A halin yanzu, akwai hanyoyi biyu don samar da taimako na psychotherapeutic taimako ga luwadi-dystonics (waɗancan 'yan luwadi waɗanda suka ƙi yarda da jima'i). Dangane da na farkon, ya kamata a daidaita su da jan ragamar sha'awar sha'awar jima'i da kuma taimaka musu su daidaita da rayuwa a cikin al'umma tare da matsayin maza. Wannan shine ake kira mai nuna goyon baya ko gamsar da ɗan luwaɗi (eng. Tabbatarwa - don tabbatarwa, tabbatarwa). Hanya ta biyu (juyawa, sake tarawar jima'i, ramawa, rarrabuwar magani) an shirya shi ne don taimakawa maza da mata maza da mata su canza yanayin jima'i. Farkon waɗannan hanyoyin sun samo asali ne daga fatawar cewa liwadi ba cuta ce ta hankali ba. An nuna shi a cikin ICD - 10 da DSM - IV.

A cikin ra’ayinmu, kazalika da ra’ayin manyan likitocin asibiti da na shukoki na Ukraine da Russia (V.V. Krishtal, G.S. Vasilchenko, A.M. Svyadoshch, S.S. Libikh, A.A. Tkachenko), ya kamata a danganta liwadi. ga rikice-rikice na zaɓi na jima'i (paraphilia) [1, 2]. Ra'ayin guda ɗaya daga hannun masana da yawa a cikin Amurka kuma, musamman, membobi na Associationungiyar Nationalungiyar Na Binciken Bincike da Kula da Lafiyar Jima'i; NARTH wanda aka kirkira a 1992 [3]. Abin sha'awa shine ra'ayi game da wannan batun na farfesa-psychiatrist Yu. V. Popov - mataimakin. Daraktan Bincike, Shugaban Sashin Lafiyar matasa, Cibiyar Ilimin ilimin halin dan Adam ta St. Petersburg mai suna V. M. Bekhterev, wanda ba a ambace shi ba a cikin littattafanmu na baya akan matsalar da ake tattaunawa. Ya kara da cewa "ban da kyawawan dabi'u, zamantakewa, ka'idoji na shari'a, tsarin abin da ya danganci dangi kuma yana iya bambanta sosai da juna a kasashe daban-daban, kabilu da addinai, daidai ne a yi magana game da dabi'ar halitta. A cikin ra’ayinmu, mahimmin fifiko ga kowane ma'anar tsarin halitta ko ilimin halittu (a fili, wannan gaskiya ne ga duk rayayyun halittu) ya kamata ya zama amsar tambayar shin waɗannan ko waɗancan canje-canjen suna ba da gudummawa ga rayuwa da sake haifuwa ta halittar ko a'a. Idan muka yi la’akari da wannan hanyar duk wani wakilan da ake kira ‘yan tsiraru da masu jima’i, to dukkansu sun zarce ka’idar halitta” [4].

Ya kamata a lura cewa rashin amincewa da liwadi a matsayin dabi'ar jima'i kuma ana nuna shi a cikin littafin likitancin "Model don ganewar asali da kuma lura da rikicewar tunani da halayyar mutum" da V. N. Krasnov, I. Ya Gurovich [5], wanda 6 ya yarda da shi a watan Agusta 1999. Umarni A'a 311 na Ma'aikatar Lafiya na Federationungiyar Rasha [6]. Yana nuna matsayin Cibiyar Kimiyya ta Tarayya da Tsarin Cibiyar Nazarin Ilimin Lafiya da Jima'i (Moscoathology) a kan wannan batun. An gabatar da ra'ayoyi iri ɗaya a Sashen Nazarin Ilimin Ilimin Alaka da Ilimin Likita na Kwalejin Kharkov na Kwalejin Ilimin Kwaleji na Ma'aikatar Lafiya ta Ukraine [7].

A halin yanzu, ƙungiyar likitocin da sauran jama'a gabaɗaya suna ƙoƙarin su gabatar da ra'ayin cewa ya kamata a haramta yin amfani da liwadi ta hanyar jima'i, da farko, saboda ba za a iya kula da mutane masu lafiya ba, irin su 'yan luwadi, kuma, abu na biyu, saboda na iya zama baya tasiri. A babban taron kungiyar American Psychiatric Association (APA) a 1994, an shirya shi ne don mika wa wakilan wannan takaddar "Bayanin hukuma game da cutar hauka da nufin canza yanayin jima'i", wanda tuni kwamitin amintattu na kungiyar ya amince da shi. Resolutionudurin, musamman, ya ce: "Psyungiyar Ilimin hauka na Amurka ba ta goyan bayan duk wani maganin da ya shafi mahaukata dangane da likitan mahaukata cewa luwaɗi cuta ce ta hankali ko kuma wacce ke nufin sauya tunanin mutum. Wannan magana ta zama hukuncin hukumcin hukumcin biyan diyya (juyawa) azaman aikin da bai dace ba. Koyaya, NARTH, tare da taimakon ƙungiyar Kiristocin mai da hankali kan Iyali, sun aika da wasiƙu ga mambobin ƙungiyar da ke zanga-zangar adawa da "take hakkin gyara na farko." Masu zanga-zangar suna da wasu hotuna tare da taken kamar "APA ba GAYPA bane." Sakamakon haka, saboda rashin bayyana wasu kalmomin, an sami jinkiri ga wannan bayanin, wanda NARTH da Fitowa na Kasa suka dauka [8] a matsayin nasararsu.

Ya kamata a sani cewa Fitowa ta International kungiya ce ta mabiya addinan Kirista tare da rassan 85 a jihohin 35, wanda, musamman, yana aiki don haɓaka sha'awar jima'i, kuma idan wannan bai yi tasiri ba, taimaka wa 'yan luwadi su guji hulɗa da jima'i tare da wakilan jinsi Har zuwa wannan, ana ba da koyarwar addini, haɗe tare da ba da shawarwarin rukuni. Effortsoƙarin yana mai da hankali ga raunin yara, wanda, a cewar masana ilimin wannan ƙungiya, shine sanadin haɗuwa (rashin mahaifiya ko uba, cin zarafin jima'i, zaluntar iyaye). An ba da rahoton cewa a cikin 30% na lokuta, wannan aikin yana ba da sakamako mai kyau [9]. Daga baya (a cikin 2008) da yawa wallafe-wallafe sun bayyana a yanar gizo suna sanar da cewa masaniyar halayyar Amurka Stan Jones da Mark Yarhaus sun gudanar da wani bincike a tsakanin mambobin 98 na wannan kungiyar, wanda aka gudanar da aikinsu don canza yanayin wariyar launin fata. A cewar su, kyakkyawan sakamako ya kasance 38%. Masu binciken sun ba da tabbacin cewa tasirin juyawa bai haifar da wani mummunan sakamako na hankali ga duk mutanen 98 ba, wanda ya saɓa wa shigarwar abokan adawar waɗannan tasirin, waɗanda suke da'awar cewa suna da lahani ga kwakwalwar ɗan adam.

Duk waɗannan maganganun, waɗanda suke haifar da hana wajan juyowa ga liwadi (liwadi shi ne ƙa'ida, magani yana jujjuya magana), ba a iya tursasawa. Dangane da wannan, yana da kyau a bayar da rahoton cewa wariyar wariyar liwadi daga cikin jerin matsalolin rashin hankalin da DSM ya faru kamar haka. A watan Disamba 15, 1973, jefa ƙuri'ar farko na Ofishin Kungiyar Magungunan Hauka ta Amurka ya faru, inda 13 na membobin 15 suka zaɓi zaɓin ɗan luwaɗi daga rajistar rashin hankalin. Wannan ya haifar da zanga-zangar daga masana da yawa waɗanda, don yin kuri'ar raba gardama kan wannan lamari, sun tattara alamomin masu mahimmanci na 200. A watan Afrilu 1974, an gudanar da kuri'un wanda a cikin kadan kadan daga cikin kuri'un 10 dubu 5854 sun tabbatar da hukuncin shugaban. Koyaya, 3810 bai gane shi ba. An kira wannan labarin "abin birgewa na abin birgewa" bisa dalilai cewa warware “cikakkiyar kimiyya” ta hanyar zabe don tarihin kimiyyar yanayi ne na musamman [10].

Dangane da yunƙurin nuna bambancin ɗan luwaɗi, shahararren masanin ilimin kimiyyar halayen nan na Furofesa Farfesa A. A. Tkachenko [11] ya lura cewa shawarar Psyungiyar chiwararrun likitocin Amurka “an yi wahayi zuwa ta hanyar ƙungiyar gwagwarmayar nuna wariyar launin fata”, da “ma'anar ta yi aiki a cikin waɗannan yanayin, waɗanda galibi matsananci ne, (ba zato ba tsammani, an sake buga shi sosai a cikin ICD-10) wani ɓangare ya sabawa ka'idodin bincike na likita, idan kawai saboda yana cire shari'o'in da ke tattare da wahalar tunani bayar da anosognosia. " Marubucin ya kuma ba da rahoton cewa wannan shawarar "ba zai yuwu ba tare da sake nazarin mahimmancin tunanin mahaukata, musamman ma, ma'anar rashin hankalin kwakwalwa a cikin kowane yanayi". Maganin mai suna, a zahiri, sanarwa ce ta asali ta 'dabi'ar' al'adar luwadi.

Yin nazarin gaskiyar cewa an cire Psyungiyar Ilimin Halayyar Jima'i ta ofan Amincewa daga rarrabuwa ta cutar, RV Bayer [12] ta ce ba saboda binciken kimiyya ba ne, amma azaman akida ce ta lalacewa ta lokaci. A wannan batun, yana da kyau a samar da bayanin da Kristl R. Wonhold [13] ya ruwaito. Ya lura cewa don fahimtar ayyukan APA, kuna buƙatar komawa cikin yanayin siyasa na 60-70-s. Sannan dukkan tambayoyin gargajiya da akidunsu an yi tambaya. Lokaci ne na tawaye ga kowace hukuma. A wannan yanayi, wata karamar gungun 'yan luwadi da Amurka masu tsattsauran ra'ayi sun ƙaddamar da wani kamfen na siyasa don amincewa da luwaɗanci a zaman wata hanyar rayuwa ta al'ada. “Ina shuɗi da farin ciki da shi,” babban takensu. Sunyi nasarar lashe kwamiti wanda ya sake nazarin DSM.

A cikin ɗan taƙaitaccen ji wanda ya gabaci shawarar, an tuhumi likitocin gargajiyar gargajiya da "udabi'ar Freudian." A cikin 1963, Cibiyar Nazarin Lafiya ta New York ta umarci Kwamitin Lafiya na Jama'a don shirya rahoto game da luwaɗan, wanda ya yanke cewa hakika liwadi cuta ce, kuma liwadi mutum ne da ke da nakasa ta hanyar tunani, wanda ba zai iya haifar da dabi'ar namiji ba. dangantaka. Bugu da kari, rahoton ya ce wasu 'yan luwadi' sun wuce matsayin kare kai da fara tabbatar da cewa irin wannan karkacewar dabi'ace mai kyawu, mai mutunci da kyawu. " A cikin 1970, shugabannin ƙungiyar 'yan luwadi a cikin APA sun tsara "matakan da aka tsara da nufin rushe tarurrukan shekara-shekara na APA." Sun kare mutuncin sa a bisa dalilan cewa APA da alama yana wakiltar "ilimin halin kwakwalwa a matsayin cibiyar zamantakewar jama'a", ba wai a matsayin fifikon bukatun masana kimiyya bane.

Dabarun da aka bi sun zama masu tasiri kuma a cikin 1971, suna biye da matsin lambar da ake musu, wadanda suka shirya taron na APA na gaba sun amince da kirkirar kwamiti ba kan luwadi ba, amma daga masu luwadi. An gargadi shugaban shirin cewa idan ba a amince da abin da kwamitin ya kunsa ba, tarurrukan kowane bangare za su tarwatsa ta masu fafutukar "gay". Koyaya, duk da yarda su ba da damar 'yan luwadi da kansu su tattauna game da abin da kwamitin ya kunsa a taron na 1971,' yan gwagwarmayar neman luwadi a Washington sun yanke shawarar cewa ya kamata su sake yin wata illa ga tabin hankali, tun da "sauyin yanayi mai sauki" zai hana motsin babban makamin - barazanar tarzoma. Followedaukaka kira zuwa ga Liberationungiyar 'Yanci ta' Yanci don gudanar da zanga-zanga a watan Mayu 1971. Ta biyo baya tare da shugabannin gaba, dabarar shirya tarzomar ta kasance a hankali. A ranar 3 ga Mayu, 1971, masu ba da shawara game da ƙwaƙwalwar ƙwaƙwalwa sun shiga cikin taron zaɓaɓɓun wakilan sana'arsu. Sun kama makirufo suka ba da shi ga wani mai fafutuka daga waje wanda ya yi shela: “Psywafin ƙwaƙwalwa ƙungiya ce ta maƙiya. Chiwararrun ƙwaƙwalwa suna yin yaƙi da rashin ƙarfi a kanmu. Kuna iya ɗaukar wannan a matsayin yakin yaƙi da ku ... Mun ƙi ikon ku a kanmu kwata-kwata. "

Ba wanda ya yi hamayya. Sannan masu gwagwarmaya na waɗannan ayyuka sun bayyana a Kwamitin APA kan Terminology. "Shugabanta ya ba da shawarar cewa watakila halin ɗan luwaɗi ba alama ce ta rashin hankali ba kuma lallai ne wannan sabuwar hanyar ta bullo da matsalar dole ne a bayyanar a cikin Littafin Jagora na Ciwon Bincike da Statidaya. Lokacin da a cikin shekarar 1973 Kwamitin ya hadu a cikin wani taron hukuma game da wannan batun, an karɓi shawarar da aka riga aka fara aiki a bayan kofofin rufe (duba sama).

F. M. Mondimore [8] kamar haka ya bayyana abubuwan da suka faru kafin aiwatar da wannan shawarar. Marubucin ya ba da rahoton cewa wariyar liwadi daga nau'in rikice-rikice an sami sauƙin sauƙin gwagwarmayar mutane tare da jagorancin jinsi ɗaya don 'yancin ɗan adam. 27 A watan Yuni 1969 a Greenwich Village (NY), tashin hankali na ɗan kishi ya haifar da wani rikici na 'yan sanda da ke nuna damuwa akan shingen gay na Stonewall Inn akan titin Christopher. An kwashe tsawon dare, masu zuwa na dare kuma sun sake taruwa a tituna, inda suka ci mutuncin 'yan sanda, suka jefe su da duwatsu, suka kunna wuta. A rana ta biyu ta tawaye, yan sanda dari hudu sun riga sun yi gwagwarmaya tare da masu luwadi sama da dubu biyu. Tun daga wannan lokacin, wanda ake ganin farkon gwagwarmayar 'yan luwadi don haƙƙin ɗan ƙasa, wannan motsi, wanda aka yi wahayi zuwa ga misalan motsi don' yancinsu na baƙar fata da kuma ƙungiyar yaƙi da Vietnam, ya kasance mai tayar da hankali kuma a wasu lokuta na adawa. Sakamakon wannan gwagwarmaya, musamman, shi ne dakatar da kai harin da policean sanda ke yi a kan shinge. Enungiyoyin masu fafutukar kare hakkin 'yan luwadi da madugun sun yaba da nasarar da suka samu a fagen yaki da cin zarafin' yan sanda, sai suka mayar da hankulansu ga wani abokin gaba na tarihi - masu tabin hankali. A cikin 1970, masu gwagwarmayar luwadi sun shiga cikin taron shekara-shekara na Psyungiyar Hauka na Amurka kuma sun ɓoye wani jawabi daga Irving Bieber game da luwaɗan, suna kiran shi "ɗan cizo" a gaban abokan aikinsa masu gigice. Wata mummunar zanga-zangar ta tilasta wa masu tabin hankali likitan mata masu ra'ayin jinsi suka yi kawancen nuna wariyar jinsi daga jerin masu cutar tabin hankali ”[8].

A matakin farko, APA ta yanke shawarar cewa a nan gaba za a yi amfani da bayyanar cutar “liwadi” ne kawai a yanayin “luwadi-dystonic” luwaɗanci, wato a yanayin da jan hankalin ɗan kishili ya haifar da “wahalar da ake gani” ta haƙuri. Idan mai haƙuri ya yarda da jigon sa na jima'i, yanzu ana ɗaukarsa karɓuwa ne don gano shi a matsayin "ɗan kishili," wato mahimmin ra'ayi ya maye gurbin ƙimar kwararru. A mataki na biyu, an cire kalmomin "liwadi" da "liwadi" gaba ɗaya daga DSM, saboda an gano wannan cutar a matsayin "nuna wariya" [13].

D. Davis, C. Neal [14] ya bayyana irin kuzarin kalmomin da suka danganci luwadi kamar haka. Sun lura cewa a cikin 1973, persungiyar Cutar Hauka ta Amurka ta keɓance masu liwadi daga jerin matsalolin tabin hankali, amma a cikin 1980 an sake bayyana a wannan jerin a ƙarƙashin sunan "liwadi-dystonic liwadi". Koyaya, an cire wannan manufar daga jerin matsalolin rikicewar tunani yayin bita na DSM-III a 1987. Maimakon haka, manufar "rashin bayyanar cuta" ta bayyana, ma'ana "mai daurewa da kuma bayyana yanayin damuwa wanda ke da alaƙa da fuskantar halayyar jima'i ta mutum."

ICD-10 ta lura cewa al'adun maza da mata na maza da maza ba a ɗauke su a matsayin cuta. Bugu da ƙari, lambar F66.1 (ego-dystonic daidaituwa game da jima'i) abin lura ne, wanda ke nuna yanayin da ba a cikin shakku tsakanin jinsi ko sha'awar jima'i, amma mutum yana son su kasance daban saboda ƙarin rikicewar halayyar mutum ko halayyar, da na iya neman magani don canza su. A cikin mahallin gaskiyar cewa yanayin daidaituwa na luwaɗanci a cikin rarrabuwa ba a la'akari da shi ba illa a cikin kansa, sha'awar kawar da wannan yanayin, a zahiri, ana iya ɗaukarsa azaman wasu nau'in mahaukaci [7].

Koyaya, Christian R. Wonhold [13] ya lura cewa a cikin 1973, kamar yadda a halin yanzu, babu wata hujja ta kimiyya da hujjoji na asibiti wanda zai tabbatar da irin wannan canjin matsayi game da luwaɗanci (fitarwa kamar al'ada).

A cikin 1978, shekaru biyar bayan APA ta yanke shawarar ware "liwadi" daga DSM, an dauki kuri'a tsakanin likitocin Amurkawa na 10000 wadanda ke cikin wannan kungiya. 68% na likitocin da suka cika da dawo da bayanan tambayar har yanzu suna ɗauka luwaɗanci cuta ce cuta [13]. Hakanan an ruwaito cewa sakamakon binciken kasa da kasa tsakanin masu tabin hankali game da halayen su game da luwaɗan ya nuna cewa mafi yawansu suna ganin luwaɗanci azaman halayen karkacewa, kodayake an cire shi cikin jerin matsalolin rashin hankalin [15].

Joseph Nicolosi (Joseph Nicolosi) a sashe na Tsarin Maganin Ciwon cuta na littafinsa mai suna Rearative Therapy of namiji. Sabuwar hanyar asibiti ”[16] tabbatacce ya tabbatar da rashin ilimin kimiyya na irin wannan mummunan aikin. Ya lura cewa kusan babu wani sabon bincike na ilimin halayyar dan adam ko ilimin halayyar dan adam wanda ya tabbatar da wannan canji ... Wannan siyasa ce da ta dakatar da tattaunawar kwararru. Masu kare kishiyoyin 'yan luwadi ... sun haifar da apathy da rikicewa a cikin jama'ar Amurka. Masu fafutukar jinsi sun nace cewa yarda da ɗan luwaɗi a matsayin mutum ba zai iya faruwa ba tare da yardar liwadi.

Amma game da ICD, yanke shawarar cire daidaitaccen kishili daga cikin jerin cututtukan tunani na wannan rarrabuwa ya kasance tazara ta hanyar jefa kuri'a ɗaya.

Ya kamata a sani cewa luwaɗanci ba kawai a cikin tsari ba ne ta hanyar yanayin tafiyarwa. Dangane da bincike na musamman, rikice-rikice na tunani a cikin 'yan luwadi (maza da mata) sun fi yawa fiye da na heterosexuals. Nazarin wakilai na ƙasa wanda aka gudanar akan manyan samfuran mutane na masu luwaɗi kuma masu halayen halayen mutum sun gano cewa yawancin mutane na farko cikin rayuwa (lokaci-lokaci) suna fama da matsala ɗaya ko sama da haka.

An gudanar da babban binciken wakilan a cikin Netherlands [17]. Wannan samfurin bazuwar ne na maza da mata na 7076 masu shekaru 18 zuwa 64 shekaru, wanda aka bincika don ƙayyadadden tasirin tasirin (tashin hankali) da rikicewar damuwa, da kuma dogaro na miyagun ƙwayoyi tsawon rayuwa kuma a cikin watanni na 12 na ƙarshe. Bayan wargajewar waɗancan mutanen da ba su yi jima'i ba a cikin watannin karshe na 12 (mutanen 1043), kuma waɗanda ba su amsa duk tambayoyin ba (mutanen 35), mutanen 5998 suna wanzuwa. (2878 maza da matan 31220). A cikin maza da aka bincika, 2,8% na mutane suna da dangantakar jinsi-daya, kuma a tsakanin matan da aka bincika, 1,4%.

An gudanar da bincike game da bambance-bambance tsakanin heterosexuals da 'yan luwadi, wanda ya nuna cewa duka rayuwa da kuma a cikin watanni na 12 na ƙarshe, maza masu luwaɗi suna da raunin tunani da yawa (abin da ya shafi ciki, ciki har da ɓacin rai, da damuwa) idan aka kwatanta da maza maza. Maza masu kishiya ma suna da karfin giya. 'Yan ƙabilar Lesbian sun bambanta da matan maza masu jima'i a cikin mafi girman mai saurin kamuwa da cutar baƙin ciki, da kuma yawan shan giya da maye. Musamman, an gano cewa yawancin maza da mata suna nuna halin maza (56,1%) da mata (67,4%) suna fama da matsala ɗaya ko fiye da tunanin mutum a duk rayuwarsu, yayin da yawancin heterosexally ke nuna maza (58,6%) da mata (60,9) %) cikin rayuwa duk basu da matsalar tabin hankali.

A cikin binciken wannan yaddar, an kuma nuna cewa liwadi yana da alaƙa da cin mutumci. Binciken ya kimanta bambance-bambance a alamu na kisan kai tsakanin maza da mata. Mawallafin sun kammala da cewa ko da a cikin ƙasar da ke da ɗan haƙuri game da luwaɗanci, maza masu luwaɗi sun fi haɗarin halayen kashe kansa fiye da maza masu maza. Ba za a iya bayanin wannan ta dalilin girman tunaninsu ba. A cikin mata, ba a bayyanar da irin wannan dogaron dogaro ba [18].

A cikin Amurka, an gudanar da binciken dubun dubatar Baƙi da nufin yin nazarin haɗarin cututtukan kwakwalwa a tsakanin mutane waɗanda ke da jima'i da abokan tarayya na jinsi ɗaya '[19]. An tambayi masu amsa tambaya game da adadin mata da maza wadanda suka yi jima'i da juna a shekarun 5 da suka gabata. 2,1% na maza da 1,5% na mata sun ba da rahoton samun abokan hulɗa tare da ɗaya ko fiye da abokan jima'i na jinsi ɗaya a cikin shekaru 5 na ƙarshe. An bayyana cewa waɗannan masu ba da amsa a cikin watanni na 12 na ƙarshe. akwai mafi girman yaduwar damuwa da damuwa, rikicewar yanayi, rikice-rikicen da ke tattare da yin amfani da abubuwan psychoactive, da kuma tunanin mutane da tsare-tsarensu, fiye da wadanda suka sadu kawai da mutanen kishiyar maza. Mawallafin sun kammala da cewa yanayin daidaituwa na maza, wanda aka ƙaddara ta kasancewar abokin tarayya na jima'i, yana da alaƙa da haɓaka gaba ɗaya cikin haɗarin rikice-rikicen da ke sama, da kuma kisan kai. Sun lura cewa ana buƙatar ƙarin bincike don bincika dalilan ƙaddamar da wannan ƙungiyar.

A cikin Netherlands, an gudanar da wani bincike game da alaƙar da ke tsakanin batun juyawar jima'i don kulawa da tabin hankali [20]. Marubutan sun yi ishara da zaton da ke faruwa a halin yanzu cewa 'yan luwadi da madigo suna da wuya su nemi taimakon likita fiye da maganin heterosexuals saboda sun amince da tsarin kiwon lafiya. Dalilin binciken shine nazarin bambance-bambance a cikin roko na wannan taimako, kazalika da matsayin amincewa da hukumomin kiwon lafiya dangane da yanayin jima'i. An bincika samfurin bazuwar marasa lafiya (mutanen 9684) waɗanda suka shafi manyan likitocin. An gano cewa yanayin lafiyar ya kasance mafi muni a cikin maza da mata masu luwadi idan aka kwatanta da waɗanda suke da maza. Babu bambance-bambance na jima'i dangane da amincewa da tsarin kiwon lafiya. An yiwa maza masu luwaɗan sau da yawa don matsalar rashin tunani da rashin sanin yakamata ta hanyar maza fiye da maza, kuma yan 'maza da mata na maza na maza sun fi bi da su saboda matsalolin hankali fiye da matan maza. An lura da cewa mafi yawan lokutan neman taimakon likita daga 'yan luwadi da bisix yayin da aka kwatanta da masu magana da juna suna iya bambance bambance bambance da yanayin lafiyar su. Don fahimtar sakamakon da aka samu, ya zama dole a sami bayanai kan yiwuwar neman taimakon likita daga masu luwadi da maza da maza.

DM Fergusson et al. [21] ya ba da rahoton binciken shekaru ashirin na haɗin gwiwar yara 1265 da aka Haifa a New Zealand. 2,8% daga cikinsu sun kasance 'yan luwadi ne bisa la'akari da yanayin jima'i ko haɗin gwiwar jima'i. An tattara bayanai akan yawaitar rikice-rikicen kwakwalwa a cikin mutane daga shekarun 14 zuwa shekarun 21. 'Yan luwaɗi sun sami mummunar cutar rashin ƙarfi, taɓarɓar damuwa na damuwa, rikicewar hali, jarabar nicotine, wasu cutarwa da / ko jaraba, rikice-rikice da yawa, ra'ayin kashe kansa, da ƙoƙarin kisan kai. Wasu daga cikin sakamakon sun kasance kamar haka: 78,6% na 'yan luwadi idan aka kwatanta da 38,2% na heterosexuals suna da rikice-rikicen kwakwalwa biyu ko fiye; 71,4% na 'yan luwadi idan aka kwatanta da 38,2% na heterosexuals sun sami babban bacin rai; 67,9% na 'yan luwadi in aka kwatanta da 28% na heterosexuals sun ba da ra'ayin kashe kansu; 32,1% na 'yan luwadi in aka kwatanta da 7,1% na heterosexuals sun ba da rahoton kisan kai. An gano cewa matasa masu alakar soyayya da luwadi suna da matukar yawan kisan kai.

ST Russell, M. Joyner [22] ya ba da rahoto game da bayanai daga nazarin wakilan ƙasa na yawan adadin matasa na Amurka. An bincika yara matasa na matasa na 5685 da 'yan matan matasa na 6254. Abokan soyayya na 'yan luwadi "an ruwaito ta hanyar 1,1% na yara maza (n = 62) da 2,0% na girlsan mata (n = 125)" (Joyner, 2001). An bayyana abin da ke gaba: suicideoƙarin kisan kai yana da lokutan 2,45 mafi girma damar tsakanin samari tare da jagorancin maza masu liwadi fiye da tsakanin yara maza; yunƙurin kisan kai sun kasance lokutan 2,48 mafi kusantar tsakanin 'yan matan da ke da nasaba da luwaɗi fiye da tsakanin girlsan matan da maza.

King et al. [23] yayi nazarin wallafe-wallafen ilimi na 13706 tsakanin Janairu 1966 da Afrilu 2005. oraya ko fiye na mahimman matakan ƙididdiga huɗu da ake buƙata a haɗa su a cikin meta-analysis sun sadu aƙalla 28 daga cikinsu: samfur daga yawan jama'a maimakon ƙungiyar da aka zaɓa, samfuran bazuwar, 60% ko mafi girma mita na sa hannu, ƙimar samfurin daidai yake ko girma fiye da mutanen 100. Analysisididdigar bincike na meta na waɗannan karatun 28 mafi inganci sun ruwaito jimlar halayen 214344 da batutuwan luwaɗi na 11971.

A sakamakon haka, an gano cewa 'yan luwadi suna da matsalar tabin hankali fiye da maza. Don haka, musamman, an gano cewa, idan aka kwatanta da maza na maza, 'yan luwadi a cikin rayuwa (tsawan rayuwa) suna da masu zuwa:

Lokacin 2,58 yana ƙara haɗarin rashin kwanciyar hankali;

Lokacin 4,28 yana ƙara haɗarin haɗarin kisan kai;

Lokacin 2,30 yana ƙaruwa da haɗarin cutar da gangan.

Kwatancen kwatanci na yawan tasirin cuta a cikin watannin 12 na ƙarshe. (Xarfin watannin na 12) ya bayyana cewa mazaje masu luwadi suna da:

Lokaci na 1,88 yana kara haɗarin rikicewar damuwa;

Lokaci na 2,41 yana ƙara haɗarin haɗarin ƙwayoyi.

King et al. [16] ya kuma gano cewa idan aka kwatanta da mata masu yawan maza, yan luwadi a cikin rayuwa (tsawan rayuwa) suna da:

Lokacin 2,05 yana ƙara haɗarin rashin kwanciyar hankali;

Lokacin 1,82 yana ƙara haɗarin haɗarin kisan kai.

Kwatancen kwatanci na yawan tasirin cuta a cikin watannin 12 na ƙarshe. (Xwannin watannin na 12) sun bayyana cewa mata masu luwadi suna da:

Lokaci na 4,00 da haɗarin haɗari na barasa;

Lokaci na 3,50 yana ƙara haɗarin haɗarin ƙwayoyi;

Lokaci na 3,42 yana ƙaruwa da haɗarin kowane cuta da halayyar halayya ta hanyar amfani da abu.

Loweraramin matakan daidaitawa da maza masu luwadi ke da tabbaci ta hanyar nazarin ingancin rayuwa (QOL) a cikin jigon da ke sama na maza na Yaren mutanen Holland [24]. Maza masu kishili, amma ba mata ba, sun banbanta da maza na maza cikin alamomi daban-daban na alamun QOL. Ofayan manyan abubuwanda ke haifar da mummunar cutar QOL a cikin maza maza shine ƙananan ƙimar kansu. An lura cewa rashin alaƙar haɗi tsakanin koyarwar jima'i da ingancin rayuwa a cikin mata sun nuna cewa wannan dangantakar tana sulhunta ta da sauran abubuwan.

J. Nicolosi, L. E. Nicolosi [25] ya ba da rahoton cewa sau da yawa alhakin babban matakan matsalolin tunani tsakanin 'yan luwadi (maza da mata) ana zargi a kan al'umma mai zaluntar su. Kodayake marubutan sun lura cewa akwai wasu adadin gaskiya a cikin wannan bayanin, ba zai yiwu a bayyana halin da ake ciki ba ta hanyar tasirin wannan lamarin shi kaɗai. Studyaya daga cikin binciken ya gano babban matakin matsalolin tunanin mutum tsakanin masu luwadi da madigo a cikin waɗannan ƙasashe inda ake kula da luwaɗanci (Netherlands, Denmark), kuma inda halayyar ta ke ƙin yarda da [26].

Da'awar cewa juyawar warkarwa bazai zama mai tasiri ba kuskure ne. Wannan tabbataccen bayani ne da adadin bayanai. Sakamako (J. Nicolosi et al., 2000) na binciken farko na musamman da aka tsara musamman game da tasiri na juyayin juyi (an bincika mutane 882, matsakaiciya shekaru - 38 shekaru, 96% - mutane don waɗanda addini ko ruhaniya ke da mahimmanci, 78% - maza, matsakaita tsawon kulawa (kusan shekaru 3,5) sun nuna cewa 45% na waɗanda suka dauki kansu a matsayin ɗan luwaɗi na musamman, sun canza yanayin jima'i zuwa maza gaba ɗaya ko kuma sun kasance maza da yawa fiye da kishili [9]

Yana da ban sha'awa mu sani cewa Farfesa na Jami'ar Columbia RL Spitzer, wanda ke da alhakin Tsarin Cutar Hauka ta Amurka (DSM), wanda ya taɓa yanke shawarar ware liwadi cikin jerin matsalolin rashin hankalin, ya ba da sanarwa cewa sakamakon sake karanta karatun likitanci ga masu luwadi. ta hanyoyi da yawa na karfafa gwiwa. Haka kuma, a cikin 2003, mujallar Archives na Jima'i An wallafa sakamakon aikin bincikensa don gwada hasashen da cewa, a cikin wasu mutane, yanayin daidaituwa na ɗan kishili na iya canzawa a sakamakon aikin likita. An tabbatar da wannan hypothesis ta hanyar binciken mutanen 200 na maza da mata (maza na 143, mata na 57) [27].

Masu amsa sun ba da rahoton canje-canje a cikin shugabanci daga ɗan kishili zuwa namiji, wanda ya ci gaba har tsawon 5 ko fiye. Abubuwan da aka tattauna da su sun kasance masu ba da agaji, matsakaicin shekarun maza sun kasance 42, mata - 44. A lokacin hirar, 76% na maza da 47% na mata sun yi aure (kafin farawa ta magani, bi da bi, 21% da 18%), 95% na masu amsa sun kasance fari, 76% sun kammala karatun kwaleji, 84% sun zauna a Amurka, kuma 16% - a Turai. 97% suna da tushen Kirista, kuma 3% sun kasance Yahudawa. Mafi yawan masu amsawa (93%) sun bayyana cewa addini yana da matukar muhimmanci a rayuwarsu. 41% na mutanen da aka bincika sun ce tsawon ɗan lokaci kafin jiyya sun kasance liyafa a fili (“gay a fili”). Fiye da uku bisa uku na waɗanda aka bincika (37% na maza da 35% na mata) sun yarda cewa a wani lokaci sun yi tunani sosai game da kashe kansa saboda sha'awar da ba a so. 78% sunyi magana don goyon baya ga ƙoƙarin canza yanayin ɗan kishili.

An yi amfani da tambayoyin wayar tarho na mintuna 45 wanda ya hada da tambayoyin da aka yi niyya na 114 don kimanta canje-canjen da aka samu sakamakon sakamako. Nazarin RL Spitzer ya mai da hankali kan waɗannan fannoni: sha'awar jima'i, bayyanar jima'i, ƙarancin rashin jin daɗi saboda jin ɗan luwaɗi, yawan ayyukan ɗan kishili, yawan sha'awar aikin ɗan kishili da sha'awar samun hakan, ƙimar lalatattun halayen jima'i tare da rudu na liwadi. , da yawan irin waɗannan al'amuran tare da ruduwar jima'i da yawan faɗaɗa Ni kayan batsa ne na nuna ɗan adam.

Sakamakon wannan binciken, an gano cewa duk da cewa yanayin "cikakke" canjin yanayin an rubuta shi a cikin 11% na maza da 37% na mata, yawancin masu amsa sun ba da rahoton canji daga fifiko ko daidaitaccen tsarin luwaɗan da ya faru kafin jiyya ga magabata na ainihi a sakamakon sakamako (juyawa) farjin. Kodayake an ruwaito cewa waɗannan canje-canjen sun bayyana a duka maza da mata, har yanzu mata sun fi muhimmanci. Bayanan da aka samo sun bayyana cewa bayan magani, da yawa daga cikin waɗanda suka amsa sun lura da cewa akwai ƙaruwar karuwa a cikin namiji da kuma ƙara gamsuwa da ita. Abubuwan da suka yi aure sun nuna gamsuwa mai gamsuwa da juna a cikin auren [27].

Tunaninta game da sakamakon, RL Spitzer ya tambayi kanta ko idan karatun karatun yana da lahani. Kuma shi da kansa, ya ba shi amsa, ya ce babu irin wannan shaida game da mahalarta wannan binciken nasa. Haka kuma, a cikin ra'ayinsa, dangane da binciken, wannan binciken ya gano manyan fa'idodi ga irin wannan jiyya, gami da fannonin da ba su da alaƙa da jima'i. Dangane da wannan, RL Spitzer ya lura cewa Associationungiyar Ilimin hauka ta Amurka yakamata ta dakatar da aiwatar da matsayin biyu dangane da maganin farfadowa, wanda yake ɗaukar cutarwa da rashin inganci, da kuma maganin wariyar launin fata, wanda ke tallafawa da ƙarfafa asalin gay, wanda ya amince da ita sosai. Bugu da kari, a cikin karasawa, RL Spitzer ya jaddada cewa kwararrun likitocin tunani yakamata suyi watsi da shawarar da aka basu na magani, wanda ke da nufin canza yanayin jima'i. Ya kuma lura cewa mutane da yawa marasa lafiya waɗanda ke da bayani game da yiwuwar gazawa yayin ƙoƙarin canza yanayin jima'i, a kan yarda, na iya yin zaɓin haɓaka dangane da aiki a cikin jagorancin haɓaka hazikancinsu da rage halayyar liwadi da maza da ake so [27].

A cikin 2004, abin mamaki shine bayyanar a taron NARTH na tsohon shugaban Psyungiyar Halayyar Ilimin Amurka, Dr. Robert Perloff, shahararren masanin kimiyyar duniya. Abinda yake ta faruwa shine a zamanin da shi da kansa ya kasance memba na kwamiti na wannan kungiyar akan 'yan tsiraru. Da yake magana a wurin taron, R. Perlov ya ba da sanarwar goyon bayansa ga wadanda likitocin da ke mutunta koyarwar abokin ciniki kuma suna ba shi damar juyawa idan ya nuna sha'awar sa. Ya bayyana "tabbacinsa cewa 'yancin zaɓe ya kamata ya jagoranci koyarwar jima'i ... Idan' yan luwadi suna son juyar da jima'i su zama maza, to wannan shi ne hukuncin da suka yanke, kuma babu wata ƙungiyar masu sha'awar shiga ciki, gami da gay jima'i. "

Da yake nuna yardarsa ga matsayin NARTH, R. Perlov ya nanata cewa "NARTH yana mutunta ra'ayin kowane abokin ciniki, 'yancinsa da' yancinsa ... kowane mutum yana da hakkin ya bayyana haƙƙinsa na ɗan luwaɗi ko haɓaka damar maganarsa. 'Yancin da za a kula da su don canza yanayin jima'i ana ɗaukar kansu a bayyane ne kuma ba za a iya zuwa ba. Ya lura cewa ya ba da cikakkiyar gudummawa ga wannan matsayi na NARTH. Dr. Perlov ya kuma ba da rahoton yawan karatun da suka saɓa wa wani sanannen ra'ayi a Amurka cewa canza yanayin jima'i ba zai yiwu ba. Da yake lura da cewa yawan amsoshin da suka dace game da warkaswar juyawa sun karu a cikin 'yan shekarun nan, ya bukaci masu kwantar da hankali su zama sane da aikin NARTH, kuma ya bayyana kokarin masu kishin gungun' yan luwadi don yin shuru ko sukar wadannan hujjojin a matsayin "mara ma'ana, amsawa da nesa-nesa" [28, 29].

Ya kamata a jaddada cewa matsalar yiwuwar yin amfani da maganin juyawa da kuma fa'idarsa yana da siyasa sosai. Wannan ya nuna a cikin bayanan da ya kamata a saka irin wannan nau'in magani tare da yunƙurin canza launin fata ko asalin ofan ƙasa, mutanen '' Caabilar Caucasian 'da yahudawa. Don haka, waɗanda suka yi imani da cewa abu mai yiwuwa ne su canza yanayin jima'i na 'yan luwadi suna ƙoƙarin ɓarna, suna sa su a kan teburi da masu nuna wariyar launin fata, masu adawa da Semites da, gabaɗaya, da kowane nau'in nuna wariyar launin fata. Koyaya, irin waɗannan ƙoƙarin ba za a yi la'akari dasu cikakke ba, tunda ba za a iya tayar da batun daidaito ko amfanin launin fata ko asalin ƙasa da kawar da alamun ƙabilanci da asalin ƙasa ba saboda cikakken wawancinsa. Ta hanyar irin wannan ta'asar ce, masu ba da shawara kan yi canji suna son a basu tsoro ta yuwuwar kasance cikin wani matsanancin rashin damuwa.

A ƙarshen watan Agusta 2006, akwai saƙo game da sanarwa mai ban mamaki ta shugaban Psyungiyar Psywararrun Ilimin Halayyar Amurka, Dr. Herald P. Koocher, wanda ya yi a cikin watan. Dangane da jawabin nasa, ya karyata da matsayin da wannan kungiya ta dade da aikatawa na '' kauda lokacin '' yan luwadi. Mista Cooker ya lura cewa ƙungiyar za ta tallafa wa likitancin mutum ga waɗanda ke fuskantar sha'awar luwadi. Yayin da yake magana da likitan ilimin halin dan Adam Joseph Nicolosi, wanda a lokacin ne shugaban kasa, a taron shekara-shekara na Kungiyar Masana ilimin halin dan Adam na New Orleans, ya ce kungiyar ba ta sabawa da masana halayyar dan adam wadanda ke taimaka wa wadanda ke da damuwa game da jan hankalin maza da mata. Ya kuma jaddada cewa, ba da haƙuri da 'yancin kai / haƙuri da girmamawa ga zaɓaɓɓensa, lambar ka'idodin ƙungiyar, ba shakka, za ta haɗa da kula da hankali ga waɗanda ke son kawar da hankalin ɗan luwadi.

Theungiyar Halayyar Ilimin Zaman Lafiya na Amurka ta daɗe da ƙiyayya ga aikin NARTH, yana danganta yunƙurin canza fasalin jima'i na masu luwadi da wariya. Da yake tsokaci game da wannan sanarwa, Dr. Dean Byrd, masanin ilimin halayyar dan adam a NARTH, wanda a wani lokaci shi ne shugabanta, ya lura cewa a zahiri ra'ayin da Dr. Cooker ya bayyana daidai yake da matsayin NARTH. Ya kuma nuna fatan cewa tattaunawa mai amfani tsakanin qungiyoyin biyu na iya farawa a kan wannan muhimmin al’amari [30].

Dangane da wannan, ya kamata a sani, musamman, a cikin mujallar Associationungiyar Halayyar Hauka ta Amurka "Psychotherapy: Ka'idar, Nazari, Aiki, horo" ("Psychotherapy: Theory, Research, Practice, Training") an buga labarin a cikin 2002, a cikin abin da aka ba da shawarar cewa farfadowa ta hanyar jima'i (juyawa) farjin, la'akari da mahimmancin hangen nesa na mutum, na iya zama ɗabi'a da tasiri [31].

Koyaya, ya kamata a sani cewa, duk da sabon sa hannun da shugaban Psyungiyar Halayyar Ilimin Halayyar Amurka, babu wata yarjejeniya a tsakanin membobinta dangane da batun juyar da 'yan luwadi, manufar hakan ita ce sauya yanayin sha'awar jima'i daga luwaɗan mata. Don haka, a kan 29 a watan Agusta 2006, kamfanin dillancin labarai na Cybercast News Agency ya ba da sanarwar wata sanarwa ta wakilin wannan ƙungiya wanda ya ce babu wata hujja ta kimiyya game da irin wannan ilimin, kuma ba a barata ba [a cewar 30].

Dangane da wannan, bayanin Clinton Anderson, darektan Ofishin Kungiyar Halayyar Hauka ta Amurka ta Lesbian, Gay da Bisexual Concerns, wanda ake buƙatar fahimta da tattaunawa, babban abin sha'awa ne. . A cewarsa, bai yi jayayya cewa "liwadi ya bar wasu mutane ba", kuma ba ya tunanin kowa zai yi tsayayya da ra'ayin samun canji. Bayan wannan, an san cewa heterosexuals na iya zama yara maza da mata. Don haka, da alama yana da ma'ana cewa wasu mazinata da 'yan madigo zasu iya zama maganan dabbobi. Matsalar ba ita ce ko daidaituwa na jima'i na iya canzawa ba, amma ko maganin jiyya na iya canza shi [bisa ga 32].

Joseph Nicolosi yayi tsokaci game da wannan bayani kamar haka: “Wadancan namu da suka yi ta yin fafutuka tsawon lokaci don APA (Psyungiyar Halayyar Ilimin Amurka) za su iya sanin yiwuwar canji sun yaba da sakin Mr. Anderson, musamman saboda shi ne shugaban ƙungiyar APA gay da luwaɗi. Amma ba mu fahimci abin da ya sa ya yi tunanin cewa canji ba zai iya faruwa a ofishin warkewa ba. ” Dr. Nicolosi ya kuma lura cewa, Anderson yana son karɓar bayani game da abin da ake zaton ya kasance a ofishin warkewa tare da hana canjin yanayin jima'i. A cewar J. Nicolosi, hanyoyin da ke gudana yayin aikin jiyya suna haifar da mafi kyawun yanayi don irin wannan canji kuma ya wuce damar da ke akwai a ofis [a cewar 32].

Cire liwadi daga nau'in cutar ta kwayar cutar kwayar cuta ya hade da hana bincikensa kuma ya zama babban abin da zai kawo karshen cutar tasa. Wannan gaskiyar ta kuma hana sadarwa na kwararru kan wannan batun. Baƙar magana a cikin binciken ba saboda wata sabuwar hujja ta kimiyya da ke nuna cewa ɗan kishili dabi'a ce mai kyau da lafiyar jima'i ta ɗan adam. Maimakon haka, ya zama mafi gaye ba a tattauna wannan [16].

J. Nicolosi ya kuma ambaci dalilai na mutumtaka biyu da suka taka rawa wajen wariyar da liwadi daga jerin cututtukan kwakwalwa. Na farkon waɗannan shine cewa ilimin halin ƙwaƙwalwa yana fatan kawar da wariyar launin fata ta hanyar cire halayyar cutar da aka danganta ga mutanen kishili [12, 33]. Mun ci gaba daga gaskiyar cewa ta hanyar ci gaba da bayyanar cututtuka game da luwaɗanci, zamu ƙarfafa wariyar al'umma da kuma azabar ɗan luwadi.

Dalili na biyu, a cewar marubucin da aka ambata, shi ne cewa masu ilimin halin ƙwaƙwalwar ƙwaƙwalwa ba sa iya gano alamun tabin hankali na liwadi, sabili da haka, don haɓaka aikin lafiya. Matsakaicin warkarwa ya ragu, kuma ga wadancan kararrakin da suka bayar da rahoton cewa an yi nasarar juyar da magani ya yi nasara (yawan kwastomomin da suka canza sheka ya karu daga 15% zuwa 30%), akwai wata tambaya ko an adana sakamakon na dogon lokaci. Koyaya, cin nasarar ko lalacewa na rashin lafiya ya kamata ya zama ma'auni na ƙayyadaddun ka'idoji. In ba haka ba, muna magana ne game da dabaru, a cewar wanda, idan ba za a iya gyara wani abu ba, to ba ya karye. Wannan ko wannan rikicewar ba za a iya musun ta ba saboda rashin ingantaccen magani don maganin ta [16].

Amincewar da aka yiwa jinsi na canzawa don luwadi, ya danganta da wariyar jinsi daga nau’in cutar, ya haifar da cewa wariya ya fara a kan wadanda dabi’un zamantakewar su da dabi’un suka ki amincewa da luwadi. “Mun manta da waɗancan xan luwaɗan waɗanda, saboda hangen nesa daban na amincin mutum, suna so su canza tare da taimakon psychotherapy. Abin takaici, an sanya waɗannan mutanen zuwa rukuni na waɗanda ke fama da matsalar tabin hankali (rashin damuwa), kuma ba ga mazanoni masu ƙarfin hali ba, menene su, maza waɗanda ke ba da himma ga hangen nesa na gaske / gaske ... Abune mafi ɓarfafa cewa abokin ciniki da kansa ya yanke ƙauna, a matsayin gwani ga wanda yana neman taimako, ya gaya masa cewa wannan ba matsala ba ce, kuma ya kamata ya karba. Wannan yanayin ya rushe abokin ciniki kuma ya sa gwagwarmayarsa don shawo kan luwaɗan yafi wahala ”[16, p. 12 - 13].

Wasu mutane, bayanin kula J. Nicolosi [16], sun ayyana mutum, yana mai da hankali kan halayensa kawai. Koyaya, abokan cinikin da suke gwajin aikin likita suna jin ra'ayinsu na ɗan luwaɗi kuma halayensu baƙon abu ne ga yanayinsu na gaskiya. Don waɗannan maza, dabi'u, ɗabi'a da al'adun suna ƙididdige asalinsu har fiye da yadda jima'i yake ji. Halin jima'i, marubucin ya nanata, bangare ɗaya ne kawai na asalin mutumin, wanda yake ƙara zurfafa, da girma har ma da canzawa ta hanyar alaƙa da wasu.

A ƙarshe, ya lura cewa ilimin kimiyyar halayyar mutum yakamata ya ɗauki nauyin yanke shawara ko salon rayuwar ɗan luwaɗi yana da ƙoshin lafiya kuma asalinsu al'ada ne, kuma yakamata masana halayyar ɗan adam su ci gaba da binciken abubuwan da ke haifar da luwaɗan kuma inganta halayyar ta. Marubucin bai gaskanta cewa salon rayuwar ɗan luwaɗi zai iya zama lafiya ba, kuma asalin ɗan luwaɗi gaba ɗaya shi ne ƙwararrun kuɗi-XonXX

Ya kamata a lura da cewa ana aiwatar da tasirin juyawa, musamman, ta amfani da hypnosis, horo na autogenous, psychoanalysis, halayyar (halayyar), fahimi, ilmin rukuni da kuma tasirin abubuwan da suka shafi addini. A cikin 'yan shekarun nan, an yi amfani da fasahar desensitization da aiki tare da motsin ido (DPDG) [34] wanda Francis Shapiro [35] yayi amfani da wannan dalilin.

G. S. Kocharyan

Kharkov Medical Medical na Postgraduate Ilimi

Kalmomin maɓalli: daidaitaccen tsarin luwaɗi, halin psychotherapy, hanyoyi biyu.

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