Dzimwe nguva kurarama nechirwere chepfungwa chakakomba kunonzwa semutoro mukuru, handiti? Kugara uri muchipatara, usingakwanise kuita basa rako, kunzwa sekunge uri kudzingwa munharaunda... Zvese izvi zvinoita kuti unzwe kusurukirwa zvikuru. Pane nguva dzisingaverengeki dzaunonzwa sekuti 'hapana anondinzwisisa.' Asi kune mushonga wakakosha wakatangwa kubatsira vanhu vakaita seizvi, kuvabatanidza munharaunda, uye kuvabatsira kurarama hupenyu hwakajairika. Ndizvo zvatiri kutaura nezvazvo nhasi.
Zvichitaurwa zviri nyore, chii chinonzi ACT ichi?
Assertive Community Treatment, kana kuti ACT muchidimbu, iboka remishonga yakasarudzika uye masevhisi ekutsigira anopiwa kuvanhu vane zvirwere zvepfungwa zvakakomba munharaunda mavanogara.
Izvi hazvirevi kuti wakavharirwa muchipatara kana kune imwe nzvimbo. Asi, timu yenyanzvi dzakazvipira kukubatsira dzinouya kwauri chaipo pauri, kumba kwako uye munharaunda yako, uye dzinokupa rubatsiro rwaunoda. Zvakafanana nekuva nechikwata chevanachiremba vakazvipira vanokutarisira.
Chikwata ichi chenyanzvi chinowanzo sanganisira:
- Nyanzvi dzepfungwa
- Vanachiremba vepfungwa
- Vashandi vezvemagariro evanhu
- Nyanzvi dzekurapa vanhu vane chirwere chepfungwa pamwe chete nedzimwe matambudziko akadai sekushandisa zvinodhaka zvisina kunaka)
- Vanamukoti vakanyoreswa
- Vatariri venyaya
Chikwata ichi chichavaka hukama hwepedyo newe uye chichakupa rutsigiro rwemunhu wega rwaunoda. Zvinangwa zvikuru ndezvekubatsira iwe kugadzirisa chirwere chako chepfungwa uku uchigadzira nzvimbo yaunoda kuti ubudirire munharaunda yako. Izvi zvinogona kusanganisira zvinhu zvakaita sepekugara, rubatsiro rwekutsvaga basa, uye kunyange rubatsiro rwekufamba.
Kune chimwe chikamu chehurongwa uhu chinonzi Forensic ACT (FACT) . Yakagadzirirwa vanhu vane chirwere chepfungwa chakakomba uye avo vakambosangana nematambudziko nemutemo (semuenzaniso, kusungwa, kuiswa mujeri). Izwi rekuti "Forensic" pano rinoreva "zvine chekuita nehurongwa hwemutemo."
Ndiani mushonga uyu wakakodzera zvikuru?
Kurapa kweACT kwakagadzirirwa vanhu vari panjodzi yekubatwa nezvirwere zvinotevera nekuda kwechirwere chepfungwa chakakomba:
- Kugara uchigara muchipatara nekuda kwematambudziko epfungwa.
- Kupindira munyaya dzemutemo .
- Kuva panjodzi yekushaya pekugara .
Izvi ndezvepfungwa-zvepfungwa.Vanhu vane zvirwere zvakaita seschizophrenia vanogona kubatanidzwa. Ona tafura iri pazasi.
| Mienzaniso yezvirwere zvinowira muchikamu cheschizophrenia |
|---|
| Schizophrenia |
| Dambudziko rehunhu hweSchizotypal |
| Dambudziko repfungwa |
| Chirwere cheSchizophreniform |
| Chirwere cheSchizoaffective |
Pamusoro pezvo, ACT therapy inogonawo kubatsira vanhu vane mamwe matambudziko epfungwa, akadai sebipolar disorder kana borderline personality disorder.
ACT inoshanda sei? Ndeapi mabasa aripo?
ACT mushonga unogadziriswa wega wega unoenderana nemunhu wega wega. Asi kazhinji, misimboti yayo mikuru ndeiyi:
- Uyai kumba kwenyu , ongororai mamiriro acho ezvinhu, mopa kudzidziswa nerutsigiro zvinodiwa.
- Kuva nechikwata chenyanzvi chiripo maawa makumi maviri nemana pazuva, mazuva manomwe pasvondo kuti vabatsire kana paine dambudziko .
- Kutsigira kuzvimiririra kwako, kugadziriswa uye kudzoserwa kwako munharaunda .
- Pakusarudza nezvekurapa , fungai nezvepfungwa dzenyu moita sarudzo pamwe chete.
- Kupa mabasa ese panzvimbo imwe chete munharaunda.
Zvichienderana nezvaunoda uye zvinangwa zvako, timu iyi yenyanzvi inopa mabasa akasiyana-siyana. Ngationei kuti ndeapi.
| Rudzi rwebasa | Rutsigiro rwakagamuchirwa |
|---|---|
| Kurapa kwehutano hwepfungwa | Mishonga uye kurapa nekutaura (Psychotherapy). |
| Kurapa kushandisa zvinodhaka zvisina kunaka | Kurapa kwakanyatso tarisa kuongororwa kwezvirwere zviviri. |
| Mamwe matambudziko ehutano | Kubatsira kudzora zvimwe zvirwere zvakaita sechirwere cheshuga neBP. |
| Rutsigiro kumhuri | Kupa mhuri kunzwisisa chirwere (psychoeducation), kutsvaga rubatsiro pakuchengeta vana. |
| Rutsigiro rwemari | Batsirai pakunyorera inishuwarenzi, rubatsiro rwechikafu, uye manejimendi emari. |
| Rutsigiro rwezvekurarama nazvo | Rubatsiro nepekugara, basa, rubatsiro rwedzidzo, kutenga, uye kushandisa masevhisi ekufambisa veruzhinji. |
Chinonyanya kukosha ndechekuti, mapoka aya eACT anongogamuchira varwere vashoma panguva imwe chete, saka vanokwanisa kukupa hanya yavo yakazara .
Kurapa kweACT kunoshanda zvechokwadi here?
Ehe. Ongororo dzakawanda dzakaratidza kuti ACT therapy inoshanda zvikuru, kunyanya munzvimbo dzinotevera:
- Kuderera kwekugara muchipatara.
- Nguva shoma yandaipedza ndiri muchipatara.
- Kuvandudza hupenyu.
- Kuwedzera kutevedzera kurapwa.
- Kuderedzwa kwekupindirazve uye kusungwa munyaya dzemutemo (kunyanya muzvirongwa zveFACT).
Kurapwa uku kunotora nguva yakareba sei?
Izvi hazvina kufanana kune wese munhu. Hurefu hwekurapwa hunosiyana zvichienderana nezvaunoda uye zvinangwa zvako. Asi kazhinji imwedzi mishoma yekurapwa. Ungangoda sevhisi iyi kanopfuura kamwe chete muhupenyu hwako. Chikwata chako cheACT chichashanda newe kuronga izvi.
Ndingawana sei chirongwa cheACT?
Zvingave zvakaoma kutaura kuti mapurogiramu aya eACT anowanikwa kwese kwese muSri Lanka, asi dzimwe nzvimbo dzehurumende kana dzepachivande dzehutano hwepfungwa dzinogona kushandisa mhando idzi dzemabasa emunharaunda.
Chinhu chinonyanya kukosha ndechekuti, kana uchifarira izvi, kana kuti kana uchifunga kuti mumwe munhu waunoziva anoda rubatsiro rwakadai, taura nechiremba wepfungwa kana chiremba wemhuri yako. Vanogona kukutumira kune imwe nzvimbo kwaunogona kuwana rubatsiro rwakakodzera iwe.
Kuva nechirwere chepfungwa chakakomba kunogona kuva chipingamupinyi chikuru pakurarama hupenyu hwaunoda. Kana uchinzwa sekuti hapana anokunzwisisa, kana uchinzwa sekuti hapana wekukumbira rubatsiro, unogona kunzwa uri wega. Asi yeuka, kurapwa kwakadai seACT kwakaratidzwa kuti kunoshanda mukubatsira vanhu vari kutarisana nematambudziko aya. Chikwata ichi chenyanzvi chichakubatsira kuswedera pedyo nehupenyu hwaunoda.
Mharidzo Yekuenda Nayo Kumba
- ACT (Assertive Community Treatment) inzira yekurapa yakasarudzika inopa vanhu vane zvirwere zvepfungwa zvakakomba kurapwa munharaunda mavanogara, kwete muchipatara.
- Chikwata chenyanzvi, kusanganisira vanachiremba vepfungwa, vanachiremba vepfungwa, uye vashandi vemagariro evanhu, vachauya kumba kwako kuzokupa rutsigiro.
- Chinangwa ndechekukubatsira kuti urarame nechirwere ichi ukuwo uchikubatsira kuti ubudirire muhupenyu hwako kuburikidza nezvinhu zvakaita sedzimba nemabasa.
- Nzira iyi yakaratidzwa kuti inoderedza kugara muchipatara uye inovandudza hupenyu.
- Kana uchifunga kuti kurapwa uku kungave kwakakunakira iwe kana mumwe munhu waunoziva, iva nechokwadi chekutaura nachiremba wako kana nyanzvi yehutano hwepfungwa nezvazvo.
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