wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
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maT ganixilavda rogorc isteriis gamovlinebebs, Tumca ukve cxadi iyo<br />
araisteriuli, wminda emociuri aSlilobebis arsebobac, razedac<br />
TvalnaTliv miuTiTebs Clovis Vincent monacemebi, romelic omis wina xazze<br />
awarmoebda dakvirvebebs. igi wers: "iq, sadac didi raodenobiT ecema<br />
naRmebi, rac iwvevs sikvdilianobasa da Wrilobebs, arasodes minaxavs<br />
isteriuli gamovlinebebi krunCxvebis, kontraqturisa da erTi an<br />
ramodenime kiduris paraliCis saxiT, me iq vxvdebodi mxolod emociuri<br />
rigis gamovlinebebs, yvelaze xSirad: cremlebs; kankals; gaSeSebis Setevebs<br />
(Un etat d'hebetude), romlis drosac avadmyofi gaunZrevelia, kiTxvebze ar<br />
pasuxobs; taqikardias; sunTqvis gaxSirebas; abnevas."<br />
20-ian wlebSi klinikur fsiqiatriaSi aRiniSna mniSvnelovani etapi<br />
fsiqo<strong>ge</strong>niaTa im jgufis Seswavlisa, romelic cnobilia reaqtiuli<br />
fsiqozebis saxelwodebiT, rac dakavSirebulia Karl Jaspers-is saxelTan. misi<br />
koncefciis Tanaxmad, reaqtiuli fsiqozebi viTardeba pirovnebasa da<br />
misTvis gausaZlis realobas Soris konfliqtis safuZvelze da, amave dros,<br />
es realoba aucileblad aisaxeba daavadebis klinikur suraTSi. Jaspers<br />
mixedviT, gausaZlisi realoba SeiZleba iyos patimroba, ubeduri<br />
SemTxvevebi, miwisZvrebi da saerTod katastrofani, dardi samSobloze,<br />
seqsualuri Zaladoba, Zlieri SiSi, SeZrwuneba, samxedro samsaxuri,<br />
enobrivi izolacia da sxv. mizezis mixedviT, igi Sesabamisad ganasxvavebda<br />
situaciis mixedviT provocirebul fsiqozebs: cixis fsiqozi; nostalgiuri<br />
fsiqozi; "guvernantis" paranoia; miwisZvriT gamowveuli fsiqozi da a.S. igi,<br />
mizezTa garda, ganasxvavebda agreTve reaqciaTa struqturas: isteriuli,<br />
paranoiduli, depresiuli, cnobierebis Secvla, primitiuli da sxva.<br />
"WeSmariti reaqtiuli fsiqozebisgan, albaT, Cven unda ganvasxvavoT, garda<br />
spontanuri da inspirirebuli fsiqozebisa, aseve mxolod sulieri<br />
SeZrwunebiT kauzalurad ganpirobebuli normidan gadaxris mdgomareobani,<br />
yovelgvari gasa<strong>ge</strong>bi kavSiris gareSe, rogoric aris mag. vazomotoruli,<br />
nevrasTeniuri sindromi, Tanmxlebi SiSis gancdiT da a.S. katastrofis<br />
Semdeg." _ wers Jaspers naSromSi "swavleba reaqtiuli fsiqozebis Sesaxeb".<br />
mis mier mowodebuli reaqtiul mdgomareobaTa kliniko - diagnostikuri<br />
kriteriumebi: paTologiuri reaqciis kavSiri fsiqikur travmasTan misi<br />
warmoSobis drois, Sinaarsisa da mimdinareobis mixedviT, dRemde<br />
klinikuri fsiqiatriisaTvis Zalze mniSvnelovania.<br />
Tumca unda aRiniSnos, rom 60 -iani wlebisaTvis aRwerili iqna<br />
reaqtiul mdgomareobaTa mogvianebuli formebi, anu travmuli momentidan<br />
Zalze daSorebuli formebi, romelTa drosac irRveva Jaspers "drois<br />
kavSiris" kriteriumi, Tumca travmuli movlena sruliad aisaxeba klinikur<br />
suraTSi. mogvianebul reaqciaTa SemTxvevaSi "latenturi" dro fsiqikur<br />
travmasa da paTologiur reaqcias Soris Zalze gaxangrZlivebulia da<br />
SesaZloa ramodenime welsac ki aRwevdes. (Шувалов, Гиляровский, WiTava).<br />
amis mizezad ZiriTadad travmis intrafsiqikuri gadamuSavebisa da saboloo<br />
gacnobierebis gaxangrZlivebuli procesi miiCneva, "aseve misi Sedegis asaxva<br />
pirovnebis sayofacxovrebo situaciaSi, rodesac pirovneba yoveli fexis<br />
nabijze grZnobs ukve momxdari usiamovnebis, an ubedurebis Sedegs." (WiTava).<br />
Semdgomi mniSvnelovani etapi globaluri travmebiT gamowveuli<br />
fsiqo<strong>ge</strong>niebis Seswavlisa dakavSirebulia meore msoflio omTan (1939 _ 1945<br />
ww.) amerikeli da ingliseli avtorebis mier 1941-1945 ww. nervul -<br />
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