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published in(发表于) 2016/5/14 8:06:23
Feeling shy? Likely is Avoidant personality disorder,

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Feeling shy? -Shy likely is Avoidant personality disorder, personality disorder-IT information

Too shy in social communication, the people don't, is not conducive to developing "connections", also look for objects. Shy behind the fear of criticism and rejection, serious enough to "Avoidant personality disorder" the extent of patient dare not to school, work, but inside very depressed, felt by all isolates. Guangzhou mental experts pointed out that development to personality disorder treatment has been difficult to change, reminded the parents don't teach their children to avoid social interaction, which is not conducive to cultivating perfect personality.

Case: it is hard to get along with your co-workers, "the ugly duckling"

26 years Gladys worked 8 years in a company Secretary, has ready access to boss appreciation promotion, new job requires teamwork and colleagues, she refused on grounds of incompetence. Since then, she said the boss had not her salary, and often publicly scolded her, let her face with colleagues, customers, and other contacts. She thought her colleagues were critical, self-righteous, she couldn't stand it. Therefore, she does not like to join colleagues in the party, usually loves reading and watching movies with her mother. She has no boyfriend, considers himself a nobody like the "ugly duckling", but her dream of one day find love her, love her, her weaknesses "soul mate."

Gladys did not feel normal, "social disability", you go to see a counselor. In the psychology Office, she describes his impression in the eyes of others: "the shy, timid, lonely, invisible, unfriendly, nervous, quiet, silence......" that's how she recognized her own. Finally, she was diagnosed "Avoidant personality disorder". She received counseling, but said it could not participate in group psychotherapy.

Performance: I can't relate to people, complain about isolation

In life, avoid social activities in patients with Avoidant personality disorder, risks and trying new things, fear of embarrassment was mocked, in severe cases, they don't even go to school, go to work. It turns out that they care about their shortcomings, sensitive to other people's negative comments and rejected extreme character inferiority and disdain for their consider themselves inferior, that others not like themselves, despite the fact that is not the way they want to . They are very shy, talking easily blush, stammer, worried about saying the wrong thing, especially afraid of speaking, often feel awkward, tension and fear for a long time. Avoiding is their coping mechanisms, avoiding the mental stimulation they fear--for them, rejection is a painful thing.

Patients with Avoidant personality disorder seriously affect interpersonal communication. Due to the fear of being rejected, they don't want to make friends, unless it is sure they prefer and will not refuse themselves. Even though I could make friends, nor do they believe others, reluctant to share their thoughts and feelings, making it difficult for the friendship deepens. In intimate relationships, they are tying some people find physical contact with others is very uncomfortable and even painful thing. In fact, patients are not want to relate to people, even your heart a desire to associate with people, but is embarrassed, had to escape from reality, live in fantasy, self-pity, complaining of a lonely, isolating the cold shoulder.

Cause: teaching children "don't talk to strangers" is questionable

Forms of Avoidant personality disorder and genetic, social, psychological and other factors. Some studies have found that children's cold shoulder treatment by his parents, was singled out by small, prone to this problem.

Cum South University medical school subsidiary brain section hospital psychological behavior section Deputy physician Zuo Xiaoping said, avoided type personality obstacles may and patients life of family parents strong about, especially parents on children has many requirements, for example education children don't and strangers speech--this on protection children has active meaning, but also equivalent to avoided social contact, led to children on no malicious of people also turn, lack trust, over time with outside lack contact, social circle big for narrowed, gradually formed not cheerful of personality 。 She advised parents not to "poles killed one people", after all, is one of the few bad guys in the community, later children have to face situations in the community, it should teach them to discern between the good guys and bad guys, identifying each other up and alert. All in all, not just to avoid social interaction, but children fought in the society will be more conducive to the perfection of the personality.

Countermeasures: experts advise patients looking for an open-minded partner

Surveys in other countries, some in the crowd of 1%~2% people with Avoidant personality disorder diagnosis. Avoidance behavior is common in the minors, their shyness, shy and awkward, is sensitive to criticism from others, but is usually a normal performance for a long time. Zuo Xiaoping said the doctors diagnosis of personality disorder usually is careful personality of patients with less than 18 years old, not stereotypes, shy and can only be described as "adjustment disorder". Patients with Avoidant personality disorder or other mental disorders can occur, as a wilderness panic disorder, obsessive compulsive disorder, dependent personality disorder, borderline personality disorder, these symptoms are confusion, doctors usually take some time to understand in order to make a definitive diagnosis.

In treatment, Avoidant personality disorder in need of psychological treatment, including social skills training, cognitive therapy, group therapy, increased social contact patients. Psychiatrist must first obtain the patient's trust, because they may avoid treatment. With the in-depth treatment, doctors will correct the wrong idea, let them know that they did not own imagination so unbearable. If patients with other mental disorders such as depression, anxiety, you also need to take psychotropic medication accordingly.

Zuo Xiaoping said that poor interpersonal skills can be improved, you can direct our behavior desensitization, afraid to see the patients to crowded places, and we came together as much as possible, but not necessarily to speak, you can first listen, then slowly began to communicate with people. But she noted that once formed the personality disorder will last a lifetime, Avoidant personality disorder is not an exception, but many patients don't want to change, and no willingness to seek treatment, the treatment is very difficult. She recommended patients try to get a cheerful, social competence is a strong partner, complementary family dynamic.


觉得自己很害羞?可能是回避型人格障碍 - 害羞,人格障碍 - IT资讯

太害羞会让人在社会人际交往中吃不开,不利于开拓“人脉”,也影响找对象。害羞的背后是害怕别人的批评和拒绝,严重到“回避型人格障碍”的程度,患者连上学、上班都不敢去,内心却很苦闷,觉得受到大家的孤立。广州有精神心理专家指出,发展到人格障碍再治疗已经很难改变,提醒为人父母者不要一味教孩子回避社会交往,那不利于塑造完善的人格。

病例:很难和同事相处的“丑小鸭”

26岁的格拉迪斯在一家公司干了8年秘书,曾获得老板的赏识而准备升职,但新的职位需要和同事们进行团队协作,她以无法胜任为由而拒绝。她说此后老板就没她加过薪,还经常当众骂她,让她没脸跟同事、客户等交往。她认为同事们都吹毛求疵、自以为是,让她无法忍受。因此,她不喜欢参加同事的聚会,平时只爱看书或者和母亲一起看电影。她没有男朋友,认为自己是一只没人喜欢的“丑小鸭”,但她梦想有朝一日能找到爱她、呵护她、包容她缺点的“灵魂伴侣”。

格拉迪斯觉得自己不正常,有“社交残疾”,就去看心理咨询师。在心理诊室,她描述了自己在别人眼中的印象:“害羞、胆小、孤独、隐形、安静、沉默、不友好、紧张……”她也认可自己就是这个样子的。最后,她被确诊“回避型人格障碍”。她接受了心理咨询,但表示无法参加团体心理治疗。

表现:不敢与人交往,埋怨受到孤立

在生活中,回避型人格障碍的患者尽量回避社交活动,不敢冒险或者尝试新鲜事情,害怕出洋相被人嘲笑,严重者甚至不敢去上学、上班。原来,他们过于在乎自己的缺点,对别人的负面评价和拒绝极端敏感,性格自卑,鄙视自己,自视低人一等,觉得别人不喜欢自己,尽管实际上不是他们想的那样。他们十分害羞,说话容易脸红、结巴,担心自己说错话,特别害怕当众讲话,经常感到尴尬,长期紧张害怕。回避就是他们的应对机制,回避那些让他们害怕的精神刺激——对于他们来说,被拒绝是很痛苦的事情。

回避型人格障碍严重影响患者的人际交往。由于害怕被人拒绝,他们不愿意交朋友,除非很肯定对方喜欢自己、不会拒绝自己。即使能交上朋友,他们也不相信别人,不愿意分享自己的想法和感受,令友情很难加深。在亲密关系上,他们也会束手束脚,有的人觉得与别人发生身体接触是很难受甚至很痛苦的事情。其实,患者并不是不想与人交往,甚至内心很渴望与人交往,但就是感到不好意思,只好逃避现实,活在幻想之中,反而自怨自艾,抱怨自己很孤独,被人孤立冷落。

起因:教孩子“不要和陌生人讲话”值得商榷

回避型人格障碍的形成与遗传、社会、心理等多种因素有关。一些研究发现,儿童受到父母冷漠对待,被小伙伴排斥,就容易出现这种问题。

暨南大学医学院附属脑科医院心理行为科副主任医师左小萍表示,回避型人格障碍可能与患者生活的家庭父母强势有关,特别是父母对孩子有着诸多要求,例如教育孩子不要和陌生人讲话——这对保护孩子有积极意义,但也相当于回避社会接触,导致孩子对没有恶意的人也不理不睬,缺乏信任,久而久之跟外界缺乏联系,社交圈子大为缩小,逐渐形成不开朗的个性。她建议家长不要“一竹竿打死一船人”,毕竟社会上的坏人还是少数,以后孩子要面对社会上的各种状况,应教他们分辨好人和坏人,识别对方不怀好意的表现并提高警惕。总而言之,不宜一味回避社会交往,而是鼓励孩子在社会上摸爬滚打,会更有利于人格的完善。

对策:专家建议患者找个性格开朗的伴侣

国外有调查显示,人群中有约1%~2%的人符合回避型人格障碍的诊断。回避行为在未成年人身上很常见,他们羞涩、怕生、尴尬,对别人的批评很敏感,但通常是成长期的正常表现。左小萍表示,医生下人格障碍的诊断通常很慎重,不够18岁的患者人格个性未能定型,再害羞也只能说是“适应障碍”。回避型人格障碍的患者还可出现其他精神障碍,如旷野恐惧症、强迫症、依赖型人格障碍、边缘型人格障碍等,这些症状相互混淆,医生通常需要一定的时间深入了解才能作出明确的诊断。

在治疗上,回避型人格障碍需要接受心理治疗,包括社交技能训练、认知治疗、团体治疗等,逐渐增加患者的社会接触。心理医生首先要取得患者的信任,因为他们可能回避治疗。随着治疗的深入,医生会纠正患者的错误想法,让他们明白到自己并没有自己想象中那么不堪。如果患者伴有抑郁、焦虑等其他精神障碍,还需要服用相应的精神药物治疗。

左小萍表示,人际交往能力差是可以改善的,可以针对性地进行行为脱敏,让害怕见人的患者到人多的地方去,尽量和大家在一起,但不一定要说话,可以先听别人说话,再慢慢开始和人交往。但她指出,人格障碍一旦形成将持续终生,回避型人格障碍也不例外,而且很多患者不想改变,没有求治的意愿,故治疗起来很棘手。她建议患者最好能找一个性格开朗、社交能力较强的伴侣,性格互补会让家庭比较有活力。






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