Okulandelayo yinhlolokhono, eyenziwe noMark Evans. INethiwekhi ithanda ukubonga uMark ngalesi siqeshana esiphelele nesomuntu siqu, okuchaza ukuthi kungani ekhethe ukushiya lo msebenzi ngokushesha ngemuva kokufaneleka. Engqungqutheleni yethu yakamuva, kuphawulwe ukuthi enye yezinkinga ekufundiseni abafundi umbono obucayi ukuthi banganquma ukushiya (okuyiqiniso, okungesona isizathu sokugwema ukukwenza, kodwa ngokuqinisekile kunemiphumela ebalulekile). Kuzoba sobala kubafundi ukuthi ukukhetha kukaMark ukulahlekelwa ubuhlengikazi bezempilo yengqondo. Nokho, njengoba uzobona, uMarku akayena umuntu owenza izinqumo ezinjalo kalula.
UMark ukholelwa ukuthi uhlelo lwezempilo yengqondo lusebenzela abantu abaphezulu emphakathini wethu. Sinomuzwa wokuthi akukho ukugxeka kobuhlengikazi bezempilo yengqondo okungaqedwa uma kuziba leso sisekelo. Siphinde sibe nomuzwa wokuthi ukubhala kukaMarku kwakha incazelo yezinga lokuqala lokuthi kusho ukuthini ukuthi ‘umuntu siqu ungokwezombangazwe’.
Ucezu lukaMarku luyacasula - noma kufanele kube. Sicela uzizwe ukhululekile ukuphawula ngakho noma ubuze imibuzo, uMarku azoyifunda.
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Yini eyaholela ekutheni uqeqeshelwe ukuba umhlengikazi wezempilo yengqondo? Yini ekukhangile endimeni?
Ngenkathi ngifaka isicelo sokwenza ukuqeqeshwa kwami kwabahlengikazi bezempilo yengqondo ngangivele ngisebenza ngokugcwele ekunakekelweni kwezempilo - kodwa ewodini labahlinza izinzwa njengoMsizi Wokunakekelwa Kwezempilo (HCA). Ngaqhubeka ngenza le ndima, itoho, kukho konke ukuqeqeshwa kwami futhi ngisayenza nanamuhla. Kungumsebenzi engiwuthola uyenelisa futhi ujabulisa. Kuyathakazelisa ukuthi, ngokuphambene kakhulu naleyo yodokotela bengqondo, isevisi esiyinikezayo cishe ayinampikiswano nhlobo. Mhlawumbe lokhu kuyinto esizoyihlola kamuva kwinhlolokhono.
Singahlukanisa ubunesi bezempilo yengqondo zibe izingxenye ezimbili: the ukunakekela ohlangothini lwezinto kanye Impilo yengqondo ohlangothini lwezinto. Njengoba kuboniswe ngenhla, ngikuthola kuwumsebenzi onomvuzo ukusiza abantu ukuba balulame ekuguleni, noma ukuphila futhi bafe benokuhlupheka okuncane. Uma ngikhuluma iqiniso, ngicabanga ukuthi wuhlangothi lwezempilo lwengqondo olwangidonsela ngempela ukuqeqeshwa kwami. Ngithola impilo yengqondo ihlaba umxhwele futhi ngicabanga ukuthi kufanele iqondwe njengokubaluleke kakhulu - okubaluleke kakhulu kunokuthi, i-Gross Domestic Product (isilinganiso sokusebenza komnotho ezingeni likazwelonke) isibonelo. Iqiniso lokuthi impilo yengqondo ihlala iyisihloko esiseceleni, ngokubona kwami, iwukubonakaliswa komhlaba we-topsy-turvy esiphila kuwo - uhlelo lomhlaba olubeka inzuzo ngaphambi kwabantu.
Ukubuyela embuzweni wakho, njengoba ngangisebenza njenge-HCA, ukungena emkhakheni wezempilo yengqondo, ngobuhlengikazi, kwakubonakala njengokuqhubeka kwemvelo.
Uqale nini ukuqaphela ukuthi ungase ungafuni ukuba umhlengikazi we-MH? Yiziphi izikhathi ezibalulekile noma ukugcwaliseka?
Ngobubanzi, ngingasho ukuthi kwakukhona / kunezingqinamba ezimbili ezibalulekile ezingenze ngangafuni ukusebenza njengomhlengikazi wezempilo yengqondo - eyodwa ephathelene nempilo yengqondo kanye nenye i-generic kwezobuhlengikazi.
Isizathu esijwayelekile sihlobene nesitayela sokuphatha esisuka phansi, ngaphakathi kobuhlengikazi besimanje, kanye nemiphumela yako. Kunenkulumo yobuhlengikazi besimanje ethi “uma ingabhalwanga phansi akwenzekanga”. Lesi simo sengqondo siholele ekwandeni kwamaphepha okusho ukuthi abahlengikazi bachitha isikhathi esiningi bephambi kwekhompyutha kanye nesikhathi esincane neziguli/abasebenzisi benkonzo. Lesi isikhalazo esivame kakhulu phakathi kwabahlengikazi namuhla. Kuyangimangaza njalo ukuthi abahlengikazi eqenjini abanolwazi oluningi bahlala bekude kakhulu neziguli / abasebenzisi benkonzo. Kubonakala sengathi ukuphakama kwesigaba umhlengikazi enyuka isikhathi esincane asichitha ekunesi. Uma kuqhathaniswa, ama-HCA anamaphepha amancane kakhulu ngakho angachitha isikhathi esiningi sekhwalithi neziguli / abasebenzisi besevisi - ngiyakuthanda lokho!
Lokhu kuguquguquka kwesiko, ngaphakathi kobuhlengikazi, konke kuhlanganiswe nenqubo yezenhlalakahle yobuchwepheshe - okuwumkhiqizo womqondo ophambene wohlelo olubanzi lwezomnotho olungalandelelwa emuva ku-Thatcherism.
Izizathu eziqondile kakhulu zokuthi ngingafuni ukusebenza njengomhlengikazi wezempilo yengqondo zingahlukaniswa ngezigaba ezilandelayo: (1) ukuzenzisa; (2) ubushiqela; (3) ukukhohlisa.
Into eyodwa eyangicacela kakhulu ngesikhathi ngibekwa okokuqala kwaba umehluko phakathi kwethiyori nokwenza. Ithiyori yezempilo yengqondo igcwele ulimi oluzwakala luthuthuka ngendlela emangalisayo. Ngokwesibonelo, abantu bakhuluma kakhulu ngezinto ezinjengalezi; ukufakwa komphakathi, ukusebenza ngokubambisana, umkhuba osekelwe ebufakazini kanye nokungalingani okuyinselele. Kukhona futhi isikhathi esiningi esichithwa ubheka futhi uzama ukuqonda amandla aguquguqukayo. Manje, ukuze kucace ngokuphelele, ngiyayithanda le nto! Inkinga iwukuthi, yonke le mibono emihle kakhulu iphuma ngefasitela uma kuziwa ekusebenzeni. Emihlanganweni yeqembu lezigwegwe eziningi (ama-MDT) kanye nemijikelezo yesigceme, isibonelo, mancane amathuba okuthi abasebenzi baphonsele inselelo enkulu okushiwo udokotela wengqondo. Ngicabanga ukuthi lokhu kuhlobene nokwakheka kwezikhungo zezinhlangano esisebenza kuzo, ezibonisa umphakathi obanzi, futhi ezibukela phansi ngokuhlelekile izindinganiso eziqhubekayo ezisekela imibono ochwepheshe bezempilo yengqondo abahlale beyinikeza umlomo. Kimina kubonakala sengathi, ngaphandle kokuthi sibhekane nalezi zici zesikhungo, ithiyori yezempilo yengqondo iyohlale iyihlaya elinonya.
Okunye okwangihlaba umxhwele ngomkhuba wokugqugquzelwa kwezempilo yengqondo ukuthi ngangingazizwa sengathi ngimhlengikazi. Ngokuphambene newodi yokuhlinzwa kwezinzwa, lapho ngangijwayele ukusebenza khona, amawodi ezempilo yengqondo ayezizwa njengamaphiko ejele - ngokugxila kakhulu ekuvikelekeni nobungozi kunokuphepha nokunakekelwa. Ngamafuphi, ngazizwa ngiwunogada wejele kunomhlengikazi. Ubuhlengikazi bezempilo yengqondo buyingxenye enkulu kakhulu yokugunyazwa - okungenze ngazizwa sengathi ngangiyingxenye yenkinga kunesixazululo.
Mhlawumbe isithiyo esikhulu kunazo zonke, kimi, savela njengoba ngithuthukela ekuqeqeshweni kwami. Njengoba kwenzeka kubo bonke abahlengikazi, ingxenye yokuqeqeshwa kwami yayihlanganisa nokuphathwa kwemithi. Kodwa-ke, empilweni yengqondo ukuphathwa kwemithi kuyinkimbinkimbi futhi kuyimpikiswano ngezizathu ezimbili eziyinhloko ezihlangene ngezindlela eziningi.
Isizathu sokuqala sihlobene neqiniso lokuthi abasebenzisi besevisi bavamise “ukuphathwa” ngaphansi kwesigaba. Isizathu sesibili sihlobene neqiniso lokuthi imithi enqunyiwe ihloselwe ukwelapha i-pathology engaphansi engakaze ibonakale. Ngakho-ke, abahlengikazi bezempilo yengqondo bavame ukuzithola besesimeni lapho bephoqa abantu ukuthi baphuze imithi yokugula okungenzeka ukuthi akukho. Ngaphezu kwalokho, kufanele kuqondwe ukuthi sikhuluma ngemithi evame ukuba nemiphumela emibi kakhulu, ngezinye izikhathi ebulalayo.
Njengoba ngivela kwisizinda sobuhlengikazi abadala, konke lokhu kwabonakala kuxakile futhi kungiphazamisa ngandlela thize. Ku-neurosurgery, isibonelo, ukwelashwa kuhlala kwaziswa ngokuhlonzwa kwe-pathology engaphansi - isimila sobuchopho noma ukopha kwe-intracranial, isibonelo. Ngisho nalapho iziguli zingenawo amandla okwenza izinqumo ezinolwazi, angikaze ngizwe noma ngizwe noma yikuphi ukukhathazeka engibe nakho empilweni yengqondo mayelana nokuba yingxenye yeqembu eliletha lokho kwelashwa.
Ngaphezu kwalokho, ngokwazi kwami, uma singazi ukuthi yini engalungile ngesiguli sizokuvuma lokho futhi siqhubeke nokuhlola izimbangela zenkinga. Ezokwelapha kwengqondo cishe kuphambene. Wonke umuntu wenza sengathi i-pathology ecashile ikhonjiwe futhi iqondwa kahle nokuthi ukwelashwa okunobufakazi obuhle kuyatholakala. Lokhu, kubonakala kimi, kuwukukhohlisa okumsulwa. Uma odokotela bengqondo beqonda izinkinga zempilo yengqondo noma yikuphi eduze nalapho benza sengathi umehluko phakathi kodokotela bengqondo neurology, engiwuqokomisayo lapha, kanye nezingxabano, ngeke ubonakale.
Inkinga iwukuthi uma ochwepheshe bezempilo yengqondo bebethembekile ngalokho esikwaziyo ngempela mayelana nempilo yengqondo bebezolahlekelwa iziqinisekiso zabo eziningi - ngakho-ke ekugcineni lokhu kuphinde kuxhumene nendaba yokwenziwa komsebenzi. Futhi, ingxoxo eqotho mayelana nempilo yengqondo cishe ingaba nomthelela omubi wamazinga enzuzo embonini ye-psychopharmaceutical - futhi, into ehlotshaniswa nengqondo ehlanyayo yesistimu yezomnotho yamanje.
Abafundi bazokhathazeka ukuzwa ukuthi ucabanga ukuthi ubuhlengikazi bezempilo yengqondo kungaba ukukhetha okungenasimilo! Ungasho okwengeziwe ngalokho?
Noma ubani ofundele impilo yengqondo uzokwazi ukuthi, futhi bekulokhu kuyinsimu eyimpikiswano enomlando omude nocebile wokuphikisa. Ngokubona kwami, kunezizathu ezimbili eziyinhloko zale mpikiswano.
Esokuqala simane nje sihlobene nokuthi kuncane kangakanani okwaziwayo mayelana nempilo yengqondo. Lokhu kusho ukuthi singaba namamodeli achazayo aqhudelanayo azisa ukwelashwa - amamodeli avame ukungqubuzana. Ngakho-ke sonke siyazi ukuthi kukhona amamodeli ezinto eziphilayo, amamodeli angokwengqondo namamodeli omphakathi. Isiqondiso se-causality ngayinye yalezi zibonelo, noma kunjalo, ihlukile. Kube khona imizamo yokwenza amamodeli "e-biopsychosocial" - kodwa, ngokubona kwami, lokhu akuzange kubhekane ngokuphumelelayo nokungezwani okuyisisekelo phakathi kwamamodeli ahlukene aqhudelanayo noma kubangele ukuqonda kangcono ukukhuthazwa kwezempilo yengqondo.
Ngakho, impikiswano ingokoqobo. Nokho, impikiswano ngokwayo ayilingani nokuziphatha okubi. Sengivele ngibonisile, ngenhla, ukuthi kungani ngicabanga ukuthi ukukhuthazwa kwamanje kwezempilo yengqondo kungatshazwa ngokomthetho. Ukucacisa leli phuzu ngokuqhubekayo ngizogqamisa ubudlelwano phakathi kwemodeli evelele yokukhuthazwa kwezempilo yengqondo - okungukuthi, i-biopsychiatry - kanye nemibono evelele emphakathini - okungukuthi, i-neoliberalism.
Ngenkathi sidinga ukuqaphela lapho senza ukuxhumana okunjalo kubonakala kimina njengempikiswano evumelekile okufanele yenziwe lapha. Singase siqale ngokubuza: Siyini isisekelo sobufakazi bokubusa kwe-biopsychiatry ngaphakathi kwenkundla yokukhuthaza impilo yengqondo? Ngicabanga ukuthi noma ubani obuka ngobuqotho lo mbuzo kuyodingeka aphethe ngokuthi umpofu. Lokhu-ke kuphakamisa omunye umbuzo olandelayo: Ukubusa okuqhubekayo kwe-biopsychiatry kusebenza kuzintshisekelo zikabani? Njengoba sekubonisiwe, izimpendulo ezingenzeka kulo mbuzo zifaka (1) labo abanentshisekelo yokugcina imininingwane yomsebenzi - ikakhulukazi odokotela bengqondo, kanye (2) nezinkampani ezithaka imithi.
Ngaphezu kwalokhu kuxhumana okusobala, nokho, ngithanda ukwengeza ukuthi umuzwa wami ukuthi ukubusa okuqhubekayo kwe-biopsychiatry kusebenzela izithakazelo eziphakeme kakhulu ngokujwayelekile. Ukuze siqonde leli phuzu sidinga ukucabangela ukukhuthazwa kwezempilo yengqondo ngombono ohluke kakhulu. Amamodeli omphakathi ngokuvamile aqonda izinkinga zempilo yengqondo njengezibangelwa izici zomphakathi ezifana nezingxabano / impi, ubumpofu / ukungalingani nokuhlukunyezwa / ukunganakwa.
Ukuqonda ukugqugquzelwa kwezempilo yengqondo ngokombono womphakathi kuba nomthelela omubi kuzintshisakalo ze-elite ngezindlela eziningi. Ngokujwayelekile, nokho, kungasho ukwethulwa kwezinguquko zezenhlalakahle eziqhubekayo ukuze izinhlelo zezombangazwe nezomnotho zisebenze ngokuzuzisa umphakathi jikelele. Isikhundla esinjalo siphambene namagugu asekela i-neoliberal ideology. Kungalesi sizathu - okuthi, ngeshwa, okungahlangene nenkambiso esekelwe ebufakazini - engicabanga ukuthi izindlela zomphakathi zokugqugquzela impilo yengqondo ziye zabukelwa phansi ngendlela ehlelekile.
Ngethemba, kulokhu okungenhla, ungabona ukuthi kungani ngicabanga ukuthi ukusebenza ngaphakathi kwezinsizakalo zezempilo yengqondo ezijwayelekile kungase kuthathwe njengokungafaneleki.
Kungase kube nabafundi abaningi ababelana ngokukhathazeka kwakho mayelana nokubusa kwamamodeli e-biomedical, kodwa bangase babe nomuzwa wokuthi bayakwazi ukusiza ukulungisa ibhalansi ngandlela-thile. Ingabe kukhona umkhuba owubonile owufezile lokhu? Yini eyakwenza wacabanga ukuthi kwakungeke kube yinketho kuwe?
Akukho ukungabaza engqondweni yami ukuthi ochwepheshe bezempilo yengqondo bangenza izinto eziningi ezinciphisa umonakalo owenziwe i-biopsychiatry. Empeleni ngicabange ukungena ensimini nginendlela enjalo engqondweni.
Nokho, okwangiqeda amandla, ekugcineni, kwaba umuzwa wokuthi ngeke ngenze umehluko omkhulu. Umkhawulo wokulimala awufani nekhambi futhi bengifuna ngempela ukulungisa izinto. Lesi siphetho, kufanele ngengeze, sasiwumphumela wokuzizwa uhlukanisiwe futhi ungenamandla. Uma nginomuzwa wokuthi kunabantu abaningi eduze abanezintshisekelo nezinhloso ezifanayo ngabe ngabe nginqume ngendlela ehlukile.
Ngalokho engqondweni, njengoba kukhonjisiwe ngenhla, ngicabanga ukuthi ukulungisa izinto kudinga ukuqonda ukubusa kwe-biopsychiatry ngaphakathi komongo obanzi wenhlalo-mnotho. Ngakho-ke, akukhona nje ukubhekana nendaba yokubusa kwe-biopsychiatry. Kukhona futhi izindaba ezibanzi eziphathelene nobulungiswa bezenhlalakahle esingeke sikwazi ukuziba lapha.
Uthe izifo zengqondo zifeza izintshisekelo zabantu abaphezulu. Leyo yinto emangalisa kakhulu ongayisho.
Umsebenzi oyisisekelo wengqondo yengqondo evamile ukususa ukunaka ezintweni zomphakathi ezibangela izinkinga zempilo yengqondo futhi kubhekise ezincazelweni zebhayoloji.
I-Biopsychiatry ithi izinkinga zempilo yengqondo ziwumphumela wezakhi zofuzo ezinephutha ezibangela ukungalingani kwamakhemikhali ebuchosheni okuthi, ukuze kulungiswe, kudinga imithi. Ukubheka izinkinga zempilo yengqondo ngalo mbono kubeka impikiswano ngendlela eyenza izingxoxo ezithile zibukeke njengezinto ezivamile futhi ezinye zingekho ngokuphelele ku-radar.
Isibonelo, ukube uhulumeni ubezimisele ngokuvimba izinkinga zempilo yengqondo (abathi ziyikho) ngabe umatasatasa benza izinqubomgomo zasekhaya nezangaphandle ezinciphisa ubungozi bezingxabano nempi. Eqinisweni, nokho, uhulumeni umatasa wenza okuphambene kakhulu. Okufanayo kuyiqiniso mayelana nobumpofu nokungalingani - kokubili umkhiqizo wohlobo lokuchazwa komphakathi okungekho noyedwa kwezombusazwe noma impilo yengqondo oke waxoxa ngayo, okungukuthi i-classism.
Into yokugcina efunwa yizikhulu zezombangazwe nezomnotho ukuthi umphakathi ucabange ngezindaba ezibalulekile ezifana nempi nokuhlukana ngokwezigaba, njll - nempilo yengqondo iyiphuzu eliqhubekayo lokungena ukuze lokhu kwenzeke. Ngakho-ke kufanele kube ne-akhawunti yezinkinga zempilo yengqondo, esekelwa ochwepheshe ngaphakathi kwenkundla, ephazamisa abantu kude nalezi zinkinga. Leyo akhawunti i-biopsychiatry.
Ngabe kukhona abacabangi abakhulu noma imibhalo ekusize ukuthi ucabange ngalokhu futhi uthathe isinqumo sakho?
Angibathembi ongqondongqondo. Lokhu kungenxa yokuthi, ngokwazi kwami, ukuze kuzuze bona, ikakhulukazi basebenzela amandla. Okuhlukile okuphawulekayo kulokhu, ngicabanga ukuthi, uNoam Chomsky. Ungomunye wongqondongqondo abambalwa engihlangane nabo obonakala benesithakazelo sangempela eqinisweni nobulungiswa. Ezinye izibonelo zingabandakanya uBertrand Russell kanye no-Erich Fromm - abagcina besebenza ngempela emkhakheni wezempilo yengqondo. Ngithanda indlela kaFromm evamile yokugqugquzela impilo yengqondo - lokho akubiza ngokuthi "i-normative humanism" - engicabanga ukuthi imele inselelo hhayi nje kuphela ekwelapheni kwengqondo okujwayelekile kodwa naseziningi zezifo zengqondo ezibucayi.
Ukugxila kukaGeorge Albee ekuvimbeleni izinkinga zempilo yengqondo ngokugqugquzela ubulungiswa bezenhlalakahle nakho kuyangikhanga. Nansi indlela aphetha ngayo iphepha lakhe lango-1986, Ngibheke Emphakathini Olungile:
Ucwaningo oluyisisekelo lokuvimbela nakanjani luzokwenza kucace ubudlelwano phakathi kwe-social pathology kanye ne-psychopathology bese lusebenza ukushintsha izinhlaka zenhlalo nezombusazwe ngenhloso yobulungisa bezenhlalakahle. Kulula futhi kunzima njengalokho!
I-akhawunti ehlukile ka-Joanna Monceiff yesenzo somuthi wengqondo - lokho akubiza ngokuthi "imodeli egxile emithini" - ngicabanga ukuthi, into emisha ebalulekile. Izazi zokusebenza kwengqondo, njengoRichard Bentall kanye noLucy Johnstone, zenza umsebenzi obalulekile ekuthuthukisweni kwezindlela ezinobuntu zokuqonda ukucindezeleka ngokomzwelo nokuphazamiseka kwengqondo okungase kubangele enye indlela yezinhlelo zokuhlukaniswa kwengqondo (DSM kanye ne-ICD). Kulelo phuzu, i-Hearing Voices Network yenze ukuhlaziya okuhle kakhulu kohlelo lwakamuva lwe-DSM (5) olutholakala kuwebhusayithi yabo.
Ngiphinde ngijabulele ukufunda u-Oliver James okwathi, esanduleleni somthengisi wakhe omkhulu - I-Afluenza - ubhale:
Engigxile kukho ukuthi kungani sixabene kangaka, hhayi ngokulenga isithembiso esingamanga sokuthi singaba khona injabulo. Ngamafuphi, umbono wami omusha uthi uhlobo olubi lomnotho wezepolitiki engilubiza ngokuthi yi-Selfish Capitalism lubangele ubhubhane lwe-Affluenza Virus [iqoqo lamanani akhulisa ukuba sengozini kwethu ekucindezelekeni ngokomzwelo], okubangela ukwanda okukhulu kokucindezeleka kusukela ngesikhathi 1970s.
Angaba yini amathemba akho nge-Critical Mental Health Nurses Network?
Ukube inethiwekhi enjalo ibisebenza ngesikhathi ngenza ukuqeqeshwa kwami ngabe izinto zingihambela ngendlela ehlukile. Lokhu kungenxa yokuthi mhlawumbe ngangingeke ngizizwe ngingedwa futhi ngingenamandla. Ngakho-ke, ngicabanga, kulokhu kuzomele ngiphikisane ngokuthi omunye wemisebenzi eyinhloko yenethiwekhi yabahlengikazi ababucayi bezempilo yengqondo kufanele kube ukusiza ukunqoba lowo muzwa wokungabi nakuzisiza ofunde esikhungweni. Okuxakayo lapha, ukuthi, lokhu kuntula usizo okufundiwe, okubangelwa imizwa yokuzihlukanisa kanye nokungabi namandla, yilokho kanye ochwepheshe bezempilo yengqondo okufanele bakulungise. Ngakho-ke, iqiniso lokuthi abahlengikazi bezempilo yengqondo bazizwa benesidingo sokumisa eyabo inethiwekhi lisho lukhulu, kimina kubonakala mayelana nesimo samanje sezindaba.
Ngaphezu kwalowo msebenzi oyinhloko ngingathanda ukubona abahlengikazi bezempilo yengqondo besebenzisa amandla abo eqembu - njengomsebenzi omkhulu kunawo wonke kulo mkhakha - ukuze baqhubekisele phambili ingxoxo eqotho mayelana nokukhuthazwa kwezempilo yengqondo, kokubili phakathi kochwepheshe kanye nabasebenzisi benkonzo. Lokhu, ngokubona kwami, kuzodinga ukufaka izingxoxo ezingagwegwesi nezivulelekile mayelana nendlela yokuxilonga kanye nemithi ekhangiselwe impilo yengqondo esetshenziswa kudokotela wengqondo nsuku zonke. Ukwengeza kulawa maphuzu asobala kakhudlwana, ngingathanda futhi ukubona ingxoxo mayelana nezinhlobo zezinto zenhlalo engizame ukuzigqamisa ngenhla - okungukuthi, ukuthi izinto ezifana nesisusa senzuzo kanye nezinye izici zenhlalo-mnotho, okuhlanganisa izithakazelo eziphakeme, ngokuvamile zihlanekezela ingqondo. umkhuba wezempilo.
Ngokuqondile, ngingathanda ukubona abahlengikazi ababucayi bezempilo yengqondo begqamisa izindlela izinhlaka zomphakathi (kuhlanganise, futhi mhlawumbe ikakhulukazi nezindawo zabo zokusebenza) zibukela phansi ngokuhlelekile izindinganiso wonke umuntu ongaphakathi kokukhuthazwa kwezempilo yengqondo, okuhlanganisa nohulumeni, azinikeza isevisi yomlomo. .
Ngamafuphi, ngingathanda ukubona le nethiwekhi yabahlengikazi ababucayi bezempilo yengqondo bebamba iqhaza elibalulekile ekuthuthukisweni kwezindlela ezinobuntu zokuthuthukisa impilo yengqondo, okuyinto - njengoba ngizamile ukuveza - izodinga ukufaka isandla ekuguqukeleni ekuthuthukiseni impilo yengqondo. umphakathi ophilile.
I-ZNetwork ixhaswa kuphela ngokuphana kwabafundi bayo.
Nikela
5 Amazwana
Hi
Isihloko esithakazelisayo engizwelana naso. Ngifunde iziqu kusukela ngo-2013 futhi kumanje ngisebenza ejele. Ngesikhathi sokuqeqeshwa kwami izindaba zomnotho namandla ezinkampani/izifundazwe/amazinga azizange ziphakanyiswe. Eqinisweni ngikhumbula okwaseduzane kakhulu lapho sabamba khona ingxoxo emfushane ngemodeli yokucindezeleka / yokuba sengozini. Ngokudabukisayo ukugxila bekukuncane ukukhuluma mayelana sengozini izimpawu ze-prodromal kanye ne-schizophrenia. Ukuqondisa kabusha inkulumo ukuthi ifake ukuthi izingqinamba ezibhubhisayo zobumpofu, impi, ubuhlanga, ukungabi nabulungisa kwezenhlalo zineqhaza kanjani ekucindezelekeni nasekungakhululeki ngokwengqondo kwabantu nomphakathi kubonakala kungenakucatshangwa (futhi kunekharikhulamu okufanele ilandelwe). Ngaphezu kwalokho zona kanye lezi zindawo lapho lezi zihloko kufanele ziphenywe khona futhi kuxoxwe ngazo - amanyuvesi - manje sezifakwe kumodeli wezomnotho we-neo-liberal onciphisa umsebenzi wezemfundo othembekile.
Ngokungangabazeki kunezithiyo nezithiyo ezinzima okufanele kubhekwane nazo ekunakekelweni kwezempilo yengqondo nakuba kufanele ngisho ukuthi iningi lodokotela bengqondo engixhumane nabo bebenomqondo ovulekile, kodwa isinqumo sabo singujuqu. Ngiyabonga ukuthi angisadingeki nginikeze imithi futhi manje sesikwazi ukufinyelela kakhudlwana ezindleleni zokwelashwa ezinikeza enye indlela uma kungabazekayo lapho. Isibonelo, ingabe umuntu kufanele ashintshe ukuze avumelane nezinkambiso zomphakathi ezicatshangelwayo.
Izindawo zokusebenza ze-Hierarchical ziyaqhubeka nokuba nezinkinga futhi ngisho nemizamo yami emincane yokuba i-unison rep ivinjelwe okwesikhashana ngenxa yamazinga abasebenzi. Indida ayizange ilahleke.
Ngethemba ukuthi ngizothola isikhathi namandla okubheka Inethiwekhi Yabahlengikazi Bezempilo Yengqondo. Yize ngiqala umsebenzi omusha ngo-Okthoba.
Ekugcineni lapho ngikhuluma nomhlengikazi engikanye naye eminyakeni ethile ngiboshiwe bangazisa ukuthi ezikhathini ezedlule ejele ‘asikho isiboshwa ebesifuna ukuhlanganiswa nenkinga yengqondo manje awukwazi ukuzibamba’. Ngithanda ukuthi lokhu kungenxa yomphakathi oqondayo, onobuntu futhi ongacwasi kangako kanye nombuso wamajele kodwa maye lokhu kungase kungabi njalo. Lapho uphucwa inkululeko (futhi angikuthetheleli noma angikhohlwa ukuthi amanye alawa macala ayashaqisa) futhi uvalelwe ingxenye enkulu yosuku lonke kubonakala kuwukuhlakanipha ukwenza izinkinga zempilo yengqondo zikusebenzele ngethemba lokuthola eyodwa. iseli.
Sawubona Gary futhi ngiyabonga ngokuphawula kwakho.
Kubukeka sengathi siziqeqeshe ngesikhathi esifanayo. Njengomuntu obonakala eqonda ukuthi isistimu isebenza kanjani ngingaba nentshisekelo yokuzwa okwengeziwe mayelana nolwazi lwakho. Mhlawumbe uzobhala okuthile.
Ngikhumbula kancane ngijabulela imodeli yokuba sengozini yengcindezi ngokwami - kodwa ayizange ihlale isikhathi eside. Ngicabanga ukuthi kimina okuhlangenwe nakho kwakuwukuthi izingcindezi zezenhlalakahle - ukuhlukunyezwa, ukunganakwa, ukungalingani, njll- kwavunywa kalula ngabafundisi bami kanye nodokotela bengqondo engangisebenza nabo kodwa baqondwa njengamaqiniso okuphila. Lokhu ngicabanga ukuthi imfundiso ye-TINA (Ayikho enye indlela) idlala indima ebalulekile ekugcineni i-bio-psychiatry. Kunjengokungathi ochwepheshe bezempilo yengqondo bakholelwa ukuthi kulula ukushintsha ingqondo yomuntu (ibe ngcono) kunokushintsha umphakathi (ube ngcono) - okusobala ukuthi akunjalo, okungenani ngokomthetho.
Ngokwami nginemizwa exubile ngenqubekela phambili eseyenziwe mayelana nokucwaswa okuzungeze izinkinga zempilo yengqondo. Ngakolunye uhlangothi kusobala ukuthi kuhle kakhulu ukuthi abantu banomuzwa wokuthi bangaphumela obala ngezinkinga zabo futhi baxoxisane ngazo njengoba bebengenza kunoma iyiphi enye inkinga, ukuthi imibono engokwenkolo yabantu abangaphilile kahle engokwengqondo iphikiswa kakhulu nangokwengeziwe, njll. Ngakolunye uhlangothi okungenani omunye walo msebenzi ophathelene nokucwaswa okuyinselele usekelwe embonweni - lokho engicabanga ukuthi u-Fromm akubiza ngokuthi "i-sociological relativism" - engicabanga ukuthi kuyimbudane futhi ekugcineni akuzuzisi ukukhuthazwa kwezempilo yengqondo.
Noma kunjalo, sikufisela inhlanhla ngomsebenzi omusha!
Ngiyabonga.
Ngiphinde ngathola induduzo kokuncane engakufunda uThomas Szasz ikakhulukazi inganekwane yokugula ngengqondo. Nakuba ngingakhumbuli ukubhala kwakhe njengokugxeka kakhulu ubunxiwankulu (okungase kube inkumbulo yami ehlulekayo) wawubona umhlaba futhi ubudlelwano phakathi kwawo buyimbangela ebalulekile futhi engaba yimbangela yezinkinga zempilo yengqondo ezingenakunqotshwa nge-neuroleptic. imithi.
Kakhulu, kakhulu, kuyiqiniso kakhulu. Ngokudabukisayo. Ulungile ukuphakamisa ukuthi lolu daba lungaba iphuzu lokungena engxoxweni ebanzi mayelana nempi nokuhlukaniswa kwezigaba nezinye izindaba ezibalulekile zomphakathi. Ingxoxo engase iholele emininingwaneni ephakamisa ukulungiswa kabusha okubalulekile komphakathi ayidingeki nje kuphela kodwa kungenzeka ngempela. Futhi uma umuntu ezizwa enamahloni ngempela, umuntu anganikeza abantu ukunambitha okuncane kokuthi omunye umphakathi ungase usebenze kanjani. Okungenani uma bekubuzwa.
Ngiyajabula ukuthi uthathe kulelo phuzu elithi James - "iphuzu lokungena" - njengoba, mhlawumbe, ingxenye ebaluleke kakhulu yalokho engikusho ku-interview.
Uma ulandela isixhumanisi somthombo emuva kokwangempela uzothola amanye amazwana ongawathola anentshisekelo.