EMDR yekha. Diso kayendedwe desensitization ndi reprocessing - njira ya misala zochizira PTSD matenda

kangati zimachitika zopanda wathanzi ndi osangalala munthu chatsekedwa, amakhala aukali, kapena M'malo mwake, igwera mu mkhalidwe mphwayi cheni zonse zikuchitika. Ndipo amene sadamve mavuto ndi maganizo yayandikirayo.? Izi moyo amafufuza zolephera ena popanda chifukwa, lingaliro la kusungulumwa wopandamalire, kuukira kapena nkhawa zonse, kusowa chidwi mu moyo, kudziyang'anira ndi zambiri mantha.

Mavuto?

Koma pali lalikulu kwambiri maganizo vuto - zotsatira za nkhanza, zoopsa mwana, chikondi unrequited, imfa, ngozi, kulephera, manyazi, kuthamanga ndi ambiri yamvumbi zina mabala. kuvulala izi sizimakuchiritsani mafuta kapena pulasitala kapena pulasitala. Za iwo monga sakuvomereza kulankhula ndi achibale komanso anzake. Ndipo ambiri m'dziko lathu kuchita maganizo imatengedwa pafupifupi chosayenera. Koma ngati akufuna kusintha moyo wawo, kupeza mtendere ndi chimwemwe, kukhala kuphunzira kukhala kukwaniritsa zolinga zawo ndi kukhala Choncho mogwirizana tokha ndi dziko, tiyenera kuyamba ndi kuthetsa mavuto awo. Masiku ano, pali kutsimikiziridwa ndi ogwira njira maganizo amene angagwiritsidwe ntchito ngakhale panyumba yekha popanda angayambe kudwala matenda ndi imfa ya nthawi kufunafuna munthu dokotala-yamaganizo.

EMDR njira (decoding)

F. Shapiro (USA) kumapeto kwa zaka mazana makumi awiri, pafupifupi mwangozi kukonza ndi kugwiritsa njira zawo mchitidwe kuthandiza anthu zovuta moyo. Anamutcha kuti "diso kayendedwe desensitization ndi reprocessing." Akamanena za njira ndi kuchepetsa mphamvu ya mavuto kwa maganizo mwa kukamba za kayendedwe rhythmic wa eyeballs lapansi.

N'zochititsa chidwi, njira imeneyi kwa yankho la mavuto ambiri maganizo osati yemwe anamangidwa pa mfundo sayansi, koma auka kwa Ataona zimene. Francine Shapiro moyo kupyola suwasangalatsa (khansa, maloto mantha, imfa ya okondedwa) ndipo pafupifupi mwangozi anapeza njira nkhawa zinachititsa kuti anapeza njira imeneyi. Maganizo chifukwa cha mphamvu ya njira anaonekera patapita nthawi yaitali, pambuyo kuonerera yaitali odwala ndi kupeza zotsatira zambiri zabwino.

Kodi njira

Pa mankhwala a zamaganizo zimapangitsa manja (kapena Cholozera), amene bwino laperekedwa kwa odwala. Pa ananena kayendedwe ayenera amatanganidwa kukumbukira kapena kuyerekeza zinthu ovutitsa, maganizo kulankhula nokha kapena munthu amene panali kusamvana (Inde maganizo awa dokotala oyang'anira, izo zonse zimadalira vuto kuti atha). Nthawi yoyamba kumverera zosasangalatsa kwambiri, koma patapita pafupifupi 30 minutes Chigawo choyamba, mantha ndi mantha anathamangira kunja ndi m'malo ndi njira yabwino maganizo, zonse mwadzidzidzi anagwera mu malo mkwiyo amachoka ndi kukumbukira salinso kubweretsa mavuto ngati amenewo. Kulimbitsa zotsatira za ndondomeko nthawi zonse umachitikira kangapo.

Chifukwa chake ntchito

The kungoganizira chachikulu, kutsimikizira chifukwa njira ntchito, amakhulupirira kuti pali ena mokwanira anaphunzira njira ya processing wa nkhani iliyonse ukubwera. Kutopa, mantha, kuthamanga - zonsezi kukusokonezani limagwirira imeneyi salola kuti mwamuna azichita mokwanira. Ndipo kukachitika kuti anachititsa zoopsa akhala unprocessed kapena kukonzedwa osati kupyolera. kayendedwe mobwerezabwereza cha maso zamatsenga kulinganiza ntchito ya dongosolo ndi umakaniko kukakamiza maganizo pokonza mfundo akale. Pambuyo njirayi, kukumbukira pang'onopang'ono zokha, kupeza mtundu ndale.

Popeza kayendedwe ofanana mofulumira diso la munthu umabala yekha akagona (pa REM kugona), amati limagwirira izi imabereka zenizeni EMDR njira. Chinawathandiza kumvetsa n'chakuti zimayambitsa kungakhale chirichonse, chinthu chofunika kokha kuti amathandizadi.

komwe ntchito

Nthawi zambiri EMDR njira ntchito kuti achire mbali maudani, pambuyo chiwawa, ndiko kuti, zochizira PTSD matenda. Amagwiritsidwanso zambiri amalangiza ntchito mtundu wa misala kuti achire modetsa nkhawa, nkhondowo phobias, nkhawa ndipo limati obsessive.

Russian dokotala EMDR Kovalev akuonetsa mabuku ndi makanema. Zimenezi zimathandiza kuti matenda a m'mapapo, magawo khalidwe kunyumba. Komabe, iye F.Shapiro magawo khalidwe EMDR yekha mwamphamvu kulimbikitsidwa ndi ankaona kofunika pamaso pa thanzi akatswiri yamaganizo kapena zamaganizo.

Ubwino wa njira

Liwiro - wina wa ubwino waukulu. Bwinobwino chiwerengero cha magawo kungakhale kuchokera 1 mpaka 2 (milandu yosavuta) kwa 6-16 (zinthu zolemera ndi kuthamanga). Onani kuti zochizira vutoli mu magawo wamba a misala ayenera kukhala miyezi 6 kuwona dotolo kawiri pa mlungu, ndi kuikidwa nkotheka mankhwala.

Ubwino wina - chosowa mankhwala. Palibe mavuto. Pankhani kwambiri, njira chabe sizigwira ntchito.

No kukana mtima. Nthawi zambiri madokotala yaitali kuti "kukumba" muzu wa vuto mu magawo wamba. Ngati inu ntchito njira EMDR, ndi dokotala decryption pafupifupi chofunika. Pa kulamulira kayendedwe ka maso kapena kasitomala ndi chete yekha maganizo kapena nkhani kuyankha mafunso womasuka kwambiri zoona, monga mbali ya chikumbumtima ndi otanganidwa. Choncho wodwala zimachokeradi ndi kukana kuopa kuwunika zoipa ndi madokotala a.

kuphatikiza wina - ndi mwayi kugwira magawo EMDR yekha kapena mothandizidwa ndi anzathu ndi achibale.

chitetezo

Izi si njira kutsirikidwa ayi kumakhudzanso psyche. Chifukwa kasitomala amadziwa amazindikira ndi kuyang'aniridwa zina dokotala, chinachake kuvuta sungathe basi. Wodwala nthawi kusiya zokambirana ngati iye sali okonzeka kukumana ndi chochitika kachiwiri. madokotala A Ndithu zindikirani ngati mlingo nkhawa kwambiri, ndipo kugwira ntchito pa waphindu ndi kusala.

Ndondomeko lonse ikuchitika malinga ndi protocol, ndi wangwiro ndi yovomerezeka kwa akatswiri mu munda wa uphungu maganizo. Zimenezi zimapereka chitetezo zina ndi kupereka zotsatira talonjezedwa.

EMDR nokha

Musanayambe gawo kunyumba popanda thandizo la katswiri, muyenera:

• kulenga chikhalidwe - kuchotsa owonjezera onse ndi khutu kwa n'cholinga choti nokha Mphindi izi 30-90;
• kupeza kanema wapadera phunziro kayendedwe diso (kosavuta ngati izo basi kusuntha pa matalikidwe wina wa mdima chophimba dontho);
• musanayambe muyenera kukumbukira mwatsatanetsatane, kapena kuyerekeza zinthu, munthu, kapena kuopa ululu - zonse nkhawa lero.

Ndiye inu mukhoza kuyatsa kanema ndi pa gawo lonse kuwayang'anira mosamala maso popanda kupanga magulu mutu, chifukwa mfundo kapu chophimba / Cholozera / cholembera a. Ganizilani zinthu zosangalatsa, maganizo n'kumadzifunsa mafunso ndi kufunafuna mayankho, kuti akwiye, ngati akufuna kuti ayesere kumvetsa zimene zinachitika ndipo tsopano ili zosatheka pangozi, kudziwa zomwe ndi zolinga lero ndi Kupambana kwawo igwirike mawa.

EMDR nokha - si zovuta. Ndipo ngakhale mu dziko lathu, njira imeneyi kukali untapped ndipo ngakhale m'gulu miyezo ya chithandizo cha vutoli, koma zinachitikira madokotala ku Isiraeli, USA, UK, maphunziro ambiri ntchito chapamwamba kwambiri kutsimikizira kugwira kwake ndi chitetezo, ngakhale ntchito kunyumba.