Ukwelapha Amanxeba Angabonakali: Ukwelashwa Kwezobuciko ne-PTSD
-Delile
- Umbala ube usizo olukhulu njengoba ngilulama ku-PTSD.
- Yini i-PTSD?
- Kuyini ukwelashwa kwezobuciko?
- Ukwelashwa kwezobuciko kungasiza kanjani nge-PTSD
- I-PTSD, umzimba, kanye nokwelashwa kobuciko
- Ungamthola kanjani umelaphi wobuciko ofanele
- Ukudla okudlela endlini
Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.
Umbala ube usizo olukhulu njengoba ngilulama ku-PTSD.
Lapho ngifaka umbala ngesikhathi sokwelapha, kungakha indawo ephephile kimi yokuveza imizwa ebuhlungu kusukela esikhathini esidlule. Imibala ifaka ingxenye ehlukile yobuchopho bami engivumela ukuthi ngicubungule ukuhlukumezeka kwami ngenye indlela. Ngikwazi nokukhuluma ngezinkumbulo ezinzima kakhulu zokuhlukunyezwa kwami ngokocansi ngaphandle kokwethuka.
Kodwa-ke kunokunye ukwelashwa kwezobuciko kunokufaka imibala, naphezu kwendlela umkhuba wencwadi yabantu abadala ongasikisela ngayo. Bangena kokunye, noma kunjalo, njengoba ngifunde ngokuhlangenwe nakho kwami. Ukwelashwa kwezobuciko, njengokwelashwa kokukhuluma, kunamandla amakhulu okuphulukisa lapho kwenziwa ngochwepheshe oqeqeshiwe. Eqinisweni, kulabo abane-post-traumatic stress disorder (PTSD), ukusebenza nomelaphi wobuciko kube ngumsindisi.
Yini i-PTSD?
I-PTSD ukuphazamiseka kwengqondo okubangelwa isehlakalo esibuhlungu. Okuhlangenwe nakho okwesabisayo noma okusongelayo njengempi, ukuhlukunyezwa, noma ukunganakwa kushiya imikhondo ebambeka ezinkumbulweni zethu, emizwelweni nasekuhlangenwe nakho komzimba. Uma kubangelwa, i-PTSD ibangela izimpawu njengokuphinda ubhekane nokuhlukumezeka, ukwethuka noma ukukhathazeka, ukuthinta noma ukwenza kabusha, ukukhumbula inkumbulo, kanye nokuba ndikindiki noma ukuhlukaniswa.
"Izinkumbulo ezihlukumezayo zivame ukuba khona ezingqondweni nasemizimbeni yethu ngendlela eqondene nohulumeni, okusho ukuthi zinokuhlangenwe nakho okungokomzwelo, okubukwayo, komzimba kanye nokuzwela obekuzwakala ngesikhathi somcimbi," kusho u-Erica Curtis, waseCalifornia onelayisense umshado nomelaphi womndeni. "Yizinkumbulo ezingagudluki empeleni."
Ukululama ku-PTSD kusho ukusebenza ngalezi zinkumbulo ezingagaywanga kuze kube yilapho zingasazibangeli izimpawu. Ukwelashwa okuvamile kwe-PTSD kubandakanya ukwelashwa kokukhuluma noma ukwelashwa kokuziphatha kwengqondo (CBT). Lezi zindlela zokwelapha zihlose ukukhathaza abasindile ngokukhuluma nokuveza imizwa yabo ngalesi sehlakalo esibuhlungu.
Kodwa-ke, abantu baba ne-PTSD ngememori, imizwa, nomzimba. Ukwelashwa kokukhuluma kanye ne-CBT kungahle kunganele ukubhekana nazo zonke lezi zindawo. Ukukhumbula ukuhlukumezeka kunzima. Yilapho ukwelashwa kobuciko kungena khona.
Kuyini ukwelashwa kwezobuciko?
Ukwelashwa kwezobuciko kusebenzisa izindlela zokudala ezinjengokudweba, ukudweba, ukufaka umbala nokubaza. Ngokutakula kwe-PTSD, ubuciko busiza ukucubungula izehlakalo ezihlukumezayo endaweni entsha. Ubuciko bunikeza indawo lapho amagama ehluleka khona. Ngomelaphi wobuciko oqeqeshiwe, zonke izinyathelo zenqubo yokwelashwa zifaka ubuciko.
UCurtis ubuye abe ngumelaphi wezobuciko oqinisekiswe yibhodi. Usebenzisa ukwenza ubuciko kuyo yonke inqubo yokutakula ye-PTSD. Isibonelo, "ukusiza amaklayenti ukuthi abone amasu okubhekana namandla namandla wangaphakathi ukuze aqale uhambo lokuphulukiswa," angakha amakholaji ezithombe ezimele amandla angaphakathi, uyachaza.
Amaklayenti ahlola imizwa nemicabango ngokuhlukumezeka ngokwenza imaski noma ukudweba umuzwa futhi axoxe ngakho. Ubuciko bakha amakhono okubeka phansi nokubhekana nokuthwebula izinto ezimnandi. Kungasiza ukuxoxa indaba yokuhlukumezeka ngokwakha umugqa wesikhathi ocacile.
Ngezindlela ezinjengalezi, ukuhlanganisa ubuciko ekwelashweni kukhuluma kukho konke okuhlangenwe nakho komuntu. Lokhu kubalulekile nge-PTSD. Ukuhlukumezeka akwenzeki ngamazwi kuphela.
Ukwelashwa kwezobuciko kungasiza kanjani nge-PTSD
Ngenkathi ukwelashwa kokukhuluma kudala kusetshenziselwa ukwelashwa kwe-PTSD, kwesinye isikhathi amagama angahluleka ukwenza lo msebenzi. Ukwelapha kwezobuciko, ngakolunye uhlangothi, kuyasebenza ngoba kunikeza enye indlela, esebenza kahle ngokufanayo yokukhuluma, kusho ochwepheshe.
“Ukukhuluma ngobuciko kuyindlela enamandla yokubamba ngokuphepha nokudala ukwehlukana nesipiliyoni esethusayo sokuhlukumezeka,” kubhala uchwepheshe wezobuciko oqinisekiswe yibhodi uGretchen Miller weNational Institute for Trauma and Loss in Children. "Ubuciko bunikeza izwi ngokuphepha futhi buwenza umuzwa wosindile wemizwelo, imicabango, nezinkumbulo kubonakale lapho amagama enganele."
UCurtis uyanezela: “Uma uletha ubuciko noma ubuhlakani esimisweni, ngezinga eliyisisekelo kakhulu, lungena kwezinye izingxenye zesipiliyoni somuntu. Ifinyelela kulwazi… noma imizwa okungenzeka ingatholakali ngokukhuluma wedwa. "
I-PTSD, umzimba, kanye nokwelashwa kobuciko
Ukubuyiselwa kwe-PTSD kufaka phakathi ukubuyisa ukuphepha komzimba wakho. Abaningi abaphila ne-PTSD bazithola benqamukile noma behlukanisiwe nemizimba yabo. Lokhu kuvame ukuba ngumphumela wokuzizwa usongelwa futhi ungaphephile ngokomzimba ngesikhathi sezigameko ezimbi. Ukufunda ukuba nobudlelwano nomzimba, noma kunjalo, kubalulekile ekululameni ku-PTSD.
UBessel van der Kolk, MD, uyabhala: “Abantu abahlukumezekile bazizwa bengaphephile ngaphakathi emizimbeni yabo,” ku-The Body Keeps the Score. “Ukuze ushintshe, abantu kudingeka bazi imizwa yabo nendlela imizimba yabo esebenzisana ngayo nezwe elibazungezile. Ukuzazi ngokomzimba isinyathelo sokuqala sokukhipha ubushiqela besikhathi esedlule. ”
Ukwelashwa kwezobuciko kudlulela ekusebenzeni komzimba ngoba amaklayenti asebenzisa umsebenzi wobuciko ngaphandle kwawo. Ngokukhipha izingcezu ezinzima zezindaba zabo zokuhlukumezeka, amaklayenti aqala ukufinyelela ngokuphephile kokuhlangenwe nakho kwawo ngokomzimba futhi athole ukuthi imizimba yawo iyindawo ephephile.
"Abelaphi bezobuciko ikakhulukazi baqeqeshelwe ukusebenzisa imidiya ngazo zonke izinhlobo zezindlela ezahlukahlukene futhi lokho kungasiza nokuthola umuntu omningi emzimbeni wabo," kusho uCurtis. "Njengoba nje ubuciko bungavimba imizwa namagama, kungabuye kube ibhuloho lokubuyela ekuzizweleni uphephile emzimbeni womuntu."
Ungamthola kanjani umelaphi wobuciko ofanele
Ukuthola umelaphi wobuciko ofanelekile ukusebenza ne-PTSD, funa owelapha onolwazi lokuhlukumezeka. Lokhu kusho ukuthi umelaphi yingcweti kwezobuciko kepha futhi unamanye amathuluzi okusekela abasindile ohambweni lwabo lokululama, njengokwelashwa kwezinkulumo ne-CBT. Ubuciko buzohlala buyisisekelo sokwelashwa.
"Lapho ufuna ukwelashwa kwezobuciko ngokuhlukumezeka, kubalulekile ukuthi ufune owelapha onolwazi ngokukhethekile ekuhlanganisweni kwezindlela nezinkolelo-mbono ezisuselwa ekuhlukumezekeni," kweluleka uCurtis. "Kubalulekile ukuqaphela ukuthi noma yikuphi ukungenelela okwenziwe ngezinto ezibonakalayo kanye nezinzwa nakho kungadala iklayenti ngakho-ke kufanele kusetshenziswe kuphela ngumelaphi wezobuciko oqeqeshiwe."
Uchwepheshe wezobuciko oqeqeshiwe uzoba okungenani neziqu ze-master kwi-psychotherapy ngokuqinisekiswa okungeziwe kokwelashwa kobuciko. Abelaphi abaningi bangakhangisa ukuthi benza ukwelashwa kwezobuciko. Yilabo kuphela abaneziqinisekiso eziqinisekisiwe (i-ATR noma i-ATR-BC) abadlule kuqeqesho olunzima olubalulekile ekwelashweni kwe-PTSD. Isici se-Art Therapy Credential Board esithi "Thola I-Credentialed Art Therapist" singakusiza uthole umeluleki oqeqeshiwe.
Ukudla okudlela endlini
Kusetshenziswa ukwelashwa kobuciko ukwelapha i-PTSD kubhekela konke okuhlangenwe nakho kokuhlukumezeka: ingqondo, umzimba, nomzwelo. Ngokusebenza nge-PTSD ngobuciko, yini into eyethusayo edale izimpawu eziningi ingaba yindaba engenziwanga kusukela esikhathini esedlule.
Namuhla, ukwelashwa kwezobuciko kungisiza ukubhekana nesikhathi esibuhlungu empilweni yami.Futhi ngiyethemba ukuthi kungekudala, leso sikhathi kuzoba yinkumbulo engingakhetha ukuyishiya ngedwa, ngingaphinde ngihluphe.
URenée Fabian yintatheli ezinze eLos Angeles ehlanganisa impilo yezengqondo, umculo, ezobuciko, nokuningi. Umsebenzi wakhe ushicilelwe kwiVice, The Fix, Wear Your Voice, The Establishment, Ravishly, The Daily Dot, nakwiThe Week, phakathi kwabanye. Ungahlola wonke umsebenzi wakhe okusewebhusayithi yakhe bese umlandela ku-Twitter @ryfabian.