Ukukhishwa kwe-Internet Porn Addiction kwenza akukho-Sense Sense (2012)

Kokubili i-anorexia yezocansi nokulutha kobulili kungabelana.

Eposini lakhe lakamuva, uDkt. Ley uzwakalisa ukuthi ukhathazekile “ukuthi ososayensi nabacwaningi nama-theorists bayavuma ukuthi ukulutha ngocansi kungokoqobo."Ucabanga ukuthi ezombusazwe ziyadlalwa, kepha akaniki sizathu sokuthi kungani abacwaningi bemilutha, bona laba abangakafundi ubuchopho bezidakamizwa ezingcolile, bangenza isimangalo esinjalo.

Mhlawumbe lezi zinkinga zokulutha izidakamizwa zincike kwisayensi futhi azifihlekanga ukuxilongwa kwe-puritanical. UDkt. Ley uyaqhubeka enganaki izimiso eziyisisekelo zokuphila abacwaningi basekela isiphetho sabo ukuthi umlutha wobulili ungokoqobo. Ngokuyinhloko, uyayishaya indiva lezi zihloko eziyisisekelo:

I-1) Izidakamizwa zokuhlukunyezwa zikhulisa noma zinciphisa izindlela ezivamile zomzimba.

Lokhu kusho ukuthi izindlela eziguqukile zokulutha umlutha sezivele zikhona ebuchosheni (ukusigcina sisidla, ukuxuba, amanzi okuphuza, nokubopha komunye nomunye). Izidakamizwa ezilahlayo zivele zithinte lezi zindlela futhi izifunda. Ingabe uDkt Ley uphakamisa ukuthi isifunda esihlukile, esingakaze sithole ubuchopho sikhona ekusetshenzisweni kocansi noma nge-intanethi?

I-2) Iqoqo lezibonakaliso ezithile nezimpawu zikhomba ukuguqulwa kwezinguquko ezingezansi. Uma kutholakala ukuxilongwa, kubonisa ukuthi iqoqo elithile lokungahleleki kwezinto eziphilayo nezomzimba kuye kwenzeka. Ukuxilongwa ngemitholampilo kusekelwe kulezi zici ezilula. Lo kwakuwumyalezo oyinhloko ovela kuwo ASAM: iqoqo lezibonakaliso, izimpawu, nokuziphatha zimelela isici esithile sokuguqulwa kobuchopho.

The “Ama-C amane” yindlela eyodwa yokuhlola ukulutha:

  • Ukungakwazi Control ukusetshenziswa
  • Ukuphoqwa ukusebenzisa
  • Iqhutshwa sebenzisa naphezu kokubi Imiphumela
  • ukunxanela - ngokwengqondo / ngokomzimba

Amadoda esithangamini sethu abazibona njengezigqila ze-porn izimpawu zokuhoxiswa lapho beyeka ukusebenzisa i-porn, bese bekhombisa wonke ama-C amane okulutha.

Akunangqondo ukuphakamisa ukuthi umsebenzisi we-porn onazo zonke izimpawu, izimpawu kanye nokuziphatha komlutha akakwazi ukuba nezinguquko zobuchopho ezitholakala kubo bonke abanezidakamizwa zamakhemikhali nezokuziphatha abakhombisa izimpawu nezimpawu ezifanayo.

Impikiswano yokuthi ubuchopho bemilutha yezocansi ayikahlolwa (akulona iqiniso ngokuphelele) ayisebenzi, njengoba odokotela bengasebenzisi ukuskena kobuchopho ukuthola ukulutha. Ngaphezu kwalokho, ezinye izimo zobuchopho ezinjenge-Alzheimer's kanye nesifo sikaParkinson zivame ukutholakala ngaphandle kosizo lwezikena zobuchopho.

I-3) Zonke izidakamizwa zihilela izinguquko ezifanayo ezinkulu kule izindlela ezifanayo ze-neural. Izinguquko ezinkulu ezitholakalayo zonke izidakamizwa zihlanganisa:

a) Ukungahlehlisi kahle: Ibandakanye ukwehla kwe-D2 receptors ne-dopamine. Lokhu kubonakala sengathi ubhekene nokuthokoza okungaphansi kwemiklomelo yemvelo, ushiya umlutha kancane ukuzwela injabulo, futhi "balambele" imisebenzi / izinto zokwenyusa i-dopamine yazo zonke izinhlobo.

b) Ukuzwela: Ukuqiniswa kokudluliselwa kwe-synaptic okuholela ekukhululweni okungavamile kwe-dopamine ekuphenduleni ukukhuluma nokusetshenziswa kwezidakamizwa.

c) I-Hypofrontality: Ibandakanya ukuncipha kwezindaba zangasese ezimpunga ze-cortex kanye nesimetabolism, nokuhlehliswa kwezindaba ezimhlophe. I-cortex yangaphambili iyisihlalo somsebenzi ophezulu, ukulawula umfutho, nokukwazi ukubikezela imiphumela.

Ubuchopho obungenhla buguquka bubonisa ukuzivumelanisa nokugqugquzela ngokweqile komjikelezi womvuzo. Kuye kwacatshangwa ukuthi lezi zinguquko zibangelwa yimiphumela enobuthi yezidakamizwa, kodwa ucwaningo olusha lubonisa ukuthi lukhona nalabo abanalo ukulutha kokudla, ukugembula ukubheja, futhi yebo, Ukulutha kwe-intanethi.

Uma wonke ucwaningo amaphuzu kwesinye isiqondiso, akunangqondo ukucinga enye imbangela yesethi yokuziphatha yokuziphatha. Yingakho i-ASAM (ubulungu bayo buhlanganisa ezinye izicwaningi eziphezulu zomlutha emhlabeni), ngokucacile ithi izidakamizwa zokuziphatha ngokocansi zikhona.

Umbuzo ocacile kuDkt Ley yilokhu: Uma umlutha we-Internet owaziwa yi-Internet onawo wonke izibonakaliso, izimpawu kanye nokuziphatha okuvamile kuzo zonke izidakamizwa, yiziphi izinguquko zengqondo ezingabangela lokhu kuqoqwa kwezimpawu? (Ukuvivinya umlutha ngu-APA) 

  1. Sicela uchaze ukuthi iziphi izindlela zomzimba ezihilelekile uma kungenjalo ukuguqulwa kobuchopho.
  2. Bese uchaza ukuthi yikuphi ukuhlukunyezwa kocansi noma ngokobulili okuwukuphela kokuphela komthetho.

Akuyona yini yezombangazwe ukungayigcini imizimba eyisisekelo kanye nobufakazi obungokomtholampilo ukuze wenze okuhlukile kokubusa?

Ingabe i-Anorexia yocansi ne-Hypersexual Co-ekhona?

UDkt Ley: Incazelo yokulutha ngokocansi ifaka phakathi kokubili ukweqisa ocansini kanye ne "anorexia yezocansi," echazwa ngokuthi "ukuziphatha okuphikisayo ekusebenzelaneni ngokocansi." Ungaphikisana kanjani noma uphikise ukuxilongwa okufaka kokubili ubukhona besifo nokungabikho kwaso?

Lo mbuzo ukhombisa ukungaqondi kokulutha okuyisisekelo kwe-neurobiology. Kufana nokubuza ukuthi kungani umlutha wokudla okhuluphele ngokweqile engasazikhathaleli izinti zesilimo esidliwayo esinamagatsha anamanzi, noma kungani umlutha we-cocaine engasathokozi ukuhamba ngokuzikhandla epaki.

Impendulo: kokubili ukuzwela nokwehliswa kwemisebenzi kusebenza ebuchosheni bomlutha wezithombe ezingcolile.

Ngicabanga ukuthi uDkt. Ley ubhekisela ku ucwaningo olwenziwa yi-Italian Society of Andrology kanye neMithi Yezocansi, okwathola ukungabi namandla okuphoqelela kanye ne "anorexia yezocansi" kwezinye izinsizwa ezinempilo. Njengoba udokotela womchamo abika, la madoda ahlupheka i-porn-ihoxiswe i-ED, nokho wabuyiselwa ngokugwema ukusetshenziswa kocansi.

Ngicabanga ukuthi uLey uthi isigamu "socansi" sombuzo wakhe kungaba ngamadoda aqhubeka nokusebenzisa i-porn naphezu kwemiphumela emibi (ie copulatory ED). Lokhu ukuzwela emsebenzini.

Ukukwazisa kuhilela izinguquko zesakhiwo lapho izilonda ezihlobene nokulutha, noma izidakamizwa ezihlobene nokulutha umlutha, zivuselela umvuzo wokujikeleza owedlule kakhulu kuneminye imivuzo. Lesi yisisekelo sokuthanda. Ucwaningo lwebongo lwembula lokho okubonayo (ukubona ipayipi lokuqhekeka) kungagxilisa i-dopamine njengokuthatha umuthi. Ngabantu abaningi abayimilutha ye-porn e-Intanethi, izindlela eziqinisekisiwe ziholela ekusukeleni okukhulu kakhulu ekuphenduleni imikhondo yezocansi kuneminye imivuzo yemvelo, kufaka phakathi ucansi nomlingani wangempela. Akukona ngempela “ubungqingili”; kungumlutha. I-porn ye-Intanethi ayiyona ucansi. Kuyizikrini ze-2-D nokusha komlilo okusheshayo, okunakho akukho ukuhlobana ngokobulili wangempela nomlingani.

Ingxenye "ye-anorexia" ye-equation kungaba ukwehluleka ukugcina ukwakhiwa komlingani wangempela wezocansi. Lokhu ukungafuneki emsebenzini.

Izidakamizwa zibangela ukwehla kokuzwela kokusekela kwe-dopamine nokuphendula kwe-dopamine nezinye imivuzo yemvelo. Cabanga ukungafuneki njengempendulo ejabulisayo enemibuzo. I-Dopamine ingumphumela wokuthakazelisa, kodwa futhi ngemuva kwe-libido kanye nokukhethwa. (Impendulo enjengoba yimbangela yezizathu zokuthi zonke izidakamizwa ezinkulu zivimbela isifiso socansi.) Njengomlutha wezocansi uqhubeka, i-dopamine eyisisekelo esezansi nephansi yenza kube nzima ukuthokozela ukuthenga kwangempela.

Indaba efingqiwe:

Ukukwazisa = Kuphakeme kunempendulo evamile ye-dopamine ku-inthanethi ye-porn

Ukungahlehlisi = Impendulo ephansi kakhulu ye-dopamine emivuzo yemvelo, kufaka phakathi ubulili

Addiction = Ukufuna i-dopamine


UPDATE:

  1. Bona “Kungani Ngithola I-Porn Ebaluleke Kakhulu Kunokuba Ngumlingani?”Ukuthola ingxoxo ephelele ngokwedlulele ngomehluko phakathi kokuzwela nokuzwela.
  2. Ukuxilongwa okusemthethweni? Umbhalo wezokwelapha wezokwelapha osetshenziswa kakhulu emhlabeni, I-International Classification of Diseases (ICD-11), iqukethe ukuxilongwa okusha efanelekile ukulutha izidakamizwa: "Ukucindezeleka Ngokuziphatha Ngokwemvelo. "(I-2018)
  3. Ukulutha kobulili / ucansi? Leli khasi libala Ucwaningo lwe-39 lwe-neuroscience (I-MRI, i-FMRI, i-EEG, i-neuropsychological, i-hormonal). Banikeza ukusekela okuqinile ngesimodeli sokulutha kwezidakamizwa njengoba iziphumo zabo zibuyisa ukutholakala kwezinzwa ezibikiwe ezifundweni zokulutha izidakamizwa.
  4. Imibono yangempela yezobuchwepheshe ekubhekaneni nocansi / ucansi? Lolu hlu luqukethe Ukubuyekezwa kwezincwadi ezingama-16 zakamuva nezincazelo ngezinye zezazi eziphezulu zezinzwa emhlabeni. Bonke basekela imodeli yokulutha.
  5. Izimpawu zokulutha umlutha nokukhula kwezinto ezimbi kakhulu? Ngaphezulu kwezifundo ze-30 zokubika okutholakele okuhambisana nokwanda kokusetshenziswa kocansi (ukubekezelelana), ukujwayela i-porn, kanye nezimpawu zokuhoxa (zonke izimpawu nezimpawu ezihlobene nokulutha).
  6. Ukubheka iphuzu lokukhuluma elingasekelwa ukuthi "isifiso sobulili esiphakeme" sichaza ukulahla ucansi noma ukulutha ngokobulili: Okungenani izifundo ze-25 zikhohlisa isimangalo sokuthi ubulili nemilutha ye-porn "banesifiso esiphakeme sobulili"
  7. Izinkinga zobulili nezinkinga zobulili? Lolu hlu luqukethe izifundo ze-26 ezixhumanisa ukusetshenziswa kwe-porn / ukubheja kocansi ezinkingeni zobulili kanye nokuvusa okuncane ezenzweni zobulili. I fiziqu ze-5 ezingekho ohlwini zibonisa ibangela, njengoba abahlanganyeli beqede ukusetshenziswa kwezingcolile kanye nokuphulukisa okungavamile kocansi.
  8. Imiphumela yocansi ebuhlotsheni? Ucwaningo oluseduze lwe-60 luxhumanisa ukusetshenziswa kwe-porn kuya ekungeneni kocansi nokuzaneliseka komndeni. (Njengoba sifana nathi konke Izifundo ezibandakanya abesilisa ziye zabika ukusetshenziswa okuningi kocansi okuxhunyiwe abampofu ubulili noma ukwaneliseka kobudlelwano.)