I-DSM-5 Imizamo Yokuqeda Umlutha We-Porn Ngaphansi Kwombhoxo (2011)

Ekugcineni, i I-American Society of Addiction Medicine isenzile, ngoba i-DSM ayifuni.

Ukulondoloza i-neuroscience ngaphansi komugqaUkuhlukunyezwa kobulili kanye nobulili kusebenza iqembu elizayo Incwadi Yokuhlola Nezibalo Zezinkinga Zengqondo (I-DSM-5) okwamanje ibhunga ukuthi kufanele kwehliswe yini isikhundla esihlongozwayo “I-Hypersexual Disorder”(Ekhuluma ngokusetshenziswa kocansi okuyimpoqo, phakathi kwezinye izindlela zokuziphatha) kusuka ku- Dysfunctions ngokocansi kusihlomelo. Ngaphezu kwalokho, ilungu leqembu lomsebenzi liluleka lokho "I-Hypersexual Disorder" ingahle iqedwe ngokuphelele, enganikezi incazelo.

I-DSM yibhayibheli labagula ngengqondo. Uma ukuphazamiseka kungekho lapho, izinkampani zomshuwalense ngeke zibuyisele izindleko zokwelashwa ngakho, ngakho odokotela bengqondo abazihlonzi iziguli njengabanazo. Emhlabeni wokunakekelwa kwezempilo, "Iqiniso yilokho i-DSM ethi iyikho."

Ngakho-ke, uma uwela ekusebenziseni okucindezelayo kocansi lwe-Intanethi… inhlanhla enzima. Isimo sakho asikho futhi uzokwelashwa, uma kunjalo, ngokungathandeki izimpawu yokulutha (njengokukhathazeka, i-ED, ukucindezeleka, izinkinga zokuhlushwa) ngokucabanga ukuthi lezi zimo zandulela, futhi azihlobene, nokusetshenziswa kwakho kocansi ngokweqile. Akekho ozokuphefumulela izwi mayelana nokugula kwakho kwangempela: izinguquko zobuchopho ezihlobene nokulutha. Kufana nokukunika i-Vicodin ngobuhlungu bokuphuka komlenze esikhundleni sokuyibeka — ngenkathi ikuvumela ukuthi uqhubeke nokuxhugela kuyo ngaphandle kwesamente.

Lesi sinyathelo siza nje lapho iqembu lomsebenzi we-DSM lokugembula kwezemvelo linqume ukuthi enye into evuselela kakhulu, engeyona into ephathekayo, ukugembula, izothuthukiselwa esigabeni esiqanjwe kabusha: Isiyaluyalu nezinkinga ezihlobene-Nokuthi bangakwazi ukuphatha iziguli ezinjengokulutha umlutha. Kanjani, egameni lesayensi, ukuphoqeleka okunye (ukugembula) kungabonwa ingozi yokulutha umlutha ngenkathi enye (ukuziphatha ngokucindezela ngokobulili) ixoshwa ngokukhululekile?

Zonke izidakamizwa ziyindaba yesayensi

Eminyakeni yamuva, i-DSM isithathe ukushisa okuningi ukudala izifo ezintsha zempilo yengqondo, ezinye zazo ezibangele ukuxilongwa ngokweqile kanye nokwelapha ngokweqile. Siyaqonda isifiso saso sokuthi singanamathele entanyeni yayo ehlangene ngoba nje abantu baxosha amaqhawe noma babheka amavidiyo ashubile ngokweqile.

Kodwa-ke, njengoba ukubuyekezwa kokugembula kukhombisa, ukuluthwa kokuziphatha sekuyizifo eziqinisekisekayo “ezibonakala ngokulahleka kolawulo olunengqondo, kanye nezinguquko ezibalulekile nezilinganisekayo ku-neurochemistry yobuchopho. ” Izindlela ezifanayo zomzimba nezindlela zomzimba ziyasebenza ekugembuleni, ekudlaleni ividiyo, ekudleni ngokweqile, ekusebenziseni izidakamizwa nasekuziphatheni ngokweqile ngokocansi. Manje sinawo amathuluzi okukala (kuwo wonke umuntu) izinguquko zobuchopho ezihlobene nazo zonke izidakamizwa. Njengososayensi wezinzwa I-Max Wiznitzer  wachaza,

Sesivele siyazi ukuthi yini iphrofayli [yobuchopho] yokuthatha izithombe ngokuziphatha okuluthayo nokuthi iphrofayili iyini ngohlelo lokuvuza, okuluhlelo lwe-dopamine. … [T] yakhe iyiphethini yokwenza kusebenze engacacisi ebucayi. Akunandaba ukuthi yini umlutha, kuzothinta izindawo ezifanayo.

Ngokufanayo, isazi sokusebenza kwengqondo eStanford University uBrian Knutson sathi:

Kunengqondo uma ungase uhlehlise [izijikelezo zobuchopho ezasungulwa ukuze zikhokhelwe ukuziphatha okuthuthukisayo] nokuzivocavoca, ungayenza ngemiklomelo yemvelo futhi.

Ngamafuphi, kunokuba wehlise isikhundla noma ususe i- "Hypersexual Disorder" kwi-DSM, iqembu lomsebenzi kufanele liyise okusha Isiyaluyalu nezinkinga ezihlobene. Kakade i-DSM iyavuma ukuthi abagijimi bezemidlalo nalabo ababhekene nokuziphatha okucindezelayo ngokocansi bavame ukukhombisa izimpawu ezifanayo, njengokungakwazi ukulawula ukusetshenziswa ngaphandle kwemiphumela emibi kanye nokukhula kwesimo esibi kakhulu. (Qhathanisa indlela lapha futhi lapha.)

Kukhona ama-oodle okududuzayo izifundo zobuchopho babadlali bokugembula usebenzisa izikrini nezivivinyo, konke okubonisa ngokucacile ukuthi ukugembula ngokweqile kungabangela izinguquko zomzimba ezinjengezobuchopho zishintsha kubantu abahlukumeza izidakamizwa. Ngokuphambene, kunezifundo ezimbalwa kuphela emiphumeleni yobuchopho obuningi kakhulu Ukusebenzisa i-inthanethi ye-porn or ukubheja ngokocansi. Kodwa-ke, ziveza izinhlobo zezinguquko ezimbi ezibonwa ebuchosheni babadlali bokugembula.

Lezi zinqolobane ezingasetshenziswanga azikhombisi ukuthi izithombe zocansi / ingxoxo zanamuhla azikwazi ukudala ukuluthwa — njengoba kugcizelelwa ezinye izazi zocansi. Basho ukuthi ucwaningo oludingeka kakhulu alukwenziwanga — futhi akunakwenzeka ukuthi lwenziwe ngokushesha okukhulu — ngezizathu esizofinyelela kuzo ngomzuzwana.

Abacwaningi bezokugembula sebevele basebenzile ukuhlolwa kwegazi, ukuhlolwa kwengqondo futhi, yebo, ubuchopho bokuhlola ezilinganisa izici ezibalulekile zokulutha ngokweqile. Ngenkathi ukuhlolwa okunjalo kungenzeki ekusetshenzisweni komuntu ngamunye, kusizile ukusungula izindlela zokuxilonga zezifo ezihlobene nokulutha. Kungenzeka ukuthi izindlela ze-DSM zokuxilongwa kokulutha ngokweqile kwe-hypersexual zingase zihlonishwe ukuthola ngokunembile ngisho nangokwengeziwe ubukhona (noma ukungabikho) kwezinguquko ezihlobene nokulutha: i-dopamine dysregulation (impendulo yenjabulo eningi), ukuzwela nokuzenzisa.

Isibonelo, kungahle kube khona umehluko ophawuleka ebuchosheni bomuntu oveza isimilo sohlobo lweTiger Woods uma kuqhathaniswa nomuntu oboshwe kwi-porn yanamuhla ye-Intanethi futhi elwela ukuyeka. Cabanga ngalokhu okuhlangenwe nakho kokuzithoba komsebenzisi we-porn:

Ngemuva kwamasonto ambalwa engekho i-PMO (i-porn / indlwabu / i-orgasm), ngazama okuthile okuhluke ngokuphelele - M no-O ngaphandle kwe-P - into engingakaze ngiyicabange. Ezinsukwini ezimbili kamuva, ngangeza i-P ku-MO ngesikhashana futhi ngabuyela emuva. Lokhu okuhlangenwe nakho okubili kwakuhluke kakhulu. I-MO nje yayicishe ishaqise, ngoba ngangingenayo i-buzz engakhululekile ngemuva kwalokho, akukho ukushintsha kombono. Kwavela kwaba umuzwa omnandi, oqabulayo. Ngokuphambene nalokho, iseshini ephelele ye-PMO yazizwa sengathi ngangiku-DRUG ngokuphelele. Sonke isithombe siguqule umzimba wami waba ukuqhuma okushisayo kwezingxabano, ngasinye esisha sinamandla kakhulu kunesokugcina. Ngangizizwa ngicishe ngifane “nokwanda kwedope” okusuka ebuchosheni bami emzimbeni wami. Ngokungazelelwe ngangikwazi ukuzwa futhi ngizizwe KONKE ngokujulile. Lapho-ke bekungathi ifu lobuwula lingiqongile, futhi yonke into yaba ndikindiki. Lowo muzwa wagcina okungenani izinsuku ezimbili. Ukukhanyisela.

Kungaba ukuhlakanipha ukulinda

Akungabazeki ukuthi iqembu lomsebenzi we-DSM lingathanda ukubona ucwaningo oluningi ngaphambi kokuthatha isinyathelo sokusiza labo abakhombisa ukuba sengozini yezinguquko zobuchopho besifo ngenxa yemvelo yanamuhla yezocansi ngokweqile. Sithanda, futhi. Kodwa lapha, ukubambezeleka kungaba ukunganaki, futhi kuyingozi kakhulu kulabo abawela ekusebenziseni izithombe zobulili ezingcolile ekuqaleni kokuphila. (Ngokungafani nokugembula, okuyinhloko ehambisana nabantu abadala abanemali, izithombe ze-intanethi zikhululekile futhi zitholakale kuwo wonke umuntu.) Ngaphandle kokuxilongwa okulungile, intsha eqala isikhathi eside ngaphambi kokuba ubuchopho bayo ithuthukiswe ngokugcwele futhi ifinyelele ekukhuphukeni kwengqondo ekukhuphukeni okungenakuze thola ukuthi ibhalansi izwa kanjani.

I-DSM kufanele isebenze manje. Nakhu ukuthi kungani:

1. Ngokungafani nokugembula, ukusetshenziswa kocansi kwanamuhla akugcini nje kuphela kubantu abambalwa. 2008 izibalo uveze ukuthi amaphesenti angama-87 wabesilisa, namaphesenti angama-31 abesifazane, abasebenzisi bekhompyutha asebevele babuka izithombe zocansi. Lokhu kusho ukuthi uma iqembu lomsebenzi we-DSM liqagela okungalungile ngokungabi nangozi kwe-porn, kukhona amathuba okuthi abaningi bahlupheke ngokungadingekile kuze kube yilapho iqembu elithile lomsebenzi we-DSM lishintsha inkambo. Ucwaningo olusha lwe I-2000 abaseSweden abasha  ukusebenzisa i-Inthanethi yezocansi kubonisa ukuthi i-5% yabesifazane ne-13% yamadoda abika izinkinga ngokusetshenziswa kwazo. A Ucwaningo lwe-2009 yamadoda ekolishi yase-US bathole amaphesenti aphezulu abasebenzisi abamukela izinkinga ezihlobene ne-porn. Lezi zindaba ziphawuleka ngokunikezwa ukuthi abasebenzisi abancane abangcolile / abathintekayo abangeke babone ukuziphatha ngokweqile ngokocansi njengenkinga. Eqinisweni, abasebenzisi abaningi abanosizi, ikakhulukazi labo abahlukumeza ukungasebenzi kahle kwe-erectile, abaqapheli ukuthi ukusebenzisa i-intanethi ye-Internet kwakungumthombo wezimpawu zabo ezihlobene nomlutha kuze kube amasonto ngemuva bayeka, futhi bathola ukuthuthuka kwemizwelo, isifiso sokuhlangana, kanye nokuphendula ngokocansi. Uma wazi ukuthi ontanga yakho bebeshaya indlwabu ezithombeni zobulili ezingcolile ze-Intanethi selokhu baqala, futhi ochwepheshe baphikelela ukuthi ayikho into efana nokuthi "ngokweqile," izimpawu zakho kufanele zibe zimbi ngaphambi kokucabanga kabusha ngombangela. Urologists wase-Italy, noma kunjalo, ziqala ukwenza ukungabi namandla-uxhumano lwe-porn.

2. Ucwaningo oluningi lungahle, kepha akudingekile ukuqaphela ukusetshenziswa kocansi okuphoqelela njengesifo esihlobene nokulutha. Ubufakazi beminyaka eyishumi edlule manje busekela ngokuqinile amandla okulutha emivuzo yemvelo. Usihlalo we-neuroscience eMount Sinai Medical Center Eric Nestler uthi, “Ubufakazi obukhulayo bukhombisa ukuthi indlela ye-VTA-NAc nezinye izifunda zomzimba… ziyalamula, okungenani ngokwengxenye, imiphumela emihle yemizwa yemivuzo yemvelo, njengokudla, ubulili nokuxhumana nabantu. Lezi zifunda ezifanayo nazo ziye zathinteka kulokho okubizwa ngokuthi 'yimilutha yemvelo' (okungukuthi, ukusetshenziswa okuphoqelelwe kwemivuzo yemvelo) njengokudla ngokweqile, ukugembula okuyisifo kanye nokulutha ngokocansi. ” Ngamafuphi, izithombe zobulili ezingcolile zanamuhla zinamandla okudambisa i-dopamine ebuchosheni babanye abasebenzisi-noma ngabe ososayensi bake bacwaninge ngemiphumela ye-porn ye-Intanethi ebuchosheni.

3. Ososayensi baphinde bahlukanisa izinto ezahlukahlukene ezandisa ubungozi bokulutha, njengokulula ukufinyelela (i-porn engenamkhawulo itholakala ngo-24/7 ngokuchofoza) kanye nokufunwa okusha. Ngamanye amagama, kunezizathu eziqinile, zesayensi zokuphetha ngokuthi i-porn yanamuhla inamandla okubangela izinguquko zobuchopho ezingaphazamisa inkululeko yokuzikhethela, zinciphise ukuphendula injabulo, futhi ziqhakaze zibe umlutha ogcwele. Ama-sexologists njengamanje abeka zonke izithombe zobulili ezingcolile esigabeni esifanayo "esingenabungozi", kepha, eqinisweni, izithombe zobulili ezingcolile ze-Intanethi zingaba umlutha kakhulu kune-static erotica, noma kuqashwe nama-DVD endulo. Akunakwenzeka ukuthi umuntu angahlakulela i-ED ukushaya indlwabu Playboy noma ukuqashwa komfana we-pizza okwenza ikhasimende. Ngokuphambene nalokho, ngokuchofoza ngokuzikhandla ekuveleni okungenasiphelo kanye nokuhlukahluka nokufuna okuhle, okushisayo, noma okunye okukhiqizayo ukukhipha izinkinga konke ukukhulula i-dopamine engadlulela isifo sokwemvelo futhi iholele ekudambiseni. Inveli, empeleni, ingasebenza njengayo umvuzo wakhe we-neurochemical ngaphandle kwe-orgasm. Ungahle ungafuni enye i-burger ... kepha uzodla ama-calories kathathu ngohlobo lweshizi. Ama-squirts we-dopamine ebuchosheni bakho akhipha ukusutha.

4. Ingozi yokusetshenziswa kocansi okuphoqelela ingakhula njengoba ababukeli abasha beqala ngezinto ezivuselelayo. (Ubuchopho obuncane bukhiqiza i-dopamine eningi futhi buningi bepulasitiki.) Yize kunenkolelo ejwayelekile yokuthi i-porn ayinabungozi, amawebhusayithi wokubuyisa ama-porn aqhamuka kuyo yonke iwebhu. Abavakashi bamasayithi anjalo nabavakashi bezindawo ze-Q & A ezifana neMedhelp neYahoo Answers babika ukusetshenziswa kokucindezelwa nezinye izimpawu ezivamile kubo bonke abayimilutha: ukuhoxiswa, ukubekezelelana (isidingo sokwenyuka okukhulayo), ukukhathazeka okukhulu, izinto eziza kuqala, nokunye. Abanye bathuthukisa ukungaqali ukukhathazeka komphakathi, izinkinga zokuhlushwa, futhi ukuphuza ukujula / i-ED. Ucwaningo lwebongo lukhombisa ukuthi zonke lezi zimpawu zingase zichazwe kangcono nge-dopamine dysregulation ebuchosheni-isici esiyisisekelo sezo zonke izidakamizwa.

5. Ekugcineni, uma i-DSM ichitha ukusetshenziswa kocansi okuphoqelela kusuka kumanuwali ezayo, ngubani ongakhokhela imizamo yocwaningo olwengeziwe lobuchopho? I-DSM ayisebenzi ekutholeni ucwaningo. Abacwaningi beSexology abayikhuthazi ngoba iningi alifundelanga ukuqonda (ngakho-ke lilahle) ukubaluleka kwalo. Abaphenyi bokuluthwa ngokuziphatha bayakuqonda ukufaneleka kwako, kepha bathambekele ekugxiliseni imizamo yabo kwenye indawo (ukukhuluphala, ukugembula, ukudlala imidlalo yevidiyo) -ngxenye yokugwema izinsolo ezinesibindi zokuthi "banesimilo" ngabangazi. Ngaphezu kwalokho, akunasisekelo sokulinda ucwaningo oluphelele ngoba abacwaningi bazohlala bephazamisekile emizamweni yabo yokulinganisa imiphumela yangempela ye-porn ye-Intanethi. Ucwaningo lwe-Mere ngeke lufinyelele ngokuphelele emiphumeleni yobuchopho. Izifundo ezenzelwe kahle zibhekene nesithiyo esikhulu: Kunzima ukuthola amaqembu wokulawula we izithombe zocansi “izintombi. ” Noma bengatholwa, mancane amathuba okuthi amakomidi wokuziphatha angavuma ukuveza izihloko ze-naïve ezinhlotsheni ezimbi kakhulu, nezingashintsha ingqondo, izinto ezibukwa ngokunganaki ngabasebenzisi abaningi banamuhla.

Ngamafuphi, uma i-DSM ingenzi lutho, kungenzeka ukuthi silinde isikhathi eside kakhulu ukuthi iqembu labasebenzi be-DSM elizayo balungise izinto. Okwamanje, abahlinzeki bezokunakekelwa kwezempilo basele bengenayo indlela yokuxilonga nokuphatha kahle ukusetshenziswa kocansi okuphoqelela iziguli ngoba akukho ngokusemthethweni. Ngempela, kungenzeka ukuthi odokotela abaningi (namakhasimende afisa ukuyeka ukusebenzisa i-porn) bangathukuthela uma bengazi kahle ngenhloso yeqembu lomsebenzi ukuhambisa buthule noma ukususa i- "Hypersexual Disorder."

Ukunika amandla iklayenti

Ngokuphambene nemodeli yezokwelapha, okuyinto esitshela sonke sijwayelekile kuze kube yilapho sidlula umcabango ongacabangeki ekuguleni, ukusetshenziswa kwe-hyperstimuli kuyintlambo elula yabantu abaningi. Uma i-DSM kufanele ivume ukuthi ukusetshenziswa kwe-porn ngokweqile kuyinkinga ehlobene nokulutha umlutha, kuyosiza ngokungaqondile ukufundisa abasebenzisi be-porn mayelana izimpawu lezozinqubo zokulutha izikhangiso emsebenzini ngaphambi baba izidakamizwa.

Isibonelo, bekungaba ulwazi olujwayelekile ukuthi ukunciphisa ukuphendula ngokocansi kubasebenzisi be-porn akuyona "ejwayelekile," kepha kunalokho ubufakazi bokubekezelelana; ukuthi izimpawu zizokwehla uma abasebenzisi bema futhi banikeze ubuchopho babo isikhathi sokubuyisa ukuzwela okujwayelekile; ukuthi ukuhoxa kungaba buhlungu futhi kukhiqize ukukhathazeka, kuya ngezinga lokwehla kwesisu; nokuthi ukululama ngokugcwele kungathatha izinyanga.

Ukuqonda okucacile kwalokho okwenzekayo ebuchosheni bakhe, nokuthi indlela aziphatha ngayo ithinta kanjani lezo zinguquko zobuchopho, kunika isiguli / iklayenti amandla. Uyakwazi ukukala inqubekela phambili nezingqinamba zakhe njengoba ebuyisa ukuzwela kwemvelo kwengqondo yakhe. Ngokushesha uzizwa enethemba, futhi nokubuyela emuva kuyafundisa. Nakhu ukuphawula kwamadoda amane asebenzise isayensi yezobuchopho yokulutha ukulutha isimilo ekusetshenzisweni kwabo kocansi okunzima:

Ngathola isikhathi sokungabi yi-libido amasonto nje ngemva kokuba ngiyeke, kodwa manje kubonakala sengathi ngihambahamba nge-boner usuku lonke futhi ngizizwa nginjengesilwane okufanele ngidumise lapho ngisondelene nabesifazane. Akumangalisi ukuthi anginayo inkinga ekufinyeleleni nasekugcineni ukulungiswa okuqinile ngesikhathi socansi. Lokhu kuphambene nokuhlezi phambi kwekhompiyutha ukushaya i-penis-erect penis kuya ezingcolile zobulili ezingcolile njengofana ngingu-1-2 izinyanga ezedlule.

Lesi sikhathi ezungeze [izinsuku eziyi-13 zokuyeka izithombe zobulili ezingcolile / ukushaya indlwabu] kuphinde kwaqinisa okunye ukwesaba kwami ​​[mayelana nokuheha kwami ​​izithombe zobulili ezingcolile zobulili obufanayo] futhi kwasiza ukuqinisa iqiniso lokuthi uma ngiyeka lo mkhuba, ngizokwazi ngokuphelele ukuba nobulili obuhle abesifazane. Yebo, ngabhayiza, kodwa kanye nokuzitika ngotshwala kwafika ulwelwesi lwesiliva. Lezo zikhathi ezimbalwa zokuqala ukushaya indlwabu zazithokozisa kakhulu futhi kwakungezocansi ezingcolile ze-vanilla. Kungibonisile ukuthi ngaphandle kokubheda, ukuthanda kwami ​​ubulili kuzoqala ukujwayelekile futhi lokho bekukuqinisa kakhulu. Lezi zinto ze-vanilla bezingakaze zibe yi-blip ku-radar yami emasontweni amane edlule, kepha manje ingishayele ihlane. Vele, njengoba ngangiqhubeka nokuzitika ngadlulela ezintweni ezimbi kakhulu, ngiphinde ngenze kucace ukuthi umlutha usebenza kanjani kulokho engikuthandayo. Kwakufanele nginyuse ukuze ngithole ukushesha okufanayo.

Sekuyizinsuku ezingama-34 selokhu ngenza i-PMO cocktail ebengiyisebenzisa, futhi uma ngiqhubeka isikhathi eside, ngizwa amandla ami akhula ngokwengeziwe. Ngizithola nginethemba futhi ngisebenza kahle futhi lokho kusiza ithoni. Nginamathemba ambalwa ekubhekaneni nabathandanayo online - okufanele kuholele osukwini kuleli sonto. Ngiphinde ngazibona ngazisa ubuhle besifazane bangempela ngaphezulu, okuyinto emangalisa nje.

Uma ukwazi ukuphatha okungenani amasonto ama-3, uzobona ukuthi konke lokhu kunamandla kangakanani. Ukucaca nokuntuleka kokucindezeleka kimi kwakubonakala kakhulu futhi ngangizizwa njengomuntu ohlukile. Kunginike ithemba lokuthi akukho lutho olungahambi kahle kimi. Ngizibona ngiphinda ngine-spice sempilo. Kanye nawo wonke umuntu. Ngokwethembeka impilo yami, uma kukhulunywa ngokwenhlalo, iyashintsha, futhi ngiyayibona noma ngabe ngibuyele emuva ngezikhathi ezithile.

Uma i-DSM ishaya izinkinga zobulili ngaphansi komgqa, ke-ke labo bantu (ikakhulukazi abancane) basala bengenakho indlela yokuqonda izimo zabo ngokunembile. Kungase kuphele kalula izidakamizwa ze-psychotropic ngokuphila-ngephutha.

Lo mphumela odumazayo ungumphumela wesigamu seminyaka semfundiso engafanele mayelana nobungqingili. Ochwepheshe bezocansi bezemfundo bacabanga ukuthi, ngokungafani nezinye izidakamizwa, ubungqingili buvela "ezimweni esezivele zikhona" njenge-ADHD, i-OCD, ukudangala noma ukukhathazeka / amahloni. Bacabanga lokhu, ngokwengxenye, ngenxa yezinkolelo zabo eziqinile ukuthi ukusetshenziswa kocansi akunakubangela ukugula. Yize kuyiqiniso ukuthi izakhi zofuzo nokuhlukumezeka ebuntwaneni kungabeka abanye abantu engcupheni yokulutha, kuyashesha ukucabanga ukuthi lokhu kuhlala kunjalo ocansini, nokuthi ukweqisa uqobo akukwazi ukwehlisa i-dopamine.

Eqinisweni, ukubuyisela abasebenzisi be-porn njalo njalo kubika ukuthuthukiswa kulezi zimpawu zezo zimiso, noma ngabe zithi babe nesimo esinjalo noma cha. Ngamanye amazwi, noma yikuphi ukuqala kwawo, ukushintsha kwabo ukuziphatha israpeutic. Ngempela, kulokho esikuziyo, ucwaningo lungase luveze ngelinye ilanga ukuthi imithi yezimo ezivame ukuxilongwa njenge-ADHD, ukucindezeleka nokukhathazeka akusebenzi kangcono kunokumisa nje ukusetshenziswa kwe-porn-inthanethi-njengoba nje izidakamizwa zokucindezeleka zingasebenzi kangcono kunokuzivocavoca.

Mhlawumbe isibonakaliso esibuhlungu kakhulu esihlobene nocansi lapho izinsizwa manje zifuna ukwelashwa yi-ED. Besaba ukuthi bonakele impilo, ukuthi akukho okungenziwa, ukuthi abasoze bakwazi ukuqinisa ubudlelwane. Abanye baze bazibulale. Kodwa-ke uma becabanga ukubuza odokotela babo nge-ED nangokweqile, babuza mayelana "nokushaya indlwabu," futhi baqinisekiswa ngokushesha ukuthi ukushaya indlwabu akunakubangela i-ED (mhlawumbe iyiqiniso). Kodwa-ke, cishe wonke umfana omncane othi "ukushaya indlwabu," empeleni kusho "ukushaya indlwabu ezingcolile ze-Internet." Ngakho-ke, umyalezo awususayo ukuthi ukushaya indlwabu kwi-inthanethi ye-porn akunakubangela i-ED yakhe (yamanga).

Ukwenza izingxabano zanamuhla ngokushaya indlwabu kudida iziguli kanye nabasebenza kwezokwelapha. Ukweqisa ngokweqile okudlula ukusutha kwemvelo futhi kubangele ukuguquka kobuchopho be-pathological, hhayi ukushaya indlwabu-noma kunalokho ukuhlanganiswa kwalokhu okubanga izinkinga. Khonamanjalo, lapho odokotela behlola ama-hormone eziguli zabo ezincane ze-ED, njll., Futhi bengatholi lutho olungalungile, babanikeza impendulo ethize, edingwa yi-DSM entulayo, ukuthi izinkinga zabo “zibangelwa ukukhathazeka.” Ukunethezeka okuncane okwenzelwe insizwa ephelelwe yithemba enenkinga ebuyela emuva uma itholakala kahle futhi ifundile.

Masenze okulungile

Sekuyisikhathi sokuthi i-DSM ibhekane nesayensi yokulutha ngokweqile ngokuziphatha ngokuphathelene nokuphoqeleka ngokocansi. Ukuphoqeleka ngokocansi kudinga usizo lokuqonda ushintsho ebuchosheni babo ukuze bakwazi ukubabuyisela ekuzweleni okujwayelekile. Amaphilisi nokwelulekwa “kwezimo ebezikhona” akuwenzi umsebenzi.

Izazi zobulili ezifundisayo ngokwesiko ziyagwema ukuguqula ukutholakala kocansi kwanoma ngubani. Kodwa-ke namuhla "okujwayelekile" (okungukuthi, okujwayelekile) ukusetshenziswa kocansi kubangela izimpawu kwabanye abasebenzisi kakhulu okungavamile kusukela ekuboneni ngokomzimba. Njengomphakathi, sidinga ukucaca kakhulu ngemiphumela yesiphathamandla sezocansi ebuchosheni ngokuqasha ukutholakala kwezidakamizwa-ukutholakala kwesayensi kanye namathuluzi okuhlola kunokuba kunqunywe emfundweni yomlando.

Ngisho nosuku bezocansi bezemfundo bangase bajabule ngolunye usuku uma i-DSM igxila ekuqapheliseni kwabo ukuxhumana okujulile phakathi kobulili nesayensi yamuva yobuchopho. Ukucwaninga izidakamizwa kubonisa ulwazi olubalulekile mayelana nezizinda zobuchopho ezihambisana kakhulu nomsebenzi wabo. I-circuit circuit yokubusisa ilawula / isebenza i-libido, izinketho kanye ne-orgasm ngaphezu kokulutha. Imfundo engcono mayelana nalesi sigaba sobuchopho, empeleni, izokukhuthaza ukuqonda okwengeziwe izici ezibucayi kobulili bomuntu kanye ukubambisana kokubili.

Okwamanje, cishe yonke insizwa enama-computer ethola indlela eya kwi-Internet ye-porn / ingxoxo. Ukusetshenziswa kwamantombazane kuyakhula, futhi. Imiphumela ye-Porn ebuchosheni babo ngeke isuke ngoba i-DSM ayibanaki ngokusemthethweni. Sekuyisikhathi eside iqembu elibalulekile lomsebenzi lifakwe e-inertia ngokukholelwa kwalo okungasekelwa kokuthi "Zonke izithombe zobulili ezingcolile azinabungozi." Uma lezi zifundiswa zingavele zishintshe igama elithi "i-porn" zifake elithi "stimuli," bezobona ngokushesha ubuthakathaka esikhundleni sabo.

Ukwelapha ukucindezelwa ngokocansi njengengxabano ehlobene nokulutha umlutha ngoba imiphumela yalo ebuchosheni yayiyohambisana nomkhuba wokugula ngengqondo yonke:

Isisekelo sokuqonda [kwengqondo yezengqondo] sisuka kwesinye isiyalo, sisuselwa kuzimo 'zengqondo', siye kwesinye, isayensi yezinzwa. ” Thomas Insel 

Ngaphandle kokuthi i-DSM isicubungule kabusha isinqumo sayo sakamuva, labo ababambeke ezintweni zanamuhla zokwenziwa bazoqhubeka nokutholwa ngokungeyikho futhi badikibaliswe ekwenzeni izinguquko ezingaguqula ukugula kwabo. Uma kunalokho abalobi be-DSM entsha benza ukugcizelela ukuxhumana phakathi kokujikeleza komvuzo wobuchopho kanye nokuphazamiseka kwe-hypersexual, bangenza lukhulu ukusiza ukuvikela inkululeko yokuzikhethela yawo wonke umuntu nokulangazelela injabulo yobulili.

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