Unodzivisawo vanhu here? Unotya nzanga here? Izvozvo zvinonzi (Avoidant Personality Disorder) here?

Dzimwe nguva unofunga here kuti, "Hapana achandifarira," "Kana ndikataura chimwe chinhu, vanhu vachaseka," kana kuti "Ndichatsoropodzwa"? Unowanzo dzivisa nzvimbo dzakazara vanhu, zviitiko, kana misangano neshamwari nekuda kwepfungwa idzi here? Kunyangwe uchida chaizvo kuva nevanhu, unonzwa kusurukirwa nekuda kwekutya uku here? Kana zvakadaro, zvandiri kuda kutaura zvingave zvakakosha kwauri.

Chii chinonzi Avoidant Personality Disorder?

Zvichitaurwa zviri nyore, Avoidant Personality Disorder (AVPD) chirwere chepfungwa umo unogara uchinzwa seusina maturo, zvakaita sekuti "Handina kukosha," "Handigoni kuita chero chinhu," uye une kutya kukuru kwekuti vamwe vachakutsoropodza kana kukuramba. Fungidzira kuti unoda chaizvo kushamwaridzana neshamwari uye kutaura, asi kutya kwako kurambwa kwakanyanya zvekuti unopedzisira wava kudzivisa zvachose.

Dambudziko iri, rinonzi AVPD, rinowira muboka re "Cluster C" personality disorder. Kunetseka nekutya zvinhu zvinowanzoonekwa mune zvimwe zvirwere muboka iri. Dambudziko rehunhu maitiro anogara achiitika anokura muhudiki kana kuyaruka uye asingaenderane nezvinodiwa nevanhu. Izvi zvinogona kukonzera kushungurudzika nekutambudzika kumunhu neavo vakamupoteredza.

Ndeupi musiyano uripo pakati peAvoidant Personality Disorder (AVPD) neSocial Anxiety?

Ehe, kunyange zvazvo izvi zviviri zvingaita sezvakafanana, zvirwere zviviri zvakasiyana. Dambudziko reKunetseka Pamagariro Evanhu (SAD) , kana kuti kutya vanhu, kutya kwakawandisa, kunogara kuripo kwekuti vamwe vachakutonga uye vachakutarisa. Izvi zvinoita kuti vanhu vane kuzvidya mwoyo pamagariro evanhu vasakwanise kusangana nevamwe vanhu.

Vanhu vane APD vanodzivisa mamiriro ezvinhu evanhu uye hukama. Asi chikonzero chikuru cheizvi kusazviremekedza . Kunyange zvazvo kuzvidya mwoyo kuri chinhu chikuru mudambudziko rekuzvidya mwoyo kwevanhu (SAD), kuzvidya mwoyo hakufaniri kugara kuri chinhu chikuru muAPD.

Vaongorori vaimbofunga kuti AVPD yaive mhando yeSAD yakanyanya kuipa. Asi ikozvino vakaona kuti vanhu vanosvika zvikamu zviviri muzvitatu vane AVPD havasati vasvika padanho reSAD muDSM-5. Zvisinei, zvinokwanisika kuti munhu ave nematambudziko ese ari maviri panguva imwe chete. Kana zvakadaro, zviratidzo zvinowanzova zvakanyanya.

Chirwere ichi chakajairika zvakadii? Ndiani ane mukana mukuru wekubatwa nacho?

Ongororo inoratidza kuti pakati pe1.5% ne2.5% yevanhu vekuAmerica vanogona kunge vaine chirwere cheAvoidant personality disorder (AVPD). Izvi zvinoreva kuti vanhu vakawanda muSri Lanka vanogonawo kunge vaine chirwere ichi.

AVPD inowanzotanga mushure memakore gumi nemasere, kana kuti mumakore ekuma20 . Zvakare, vanhu vane zvirwere zvepfungwa zvinotevera vane mukana mukuru wekuwana AVPD:

• Kuora mwoyo kwakanyanya ('Clinical depression' kana 'major depression disorder')
• Dambudziko repfungwa rinogara riripo
• Dambudziko rekuzvidya mwoyo kwevanhu
• Dambudziko rekufunganya-kumanikidza (OCD)
• Kutya kukuru
• Kushaya simba rekufema (anorexia nervosa)
• Dambudziko rekudya zvakanyanya

Ndezvipi zviratidzo zveAvoidant Personality Disorder (AVPD)?

Hunhu hukuru ndehwekuti kutya kurambwa nevamwe kwakanyanya zvekuti unodzivisa vanhu wosarudza kuva wega. Hunhu uhwu hunogona kusanyanya kuoneka mune vamwe vanhu, asi hunogona kuoneka zvakanyanya kune vamwe.

Zvimwe zviratidzo nemaitiro zvinosanganisira:

• Une maonero asina kunaka pamusoro pako. Unofunga kuti hauna kunaka zvakakwana, uri pasi pevamwe. Fungidzira, kunyangwe dai waigona kuita chimwe chinhu chakanaka, unofunga kuti, "Aa, izvozvo zvakangoitika."
• Ndinonetseka zvakanyanya nekutsoropodzwa uye kusada kwevamwe vanhu. Kunyangwe kana mumwe munhu akataura chimwe chinhu chidiki, ndinochitora mumoyo mangu ndonzwa kusuruvara.
• Kana usingazive zvechokwadi kuti vamwe vanhu vachakufarira, haudi kushamwaridzana navo. Pane kutya nguva dzose kwekuti "Vachanditora semunhu akakosha here kana ndikataura?"
• Unonzwa kuzvidya mwoyo kwakanyanya uye kutya mumamiriro ezvinhu evanhu nehukama. Izvi zvinogona kuita kuti udzivise mabasa nemabasa anosanganisira kushamwaridzana nevamwe. Semuenzaniso, unogona kudzivisa kuenda kumafaro kuhofisi, uchifunga kuti, "Aa, kana ndikaenda, hapana achataura neni."
• Ndinonyara zvikuru pandinenge ndiri pakati pevanhu uye ndinozvidya mwoyo nekuti ndinotya kukanganisa kana kunyara. Ndinogara ndichifunga zvinhu zvakaita sekuti, "Mapfekero angu akanaka here?", "Matauriro angu haana kunaka here?"
• Unofunga zvakanyanya nezvematambudziko angangoitika, kana kuti usinganzwisisi maitiro evamwe vanhu (nenzira isina kunaka). Kunyangwe mumwe munhu akangokutarisa, unonzwa sekuti, "Aa, handizivi kuti vaifungei nezvangu."
• Havawanzoedzi zvinhu zvitsva. Havadi kuisa njodzi. Vanorega zvinhu zvakawanda nekuti vanotya kuti "Ndingasakwanisa kuita izvi kunyangwe ndikaedza."

Sei izvi zvichiitika? Zvikonzero zve (AVPD)

Matambudziko ehunhu, kusanganisira APD, zvirwere zvepfungwa zvisati zvanyatsonzwisiswa. Vaongorori vachiri kuedza kutsvaga chikonzero chaicho. Asi vanotenda kuti APD inokonzerwa nezvinhu zvakasiyana-siyana:

• Majini: Imwe ongororo yakawana kuti inenge 64% yekukura kweAVPD inokonzerwa nezvinhu zvemajini, zvichireva kuti majini edu ane basa. Izvi zvinoreva kuti kana mumwe munhu mumhuri yako aine chirwere ichi, une mukana wakakura wekuva nacho zvakare.
• Hunhu Hwehudiki: Vaongorori vakawana hukama huripo pakati pehunhu hwehudiki neAPD. Semuenzaniso, kuoma musoro, kusada zvinhu zvitsva, kusada njodzi zvakanyanya, uye kutya nekushushikana zvakanyanya.
• Maitiro ekubatana: Vanhu vane maitiro ekubatana anotya vanowanzova neAVPD. Apa ndipo paunoda kuva pedyo nevamwe, asi usingavavimbi uye unotya kurambwa. Semuenzaniso, mwana anogona kuva nemaitiro aya ekubatana kana vabereki vake vakaregeredza kusuruvara kwavo vachiri vadiki.
• Nzvimbo yevana: Zvinhu zvakaita sekurambwa uye kubatwa zvakasiyana nevamwe pahudiki zvinogona kubatsira pakukura kweAVPD.

Chirwere ichi (AVPD) chinoonekwa sei?

Hunhu hwedu hunoramba huchikura muhudiki nekukura. Nekuda kweizvi, vanachiremba havawanzoongorora munhu ari pasi pemakore gumi nemasere ane dambudziko rekuzvidzivirira (AVPD). Vanachiremba vanoda humbowo hwekuti maitiro aya anogara aripo, haachinje, uye haaperi nekufamba kwenguva.

Matambudziko ehunhu, kusanganisira APD, akaoma kuona nekuti vanhu vazhinji vane matambudziko aya havazivi kuti pane chakaipa nemaitiro avo kana mafungiro avo.

Kana vakatsvaga rubatsiro, kazhinji kacho vanotsvaga kurapwa kwekuzvidya mwoyo kana kuora mwoyo kunokonzerwa nematambudziko akadai sekusurukirwa uye kushaya shamwari kunokonzerwa nekusagadzikana kwehunhu hwavo.

Kana mupi wezano wehutano hwepfungwa , kureva chiremba wepfungwa kana chiremba wepfungwa, akafungidzira kuti mumwe munhu ane APD, vanowanzo bvunza mibvunzo yakafara uye yakafara. Vanongwarira kuti vasagadzire nzvimbo iyo munhu wacho anonzwa achitsoropodzwa kana kunyara. Mibvunzo yavanobvunza inoedza kuburitsa ruzivo nezve:

• Ruzivo rwekare
• Vanhu vaunosangana navo
• Tsanangudzo yemabasa apfuura
• Kuongorora chokwadi (ndiko kuti, kugona kusiyanisa zviri kuitika chaizvo nezvinofungidzirwa)

Munhu anofungidzirwa kuti ane APD angasanzwisisa maitiro ake nemafungiro ake. Nokudaro, nyanzvi dzehutano hwepfungwa dzinowanzo taura nemhuri neshamwari dzemunhu wacho kuti vawane rumwe ruzivo.

Vanachiremba vanoongorora chirwere cheAVPD zvichibva pane zvinodiwa zviri muAmerican Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Kuti munhu aonekwe aine APD, maitiro mana anotevera anofanira kunge aripo kwenguva refu :

• Kudzivisa mabasa ebasa anosanganisira kushanda nevamwe nekuda kwekutya kushoropodzwa kana kurambwa.
• Kusada kutaura nevamwe kunze kwekunge uine chokwadi chekuti vachakufarira.
• Kuramba wakanyarara uye wakaparadzana, kunyangwe uri muukama hwepedyo, nekuda kwekutya kusekwa nekunyadziswa.
• Kunetseka zvakanyanya nezvekutsoropodzwa kana kurambwa nevamwe mumamiriro ezvinhu akajairika.
• Kunyara uye kungwarira nezvemunhu wega mumamiriro ezvinhu matsva evanhu nekuti anonzwa asina kukwana.
• Kuzviona semunhu asingafarirwi nevanhu, asingakwezve, uye akaderera pane vamwe.
• Kusada kutora njodzi kana kuedza mabasa matsva nekuda kwenjodzi yekunyara.

Kurapwa kweizvi ndekupi?

Matambudziko ehunhu akaoma kurapa nekuti vanhu vane zvirwere izvi vane mafungiro nemaitiro avo kwenguva refu.

Zvisinei, vanhu vane AVPD vanogona kupindura zvakanaka pakurapwa. Izvi zvinodaro nekuti vanonzwa kumanikidzwa kukuru kubva kuchirwere ichi, uye vanhu vazhinji vane AVPD vane chishuwo chakasimba chekuvaka hukama. Chishuwo ichi chinogona kuva chinhu chinokurudzira kuti vashande pachirongwa chavo chekurapa. Kurapa kunogona kusanganisira kurapwa kwepfungwa uye pamwe nemishonga.

Pakurapa munhu ane chirwere ichi, kurapwa kunobudirira zvikuru kana akatsigirwa uye akabatsirwa nemhuri yake.

Kurapa kwepfungwa (AVPD)

Kurapa kwepfungwa, kana kuti kutaura, ndiyo nzira huru yekurapa matambudziko ehunhu. Chinangwa chekurapa ndechekukubatsira kuona zvinokurudzira zvemukati nekutya zvine chekuita nemafungiro ako nemaitiro ako. Pamusoro pezvo, unogona kudzidza hukama nevamwe nenzira dzakanaka.

Mhando mbiri dzekurapa kwepfungwa dzinogona kubatsira vanhu vane APD ndeidzi:

• Kurapa kwepfungwa: Rudzi urwu rwekurapa runotarisa pamidzi yepfungwa yekushungurudzika mupfungwa. Kuburikidza nekufungisisa, unotarisa hukama hune matambudziko uye maitiro muhupenyu hwako. Izvi zvinokubatsira kuti uzvinzwisise zviri nani. Zvinogona kukubatsira kushandura maitiro aunoita nevamwe nenzvimbo yako.
• Kurapa Kwepfungwa Nemaitiro (CBT): Uku kurapa kwakarongeka, kwakanangana nezvinangwa. Nyanzvi yepfungwa kana chiremba wepfungwa anokubatsira kutarisa pfungwa dzako nemanzwiro ako. Uchanzwisisa kuti pfungwa dzako dzinokanganisa sei zviito zvako. Kuburikidza neCBT, unogona kukunda pfungwa nemaitiro asina kunaka. Uchadzidza kukudziridza mafungiro netsika dzakanaka. Izvi zvinogona kunyanya kutarisa pakuvandudza hunyanzvi hwekushamwaridzana.

Mishonga ye (AVPD)

Parizvino hapana mushonga wezvirwere zvehunhu. Zvisinei, kune mishonga inowanikwa yezvirwere zvakaita sekuora mwoyo uye kuzvidya mwoyo zvinogona kuitika kune vanhu vane APD. Kurapa zvirwere izvi kunogona kuita kuti zvive nyore kurapa APD.

Zvisinei, kuti uwane mhedzisiro yakanaka, unofanira kutora mishonga pamwe chete nekurapa kwepfungwa.

Chii chiri kufanotaura nezvevanhu vane AVPD?

Maonero echirwere ichi (AVPD) anoenderana nekuti charapwa here kana kuti kwete.

Kana ikasarapwa, AVPD inogona kukonzera zvinotevera:

• Kuvapo kwemamwe matambudziko epfungwa akadai sekuora mwoyo, matambudziko ekushandisa zvinodhaka, uye matambudziko ekudya.
• Kuwanda kwenjodzi yekuora mwoyo mushure mekusununguka.
• Kuodzwa mwoyo nehupenyu.
• Matambudziko kubasa.
• Kusashanda zvakanaka kwevanhu munharaunda.

Vanhu vane APD vane mukana wakakura wekufunga kuzviuraya uye kuedza kuzviuraya. Kana iwe kana mumwe munhu waunoziva ari kufunga kuzviuraya, ndapota tsvaga rubatsiro nekukasika kubva kuna chiremba wepfungwa, munhu mukuru waunovimba naye, kana kufonera runhare rwekubatsira.

Kurapa chirwere chekudzivirira hunhu (AVPD) inzira yakareba. Kuda kwako kutsvaga uye kuramba uchirapwa kunogona kukanganisa maonero ako. Nekurapwa, vamwe vanhu vane AVPD vanogona kudzidza kushamwaridzana nevamwe nenzira dzine hutano.

AVPD inogona kudzivirirwa here?

Dambudziko rekudzivirira hunhu (AVPD) harigone kudzivirirwa zvachose. Zvisinei, kurapwa kunogona kubatsira kuderedza matambudziko anokonzera. Kutsvaga rubatsiro nekukurumidza kana zviratidzo zvaonekwa kunogona kuderedza kukanganiswa kwehupenyu hwemunhu, mhuri, uye hukama.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Yeuka, avoidant personality disorder (AVPD) chirwere chepfungwa. Sezvakaita mune mamwe mamiriro ese ehutano hwepfungwa, kutsvaga rubatsiro kana zviratidzo zvangoonekwa kunogona kubatsira kuderedza kukanganiswa muhupenyu hwako. Nyanzvi dzehutano hwepfungwa dzinogona kukupa hurongwa hwekurapa kuti dzikubatsire kudzora mafungiro ako nemaitiro ako.

Vadikanwi vevanhu vane APD vanowanzosangana nekushushikana, kuora mwoyo, uye kusurukirwa. Zvakakosha kutarisira hutano hwepfungwa dzako uye kutsvaga rubatsiro kana uine zviratidzo izvi.

Hausi wega. Kana ukanzwisisa mamiriro ezvinhu aya uye ukatsvaga rubatsiro rwakakodzera, iwewo unogona kuwana zororo uye kurarama hupenyu huri nani. Kumbira rubatsiro usingatyi uye uine chivimbo.

` kudzivisa dambudziko rehunhu, AVPD, dambudziko rehunhu, kutya kwevanhu, kuzvidya mwoyo, kuora mwoyo, hutano hwepfungwa, kurapwa