Kei te whakaaro koe i ētahi wā ehara koe i a koe anō? He mate tuakiri maha tēnei? (Dissociative Identity Dissociative - DID)

Kua whakaaro koe kāore he mana whakahaere mō āu kōrero, mō āu mahi rānei, kāore rānei koe i te rite ki a koe anō? Kua wareware rānei koe ki āu kōrero, ki āu mahi rānei, ā, kua ohorere koe i te wā i kōrerotia ai e ētahi atu? I tēnei rā ka kōrero tātou mō tētahi āhuatanga hinengaro uaua, engari he mea nui rawa atu, kāore i te mōhiotia e te tini o te tangata. Koinei te mea e kiia nei e tātou ko te mate tuakiri maha, ko te '(Dissociative Identity Disorder - DID)' rānei i te taha hauora. I mua ko te '(Multiple Personality Disorder)' te ingoa.

He aha tēnei mate hinengaro maha (DID)?

Ki te kī māmā noa, ko te `(Dissociative Identity Dissociative - DID)` he mate hinengaro e rongo ana koe, e mahi ana rānei me te mea kei a koe tētahi, ētahi atu rānei tuakiri i roto i tō hinengaro me tō tinana i tua atu i a koe anō. Whakaarohia me te mea he maha ngā tāngata rerekē e noho ana i roto i tō tinana. Ko te kupu ``Dissociate`` ko te tikanga ``wehenga`` ``momotu`` rānei.

Tērā pea ka pāngia te tangata whai mate nei e ētahi momo āhua rerekē (e kiia nei e ngā tākuta he "alters"). Tērā pea he āhua motuhake, he mahara, he whakaaro, he kōrero, he pai, he kino hoki ki a ia o ēnei "alters", tae atu ki te tau me te ira tangata. I ētahi wā, ka rite ēnei āhua ki te iwi rerekē, ā, ka rerekē te taunekeneke ki tō rātou taiao.

Ka taea e ēnei momo āhua rerekē te whakahaere i ō whanonga i ngā wā rerekē. Ko te mea tino mōrearea ko te kore e whakawhitihia ngā maharatanga mai i tētahi āhua ki tētahi atu. Ka taea e tēnei te puta he ngaronga mahara , he āputa mahara rānei (amnesia) . Ko tēnei ngaronga mahara tētahi o ngā tohu tino nui e arohia ana e ngā tākuta ina tātaritangahia tēnei mate.

He mate kino te DID ka taea te whakararuraru i tō kaha ki te mahi i roto i tō oranga o ia rā. Ka pā ki ō whanaungatanga ki te whānau me ō hoa, ki ō mahi kura, me tō mahi. Ko te DID he mate nō roto i tētahi rōpū mate hinengaro e kiia nei ko ngā mate wehewehe. Ka pāngia e ēnei mate tō kaha ki te hono atu ki te ao tūturu.

He momo DID anō kei reira?

Āe, e rua ngā momo matua o te `DID`:

1. Te āhua o te mana o te wairua: Koinei te wā e riro ai tō tinana i tētahi tangata o waho, i tētahi wairua rānei, ā, ki ētahi atu, te āhua nei kua mana koe. Ka tīmata whakarere koe ki te kōrero me te whanonga rerekē, he mea mārama ki ētahi atu. He huringa āhua tēnei kāore koe e hiahia, ā, ka puta te huringa āhua me te kore e taea e koe te whakahaere. Kaua tēnei e whakapoauau ki te 'whakaponokore' e pā ana ki ētahi o ā tātou whakapono ahurea. He mate hinengaro te DID.

2. Puka Kore-Pupuri:I tēnei wā, kāore ngā huringa o te tuakiri e tino kitea ana e ētahi atu. Tērā pea ka rongo ohorere koe i tētahi huringa o tō tuakiri. Tērā pea ka rite koe ki te mātakitakihia i roto i tētahi kiriata (`(wheako o waho o te tinana)`), ā, tērā pea ka rite koe ki te kore e taea e koe te whakahaere i tō kōrero, i ō kare ā-roto, me tō whanonga.

He mea nui, ko te ariā o te 'whakaurunga' he whakapono noa i roto i ngā ahurea me ngā whakapono huri noa i te ao. Heoi, kāore he pānga o aua mahi wairua tūao ki te 'DID'.

He pēhea te noa o te DID?

Ehara te DID i te mate noa . I kitea i roto i tētahi rangahau iti i te Hononga o Amerika, tata ki te 1.5% o te taupori ka pāngia. Heoi, ka rerekē pea tēnei whakatau tata me ngā paearu tātaritanga hou (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition - DSM-5)).

He aha ngā tohu o te DID?

Ko ngā tohu matua o te `DID` ko:

• Kia rua ngā āhua o te tuakiri (ngā āhua o te tuakiri). Ka pā ēnei ki tō whanonga, tō mahara, tō tirohanga ki a koe anō, me tō whakaaro.
• Te ngaronga o te mahara (amnesia) te āputa rānei o te mahara mō ngā mahi o ia rā, ngā taipitopito whaiaro, me ngā mahi whakapouri. I ētahi wā, kāore pea koe e mahara ki ngā mea mō ngā hāora, mō ngā rā rānei.
• Ngā raruraru i roto i ō whanaungatanga pāpori, i te mahi, i ngā mahi o te whare, i ngā mahi kura rānei nā ngā momo tuakiri rerekē.

Hei tāpiritanga, ko ngā raruraru hauora hinengaro e whai ake nei ka kitea i ētahi wā (engari kāore i ngā wā katoa) me te DID:

• Manukanuka
• Ngā pohehe - te whakapono ki ngā mea kāore i te pono.
• Te pouri
• Te whara i a koe anō
• Ngā mate whakamahi matū
• Whakaaro whakamomori

He aha ngā kare ā-roto o te tangata whai DID?

Mena kei a koe te 'DID', tera pea ka pāngia koe e ngā āhuatanga penei:

• Te āhua e momotu ana koe i te ao tūturu, ō kare ā-roto, me tō whakaaro mō "ahau".
• Te pōhēhē i ngā kōrero a ētahi atu mō ō whanonga. (Hei tauira, ina kī mai tetahi, "I kōrero koe i tērā inanahi," tērā pea kāore koe e mahara ki tēnā.)
• Te pōuri ki ngā āputa i roto i tō mahara .
• He nui te pēhanga nā te mea kāore e taea te whakahaere i tetahi mea.
• Me te mea kei te mātakihia koe i muri, e rite ana koe ki tētahi kaimātakitaki o waho .

Hei whakarāpopototanga, ina pāngia koe e te 'DID', kāore koe e whakaaro ko koe tonu. He rerekē te āhua o tēnei mō ia tangata. Ki te whakaaro koe he hapa kei roto, ki te kore ō wheako me ō mahara e ōrite, me toro atu ki te tākuta ka kōrero mō tēnei mea.

E taea rānei e te tangata te kore e mōhio kei a ia te DID?

Āe, ka taea tēnā.Ahakoa e mōhio ana ētahi tāngata ki ō rātou tuakiri maha, he tokomaha kāore e mōhio ana ki ngā wā ka puta mai he tuakiri hou, ka whakahaere i a rātou. Ina puta mai he tuakiri hou, kāore pea koe e mahara ki ētahi huihuinga nā te mea i pāngia aua wheako e tētahi atu tuakiri. Koinei te take o te ngaro o te mahara, te "amnesia" rānei.

He aha ngā take o te DID?

Ko te tino take o te DID e whakaarohia ana ko ngā wheako kino, mamae hoki i pā ki a rātou i te wā o te tamarikitanga. Kei roto pea i ēnei:

• Ngā wheako ahotea
• Whara
• Te tukino tinana, te tukino ā-ira tangata, te tukino hinengaro rānei (Te tukino)
• Te mangere

Ina tūtaki ki ēnei wheako tino uaua i te wā taitamariki, ka ngana te hinengaro ki te tiaki i a ia anō. Ko te 'DID' he momo tikanga tiaki e whakamahia ana e te hinengaro hei wehe i a ia mai i tētahi whara kino. He rite ki te whakatakoto i taua wheako kino ki roto i tētahi "pouaka" motuhake, ka huna ki tētahi wāhi o te hinengaro.

Ka taea e ngā tohumate DID te puta mai i:

• Ina wehe atu koe i tētahi taiao ahotea, mamae rānei (hei tauira, te neke whare).
• Tō whanaunga tata, tō tamaiti rānei, i te wā i tae ai koe ki te tau i pā ai taua mamae ki a koe.
• Nō te mea kua pāngia koe e tētahi āhuatanga taumaha, taumaha rānei i ēnei wā tata nei (hei tauira, he aituā motuka kino).
• Ina mate te kaiwhakatoi i a koe, ina pāngia rānei e te mate e morearea ana ki te ora.

He aha ngā āhuatanga mōrearea mō te DID?

Tērā pea ka nui ake tō tūponotanga ki te whakawhanake i te DID mēnā kua pāngia koe e tētahi o ēnei e whai ake nei:

• Te tukino tinana, te tukino ā-ira tangata rānei i a koe e tamariki ana.
• Te kore aro o ngā mātua, o ngā kaitiaki rānei.
• Te mea me mahi ia i ētahi pokanga hauora, i ētahi tikanga rānei i a ia e tamariki ana.
• Te anga atu ki ngā mea pēnei i te pakanga, i ngā mahi whakamataku rānei.

He aha ngā raruraru ka pā mai i te DID?

He nui ake te mōrearea o te hunga whai DID ki te whakamomori . Neke atu i te 70% o te hunga kua tautuhia he DID ka ngana ki te whakamomori, ka uru rānei ki ngā whanonga whara i a rātou anō.

Ki te mea kei te hiahia koe ki te whakamomori, rapua he āwhina tonu. I te Hononga o Amerika, ka taea e koe te waea atu ki te 988, te tuku karere rānei ki te Suicide & Crisis Lifeline. Whakapā atu ki te ratonga hauora hinengaro ohorere i tō whenua. Kāore koe i te mokemoke, kei reira tetahi hei āwhina.

Me pēhea te tautuhi a ngā tākuta i te DID?

Ko te tikanga, ka tātaritatia te DID e te tohunga hinengaro, e te tohunga hinengaro rānei. Ka tangohia e rātou tō hītori hauora katoa, ka pātai atu ki a koe mō ō tohumate. I ētahi wā ka taea hoki e rātou te tiki kōrero mai i te hunga e mōhio pai ana ki a koe, ā, e noho tahi ana me koe i te nuinga o te wā. He maha ngā wā, ko te tangata e tata ana ki a koe te tuatahi ki te kite i te huringa o tō āhua, ā, ka whakaatu i tō āwangawanga.

Kāore he whakamātautau kotahi hei tautuhi i te DID. Ka whakahaerehia e tō tākuta he whakamātautau tinana me te whakamātautau io hei whakakore i ētahi atu āhuatanga hauora e puta ai ō tohu. Kātahi ka whakaritea e rātou ō tohu ki ngā paearu i roto i te Diagnostic and Statistical Manual, putanga 5 (DSM-5), he aratohu mai i te American Psychiatric Association.

Hei tāpiritanga, ka whakamahia pea e tō tākuta ngā momo pātai, ngā tauine rānei hei aromatawai i tō whanonga wehewehe. Ko ētahi tauira ko:

• Tauine Wheako Wehewehe: E 28 ngā pātai e pā ana ki ō wheako o ia rā.
• Pātai Wehewehe: E 63 ngā pātai hei ine i te kaha o te wehenga tuakiri.
• Ngā Uauatanga o te Tauine Whakahaere Kare ā-roto: E 36 ngā pātai e pā ana ki te whakahaere i ō kare ā-roto.

I te mea he nui te mōrearea o te whakamomori i waenga i te hunga whai DID, ka pātai atu te tākuta ki a koe mō tēnā.

Āhea te nuinga o te wā ka kitea te DID?

He maha ngā wā ka puta ngā tohu o te DID i te tamarikitanga, i waenga i te 5 me te 10 tau te pakeke. Heoi, tera pea ka ngaro, ka hē rānei te mārama o ngā mātua, ngā kaitiaki, ngā kaiako, me ngā tākuta ki ēnei tohu tōmua. Tērā pea ka pohehe rātou i te DID me ētahi atu ngoikoretanga whanonga, ngoikoretanga ako rānei, pērā i te Attention-Deficit/Hyperactivity Disorder (ADHD). Nō reira, he maha ngā wā ka kitea te DID i te pakeketanga.

Nā te mea he mate onge te DID, ā, he whānuitia hoki ōna tohu, ka roa pea te wā ka taea e ngā tākuta mātau te tautuhi tika i te mate.

He aha ngā maimoatanga mō te DID?

Ko ngā mea e whai ake nei e whakamahia ana hei maimoatanga mō te DID:

• Ngā rongoā hei whakahaere i ngā tohu pēnei i te pouri me te manukanuka.
• Hinengaro Whakaora . Hei tauira, Whakaora Whanoke Hinengaro (CBT) Whakaora Whanoke Whakawhitiwhiti Kōrero (DBT) rānei.

Ko te taahiraa tuatahi i roto i te maimoatanga ko te whakarite i tō haumaru. Ka taea e te tākuta whai mātauranga motuhake ki te mate hinengaro te tuku i a koe ki te maimoatanga tika. Ko te arotahi matua o te maimoatanga ko te whakatutuki i ō hiahia motuhake.

Te rongoā hinengaro (tohutohu) mō te DID

Ko te hinengaro whakaora mō te DID e arotahi ana ki:

• Te tautuhi me te mahi i roto i ngā mahi whakamataku o mua.
• Te whakahaere i ngā huringa whanonga ohorere.
• E ngana ana ki te whakakotahi i ngā tuakiri motuhake kia kotahi te tuakiri, kia kotahi te tuakiri .

Tērā pea ka whai hua koe i te whakaora takitahi, ā-rōpū, ā-whānau rānei.

Kia maumahara, he uaua pea te whai wāhi atu ki te mahi whakaora hinengaro. Me kōrero anō koe mō ngā wheako tino uaua, tino mamae hoki i roto i tō hinengaro, me te whakahoki anō hoki i aua wheako. Tērā pea ka pāngia koe e te manukanuka, te kore āwhina, te mataku, me te mokemoke. Engari kāore koe i te mokemoke. Kei reira tō kaiwhakaora hinengaro me ō whanaunga hei āwhina me te tautoko i a koe.

Ka taea e te hipnosis te āwhina?

E taunaki ana ētahi tākuta i te whakaora hinengaro me te whakaora hinengaro. He momo whakaaroaro ārahi te whakaora hinengaro. E whakapono ana ētahi ka taea e ia te whakahoki mai i ngā maharatanga kua pehia.

Ka taea te whakaora katoa i te DID?

Engari, kāore he rongoā mō te DID. Heoi, ka taea e ō tohumate te whakapai ake. Me whakahaere e koe tēnei mate mō te toenga o tō oranga. Ahakoa te āhua taumaha pea tēnei, ka taea e tō tākuta te āwhina i a koe ki te kimi i te maimoatanga tika, i te huinga rānei o ngā maimoatanga hei āwhina i ō tohumate ki te whakahaere i tō oranga.

Ka taea te ārai i te DID?

Kāore he huarahi motuhake hei ārai i te DID. Heoi, mā te mōhio wawe me te rongoā wawe ka āwhina i te whakahaere i ngā tohu. Me tūpato ngā mātua, ngā kaitiaki, me ngā kaiako ki ēnei tohu i roto i ngā tamariki nohinohi. Mā te rongoā wawe i te tukino, i te whara rānei, ka ārai pea i te kino haere o te DID.

Ka taea hoki e te maimoatanga te āwhina i a koe ki te tautuhi i ngā "mea whakaoho" e puta ai ngā huringa o tō tuakiri, o tō tuakiri rānei. Mā ngā mea pēnei i te whakahaere i te ahotea, te karo i ngā raau taero ture kore, me te karo i te inu nui i te waipiro ka āwhina i te whakaiti i te auau o ō huringa.

He huarahi hei whakangawari ake i te noho tahi me te DID?

Me whai tonu i te mahere maimoatanga a tō tākuta. Kei roto pea i tēnei ko te tango i ō rongoā e ai ki te whakahaunga me te haere tonu o te maimoatanga ahakoa kua pai ake koe. Mena he uaua te āhua o ngā āhuatanga, ki te mea rānei kei te kino haere, kaua e pai ake, me whakamōhio tonu atu ki tō tākuta. Kātahi ka taea e rātou te whakarerekē i tō mahere maimoatanga kia rite ki te hiahia puta noa i tō oranga.

Mā te whai i tētahi pūnaha tautoko kaha ka āwhina nui i a koe ki te noho me te DID. Kia mōhio kei a koe ngā tākuta, ngā mema o te whānau, me ngā hoa e mārama ana ki tō āhua. Kōrerohia mahorahora, pono hoki ki te hunga kei roto i tō pūnaha tautoko. Kaua e wehi ki te tono āwhina ina hiahiatia.

Mena he mate DID tō hoa aroha, me pēhea e taea ai e koe te āwhina?

He mea whakapoauau, he mea taumaha hoki te kitenga kua pāngia tētahi e tō aroha e te mate DID. Tērā pea kāore koe i te mōhio me pēhea te aro atu ki ō rātou āhua rerekē (ngā whakarerekētanga) me ō rātou whanonga. Anei me pēhea e taea ai e koe te āwhina:

• Akohia ngā kōrero mō te DID me ōna tohu. Ko te mārama te taahiraa tuatahi.
• Whakaaturia tō hiahia ki te whai wāhi atu ki ngā mahi tohutohu whānau, ki ngā rōpū tautoko rānei me tō hoa aroha.
• Kia marino, kia tautoko hoki ina puta he huringa whanonga ohorere.

Āhea koe me toro atu ki te tākuta?

I ētahi wā ka taea e koe te whakaiti i te pānga o ō tohu ki tō oranga o ia rā. Tērā pea ka whakaaro koe, "Ehara tēnei i te mea nui rawa." Engari ki te whakapae koe kei te hē tetahi mea ki tō āhua ake, ki tō mahara, ki tō āhua mahi rānei, tēnā tirohia he tākuta.

Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, te DID, ā, kei te whakaatu koe i ēnei e whai ake nei, rapua tonutia te awhina hauora:

• Te whara i a koe anō
• Ngā whakaaro whakamomori
• whanonga tutu

I te Hononga o Amerika, ka taea e koe te whakapā atu ki te Rārangi Whakamomori me te Ora mō ngā Āhuatanga Mate Pukupuku mā te waea atu, mā te tuku karere rānei ki te 988. Ka hono atu tēnei raina āwhina i a koe ki tētahi whatunga o ngā pokapū raruraru ā-rohe e whakarato ana i te tautoko kare ā-roto kore utu, tūmataiti hoki. Ka whakarato ēnei pokapū i te tautoko 24 hāora ia rā, e whitu rā ia wiki ki te hunga e pāngia ana e te raruraru whakamomori, e pāngia ana rānei e te mamae kare ā-roto. Mēnā kei roto koe, tō hoa aroha rānei i tētahi āhuatanga ohorere, waea atu ki te 911, ki tō nama urupare ā-rohe rānei. (I Sri Lanka, waea atu ki te 1990 mō te Ratonga Āwhina Hauora a Suwaseriya, ki te 119 rānei mō ngā pirihimana.)

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ko te Mate Tuakiri Wehewehe (DID) he āhuatanga hauora hinengaro e rua, neke atu rānei ō tuakiri motuhake. Ka puta pea tēnei hei huarahi mā tō hinengaro ki te mawhiti atu i ngā wheako kino nui kua pā ki a koe i roto i tō ao. Hei tiaki i a koe anō, hei neke whakamua, kua waiho pea e koe taua mamae ki roto i tētahi pouaka, ā, kua huna ki muri o tō hinengaro.

Ahakoa ka taea e te DID te whakarato i tētahi mawhiti mai i te ao tūturu, ka taea hoki e ia te wehe atu i a koe i ō hoa aroha me tō āhua tūturu. Ka taea e tētahi kaitohutohu hauora hinengaro te āwhina i a koe ki te whakatuwhera i taua pouaka ina rite koe, me te mahi i roto i ēnei wheako uaua. Mā te mahi tahi, ka taea e kōrua te mārama ake ki ngā wero kua pā ki a kōrua, me te mahi i roto i aua wero i runga i te huarahi pai. I a kōrua e noho ana i roto i te rongoā hinengaro, he tino āwhina te hanga i tētahi pūnaha tautoko kaha o ngā tāngata ka taea e koe te whakawhirinaki ina whakaaro koe ehara koe i a koe anō. Kia mahara, kāore koe i te mokemoke ina pāngia koe e te DID.

I roto i te wā, mā te maimoatanga tika, ka taea e koe te mahi pai ake, me te noho me te mana whakahaere nui ake i tō "koe" tūturu. Kaua e mutu te tumanako.

Mate Tangata Maha , Mate Tuakiri Wehewehe, DID, Hauora Hinengaro, Ngā Tuakiri, Ngaronga Mahara, Whara, Mate Tangata Maha