Zotsatirazi ndi zoyankhulana, zochitidwa ndi Mark Evans. The Network ikufuna kuthokoza Mark chifukwa cha gawo ili lathunthu komanso laumwini, lomwe limafotokoza chifukwa chake wasankha kusiya ntchitoyi atangomaliza kumene. Pamsonkhano wathu waposachedwa, zidadziwika kuti imodzi mwazovuta zophunzitsa ophunzira malingaliro ovuta kwambiri ndikuti angasankhe kuchoka (zomwe, ndithudi, osati chifukwa chopewera kuchita, koma ndithudi zili ndi zofunikira). Zidzakhala zomveka kwa owerenga kuti chisankho cha Mark ndikutayika kwa unamwino wamisala. Komabe, monga mmene mudzaonela, Mark si munthu amene amasankha zinthu mopepuka.
Mark amakhulupirira kuti dongosolo la thanzi la maganizo limatumikira anthu apamwamba m'dera lathu. Tikuwona kuti palibe kutsutsa kwa unamwino wamisala komwe kungakhale kokwanira ngati kunyalanyaza mfundoyi. Timamvanso kuti zolemba za Marko zimapanga kufotokozera koyamba kwa zomwe zikutanthauza kuti 'munthu payekha ndi ndale'.
Chidutswa cha Mark chikukhumudwitsa - kapena chiyenera kukhala. Chonde khalani omasuka kuyankhapo kapena kufunsa mafunso, omwe Mark adzawerenga.
_______________________________________________________________________________________________
Nchiyani chinakupangitsani kuti muphunzire kukhala namwino wa zamaganizo? Chinakukopani ndi chiyani kuti mutenge nawo gawoli?
Nditafunsira kuchita maphunziro anga a namwino wamisala ndinali kale ndikugwira ntchito yazaumoyo nthawi zonse - koma ku wodi yopangira opaleshoni ya minyewa monga Wothandizira Zaumoyo (HCA). Ndinapitiriza kuchita ntchitoyi, kwa nthawi yochepa, panthawi yonse yophunzitsidwa ndipo ndikuchitabe mpaka pano. Ndi ntchito imene ndimaiona kuti ndi yosangalatsa komanso yosangalatsa. Chosangalatsa ndichakuti, mosiyana kwambiri ndi zamankhwala amisala, ntchito yomwe timapereka imakhala yosatsutsika. Mwina ichi ndi chinthu chomwe tiwona pambuyo pake muzoyankhulana.
Titha kugawa unamwino wamisala m'zigawo ziwiri: the kuyamwitsa mbali ya zinthu ndi Thanzi labwino mbali ya zinthu. Monga tanenera pamwambapa, ndimaona kuti kuthandiza anthu kuti achire kudwala, kapena kukhala ndi moyo ndi kufa osavutika kwenikweni, ndi ntchito yopindulitsa. Izi zati, ngati ndikunena zoona, ndikuganiza kuti ndi mbali ya thanzi lamaganizo yomwe idandikopa kuti ndichite maphunziro anga. Ndimaona kuti thanzi la maganizo ndilosangalatsa ndipo ndikuganiza kuti liyenera kumveka ngati lofunika kwambiri - lofunika kwambiri kuposa kunena, Gross Domestic Product (muyeso wa momwe chuma chikuyendera pa dziko lonse) mwachitsanzo. Mfundo yakuti thanzi la maganizo limakhalabe nkhani yozungulira, m'malingaliro mwanga, ndikuwonetseratu dziko la topsy-turvy lomwe tikukhalamo - dongosolo la dziko lomwe limaika phindu patsogolo pa anthu.
Kubwerera ku funso lanu, pamene ndinali kugwira ntchito monga HCA, kulowa m'munda wa thanzi la maganizo, kudzera unamwino, ankangoona ngati kupitirira kwachilengedwe.
Munayamba liti kuzindikira kuti simungafune kukhala namwino wa MH? Kodi nthawi zazikuluzikulu kapena zidziwitso zinali zotani?
Kunena mwachidule, ndinganene kuti panali / pali zinthu ziwiri zazikulu zomwe zimandipangitsa kuti ndisamafune kugwira ntchito ngati namwino wamisala - imodzi yokhudzana ndi matenda amisala ndi ina ya unamwino.
Chifukwa chodziwika bwino chimakhudzana ndi kasamalidwe koyambira pansi, mkati mwa unamwino wamasiku ano, ndi zotsatira zake. Pali mantra mu unamwino wamakono womwe umati "ngati sizinalembedwe ndiye kuti sizinachitike". Malingaliro awa apangitsa kuti pakhale kuchuluka kwa zolemba zomwe zikutanthauza kuti anamwino amathera nthawi yochulukirapo pamaso pa kompyuta komanso nthawi yocheperako ndi odwala / ogwiritsa ntchito. Uku ndi kudandaula kofala kwambiri pakati pa unamwino masiku ano. Nthawi zonse zimandidabwitsa kuti anamwino omwe ali mgululi odziwa zambiri amakhala kutali kwambiri ndi odwala / ogwiritsa ntchito. Zikuoneka kuti kutukuka kwa utsogoleri wa namwino amapita nthawi yochepa yomwe amathera pa unamwino. Poyerekeza, ma HCA ali ndi zolemba zochepa kwambiri motero amatha kukhala nthawi yochuluka ndi odwala/ogwiritsa ntchito chithandizo - ndimakonda zimenezo!
Kusintha kwa chikhalidwechi, mkati mwa unamwino, zonse zimagwirizana ndi chikhalidwe cha anthu - zomwe ndi zotsatira za malingaliro amisala a dongosolo lazachuma lomwe lingayambike ku Thatcherism.
Zifukwa zenizeni zomwe sindikufuna kugwira ntchito ngati namwino wamisala zitha kugawidwa m'magulu otsatirawa: (1) chinyengo; (2) ulamuliro waulamuliro; (3) chinyengo.
Chinthu chimodzi chimene chinandiwonekera bwino pamene ndinali kuikidwa koyamba chinali kusiyana kwa chiphunzitso ndi machitidwe. Chiphunzitso cha umoyo wamaganizo ndi chodzaza ndi chilankhulo chomwe chimamveka chopita patsogolo kwambiri. Mwachitsanzo, anthu amalankhula zambiri za zinthu monga; kuphatikizika kwa anthu, kugwira ntchito mogwirizana, machitidwe ozikidwa pa umboni komanso kutsutsa kusalingana. Palinso nthawi yochuluka yogwiritsidwa ntchito kuyang'ana ndi kuyesa kumvetsetsa mphamvu zamagetsi. Tsopano, kuti ndimveke bwino, ndimakonda zinthu izi! Vuto ndiloti, malingaliro onse abwinowa amatuluka pazenera zikafika pochita. M'misonkhano yamagulu amagulu osiyanasiyana (MDT's) ndi ma ward rounds, mwachitsanzo, ndizokayikitsa kuti ogwira ntchito angatsutse kwambiri zomwe adokotala amalankhula. Izi, ndikuganiza, zikugwirizana ndi mapangidwe a mabungwe omwe timagwira ntchito, omwe amawonetsa anthu ambiri, ndipo zomwe zimasokoneza mwadongosolo zikhalidwe zomwe zimagwirizana ndi malingaliro omwe akatswiri azaumoyo amawachitira nthawi zonse. Zikuwoneka kwa ine kuti, pokhapokha titathana ndi izi, chiphunzitso chaumoyo wamaganizo chidzakhala nthabwala zankhanza nthawi zonse.
Chinthu chinanso chimene chinandichititsa chidwi ndi mchitidwe wopititsa patsogolo thanzi la maganizo n’chakuti sindimamva ngati ndikuchita unamwino. Mosiyana ndi wadi ya neurosurgical, komwe ndidazolowera kugwira ntchito, zipatala zachipatala zimamva ngati mapiko andende - ndikuwunika kwambiri chitetezo ndi chiopsezo kuposa chitetezo ndi chisamaliro. Mwachidule, ndinkaona ngati mlonda wandende kusiyana ndi nesi. Unamwino waumoyo wamaganizidwe ndi gawo lalikulu laulamuliro - zomwe zidandipangitsa kumva ngati ndinali gawo lalikulu la vuto kuposa yankho.
Mwinamwake chopinga chachikulu kwa ine chinawonekera pamene ndinali kupita patsogolo m’maphunziro anga. Monga mmene zilili ndi anamwino onse, mbali ina ya maphunziro anga inali yopereka mankhwala. Komabe, mu umoyo wamaganizo kasamalidwe ka mankhwala ndizovuta komanso zotsutsana pazifukwa ziwiri zazikulu zomwe zimagwirizanitsidwa m'njira zambiri.
Chifukwa choyamba ndichoti ogwiritsa ntchito nthawi zambiri "amathandizidwa" pomwe ali pansi pa gawo. Chifukwa chachiwiri chikugwirizana ndi mfundo yakuti mankhwala operekedwawo amapangidwa pofuna kuchiza matenda omwe sanadziwikepo. Chifukwa chake, anamwino azamisala amatha kupezeka pamalo pomwe akukakamiza anthu kumwa mankhwala a matenda omwe mwina kulibe. Komanso, ziyenera kumveka kuti tikulankhula za mankhwala omwe nthawi zambiri amakhala ndi zotsatirapo zoyipa, nthawi zina zakupha.
Pochokera ku unamwino wamkulu, zonsezi zinkawoneka zachilendo komanso zosokoneza kwa ine. Mwachitsanzo, mu neurosurgery, chithandizo nthawi zonse chimadziwitsidwa ndi kuzindikirika kwa matenda oyambitsa matenda - chotupa muubongo kapena magazi a intracranial, mwachitsanzo. Ngakhale kumene odwala alibe luso lopanga zisankho zolongosoka, sindinamvepo kapena kumva nkhawa zilizonse zomwe ndidakumana nazo pankhani yakukhala m'gulu lomwe likupereka chithandizocho.
Komanso, monga momwe ndikudziwira, ngati sitikudziwa chomwe chili cholakwika ndi wodwala tidzavomereza zimenezo ndikupitiriza kufufuza zifukwa zomwe zimayambitsa vutoli. Mu misala ndi pafupifupi zosiyana. Aliyense amachita ngati kuti matenda oyambitsa matenda azindikirika ndipo amamveka bwino komanso kuti chithandizo chokhala ndi umboni wabwino chilipo. Izi, zikuwoneka kwa ine, ndi chinyengo chenicheni. Ngati akatswiri amisala amvetsetsa zovuta zamatenda amisala kulikonse komwe amadzinamizira, ndiye kuti kusiyana pakati pa zamisala ndi minyewa, zomwe ndikuwonetsa pano, pamodzi ndi mikangano, sizingawonekere.
Vuto ndilakuti ngati akatswiri azamisala akadakhala oona mtima pazomwe timadziwa pazaumoyo wamaganizidwe ndiye kuti amataya zidziwitso zawo zambiri - ndiye pamapeto pake izi zimagwirizananso ndi nkhani ya ukatswiri. Komanso, kukambitsirana moona mtima za thanzi la maganizo kungakhale ndi zotsatira zoipa za kuchuluka kwa phindu m'makampani a psychopharmaceutical - kachiwiri, chinachake chomwe chikugwirizana ndi malingaliro amisala a dongosolo lachuma lamakono.
Owerenga adzakhudzidwa kumva kuti mukuganiza kuti unamwino wamisala ukhoza kukhala ntchito yolakwika! Kodi munganene zambiri za izo?
Aliyense amene waphunzira za thanzi la maganizo adzadziwa kuti ndi, ndipo nthawizonse wakhala, munda wotsutsana ndi mbiri yayitali komanso yolemera ya kusagwirizana. Monga momwe ndikuwonera, pali zifukwa ziwiri zazikulu za mkanganowu.
Choyamba chimangokhudzana ndi zochepa zomwe zimadziwika bwino za thanzi la maganizo. Izi zikutanthauza kuti tikhoza kukhala ndi zitsanzo zotsutsana zofotokozera chithandizo - zitsanzo zomwe nthawi zambiri zimatsutsana. Kotero ife tonse tikudziwa kuti pali zitsanzo zamoyo, zitsanzo zamaganizo ndi zitsanzo za chikhalidwe. Mayendedwe a causality pamitundu iliyonseyi, komabe, ndi yosiyana. Pakhala pali zoyesayesa kupanga zitsanzo za "biopsychosocial" - koma, monga momwe ndikuwonera, izi sizinathetsere bwino mikangano yomwe ilipo pakati pa mitundu yosiyanasiyana yopikisana kapena zapangitsa kumvetsetsa bwino za kupititsa patsogolo thanzi la maganizo.
Choncho, mkanganowo ndi weniweni. Komabe, mkangano, pakokha, sikufanana ndi chisembwere. Ndanena kale, pamwambapa, chifukwa chake ndikuganiza kuti kupititsa patsogolo thanzi laubongo ndi kokayikitsa. Kuti ndiwonetserenso mfundoyi ndikuwonetsa ubale womwe ulipo pakati pa njira yayikulu yolimbikitsira thanzi lamisala - ndiyo, biopsychiatry - ndi malingaliro otsogola pakati pa anthu - omwe ndi neoliberalism.
Pomwe tikuyenera kusamala tikamalumikizana izi zikuwoneka kwa ine ngati mtsutso womveka womwe ungapangidwe pano. Tikhoza kuyamba ndi kufunsa: Kodi pali umboni wotani pakulamulira kwa biopsychiatry mkati mwa gawo lolimbikitsa thanzi lamalingaliro? Ndikuganiza kuti aliyense amene angayang'ane mowona mtima funsoli ayenera kuganiza kuti ndi losauka. Izi, ndiye, zimabweretsa funso lina lotsatira: Kodi kupitilizabe kulamulira kwa biopsychiatry kumakhudza zokonda za ndani? Monga momwe zasonyezedwera kale, mayankho otheka ku funsoli akuphatikizapo (1) omwe ali ndi chidwi chofuna kusunga ziyeneretso za ntchitoyi - makamaka akatswiri amisala, ndi (2) makampani opanga mankhwala.
Kuphatikiza pa kulumikizana kodziwikiratu, komabe, ndikufuna kuwonjezera kuti kumverera kwanga ndikuti kupitiliza kulamulira kwa biopsychiatry kumathandizira zofuna zapamwamba kwambiri. Kuti timvetse mfundo imeneyi tiyenera kuganizira kukwezeleza thanzi la maganizo kuchokera mbali ina. Anthu ambiri amamvetsetsa kuti mavuto azaumoyo amayambitsidwa ndi zinthu monga mikangano / nkhondo, umphawi / kusalingana ndi kuzunzidwa / kunyalanyazidwa.
Kumvetsetsa kukwezedwa kwa umoyo wamaganizo kuchokera ku chikhalidwe cha anthu kumakhudza kwambiri zofuna za anthu apamwamba m'njira zingapo. Koma kawirikawiri, zingatanthauze kukhazikitsidwa kwa kusintha kwa chikhalidwe cha anthu kuti ndondomeko za ndale ndi zachuma zigwire ntchito mokomera anthu onse. Udindo woterewu ndi wotsutsana ndi mfundo zomwe zimagwirizana ndi maganizo a neoliberal. Ndi chifukwa chake - chomwe, mwamwayi, sichikukhudzana ndi machitidwe ozikidwa pa umboni - ndikuganiza kuti njira zomwe anthu amachitira polimbikitsa thanzi la maganizo zakhala zikunyalanyazidwa.
Tikukhulupirira, kuchokera pamwambapa, mutha kuwona chifukwa chake ndikuganiza kuti kugwira ntchito m'mabungwe akuluakulu azamisala kumatha kuonedwa ngati kosayenera.
Pakhoza kukhala owerenga ambiri omwe amagawana nawo nkhawa zanu za kulamulira kwa zitsanzo zachipatala, koma angaganize kuti angathe kukuthandizani kuthetsa vutolo mwanjira ina. Kodi mwawonapo chizolowezi chilichonse chomwe mukuwona kuti chakwaniritsa izi? Nchiyani chinakupangitsani kuganiza kuti sichingakhale chosankha kwa inu?
Palibe kukaikira m’maganizo mwanga kuti akatswiri a zamaganizo angathe kuchita zinthu zambiri zochepetsera kuwonongeka kochitidwa ndi biopsychiatry. Ndinaganiza zolowa m'munda ndi malingaliro otere.
Komabe, chimene chinandikhumudwitsa, pamapeto pake, chinali kumverera kuti sindingapange kusiyana kwakukulu. Kuchepetsa zowonongeka sikufanana ndi kukonza ndipo ndimangofuna kukonza zinthu. Mapeto amenewa, ndiyenera kuwonjezera, anali makamaka chifukwa chodzimva kukhala wosungulumwa komanso wopanda mphamvu. Ngati ndimaona kuti pali anthu ambiri omwe ali ndi zokonda ndi zolinga zofanana ndiye kuti ndikanasankha mosiyana.
Poganizira izi, monga tafotokozera pamwambapa, ndikuganiza kuti kukonza zinthu kumafuna kumvetsetsa kulamulira kwa biopsychiatry mkati mwa chikhalidwe cha anthu. Chifukwa chake, sikuti kungoyang'ana chabe nkhani yakulamulira kwa biopsychiatry. Palinso nkhani zambiri zokhudzana ndi chilungamo cha anthu zomwe sitingathe kuzinyalanyaza pano.
Munanena kuti zamisala imathandiza anthu apamwamba. Ndi chinthu chochititsa chidwi kwambiri.
Lingaliro lofunikira lazamisala wamba ndikuchotsa chidwi pazikhalidwe zomwe zimayambitsa zovuta zamaganizidwe ndikupita ku malongosoledwe achilengedwe.
Biopsychiatry imati mavuto amisala amapangidwa ndi majini olakwika omwe amabweretsa kusalinganika kwamankhwala muubongo komwe, kuti kukonze, kumafunikira mankhwala. Kuyang'ana pamavuto amisala m'malingaliro awa kumakhazikitsa mkangano m'njira yomwe imapangitsa kuti zokambirana ziwoneke ngati zachidziwitso komanso zina zopanda radar.
Mwachitsanzo, ngati boma likadakhala lotsimikiza za kupewa mavuto amisala (omwe amati ali) ndiye kuti akakhala otanganidwa kupanga ndondomeko zapakhomo ndi zakunja zomwe zimachepetsa chiopsezo cha mikangano ndi nkhondo. Koma zoona zake n'zakuti, boma likuchita zinthu mosiyana kwambiri. N'chimodzimodzinso ndi umphawi ndi kusalinganika - zonse zomwe zimachitika chifukwa cha chikhalidwe cha anthu omwe palibe aliyense mu ndale kapena matenda a maganizo omwe angakambiranepo, ndiko kuti kusiyana.
Chinthu chomaliza chomwe akuluakulu a ndale ndi azachuma akufuna kuti anthu aziganizira zofunikira monga nkhondo ndi magulu, ndi zina zotero - ndipo thanzi la maganizo ndilo nthawi zonse zomwe zingatheke kuti izi zitheke. Chifukwa chake payenera kukhala chifukwa cha zovuta zamaganizidwe, mothandizidwa ndi akatswiri m'munda, zomwe zimasokoneza anthu kuzinthu izi. Nkhaniyi ndi biopsychiatry.
Kodi pali oganiza bwino kapena malemba omwe akuthandizani kulingalira za izi ndikupanga chisankho chanu?
Sindikhulupirira anthu aluntha. Izi ndichifukwa, momwe ndingadziwire, kuti apindule nawo, nthawi zambiri amangotumikira mphamvu. Chosiyana kwambiri ndi ichi, ndikuganiza, ndi Noam Chomsky. Iye ndi m'modzi mwa anthu aluntha ochepa omwe ndakumana nawo omwe amawoneka kuti ali ndi chidwi chenicheni ndi choonadi ndi chilungamo. Zitsanzo zina zikuphatikizapo Bertrand Russell ndi Erich Fromm - otsiriza omwe amagwira ntchito m'maganizo. Ndimakonda njira ya Fromm yolimbikitsa thanzi la m'maganizo - zomwe adazitcha "normative humanism" - zomwe ndikuganiza kuti zikuyimira vuto osati kungoyambitsa matenda amisala komanso kuzamamisala ambiri.
Cholinga cha George Albee pa kupewa mavuto amisala kudzera mukulimbikitsa chilungamo cha anthu chimandisangalatsanso. Umu ndi momwe adamalizirira pepala lake la 1986, Ku Gulu Lolungama:
Kufufuza koyambirira kopewera mosakayikira kudzawonetsa bwino mgwirizano pakati pa chikhalidwe cha anthu ndi psychopathology ndipo kenako adzagwira ntchito kuti asinthe machitidwe a chikhalidwe ndi ndale pofuna chilungamo cha chikhalidwe cha anthu. Ndizosavuta komanso zovuta monga choncho!
Nkhani ina ya Joanna Monceiff yokhudza kugwiritsa ntchito mankhwala osokoneza bongo - zomwe amachitcha "chitsanzo chokhazikika pamankhwala" - ndikuganiza, chinthu chofunikira kwambiri. Akatswiri a zamaganizo, monga Richard Bentall ndi Lucy Johnstone, akugwira ntchito yofunika kwambiri pakupanga njira zaumunthu zomvetsetsa kupsinjika maganizo ndi kusokonezeka kwa maganizo komwe kungapangitse njira ina yosiyana ndi machitidwe a misala (DSM ndi ICD). Pakadali pano, a Hearing Voices Network apanga kusanthula kwaposachedwa kwambiri kwa DSM (5) komwe kuli patsamba lawo.
Ndimakondanso kuwerenga Oliver James yemwe, m'mawu ake kwa wogulitsa kwambiri - Afluenza - analemba:
Cholinga changa chiri pa chifukwa chomwe tili otanganidwa kwambiri, osati ndi lonjezo labodza la kuthekera kwa chimwemwe. Mwachidule, chiphunzitso changa chatsopano ndi chakuti mtundu woyipa wazachuma wandale womwe ndimawutcha Selfish Capitalism unayambitsa mliri wa Affluenza Virus [mikhalidwe yomwe imakulitsa chiwopsezo chathu ku kupsinjika maganizo], zomwe zimapangitsa kuchuluka kwa zovuta kuyambira pomwe Zaka za m'ma 1970.
Chiyembekezo chanu chingakhale chiyani pa Critical Mental Health Nurses Network?
Ngati maukonde otere akadakhala akugwira ntchito panthawi yomwe ndimaphunzitsidwa ndiye kuti zinthu zikadandiyendera mosiyana. Izi zili choncho chifukwa mwina sindikanadzimva kukhala ndekha komanso wopanda mphamvu. Chifukwa chake, ndikuganiza, kuchokera pa izi ndiyenera kunena kuti imodzi mwantchito zoyambira za ma netiweki a anamwino owopsa amisala iyenera kukhala kuthandiza kuthana ndi malingaliro okhazikika komanso osowa chithandizo. Chodabwitsa apa n'chakuti, kulephera kudzithandiza, komwe kumadza chifukwa chodziona ngati uli wodzipatula komanso wopanda mphamvu, ndi zomwe akatswiri azamisala akuyenera kuthana nazo. Chifukwa chake, kuti anamwino azamisala akumva kufunika kokhazikitsa maukonde awo akunena zambiri, zikuwoneka kwa ine, za momwe zinthu zilili pano.
Kuphatikiza pa ntchito yayikuluyi, ndikufuna kuwona anamwino azamisala akugwiritsa ntchito mphamvu zawo zonse - monga ntchito yayikulu kwambiri m'mundamo - kukankhira zokambirana moona mtima za kupititsa patsogolo thanzi laubongo, pakati pa akatswiri anzawo komanso ogwiritsa ntchito ntchito. Izi, m'malingaliro anga, zingafunike kuphatikiza zokambirana zomasuka komanso zomasuka za njira yodziwira matenda ndi mankhwala omwe amagulitsidwa kuti azitha kudwala matenda amisala omwe amagwiritsidwa ntchito tsiku ndi tsiku m'maganizo. Kuphatikiza pa mfundo zodziwikiratu izi, ndikufunanso kuwona zokambirana zamitundu yazinthu zomwe ndayesera kuziwunikira pamwambapa - zomwe ndi, momwe zinthu monga cholinga chopezera phindu ndi zinthu zina zachikhalidwe cha anthu, kuphatikiza zokonda za anthu osankhika, nthawi zambiri zimasokoneza malingaliro. mchitidwe wathanzi.
Mwachindunji, ndikufuna kuwona anamwino okhudzana ndi thanzi labwino akuwonetsa njira zomwe magulu a anthu (kuphatikiza, ndipo mwina makamaka, malo awo antchito) amawononga mwadongosolo zomwe aliyense pakulimbikitsa thanzi lamisala, kuphatikiza boma, amalipira milomo .
Mwachidule, ndikufuna kuwona gulu ili la anamwino okhudzidwa ndi matenda amisala akuthandizira kwambiri pakupanga njira zaumunthu zolimbikitsira thanzi lamalingaliro, zomwe - monga ndayesera kufotokozera - ziyenera kuphatikizapo kuthandizira pakusintha kupita ku thanzi labwino. anthu amisala.
ZNetwork imalandira ndalama kudzera mu kuwolowa manja kwa owerenga ake.
Ndalama
5 Comments
Hi
Nkhani yosangalatsa yomwe ndimamvera nayo chisoni. Ndakhala woyenerera kuyambira 2013 ndipo pano ndikugwira ntchito kundende. Pa nthawi ya maphunziro anga nkhani za chuma ndi mphamvu zamakampani / boma / kalasi sizinayambitsidwe. M'malo mwake ndimakumbukira nthawi yomwe tidakambirana mwachidule za kupsinjika / kusatetezeka. Chomvetsa chisoni kuti cholinga chake chinali chocheperako kunena za chiopsezo cha zizindikiro za prodromal ndi schizophrenia. Kuwongoleranso nkhaniyo kuti iphatikize momwe zovuta zaumphawi, nkhondo, kusankhana mitundu, kupanda chilungamo kwa anthu zimathandizira kupsinjika ndi kusokonezeka kwamalingaliro kwa anthu ndi anthu zikuwoneka ngati zosayerekezeka (ndipo pali maphunziro oti atsatire). Komanso malo omwe mitu imeneyi imayenera kufufuzidwa ndi kukambitsirana - mayunivesite - tsopano alowetsedwa m'chitsanzo chachuma cha neo-liberal chomwe chimalepheretsa ntchito yophunzira yowona mtima.
Mosakayikira pali zotchinga zazikulu ndi zopinga zomwe zikuyenera kuthana ndi chisamaliro chaumoyo wamalingaliro ngakhale ndiyenera kunena kuti ambiri mwa akatswiri azamisala omwe ndidakumana nawo adakhala omasuka, koma lingaliro lawo ndilomaliza. Mwamwayi sindiyeneranso kupereka mankhwala ndipo tsopano tili ndi mwayi wolankhulana ndi mankhwala omwe amapereka njira ina ngati yokayikitsa. Mwachitsanzo, munthu ayenera kusintha kuti agwirizane ndi miyambo ya anthu.
Malo ogwirira ntchito otsogola akupitilizabe kubweretsa mavuto ndipo ngakhale zoyesayesa zanga zazing'ono kuti ndikhale woyang'anira unison zaletsedwa kwakanthawi chifukwa cha kuchuluka kwa ogwira ntchito. Chitsulocho sichinatayike.
Ndikukhulupirira kuti ndipeza nthawi ndi mphamvu kuti ndiyang'ane pa Mental Health Nurses Network. Ngakhale ndikuyamba ntchito yatsopano mu October.
Pomaliza polankhula ndi namwino mnzanga wazaka zingapo adandidziwitsa kuti m'mbuyomu kundende 'palibe mkaidi yemwe amafuna kulumikizidwa ndi matenda amisala tsopano simungathe kuwachotsa'. Ndikufuna kunena kuti izi zachitika chifukwa cha anthu omvetsetsa bwino, okonda umunthu komanso osasalana komanso olamulira andende koma tsoka silingakhale choncho. Mukalandidwa ufulu (ndipo sindikukukhululukirani kapena kuyiwala kuti zina mwazolakwazi ndizodabwitsa) ndikutsekeredwa kwa tsiku lonse zimawoneka ngati zanzeru kukupangitsani zovuta zamisala kuti zikugwireni ntchito ndikuyembekeza kupeza imodzi. selo.
Moni Gary ndipo zikomo chifukwa cha ndemanga yanu.
Zikuwoneka kuti tidaphunzitsidwa nthawi yomweyo. Monga munthu amene akuwoneka kuti akumvetsetsa momwe dongosololi limagwirira ntchito ndingakonde kumva zambiri za zomwe mwakumana nazo. Mwina mulembapo kanthu.
Ndimakumbukira bwino kuti ndinasangalala ndi chitsanzo cha chiopsezo cha kupsinjika maganizo - koma sizinatenge nthawi yaitali. Ndikuganiza kwa ine zomwe zinandichitikirazo zinali kuti zovuta za chikhalidwe cha anthu - kuzunzidwa, kunyalanyazidwa, kusalingana, ndi zina zotero- zinavomerezedwa mosavuta ndi aphunzitsi anga ndi akatswiri a maganizo omwe ndimagwira nawo ntchito koma ankamveka ngati zenizeni za moyo. Izi ndi zomwe ndikuganiza kuti chiphunzitso cha TINA (Palibe Njira Yina) chimagwira ntchito yofunika kwambiri pakusunga biopsychiatry. Zili ngati kuti akatswiri a zamaganizo amakhulupirira kuti n'kosavuta kusintha ubongo wa munthu (kuti ukhale wabwino) kusiyana ndi kusintha anthu (kukhala abwino) - zomwe sizili choncho, makamaka.
Payekha ndili ndi malingaliro osiyanasiyana pakupita patsogolo komwe kwachitika pokhudzana ndi kusalidwa kozungulira mavuto amisala. Kumbali imodzi mwachiwonekere ndi zabwino kwambiri kuti anthu amamva kuti akhoza kubwera ku mavuto awo ndi kukambirana nawo monga momwe angachitire ndi vuto lina lililonse, kuti malingaliro a anthu omwe ali ndi vuto la maganizo akutsutsidwa mowonjezereka, ndi zina zotero. Kumbali inayi, zina mwazokhudza kusalana kovutirapo zimakhazikika pamalingaliro - zomwe ndikuganiza kuti Fromm adazitcha "sociological relativism" - zomwe ndikuganiza kuti ndizachabechabe ndipo pamapeto pake sizingathandizire kupititsa patsogolo thanzi la maganizo.
Komabe, zabwino zonse ndi ntchito yatsopanoyi!
Zikomo.
Ndinapezanso chitonthozo pa zochepa zomwe ndinawerenga ndi Thomas Szasz makamaka nthano ya matenda amisala. Ngakhale sindikukumbukira zolemba zake ngati zotsutsa capitalism (kumeneko kungakhale kukumbukira kwanga kolephera) adazindikira dziko lapansi ndipo maubwenzi omwe ali mkati mwake ndi chinthu chofunikira kwambiri komanso chomwe chingayambitse matenda amisala omwe sangagonjetsedwe ndi neuroleptic. mankhwala.
Kwambiri, kwambiri, zoona kwambiri. Zachisoni. Ndinu olondola kunena kuti nkhaniyi ingakhale malo olowera muzokambirana zambiri zokhudzana ndi nkhondo ndi magulu ndi nkhani zina zofunika za chikhalidwe cha anthu. Kukambitsirana komwe kungatsogolere ku zidziwitso zomwe zikuwonetsa kukonzanso kwakukulu kwa anthu sikofunikira kokha komanso kotheka. Ndipo ngati wina akuona kuti ndi wachipongwe, akhoza kulawitsa anthu mmene chitaganya china chingagwire ntchito. Osachepera ngati wina anafunsidwa.
Ndine wokondwa kuti mudatenga mfundoyi James - "mfundo yolowera" - monga momwe zilili, mwinamwake, gawo lofunika kwambiri la zomwe ndikunena muzoyankhulana.
Mukatsatira ulalo wa gwero kubwerera ku choyambirira mupeza ndemanga zina zomwe mungasangalale nazo.