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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travmirebulTagan homo<strong>ge</strong>nuri urTierTTanadgomis jgufebis Seqmnas<br />
emociuri ganmuxtvis mizniT. mocemul etapze mniSvnelovania<br />
dazaralebulTan srul ndobaze damyarebuli kontaqtis damyareba, romlis<br />
mizania stresTan dakavSirebuli emociebisagan gantvirTvisa da stresidan<br />
disociaciis miRweva, rac metad mniSvnelovania "ganmeorebadi gancdis"<br />
simptomTa mosaxsnelad da PTSD qronizaciis profilaqtikisaTvis. mocemul<br />
etapze aseve mnivnelovania socialuri Tanadgoma da daxmareba. //<br />
PTSD qronikuli mimdinareobisas individualuri fsiqoTerapiis<br />
saxeoba ZiriTadad damokidebulia fsiqoTerapevtis orientaciaze. farTod<br />
gamoiyeneba bihevioristuli (qceviTi) da kognitiuri (SemecnebiTi) Terapiis<br />
meTodebi. iseTi meTodebi, rogoricaa sistematiuri desensibilizacia da<br />
rekurentuli matravmirebeli mogonebebisaTvis azrovnebis damuxruWeba<br />
(Miller T. 1981).<br />
rigi avtorebis azriT, PTSD dros umTavresia, matravmirebeli<br />
movlenebis Sedegad aRmocenebuli intrafsiqikuri, Sinagani konfliqti, rac<br />
xSirad iwvevs faseulobaTa sistemis msxvrevasa da cxovrebiseuli krizisis<br />
SegrZnebas; ris gamoc aucileblad miiCneven, rom dazaralebulma<br />
gaacnobieros misi problemis Sinaarsi da <strong>ge</strong>nezi. am midgomis safuZvelze<br />
SemuSavebulia Terapiuli midgoma (Meichenbaum, Novaco, Everly, Girdano et<br />
al.), romelic 6 safexurisagan Sed<strong>ge</strong>ba: 1. stresuli reaqciebis Sesaxeb<br />
yvelaze xSirad gavrcelebuli warmod<strong>ge</strong>nebis koreqcia; 2. stresuli<br />
reaqciebis Sesaxeb, mis bunebaze pacientisaTvis informaciis miwodeba; 3.<br />
aSlilobis ganviTarebaSi gansakuTrebuli stresis rolze fokusireba; 4.<br />
pacientis miyvana stresuli reaqciebisa da misi simptomebis gamovlinebis<br />
damoukidebel Secnobamde; 5. pacientSi TviTanalizis unaris ganviTareba,<br />
misTvis niSandoblivi stresorebis identifikaciis mizniT; 6. klinicistis<br />
mier pacientisaTvis im mniSvnelovani rolis gansazRvra, romelsac es<br />
ukanaskneli asrulebs mniSvnelovani stresis TerapiaSi.<br />
rogorc cnobilia, PTSD qronikuli formebisaTvis erTerTi<br />
umTavresi komponentia adaptaciis darRveva, realobis sworad Sefasebis<br />
unaris daqveiTeba, aseve interpersonaluri urTierTobebis daRveva, rig<br />
SemTxvevaSi arakontrolirebadi agresiuloba da mrisxaneba, gaucxoeba,<br />
emociuri gamijnva. am darRvevaTa koreqciisaTvis aucilebelia<br />
interpersonalur urTierTobebze orientirebuli jgufuri fsiqoTerapiis<br />
gamoyeneba. jgufuri fsiqoTerapiis meTodi dReisaTvis iTvleba PTSD<br />
mkurnalobis wamyvan meTodad (William, Brende, Walker, Nash).<br />
jer kidev 70-iani wlebis dasawyisSi samecniero literaturaSi<br />
gamoCnda calkeuli rekomendaciebi jgufuri fsiqoTerapiis Casatareblad<br />
erTgvarovani jgufebis Seqmnis Sesaxeb (Archibald, Lomg, Miller), magram<br />
vietnamis omamde am meTodma ver hpova farTo gamoyeneba. 70-ian wlebSi<br />
Lifton, muSaobda ra vietnamis omis veteranebTan, Camoayaliba<br />
"urTierTga<strong>ge</strong>bis jgufebi". maTi saqmianobis gaanalizebiT igi mivida<br />
daskvnamde, rom jgufSi swrafad xdeba urTierTndobisa da<br />
SekavSirebulobis Camoyalibeba, ris Sedegadac viTardeba erTianoba<br />
cnebebisa "is, rasac vgrZnob me" da "is, rasac vgrZnobT Cven", magram<br />
amasTanave gamoxatulad ikveTeba mtruli ganwyoba maT mimarT, visac ar<br />
gaaCnia identuri travmuli gamocdileba, ris gamoc TvalsaCinoa jgufSi<br />
Caketvis tendencia. am faqtis gaTvaliswinebiT Parson mier SemuSavebul iqna<br />
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