liyeka ngaphandle kosizo lwezokwelapha.
2) Uma silandela imiqondo ka-Emily Deayla, i-cocaine, i-crystal meth, ama-amphetamine, nogwayi (i-nicotine) akuyona imilutha - ngoba ukuhoxa kule mithi akukwazi ukukubulala. I- "ukuhoxiswa = ukulutha”Impikiswano iyawa lapho sicabanga ukuthi i-nicotine ibalwa ngochwepheshe abathile njengezinto eziluthayo kakhulu, kodwa ababhemayo baba nezimpawu zokuyeka kancane.
3) Emily Deayla udida 'umlutha' 'nokuncika emzimbeni'. Kusungulwe kahle emkhakheni wezidakamizwa ukuthi ukuba khona noma ukungabikho kwezimpawu ezinzima zokuhoxa akubonisi ubukhona bokulutha. Ngokusho ukuthi "izimpawu zomzimba" ezinzima kufanele zibe khona ukuze kube nokulutha, u-Emily Deayla uyadideka Ukuba umlutha wezithombe nge ukuthembela emzimbeni (noma abakhohlisi be-TV abangaboni kahle).
Isibonelo, izigidi zabantu zithatha amazinga aphezulu anemithi yemithi efana ne-opioids yokuhlunguphazeka okungapheliyo, noma i-prednisone yezimo ezizenzakalelayo. Ubuchopho babo nezicubu zabo zithembele kuzo, futhi ukuqedwa ngokushesha kokusetshenziswa kungabangela ukuhoxiswa okukhulu kwezimpawu. Noma kunjalo, akuzona ngempela umlutha. Eqinisweni, abanye bangathanda ukungayithathi le mithi nhlobo.
Addiction, ngokungafani ukuthembela, kuhilela izinguquko eziningi zobuchopho ezikhonjwe kahle eziholela kulokho esikwaziyo ngokuthi yi “phenotype yokulutha.” Uma umehluko ungacaci, ngincoma lokhu incazelo elula ka-NIDA. Konje, amadoda athuthukisa ukuhlukunyezwa kobulili-okubangelwa ucansi empeleni, kuxhomeke kuyi-porno ukuze ivuselele ngokocansi noma ikwazi ukufeza ukulungiswa.
4) U-Emily Deayla angase angaqapheli ukuthi nakuba izimpawu zokukhishwa okukhulu akuyona into eyadingeka ukuze kusetshenziswe okuthile noma ukuziphatha okumele kubekwe njengomlutha, abaningi Abasebenzisi be-porn abasebenzisi be-intanethi bayamangala ngenxa yobukhulu babo izimpawu zokuhoxiswa, okuyinto ehlangana nalabo abathola i-cocaine izidakamizwa nezidakwa.
- Kusho ukuthini ukuhoxiswa ekugqilazweni kocansi?
- I-PDF yezimpawu zokuzihoxisa ezizimele
- Ngayeka ukusebenzisa izithombe zobulili ezingcolile futhi manje ngizizwa ngimbi kakhulu. Ingabe lokhu kuvamile?
- USIZO! Ngayeka izithombe zobulili ezingcolile, kodwa amandla ami, ubukhulu bobulili, kanye / noma i-libido ayancipha (i-flatline)
Futhi, abacwaningi basanda kuqalisa ukubuza abasebenzisi be-porn mayelana nezimpawu zokuqeda. Kakade kukhona Ucwaningo lwe-2 kubasebenzisi be-porn ekugcineni okubuzile ngezimpawu zokuhoxa - futhi bobabili babike ukuthi abasebenzisi be-porn bo-inthanethi bathola izimpawu zokuhoxiswa.
I-5) U-Emily Deayla ubonakala engazi ukuthi i-2013 DSM-5 ingeze ukugembula kwe-pathological esigabeni sayo esisanda kudalwa sokulutha isimilo, kwasusa isimangalo sakhe esingenasisekelo sokuthi izidakamizwa kuphela ezingadala futhi zibe umlutha, futhi nesimangalo sokuthi "ukuncika" kufana nokulutha. Bheka le ncwajana ye-DSM-5.
I-6) U-Emily Deayla naye wenza izimangalo eziyiphutha lapho ethi:
"Ngakho ngokomzimba, into efanayo ayenzeki lapho umisa inkinga yezocansi noma ye-porn. Yizinqubo ezimbili ezihlukene. ”
Isidakamizwa ngasinye esiluthayo siholela ekwenzeni okuthile okuhlukile kwezinguquko zezinto eziphilayo (isibonelo, ukusetshenziswa okungapheli kwe-Vicodin kuzoholela ebuchosheni nasemzimbeni ukukhiqiza amazinga aphansi ama-opioids, futhi phansi-isimiso se-opioid receptors). Lokhu kusho ukuthi imithi ngayinye yokulutha kanye nokulutha komzimba ngamunye (ukugembula, i-porn, ukudla, i-intanethi) kuhlanganisa izinguquko ezihlukile eziyingqayizivele ze-neurological and hormonal.
Ngakolunye uhlangothi, imilutha (yokuziphatha neyamakhemikhali) futhi bahole a isethi esabiwe sezinguquko ze-neurological - kunganakwa ngu-Emily Deayla. Izinguquko ezimbili ezinkulu ezibonakala zenzeka emilutha yezocansi yilezi:
- phansi-isimiso sokusayina kwe-dopamine, futhi
- izinhlelo zokuxineka ezingasebenzi (ezigxile ku-CRF).
Lezi zinguquko ezimbili eziphathelene nokulutha umlutha kubonakala sengathi zidala izimpawu eziningi zokuzihoxisa ezitholakalayo iyiphi umlutha, njengokuthi: ukukhathala, ukungabi nogqozi, ukukhathazeka, ukudangala, ukuqwasha, ukufikelwa yithemba, ukubuyela emuva, ukushintshashintsha kwemizwelo, njll. Ukubekelwa phansi kokusayina dopamine kuhlotshaniswa nokuncipha kanye nokuhlala, okubikwe yilezi zifundo kubasebenzisi be-porn: 1, 2, 3, 4, 5, 6. Futhi lezi zifundo zithole amasistimu wokuxineka angasebenzi kahle kumilutha ye-porn: 1, 2, 3.
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