I-scrupulosity: Lapho Izinkolelo Zenkolo noma Zokuziphatha Ziba yi-OCD

-Delile

• Akusikho Wena Nje
• Enye indlela i-OCD engenza ngayo ukwakheka, okuvame ukubizwa ngokuthi 'i-OCD yenkolo' noma 'i-OCD yokuziphatha.'
• I-scrupulosity ayigcini nje kuphela enkolweni: Ungaba nokuziqhenya kokuziphatha, futhi.
• Ngenhlanhla, ngokusekelwa okulungile, i-scrupulosity ingelashwa.
• Ukwelashwa kuhloselwe ukugxila ekwelapheni i- ukuphazamiseka ye-OCD - {textend} ayiqondene nokuzama ukushintsha ukholo noma izinkolelo zakho.

Uma ukhathazeka ngokweqile ngokuziphatha kwakho, kungahle kungabi yinto enhle kangako.

Akusikho Wena Nje

Ikholomu ebhalwe yintatheli yezempilo yezengqondo uSian Ferguson, inikezelwe ukuhlola izimpawu ezingaziwa kangako, ezingakhulunywa kangako zokugula kwengqondo.

Kungaba ukuphupha njalo, ukushawa ngokweqile, noma izinkinga zokuhlushwa, uSian wazi mathupha amandla okuzwa, “Hheyi, akuwena wedwa.” Ngenkathi ungahle ujwayele ukudabuka noma ukukhathazeka okugijimayo, kuningi kakhulu empilweni yengqondo kunalokho - {textend} ngakho-ke ake sikhulume ngakho!

Uma unombuzo weSian, finyelela kubo nge-Twitter.

Lapho udokotela wami eqala ukuphakamisa ukuthi ngingahle ngibe nesifo sokucindezela ngokweqile (OCD), ngazizwa izinto eziningi.

Kakhulu, ngazizwa ngikhululekile.

Kodwa nami ngezwa nginovalo. Ngokwesipiliyoni sami, i-OCD ingesinye sezifo zengqondo ezingaqondakali kahle kunazo zonke - {textend} wonke umuntu ucabanga ukuthi uyazi ukuthi kuyini, kepha bambalwa abantu abakwaziyo empeleni.

Iningi labantu lihlobanisa i-OCD nokugeza izandla kaningi nokucoceka ngokweqile, kepha akusikho lokho.

Abanye abantu abane-OCD bakhathazeke kakhulu ngenhlanzeko, kepha abantu abaningi abakhathazeki. Njengabanye abaningi, bengikhathazekile ngokuthi ukukhuluma nge-OCD yami kuzohlangabezana nokuxoshwa - {textend} kepha awuhlanzekile ngokweqile! - {textend} esikhundleni sokuqonda, ngisho ngabantu abanezinhloso ezinhle.

Njengoba igama liphakamisa, i-OCD ibandakanya ukuthatheka, okuyimicabango engathandeki, engafuneki, ephikelelayo. Kubandakanya nokuphoqelelwa, okuyizenzo zengqondo noma zomzimba ezisetshenziselwa ukunciphisa ukucindezeleka okuzungeze leyo micabango.

Iningi lethu linemicabango engathandeki, exakile ngezikhathi ezithile. Singafika emsebenzini bese sicabanga, "Hhe, uma ngishiya isitofu segesi sivuliwe?" Inkinga iba lapho sinikeza incazelo ethe xaxa kule micabango.

Singabuyela emcabangweni kaninginingi: Kuthiwani uma ngishiya isitofu segesi sivuliwe? Kuthiwani uma ngishiya isitofu segesi sivuliwe? Kuthiwani uma ngishiya isitofu segesi sivuliwe?

Imicabango ibe isihlupha kakhulu kithina, size sithathe okuphoqelelwe okuthile noma sishintshe inqubo yethu yansuku zonke ukugwema leyo micabango.

Kumuntu one-OCD, ukuhlola isitofu segesi izikhathi eziyi-10 njalo ekuseni kungaba yisipho esenzelwe ukunciphisa leyo micabango ecindezelayo, kanti abanye bangaba nomthandazo abawuphindayo kubo ukuze babhekane nokukhathazeka.

Enhliziyweni ye-OCD ukwesaba noma ukungaqiniseki, noma kunjalo, ngakho-ke akunqunyelwe kumagciwane noma ukushisa ikhaya lakho.

Enye indlela i-OCD engenza ngayo ukwakheka, okuvame ukubizwa ngokuthi 'i-OCD yenkolo' noma 'i-OCD yokuziphatha.'

"I-scrupulosity iyisihloko se-OCD lapho umuntu ekhathazeka ngokweqile ngokwesaba ukuthi benza okuthile okuphikisana nezinkolelo zabo noma okungukuziphatha okubi," kusho uStephanie Woodrow, umeluleki ogxile ekwelapheni i-OCD.

Ake sithi uhlezi esontweni futhi umcabango wokuhlambalaza weqa engqondweni yakho. Iningi labantu abakholwayo lizozizwa kabi, kepha bese usuka kulowo mcabango.

Abantu abanobuhlakani, noma kunjalo, bazokuthola kunzima ukuvumela lowo mcabango uhambe.

Bazozizwa bethwele unembeza ngenxa yokuthi umcabango wawufika emqondweni wabo, futhi bangakhathazeka ngokuthukuthelisa uNkulunkulu. Bazochitha amahora bezama 'ukwenza' lokhu ngokuvuma, ukuthandaza, nokufunda imibhalo yenkolo. Lokhu kuphoqelelwa noma amasiko kuhloswe ukunciphisa ukucindezeleka kwabo.

Lokhu kusho ukuthi inkolo igcwele ukukhathazeka ngabo, futhi bazozabalaza ukuze bathokozele izinkonzo noma imikhuba yenkolo.

Ukuziqhenya (noma imicabango ephikelelayo, engathandeki) uma kukhulunywa ngokugqwala kungafaka ukukhathazeka nge:

• kucasula uNkulunkulu
• ukwenza isono
• ukuthandaza ngokungafanele
• ukuzichaza kabi izimfundiso zenkolo
• ukuya endaweni yokukhonza "engalungile"
• ukubamba iqhaza emikhubeni ethile yezenkolo “ngokungeyikho” (isb. umuntu ongumKatolika angakhathazeka ngokungaziweleli kahle, noma umuntu ongumJuda angakhathazeka ngokungayigqoki kahle iTefillin phakathi kwebunzi)

Ukuphoqelelwa (noma amasiko) kungafaka:

• ukuthandaza ngokweqile
• ukuvuma njalo
• efuna ukuqinisekiswa kubaholi bezenkolo
• ukugwema izimo lapho izenzo zokuziphatha okubi zingenzeka khona

Vele, abantu abaningi benkolo bayakhathazeka ngezinye zezinkinga ezingenhla ngezinga elithile.Isibonelo, uma ukholelwa esihogweni, kungenzeka ukuthi ukhathazekile ngokuya lapho okungenani kanye.

Ngakho-ke, ngibuze uWoodrow, uyini umehluko phakathi kokukhathazeka okungokwenkolo okungekho okwenzakalayo kanye ne-OCD yangempela?

“Okusemqoka wukuthi abantu abane- [scrupulosity] abajabuli nganoma iyiphi inkolo / inkolo yabo ngoba bayesaba ngaso sonke isikhathi,” kuchaza yena. "Uma umuntu ecasulwa okuthile noma ekhathazekile ngokungena enkingeni yokweqa okuthile, kungenzeka ukuthi akayithandi imikhuba yakhe yenkolo, kodwa akesabi ukuyenza kabi."

I-scrupulosity ayigcini nje kuphela enkolweni: Ungaba nokuziqhenya kokuziphatha, futhi.

"Lapho umuntu enokuziphatha okuhle, angakhathazeka ngokungaphathi abantu ngokulingana, ukuqamba amanga, noma ukuba nezisusa ezimbi zokwenza okuthile," kuchaza uWoodrow.

Ezinye izimpawu zokuziphatha okuhle zibandakanya ukukhathazeka nge:

• ukuqamba amanga, noma ngabe ungahlosile (okungabandakanya ukwesaba ukuqamba amanga ngokushiya noma ngokudukisa abantu ngengozi)
• ukubandlulula abantu ngokungazi
• ukusebenza ngokuziphatha ngenxa yokuzizuzela wena, esikhundleni sokugqugquzelwa ngokusiza abanye
• ngabe izinqumo zokuziphatha ozenzayo zingcono ngempela yini ukuze kuzuze kakhulu
• ukuthi ungumuntu “olungile” ngempela noma cha

Amasiko ahlobene nokuziphatha okuhle angahle abukeke:

• ukwenza izinto ezingenamsebenzi ukuze “uzibonise” ukuthi ungumuntu olungile
• ukwaba noma ukuphinda imininingwane ukuze ungaqambi amanga kubantu ngephutha
• izimiso zokuphikisana namahora ekhanda lakho
• ukwenqaba ukwenza izinqumo ngoba awukwazi ukuthola isinqumo "esihle kakhulu"
• uzama ukwenza izinto "ezinhle" ukuvala izinto "ezimbi" ozenzile

Uma ujwayelene noChidi ovela “Indawo Enhle,” uzokwazi ukuthi ngiqonde ukuthini.

UChidi, uprofesa wesimilo, ukhathazeke kakhulu ngokulinganisa isimilo sezinto - {textend} kangangokuba ulwela ukusebenza kahle, onakalise ubudlelwano bakhe nabanye, futhi uphathwa yisisu kaningi (uphawu olujwayelekile lokukhathazeka!).

Ngenkathi ngingeke ngikwazi ukuthola umlingiswa oqanjiwe, uChidi ungcono kakhulu ukuthi i-OCD yokuziphatha ingabonakala kanjani.

Vele, inkinga yokubhekana nokubhekisisa ukuthi bambalwa abantu abazi ukuthi ikhona.

Ukukhathazeka ngezindaba zokuziphatha noma ezenkolo akuzwakali kubi kuwo wonke umuntu. Lokhu, kuhambisana nokuthi i-OCD ivame ukumelwa kabi futhi ingaqondakali, kusho ukuthi abantu abazi ngaso sonke isikhathi ukuthi yiziphi izimpawu okufanele bazibheke noma bangalutholaphi usizo.

"Kokuhlangenwe nakho kwami, kuthatha isikhathi ukuthi babone ukuthi lokhu ababhekene nakho kukhulu kakhulu futhi akudingekile," kusho uMichael Twohig, uprofesa wezengqondo e-Utah State University, etshela abeHealthline.

"Kuvamile ukuthi bacabange ukuthi lokhu kuyingxenye yokwethembeka," esho. “Umuntu ovela ngaphandle uvamise ukungenelela athi lokhu kukhulu kakhulu. Kungasiza kakhulu uma lowo muntu ethembekile noma umholi wezenkolo. ”

Ngenhlanhla, ngokusekelwa okulungile, i-scrupulosity ingelashwa.

Imvamisa, i-OCD iphathwa ngokwelashwa kokuziphatha kwengqondo (i-CBT), ikakhulukazi ukuvimbela ukuvezwa nokuphendula (ERP).

I-ERP imvamisa ifaka phakathi ukubhekana nemicabango yakho engalawuleki ngaphandle kokubandakanyeka ekuziphatheni okucindezelayo noma emasikweni. Ngakho-ke, uma ukholwa ukuthi uNkulunkulu uzokuzonda uma ungathandazi njalo ebusuku, ungahle weqe ubusuku obubodwa bomkhuleko futhi ulawule imizwa yakho ngakubo.

Enye indlela yokwelashwa kwe-OCD ukwelashwa nokwamukela ukuzibophezela (ACT), uhlobo lwe-CBT olubandakanya izindlela zokwamukela nokucabanga.

U-Twohig, onolwazi olunzulu nge-ACT yokwelapha i-OCD, usanda kusebenza kulokho okukhombise ukuthi i-ACT iyasebenza njenge-CBT yendabuko yokwelapha i-OCD.

Esinye isithiyo kubantu abane-OCD ukuthi bavame ukwesaba ukuthi ukwelashwa ngenxa yokukhukhumala kuzobasusa enkolweni yabo, ngokusho kukaTwohig. Othile angase esabe ukuthi umelaphi wabo uzobadikibalisa ekuthandazeni, emibuthanweni yenkolo, noma ekukholweni kuNkulunkulu.

Kepha akunjalo.

Ukwelashwa kuhloselwe ukugxila ekwelapheni i- ukuphazamiseka ye-OCD - {textend} ayiqondene nokuzama ukushintsha ukholo noma izinkolelo zakho.

Ungagcina inkolo noma izinkolelo zakho ngenkathi welapha i-OCD yakho.

Eqinisweni, ukwelashwa kungakusiza ukuthi uthokozele inkolo yakho kakhulu. "Ucwaningo luye lwabonisa ukuthi ngemuva kokuqeda ukwelashwa, abantu abanenkinga yokubheka inkolo empeleni baluthokozela kakhulu ukholo lwabo kunangaphambi kokwelashwa," kusho uWoodrow.

UTwohig uyavuma. Usebenze kulokho okwakubheka izinkolelo zenkolo zabantu ababelashelwa ukuhlupheka. Ngemuva kokwelashwa, bathole ukuthi ukungabambi kahle kwehlile kepha inkolo ayizange - {textend} ngamanye amagama, bakwazile ukugcina ukholo lwabo.

"Ngivame ukusho ukuthi inhloso yethu njengabelaphi ukusiza iklayenti lenze okubaluleke kakhulu kulo," kusho uTwohig. "Uma inkolo ibalulekile kubo, sifuna ukusiza iklayenti lenze inkolo ibe nenjongo."

Uhlelo lwakho lokwelashwa lungabandakanya ukukhuluma nabaholi bezenkolo, abangakusiza wakhe ubuhlobo obunempilo nokholo lwakho.

"Kunamalungu ambalwa abefundisi futhi abelaphi be-OCD futhi abethule kaningi ngokulingana phakathi kokwenza lokho okufanele" bakwenze "ngenxa yenkolo kunokuphikisana nalokho i-OCD ethi umuntu kumele akwenze," kusho uWoodrow. "Bonke bayavumelana ngokuthi akekho umholi wezenkolo owake abheke imicikilisho [yokukhukhumala] njengehle noma ewusizo."

Izindaba ezinhle ukuthi ukwelashwa kwanoma yiziphi izinhlobo ze-OCD kungenzeka. Izindaba ezimbi? Kunzima ukuphatha okuthile ngaphandle kokuthi sazi ukuthi kukhona.

Izimpawu zokugula kwengqondo zingabonakala ngezindlela eziningi ezingalindelekile nezimangazayo, kangangoba singathola ubunzima obukhulu ngaphambi kokukuxhuma nempilo yethu yengqondo.

Lesi ngesinye sezizathu eziningi zokuthi kungani kufanele siqhubeke sikhulume ngempilo yengqondo, izimpawu zethu, nokwelashwa - {textend} ngisho ikakhulukazi uma izingqinamba zethu ziphazamisa ikhono lethu lokulandela okubaluleke kakhulu kithi.

USian Ferguson ungumbhali ozimele futhi uyintatheli ezinze eGrahamstown, eNingizimu Afrika. Ukubhala kwakhe kuhlanganisa izindaba eziphathelene nobulungiswa bezenhlalakahle kanye nempilo. Ungamthinta ku-Twitter.