
svayam niyanthrana chikitsa

svayam niyanthrana therapy ennathu vishaadathinte svayam niyanthrana maathrkaye adisthaanamaakkiyulla oru perumatta chikitsa reethiyaanu, ithu perumattaparamaaya (1971) svayam niyanthrana maathrkaykku anusrithamaayi roopakalppana cheythittundu.
vishaadathinte svayam niyanthrana maathruka.
lyne pii. svayam niyanthranatthinte feedback lupe modalil ulppeduthiyittulla moonnu prakriyakale adisthaanamaakki vishaadathinte svayam niyanthrana maathruka reham nirddeshichu svayam nireekshanam, svayam vilayiruthal, svayam shakthippeduthal. aathmaniyanthrana maathrkayil, aathmaniyanthranathinte eee prakriyakalile kuravukalude falamaayaanu vishaadathe visheshippikkunnathu.
svayam nireekshanatthe visheshippikkunnathu oraalude swantham perumaattatthe nireekshikkukayum vilayiruthukayum cheiyunnu, athinte mungaamikalum (perumaattathinu munbulla sambhavangal) anantharafalangalum ulppede. vishaadam anubhavikkunnavaril svayam nireekshanatthinte rund savisheshathakal reham vivarikkunnu negatteevu sambhavangalil maathram pankedukkaanulla pravanathayum perumaattatthinte pettennulla prathyaaghaathangal maathram thirichariyaanulla pravanathayum.
oru aantharika nilavaravumaayi thaarathamyappeduthumbol avarude valarchayeyum purogathiyeyum kurichulla oru vyakthiyude daaranayaayaanu svayam vilayiruthaline visheshippikkunnathu. udaaharanathinu, oru bhakshanakramanjan aaa divasathe avarude kalori ennathe oru lakshyavumayi thaarathamyam cheyyukayum avar aaa lakshyathilethiyo illayo ennu theerumaanikkukayum cheyyaam. lingabhedavum uyaravum adisthaanamaakkiyulla diet kalori chart polulla baahyamaayi adichelppicha maanadandangal sweekarichu oru aantharika maanadandam sajjamakkaam, allengil avarkk baahya maanadandangalekkaal kooduthalo kuravo karsanamaaya maanadandangal thiranjedukkaam. rehiminte maathrkayil, vishaadam anubhavikkunnavaril krithyathayillaathathum palappozhum bahyavumaaya kaaryakaaranathinteyum karsanamaaya svayam moolyanirnnaya maanadandangaludeyum savisheshathayaanu svayam vilayiruthal. udaaharanathinu, oro testtilum 100% nedunnathinulla maanadandam svayam earppeduthunna oru vyakthi, yaadhaarthyabodhamillaathu oru maanadandam nischayichittundu. aaa karsanamaaya maanadandam paalikkappedaathappol, vyakthi avarude paraajayathinu buddhi polulla oru aantharika swabhaavam thettayi aaropikkam.
reham thante maathrkayil svayam-shakthippeduthalum ulppeduthunnu, koodaathe vishaadam anubhavikkunavar apoorvvamaayi svayam prathiphalatthil earppedukayum svayam shikshayil kooduthal edapazhakukayum cheiyunnuvennu parayunnu.
chikitsa.
carylene Z. rehiminte svayam niyanthrana vishada maathrkayeyum oru vyakthiyude aathmaniyanthranathile kuravukalil ninnaan vishaadam undaakunnath enna ashayatheyum adisthaanamaakki foochs reham svayam niyanthrana perumatta therapy prograam vikasippicheduthu. svayam nireekshanam, svayam vilayiruthal, svayam shakthippeduthal kazhivukal enniva moonnu ghattangalilayi parisheelippikkunnathil yadhaartha, aarr aazhchathe paripadi shradha kendreekarichu. oro ghattathilum rund seshanukalundaayirunnu.
aadyaghattathinte shradha svayam nireekshanatthilaayirunnu. aadyathe rund sessionukalil pankedukkunnavarkku paripaadiyude perumattaparamaaya aathmaniyanthrana yukthiye parichayappedutthukayum avarude maanasikaavasthaye swaadheenikkunnathinaayi svayam nireekshikkuka enna ashayam parichayappedutthukayum cheythu. gruhapaatamenna nilayil, pankedukkunnavarodu oro divasavum anubavikkunna nalla pravartthanangal oru logue foomil rekhappeduthaan aavasyappettu. randaamathe sessionil logukal avalokanam cheyyukayum charcha cheyyukayum cheythu, koodaathe paattenukalkkaayi avarude daatta vishakalanam cheyyaan pankedukkunnavarodu aavasyappettu. prathyekichum, avar anubhavicha positteev pravartthanangalude ennavum avarude maanasikaavasthayum thammilulla parasparabandham kandethaan avarodu aavasyappettu.
randaam ghattam svayam vilayiruthalilum yaadhaarthyabodhamullathum nediyedukkaavunnathumaaya lakshyangal nischayikkunnathinte praadhaanyatthilum shradha kendreekarichu. lakshyangal thirichariyaanum thudarnnu aaa lakshyangale upa-lakshyangalayi vibhajikkanum pankedukkunnavarodu aavasyappettu.
moonnaam ghattathil, rehiminte maathrkayil vivarichirikkunnathu svayam-shakthippeduthalum vishaadavum thammilulla bandhathekkurichu pankedukkunnavare parichayappedutthi. svayam vilayiruthal ghattathil thiricharinja lakshyangalilekkulla purogathi shakthippeduthunnathin upayogikkaan kazhiyunna svayam niyantritha pratiphala samvidaanam srishtikkunnathiloode pankedukkunnavare nayikkapettu. svayam niyanthrana perumatta chikitsa paripadi avasaanikkumbol, pankedukkunnavarkku paripaadiyude ulladakkathinte sangraham nalkukayum avar padicha kazhivukalude thudarchaykku sahayikkunna saamagrikal nalkukayum cheythu.
muthirnnavarumaayi falaprapti.
phuchs aandu reham (1977) avarude group nalkia svayam niyanthrana perumatta therapy prograaminte (mukalil vivaricha) phalangal vilayiruthiyathu, vishaadarogikalaaya sthreekalil <aii. dii. 1>, oru nirddishtamallaatha group therapy avasthaykkum oru niyanthrana groupinum ethire. minnesota multifassic pezhsanaalitti inventary depression skeyil (emm. emm. pii. aii-dii), beck depression inventary, group interaakshan aaktivitti alavu, emm. emm. pii. aii vilayiruthunna pankaalikalkk pothuvaaya psychopathology nila enniva vilayiruthunna svayam-report oof depression phalangale adisthaanamaakkiyulla svayam niyanthrana therapy, prathyekamallaatha group therapy avasthayekkaalum niyanthrana grouppinekkaalum mikachathaanennu gaveshakar kandethi. svayam niyanthrana therapy groupile pankeduttha 8 perkkum munkootty pareekshichappol klinikkal shreniyil skorukal undaayirunnu, ithu avar niravadhi vishaadaroga lakshanagal prakadippichathaayi soochippikkunnu. aaa 8 pankaalikalkk poost testtiloode saadhaarana paridhiyil skorukal undaayirunnu, ithu avar kurachu vishaadaroga lakshanagal prakadippichuvennu soochippikkunnu. klinikkal shreniyil ninnu saadhaarana shreniyilekku skorukalile maattam sambhavichathu nirddishtamallaatha therapy groupile 10 peril 3 perilum kantrol groupile 10 peril 1 perilum maathramaan.
reham thudangiyavar. (1979) futues aandu rehams (1977) padanatthil upayogicha nadapadikramangal aavarthikkukayum oru perumatta avakaashavaada naipunya pariseelana paripaadikkethire svayam niyanthrana therapy phalangal vilayiruthukayum cheythu. mithamaaya vishaadamulla sthreekalkku svayam niyanthrana therapy phalapradamaanennu gaveshakar kandethi, athinaal futues aandu reham (1977) ll ninnulla kandethalukal vijayakaramaayi aavarthichu.
kuttikalumaayi falaprapti.
starkk, reynolds aandu caslo (1987) reham muthalaayava parishkarichu.'svayam nireekshanam, svayam vilayiruthal prakadanam, nallathum cheethayumaaya phalangalude kaaranam, svayam shakthippeduthal ennivaykkaayi kuttikale adaptive kazhivukal padippikkunnathinaayi roopakalppana cheytha oru edapedal prograamilekku muthirnnavarkkayulla svayam niyanthrana therapy maanuval (1984). muthirnnavarkkulla svayam niyanthrana therapic samaanamaayi, avatharanangal, inn-therapy pariseelanam, perumatta gruhapaata assainmentukal enniva poortthiyaakkal ennivayiloode pankedukkunnavare eee edapedal kazhivukal padippichu. ulladakkavum samanamaayirunnu, koodaathe sukhakaramaaya pravartthanangalude svayam nireekshanavum logue sheettukalude upayogavum, kaalathamasam varuthiya anantharafalangal thirichariyal, svayam moolyanirnnayathinulla yaadhaarthyabodham, idaykkide svayam shakthippeduthal enniva ulppedunnu. gaveshakar svayam niyanthrana chikilsayude phalangale perumatta prashna parihara chikilsayudeyum kaathiripp pattikayude avasthayudeyum falangalumaayi thaarathamyam cheythu. svayam niyanthrana chikitsa perumatta prashnaparihara chikitsa 4 muthal 6 vareyulla klaasukalile mithamaaya vishaadamulla kuttikalil phalapradamaanennu kandethi, kuttikalkk parishodhanaykk sheshamulla vishada lakshanagal kuravaanennu report cheiyunnu. rund edapedalukaludeyum phalangal kaalakramena saamaanyavalkkarikkunnathi thonni, prathyekichu chikilsaykku thottupinnaale 8 aazhchathe fooloo-appil ganyamaayi kuranja vishaadam report cheytha svayam niyanthrana groupile kuttikalkk.
upajanasamkhyayodulla falaprapti.
vaidyashaasthraparamaayi vishaadabaadhitharaaya 104 sthreekalude saambilil praayam, vaivaahika nila, thozhil, vidyaabhyaasam, varumanam allengil matham ennivayude pravartthanamenna nilayil svayam niyanthrana therapy phalangalil kaaryamaaya vyathyasangalonnum reham (1983) kandethiyilla. vishaadaroga lakshanangalude theevramaaya thudakkam, sameepakaalathe uyarnna ennam negatteevu jeevita sambhavangal, positteev aathmaniyanthrana manobhaavam enniva anubhavicha pankaalikalil svayam niyanthrana therapy falamaayi mikacha phalangal kandethi.

