Ngezinye izikhathi ukuhlala unesifo sengqondo esingathi sína kuzwakala njengomthwalo omkhulu, akunjalo? Ukuhlala esibhedlela njalo, ukungakwazi ukwenza umsebenzi wakho, uzizwe sengathi uyakhishwa inyumbazane emphakathini... Konke lokhu kukwenza uzizwe unesizungu kakhulu. Kunezikhathi eziningi lapho uzizwa sengathi 'akekho ongiqondayo.' Kodwa kukhona ukwelashwa okukhethekile okuye kwethulwa ukusiza abantu abanjengalaba, ukubahlanganisa emphakathini, nokubasiza baphile impilo evamile. Yilokho esikhuluma ngakho namuhla.
Kalula nje, iyini le ACT?
I-Assertive Community Treatment, noma i-ACT ngamafuphi, iyiqoqo lezindlela zokwelapha ezikhethekile kanye nezinsizakalo zokusekela ezinikezwa abantu abanezifo zengqondo ezinzima emphakathini abahlala kuwo.
Lokhu akusho ukuthi uvaleleke esibhedlela noma kwesinye isikhungo. Kunalokho, ithimba lochwepheshe abazinikele ekukusizeni liza kuwe lapho ukhona, ekhaya lakho nasemphakathini wakini, futhi linikeze izinsizakalo ozidingayo. Kufana nokuba nethimba lodokotela abazinikele abakunakekelayo.
Leli thimba lochwepheshe livame ukufaka:
- Izazi zengqondo
- Odokotela bezifo zengqondo
- Izisebenzi zezenhlalakahle
- Ochwepheshe bezokwelapha izifo ezimbili (okungukuthi, labo abelapha abantu abanesifo sengqondo kanye nezinye izinkinga, njengokusebenzisa kabi izidakamizwa)
- Abahlengikazi ababhalisiwe
- Abaphathi bamacala
Leli thimba lizokwakha ubudlelwano obuseduze kakhulu nawe futhi likunikeze ukwesekwa komuntu siqu okudingayo. Imigomo eyinhloko ukukusiza ukuthi uphathe ukugula kwakho kwengqondo ngenkathi udala indawo oyidingayo ukuze uphumelele emphakathini wakho. Lokhu kungafaka izinto ezifana nezindlu, usizo lokuthola umsebenzi, ngisho nosizo ngokuhamba.
Kukhona enye ingxenye yalolu hlelo olubizwa ngokuthi i-Forensic ACT (FACT) . Lwenzelwe ngqo abantu abanesifo sengqondo esibi kakhulu nalabo ababesenkingeni nomthetho (isib., ukuboshwa, ukuboshwa). Igama elithi "Forensic" lapha lisho "okuhlobene nohlelo lwezomthetho."
Ubani lokwelashwa okufanelekela kakhulu?
Ukwelashwa kwe-ACT kwenzelwe ngqo abantu abasengozini yezimo ezilandelayo ngenxa yokugula kwengqondo okukhulu:
- Ukulaliswa esibhedlela njalo ngenxa yezinkinga zengqondo.
- Ukungenelela ezindabeni zomthetho .
- Ukuba sengozini yokungabi nakhaya .
Lokhu kuyinkinga ye-schizophrenic-emotional.Abantu abahlushwa yizimo ezifana ne-schizophrenia bangafakwa. Bheka ithebula elingezansi.
| Izibonelo zezimo eziwela ngaphansi kwesigaba se-schizophrenia |
|---|
| I-Schizophrenia |
| Isifo sobuntu be-Schizotypal |
| Isifo sokudangala |
| Isifo se-Schizophreniform |
| Isifo se-Schizoaffective |
Ngaphezu kwalokho, ukwelashwa kwe-ACT kungaba wusizo nakubantu abanezinye izimo zempilo yengqondo, njenge-bipolar disorder noma i-borderline personality disorder.
Isebenza kanjani i-ACT? Yiziphi izinsizakalo ezitholakalayo?
I-ACT iyindlela yokwelapha engenziwa ngokwezifiso eyenzelwe umuntu ngamunye. Kodwa ngokuvamile, izimiso zayo eziyinhloko yilezi:
- Woza ekhaya lakho , uhlole isimo, bese unikeza ukuqeqeshwa nokusekelwa okudingekayo.
- Ukuba nethimba lochwepheshe elitholakala amahora angama-24 ngosuku, izinsuku eziyi-7 ngesonto ukusiza ezimweni eziphuthumayo .
- Ukusekela ukuzimela kwakho, ukuvuselelwa kanye nokubuyiselwa emphakathini .
- Uma wenza izinqumo mayelana nokwelashwa , cabangela imibono yakho bese nenza izinqumo ndawonye.
- Ukuhlinzeka ngezinsizakalo zonke endaweni eyodwa emphakathini.
Kuye ngezidingo zakho kanye nemigomo yakho, leli thimba lochwepheshe linikeza izinsizakalo ezahlukahlukene. Ake sibheke ukuthi ziyini.
| Uhlobo lwesevisi | Usekelo olutholiwe |
|---|---|
| Ukwelashwa kwempilo yengqondo | Imithi kanye nokwelashwa ngenkulumo (Psychotherapy). |
| Ukwelashwa kokusetshenziswa kabi kwezidakamizwa | Ukwelashwa ngokunaka okukhethekile ekuxilongweni okubili. |
| Ezinye izinkinga zempilo | Ukusiza ekuphatheni ezinye izifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme. |
| Ukusekelwa komndeni | Ukunikeza umndeni ukuqonda ngalesi sifo (imfundo yengqondo), ukufuna usizo ngokunakekela izingane. |
| Ukusekelwa kwezezimali | Usizo ngokufaka isicelo somshuwalense, usizo lokudla, kanye nokuphathwa kwezezimali. |
| Ukusekelwa kwempilo | Usizo ngezindlu, umsebenzi, usizo lwezemfundo, ukuthenga, nokusebenzisa izinsizakalo zokuhamba zomphakathi. |
Okubaluleke kakhulu, la maqembu e-ACT amukela inani elilinganiselwe leziguli ngesikhathi, ukuze akwazi ukukunikeza ukunaka kwawo okugcwele .
Ingabe ukwelashwa kwe-ACT kuyasebenza ngempela?
Yebo. Izifundo eziningi zikhombisile ukuthi ukwelashwa kwe-ACT kusebenza kahle kakhulu, ikakhulukazi kulezi zindawo ezilandelayo:
- Ukuncipha kokulaliswa esibhedlela.
- Isikhathi esincishisiwe esichithwa esibhedlela.
- Ukuthuthukisa ikhwalithi yokuphila.
- Ukwanda kokunamathela ekwelashweni.
- Ukunciphisa ukungenelela kabusha kanye nokuboshwa ezindabeni zomthetho (ikakhulukazi ezinhlelweni ze-FACT).
Kuthatha isikhathi esingakanani lokhu kwelashwa?
Lokhu akufani kuwo wonke umuntu. Ubude bokwelashwa buzohluka kuye ngezidingo zakho kanye nemigomo yakho. Kodwa ngokuvamile kuba izinyanga ezimbalwa zokwelashwa. Ungase udinge le nsizakalo izikhathi ezingaphezu kwesisodwa empilweni yakho. Ithimba lakho le-ACT lizosebenza nawe ukuhlela lokhu.
Ngingaluthola kanjani uhlelo lwe-ACT?
Kungaba nzima ukusho ukuthi lezi zinhlelo ze-ACT ziyatholakala yonke indawo eSri Lanka, kodwa ezinye izikhungo zikahulumeni noma ezizimele zezempilo yengqondo zingase zisebenzise lezi zinhlobo zezinsizakalo ezisekelwe emphakathini.
Into ebaluleke kakhulu ukuthi, uma unesithakazelo kulokhu, noma uma ucabanga ukuthi othile omaziyo udinga lolu hlobo losizo, khuluma nodokotela wakho wezifo zengqondo noma udokotela womndeni wakho. Bangakudlulisela endaweni lapho ungathola khona usizo olufanele kakhulu kuwe.
Ukuba nesifo sengqondo esingathi sína kungaba yisithiyo esikhulu ekuphileni impilo oyifunayo. Uma uzizwa sengathi akekho okuqondayo, uma uzizwa sengathi akekho ongaphendukela kuye ukuze akusize, ungazizwa uwedwa kakhulu. Kodwa khumbula, ukwelashwa okufana ne-ACT kuye kwabonakala kusebenza kahle ekusizeni abantu ababhekene nalezi zinselele. Leli thimba lochwepheshe lizokusiza ukuthi usondele empilweni oyifunayo.
Umlayezo Wokuya Nawe Ekhaya
- I-ACT (Assertive Community Treatment) iyindlela yokwelapha ekhethekile enikeza abantu abanezifo zengqondo ezinzima ukwelashwa emphakathini lapho behlala khona, kunokuba baye esibhedlela.
- Ithimba lochwepheshe, okuhlanganisa odokotela bezifo zengqondo, odokotela bezengqondo kanye nabasebenzi bezenhlalakahle, lizofika ekhaya lakho futhi likunikeze ukwesekwa.
- Inhloso ukukusiza ukuthi uphathe lesi sifo ngenkathi futhi ukukusiza uphumelele empilweni yakho ngezinto ezifana nezindlu kanye nomsebenzi.
- Le ndlela iye yafakazelwa ukuthi inciphisa ukulaliswa esibhedlela futhi ithuthukise ikhwalithi yokuphila.
- Uma ucabanga ukuthi lokhu kwelashwa kungase kukufanele wena noma othile omaziyo, qiniseka ukuthi ukhuluma nodokotela wakho noma uchwepheshe wezempilo yengqondo ngakho.
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