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'Boits'oaro bo hlephileng ba ho kopanela liphate' Ho thoe ke Mental Health Disorder ea Mokhatlo oa Lefatše oa Bophelo

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Ka tlaase mona ho na le lintlha tse nang le matla bakeng sa baqolotsi ba litaba le batho ba bangata mabapi le sehlopha se secha sa ho hlahloba. Ke kakaretso e potlakileng ho blog ya.

Ka la 12 Mphalane ka June 18, bangoli ba Lefats'e la Bophelo ba Lefapha la Machaba la Mafu, 2018th Pheta-pheta, hlahisa phatlalatso ea phatlalatso e phatlalatsang hore phetolelo ea ts'ebetso ea ICD-11 e tlang hona joale e fumaneha Inthaneteng. E ne e akarelletsa ho qobella ho kopanela liphate ho kopanela liphate (CSBD) ka lekhetlo la pele. Ho sa tsotellehe menyenyetsi e 'maloa e khelosang ho fapana le seo, hase' nete hore WHO e hanne "ho lemalla ho kopanela liphate" kapa "ho lemalla ho kopanela liphate".

Boitšoaro bo bobe ba ho kopanela liphate bo 'nile ba bitsoa ka mabitso a sa tšoaneng ho feta lilemo: "bosodoma", "lithethefatsi tsa bootsoa", "ho lemalla ho kopanela liphate", "boitšoaro bo hlephileng ba ho kopanela liphate" joalo-joalo. Lethathamong la eona la morao-rao la maloetse WHO e nka mohato o lebisang tlhokomelong ea bothata ka ho amohela "Compulsive Sexual Behavior Disorder" (CSBD) e le lefu la kelello. Ho ea ka setsebi sa WHO, Geoffrey Reed, ts'oaetso e ncha ea CSBD "e etsa hore batho ba tsebe hore ba na le" boemo ba sebele "'me ba ka batla phekolo."

  • Khatiso ea Press e ka bonoa setsing sa WHO Mona. Bakeng sa bonolo, re e hlahisitse ka botlalo mona ka tlase.
  • Phatlalatso ea ICD-11 e bua ka ho tlatsetsoa ha papali e le lefu la kelello, le hore na ho se tsotellehe ho kopanela liphate hona joale ho arotsoe.
  • E joalo u se ke ua bua ngoe e fumanoang e ncha: "Mathata a boitšoaro bo hlephileng ba ho kopanela liphate"E hlahang ho" Mathata a ho laola maikutlo ".
  • "Laola Lintlha"Tlasa tekano e 'ngoe le e' ngoe e kenyeletsa polelo ena: "Tsamaiso ea khoutu bakeng sa MMS ea ICD-11 e tsitsitse."
  • Mona ke mongolo oa ho qetela oa "Boloetse ba ho kopanela liphate ka ho qobella" ho hlahlojoa:

Mokhathala oa ho Kopanela Liphate ka ho Kopanela Liphate Mokhatlo oa Lefatše oa Bophelo

tepelletse maikutlong

Ho kula ha boitšoaro bo hlephileng ba ho kopanela liphate [6C72], qetellong ho fana ka litsebi tsa tlhokomelo ea bophelo bo botle, ho bonahatsa hore o na le bothata ba ho laola boitšoaro ba thobalano ho sa tsotellehe liphello tse mpe. Ha e le hantle ts'ebetsong ea likhoka tse ncha li fapana hohle, empa ntho ea bohlokoa ke hore litsebi tsa bophelo bo botle ba lefats'e li lumellane hore boitšoaro bo bobe ba ho kopanela liphate bo tšoanela ho fumanoa. Ke lentsoe la sekhele le selelele le ka sebelisoang ho mang kapa mang ea finyelloang. "Boitšoaro bo hlephileng ba ho kopanela liphate" hape bo "bitsoa ho lemalla ho kopanela liphate kapa bosodoma" ho ea ka setsebi sa lingaka Jon E. Grant, JD, MD, MPH ka Psychiatry ea joale (February 2018: p.3). Tlhahlobo e ncha ea CSBD e ka boela ea sebelisetsoa ho hlahloba ba nang le litšoantšo tse manyala tse hlephisang boitšoaro tsa Inthanete matšoao a amanang le ho sebelisoa.

Ho feta 80% ea batho ba nang le boitšoaro bo bobe ba ho kopanela liphate, ba tlaleha ho sebelisa litšoantšo tse manyala tse hlephisang boitšoaro ka ho feteletseng kapa mathata.

"Litšoantšo tse litšila tse tsosang takatso li ka 'na tsa emela ponahalo e hlaheletseng ea bosodoma (e boetse e bitsoa ho qobella ho kopanela liphate, ho lemalla ho kopanela liphate kapa boitšoaro bo feteletseng ba ho kopanela liphate lingoliloeng - Kafka, 2010; Karila et al., 2014; Wéry & Billieux, 2017) hobane lithuto tse' maloa ho feta 80% ea batho ba ratanang le ba bong bo fapaneng ba tlalehile litšoantšo tse litšila tse tsosang takatso / bothata (Kafka, 2010; Reid et al., 2012) ". (Bőthe et al. 2018: 2)

Libuka tsa ho hlahloba joaloka tsa WHO Kemiso ea Machaba ea Maloetse (ICD-11) le Mokhatlo oa American Psychiatry Association Buka ea ho hlahloba le ea ho hlahloba litlhahlobo tsa Bophelo ba kelello (DSM-5) se ke oa bitsa maemo a bophelo bo botle ba kelello e le "Lithethefatsi" ka se. Ba khetha ho sebelisa lentsoe "Mathata."

"Boits'oaro ba ho kopanela liphate ho qobella" ho fumanoa ke mokhoa oa ho hlōleha ho laola litakatso tse matla, tsa thobalano kapa litakatso, tse hlahisang boitšoaro bo bocha ba ho kopanela liphate ka nako e telele (mohlala, likhoeli tsa 6 kapa ho feta).

Ho etsa hore ho be le bothata ba ho kopanela liphate ka ho kopanela liphate

Bahlahlobisisi ba mehleng ea pele ba ne ba amehile ka hore ho na le mokhoa o mong oa ho hlahlojoa ka molao o tla sebelisoa ho hlohlelletsa batho ba nyane ka thobalano le mekhoa e meng ea thobalano Leha ho le joalo, ho finyella litekanyetso tsa ho hlahloba bakeng sa CSBD, boitšoaro bo bothata bo tlameha ho baka mahlomola a ts'oanang a sa tsitsang kapa ho senyeha ho hoholo ho motho ka mong, malapeng, sechabeng, thuto, mosebetsing, kapa libakeng tse ling tsa bohlokoa tsa ts'ebetso. Ka mantsoe a mang, tlhahlobo e ncha ha e fumane hore na bakuli ba thehiloe hokae eng boitšoaro bo bobe ba ho kopanela liphate ba kenang ka bolokolohi. E hlahloba bakuli ba itšetlehileng ka bothata bo sa khaotseng le mahlomola. Haeba boitšoaro bo bobe ba ho kopanela liphate, mofuta leha e le ofe o sebetsang, ha bo hlahise, lefu lena le lecha le ke ke la sebetsa.

Bahlahlobisisi ba bang ba ile ba lemosa hore ho hlahlojoa ha CSBD ho ka fella ka ho hlahlojoa ka phoso ke bakuli bao boitšoaro ba bona bo neng bo sa ikemiselitse, le bao khatello ea bona e neng e bakoa ke kahlolo ea boitšoaro ka mokuli kapa setsebi. Ho thibela liphello tse joalo, ts'oaetso e ncha e fana ka hore, "Matšoenyeho a amanang ka ho feletseng le mehlolo ea boitšoaro le ho sa amohele maikutlo a ho kopanela liphate, ho phehella, kapa boitšoaro ha boa lekaneng." Ka mantsoe a mang, mokuli ha e le hantle a ke ke a khona ho laola maikutlo 'me a be ho kopanela boitšoarong bo bobe ba ho kopanela liphate bo fetohileng bothata.

'Nete ea ho tseba ho tseba hore na ke mang

Ho bile le liphapang tse ngata tse lebisang ho phatlalatso ea lenane le lecha ho ICD-11. Lefu la boitšoaro bo hlephileng ba ho kopanela liphate (ho boleloang ka mokhoa o lekanang le lefu la hypersexual) le ne le nkoa e le ho kenngoa DSM-5 empa qetellong lea lefshoa. Ho ea ka bo-rasaense ba etellang pele litsebi tsa meriana, "ho khetholloa hona ho sitisitse thibelo, lipatlisiso le boiteko ba kalafo, 'me ba siea lingaka ntle le hore ba fumanoe ba le tlas'a khatello ea boitšoaro ba ho kopanela liphate." (Potenza et al. 2017)

Hona joale, karolo ea motsoali ea ts'oaetso ea CSBD e ncha ke Impulse Control Disorders, e kenyelletsang lits'oaetso tse kang Pyromania [6C70], Kleptomania [6C71] le Intermittent Explosive Disorder [6C73]. Leha ho le joalo lipelaelo li ntse li le teng ka sehlopha se loketseng. Joale, e leng Yale, ea nang le kelello ea lintho tsa lefutso, e leng Marc Potenza MD, PhD le Mateusz Gola PhD, mofuputsi oa Poland Academy of Sciences le Univesithi ea California San Diego, o re, "Ts'ebetso ea morao-rao ea ho khetholla boloetse ba CSB e le khatello ea ho laola maikutlo ke ho ngangisana le mekhoa e meng. e hlahisitsoeng ... Ho na le dintlha tse bontšang hore CSB e arolelana likarolo tse ngata le lithethefatsi. "(Kraus et al 2018)

Ho ka 'na ha e-ba molemo ho hlokomela hore ICD-11 e kenyeletsa ho hlahlojoa ha Bothata ba papali ea chelete tlas'a mathata a mabeli ka lebaka la Likhathatso tsa Addictive le tlas'a khatello ea Impulse Control Disorders. Ka hona, ho aroloa ha mathata ha ho hlokahale kamehla hore e be ntho e ikemetseng (Bőthe et al. 2018: 2). Lenane le ka boela la fetoha ka nako. Bothata ba papali ea chelete e ne e le tšoaetso ea maikutlo ho DSM-IV le ICD-10, empa e itšetlehile ka tsoelo-pele ea kutloisiso e bohlale, papali ea chelete e sebelisitsoe hape e le "Matšoao a amanang le" Addictive Disorder "(DSM-5) le "Mathata ka Lebaka la Boitšoaro bo Ikhethang" (ICD-11). Ho ka etsahala hore ts'oaetso ena e ncha ea CSBD e ka latela tsela e tsoelang pele ea tsoelo-pele e kang ho becha ea bothata.

Ho sa tsotellehe hore na puisano ena e fetoha joang ha nako e ntse e ea, ho kenngoa ha CSBD ho ICD-11 hona joale ho fana ka tlhokomelo e amohelehang le e hlokahalang ea hore ho na le batho ba hlokang ho kenella ka katleho ho ba thusa ho ntlafatsa boitšoaro ba bona ba thobalano le liphello tsa bona. E tla boela e tsamaise lipatlisiso tse ngata tsa nakong e tlang mabapi le boitšoaro bo hlephileng ba thobalano.

"Ho tla ba ho loketseng ho nahana ka hore na DSM le Likamano tsa Machaba tsa Maloetse (ICD) li sebetsa joang mabapi le mekhoa ea tlhaloso le ea lihlopha. Ha re etsa joalo, re nahana hore ho bohlokoa ho tsepamisa mohopolo tabeng ea papali ea papali ea chelete (eo hape e tsejoang e le papali ea papali ea chelete) le kamoo e neng e nkoa kateng DSM-IV le DSM-5 (hammoho le ICD-10 le ICD-11 e tlang). Ho DSM-IV, papali ea papali ea chelete e ne e arotsoe e le "Matšoao a ho Laola-Tšusumetso e Hlaselang Hantle." Ho DSM-5, e ile ea hlophisoa hape e le "Ho amana le lithethefatsi le ho lemalla bothata". "Tsela e tšoanang e lokela ho sebelisoa ho CSB, e ntseng e nkoa e le tšenyo ea ho laola maikutlo ho ICD-11 (Grant et al., 2014;; Kraus et al., 2018) ". Litlhaloso tsena li nkiloe ho Gola le Potenza 2018.

Treatment

Ka morao ho Mokhatlo oa Lefatše oa Bophelo (WHO) e khethollang boloetse ba papali le CSBD e le maemo a bophelo ba kelello, a tlaleha ho Guardian koranta o ile a bolela hore sepetlele sa London se itokiselitse ho qala setsi sa pele sa National Health Service-setsi sa tšebeliso ea lithethefatsi sa lichelete bakeng sa bacha le batho ba baholo. Lingaka tsa ho kopanela liphate sebakeng se seng se bone ho eketseha ha bareki ba bacha ba qobellang ho sebelisa lits'ebetso tsa ho intša le likamore tsa puisano tsa inthanete, le mathata a bophelo bo botle ba kelello ka lebaka la seo.

Ho ea ka PhD ea Mateusz Gola, mofuputsi oa Poland Academy of Sciences le Univesithi ea California San Diego, ho hlahlojoa ha CSBD e ncha ho na le melemo e meng hape. "E fana ka lintlha tse hlakileng tsa ho hlahloba. Ho feta moo, litsebi tsa mafu a kelello le tsa mafu a kelello li koetlisong hona joale li tla ithuta bothata bona. Ntle le ho hlahlojoa ha li-CSBD, lingaka tse ngata li ne li sa tsejoe ka litaba tsa boitšoaro bo hlephileng ba ho kopanela liphate. Qetellong, sena se ka etsa hore bakuli ba eketsehileng ba fumane phekolo e entsoeng ke inshorense. "Gola o phaella ka hore, ts'oaetso e ncha," ha e rarolle bothata ba ho tšoara CSBD ka katleho, empa e lumella lithuto tse tsitsitseng, tse ka lebisang ho mekhoa e tiileng, e ka tšeptjoang. "

Ho Fumana Mokuli ho Eketseha

Shane W. Kraus, Ph.D. Motlatsi oa Moprofesa oa Psychiatry le Motsamaisi oa Setsi sa Meriana ea Boitšoaro ba Lithethefatsi Lefapheng la Edith Nourse Rogers Memorial Veterans, Sekolo sa Bongaka sa Massachusetts se boletse mabapi le sehlopha se secha sa ho hlahloba: "Ena ke mohato o motle oa pele. Ho kenngoa ha CSBD ho ICD-11 ho ka 'na ha eketsa monyetla oa ho fumana tlhokomelo ho bakuli (linaheng tse ling le ho US). Ho phaella moo, ho kenyeletsoa ho tla boela ho eketsa lichelete tsa lipatlisiso tse kileng tsa tsepamisoa kelellong matšoao a bophelo bo botle ba kelello. Ho phaella moo, ke nahana hore e tla fokotsa khethollo ho batho ba amehileng le ho eketsa thuto e eketsehileng ea mofani ka taba ena. "

Koetliso ea Boetlha ba Bophelo

Sepheo se hlalositsoeng sa morao tjena ICD-11 e lokolloa ke ho lumella linaha hore li koetlise litsebi tsa bophelo bo botle mananeong a buka eo. Bafuputsi ba boetse ba phehella hore litsebi tsa litsebi le baeletsi ba koetlisoe le ho utloisisa hamolemo litloaelo tsa ho kopanela liphate:

"Hape ke habohlokoa hore bafani ba tlhokomelo (ke hore, litsebi le baeletsi) bao ho bona batho ba ka batlang thuso ba tloaelane le CSBs. Nakong ea lithuto tsa rona tse amanang le litaba tsa 3,000 tse batlang phekolo ea CSB, re 'nile ra utloa hangata hore batho ba nang le bothata ba CSB ba kopana le lithibelo tse ngata ha ba ntse ba batla thuso kapa ba kopana le lingaka (Dhuffar & Griffiths, 2016). Bakuli ba tlaleha hore lingaka li ka 'na tsa qoba sehlooho, tsa bolela hore mathata a joalo ha a eo, kapa ho fana ka maikutlo a hore motho o na le matla a phahameng a ho kopanela liphate,' me o lokela ho e amohela ho e-na le ho phekola (ho sa tsotellehe seo, batho ba CSB ba ka 'na ba ikutloa ba le mahlahahlaha a bile ba etella pele ho liphello tse mpe tse ngata). Re lumela hore litekanyetso tse hlalositsoeng hantle bakeng sa khatello ea CSB li tla khothaletsa boiteko ba thuto ho kenyeletsa nts'etsopele ea mananeo a koetliso mabapi le ho hlahloba le ho tšoara batho ba nang le matšoao a boloetse ba CSB. Re tšepa hore manane a joalo a tla fetoha karolo ea koetliso ea bongaka bakeng sa litsebi tsa kelello, litsebi tsa mafu a kelello, le bafani ba bang ba litšebeletso tsa tlhokomelo ea bophelo ba kelello, hammoho le bafani ba bang ba tlhokomelong, ho akarelletsa le bafani ba tlhokomelo ea mantlha, joaloka lingaka tsa kakaretso. "(Kraus et al 2018)

Motheo oa Moputso

The Motheo oa Moputso ke thuto ea bopula-maliboho e etsang hore saense ea thobalano le lerato e fumanehe ho bamameli ba bangata. Re tsepamisitse maikutlo holima tšusumetso ea litšoantšo tsa bootsoa tsa Inthanete ho bacha le bacha ba baholo. Re filoe tumello ea Royal College of General Practitioners London ho tsamaisa likopano tsa 1-letsatsi bakeng sa litsebi tse nang le tšusumetso ea ho sheba litšoantšo tse manyala tse hlephisang boitšoaro tsa marang-rang litabeng tsa kelello le tsa 'mele. Sena se tšehetsa merero ea Mokhatlo oa Lefatše oa Bophelo oo khatiso ea litaba ka tlase e totobatsang tlhokahalo ea koetliso har'a basebetsi. Re boetse re ruta likolong 'me re tla fana ka lithupelo le lithupelo tsa matichere hamorao selemong sena. Re fana ka litšebeletso tsa lipuisano ho mekhatlo e lakatsang ho hlahisa litšoantšo tsa bootsoa-e lematsa mananeo a tlhokomelo

Bakeng sa lipuisano kapa boitsebiso bo eketsehileng ho kopanyelletsa le likopi tse feletseng tsa mehloli e boletsoeng, ka kopo ikopanye info@rewardfoundation.org.

FOOTNOTE

Tlaleho e feletseng ea ICD-11 Press Release.

WHO e lokolla Mefuta ea Machaba ea Maloetse (ICD 11) 18 June 2018 News Release Geneva

Mokhatlo oa Lefatše oa Bophelo (WHO) o lokolla Lenane la Machaba la Machaba oa Maloetse (ICD-11).

ICD ke motheo oa ho khetholla mekhoa ea bophelo bo botle le lipalo-palo lefatšeng ka bophara, 'me e na le matšoao a ikhethang a 55 000 bakeng sa likotsi, maloetse le lisosa tsa lefu. E fana ka puo e tloaelehileng e lumellang litsebi tsa bophelo bo botle ho arolelana boitsebiso bo botle bo botle lefats'eng lohle.

"ICD ke sehlahisoa seo WHO e hlileng e leng motlotlo ka sona," ho bolela Dr Tedros Adhanom Ghebreyesus, Mookameli oa WHO. "E re nolofalletsa ho utloisisa haholo ka se etsang hore batho ba kula mme ba shoe, le ho nka bohato ho thibela mahlomola le ho boloka bophelo."

ICD-11, e seng e fetile lilemo tse leshome ho etsoa, ​​e fana ka ntlafatso e kholo liphetolelong tse fetileng. Ka lekhetlo la pele, e na le elektronike ka ho feletseng 'me e na le mefuta e mengata e sebelisoang ke batho. Hape ho bile le ts'ebeliso ea basebeletsi ba tlhokomelo ea bophelo bo kileng ba e-s'o ka ba e-ba teng likopanong tse kopanetsoeng le ho fana ka litlhahiso. Sehlopha sa ICD sa ntlo-khōlō ea WHO se amohetse litlhahiso tsa 10 000 bakeng sa liphetoho.

ICD-11 e tla hlahisoa Mokhatlo oa Lefatše oa Bophelo ka May 2019 bakeng sa ho amoheloa ke Litho tsa Litho, 'me e tla sebetsa ka 1 January 2022. Phallo ena ke ponelopele esale pele e tla lumella linaha ho rera ho sebelisa mokhoa ona o mocha, lokisetsa liphetolelo, le ho koetlisa litsebi tsa bophelo bo botle naheng eohle.

ICD e boetse e sebelisoa ke li-insurers tsa bophelo bo botle ba tsona bo itšetlehileng ka khokahano ea ICD; baokameli ba lenane la bophelo ba naha; litsebi tsa pokello ea boitsebiso; le ba bang ba bonang tsoelo-pele ea bophelo bo botle ba lefatše 'me ba lekanyetsa ho aroloa ha mehloli ea bophelo.

ICD-11 e ncha e boetse e bona tsoelo-pele ea meriana le tsoelo-pele ea kutloisiso ea saense. Ka mohlala, lintlha tse amanang le ho thibela likokoana-hloko li haufi haholo le tsamaiso ea Lekala la ho Hanyetsa Likokoana-hloko tsa Global Antimicrobial (GLASS). ICD-11 e boetse e khona ho hapa litlhaloso mabapi le polokeho ea tlhokomelo ea tlhokomelo ea bophelo, e leng se bolelang hore liketsahalo tse sa hlokahaleng tse ka lematsang bophelo - tse kang mosebetsi o sa sireletsehang lipetlele - li ka tsejoa hape li fokotseha.

ICD e ncha e boetse e na le likhaolo tse ncha, e 'ngoe merianeng ea setso: le hoja batho ba limilione ba sebelisa meriana ea setso lefatšeng ka bophara, ha e e-s'o behoe tsamaisong ena. Khaolo e 'ngoe e ncha mabapi le bophelo bo botle ba botona le botšehali e kopanya maemo ao pele a neng a arotsoe ka litsela tse ling (mohlala, ho itšoara ha basali ho thathamisitsoe tlas'a maemo a bophelo bo botle ba kelello) kapa ho hlalosoa ka tsela e fapaneng. Mathata a lipapali a ekelitsoe karolong ea mathata a lemalang.

"Molao-motheo o ka sehloohong oa phetoho ena e ne e le ho nolofatsa mohaho oa khokahano le thepa ea elektronike-sena se tla lumella litsebi tsa tlhokomelo ea bophelo bo botle hore li hlahise maemo a bonolo le ho feletseng," ho bolela Dr. Robert Jakob, Moeta-pele oa Sehlopha, Litlhaloso tsa Boitsebiso le Litekanyetso, WHO.

Dr. Lubna Alansari, Motlatsi-Motlatsi oa Motlatsi oa Bophelo le Tekanyo ea Mantsoe ea WHO, o re: "ICD ke lejoe la sekhutlo la tlhahisoleseding ea bophelo bo botle 'me ICD-11 e tla fana ka pono ea morao-rao ea mekhoa ea mafu."

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