Oluusi kikuzibuwalira okufuga enneewulira zo? Owulira ennaku nnyo ne bwe kiba n’ebintu ebitonotono, oba owulira ng’ogenda weeyongera okunyiiga okusinga bw’olowooza? Okubeera n’enneewulira ez’amaanyi bwe zityo si kyangu. Naye waliwo amawulire amalungi. Waliwo obujjanjabi obw’enjawulo obuyinza okuyamba mu mbeera zino. Leero tugenda kukyogerako. Kiyitibwa DBT, oba Dialectical Behavior Therapy.
Mu ngeri ennyangu, DBT kye ki?
DBT oba Dialectical Behavior Therapy, kika kya bujjanjabi bwa bwongo obuweebwa nga bayita mu kwogera. Mu butuufu kyesigamiziddwa ku bujjanjabi obulala obumanyiddwa ennyo, Cognitive Behavioral Therapy (CBT) , era nga butegekeddwa nnyo eri abantu abafuna enneewulira ez’amaanyi.
Ekigambo "Dialectical" mu kino kitegeeza "okugatta ebirowoozo bibiri ebikontana." Teebereza, enkola eno ey’obujjanjabi ekuyamba, ku ludda olumu, okukkiriza amazima g’obulamu bwo n’enneeyisa zo nga bwe ziri (okukakasa/okukkiriza). Era, ku ludda olulala, kikuyamba okukyusa enneeyisa ezikuleetera ebizibu n’okulongoosa obulamu bwo (enkyukakyuka). Okukuuma enzikiriziganya wakati w’ebirowoozo bino ebibiri eby’okukkiriza n’enkyukakyuka kye kikulu mu DBT.
Enkola eno ey’obujjanjabi yakolebwa mu myaka gya 1970 omukugu mu by’empisa Omumerika ayitibwa Marsha Linehan.
Ani obujjanjabi bwa DBT businga okuyamba?
Omuntu yenna alina okusoomoozebwa okuddukanya n’okufuga enneewulira ze asobola okuganyulwa ennyo mu DBT. Okunoonyereza kulaga nti enkola eno ey’obujjanjabi ekola nnyo ku nsonga ez’enjawulo ez’obulamu bw’obwongo.
- Obuzibu bw‟omuntu ku nsalo (BPD) .
- Enneeyisa ez’okwetuusaako obulabe
- Ebirowoozo oba okugezaako okwetta (Suicidal behavior) .
- Obuzibu bw‟okunyigirizibwa oluvannyuma lw‟okukosebwa (PTSD) .
- Obuzibu mu kukozesa ebiragalalagala
- Obuzibu mu kulya naddala okulya ennyo n’obulwadde bwa bulimia
- Ennaku
- Okweraliikirira
Ekikulu kiri nti okuwanirira embeera zino zonna kulemererwa era okugezaako okutali kwa bulamu okufuga enneewulira ez’amaanyi, embi. DBT ekuyigiriza engeri ennungi, ennungi ez‟okukola ku nneewulira, okusinga engeri ezireeta ebizibu ebyo.
Obujjanjabi bwa DBT bukola butya?
Mu bujjanjabi bwa DBT, ekigendererwa ky’omusawo wo ekikulu kwe kuteekawo enzikiriziganya wakati w’okukukkiriza n’okusoomoozebwa kwo nga bwe kuli (okukakasa) n’okukukubiriza okukola enkyukakyuka ennungi (enkyukakyuka). Enkola eno ey’obujjanjabi etera okubaamu ebitundu bina ebikulu.
1. DBT Pre-Assessment: Nga tonnatandika bujjanjabi, omusawo ajja kwogera naawe alabe oba DBT ekusaanira bulungi. Oluvannyuma lw’okunnyonnyola buli kimu, era bw’oba okkirizza, bajja kukusaba okwewaayo mu bujjanjabi buno okumala ekiseera ekigere.
2. Obujjanjabi obw’omuntu kinnoomu: Mu kino, ojja kusisinkana omusawo wo omulundi gumu mu wiiki okumala eddakiika nga 40-60 zokka. Ate era oyinza okusabibwa okuwandiika mu kitabo ky’enneewulira zo n’enneeyisa zo. Kino kijja kukuyamba mwembi okuzuula engeri ebizibu gye bivaamu.
3. Okutendekebwa mu obukugu mu bibinja: Kino si bujjanjabi bwa bibinja. Nga bwe kiri mu kibiina, omusawo asomesa ekibinja obukugu buna obukulu. Mu kifo ky’okwogera ku bizibu byo, essira wano liteekebwa ku kuyiga obukugu buno.
4. Okutendeka ebizibu by’essimu: Kino kitundu kikulu nnyo. Bw’oba olina ekirowoozo ekikutawaanya amangu, gamba ng’okwetuusaako obulabe, ng’ogenda okujjanjaba, osobola okukubira omusawo essimu n’ofuna obuyambi obw’amangu. Kyokka, waliwo ebiseera ebiteekeddwawo n’obukwakkulizo ku kino.
Obukugu obuna obukulu obusomesebwa mu DBT
Obujjanjabi bwa DBT bussa essira ku bukugu buna obukulu obukuyamba okuddukanya obulungi obulamu bwo obwa bulijjo. Bino bye mutima gw’obujjanjabi.
| Obukugu | Mu ngeri ennyangu... (Kye kitegeeza) |
|---|---|
| Okulowooza ku birowoozo | Okubeerawo mu bujjuvu era ng’omanyi ebigenda mu maaso mu kiseera kino, nga teweejjusa byayita oba okutya ebiseera eby’omu maaso. Okwegezangamu okwetegereza ebirowoozo by’omuntu n’enneewulira ze awatali kusalawo. |
| Okugumiikiriza okunyigirizibwa | Okuyiga okutegeera n‟okuddukanya enneewulira mu mbeera ezitanyuma, eziruma, oba ezirimu situleesi nga toddukira mu nneeyisa ya bulabe kiringa okuyiga engeri y‟okugumira obusungu obw‟amangu. |
| Obulung’amu mu nkolagana n’abantu | Okuyiga okumanyisa obulungi by’oyagala n’ebyo by’otayagala (ensalo) mu ngeri ekuwa ekitiibwa n’abalala. Kuno kw'ogatta okusobola okugamba nti "Sisobola" nga weetaaga. |
| Okulungamya Enneewulira | Okwongera okutegeera enneewulira zo, okuzitegeera, n’okuba n’obusobozi obusingawo okuzifuga. Okuyiga okufuga enneewulira mu kifo ky’okubeera omuddu wazo. |
Nfuna ntya omuntu asaanira obujjanjabi bwa DBT?
Kino kiyinza okukusoomooza katono naye tolekulira. Engeri esinga obulungi ey’okukola kino mu Sri Lanka kwe kubuuza omusawo w’amaka go oba omusawo gwe weesiga ku nsonga eno, n’oluvannyuma n’okukusindika ew’omusawo w’eby’omutwe oba omukugu mu by’empisa.
Kakasa nti omusawo gw’olaba alina ebbaluwa okuva mu gavumenti era alina layisinsi omubuulirizi ku by’obulamu bw’obwongo . Era, laba oba alina obumanyirivu mu kujjanjaba embeera yo (e.g., BPD, obuzibu mu kulya).
Obujjanjabi bwa DBT butwala bbanga ki?
Obujjanjabi bwa DBT butera okutwala waakiri emyezi 6 okutuuka ku mwaka gumu . Naye jjukira nti buli muntu wa njawulo, era ensonga z’obulamu bw’obwongo nzibu. Oluusi naddala ku mbeera nga BPD, obujjanjabi buyinza okutwala emyaka egiwerako.
Ekikulu si bbanga obujjanjabi bwe butwala, wabula nti osabye obuyambi n’otandika olugendo. Ennongoosereza yonna entonotono buba buwanguzi bunene.
Ddi lwe nnina okulaba omusawo?
Tosubwa buli kimu ku biseera byo eby’obujjanjabi. Kikulu nnyo okwetaba mu buli emu ku zo.
Singa ofuna ekiwuubaalo eky’amaanyi mu bwangu, gamba ng’okulowooza ku ky’okwetta , yogerako n’omusawo wo bwe kiba kisoboka. Bw’oba tosobola kumutuukako, tosigala wekka. Yogera mangu n’omuntu gwe weesiga, oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
DBT bujjanjabi bukola nnyo eri abo abalwanagana n’enneewulira ez’amaanyi. Kiyinza okukwetaagisa okufuba okunoonya omusawo akusaanira, naye kigwana. Gy’okoma okutandika amangu obujjanjabi n’okwewaayo, gy’okoma okutandika amangu okubeera n’obulamu obulungi.
Obubaka Obutwala Awaka
- DBT ngeri ya njawulo ey’obujjanjabi bw’eby’omwoyo eyamba okuddukanya enneewulira ez’amaanyi.
- Kino kizingiramu okutebenkeza ensonga ebbiri ez'oku "kukkiriza" embeera yo n'okugikyusa "okugifuula ennungi.
- Obukugu buna obw‟omugaso busobola okuyigibwa nga tuyita mu kino, gamba ng‟Okulowooza n‟Okugumiikiriza Obulumi.
- Okwewaayo n’obugumiikiriza bikulu nnyo mu bujjanjabi bwa DBT. Kiyinza okutwala ekiseera okulaba ebivaamu.
- Bwoba olina ekizibu nga kino, tobonaabona wekka. Yogerako n’omusawo gwe weesiga era osindikibwe ew’omukugu alina ebisaanyizo.
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