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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PTSD jgufuri fsiqoTerapiis samfaziani modeli. pirvel fazaSi iqmneba<br />
"urTierTga<strong>ge</strong>bis jgufebi" mxolod erTnairi darRvevebis mqone, identur<br />
mdgomareobaSi myofi pacientebisgan (veteranebi, ltolvilebi, Zaladobis<br />
msxverplni da a.S.). meore fazaSi jgufSi emateba aranakleb ori axali<br />
wevri araidenturi travmuli gamocdilebiTa da ramdenadme gansxvavebuli<br />
problemebiT. warmoqmnil jgufs ewodeba "fsiqoTerapiuli jgufi". axali<br />
wevrebis Seyvana xels uwyobs travmirebuli "me"-Ti yvelaze ufro metad<br />
dezorganizebul pacientebSi emociur afeTqebas, ris Sedegadac iwyeba<br />
jgufis wevrebSi gamaRizianebeli qcevebi, « Cven vgrZnobT cnebis Sesustebas<br />
da gaRizianebas da mrisxanebas "realobasTan" Sejaxebis gamo. Terapevtis<br />
xelmZRvanelobiT jgufis wevrebi swavloben TavianTi emociebis marTvasa<br />
da gancdaTa analizs ». amis Semdeg iwyeba mesame faza, anu "fsiqoanalizurad<br />
orientirebuli jgufi".<br />
Lindy, Green, Grace azriT, somatizaciisa da fsiqo-somatur simptomTa<br />
samkurnalod aucilebelia "pirovnebaze orientirebuli fokusuri fsiqoanalizis<br />
gamoyeneba. fokusuri fsiqoanalizi zogadad moicavs Semdeg fazebs:<br />
"gaxsnis fazas", romelic moicavs pacientsa da Terapevts Soris ndobis<br />
kontaqtis da Terapevtis mimarT rwmenis Camoyalibebas, travmis im<br />
detalebis gacnobas TerapevtisaTvis, rac wamyvan rols TamaSobs da<br />
mniSvnelovania da gantvirTvis miRwevas. meore, "Sualedur" fazaSi,<br />
Terapevti exmareba pacients identficireba moaxdinos da gamokveTos<br />
travmuli movlenis specifiuri konfiguraciis konturebi: « movlenis<br />
romeli sakvanZo detalebi agondeba mimdinared da romeli arsebobs<br />
gamudmebiT, myarad ». mesame, bolo fazaSi, Seqmnili wyvili muSaobs travmis<br />
gaazrebasa da pirovnebis mier sakuTari pirovnuli organizaciis<br />
gacnobierebaze da momavalisaTvis gamosadegi jansaRi azris SemuSavebaze.<br />
iugoslaviis omis Sedegad ltolvilTa Soris warmatebiT iyenebdnen<br />
"realobiT Terapiis" models, romelic SemuSavebulia Glasser mier. es<br />
meTodi mniSvnelobas aniWebs adamianis qcevas mimdinare momentSi da misi<br />
qcevis efeqturobas sasurveli miznebis misaRwevad. aqcenti keTdeba<br />
"arCevanze". Glasser mixedviT, Cveni qcevebi, gansakuTrebiT ki Cveni<br />
moRvaweobis saxeebi da fiqrebi xasiaTdeba arCeviTobiT. es meTodi<br />
SesaZloa gamoyenebul iqnas rogorc individualurad, aseve jgufurad da<br />
moicavs ramdenime etaps. pirveli etapi moicavs jgufis Serwymas,<br />
koncentrirebas jgufSi urTierTndobisa da megobruli atmosferos<br />
Sesaqmnelad. meore stadia warmoad<strong>ge</strong>ns individis mier sakuTari Sinagani<br />
samyaros gamokvlevas. mesame stadiaSi aqcenti keTdeba qcevaze mTlianobaSi.<br />
meoTxe stadiaSi fsiqoTerapevti exmareba pacients da<strong>ge</strong>gmos da SeimuSaos<br />
qcevis efeqturi formebi.<br />
gansakuTrebiT mniSvnelovania PTSD dazaralebulTa Soris ojaxuri<br />
fsiqoTerapiis gamoyeneba, radgan Zalian xSiria ojaxis wevrTa Soris<br />
urTierTobebSi cvlilebebi travmis Sedegad, aseve damaxasiaTebelia<br />
ojaxis wevrTa Soris gancdebiT urTierTinducireba, ris Sedegadac pirvel<br />
rigSi zaraldebian bavSvebi. ojaxuri fsiqoTerapia gulisxmobs<br />
fsiqoTerapiul muSaobas mTel ojaxTan, rogorc jgufTan. fsiqoTerapevti<br />
exmareba mis wevrebs aRmoaCinon Tavisi funqcionirebis axali<br />
SesaZleblobebi, rac mimarTulia ojaxis SigniT urTierTobebis<br />
gaumjobesebaze. mniSvnelovania, rom ojaxis yvela wevrma miaRwios emociur<br />
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