Ðe nèsena le ɖokuiwò me hã be menye ye ŋutɔe oa? Mina míaƒo nu tso esiawo (Dissociative Disorders) ŋu!

Ðe nèse le ɖokuiwò me kpɔ be xexe si me nèle la menye nu ŋutɔŋutɔ oa? Alo abe ɖe nèle ɖokuiwò kpɔm tso wò ŋutɔ wò ŋutilã godo enea? Ðe nèŋlɔa nu veviwo gɔ̃ hã be ɣeaɖewoɣia? Ne nuteƒekpɔkpɔ siawo nɔa ŋuwò edziedzi la, ke ate ŋu adzɔ be masɔmasɔ ƒe dɔléle aɖe le ŋuwò . Mègatsi dzi o, míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukawoe nye vovototodedeameme ƒe dɔléle siawo?

Kpuie ko la, vovototodedeameme ƒe kuxi nye susu ƒe lãmesẽkuxi ƒomevi aɖe. Enye ne èse le ɖokuiwò me be kadodo aɖeke mele ye kple yeƒe nu ŋutɔŋutɔ, ye ŋutɔ yeƒe ŋutilã, alo yeƒe ŋkuɖodzinyawo dome o. Nya "dissociation" gɔmeɖeɖe ŋutɔŋutɔe nye "kaklã." Efia be èsena le ɖokuiwò me be kadodo aɖeke megale ye kple ame bubuwo, xexe si ƒo xlã ye, alo ye ŋutɔ gɔ̃ hã dome o eye kadodo aɖeke megale ye dome o.

Zi geɖe la, nɔnɔme siawo doa mo ɖa le ɣeyiɣi kpui aɖe alo ɣeyiɣi didi ƒe dzidziƒoame sesẽ (`trauma`) si wokpɔ le agbe ƒe ɣeyiɣi aɖe me ta. Bu eŋu abe mɔ si dzi nàto akpɔ susua ta ene. Eyae nye be ne dzidziƒoame si womate ŋu ado dzi atsɔ o dzɔ la, susua ‘ɖea kadodo ɖa’ hena ɣeyiɣi aɖe be yeaɖe vevesesea ɖa. Gake eva zua kuxi ne esia yi edzi.

Nukawoe nye vovototodedeameme ƒe dɔléle ƒomevi veviwo?

Dissociative disorders ƒomevi vevi etɔ̃e li. Na míalé ŋku ɖe nusiwo wonye ŋu.

1. Dzesidede Ame Ŋu ƒe Dɔléle (DID) .

Esiae nye nusi ame aɖewo yɔna be "amenyenye vovovowo." Nusi dzɔna le afisia enye be ame ɖeka ƒe dzesidenu vovovo eve alo esi wu nenema le esi . Míeyɔa dzesideŋkɔ siawo be ``trɔtrɔwo.' ' ``Alter'' ɖesiaɖe kpɔa amea ƒe nuwɔna dzi le ɣeyiɣi vovovowo me. Bu eŋu be menye ame ɖeka koe nènye le ɣeyiɣi aɖe me o, ke boŋ le ɣeyiɣi bubu me. ``Alter'' ɖesiaɖe ateŋu akpɔ eƒe ŋutinya tɔxɛ, nɔnɔme, nusiwo wòlɔ̃ kple nusiwo melɔ̃na o. Ele abe ame gbogbo aɖewo ƒe amesinɔnɔ le ŋutilã ɖeka me ene.

2. Dissociative Amnesia (Ŋkuɖodzinyawo Gbɔkpɔkpɔ).

Le nɔnɔme sia me la , mègakpɔa nyatakaka vevi siwo ku ɖe wò agbe ŋu o. Ðewohĩ nudzɔdzɔ aɖe koŋ si dzɔ le wò agbe me koe ŋlɔa ŋku sia be. Alo àte ŋu aŋlɔ wò agbemeŋutinya ƒe akpa gã aɖe be, ɖewohĩ ame si nènye gɔ̃ hã.

3. Amenyenyemaɖemaɖe/Nuteƒemakpɔmakpɔ ƒe Dɔléle

Àte ŋu akpɔ nuteƒekpɔkpɔ evea siaa le esia me, alo ɖeka koe ate ŋu asu asiwò.

• Amenyenye ɖeɖeɖa: Esiae nye ne èse le ɖokuiwò me be yeɖe ye ɖokui ɖa tso yeƒe susu, seselelãme, kple ŋutilã gbɔ. Ðeko wòle abe ɖe nèle wò agbe kpɔm tso gota ene, abe ɖe nèle sinima kpɔm ene.
• Nu ŋutɔŋutɔ ɖeɖeɖa: Esiae nye ne èse le ɖokuiwò me be nutoa me, amewo, kple nusiwo ƒo xlã ye menye nu ŋutɔŋutɔwo o. Nusianu ate ŋu adze abe drɔ̃e ene, si me kɔ o.

Tsɔ kpe ɖe esia ŋu la , dissociative fugueDzesi aɖe hã li si woyɔna be "ameflunya." Ebia be woagaɖo ŋku nu dzi hena ɣeyiɣi aɖe eye woanɔ teƒe si womate ŋu asusu o tamesusu aɖeke manɔmee.

Esi wònye be vovototodedeameme ƒe dɔlélewo nye dɔléle si do ƒome kple nuveviwɔame ta la, susu me kuxi bubuwo ate ŋu anɔ ame geɖe siwo ŋu nɔnɔme siawo le hã ŋu. Le kpɔɖeŋu me:

• Nuteɖeamedzi le Nuveviwɔame megbe (PTSD) .
• Amenyenye ƒe Dɔléle si le Liƒo Dzi (BPD) .
• Atike Vɔ̃ɖiwo Zazã ƒe Dɔlélewo
• Teteɖeanyi
• Dzimaɖitsitsi ƒe Dɔlélewo

Amekawoe nɔnɔme siawo gblẽa nu le wu?

Dissociative disorders ate ŋu adze ame siwo xɔ ƒe, ameƒomevi, alo hadome ganyawo ƒe nɔnɔme ɖesiaɖe dzi, gake woka nya ta be wobɔ ɖe nyɔnuwo dome wu .

Ame siwo ŋu wowɔ gbɔdɔnuwo ɖo le ŋutilã me alo gbɔdɔdɔ me le woƒe ɖevime la koŋue le afɔku me be woaxɔ dissociative identity disorder (DID). Le dukɔwo abe United States, Canada, kple Europa ene me la, wokpɔe be wowɔ ŋlɔmi le amesiwo ŋu DID le la dometɔ siwo ade 90% ŋu eye woŋe aɖaba ƒu wo dzi le woƒe ɖevime.

Aleke gbegbee vovototodedeameme ƒe dɔlélewo bɔe?

Le nyateƒe me la, nɔnɔme siawo mebɔ kura o. Le kpɔɖeŋu me, dɔléle siawo le Amerikatɔ siwo ade 2% ŋu.

Nukawoe nye vovototodedeameme ƒe dɔlélewo ƒe dzesiwo?

Dzesi siawo toa vovo le dɔlélea ƒomevi nu. Zi geɖe la, dzesi siawo dzea egɔme dzena le nudzɔdzɔ dziŋɔ aɖe megbe. Dzesi siawo ate ŋu agblẽ ɖe edzi le nuteɖeamedziɣiwo eye wòado kplamatse gbesiagbedɔwo.

Dzesiwo le dissociative identity disorder (`DID`) ŋu:

Ame si si `DID` le la ƒe dzesidenu vovovo eve alo esi wu nenema le esi. `Nu vevitɔ` ƒe dzesidenu lae nye amea ƒe amenyenye si sɔ. `Alters` nye amea ƒe amenyenye bubu.

`(trɔ)` ɖesiaɖe kple eƒe nuwɔna, nɔnɔme, didi, ŋkuɖodzinyawo, kple tamebubumɔnu tɔxɛwo. Ame bubuwo ateŋu ade dzesi vovototo siwo le `(trɔ)` siawo dome, kpakple vovototo siwo le amesi si `DID` le dome. Trɔtrɔ tso `(alter)` ɖeka me yi bubu gbɔ dzɔna le manyamanya me eye kasia.

DID ƒe dzesi vevi bubue nye ŋkuɖoɖo nu dzi atraɖii le gbesiagbenudzɔdzɔwo, ame ŋutɔ ƒe nyatakakawo, kple/alo nudzɔdzɔ dziŋɔ siwo dzɔ va yi ŋu . Togbɔ be dzesi siawo ate ŋu anɔ bɔbɔe na ame aɖewo hã la, woate ŋu akpɔ ŋusẽ gã aɖe ɖe ame bubuwo ƒe agbenɔnɔ dzi.

Dissociative Amnesia ƒe Dzesiwo:

Dzesi vevitɔe nye ŋkuɖoɖonudzi kpata , si ate ŋu anɔ anyi ɣleti geɖe alo ƒe geɖe gɔ̃ hã.

Ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie ƒomevi vevi etɔ̃e li:

• Nutoa me: Nudzɔdzɔ alo ɣeyiɣi aɖe koŋ ŋɔŋlɔ be (esiae nye ƒomevi si bɔ wu).
• Tiatiawɔblɔɖe:Nudzɔdzɔ siwo dzɔ le ɣeyiɣi aɖe me ŋuti nyatakaka aɖewo koe woŋlɔna be.
• Generalized: Ègaɖoa ŋku wò amenyenye kple agbemeŋutinya dzi kura o (esiae nye ƒomevi si mebɔ o).

Ðewohĩ mènya nu tso wò ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie ŋu o, alo ɖewohĩ nu sue aɖe koe nènya nu tso eŋu. Gake zi geɖe la, amesiwo te ɖe ŋuwò wu ate ŋu ade dzesi ŋkuɖoɖonudzi sia.

Depersonalization/Derealization Disorder ƒe Dzesiwo:

Le nɔnɔme sia me la, nuteƒekpɔkpɔ siwo gbɔna dometɔ ɖeka alo evea siaa dzɔna le mɔ si gbugbɔna nu le ɣeyiɣi didi aɖe me:

• Amenyenye ɖeɖeɖa: Sese le ɖokuiwò me be yeɖe ye ɖokui ɖa tso yeƒe susu, ŋutilã, alo ye ɖokui gbɔ, eye yemele kadodo me kple nu ŋutɔŋutɔ o. Abe ɖe nèle ŋku lém ɖe wò agbenɔnɔ kple nudzɔdzɔwo ŋu tso adzɔge ene, ke menye gomekpɔkpɔ le eme vevie o.
• Derealization: Seselelãme si nye be yeɖe ye ɖokui ɖa tso nusiwo ƒo xlã ye gbɔ eye yemele nu ŋutɔŋutɔ godo o. Amewo kple nuwo ate ŋu adze abe ɖe womenya nu ŋutɔŋutɔ o ene.

Le nudzɔdzɔ siawo me la, ènya nusiwo ƒo xlã wò, eye nènya be nusi me tom nèle la mesɔ o.

Dzesi siawo ate ŋu adze egɔme tso ɖevime ɣeaɖewoɣi. Ƒe si woxɔna hafi dzea dɔa gɔme le mama dedie nu anɔ abe ƒe 16 ene. Ame siwo ŋu dɔlélea le dometɔ siwo mede 20% o la dzea woƒe dɔléle gbãtɔ le ƒe 20 xɔxɔ vɔ megbe.

Nukawoe hea vovototodedeameme ƒe dɔlélewo vɛ?

Zi geɖe la, vovototodedeameme ƒe dɔlélewo dzɔna abe mɔ si dzi woato anɔ te ɖe nudzɔdzɔ si gbɔ eme alo nuteɖeamedzi, ŋlɔmiwɔwɔ, alo nuveviwɔame si nɔa anyi didi nu ene .

Esia nye nyateƒe vevietɔ ne nudzɔdzɔ siawo dzɔ le woƒe ɖevime, esime ɖeviwo le sue. Esia le alea elabena ɣemaɣi la, ŋutete si le ɖevia si be wòase nu si le dzɔdzɔm la gɔme se ɖe afi aɖe. Azɔ hã, womewɔ mɔnu siwo dzi woato akpɔ kuxi aɖe gbɔ bliboe o. Ne ame tsitsi siwo tsɔa agbanɔamedzi eye wonya nu tso eŋu la li ko hafi woate ŋu ana kpekpeɖeŋu kple kpekpeɖeŋu.

‘Kadodo ɖeɖeɖa’ le susu me kple nɔnɔme dziŋɔ aɖe ate ŋu anye ametakpɔnu si anɔ anyi ɣeyiɣi kpui aɖe si akpe ɖe ŋuwò nàsi le vevesesea nu. Gake ne ametakpɔnu sia yi edzi le wò ɖem ɖa tso nu ŋutɔŋutɔ gbɔ, hetutu ɣeyiɣi blibo aɖe ɖa le wò ŋkuɖodzinyawo me la, ekema eva zua kuxi.

Nɔnɔme dziŋɔwo ƒe kpɔɖeŋuwo:

• Ŋutilã, susu, alo gbɔdɔdɔ ƒe ŋlɔmiwɔwɔ enuenu
• Afɔku aɖe
• Dzɔdzɔmefɔku aɖe
• Aʋawɔwɔ ƒe dzrehehewo
• Nuvlowɔwɔ ƒe futɔ nyenye

Nyitsɔ laa la, dzɔdzɔmeŋutinunyalawo le numekuku wɔm tso ahɔhɔ̃a ƒe wɔwɔme kple dɔwɔwɔ tɔxɛ siwo do ƒome kple vovototodedeameme ŋu. Nusi ŋu woke ɖoe nye be le vovototodedeameme me la, ahɔhɔ̃a ƒe akpa siwo le ahɔhɔ̃a me goglo siwo do ƒome kple ŋkuɖoɖonudzi ɖea ɣeyiɣi ƒe dɔwɔwɔ aɖewo fiana, evɔ edzena abe kadodo si le kple akpa bubu siwo kpɔa tamebubu kple ɖoɖowɔwɔ dzi la bu ene .

Aleke woawɔ ade dzesi vovototodedeameme ƒe dɔlélewo?

Ðɔktawo dea dzesi dissociative disorders to wò dzesiwo kple wò ŋutɔ wò ŋutinya me dzodzro nyuie me.

Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo atsɔ akpɔ ŋutilã ƒe nɔnɔme bubu siwo ate ŋu ahe dzesi siawo vɛ hã (e.g., ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie). Le kpɔɖeŋu me:

• Ta ƒe abixɔxɔ
• Ahɔhɔ̃ me dɔdzẽwo
• Alɔ̃madɔmadɔ
• Atike vɔ̃ɖi kple/alo aha sesẽ zazã

Ne ènya gbe be ŋutilã me nu aɖeke gbɔ wòtso ko la, anɔ eme be woaɖo wò ɖe susumedɔdala aɖe, abe tagbɔdɔdala alo susuŋutinunyala ene, gbɔ, amesi akpɔ dɔlélea to gbebiamewo kple ŋkuléle ɖe dɔdaƒewo ŋu me.

Tagbɔdɔléleŋutinunyalawo zãa dzidzenu siwo tso Amerika Tagbɔdɔlélawo ƒe Habɔbɔ ƒe Tagbɔdɔlélewo Dzesidede Kple Akɔntabubu Ŋuti Mɔfiamegbalẽ (DSM) me tsɔ daa vovototodedeameme ƒe dɔlélewo ɖe hatsotsowo me hekpɔa wo.

Aleke wodaa vovototodedeameme ƒe dɔlélewoe?

Atike vevitɔ si wozãna na vovototodedeameme ƒe dɔlélewoe nye susumedɔdada, alo nuƒoƒo ƒe atikewɔwɔ. Esia kpena ɖe ŋuwò nèkpɔa vovototodedeameme ƒe ɖoɖoa kple dzesiwo gbɔ.

Tagbɔdɔdala si xɔ hehe, si si mɔɖegbalẽ le , abe tagbɔdɔdala alo susuŋutinunyala ene, ye naa tagbɔdɔdamɔnu. Enaa kpekpeɖeŋu, hehe, kple mɔfiame wò kple/alo wò ƒomea be wòakpe ɖe ŋuwò nànɔ te ɖe gbesiagbegbenɔnɔ nu eye wòana wò susu nanyo ɖe edzi.

Susuŋudɔwɔwɔ ƒe mɔnu siwo wozãna wu na vovototodedeameme ƒe dɔlélewo dometɔ aɖewoe nye esi:

• Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT): Esia nye susumedɔdamɔnu si woɖo ɖe ɖoɖo nu, si woɖo taɖodzinu na. Wò atikewɔla kpena ɖe ŋuwò nèléa ŋku ɖe wò tamesusuwo kple seselelãmewo ŋu tsitotsito. To CBT dzi la, àte ŋu asrɔ̃ alesi nàɖe asi le susu kple nuwɔna siwo mele lãmesẽ me o ŋu eye nàtu tamebubu kple numame siwo le lãmesẽ me wu ɖo.
• Dialectical Behavior Therapy (DBT): Wotrɔ asi le DBT ŋu koŋ na amesiwo sea seselelãme sesẽwo. Taɖodzinu vevitɔe nye be nàda asɔ le amesi nènye kple nusiwo nye wò kuxiwo ƒe kpeɖodzinana kple tɔtrɔ ƒe viɖewo. Wò atikewɔla akpe ɖe ŋuwò nàsrɔ̃ aɖaŋu yeyewo be wòana wò ŋutete be nàɖɔ wò seselelãmewo ɖo nanyo ɖe edzi.

Atikewɔwɔ ƒe ɖoɖoa ate ŋu asesẽ, elabena ebia be woaɖo ŋku nudzɔdzɔ dziŋɔ siwo dzɔ va yi dzi ahasrɔ̃ alesi míanɔ te ɖe wo nu. Gake le ɣeyiɣi didi aɖe megbe la, ate ŋu ana gbɔdzɔe geɖe tso wò dzesiwo me .

Dɔdamɔnu bubu siwo ate ŋu akpe ɖe ŋuwò:

• Alɔ̃dɔdɔ (`Alɔ̃dɔdɔ` / `Alɔ̃dɔdɔ ƒe atikewɔwɔ`):Alɔ̃dɔdɔ nye nɔnɔme si me woɖea dzi ɖi deto eye woƒe susu nɔa nu ŋu vevie. Ne èle alɔ̃dɔdɔ me la, susu sia si ƒe susu nɔa nu ŋu vevie la wɔnɛ be nèŋea aɖaba ƒua susuhenuwo dzi eye nèʋua wò dzi me na aɖaŋuɖoɖo siwo ate ŋu afia mɔ wò be nàwɔ tɔtrɔwo be wò lãmesẽ nanyo ɖe edzi.
• Eye Movement Desensitization and Reprocessing (EMDR therapy): Esia bia be nàʋuʋu wò ŋkuwo le mɔ aɖewo koŋ nu esime nèle ŋkuɖodzinya dziŋɔwo ŋu dɔ wɔm. EMDR ƒe taɖodzinue nye be wòakpe ɖe ŋuwò nàhaya tso nuveviwɔame alo agbemenuteƒekpɔkpɔ bubu siwo tea ɖeɖi ame ŋu me. Ne wotsɔ EMDR sɔ kple atikewɔmɔnu bubuwo la, enye mɔnu yeye aɖe ko.

Atike aɖeke meli koŋ na dissociative disorders o. Gake wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewo, abe blanuilélenutsitikewo ene, atsɔ ada tagbɔdɔléle bubu siwo ate ŋu anɔ eme.

Nukae etsɔme ahe vɛ na amesi ŋu dissociative disorder le?

Nusiwo wogblɔ ɖi na amesi ŋu dissociative disorders ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Ne wozã atikewɔlawo (zi geɖe la, susumedɔdamɔnu) la, amesiwo ŋu vovototodedeameme ƒe dɔléle le la dometɔ geɖe ate ŋu aɖu woƒe dzesi veviwo dzi eye woawɔ dɔ nyuie le gbesiagbegbenɔnɔ me.

Gake le ame aɖewo gome, vevietɔ amesiwo ŋu dissociative identity disorder (DID) le la, nɔnɔmea ate ŋu ade woƒe agbe afɔku me. Ameɖokuiwuwu ƒe agbagbadzedze kple nuvevi wɔwɔ ame ɖokui bɔ ɖe amesiwo ŋu DID le dome. Wobu akɔnta be amesiwo ŋu DID le dometɔ siwo wu 70% tea wo ɖokui wuwu kpɔ.

Ne wò ŋutɔ alo ame aɖe si te ɖe ŋuwò le ameɖokuiwuwu ƒe susuwo me tom la, taflatse ƒo ka na Dukɔa ƒe Tagbɔdɔléle ƒe Kpekpeɖeŋunaƒe le 1926. Ame aɖe li gaƒoƒo 24 gbesiagbe be wòakpe ɖe ŋuwò.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse le ɖokuiwò me be vovototodedeameme ƒe dɔléle aɖe ƒe dzesiwo le ye ŋu la, ƒo nu kple ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola enumake.

Abe alesi wòle le susumedɔléle ɖesiaɖe gome ene la, kpekpeɖeŋu didi ne dzesiawo nya dze ko ate ŋu akpe ɖe ŋuwò nàɖe tɔtɔ si le wò agbenɔnɔ me dzi akpɔtɔ. Ne vovototodedeameme ƒe dzesiwo le ŋuwò la, ƒo nu kple ɖɔkta. Susuŋutinunyalawo ate ŋu ana atikewɔwɔ ƒe ɖoɖowo be woakpe ɖe ŋuwò nàkpɔ wò nɔnɔmea gbɔ.

Gbedasi si Woatsɔ Yi Aƒeme Tso Nusi Míegblɔ Me

Enyo, eyata mina míaɖo ŋku nya vevi aɖewo dzi na wò tso nusiwo ŋu míeƒo nu tsoe me.

• Dissociative disorders nye tagbɔdɔ si ate ŋu adzɔ le nuveviwɔame sesẽ aɖe ta .
• Dzesi vevitɔe nye be èsena le ɖokuiwò me be kadodo aɖeke mele ye kple ye ɖokui, yeƒe ŋkuɖodzinyawo, alo xexe si me yele dome o .
• Dissociative identity disorder (DID), dissociative amnesia, kple depersonalization/reality disorder ye nye ƒomevi vevitɔwo.
• Nɔnɔme siawo mebɔ o, gake atikewɔwɔ aɖewo li.
• Atikewɔwɔ vevitɔe nye susumedɔdada.
• Ne dzesi siawo le ŋuwò la, mègavɔ̃ alo akpe ŋu na wò be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo o. Ele vevie ŋutɔ be nàxɔ kpekpeɖeŋu kaba.
• Menye wò ɖeka koe o. Ame geɖewo le avu wɔm kple nɔnɔme siawo, eye ame aɖewo hã li siwo ate ŋu akpe ɖe ŋuwò.

Ðo ŋku edzi be nɔnɔme sia nyanya, nuƒoƒo tso eŋu, kple kpekpeɖeŋu didi nye afɔɖeɖe gã siwo ana nàgakpɔ ŋusẽ ɖe wò agbe dzi ake.

` Dissociative Disorders, Susu ƒe Lãmesẽ, Nuveviwɔame, Ŋkuɖodzi ƒe Bubu, Tagbɔdɔléle, DID, Depersonalization