
sahasambandha chikitsa

coherence therapy anedi manasika chikitsa yokka oka vyavastha, idhi manasika sthithi, aalochana mariyu pravartana yokka lakshanaalu vyakti yokka prastuta manasika vaastavikata namuunaala prakaram pondikagaa utpatti avtayi, veetilo chaalaa varaku avyaktamgaa mariyu apasmaraka sthithilo untaayi. dheenini 1990laloe brus ekar mariyu laurel hully sthaapinchaaru. idhi atyanta gouravaneeyamaina post madern/constructivist therapylalo okatigaa pariganinchabadindi.
saadhaarana vivarana.
coherence therapyki aadharam symptum coherence suutram. medadu-manassu-shareera vyavastha yokka edainaa pratispandana anedi asaabdika, bhavodvega, grahana mariyu saareeraka ghnaanaalu, moukhika-abhignaa pratipaadanalu kaani pondikaina vyaktigata nirmaanaala (ledhaa schema) vyakteekarana anie eee abhiprayam. chikitsa client yokka lakshanaalanu nirdishta nirmaanaala kriyaaseelata mariyu amaluga ardham chesukuntaru. sigmund frayid (1923), harry stock sullivan (1948), carle jung (1964), aarr. thoo sahaa aneka chaaritraka manasika chikitsa siddhaantakartala rachanalalo rogalakshana pondika suutraanni vividha sthaayilalo, spashtamgaa ledhaa parokshamgaa chudavachu. dii. laa (1967), gregori bateson (1972), virginia vyangya (1972), paal vatzalavic (1974), yujeen gendlin (1982), vittorio guidano & geovanni leotti (1983), less greenberg (1993), besel vaan derr colk (1994), robbert kegan & lisa lae (2001), suu johnson (2004), mariyu itarulu.
rogalakshana pondika suutram oka vyakti yokka ahetukamgaa kanipinche, niyantranalo laeni lakshanaalu vaastavaaniki oka rugmata ledhaa pathology kante vyakti yokka sweeya mariyu prapancham yokka prastuta nirmaanaala yokka telivaina, drudamaina, kramabaddhamaina vyakteekaranalu anie nirvahistundi. maarpuku oka vyakti yokka manasika pratighatana kooda vyakti yokka manasika nirmaanaala yokka pondika phalitamgaa kanipistundi. anduvalla, konni itara post madern chikitsala maadirigaane, sahajeevana chikitsa, manasika chikitsalo mitrudigaa maaradaaniki oka vyakti yokka pratighatananu cherukuntundi, satruvugaa kaadu.
pondika chikitsa anedi oka rakamaina manasika nirmaanaatmaka chikitsagaa pariganinchabadutundi. idhi konni itara nirmaanaatmaka roopaala nundi bhinnamgaa untundi, indulo rogalakshana pondika suutram puurtigaa spashtamgaa mariyu kathinamgaa amalu cheyabadi, mottam paddatiki maarganirdesam chestundi mariyu teliyajestundi. pondika chikitsa prakriya vishlaeshanhaathmakamainadi kakunda anubhavapoorvakamainadi, mariyu eee vishayamlo gestalt therapy, focusing ledhaa hacomini pooli untundi. avaanchita lakshanaanni utpatti chese apasmaraka vyaktigata nirmaanaala (sanklishtatalu ledhaa aham-sthithulaku samaanamaina) pratyaksha, bhavodvega anubhavamloki ravadam mariyu eee nirmaanaalanu savarinchadam ledhaa kariginchadam anae sahaja prakriyaku lonavadam, tadwara lakshanaanni tolaginchadam client lakshyam. mottam prakriyaku tarachugaa dozenu sessionlu ledhaa anthakante takkuva avasaramavutaayani abhyaasakulu paerkonnaaru, ayithe lakshanaaniki antarleenamgaa unna ardhaalu mariyu bhavodvegalu mukhyamgaa sanklishtamgaa ledhaa teevramgaa unnappudu ekkuva samayam pattavacchu.
rogalakshana samatulyata.
rogalakshana pondikanu eee krindi vidhamgaa ekar mariyu hully nirvachinchaaruh
rogalakshanaala pondikalo aneka roopaalu unnaayi. konni lakshanaalu avasaram endukante avi keelakamaina panini chestaayi (bhavanni mariyu kopaanni vyaktam cheyakunda rakshinche niraasa vantivi), marikonnintiki etuvanti pani undadu, conny anivaaryamaina prabhavam ledhaa upa-utpatti anae ardhamlo avasaram, idhi konni itara anukuulamaina, pondikaina conny apasmaraka pratispandana (isolation phalitamgaa vachhe niraasa vantivi, idhi surakshitamgaa bhaavinchadaaniki oka vyuuham). client yokka swantha vishayam prakaram, kriyaatmaka mariyu kriyaatmaka lakshanaalu rendoo pondikainavi.
maroe maatalo cheppalante, jeevita kaalamlo erpadina sweeya-rakshana ledhaa sweeya-dhruvikarana prayojanaalanu neraverchadaaniki, chetana avagahana lekunda, vyakti elaa prayatnistaadane daani dwara lakshanaalu utpatti avtayani siddhaantam perkondi. rogalakshana utpatti yokka eee namuunaa manasika nirmaanaatmakata yokka vistruta vargaaniki saripotundi, idhi vyaktini anubhavam mariyu pravartananu roopondinchadamlo lothaina, gurtinchabadakapothe, agencyga bhaavistundi.
parokshamgaa ledhaa parokshamgaa avyakta schema ledhaa bhavodvega abhyasala valla sambhavinchani lakshanaalaku rogalakshana sahajeevanam vartinchadu-udaaharanaku, hypothyroidism-prerita niraasa, autism mariyu jeevarasaayana vyasanam.
nirmaanaala kramaanugata samstha.
oka vyakti yokka sambandhita pathakaalu ledhaa vaastavikata yokka nirmaanaalannintinii gurtinchadaaniki oka saadhanamgaa, ekar mariyu hully aneka taarkikamgaa kramaanugata domainlu ledhaa nirmaana aadesaalanu nirvachinchaaru (gregori bateson nundi prerana pondindi):
oka vyakti yokka modati-kramam aalochana, manasika sthithi ledhaa pravartana lakshanaalu paristhiti yokka rendava-kramam nirmaanaala nundi anusaristaayi, mariyu rendava-kramam nirmaanaalu vyakti yokka moodava mariyu nalgava-krama nirmaanaala dwara saktivantamgaa prabhaavitamavutaayi. anduvalla moodava mariyu unnata shrenulu ekar mariyu hully "lakshanam yokka bhavodvega nijam" anie pilichevi, ivi chikitsalo kanugonadaaniki, ekikrutam cheyadaaniki mariyu roopaantaram chendadaaniki uddesinchina ardhaalu mariyu uddesyaalu.
charitra.
konni manasika chikitsa sessionlu bhavodvega ardham mariyu takshana lakshanaala viramana yokka lothaina parivartanalanu enduku utpatti chestayo parisoedhinchinappudu, chaalaa sessionlu cheyakapoyina, 1980la chivaralo mariyu 1990la praarambhamlo coherence therapy abhivruddhi cheyabadindi. aneka samvatsaraalu ituvanti aneka parivartana sessionlanu adhyayanam chestu, eee sessionlalo, chikitsakudu lakshanaanni vyatirekinchadaaniki ledhaa pratighatinchadaaniki edainaa cheyakunda unnaadani, mariyu clientku gatamlo gurtinchabadani konni "bhavodvega nijam" yokka saktivantamaina, anubhavinchina anubhavam undani vaaru nirdhaarinchaaru.
eee prakriyanu uddeshapoorvakamgaa sulabhataram cheyadaaniki ekar mariyu hully anubhavapurvaka paddhatulanu abhivruddhi cheyadam praarambhinchaaru. vaari khaataadaarulalo ekkuva mandhi modati session nundi vaari lakshanaala antarleena pondika yokka anubhavalanu kaligi undavacchani vaaru kanugonnaru. bhavodvega schemala vegavantamaina punaruddharana kosam oka paddatini srushtinchadamtho paatu, lakshanaala utpattini nadipinche bhavodvega schemala vegavantamaina punaruddharana kosam, vaaru tirigi pondina schemala prakriyanu kooda gurtinchaaru, dheeni dwara tirigi pondina schemalu lothaina maarpu ledhaa radduku lonavutayi tirigi pondina bhavodvega schemanu sakriyam cheyali, adhe samayamlo vyakti daanini teevramgaa vyatirekinchedaanni spashtamgaa anubhavistaadu. eee dasale bhavodvega abhyasanni nilva chese antarleena ghnaapakasaktiloo neural circuitnu khachitamgaa terachi tolagistaayani-punah ekikarana prakriya anie neuro scientistlu taruvaata nirnayinchaaru.
ekar mariyu hully tama khaataadaarulalo chaalaa manditho anubhavinchadam praarambhinchina maarpu yokka vegam kaaranamgaa, vaaru modatlo eee kotta vyavasthaku "depth-oriented klupta chikitsa" (doat) anie paeru pettaru.
2005loe, ekar mariyu hully eee vidhananni "coherence therapy" anie pilavadam praarambhinchaaru, dheeni paeru vidhanam yokka kendra suutraanni marinta spashtamgaa pratibimbimchaelaa, mariyu chaalaa mandhi chikitsakulu "klupta chikitsa" anae padabandhaanni lothu-nivaraka paddhathulatho anubandhinchadaaniki vacchaaru.
neurosines nundi sakshyam.
2007 nundi 2009 varaku "journal off constructivist psychology" loe prachurinchabadina moodu vyasala shrenilo, brus ekar mariyu brian tomy, prastuta neurosines prakaram, maarpu kosam medadu yokka antarnirmita saamardhyaalanu puurtigaa upayoginchukune manasika chikitsa vyavasthalalo coherence therapy okati kaavacchu anae aadhaaraalanu samarpinchaaru.
eker mariyu tomy, pondika chikitsalo maarpu yokka vidhanam iteevala kanugonna "ghnaapakasakti punahsamarthana" yokka naadii prakriyatho sahasambandham kaligi undani vaadinchaaru, idhi "vippagala" mariyu avyakta ghnaapakasaktiloo unna deerghakaala bhavodvega conditioningnu tolaginchagala prakriya. pondika chikitsa antarleena ghnaapakasakti tolagimpunu saadhistundani chesina vaadanalu niroopinchabadaledu, conny ghnaapakasakti punah ekikaranaku maddatu ichhe perugutunna saakshyaala shareeramtho samalekhanam cheyabadataayi. ekar mariyu sahacharulu ilaa perkontunnaruhu (eah) punarvyavastheekarana kosam naadii saastravettalu gurtinchina vatiki anugunamgaa vaari vidhaanaparamaina dasalu, (bii) vaari vidhaanaparamaina dasalu lakshanaalanu aprayatnamgaa nilipiveyadaaniki daariteestaayi, mariyu (sii) tirigi pondina, lakshanaalanu srushtinche bhavodvega pranaalikala yokka bhavodvega anubhavanni gatamlo balamgaa prerepinchina suuchanala dwara ikapai prerepinchalemu.
pondika chikitsalo (mariyu ilanti post madern chikitsalalo) lakshanam yokka naadii aadharaanni tolaginche prakriya konni pravartanaa chikitsala yokka praticharya vyuuhaaniki bhinnamgaa untundi. atuvanti pravartanaa chikitsalalo, kotta ishtapade pravartanaa namuunaalu saadhaaranamgaa avaanchita vatiki vyatiraekamgaa pootii padataniki mariyu asajanakamga adhigaminchadaaniki abhyasinchabadataayi; jantuvulalo conditioned pratispandanala "viluptam" vanti eee praticharya prakriya, antargatamgaa asthiramgaa mariyu tirigi vachhe avakaasam undhi, endukante avaanchita namuunaa yokka neural circuit avaanchita namuunaa nilipiveyabadinappudu kooda konasaagutundi. punah ekikarana dwara, avaanchita neural circuitlu "vairdu cheyabadavu" mariyu tirigi jaragavu.

