Ukuphilisa Amanxeba angabonakaliyo: Unyango lobugcisa kunye ne-PTSD

Umxholo

• Imibala iye yandinceda kakhulu njengoko ndifumana i-PTSD.
• Yintoni iPTSD?
• Yintoni unyango lwezobugcisa?
• Unyango lobugcisa lunokunceda njani nge-PTSD
• I-PTSD, umzimba, kunye nonyango lobugcisa
• Ungamfumana njani ugqirha wobugcisa ofanelekileyo
• Yise kude

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Imibala iye yandinceda kakhulu njengoko ndifumana i-PTSD.

Xa ndifaka umbala ngexesha lonyango, lwenza indawo ekhuselekileyo yokuba ndivakalise iimvakalelo ezibuhlungu ezivela kwixesha lam elidlulileyo. Imibala ibandakanya indawo eyahlukileyo yengqondo yam endivumela ukuba ndenze imeko yam ngendlela eyahlukileyo. Ndiyakwazi nokuthetha ngezona nkumbulo zinzima zokuxhatshazwa kwam ngokwesondo ngaphandle kovalo.

Nangona kunjalo kukho okungakumbi kunyango lobugcisa kunombala, ngaphandle kwendlela yokuhambisa imibala yabantu abadala enokuthi icebise. Bakwinto ethile, nangona kunjalo, njengoko ndifundile ngamava am. Unyango lobugcisa, njengonyango lokuthetha, lunamandla okuphilisa xa usenziwa ngugqirha oqeqeshiweyo. Ngapha koko, kwabo bane-post-traumatic stress disorder (PTSD), ukusebenza nonyango lobugcisa kuye kwasindisa ubomi.

Yintoni iPTSD?

I-PTSD sisifo sengqondo esivela kwisiganeko esibuhlungu. Amava ayoyikisayo okanye asoyikisayo anjengemfazwe, ukuxhatshazwa, okanye ukungakhathalelwa okushiya umkhondo onamathela kwiinkumbulo zethu, iimvakalelo kunye namava omzimba. Xa kubangelwa, i-PTSD ibangela iimpawu ezinje ngokufumana kwakhona umothuko, uloyiko okanye uxinzelelo, ukuchukumisa okanye ukuphinda wenze into kwakhona, inkumbulo iphele, kunye nokuba ndindisholo okanye ukungafani.

"Iinkumbulo ezibuhlungu zihlala zikhona ezingqondweni nasemizimbeni yethu ngohlobo oluthile lukarhulumente, okuthetha ukuba zibambe iimvakalelo, ukubonwa, imizimba, kunye neemvakalelo ezaziva ngexesha lomsitho," utshilo uErica Curtis, waseCalifornia onelayisensi Umtshato kunye nonyango losapho. "Zizikhumbuzo ezingacaciswanga."

Ukufumana kwakhona kwi-PTSD kuthetha ukusebenza ngezi nkumbulo zingagcinwanga de zingasazibangeli zimpawu. Unyango oluqhelekileyo lwe-PTSD lubandakanya unyango lwentetho okanye unyango lokuziphatha kwengqondo (CBT). Ezi modeli zonyango zijolise ekubekeni ixhoba liphosakele ngokuthetha kunye nokuveza iimvakalelo malunga nesi siganeko sibuhlungu.

Nangona kunjalo, abantu banamava e-PTSD kwimemori, iimvakalelo, kunye nomzimba. Ukuthetha ngonyango kunye ne-CBT akunakwanela ukujongana nayo yonke le mimandla. Ukukhumbula umothuko kunzima. Kulapho unyango lobugcisa lungena khona.

Yintoni unyango lwezobugcisa?

Unyango lobugcisa lusebenzisa iindlela zokuyila ezinje ngokuzoba, ukupeyinta, imibala, kunye nemifanekiso eqingqiweyo. Ukufumana kwakhona i-PTSD, ubugcisa bunceda kwinkqubo yeziganeko ezothusayo kwindawo entsha. Ubugcisa bunikezela ngokuphuma xa amagama esilele. Ngomgqirha wobugcisa oqeqeshiweyo, inyathelo ngalinye lenkqubo yonyango lubandakanya ubugcisa.

UC Curtis ukwangumgqirha wezobugcisa oqinisekisiweyo. Usebenzisa ubugcisa ekwenzeni yonke inkqubo yokubuyisela i-PTSD. Umzekelo, "ukunceda abathengi bachonge izicwangciso zokulwa amandla kunye namandla angaphakathi ukuqala uhambo lokuphilisa," banokwenza iikholaji zemifanekiso emele amandla angaphakathi, uyachaza.

Abathengi bavavanya iimvakalelo kunye neengcinga malunga nokwenzakala ngokwenza imaski okanye ukuzoba imvakalelo kwaye baxoxe ngayo. Ubugcisa bokwakha umhlaba kunye nezakhono zokujamelana nokufota izinto ezintle. Inokukunceda ukubalisa ibali lomonzakalo ngokwenza umzobo wexesha.

Ngeendlela ezinje ngezi, ukudibanisa ubugcisa kunyango kujongana namava omntu wonke. Oku kubalulekile nge-PTSD. Umothuko awufumaneki nje ngamazwi.

Unyango lobugcisa lunokunceda njani nge-PTSD

Ngelixa unyango lwentetho kudala lusetyenziselwa unyango lwe-PTSD, ngamanye amaxesha amagama anokusilela ukwenza umsebenzi. Unyango lobugcisa, kwelinye icala, luyasebenza kuba lubonelela ngenye indlela, indawo efanelekileyo yokusebenza yokuthetha, zitsho iingcali.

"Ukuboniswa kobugcisa yindlela enamandla yokuqulatha ngokukhuselekileyo nokudala ukwahlukana namava awoyikisayo omothuko," kubhala ingcali kwezobugcisa eqinisekisiweyo yebhodi uGretchen Miller kwiZiko leLizwe loKonzakala kunye nokulahleka kwaBantwana. "Ubugcisa bunika ilizwi ngokukhuselekileyo kwaye lwenze ukuba amava asindileyo eemvakalelo, iingcinga kunye neenkumbulo zibonakale xa amagama engonelanga."

Wongeza uCurtis: "Xa uzisa ubugcisa okanye ubuchule bokuyila kwiseshoni, kwinqanaba elisisiseko, lingena kwamanye amava omntu. Ifikelela kulwazi… okanye iimvakalelo ekusenokwenzeka ukuba azinakufikeleleka ngokuthetha ndedwa. "

I-PTSD, umzimba, kunye nonyango lobugcisa

Ukubuyiselwa kwe-PTSD kubandakanya ukubuyisa ukhuseleko lomzimba wakho. Uninzi oluhlala ne-PTSD luzifumanisa lucinyiwe okanye lungahlukananga nemizimba yalo. Oku kuhlala kungumphumo wokuziva usoyikiswa kwaye ungakhuselekanga emzimbeni ngexesha leziganeko ezibi. Ukufunda ukuba nobudlelwane nomzimba, nangona kunjalo, kubalulekile ekufumaneni kwakhona kwi-PTSD.

UBessel van der Kolk, MD, ubhala athi: “Abantu abenzakeleyo baziva bengakhuselekanga emizimbeni yabo, kwiQumrhu Eligcina Amanqaku.” “Ukuze batshintshe, abantu kufuneka bazi iimvakalelo zabo kunye nendlela imizimba yabo enxibelelana ngayo nehlabathi elibangqongileyo. Ukuzazi ngokwasemzimbeni linyathelo lokuqala lokukhulula ubuzwilakhe obudlulileyo. ”

Unyango lobugcisa lubalasele ngomsebenzi womzimba kuba abathengi basebenzisa ubugcisa ngaphandle kwabo. Ngokukhuphela ngaphandle iziqwenga ezinzima zamabali abo okonzakala, abathengi baqala ukufikelela ngokukhuselekileyo kumava abo kwaye babone ukuba imizimba yabo yindawo ekhuselekileyo.

"Abanyangi bezobugcisa ngokukodwa baqeqeshelwe ukusebenzisa imithombo yeendaba ngazo zonke iindlela ngeendlela ezahlukeneyo kwaye oko kunokuba kukunceda ekufumaneni umntu ngakumbi emzimbeni wabo," utshilo uCurtis. "Njengokuba ubugcisa bunokuzivala iimvakalelo kunye namagama, inokuba ibhulorho ibuyele kumva wokuziva ukhuselekile kwaye ukhuselekile emzimbeni womntu."

Ungamfumana njani ugqirha wobugcisa ofanelekileyo

Ukufumana ugqirha wobugcisa ofanelekileyo ukuba asebenze ne-PTSD, jonga ugqirha onolwazi ngokwenzakala. Oku kuthetha ukuba i-Therapist yingcali yobugcisa kodwa ikwanazo nezinye izixhobo zokuxhasa abo basindileyo kuhambo lwabo lokufumana kwakhona, njengonyango lwentetho kunye ne-CBT. Ubugcisa buhlala buhlala busisiqalo sonyango.

"Xa ufuna unyango lobugcisa ngenxa yomothuko, kubalulekile ukuba ufune ugqirha onolwazi ngokukodwa ekudibaniseni iindlela ezenzakalisa iingcinga kunye nethiyori," ucebisa uC Curtis. "Kubalulekile ukuba uqaphele ukuba nakuphi na ungenelelo olwenziwe ngezinto ezibonakalayo nezibonakalayo zinokubangela umxhasi kwaye ke kufuneka zisetyenziswe kuphela yingcali yezobugcisa eqeqeshiweyo."

Ugqirha wobugcisa oqeqeshiweyo uya kuba ubuncinci isidanga se-master kunyango lwengqondo kunye nesongezelelo sonyango lobugcisa. Uninzi lweengcali zinokubhengeza ukuba zenza unyango lobugcisa. Kuphela ngabo baneziqinisekiso eziqinisekisiweyo (i-ATR okanye i-ATR-BC) abadlule kuqeqesho olungqongqo olubalulekileyo kunyango lwe-PTSD. Unyango lobuGcisa iBhodi eQinisekisiweyo ethi "Fumana iArhente yobuGcisa obuQinisekisiweyo" inokukunceda ufumane umcebisi ofanelekileyo.

Yise kude

Sebenzisa unyango lobugcisa ukunyanga i-PTSD ukujongana namava onke oxinzelelo: ingqondo, umzimba kunye neemvakalelo. Ngokusebenza nge-PTSD ngobugcisa, yintoni amava aboyikisayo abangele ukuba uninzi lweempawu zinokuba libali elingathathwanga ukusuka kwixesha elidlulileyo.

Namhlanje, unyango lobugcisa luyandinceda ukujongana nexesha elibuhlungu ebomini bam. Kwaye ndiyathemba ukuba kungekudala, elo xesha liya kuba yinkumbulo endinokukhetha ukuyishiya ndedwa, ndingaze ndiphinde ndindikhohlise.

URenée Fabian yintatheli esekwe eLos Angeles egubungela impilo yengqondo, umculo, ubugcisa kunye nokunye. Umsebenzi wakhe upapashiwe kwi-Vice, The Fix, Nxiba iLizwi lakho, ukuSekwa, ngokuRishishly, iDaily Dot, kunye neVeki, phakathi kwabanye. Ungajonga wonke umsebenzi wakhe kwiwebhusayithi yakhe kwaye umlandele kwi-Twitter @ryfabian.