Yɛn nyinaa wɔ mmere a yɛda dae awia, bere a yɛyera yɛn adwene bere tiaa bi. Sɛ woreka kar a, mpofirim ara wobisa sɛ, "Ɛyɛɛ dɛn na mebaa ha?" Ɛno yɛ ade a ɛfata. Nanso sɛ wote nka bere nyinaa sɛ wowɔ baabi a ɛda hɔ kwa kɛse, abusuabɔ a atwa, wɔ onipa ko a woyɛ, baabi a wowɔ, nea wo nkae yɛ ho a, ebia ɛno bɛyɛ biribi a ɛsɛ sɛ yɛka ho asɛm. Ɛno ne nea yɛfrɛ no Dissociative Disorders.
Sɛ yɛbɛka no tiawa a, dɛn ne Dissociative Disorder?
Eyi yɛ adwenemyare. Nea ɛkɔ so wɔ ha ne sɛ abusuabɔ a ɛda w’adwene, wo nkae, wo nkate, wo nipasu, ne wo ntease a wowɔ wɔ wiase a atwa wo ho ahyia no ntam no asɛe. Sɛ yɛbɛka no tiawa a, wote nka sɛ "wɔatwa" ne wiase ankasa, anaa w'ankasa wo nipadua. Ɛte sɛ nea wufi abɔnten rehwɛ w’asetra.
Saa tebea horow yi taa ba bere a wɔahyia asɛm bi a emu yɛ den na ɛyɛ awerɛhow akyi. Ɛte sɛ afiri bi a amemene no de bɔ ne ho ban de guan fi ɛyaw a wontumi nnyina ano mu. Nanso sɛ saa adwinnade yi kɔ so a, ebetumi anya da biara da asetra so nkɛntɛnso kɛse.
Dɛn ne tebea yi ahorow atitiriw?
Wɔakyekyɛ dissociative disorders mu titiriw ayɛ no ahorow abiɛsa. Ɛsono sɛnkyerɛnne ahorow a ɛsono emu biara kakra. Momma yɛnhwɛ nea wɔyɛ.
| Ɔhaw Su | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Dissociative Identity Disorder (DID) a Ɛma Nnipa Tew Wɔn Ho (DID) . | Nnipa a wɔyɛ soronko abien anaa nea ɛboro saa a ɛwɔ obi mu. Saa nkyerɛkyerɛmu yi mu biara (a wɔsan frɛ no "alters") wɔ n'ankasa nkae, nneyɛe, ne akɔnnɔ. Saa nipasu ahorow yi mu biako pɛ na edi onipa no so bere koro mu. |
| Dissociative Amnesia a Ɛma Nnipa Tew Wɔn Ho | W’asetra mu nsɛm a ɛho hia a wo werɛ befi mpofirim, titiriw nea ɛfa nsɛm a ɛyɛ hu ho. Eyi yɛ aniberesɛm kɛse sen werɛ a wofi daa. Ɛtɔ da mpo a, ebia wo werɛ befi onipa ko a woyɛ. |
| Depersonalization/Derealization Ɔhaw | Afã abien na ɛwɔ eyi mu. Depersonalization yɛ atenka a ɛne sɛ wobɛtwe wo ho afi wo nipadua ne wo nsusuwii ho, te sɛ nea wofi abɔnten rehwɛ wo. Derealization yɛ atenka a ɛne sɛ nnipa ne nneɛma a atwa wo ho ahyia no nyɛ nokware, na mmom ɛyɛ nea ɛyɛ hu, te sɛ dae. |
Nea ɛka ho no, sɛnkyerɛnne bi wɔ hɔ a wɔfrɛ no dissociative fugue . Nea ɛkɔ so wɔ ha ne sɛ wo werɛ fi onipa ko a woyɛ na mpofirim ara wuhu sɛ wowɔ baabi a wunnim.
Dɛn nti na tebea yi ba?
Wɔahu nea ɛde eyi ba titiriw ne osuahu ahorow a emu yɛ den a ɛyɛ hu (ahodwiriw) . Titiriw no honam fam, adwene mu, anaa nna mu ayayade a ɛkɔ so wɔ mmofraase no nya eyi so nkɛntɛnso kɛse.
Fa no sɛ abofra kumaa bi te ɛyaw ne ehu a wontumi nnyina ano. Saa bere no, abofra no nni ɔkwan biara a ɔbɛfa so aguan afi saa tebea no mu. Afei, amemene no, sɛnea ɛbɛyɛ a ebeyi saa ɛyaw no afi hɔ no, fi ase "tetew" fi saa adeyɛ no ho wɔ adwene mu. Ɛte sɛ nea wasi n'adwene sɛ "eyi nnyɛ me, ɛreto obi foforo."
Ɛwom sɛ mfiase no eyi boa ma ɛyaw no fi hɔ de, nanso bere kɔ so no, saa "ntetewmu" yi bɛyɛ su na efi ase ka asetra a ɛfata. Ɛno na ɛbɛyɛ aduruyɛ mu tebea.
Wɔ mmofraberem ayayade akyi no, .
- Ahyia akwanhyia a emu yɛ den
- Abɔde mu asiane (te sɛ nsuyiri, asasewosow) a wohyia .
- Ɔko tebea a wɔtra mu
- Nsɛmmɔnedi a anibere wom a wɔbɛyɛ no
Nneɛma a ɛte sɛɛ nso betumi ama tebea horow yi aba.
Dɛn ankasa na saa sɛnkyerɛnne ahorow yi te nka?
Ɛsono tebea yi ho sɛnkyerɛnne ahorow a egyina ne su so. Saa sɛnkyerɛnne ahorow yi betumi asɛe kɛse bere a adwennwen kɔ soro no.
Nsɛnkyerɛnne a Ɛfa Dissociative Identity Disorder (DID) Ho .
Sɛ obi anya DID a, ne suban betumi asesa kɛse fi bere bi akɔ foforo. Fa no sɛ wowɔ w’adamfo bi a ɔyɛ komm paa na ɔfɛre ade nna bi. Da foforo nso ɔyɛ ɔkwasea na ɔkasafo paa. Da foforo nso ɔyɛ n’ade te sɛ abofra ketewa. Saa "nnipa" no mu biara betumi anya nne soronko, nkae soronko, ne akɔnnɔ ahorow.
- Nkae mu nsonsonoe: Ɛtaa ba sɛ wobɛhwere nneɛma a woyɛe anaa wokae, w’ankasa wo ho nsɛm a ɛho hia, anaa nsɛm a esisii da no.
- Nnipa a wɔsesa wɔn ho: Saa nnipa a wɔsakra wɔn ho yi ba mpofirim a wontumi nni so.
Nsɛnkyerɛnne a Ɛfa Dissociative Amnesia Ho
Nsɛnkyerɛnne titiriw ne sɛ obi nkae ade (amnesia).
- Localized Amnesia: Nkae a ɛyera koraa wɔ adeyɛ pɔtee bi anaa bere pɔtee bi mu. (Sɛ nhwɛso no, sɛ wɔrenkae biribiara wɔ dapɛn a edii akwanhyia kɛse bi akyi no ho). Eyi ne ɔkwan a wɔtaa de di dwuma.
- Selective Amnesia: Adeyɛ bi afã horow a wɔapaw nkutoo a wo werɛ fi. (Sɛ nhwɛso no, nteɛteɛm a wɔkae bere a wɔreko, nanso ɛnyɛ ɔkwan a wɔfaa so bɔɔ onipa no).
- Generalized Amnesia: Wo werɛ fi onii ko a woyɛ ne nea w’asetra mu asɛm yɛ koraa. Eyi yɛ tebea a ɛntaa nsi koraa.
Mpɛn pii no, onipa no nnim sɛ wahwere ne nkae, nanso abusuafo ne nnamfo nim nsonsonoe no yiye.
Nsɛnkyerɛnne a ɛkyerɛ sɛ obi gyae ne nipasu/derealization disorder
Obi a ɔwɔ saa tebea yi nya saa nkate horow yi bere nyinaa.
- Depersonalization: Nkate te sɛ "Menni me nipadua mu," "Meda dae," "Me nne nyɛ me dea." Ebia wobɛte nka sɛ wo nipadua reyɛ ade a wontumi nni so, te sɛ robɔt.
- Derealization: Nkate te sɛ "wiase a atwa me ho ahyia no nyɛ nokware", "biribiara yɛ blurry, ɛte sɛ sini", "bere retwam brɛoo paa, anaasɛ ɛte sɛ nea ɛrekɔ ntɛmntɛm dodo".
Nea ɛho hia ne sɛ, sɛ saa nkate ahorow yi ba mpo a, onipa no nim sɛ eyi nyɛ ade a ɛfata . Ɛno nti na wotumi suro paa na wɔhaw wɔn ho sɛ wɔrebɔ dam.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛsɛ sɛ wudi kan kɔ wo duruyɛfo nkyɛn. Ɔne wo bɛbɔ wo yare no ho sɛnkyerɛnne ne w’ankasa abakɔsɛm ho nkɔmmɔ.
Nsɛnkyerɛnne te sɛ nkae a ɛyera nso betumi afi nipadua mu nyarewa afoforo mu aba, enti oduruyɛfo no bedi kan ahwɛ sɛ nneɛma a ɛtete saa de ba anaa.
- Ti a wɔapirapira
- Amemene mu akisikuru
- Dae a wonnya nni
- Nnubɔne anaa nsa a wɔnom
Sɛ wopow nipadua mu nneɛma biara a ɛde wo ba wie a, wo duruyɛfo de wo bɛkɔ adwenemyare ho ɔbenfo te sɛ adwenemyare ho oduruyɛfo anaa adwene ne nneyɛe ho ɔbenfo nkyɛn. Wɔne wo bɛkasa akyɛ, ahwɛ wo nneyɛe, na wɔahu sɛ ebia eyi yɛ dissociative disorder anaa.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Ɔkwan titiriw a wɔfa so sa tebea horow yi ne adwene mu ayaresa , anaa kasa mu ayaresa. Botae titiriw ne sɛ ɛbɛboa wo ma woadi saa "dissociation" nhyehyɛe ne sɛnkyerɛnne ahorow yi ho dwuma.
- Cognitive Behavioral Therapy (CBT): Eyi boa wo ma wuhu wo nsusuwii ne wo nneyɛe bɔne na wode nsusuwii a ɛyɛ papa si ananmu.
- Dialectical Behavior Therapy (DBT): Saa ayaresa yi ho hia yiye ma nnipa a wonya nkate horow a emu yɛ den yiye. Ɛboa wɔn ma wosua akwan foforo a wɔbɛfa so adi wɔn nkate horow ho dwuma.
- Eye Movement Desensitization and Reprocessing (EMDR) Ayaresa: Eyi hwehwɛ sɛ wɔkanyan aniwa no wɔ ɔkwan pɔtee bi so bere a wɔsan yɛ nkae a ɛyɛ hu ho adwuma no. Eyi boa kɛse wɔ ayaresa a wonya fi ahodwiriw mu no mu.
Ɛtɔ mmere bi a, saa ayaresa ahorow yi betumi ayɛ den efisɛ nea ɛka ho ne sɛ wɔbɛkae nneɛma a atwam a ɛyɛ yaw. Nanso, sɛ wɔde bere tenten sa yare wɔ oduruyɛfo a ɔwɔ ne mu ahotoso akwankyerɛ ase a, wobetumi adi yare no ho sɛnkyerɛnne ahorow no so na wɔanya asetra a edi mu.
Ɛwom sɛ nnuru pɔtee biara nni hɔ a wɔde bɛma saa tebea yi de, nanso wo duruyɛfo betumi akyerɛw wo nnuru ama tebea afoforo a ebetumi aka ho, te sɛ adwenemhaw anaa dadwen.
So eyi yɛ tebea a asiane wom?
Sɛ nnipa dodow no ara sa yare no yiye a, wobetumi adi wɔn yare no ho sɛnkyerɛnne so na wɔakɔ so ayɛ adwuma yiye wɔ wɔn da biara da asetra mu.
Nanso, mmɔden a wɔbɔ sɛ wobekum wɔn ho ne wɔn ho a wobepira abu so titiriw wɔ nnipa a wɔwɔ DID no mu. Nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ DID no mu bɛboro 70% bɔ mmɔden sɛ wobekum wɔn ho.
Sɛ wo anaa obi a wunim no resusuw ho sɛ obepira ne ho a, ntwentwɛn wo nan ase. Kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu (ETU) ntɛm ara, anaa wo ne wo duruyɛfo nkasa. Mmoa a wobɛsrɛ no nyɛ mmerɛwyɛ ho sɛnkyerɛnne, ɛyɛ ahoɔden ho sɛnkyerɛnne.
Sɛ worehyia saa sɛnkyerɛnne ahorow yi a, nsuro sɛ wobɛka ho asɛm. Eyinom nyɛ wo mfomso. Eyinom yɛ aduruyɛ mu tebea horow a wotumi sa. Dodow a wunya mmoa ntɛm no, dodow no ara na wobetumi anya w’asetra so nkɛntɛnso kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- Dissociative Disorders yɛ adwenemyareɛ a ɛfa atenka a ɛne sɛ "ɔtetew" ne ho, ne nkaeɛ, ne nea atwa ne ho ahyia ho.
- Nea enti titiriw a ɛte saa ne osuahu ahorow a ɛyɛ hu a emu yɛ den, titiriw wɔ mmofraase.
- Nkae a ɛyera, te nka sɛ wowɔ wo nipadua akyi, te nka sɛ nneɛma a atwa wo ho ahyia no nyɛ nokware, ne nnipa pii a wowɔ no ne sɛnkyerɛnne atitiriw.
- Eyi nyɛ wo mfomso. Eyi yɛ tebea a wotumi sa.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu. Adwene mu ayaresa betumi adi sɛnkyerɛnne ahorow no so yiye.
- Sɛ woresusuw ho sɛ wobɛpira wo ho a, mma wo nkutoo nhu amane da. Hwehwɛ nnuruyɛfo mmoa ntɛm ara.











💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment