Kei te ngana koe ki te māuiui? Kei te mahi rānei koe i te āhua nei? Tērā pea he 'Mate Hangahanga nā te Tangata' tēnei (i mua ko te 'Munchausen Syndrome')!

Kua rongo kē koe i tētahi e whakaari ana i a ia e mate ana, e whakaari ana rānei i a ia e mate ana? Tērā pea ka miharo koe ki tēnei. Engari, he raruraru hauora hinengaro tēnei. I tēnei rā ka kōrero tātou mō tēnei āhuatanga.

He aha rawa tēnei? 'He mate tito noa i pā ki a koe anō'?

Ki te kī māmā noa, ko te 'Factitious Disorder Implicated on Self' he mate hinengaro e whakaari ana koe kei te mate koe, e whakaari ana rānei kei a koe ngā tohumate, ā, i ētahi wā ka ngana koe ki te whakama i a koe anō . I mua ko te ingoa o tēnei ko te '(Munchausen Syndrome)'.

He maha ngā wā, ka whakaatuhia e ēnei tāngata ngā tohu e pā ana ki ngā mate tinana. Whakaarohia te mamae o te uma, te mamae o te puku, te kirika rānei. Heoi, ka pāngia pea te tangata whai mate pēnei i te whakaaro pōhewa , te rongo rānei i ngā reo.

He āhua morearea tēnei āhuatanga, nā te mea mā tēnei whanonga ka taea e koe te "whara i a koe anō" .

Nō hea te putanga mai o te ingoa 'Munchausen Syndrome'?

I mua, i tapaina tēnei mate ko te 'Munchausen Syndrome', i muri i a Baron Munchausen, he āpiha Tiamana o te rautau 18. I mōhiotia ia mō āna kōrero whakahihi mō tōna oranga me ōna wheako. Nō reira, i tēnei wā anō hoki, he whakahihi ngā tohu, koia i tapaina ai pērā. Heoi, kāore taua ingoa e whakaatu i te uaua o tēnei hei mate hinengaro. Koia te take e whakamahia ai e ngā tākuta o ēnei rā te ingoa 'Factitious Disorder Imposed on Self'.

He pēhea te noa o tēnei āhuatanga?

Ehara i te mea tino noa te Mate Pūkenga e Pā Ana ki a Ia Anō. He uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate. Nā te mea he maha ngā tāngata e haere ana ki ngā tākuta rerekē mō te maimoatanga, kāore e taea te tiki tatauranga tika.

He aha te momo whanonga tēnei?

He maha ngā whanonga ka kitea i roto i tēnei āhuatanga:

• Te whakaari kei a koe ngā tohu ā-tinana (hei tauira, te ānini, te mamae o te puku, te mamae o te uma) engari kāore i te tino kitea.
• Te whakaari kei a koe ngā tohumate hinengaro kāore i te kitea (hei tauira, te kite i ngā mea kāore i te kitea, te rongo i tētahi e kōrero ana).
• Te whakamāuiui i a koe anō , te whakaputa rānei i ngā tohumate tinana (hei tauira, te whara i te patunga mā te kore e tukua kia ora, te ruaki, te kai rānei i tētahi mea paitini).

He aha ngā āhuatanga e kitea ana e koe i roto i tēnei?

Mena kei a koe te 'Mate Tīpako i Pā ki a Koe Anō', ka taea e koe te rūpahu, te whakanui rānei i ngā tohu. Tērā pea koe:

• Ka taea e koe te teka me te kī kei a koe ngā tohumate engari kāore i a koe.
• Tērā pea ka puta ake ngā tohu hou i muri i te putanga mai o ngā hua o te whakamātautau, i muri rānei i te tīmatanga o te maimoatanga.
• Tērā pea ka puta noa ngā tohu ina noho ko koe anake .
• Ka taea te whakarerekē i ngā whakamātautau tātaritanga (hei tauira, te tāpiri i tētahi atu mea ki te tauira mimi).
• Ka whakaari pea rātou kei te tango i te rongoā, ka huna, ka waiho rānei ki waho.
• Ka taea e koe te kino i a koe anō i ngā wā katoa .

Ko ētahi atu tohu pea ko:

• Ngā hītori hauora e whakahē ana.
• Te whakarerekē i te tuakiri o te tangata, te whakaatu rānei i tētahi tuakiri rūpahu.
• He maha ngā hōhipera me ngā pokapū hauora e haere ana ki te rongoā.
• Te kore e pai ki te tuku i ngā tākuta kia kite i ō rātou whānau, ki te kōrero rānei ki ngā tākuta kua rongoatia rātou i mua.
• Te hiahia ki te whai i ngā whakamātautau, i ngā maimoatanga rānei e mamae ana.

He aha tēnei e tupu nei? He aha ngā take?

Kāore anō kia tino mōhiotia e ngā tākuta te take o te Mate Whakakatakata. Heoi, e kī ana ngā rangahau he mea pea nā ngā āhuatanga hinengaro (ngā wāhanga o tō tuakiri e pā ana ki ō whakaaro me ō mahi) me ngā āhuatanga koiora (ngā matū i roto i tō roro me te hanganga ira).

E whakaatu ana ngā rangahau ka pā pea ēnei āhuatanga ki tō hiahia ki te tinihanga i ngā tākuta:

• Ko te hiahia o tētahi atu tangata ki te tiaki i ō hiahia tinana, hinengaro rānei.
• Te rapu mana, te hira rānei i runga i ētahi atu.
• Whakaitihia te manukanuka o te whakarēreatanga.
• Waihangahia he tuakiri whaiaro hou.

Heoi, ka taea tēnei āhuatanga te puta me te kore he take mārama e taea te tautuhi .

He aha te hihiri kei muri i tēnei whanonga?

Ko te hunga whai mate pēnei e mōhio ana kei te mahi tinihanga rātou. Heoi, kāore rātou e tumanako ki tētahi painga mārama (hei tauira, te wehenga atu i te mahi, te whiwhi i ngā āwhina hauātanga) mai i te rūpahu, te whakanui rānei i ēnei mea. Ko ēnei painga he mea huna, he mea kare ā-roto . Kāore pea rātou e mōhio ki ngā painga e whiwhi ana rātou.

He mea tēnei nō ngā whakatipuranga?

Kāore i te mōhiotia he hononga i waenga i te 'Practitious Disorder Improved on Self' me ngā ira. Kei te haere tonu ngā rangahau hei whakatau i te pūtake.

Ko wai te mea tino mōrearea ki tēnei mate?

Ahakoa he mate onge te Factitious Disorder, tera pea ka piki ake tō mōrearea mēnā kua pāngia koe e ēnei e whai ake nei:

• Te tukinotanga, te whakarērea rānei i a koe e tamariki ana.
• Te pāngia e te whara nui.
• Ngā mate e pā pinepine ana ki a koe, ki tō whanaunga rānei.
• Te noho mai o ngā mahi taupatupatu i roto i te whānau.
• He nui te wā i noho ai ahau i tētahi wāhi e whakarato ana i ngā ratonga hauora.

Me pēhea te tautuhi a ngā tākuta i tēnei?

He uaua ki ngā tākuta te tātaritanga i te 'Mate Tīpako i Whakawhiwhia ki a Koe Anō'. Ka whakakorea tuatahitia e te tākuta ētahi atu āhuatanga tinana me te hinengaro, kātahi ka whakatū i ngā paearu tātaritanga. Me mārama he taunakitanga kei te rūpahu koe, kei te tito noa rānei i ngā tohumate. I te nuinga o te wā ka mahia te tātaritanga i muri i ētahi whakamātautau me ngā maimoatanga. Ka mahia te tātaritanga e ngā tākuta maha e mahi tahi ana.

He whakamātautau motuhake kei reira mō tēnei?

Kāore he whakamātautau motuhake hei tautuhi i te 'mate rūpahu i meinga kia pā ki a koe anō'. Ka taea te whakahaere i ngā whakamātautau toto, ngā whakamātautau mimi, me ngā 'whakamātautau whakaahua' hei whakakore i ētahi atu mate.

Ka tātaritangahia e tō tākuta mā te whakakore i ngā mate tinana, i ētahi atu āhuatanga hinengaro rānei, me te aroturuki i ō waiaro me ō whanonga.

I ētahi wā, ka tukuna pea koe e tō tākuta ki tētahi tohunga hinengaro, ki tētahi tohunga hinengaro rānei (he tohunga kua whakangungua mō te tātaritanga me te rongoā i ngā āhuatanga hauora hinengaro). Ka whakahaerehia e ngā tohunga hinengaro me ngā tohunga hinengaro he aromatawai mā te whakamahi i tētahi hītori hauora katoa, hītori tinana, whakamātautau taiwhanga me/ranei ngā whakamātautau whakaahua, me ngā taputapu aromatawai hinengaro.

"Te Mate Pūkenga i Whakawhiwhia ki a Ia Anō" i roto i te "DSM-5"

Ka whakamahia e ō tākuta te Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) hei whakatairite i ō tohu ki ngā paearu mō tēnei mate. Ko te DSM-5 te pukapuka paerewa mō te tātaritanga o ngā mate hauora hinengaro i te Hononga o Amerika.

Ko ngā paearu tātaritanga mō te 'Haukino Ripeneta i Whakawhiwhia ki a Ia Anō' ko:

• Te rūpahu i ngā tohu me ngā āhuatanga tinana, hinengaro rānei, ka puta ai ngā whara, ngā mate rānei.
• Te āhua ki ētahi atu he mate, he ngoikore, he whara rānei.
• He whanonga tinihanga, me te kore e tumanako ki te hua o waho .
• Kāore e taea te whakamārama tika i tēnei whanonga e tētahi atu mate hauora hinengaro.

Me pēhea te rongoā? (Te rongoā)

Ko te whāinga tuatahi o te maimoatanga mō te 'Factitious Disorder Implicated on Self' ko te whakarerekē i ngā whanonga kino me te whakaiti i te whakamahi hē, te whakamahi nui rānei i ngā rauemi hauora. Kia tutukihia ēnei whāinga, ka arotahi tō rōpū hauora ki ngā tino take o tō whanonga.

Ko te arotahi matua ko te whakaiti i te kino. Ka taea e ngā tākuta te mahi tahi kia kore ai koe e whai i ngā whakamātautau hauora, i ngā maimoatanga rānei kāore e hiahiatia. He maha ngā whakamātautau me ngā maimoatanga hauora ka pā he pānga kino ki a koe mēnā kāore koe e hiahia. Ka mahi tahi ō tākuta me koe ki te ārai i te kino i runga i ō hiahia.

Ka taea e te Whakaora Whanoke Hinengaro (CBT), he momo hinengaro e aro ana ki ō whakaaro me ō tauira whanonga, te āwhina i te rongoā i tēnei mate. Ka taea hoki e te whakaora whānau te āwhina i tō whānau ki te ako atu mō te mate. Ka taea e te whakaora rōpū te āwhina ki te whakaiti i ngā kare ā-roto o te mokemoke, te whakarērea rānei.

He uaua pea te maimoatanga nā te mea he tokomaha te hunga whai `Factitious Disorder Imposed on Self` e whakakahore ana kei a rātou te mate. Heoi, ki te mea kua rite koe, ka taea e koe te whiwhi maimoatanga.

He maha ngā wā ka hiahiatia he maimoatanga mai i te tākuta kotahi, i te huinga rānei o ngā tākuta e rua he rerekē ā rātou tohungatanga (hei tauira, he tākuta hinengaro me te tākuta whānau). Ka arotahi ō tākuta ki te whakaiti i te whara i a koe anō me te whakaako i a koe ki te tiaki i a koe anō me te ārai i ngā raruraru.

He aha ngā mea ka puta i muri i te maimoatanga? (Te matapae)

Ko tō whakaoranga e whakawhirinaki ana ki tō hiahia ki te whakaae ki tētahi mahere maimoatanga me te whai i taua mahere. Ki te whakaae koe ki tō mate, ā, ki te whai i ngā tohutohu a tō tākuta i te wā e maimoatanga ana, tera pea ka pai te putanga . Ki te whakakahore koe, ki te kore rānei e haere i te maimoatanga, tera pea ka kino te putanga, ā, ka tino morearea pea ō whanonga, ka tūpono pea ki te ora.

Ahakoa kotahi noa te wā ka pāngia ētahi tāngata e tēnei mate, he tokomaha pea ka pāngia tonutia e tēnei mate puta noa i ō rātou oranga, nō reira me haere tonu te maimoatanga.

He ara hei ārai i tēnei?

Kāore anō kia mōhiotia he huarahi hei ārai i tēnei mate, engari mā te tīmata i te maimoatanga i te wā tonu e puta ai ngā tohu ka āwhina i te whakatutuki i ngā hua pai rawa atu.

He mea nui: He mate morearea te 'Mate Hangahanga e Pā Ana ki a Koe Anō', ā, he mate morearea anō hoki. Mēnā ka whara tonu koe i a koe anō, ka tango rongoā rānei mō ngā tohu kāore i a koe, ka pāngia pea koe e ngā pānga kino nui ka pā ki te mahi a tō tinana. Mā te whai i ngā whakamātautau, i ngā maimoatanga rānei kāore e tika ana ka nui ake te kino i te pai ki tō tinana.

Hei tāpiri, he tokomaha te hunga kua tautuhia kua pāngia e te 'Factitious Disorder Imposed on Self' kei te mōrearea ki te mate whakamahi matū me te whakamomori.

Mena kei te whakaaro koe, kei te whakaaro rānei tētahi o ō hoa aroha ki te whara i a rātou anō, ki te whakaaro rānei ki te whakamomori, rapua tonutia he awhina hauora, waea atu rānei ki te 988 (te Raina Āwhina mō te Whakamomori me te Ārai Mate). Mena kei te whakaaro koe, kei te whakaaro rānei tētahi o ō hoa aroha kei roto rātou i te mōrearea, waea atu ki te 911, ki tō nama urupare ā-rohe rānei.

Me pēhea te āwhina i tētahi pēnei?

He mate hinengaro kino te Mate Pūkenga e Pā Ana ki a Ia Anō. He uaua pea ki te tangata whai mate pēnei te mārama ki tōna kino. Mēnā he mate tēnei kei tō hoa aroha, tera pea he ngāwari ki te tohu atu i a rātou e teka ana. Heoi anō, ka rite tēnei ki te whakaeke whaiaro ki a rātou, ā, ka tauhohe pea rātou ki ō kupu me te riri, te karo, te whanoke rānei.

Ko ētahi tākuta e kī ana kia kōrero tika atu ki te tangata mō ēnei whanonga, me te pātai atu mēnā kei te pāngia rātou e te ahotea, te manukanuka, te manukanuka, te pouri rānei. Ko ētahi e kī ana kia kaua e tautohetohe, me te kore e hoatu he take, ā, me tuku atu rātou ki tētahi tohunga hinengaro.

Ki te kore koe e tino mōhio ki hea ka tīmata ai, rapua he tohutohu mai i te tākuta, i te kaitohutohu hauora hinengaro rānei.Ka taea e rātou te whakaako i a koe, i tō hoa aroha, me tō whānau me ō hoa mō te mate. Mā te mahi tahi, ka taea e kōrua te āwhina kia whai tō hoa aroha i tā rātou mahere maimoatanga takitahi. Kawea rātou ki te kite i tētahi tohunga hinengaro, ki ngā wā whakaora rānei. Ko te tautoko i tō hoa aroha (kaua e whakaae ki ā rātou whanonga) te huarahi pai ki te āwhina i tētahi tangata he Mate Pūkenga i Whakawhiwhia ki a Ia Anō.

Āhea ahau me toro atu ki te tākuta?

Mena kei te whakaatu koe, kei te whakaatu rānei tētahi o ō whanaunga i ngā whanonga o te 'Factitious Disorder Imposed on Self', me toro atu ki te tākuta. Mā te rongoā wawe i tēnei āhuatanga ka āwhina i te whakaiti i te tūponotanga o te kino me te whakapai ake i tō oranga.

He aha ngā pātai me pātai atu koe ki te tākuta?

• Ko tēhea maimoatanga te mea pai mōku?
• He mate hinengaro anō tāku e pā ana ki tēnei mate, pērā i te pouri, i te mate tuakiri rānei?
• Ka taea e koe te tūtohu i tētahi tohunga hinengaro, i tētahi kaiwhakaora hinengaro rānei?
• Kia hia ngā wā me kite ahau i a koe mō te maimoatanga?
• Me pēhea taku kōrero ki ōku hoa me tōku whānau mō tēnei āhuatanga?

He aha te rerekētanga i waenganui i tēnei me te "whakapataritari kōrero teka"?

Ki te mea kei te mahi koe i ngā whanonga `(Malingering)`, kei te mahi koe kia whiwhi i tētahi mea e kitea ana (hei tauira, te ngaro i te mahi, i te kura rānei, te whiwhi i tētahi putea tāpiri). Ko te tangata e pāngia ana e te `Factitious Disorder Imped on Self` kāore e whiwhi i tetahi mea i te taha hinengaro. Engari, ka taea e ēnei whanonga te whakarato i tētahi painga kare ā-roto huna .

He aha te rerekētanga i waenga i te whakaaro i tētahi mate mōu ake me te whakaaro i tētahi mate mō tētahi atu (Munchausen Syndrome by Proxy)?

Ko te 'Mate Ripeneta i Whakawhiwhia ki a Koe Anō' (i mua ko te 'Munchausen Syndrome') me te 'Mate Ripeneta i Whakawhiwhia ki tētahi Atu' (i mua ko te 'Munchausen Syndrome by Proxy') e rua ngā momo 'Mate Ripeneta'.

• Ko te tikanga o te 'Haukino Tīpako i Pā ki a Koe Anō' ko te whakaari kei a koe tētahi mate.
• Ko te 'Haukino Tīpako i Whakawhiwhia ki tētahi Atu' ko te whakaari kei a koe ngā tohu o tētahi mate i raro i tō manaakitanga (hei tauira, he tamaiti, he pakeke rānei). Tērā pea ka whara koe i tētahi i raro i tō manaakitanga, ka meinga kia whakaatu i ngā tohu o tētahi mate tinana, mate hinengaro rānei kāore i a ia. He tukino tēnei.

Karere Whakamutunga mō te Tango ki te Kāinga

Ko te Mate Pūkenga e Pā Ana ki a Koe Anō he mate hinengaro kino e whara ai koe i a koe anō. He uaua pea te tautuhi me te rongoā. Engari, ki te mea kua rite koe, kei reira ngā maimoatanga hei āwhina i a koe.

Ka taea e koe te whakamōhio atu ki ō whanaunga mō tō āhua, kia taea ai e rātou te āwhina i a koe ki te pupuri i ō kawenga. He mea nui hoki kia kōrerotia te pono ina kite koe i ō tākuta, nā te mea e hiahia ana rātou ki te mahi i te mea pai mōu, me te āwhina i a koe kia "noho ko koe tonu."

Ki te whakaaro koe ki te whara i a koe anō, me toro atu ki te tākuta tonu. Ki te mea kei roto koe, kei roto rānei i te mōrearea tō hoa aroha, waea atu ki ngā ratonga ohorere tonu. Kia maumahara, ehara te tono āwhina i te tohu ngoikore, engari he tohu kaha.

` Te Mate Pūkenga i Whakawhiwhia ki a Koe Anō, Te Mate Munchausen, Te Hauora Hinengaro, Ngā Tohumate Pūkenga, Te Whakamamae i a Koe Anō, Te Mate Hinengaro, Te Maimoatanga