Ke hana kolohe nei kāu keiki? He maʻi hoʻomalu impulse anei ia? E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo nei ʻoe e hana mau ana kāu keiki me ka noʻonoʻo ʻole i nā poʻe ʻē aʻe? Ke huhū nei ʻo ia i kekahi manawa no nā mea liʻiliʻi? A i ʻole ke komo nei ʻo ia i ka pilikia nui no ka mea ʻaʻole hiki iā ia ke hoʻōki i kekahi mau ʻano maikaʻi ʻole? Ma ke ʻano he makua, he mea maʻamau iā ʻoe ke kaumaha loa, a malia paha e makaʻu, ke ʻike ʻoe i nā mea e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i kēia mau ʻano hana, i kapa ʻia ma ka ʻōlelo lapaʻau he "Impulse Control Disorders" a i ʻole nā ​​​​​​maʻi impulse control.

He aha kēia mau maʻi kaohi impulse?

I ka ʻōlelo maʻalahi, ʻo "Nā Maʻi Hoʻomalu Impulse" he hui o nā kūlana noʻonoʻo a me ke ʻano e paʻakikī ai ke kāohi i nā impulses, a i ʻole nā ​​​​manaʻo, a me nā hana e hahai ana iā lākou. Hiki i kēlā mau ʻano ke hōʻeha pinepine iā ʻoe iho a i ʻole nā ​​​​mea ʻē aʻe. I kekahi mau hihia, hiki i kēia mau ʻano ke hoʻopilikia i ke kānāwai.

E noʻonoʻo, he huhū koke e hoʻāla ai iā ʻoe e hoʻōho, e hoʻolei i nā mea, a i ʻole e loaʻa ka makemake hiki ʻole ke kāohi e lawe i kahi mea a kekahi. He mau laʻana wale nō kēia.

ʻO kekahi o kēia mau ʻano hana pilikia:

• Ka huhū koke a me ka huhū nui a me nā hana e hele pū me ia.
• Hoʻopaʻapaʻa mau a hakakā pū me nā poʻe ʻē aʻe.
• Ka luku ʻana i nā mea a haʻi a me nā waiwai lehulehu.
• Ke hoʻolohe ʻole nei i nā lunakahiko a me nā luna, me ka nānā ʻole i kā lākou ʻōlelo aʻo.
• ʻAihue.
• Ke uhaki nei i nā lula.

ʻO ka maʻamau, hoʻomaka nā hōʻailona o kēia mau "Impulse Control Disorders" i ka wā kamaliʻi , a i kekahi manawa, inā ʻaʻole mālama ʻia, hiki i kēia mau kūlana ke hoʻomau a hiki i ka wā makua.

He aha nā ʻano nui o nā maʻi kaohi impulse?

Wahi a ke alakaʻi a ka American Psychiatric Association (American Psychiatric Association) no ka hoʻokaʻawale ʻana i nā maʻi noʻonoʻo, ʻo ia hoʻi ka DSM-5, ua ʻike ʻia kekahi mau ʻano nui o nā "Impulse Control Disorders". E nānā kākou i ke ʻano o lākou.

1. Ka Maʻi Kūʻē Kūʻē (ODD)

ʻO ka mea e hana ʻia ma kēia, ʻo ia ka hoʻolohe mau ʻana o ke keiki i nā luna (e like me nā mākua, nā kumu no nā mahina), hoʻopaʻapaʻa mau me lākou, a hana ma ke ʻano e hoʻonāukiuki ai iā lākou. Hiki iā lākou ke hoʻonāukiuki a hoʻonāukiuki i nā poʻe ʻē aʻe. Akā, ʻaʻole kēia he mea wale nō o ka makemake, he pilikia hohonu ia.

2. Ka Hana ʻino

ʻOi aku ka koʻikoʻi o kēia kūlana ma mua o ka "ODD". Maanei, hoʻomau ke keiki a ʻōpio paha i ka hana ʻino i nā poʻe ʻē aʻe, hana ʻino i nā holoholona, ​​wahaheʻe, ʻaihue, malū i waho o ka hale, a uhaki nui i nā lula o ke kula . ʻAʻohe o lākou manaʻo i nā kūlana kaiāulu a i ʻole nā ​​​​pono o haʻi.

3. Ka maʻi pahū manawa pōkole

He aha ka mea e hana ʻia ma kēia,He huhū koke ka huhū, no ke kumu ʻole a no kekahi kumu liʻiliʻi paha, he ikaika loa ia a hiki ʻole ke kāohi. I ka manawa koke, hoʻōho lākou, hōʻino, hoʻolei i nā mea ma ka honua, a hoʻouka i nā poʻe ʻē aʻe. Ma hope o kēia huhū ʻana, manaʻo paha lākou i ka mihi nui. Akā i kēlā manawa, ʻaʻohe o lākou mana.

4. Kleptomania

He kūlana ʻokoʻa iki kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, loaʻa iā ʻoe kahi makemake nui e ʻaihue i nā mea waiwai ʻole a ʻaʻole pono ʻoe. Ua ʻike ʻoe he hewa ka ʻaihue a e hopu ʻia ʻoe. Akā, ʻaʻole hiki iā ʻoe ke kāohi i kēlā makemake a ʻaihue. Manaʻo ʻoe i kahi manaʻo nui o ka hōʻoluʻolu ma hope o ka ʻaihue ʻana, akā ma mua o kēlā, manaʻo nui ʻoe i ke kaomi a me ka hopohopo.

5. Pyromania

He kūlana kākaʻikahi loa kēia. ʻO ka mea e hana ʻia ma kēia , aia kahi makemake ikaika a hiki ʻole ke kāohi ʻia e hoʻā i ke ahi. ʻOiai ua ʻike lākou e hōʻeha ka hoʻā ʻana i ke ahi, ʻaʻole hiki iā lākou ke kāohi i kēlā makemake a hoʻā iā ia i ke ahi. Manaʻo lākou i ka nui o ka haunaele a me ka hopohopo ma mua o ke ahi ʻana, a me ka nui o ka hauʻoli a me ka hōʻoluʻolu ma hope o ke ahi ʻana. ʻAʻole lākou e hoʻā i ke ahi no kekahi kumu ʻē aʻe (e like me ka hoʻopaʻi, ke kālā), akā no kēia makemake.

Pehea ka maʻamau o kēia mau "Maʻi Kaohi Impulse"?

ʻOkoʻa ka laha ʻana o kēlā me kēia o kēia mau "Maʻi Hoʻomalu Impulse" i loko o ke kaiāulu. Eia kekahi laʻana, e like me nā helu helu ma ʻAmelika Hui Pū ʻIa:

• Ka maʻi kūʻē kūʻē (ODD): Ma kahi o 3.3% o nā keiki a me nā ʻōpio.
• Ka Maʻi Hana: Ma kahi o 4% o nā keiki a me nā ʻōpio.
• Ka maʻi pahū manawa pōkole: Ma kahi o 2.7% o ka heluna kanaka.
• Kleptomania: Ma kahi o 0.6% o ka heluna kanaka.

ʻO Pyromania ka mea i emi loa ka maʻamau o kēia. Ua hōʻike ʻia kekahi noiʻi he 3% wale nō o ka poʻe i loko o ka hale paʻahao no ke kuni ʻana i nā mea i hōʻike i nā hōʻailona o ka pyromania. ʻIke ʻia nā kūlana like ma Sri Lanka, akā he paʻakikī ke loaʻa nā helu helu pololei.

He aha nā hōʻailona o nā `(Impulse Control Disorders)`?

ʻOiai he mau hōʻailona kūikawā ko kēlā me kēia "Impulse Control Disorder", ʻo ka hiʻohiʻona maʻamau o lākou āpau ka emi ʻana o ka hiki ke kāohi i kāna ʻano. Hoʻopilikia pinepine kēia i nā poʻe ʻē aʻe a alakaʻi paha i nā pilikia kānāwai.

I ka manawa pinepine, ʻike ka poʻe me ka "Impulse Control Disorder" he hewa a kūpono ʻole kā lākou ʻano. Akā, ʻaʻole hiki iā lākou ke hoʻōki. Ma mua o ka hana kūpono ʻole ʻana o kēia poʻe, manaʻo lākou i ka nui o ke kaomi a me ka hopohopo e kūkulu ana i loko o lākou. Ma hope o kā lākou hana ʻana i kēlā ʻano kūpono ʻole, manaʻo lākou i ka nui o ka hōʻoluʻolu a me ke kūʻokoʻa.

ʻO ia hoʻi, ʻo ka poʻe me kēia mau "ICD" e hoʻokuʻu i ko lākou huhū, kaumaha, a me ka hoʻonāukiuki ma o nā poʻe ʻē aʻe. ʻO ia hoʻi, ke "hoʻopuka nei" lākou i kā lākou ʻano.ʻOkoʻa kēia mai nā kūlana e like me nā maʻi hopohopo a i ʻole nā ​​maʻi naʻau, kahi e hoʻokomo ai ke kanaka i ko lākou pilikia a me ke kaumaha.

Akā eia ka mea nui e hoʻomanaʻo ai. He nui nā keiki, ʻoiai i ko lākou mau makahiki ʻōpio a me ko lākou wā ʻōpiopio, hana paʻakikī iki, hoʻolohe ʻole i nā mākua. Hana lākou i kēia e aʻo ai i ko lākou mau palena ponoʻī a me nā palena o haʻi. He mea maʻamau kēlā. Akā i loko o nā "Impulse Control Disorders", he pinepine kēia mau ʻano, koʻikoʻi, a mau no ka manawa lōʻihi. A he hopena nui kēia mau ʻano i nā hana o kēlā me kēia lā a ke keiki, nā haʻawina, nā pilina me ka ʻohana, a me nā pilina me nā hoaaloha.

He aha nā kumu o nā `(Impulse Control Disorders)`?

Ke hoʻāʻo nei nā kānaka noiʻi e ʻike i nā kumu kikoʻī o kēia mau "Maʻi Mana Impulse." Ma kā mākou ʻike, he hui pū ʻana paha ia o nā kumu.

• ʻIke Hoʻoilina : Ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi naʻau i nā mākua o nā keiki me ODD. Pēlā nō, loaʻa paha i nā mākua o nā keiki me ka Conduct Disorder nā kūlana e like me ka schizophrenia , ka maʻi hyperactivity deficit attention (ADHD), nā maʻi hoʻohana waiwai (SUD), a i ʻole nā ​​maʻi pilikino antisocial (ASPD). Hōʻike kēia he pilina hoʻoilina paha.
• Nā kumu kaiapuni : Ua ʻike ʻia nā noiʻi hiki i nā kumu kaiapuni ke kōkua i ka ulu ʻana o ia mau kūlana i nā keiki mai nā ʻohana haʻahaʻa loa, nā keiki e ulu ana i kahi nohona kolohe, nā keiki i loaʻa ʻole ka nānā pono a me ka mālama ʻana mai ko lākou mau mākua i ka wā kamaliʻi, nā keiki i hoʻokaumaha ʻia a ʻike maka paha i ka hana ʻino kino a noʻonoʻo paha, a me nā keiki i loaʻa nā hoaaloha me nā hui maikaʻi ʻole.
• Nā kumu olaola : Ua hōʻike kekahi mau noiʻi he mau loli maʻamau ʻole ko ka poʻe me nā ICD i kekahi mau hana lolo a i ʻole nā ​​​​pae hormone (no ka laʻana, ka hormone cortisol).

Pehea e ʻike ai i nā `(Nā Maʻi Hoʻomalu Impulse)`?

Hoʻomaopopo ʻia kēia mau kūlana e nā loea olakino noʻonoʻo, e like me nā kauka psychiatrist a i ʻole nā ​​​​psychologists. Hoʻohana lākou i nā pae hoʻohālikelike ma ka DSM-5. ʻO ka maʻamau, pono e mau nā hōʻailona no ka liʻiliʻi he 6 a 12 mau mahina. Pono hoʻi lākou e hoʻopilikia nui a hoʻopilikia paha i ke ola o kēlā me kēia lā.

Inā kānalua ʻoe he mau hōʻailona paha kāu a i ʻole kāu keiki o kahi "Impulse Control Disorder," pono ʻoe e ʻike i kahi kauka psychiatrist a psychologist paha. Hoʻohana lākou i nā nīnauele i hoʻolālā kūikawā ʻia a me nā ʻano loiloi e ʻike pololei i kēia mau kūlana noʻonoʻo a me ke ʻano.

I ka manawa pinepine, loaʻa i kēia poʻe loea ka ʻike mai ka poʻe kokoke loa i ke kanaka (e like me nā mākua, nā kaikaina, nā hoaaloha, nā kumu) e loaʻa ai kahi kiʻi piha o ke ʻano o ke kanaka.

Pehea e mālama ʻia ai nā `(Impulse Control Disorders)`?

ʻAʻohe lāʻau lapaʻau i ʻāpono kūikawā ʻia e ka US Food and Drug Administration (FDA) e mālama i kēia mau "Impulse Control Disorders". No laila, ʻo nā lāʻau lapaʻau nui he mau ʻano lapaʻau like ʻole a me ka hana ʻana i nā hoʻololi e pono ai i ke ʻano o ka mālama ʻana o nā mākua i kā lākou mau keiki.

Eia kekahi mau hana kūpono e hiki i nā mākua ke hahai e kōkua i ka kaohi ʻana i kēia mau ʻano pilikia i nā keiki:

• Ka hōʻemi ʻana i nā pane maikaʻi i nā hana kūpono ʻole (e laʻa, ka hāʻawi ʻana i ke keiki i kāna makemake ke uē ʻo ia).
• Ke paipai ʻana i nā ʻano lokomaikaʻi a me ka mālama (nā ʻano prosocial) i nā poʻe ʻē aʻe.
• Ke hoʻohana nei i nā ʻano hoʻopaʻi kolohe ʻole.
• Ke hana nei i nā hoʻoholo kūlike a wānana mua i ka wā e hoʻopaʻi ana i nā keiki (ʻaʻole i kekahi ʻano i kēia lā, i kekahi ʻano ʻapōpō).

ʻO kekahi mau ʻano therapeutic kūikawā e kōkua ai me kēia:

• Hoʻomaʻamaʻa Hoʻokele Makua (PMT) : Pili kēia i ke aʻo ʻana i nā mākua a i ʻole nā ​​mea mālama i nā ʻano hana e kōkua ai i kā lākou keiki e hoʻomaikaʻi i kā lākou ʻano a aʻo i nā mākau hou. ʻO ka pahuhopu o kēia lāʻau lapaʻau ka hāʻawi ʻana i ka hoʻopaʻi mau ʻana me ka hāʻawi ʻana i nā manaʻo kūpono a maikaʻi no ke ʻano maikaʻi o ke keiki.
• Lapaʻau Multisystemic (MST) : Hoʻohana kēia lāʻau lapaʻau i nā ikaika o ka ʻohana e paipai i ka hoʻoponopono maikaʻi ʻana. Hana pū kekahi mea lapaʻau laikini me nā mākua e kōkua i ka hoʻoikaika ʻana i nā ʻano maikaʻi a hōʻemi i nā ʻano maikaʻi ʻole. Kōkua pū lākou i ka ʻohana e hoʻomohala i ke kuleana a me nā mākau hoʻoponopono pilikia.
• ʻO ka Cognitive Behavioral Therapy (CBT) : He ʻano psychotherapy i hoʻonohonoho ʻia a kuhikuhi ʻia i ka pahuhopu ʻo CBT. Hoʻohana pinepine ʻia ia me ka hoʻomaʻamaʻa makua. Ma CBT, kōkua ka mea hoʻoponopono i ke keiki e nānā i ko lākou mau manaʻo a me nā manaʻo. A laila hoʻomaopopo ke keiki pehea e hoʻopilikia ai ko lākou mau manaʻo i kā lākou mau hana. Ma o CBT, hiki i ke keiki ke hoʻololi i nā ʻano noʻonoʻo a me nā ʻano hana maikaʻi ʻole a aʻo i nā ʻano noʻonoʻo a me nā ʻano hana olakino.

He aha ka wānana no nā maʻi hoʻomalu impulse?

ʻO ke ʻano o kēia mau `(Impulse Control Disorders)`, ʻo ia hoʻi ke ʻano o ke kūlana, hiki ke ʻokoʻa ma muli o ke kūlana a me kona koʻikoʻi. Eia nō naʻe, ma ke ʻano laulā, hiki i kēia mau `(ICDs)` ke lilo i mau maʻi mau loa . A hiki iā lākou ke loaʻa ka hopena koʻikoʻi i ke ola o ka mea pili a me kā lākou poʻe aloha.

Ua hōʻike ʻia nā haʻawina e ʻoi aku ka nui o ka poʻe me nā ICD e ʻike i kēia mau mea i ka wā e hiki mai ana:

• Ke huli nei i ka hoʻohana ʻana i ka lāʻau lapaʻau.
• Kaumaha.
• Ka pilikia o ka nalowale ʻana o kahi hana.
• Ka paʻakikī i ka mālama ʻana i nā pilina.

Eia nō naʻe, hiki i ke komo ʻana o ka therapeutic koʻikoʻi ke hele lōʻihi i ke kōkua ʻana i ka kaohi ʻana i kēia mau ʻano pilikia.

Hiki ke pale ʻia nā "Maʻi Kaohi Impulse"?

ʻAʻole paha e hiki ke pale loa ʻia kēia mau kūlana. Eia nō naʻe, ma ka ʻike ʻana a me ka mālama ʻana i ke kūlana i ka wā hikiwawe loa , hiki iā ʻoe ke hōʻemi nui i ke kaumaha a me ka pilikia e loaʻa i kāu keiki a me kou ʻohana. ʻAʻole wale ia, akā hiki nō hoʻi ke kōkua i ka pale ʻana i nā pilikia ʻē aʻe (e like me ka hoʻopilikia ʻana i ka hoʻonaʻauao a me nā pilikia kānāwai) e pili ana i kēia mau "ICD".

He pilikia nui nā keiki a me nā ʻōpio e hana ʻino ana a uhaki i nā lula no nā mākua. ʻOiai he mea maʻamau no nā keiki ʻōpio a me nā ʻōpio ke hana ma ke ʻano impulsive i kēlā me kēia manawa, inā hana mau lākou a ma ke ʻano e hoʻopilikia ai i nā poʻe ʻē aʻe, he hōʻailona paha ia o kahi "Impulse Control Disorder".

He mea nui loa ka hoʻomaka ʻana i ka lāʻau no kēia mau '(Impulse Control Disorders)' i ka hikiwawe loa. ʻO ka hana mua i ka ʻimi ʻana i ka lāʻau lapaʻau, ʻo ia ke hālāwai me kāu kauka ʻohana, he kauka noʻonoʻo, a he kauka noʻonoʻo paha a kamaʻilio e pili ana i kēia. Mai makaʻu e nīnau i nā nīnau e pili ana i kou manaʻo. Aia lākou ma laila e kōkua iā ʻoe.

Hōʻuluʻulu Manaʻo a me ka Leka Lawe-Home

ʻO nā "Maʻi Mana Hoʻomalu Impulse" a mākou i kamaʻilio ai he mau ʻano hana impulsive hiki ʻole ke kāohi ʻia. ʻAʻole kēia he hana wale nō na ke "keiki maikaʻi ʻole," hiki iā lākou ke lilo i maʻi hohonu e pono ai ke komo ʻana o ke kauka.

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua loea inā he mau hopohopo koʻikoʻi kou e pili ana i ke ʻano o kāu keiki, ma mua o ka hoʻowahāwahā ʻana iā ia. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻoi aku ka maikaʻi o nā hopena lapaʻau.

E hoʻomanaʻo:

• He mea maʻamau kekahi o nā ʻano i ʻike ʻia i ka wā kamaliʻi, akā i loko o nā ICD, he pinepine kēia mau ʻano, koʻikoʻi, a mau loa.
• Hiki ke hoʻopili ʻia kēia mau kūlana e nā kumu genetic, kaiapuni, a me nā mea olaola.
• He kūleʻa loa nā ʻano lapaʻau a me nā papahana hoʻomaʻamaʻa makua ma ke ʻano he lāʻau lapaʻau.
• ʻAʻole ʻoe hoʻokahi. Nui nā mākua ʻē aʻe e kū nei i nā pilikia like, a aia nā poʻe loea e hiki ke kōkua iā ʻoe.

Inā kānalua ʻoe he pilikia kāu keiki e like me kēia, e ʻoluʻolu e ʻimi i ke kōkua lapaʻau. Hiki i ke komo mua ʻana ke lawe mai i ka hōʻoluʻolu nui i ke keiki a me ka ʻohana holoʻokoʻa.

Kaohi ʻana i ka hoʻoikaika kino , nā pilikia ʻano, ke olakino noʻonoʻo o ke keiki, ODD, Conduct Disorder, ʻōlelo aʻoaʻo makua, psychotherapy