Ka karohia hoki e koe te tangata? Ka wehi koe i te hapori? Ka kiia tēnā ko te (Avoidant Personality Disorder)?

Kei te whakaaro koe i ētahi wā, "Āe, kāore tetahi e pai ki ahau," "Ki te kōrero ahau i tētahi mea, ka kata te tangata," "ka whakahēngia ahau"? He maha ngā wā ka karohia e koe ngā wāhi, ngā huihuinga, ngā hui rānei me ngā hoa nā ēnei whakaaro? Ahakoa e hiahia ana koe ki te noho tahi me te tangata, kei te mokemoke koe nā tēnei wehi? Ki te pērā, tera pea he mea nui ki a koe taku e kōrero nei.

He aha te Mate Ārai Tuakiri?

Ki te whakarapopototanga, ko te Ārai i te Tangata (AVPD) he āhuatanga hauora hinengaro e mau tonu ana te whakaaro korekore, pērā i te "Kāore au i te tika," "Kāore e taea e au te mahi i tetahi mea," ā, he nui tō mataku kei whakahengia koe e ētahi atu, kei whakakahoretia rānei. Whakaarohia kei te hiahia koe ki te noho tahi me ō hoa, ki te kōrero, engari he nui rawa tō mataku kei whakakahoretia koe, ā, ka mutu ka karohia katoatia rātou e koe.

Ko tēnei āhuatanga, e kiia nei ko te AVPD, ka taka ki roto i te rōpū mate tuakiri "Cluster C". Ko te manukanuka me te wehi he āhuatanga noa o ētahi atu āhuatanga i roto i tēnei rōpū. Ko te mate tuakiri he tauira whanonga pumau e whanake ana i te tamarikitanga, i te taiohitanga rānei, ā, kāore e rite ki ngā tumanakohanga o tō tātou hapori. Ka taea e tēnei te whakararuraru me te whakapouri i te tangata me te hunga e karapoti ana i a rātou.

He aha te rerekētanga i waenga i te mate ārai tuakiri (AVPD) me te manukanuka pāpori?

Ae, ahakoa te āhua ōrite o ēnei e rua, he rerekē ngā āhuatanga e rua. Ko te Mate Manukanuka Hapori (SAD) , te mataku pāpori rānei, he mataku nui, he mataku pumau kei whakahengia koe e ētahi atu, kei titiro matatau mai hoki ki a koe. Nā tēnei ka karohia e te hunga e pāngia ana e te manukanuka pāpori ngā āhuatanga pāpori.

Ka karohia e te hunga whai APD ngā huihuinga pāpori me ngā whanaungatanga. Engari ko te take matua o tēnei ko te iti o te whakaaro ki a rātou anō . Ahakoa ko te manukanuka te mea matua i roto i te mate manukanuka pāpori (SAD), kāore te manukanuka e waiho hei mea matua i roto i te APD.

I whakaaro ngā kairangahau i mua ko te AVPD he momo SAD kino ake. Engari ināianei kua kitea e rātou e rua hautoru o te hunga whai AVPD kāore e tutuki i ngā paearu mō te SAD i roto i te DSM-5. Heoi, tera pea ka pāngia tetahi e ngā mate e rua i te wā kotahi. I taua wā, he kino ake ngā tohu.

He pēhea te noa o tēnei mate? Ko wai te hunga ka nui ake te tūponotanga ka pāngia e tēnei mate?

E ai ki ngā rangahau, kei waenganui i te 1.5% me te 2.5% o te taupori o Amerika te mate ārai-tangata (AVPD). Ko te tikanga o tēnei, he tokomaha pea ngā tāngata o Sri Lanka e pāngia ana e tēnei mate.

Ko te AVPD ka tīmata i muri i te 18 tau te pakeke, i te tīmatanga rānei o ō tau rua tekau . Waihoki, ko te hunga whai i ēnei āhuatanga hauora hinengaro ka nui ake te tūponotanga ki te whakawhanake i te AVPD:

• Te pouri nui ('Te pouri haumanu' 'te mate pouri nui' rānei)
• Te mate pouri tonu
• Te mate manukanuka pāpori
• Mate pōrearea-ātete (OCD)
• Mate pāwera
• Te mate pāwera o te ngākau
• Mate kai nui

He aha ngā tohu o te mate ārai tuakiri (AVPD)?

Ko te āhuatanga matua ko te kaha rawa o te wehi kei whakakahoretia koe e ētahi atu, ā, ka karohia e koe te tangata, ka whiriwhiria kia noho ko koe anake. Tērā pea kāore e tino kitea tēnei whanonga i roto i ētahi tāngata, engari ka kitea nuitia i roto i ētahi atu.

Ko ētahi atu tohu me ngā whanonga ko:

• He tino kino tō whakaaro ki a koe anō. Ki tō whakaaro kāore koe i te pai, he iti iho koe i ētahi atu. Whakaarohia, ahakoa ka taea e koe te mahi i tetahi mea pai, ka whakaaro koe, "Āe, kua tupu noa iho tēnā."
• Ka nui rawa atu tōku manukanuka mō ngā whakahe me ngā whakahē a ētahi atu. Ahakoa he iti noa te kōrero a tētahi, ka tangohia e au ki roto i tōku ngākau, ka pōuri hoki.
• Ki te kore koe e tino mōhio ka pai mai ētahi atu ki a koe, kāore koe e hiahia ki te taunekeneke ki a rātou. Kei te noho tonu te wehi "Ka aro nui mai rātou ki ahau mēnā ka kōrero ahau?"
• Ka pāngia koe e te manukanuka nui me te wehi i roto i ngā āhuatanga pāpori me ngā whanaungatanga. Mā tēnei ka karohia e koe ngā mahi me ngā mahi e uru ana ki te whakahoahoa ki ētahi atu. Hei tauira, ka karo pea koe i te haere ki tētahi pāti i te tari, me te whakaaro, "Āe, ki te haere ahau, kāore he tangata e kōrero mai ki ahau."
• He tino mā ahau i roto i ngā huihuinga pāpori, ā, he whakama hoki ahau nā te mea e wehi ana ahau kei hē ahau, kei whakama rānei. Kei te whakaaro tonu ahau ki ngā mea pēnei i te, "He tika taku kākahu?", "He tauhou taku kōrero?"
• Ka nui rawa tō whakaaro ki ngā raruraru pea, ka hē rānei tō whakamārama i ngā tauhohenga a ētahi atu (i roto i te huarahi kino). Ahakoa ka titiro noa mai tētahi ki a koe, ka pēnei koe, "Āe, kāore au i te mōhio he aha tā rātou i whakaaro ai mōku."
• Kāore rātou e whakamātau i ngā mea hou. Kāore rātou e pai ki te whakamātau i ngā mea hou. He maha ngā mea ka whakarērea e rātou nā te mea e wehi ana rātou "Tērā pea kāore e taea e au tēnei ahakoa ka whakamātau ahau."

He aha i puta ai tēnei āhuatanga? Ngā Take o (AVPD)

Ko ngā mate hinengaro, tae atu ki te APD, he mate hinengaro kāore anō kia tino mārama. Kei te ngana tonu ngā kairangahau ki te rapu i te tino take. Engari e whakapono ana rātou ko te APD i puta mai i te huinga o ngā āhuatanga:

• Ira: I kitea i roto i tētahi rangahau e 64% o te whanaketanga o te AVPD nā ngā āhuatanga ira, arā, he mahi tā ō tātou ira. Ko te tikanga, ki te pāngia tētahi o tō whānau e te mate, he nui ake te tūponotanga ka pāngia anō hoki koe e te mate.
• Te Āhua o te Tamarikitanga: Kua kitea e ngā kairangahau he hononga i waenga i ētahi āhua o te tamarikitanga me te APD. Hei tauira, te pakeke, te aro nui ki ngā mea hou, te karo nui i te tūponotanga, me te mataku nui me te ahotea.
• Te momo piri: Ko te hunga whai momo piri mataku ka nui ake te tūponotanga ka pāngia e te AVPD. Koinei te wā e hiahia ana koe ki te tata ki ētahi atu, engari kāore koe e whakawhirinaki ki a rātou, ā, e mataku ana hoki kei whakakahoretia. Hei tauira, ka pāngia pea e te tamaiti tēnei momo piri mena ka warewarehia e ōna mātua tōna pouri i a ia e tamariki ana.
• Te taiao o te tamarikitanga: Ko ngā āhuatanga pēnei i te whakakorenga me te rerekētanga o te manaaki i a koe i ētahi atu i te wā tamarikitanga ka whai wāhi ki te whanaketanga o te AVPD.

Me pēhea te tātaritanga o tēnei mate (AVPD)?

Ka haere tonu te hanganga o ō tātou tuakiri puta noa i te tamarikitanga me te taiohitanga. Nā konei, kāore ngā tākuta e tātaritanga i te mate ārai tuakiri (AVPD) o te tangata kei raro iho i te 18 tau te pakeke. Me whai taunakitanga ngā tākuta e whakaatu ana he pumau ēnei tauira whanonga, kāore e rerekē, ā, kāore e memeha haere i roto i te wā.

He uaua ki te tautuhi i ngā mate hinengaro, tae atu ki te APD, nā te mea he tokomaha te hunga whai ēnei āhuatanga kāore i te mōhio he hē kei roto i ā rātou whanonga, i ō rātou whakaaro rānei.

Ki te rapu āwhina rātou, he maha ngā wā ka rapu rongoā mō te manukanuka, te pouri rānei i puta mai i ngā take pēnei i te mokemoke me te kore hoa i puta mai i tō rātou mate tuakiri.

Ina whakapae te kaiwhakatakoto whakaaro hauora hinengaro , arā, he tohunga hinengaro, he tohunga hinengaro rānei, kei te pāngia tetahi e te APD, ka pātai whānuitia e rātou. Ka tūpato rātou kia kaua e waihanga i tētahi taiao e whakahēngia ai, e whakama ai rānei te tangata. Ko ngā pātai e pātaihia ana e rātou he ngana ki te hura i ngā mōhiohio mō:

• Ngā mōhiohio o mua
• Ngā Hoapā
• Ngā taipitopito o ngā mahi o mua
• Te tirotiro i te mooni (arā, te kaha ki te wehewehe i waenga i te mea e tupu ana me te mea e whakaarohia ana)

Tērā pea kāore te tangata e whakapaetia ana he APD tōna e mārama ki ōna ake whanonga me ōna tauira whakaaro. Nō reira, he maha ngā wā ka kōrero ngā tohunga hauora hinengaro ki te whānau me ngā hoa o te tangata hei kohikohi i ētahi atu kōrero.

Ka tātaritatia te AVPD e ngā tākuta i runga i ngā paearu i roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM-5) a te American Psychiatric Association.

Hei tātaritanga mō te APD, me whakaatu kia whā o ngā whanonga e whai ake nei i roto i tētahi tauira pumau :

• Te karo i ngā mahi e uru ana te mahi tahi me ētahi atu nā te wehi kei whakahengia, kei whakakahoretia rānei.
• Te kore e pai ki te taunekeneke me ētahi atu ki te kore koe e tino mohio ka pai rātou ki a koe.
• Te noho puku, te noho motuhake, ahakoa i roto i ngā whanaungatanga piripono, i te wehi kei tawaitia, kei whakama rānei.
• Te nui rawa o te manukanuka kei whakahengia koe e ētahi atu, kei whakakahoretia rānei i roto i ngā huihuinga pāpori noa.
• Te whakama, te tūpato hoki mōna anō i roto i ngā horopaki pāpori hou, nā te mea e whakaaro ana te tangata kāore i te eke ki te taumata e hiahiatia ana.
• Te whakaaro ki a koe anō he kore e pai ki te pāpori, he kore ataahua, he iti iho i ētahi atu.
• Te kore e pai ki te whakamātau i ngā mahi hou, ki te whai rānei i ngā tūponotanga mō te whakama.

He aha te rongoā mō tēnei?

He uaua te rongoā i ngā mate hinengaro nā te mea he roa ngā tauira whakaaro me ngā whanonga o te hunga whai i ēnei āhuatanga.

Heoi, tera pea ka pai te urupare a te hunga whai AVPD ki te maimoatanga. Nā te mea he nui te pēhanga e pā ana ki a rātou i te mate, ā, he nui te hiahia o te hunga whai AVPD ki te hanga whanaungatanga. Ka taea e tēnei hiahia te noho hei mea whakatenatena i a rātou ki te mahi i tā rātou mahere maimoatanga. Ko te maimoatanga ko te hinengaro hinengaro me te rongoā pea.

Ina rongoatia te tangata whai mate pēnei, ka angitu ake te maimoatanga mēnā ka tautokona, ka wawaotia hoki rātou e tōna whānau.

Te rongoā hinengaro mō (AVPD)

Ko te hinengaro whakaora, te kōrero whakaora rānei, te huarahi maimoatanga matua mō ngā mate hinengaro. Ko te whāinga o te whakaora he āwhina i a koe ki te tautuhi i ngā hihiri me ngā wehi o roto e pā ana ki ō whakaaro me ō whanonga. Hei tāpiri, ka taea e koe te ako ki te whanaungatanga ki ētahi atu i roto i ngā huarahi pai ake.

E rua ngā momo rongoā hinengaro hei āwhina i te hunga whai APD:

• Whakaora hinengaro-ā-hinengaro: Ka arotahi tēnei momo whakaora ki ngā pūtake hinengaro o te mamae kare ā-roto. Mā te whakaaroaro ki a koe anō, ka tirohia e koe ngā whanaungatanga raruraru me ngā tauira whanonga o tō koiora. Mā tēnei ka āwhina koe ki te mārama ake ki a koe anō. Ka taea e ia te āwhina i a koe ki te whakarerekē i te huarahi e hono atu ai koe ki ētahi atu me tō taiao.
• Te Whakaora Hinengaro Whanoke (CBT): He maimoatanga hanganga, he whai whāinga tēnei. Ka āwhina te kaiwhakaora hinengaro, te tohunga hinengaro rānei i a koe ki te tirotiro i ō whakaaro me ō kare ā-roto. Ka mārama koe ki te pānga o ō whakaaro ki ō mahi. Mā te CBT, ka taea e koe te wikitoria i ngā whakaaro me ngā whanonga kino. Ka ako koe ki te whakawhanake i ngā tauira whakaaro me ngā tikanga hauora ake. Ka taea e tēnei te arotahi ki te whakawhanake i ngā pūkenga pāpori.

Ngā rongoā mō (AVPD)

Kāore anō kia kitea he rongoā mō ngā mate hinengaro i tēnei wā. Heoi, kei te wātea ngā rongoā mō ngā āhuatanga pēnei i te pouri me te manukanuka ka pā ki te hunga whai APD. Mā te rongoā i ēnei āhuatanga ka māmā ake te rongoā i te APD.

Heoi, mō ngā hua pai rawa atu, me tango e koe ngā rongoā me te hinengaro hinengaro.

He aha te āhua o te mate mō te hunga whai AVPD?

Ko te āhua o te mate (AVPD) e whakawhirinaki ana ki te rongoātia, te kore rānei.

Ki te kore e rongoatia, ka taea e te AVPD te whakaputa i ngā mea e whai ake nei:

• Te noho mai o ētahi atu āhuatanga hauora hinengaro pērā i te pouri, te mate whakamahi matū, me ngā mate kai.
• Te pikinga ake o te mōrearea o te pouri i muri i te whānautanga.
• Te pouri ki te ao.
• Ngā uauatanga i te wāhi mahi.
• Te ngoikore o te mahi pāpori.

He nui te maha o ngā whakaaro whakamomori me ngā ngana whakamomori a te hunga whai APD. Mena kei te whakaaro koe, kei te whakaaro rānei tētahi e mōhio ana koe ki te whakamomori, rapua tonutia te āwhina mai i tētahi tohunga hauora hinengaro, i tētahi pakeke pono, waea atu rānei ki tētahi raina āwhina.

He tukanga roa te rongoā i te mate ārai tuakiri (AVPD). Ka pā nui tō hiahia ki te rapu me te haere tonu i te rongoā ki tō tirohanga. Mā te rongoā, ka taea e ētahi tāngata whai AVPD te ako ki te whanaungatanga ki ētahi atu i roto i ngā huarahi hauora ake.

Ka taea te ārai i te AVPD?

Kāore e taea te ārai katoa i te mate kiriaro karo (AVPD). Heoi, ka taea e te maimoatanga te āwhina ki te whakaiti i ngā raruraru e pā mai ana. Mā te rapu āwhina i te wā tonu e puta ai ngā tohu ka taea te whakaiti i te whakararuraru ki te oranga, ki te whānau, me ngā whanaungatanga o te tangata.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Kia maumahara, he mate hinengaro te mate kiriaro karo (AVPD). Pērā i ngā mate hinengaro katoa, ko te rapu āwhina i te wā e puta mai ai ngā tohu ka āwhina i te whakaiti i te whakararuraru ki tō oranga. Ka taea e ngā tohunga hauora hinengaro te whakarato mahere maimoatanga hei āwhina i a koe ki te whakahaere i ō whakaaro me ō whanonga.

He maha ngā wā ka pāngia ngā whānau o te hunga whai APD e te ahotea, te pouri, me te mokemoke. He mea nui kia tiakina tō hauora hinengaro me te rapu āwhina mēnā kei te pāngia koe e ēnei tohu.

Kāore koe i te mokemoke. Ki te mārama koe ki tēnei āhuatanga, ā, ki te rapu i te āwhina tika, ka taea hoki e koe te kimi i te whakamarie me te ora i tētahi oranga pai ake. Inoi atu mō te āwhina me te kore wehi, me te maia hoki.

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