{"id":7767,"date":"2020-11-08T17:51:30","date_gmt":"2020-11-08T15:51:30","guid":{"rendered":"http:\/\/nyje.al\/?p=7767"},"modified":"2024-09-11T15:18:28","modified_gmt":"2024-09-11T13:18:28","slug":"frika-nga-shembja-d-w-winnicott-pjesa-e-dyte","status":"publish","type":"post","link":"https:\/\/nyje.al\/sq\/frika-nga-shembja-d-w-winnicott-pjesa-e-dyte\/","title":{"rendered":"Frika nga shembja- D. W. Winnicott (pjesa e dyt\u00eb)"},"content":{"rendered":"

P\u00ebrkthim | Genc Shehu | 08.11.2020\u00a0<\/strong><\/span>
\n
\nPjesa e dyt\u00eb<\/em>
\nAplikime t\u00eb m\u00ebtejshme t\u00eb k\u00ebsaj teorie<\/strong>
\nFrika nga vdekja<\/strong>
\nP\u00ebr t\u00eb transferuar tez\u00ebn e p\u00ebrgjithshme t\u00eb frik\u00ebs nga shembja n\u00eb nj\u00eb frik\u00eb t\u00eb p\u00ebrve\u00e7me nga vdekja, lipsen vet\u00ebm pak ndryshime. Kjo ndoshta \u00ebsht\u00eb nj\u00eb frik\u00eb m\u00eb e zakont\u00eb dhe q\u00eb p\u00ebrthithet n\u00eb m\u00ebsimet fetare rreth jet\u00ebs s\u00eb p\u00ebrtejme, a thua p\u00ebr t\u00eb mohuar faktin e vdekjes.<\/p>\n

Kur frika nga vdekja \u00ebsht\u00eb simptom\u00eb dometh\u00ebn\u00ebse, premtimi i jet\u00ebs s\u00eb p\u00ebrtejme nuk arrin t\u00eb jap\u00eb \u00e7lirim dhe arsyeja \u00ebsht\u00eb se pacienti ka kompulsion me k\u00ebrkue vdekjen. S\u00ebrish, ajo q\u00eb m\u00ebtohet \u00ebsht\u00eb vdekja q\u00eb ndodhi por nuk u p\u00ebrjetua.<\/p>\n

Kur Keats-i qe \u201cgjysm\u00eb i dashuruar me t\u00eb paqmen vdekje\u201d, ai, sipas ides\u00eb q\u00eb po parashtroj k\u00ebtu, ziente nga \u00ebndja p\u00ebr leht\u00ebsin\u00eb q\u00eb do t\u00eb vinte n\u00ebse do t\u00eb mund t\u00eb \u201cmbante mend\u201d q\u00eb kishte vdekur; por p\u00ebr me mbajt\u00eb mend i duhet ta p\u00ebrjetoj\u00eb tani vdekjen.<\/p>\n

Shumica e ideve t\u00eb mia frym\u00ebzohen nga pacient\u00eb, t\u00eb cil\u00ebve ua njoh borxhin. Nj\u00ebrit prej tyre i detyrohem p\u00ebr fraz\u00ebn \u201cvdekje fenomenale\u201d. Ajo \u00e7ka ndodhi n\u00eb t\u00eb shkuar\u00ebn qe vdekja si dukuri, fenomen, por jo si tipi i faktit q\u00eb vrojtojm\u00eb. Shum\u00eb burra e gra i kalojn\u00eb jet\u00ebt duke pyetur veten a ta gjejn\u00eb zgjidhjen p\u00ebrmes vet\u00ebvrasjes, pra, ta \u00e7osh trupin n\u00eb vdekjen q\u00eb i ka ndodhur sakaq psikes. Sidoqoft\u00eb vet\u00ebvrasja s\u2019\u00ebsht\u00eb p\u00ebrgjigje, por gjest d\u00ebshp\u00ebrimi. Tani e kuptoj p\u00ebr her\u00eb t\u00eb par\u00eb se \u00e7\u2019deshte t\u00eb thoshte pacientja ime skizofrene kur m\u00eb tha: \u201cGjith\u00e7ka q\u00eb po t\u00eb k\u00ebrkoj \u00ebsht\u00eb ve\u00e7se t\u00eb m\u00eb ndihmosh t\u00eb kryej vet\u00ebvrasje p\u00ebr arsyen e duhur n\u00eb vend se p\u00ebr t\u00eb gabuar\u00ebn.\u201d Un\u00eb nuk ia dola dhe ajo e vrau veten n\u00eb d\u00ebshp\u00ebrimin e gjetjes s\u00eb zgjidhjes. Synimi i saj (si\u00e7 e shoh tani) qe q\u00eb t\u00eb pohohej prej meje q\u00eb ajo kishte vdekur n\u00eb foshnj\u00ebrin\u00eb e hershme. Mbi k\u00ebt\u00eb baz\u00eb mendoj se ajo dhe un\u00eb do t\u00eb mund ta aft\u00ebsonim at\u00eb q\u00eb ta linte p\u00ebr m\u00eb von\u00eb vdekjen e trupit derisa pleq\u00ebria t\u00eb b\u00ebnte pun\u00ebn e vet.<\/p>\n

Vdekja, e par\u00eb n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb si di\u00e7ka q\u00eb i ndodhi pacientit por t\u00eb cil\u00ebn pacienti nuk qe mjaftuesh\u00ebm i pjekur p\u00ebr ta p\u00ebrjetuar, ka kuptimin e asgj\u00ebsimit. Pra ndodh asisoj q\u00eb nj\u00eb pattern<\/em> krijohet ku vazhdim\u00ebsia e t\u00eb qenurit nd\u00ebrpritet prej reagimeve foshnjore t\u00eb pacientit ndaj cenimeve. K\u00ebto cenime jan\u00eb faktor\u00eb mjedisor\u00eb q\u00eb u lejuan t\u00eb cenojn\u00eb p\u00ebr shkak t\u00eb d\u00ebshtimeve n\u00eb mjedisin leht\u00ebsues. (N\u00eb rastin e k\u00ebtij pacienti, telashet nis\u00ebn shum\u00eb her\u00ebt ngase ekzistonte nj\u00eb vet\u00ebdije e parakohshme q\u00eb u zgjua p\u00ebrpara lindjes p\u00ebr shkak t\u00eb nj\u00eb paniku nga ana e n\u00ebn\u00ebs dhe, p\u00ebrve\u00e7 k\u00ebsaj, lindja u nd\u00ebrlikua me placenta previa<\/em> [\u00e7rregullim kur planceta zhvillohet n\u00eb nj\u00eb pozicion ku pengon daljen e bebes \u2013 sh. i p\u00ebrkth.] t\u00eb padiagnostikuar.)<\/p>\n

Zbraz\u00ebti<\/strong>
\nS\u00ebrish, pacient\u00ebt e mi m\u00eb tregojn\u00eb se koncepti i zbraz\u00ebtis\u00eb mund t\u00eb k\u00ebqyret me po k\u00ebto syze.
\nN\u00eb disa pacient\u00eb zbraz\u00ebtia ka nevoj\u00eb t\u00eb p\u00ebrjetohet dhe kjo zbraz\u00ebti i p\u00ebrket t\u00eb shkuar\u00ebs, koh\u00ebs p\u00ebrpara se shkalla e pjekuris\u00eb t\u00eb mund\u00ebsonte p\u00ebrjetimin e zbraz\u00ebtis\u00eb.
\nP\u00ebr ta kuptuar k\u00ebt\u00eb \u00ebsht\u00eb e nevojshme t\u00eb mendojm\u00eb \u2013 jo q\u00eb ndodhi trauma por \u2013 q\u00eb asgj\u00eb nuk ndodhi kur di\u00e7ka e vyer do t\u00eb mund t\u00eb kishte ndodhur.
\nP\u00ebr pacientin \u00ebsht\u00eb m\u00eb e leht\u00eb t\u00eb kujtoj\u00eb traum\u00ebn sesa t\u00eb kujtoj\u00eb q\u00eb s\u2019ka ndodhur gj\u00eb kur do mund t\u00eb kishte ndodhur. N\u00eb at\u00ebkoh\u00eb, pacienti nuk e dinte se \u00e7far\u00eb do mund t\u00eb kishte ndodhur dhe k\u00ebsisoj nuk mund t\u00eb p\u00ebrjetonte asgj\u00eb p\u00ebrve\u00e7se t\u00eb v\u00ebrente se di\u00e7ka do mund t\u00eb kishte ndodhur.<\/p>\n

Shembull<\/strong>
\nNj\u00eb fraz\u00eb n\u00eb trajtimin e nj\u00eb pacienti e ilustron k\u00ebt\u00eb. Kjo grua e re rrinte shtrir\u00eb padobish\u00ebm n\u00eb divan dhe gjith\u00e7ka q\u00eb mund t\u00eb b\u00ebnte ishte t\u00eb thoshte: \u201cNuk po ndodh asgj\u00eb n\u00eb k\u00ebt\u00eb analiz\u00eb!\u201d
\nN\u00eb stadin q\u00eb po p\u00ebrshkruaj, pacientja kishte dh\u00ebn\u00eb material t\u00eb nj\u00eb lloji t\u00eb t\u00ebrthort\u00eb k\u00ebshtuq\u00eb un\u00eb mund t\u00eb dija q\u00eb ajo me gjas\u00eb po ndjente di\u00e7ka. Isha i aft\u00eb t\u00eb thoja se ajo kishte qen\u00eb duke ndjer\u00eb ndjenja dhe se ajo po i p\u00ebrjetonte k\u00ebto tek veniteshin gradualisht sipas stilit t\u00eb saj, nj\u00eb stil q\u00eb e d\u00ebshp\u00ebronte at\u00eb. Ndjenjat ishin seksuale dhe fem\u00ebrore. Ato nuk shp\u00ebrfaqeshin klinikisht.
\nK\u00ebtu n\u00eb transferenc\u00eb po isha vet\u00eb tani (pothuajse) shkaku i p\u00ebrtharjes s\u00eb seksualitetit t\u00eb saj fem\u00ebror; kur kjo u pohua si\u00e7 duhet, ne pat\u00ebm nj\u00eb shembull n\u00eb t\u00eb tashmen se \u00e7far\u00eb kishte ndodhur tep\u00ebr shpesh. N\u00eb rastin e saj (p\u00ebr ta thjeshtuar p\u00ebr hir t\u00eb p\u00ebrshkrimit), babai ishte n\u00eb fillim vet\u00ebm rrall\u00ebher\u00eb i pranish\u00ebm dhe pastaj, kur ai erdhi n\u00eb sht\u00ebpin\u00eb e saj kur ajo ishte vajz\u00eb e vog\u00ebl, ai nuk donte veten fem\u00ebrore t\u00eb vajz\u00ebs dhe nuk kishte asgj\u00eb p\u00ebr t\u00eb dh\u00ebn\u00eb n\u00eb aspektin e nxitjes fem\u00ebrore.<\/p>\n

Tani, zbraz\u00ebtia \u00ebsht\u00eb parakusht p\u00ebr zellin p\u00ebr t\u00eb mbledhur brenda. Zbraz\u00ebtia primare do t\u00eb thot\u00eb thjesht: p\u00ebrpara se t\u00eb fillosh t\u00eb mbushesh. Nevojitet nj\u00eb pjekuri e konsiderueshme q\u00eb kjo gjendje t\u00eb jet\u00eb kuptimplot\u00eb.<\/p>\n

Zbraz\u00ebtia q\u00eb ndodh n\u00eb trajtim \u00ebsht\u00eb gjendje q\u00eb pacienti po p\u00ebrpiqet t\u00eb p\u00ebrjetoj\u00eb, nj\u00eb gjendje e shkuar e cila nuk mund t\u00eb mbahet mend p\u00ebrve\u00e7se duke u p\u00ebrjetuar p\u00ebr her\u00eb t\u00eb par\u00eb tani.
\nN\u00eb praktik\u00eb, v\u00ebshtir\u00ebsia \u00ebsht\u00eb se pacienti i frik\u00ebsohet tmerrit t\u00eb zbraz\u00ebtis\u00eb dhe, n\u00eb mbrojtje, organizon nj\u00eb zbraz\u00ebti t\u00eb kontrolluar duke mos ngr\u00ebn\u00eb apo mos m\u00ebsuar, ose p\u00ebrndryshe e mbush\u00eb dhe e ngjesh\u00eb me nj\u00eb lakmi q\u00eb \u00ebsht\u00eb kompulsive dhe ndihet si e marrosur. Kur pacienti t\u00eb mund t\u00eb mb\u00ebrrij\u00eb te vet\u00eb zbraz\u00ebtia dhe ta duroj\u00eb k\u00ebt\u00eb gjendje p\u00ebr shkak t\u00eb var\u00ebsis\u00eb n\u00eb egon ndihmuese t\u00eb analistit, at\u00ebher\u00eb, p\u00ebrthithja ose marrja brenda mund t\u00eb nd\u00ebrniset si funksion k\u00ebnaq\u00ebsi-prur\u00ebs; k\u00ebtu mund t\u00eb filloj\u00eb ngr\u00ebnja pa qen\u00eb funksion i disociuar (ose i shk\u00ebputur, i \u00e7ar\u00eb) si pjes\u00eb e personalitetit; po ashtu pik\u00ebrisht n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb q\u00eb, disa prej pacient\u00ebve tan\u00eb q\u00eb nuk mund t\u00eb m\u00ebsojn\u00eb, mund t\u00eb fillojn\u00eb t\u00eb m\u00ebsojn\u00eb me k\u00ebnaq\u00ebsi.<\/p>\n

Mos-ekzistenc\u00eb<\/strong>
\nM\u00ebtimi p\u00ebr mosekzistenc\u00eb personale mund t\u00eb shqyrtohet n\u00eb t\u00eb nj\u00ebjt\u00ebn m\u00ebnyr\u00eb. Do t\u00eb zbulohet se mosekzistenca \u00ebsht\u00eb pjes\u00eb e nj\u00eb mbrojtjeje. Ekzistenca personale p\u00ebrfaq\u00ebsohet nga element\u00ebt e projektimit dhe personi b\u00ebn nj\u00eb p\u00ebrpjekje p\u00ebr t\u00eb projektuar gjith\u00e7ka q\u00eb do kishte gjas\u00eb me qen\u00eb personale. Kjo mund t\u00eb jet\u00eb mbrojtje relativisht e sofistikuar dhe synimi \u00ebsht\u00eb shmangia e p\u00ebrgjegj\u00ebsis\u00eb (n\u00eb pozicionin depresiv) ose shmangia e persekutimit (n\u00eb at\u00eb q\u00eb do ta quaja stadi i vet\u00ebpohimit, pra, stadi i un\u00eb jam<\/em> me implikimin e brendaqen\u00ebsish\u00ebm un\u00eb hedh posht\u00eb gjith\u00e7ka q\u00eb nuk \u00ebsht\u00eb un\u00eb<\/em>). K\u00ebtu vlen t\u00eb p\u00ebrdoret si ilustrim k\u00ebngloja e f\u00ebmijve \u201cUn\u00eb jam mbret i kalas\u00eb \u2013 Ti zuzar i posht\u00ebr\u201d.<\/p>\n

Te fet\u00eb kjo ide mund t\u00eb shfaqet n\u00eb konceptin e t\u00eb qenurit nj\u00eb [i bashkuar] me Zotin ose me Universin. \u00cbsht\u00eb e mundshme t\u00eb shihet se si mohohet kjo mbrojtje n\u00eb shkrimet dhe m\u00ebsimet ekzistencialiste, n\u00eb t\u00eb cilat t\u00eb ekzistuarit b\u00ebhet kult, n\u00eb nj\u00eb rrekje p\u00ebr t\u2019ju kund\u00ebrv\u00ebn\u00eb prirjes personale drejt mosekzistenc\u00ebs q\u00eb \u00ebsht\u00eb pjes\u00eb e nj\u00eb mbrojtjeje t\u00eb organizuar.
\nN\u00eb gjith\u00eb k\u00ebto mund t\u00eb ket\u00eb ndonj\u00eb element pozitiv, pra, nj\u00eb element q\u00eb nuk \u00ebsht\u00eb mbrojtje. Do mund t\u00eb thuhej se vet\u00ebm prej mos-ekzistenc\u00ebs mund t\u00eb nis\u00eb ekzistenca<\/em>. \u00cbsht\u00eb\u00a0 befasuese sa her\u00ebt (madje edhe p\u00ebrpara lindjes, me siguri gjat\u00eb procesit t\u00eb lindjes) mund t\u00eb mobilizohet vet\u00ebdija e nj\u00eb egoje t\u00eb parakohshme. Mir\u00ebpo, individi nuk mund t\u00eb zhvillohet prej nj\u00eb rr\u00ebnje t\u00eb egos n\u00ebse kjo \u00ebsht\u00eb e divorcuar, e shk\u00ebputur prej p\u00ebrvoj\u00ebs psikosomatike dhe prej narcizizmit primar. Pik\u00ebrisht k\u00ebtu z\u00eb fill intelektualizimi i funksioneve t\u00eb egos. K\u00ebtu mund t\u00eb v\u00ebrehet se e gjith\u00eb kjo \u00ebsht\u00eb mjaft e distancuar n\u00eb koh\u00eb p\u00ebrpara themelimit t\u00eb \u00e7kadoje q\u00eb do mund t\u00eb quhej me dobi vetja<\/em>.<\/p>\n

P\u00ebrmbledhje<\/strong>
\nKam tentuar t\u00eb tregoj se frika nga shembja mund t\u00eb jet\u00eb frik\u00eb e nj\u00eb ngjarjeje t\u00eb shkuar q\u00eb nuk \u00ebsht\u00eb p\u00ebrjetuar ende. Nevoja p\u00ebr ta p\u00ebrjetuar at\u00eb \u00ebsht\u00eb e barazvlefshme me nevoj\u00ebn p\u00ebr t\u00eb mbajtur mend n\u00eb termat e analiz\u00ebs s\u00eb psikoneurotik\u00ebve.<\/p>\n

Kjo ide mund t\u00eb zbatohet ndaj frik\u00ebrave t\u00eb tjera aleate dhe kam p\u00ebrmendur frik\u00ebn nga vdekja dhe m\u00ebtimin p\u00ebr zbraz\u00ebti.<\/p>\n","protected":false},"excerpt":{"rendered":"

P\u00ebrkthim | Genc Shehu | 08.11.2020\u00a0 Pjesa e dyt\u00eb Aplikime t\u00eb m\u00ebtejshme t\u00eb k\u00ebsaj teorie Frika nga vdekja P\u00ebr t\u00eb transferuar tez\u00ebn e p\u00ebrgjithshme t\u00eb frik\u00ebs nga shembja n\u00eb nj\u00eb frik\u00eb t\u00eb p\u00ebrve\u00e7me nga vdekja, lipsen vet\u00ebm pak ndryshime. Kjo ndoshta \u00ebsht\u00eb nj\u00eb frik\u00eb m\u00eb e zakont\u00eb dhe q\u00eb p\u00ebrthithet n\u00eb m\u00ebsimet fetare rreth jet\u00ebs s\u00eb p\u00ebrtejme, a thua p\u00ebr t\u00eb mohuar faktin e vdekjes. Kur frika nga vdekja \u00ebsht\u00eb simptom\u00eb dometh\u00ebn\u00ebse, premtimi i jet\u00ebs s\u00eb p\u00ebrtejme nuk arrin t\u00eb jap\u00eb \u00e7lirim dhe arsyeja \u00ebsht\u00eb se pacienti ka kompulsion me k\u00ebrkue vdekjen. S\u00ebrish, ajo q\u00eb m\u00ebtohet \u00ebsht\u00eb vdekja q\u00eb ndodhi por nuk u p\u00ebrjetua. Kur Keats-i qe \u201cgjysm\u00eb i dashuruar me t\u00eb paqmen vdekje\u201d, ai, sipas ides\u00eb q\u00eb po parashtroj k\u00ebtu, ziente nga \u00ebndja p\u00ebr leht\u00ebsin\u00eb q\u00eb do t\u00eb vinte n\u00ebse do t\u00eb mund t\u00eb \u201cmbante mend\u201d q\u00eb kishte vdekur; por p\u00ebr me mbajt\u00eb mend i duhet ta p\u00ebrjetoj\u00eb tani vdekjen. Shumica e ideve t\u00eb mia frym\u00ebzohen nga pacient\u00eb, t\u00eb cil\u00ebve ua njoh borxhin. Nj\u00ebrit prej tyre i detyrohem p\u00ebr fraz\u00ebn \u201cvdekje fenomenale\u201d. Ajo \u00e7ka ndodhi n\u00eb t\u00eb shkuar\u00ebn qe vdekja si dukuri, fenomen, por jo si tipi i faktit q\u00eb vrojtojm\u00eb. Shum\u00eb burra e gra i kalojn\u00eb jet\u00ebt duke pyetur veten a ta gjejn\u00eb zgjidhjen p\u00ebrmes vet\u00ebvrasjes, pra, ta \u00e7osh trupin n\u00eb vdekjen q\u00eb i ka ndodhur sakaq psikes. Sidoqoft\u00eb vet\u00ebvrasja s\u2019\u00ebsht\u00eb p\u00ebrgjigje, por gjest d\u00ebshp\u00ebrimi. Tani e kuptoj p\u00ebr her\u00eb t\u00eb par\u00eb se \u00e7\u2019deshte t\u00eb thoshte pacientja ime skizofrene kur m\u00eb tha: \u201cGjith\u00e7ka q\u00eb po t\u00eb k\u00ebrkoj \u00ebsht\u00eb ve\u00e7se t\u00eb m\u00eb ndihmosh t\u00eb kryej vet\u00ebvrasje p\u00ebr arsyen e duhur n\u00eb vend se p\u00ebr t\u00eb gabuar\u00ebn.\u201d Un\u00eb nuk ia dola dhe ajo e vrau veten n\u00eb d\u00ebshp\u00ebrimin e gjetjes s\u00eb zgjidhjes. Synimi i saj (si\u00e7 e shoh tani) qe q\u00eb t\u00eb pohohej prej meje q\u00eb ajo kishte vdekur n\u00eb foshnj\u00ebrin\u00eb e hershme. Mbi k\u00ebt\u00eb baz\u00eb mendoj se ajo dhe un\u00eb do t\u00eb mund ta aft\u00ebsonim at\u00eb q\u00eb ta linte p\u00ebr m\u00eb von\u00eb vdekjen e trupit derisa pleq\u00ebria t\u00eb b\u00ebnte pun\u00ebn e vet. Vdekja, e par\u00eb n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb si di\u00e7ka q\u00eb i ndodhi pacientit por t\u00eb cil\u00ebn pacienti nuk qe mjaftuesh\u00ebm i pjekur p\u00ebr ta p\u00ebrjetuar, ka kuptimin e asgj\u00ebsimit. Pra ndodh asisoj q\u00eb nj\u00eb pattern krijohet ku vazhdim\u00ebsia e t\u00eb qenurit nd\u00ebrpritet prej reagimeve foshnjore t\u00eb pacientit ndaj cenimeve. K\u00ebto cenime jan\u00eb faktor\u00eb mjedisor\u00eb q\u00eb u lejuan t\u00eb cenojn\u00eb p\u00ebr shkak t\u00eb d\u00ebshtimeve n\u00eb mjedisin leht\u00ebsues. (N\u00eb rastin e k\u00ebtij pacienti, telashet nis\u00ebn shum\u00eb her\u00ebt ngase ekzistonte nj\u00eb vet\u00ebdije e parakohshme q\u00eb u zgjua p\u00ebrpara lindjes p\u00ebr shkak t\u00eb nj\u00eb paniku nga ana e n\u00ebn\u00ebs dhe, p\u00ebrve\u00e7 k\u00ebsaj, lindja u nd\u00ebrlikua me placenta previa [\u00e7rregullim kur planceta zhvillohet n\u00eb nj\u00eb pozicion ku pengon daljen e bebes \u2013 sh. i p\u00ebrkth.] t\u00eb padiagnostikuar.) Zbraz\u00ebti S\u00ebrish, pacient\u00ebt e mi m\u00eb tregojn\u00eb se koncepti i zbraz\u00ebtis\u00eb mund t\u00eb k\u00ebqyret me po k\u00ebto syze. N\u00eb disa pacient\u00eb zbraz\u00ebtia ka nevoj\u00eb t\u00eb p\u00ebrjetohet dhe kjo zbraz\u00ebti i p\u00ebrket t\u00eb shkuar\u00ebs, koh\u00ebs p\u00ebrpara se shkalla e pjekuris\u00eb t\u00eb mund\u00ebsonte p\u00ebrjetimin e zbraz\u00ebtis\u00eb. P\u00ebr ta kuptuar k\u00ebt\u00eb \u00ebsht\u00eb e nevojshme t\u00eb mendojm\u00eb \u2013 jo q\u00eb ndodhi trauma por \u2013 q\u00eb asgj\u00eb nuk ndodhi kur di\u00e7ka e vyer do t\u00eb mund t\u00eb kishte ndodhur. P\u00ebr pacientin \u00ebsht\u00eb m\u00eb e leht\u00eb t\u00eb kujtoj\u00eb traum\u00ebn sesa t\u00eb kujtoj\u00eb q\u00eb s\u2019ka ndodhur gj\u00eb kur do mund t\u00eb kishte ndodhur. N\u00eb at\u00ebkoh\u00eb, pacienti nuk e dinte se \u00e7far\u00eb do mund t\u00eb kishte ndodhur dhe k\u00ebsisoj nuk mund t\u00eb p\u00ebrjetonte asgj\u00eb p\u00ebrve\u00e7se t\u00eb v\u00ebrente se di\u00e7ka do mund t\u00eb kishte ndodhur. Shembull Nj\u00eb fraz\u00eb n\u00eb trajtimin e nj\u00eb pacienti e ilustron k\u00ebt\u00eb. Kjo grua e re rrinte shtrir\u00eb padobish\u00ebm n\u00eb divan dhe gjith\u00e7ka q\u00eb mund t\u00eb b\u00ebnte ishte t\u00eb thoshte: \u201cNuk po ndodh asgj\u00eb n\u00eb k\u00ebt\u00eb analiz\u00eb!\u201d N\u00eb stadin q\u00eb po p\u00ebrshkruaj, pacientja kishte dh\u00ebn\u00eb material t\u00eb nj\u00eb lloji t\u00eb t\u00ebrthort\u00eb k\u00ebshtuq\u00eb un\u00eb mund t\u00eb dija q\u00eb ajo me gjas\u00eb po ndjente di\u00e7ka. Isha i aft\u00eb t\u00eb thoja se ajo kishte qen\u00eb duke ndjer\u00eb ndjenja dhe se ajo po i p\u00ebrjetonte k\u00ebto tek veniteshin gradualisht sipas stilit t\u00eb saj, nj\u00eb stil q\u00eb e d\u00ebshp\u00ebronte at\u00eb. Ndjenjat ishin seksuale dhe fem\u00ebrore. Ato nuk shp\u00ebrfaqeshin klinikisht. K\u00ebtu n\u00eb transferenc\u00eb po isha vet\u00eb tani (pothuajse) shkaku i p\u00ebrtharjes s\u00eb seksualitetit t\u00eb saj fem\u00ebror; kur kjo u pohua si\u00e7 duhet, ne pat\u00ebm nj\u00eb shembull n\u00eb t\u00eb tashmen se \u00e7far\u00eb kishte ndodhur tep\u00ebr shpesh. N\u00eb rastin e saj (p\u00ebr ta thjeshtuar p\u00ebr hir t\u00eb p\u00ebrshkrimit), babai ishte n\u00eb fillim vet\u00ebm rrall\u00ebher\u00eb i pranish\u00ebm dhe pastaj, kur ai erdhi n\u00eb sht\u00ebpin\u00eb e saj kur ajo ishte vajz\u00eb e vog\u00ebl, ai nuk donte veten fem\u00ebrore t\u00eb vajz\u00ebs dhe nuk kishte asgj\u00eb p\u00ebr t\u00eb dh\u00ebn\u00eb n\u00eb aspektin e nxitjes fem\u00ebrore. Tani, zbraz\u00ebtia \u00ebsht\u00eb parakusht p\u00ebr zellin p\u00ebr t\u00eb mbledhur brenda. Zbraz\u00ebtia primare do t\u00eb thot\u00eb thjesht: p\u00ebrpara se t\u00eb fillosh t\u00eb mbushesh. Nevojitet nj\u00eb pjekuri e konsiderueshme q\u00eb kjo gjendje t\u00eb jet\u00eb kuptimplot\u00eb. Zbraz\u00ebtia q\u00eb ndodh n\u00eb trajtim \u00ebsht\u00eb gjendje q\u00eb pacienti po p\u00ebrpiqet t\u00eb p\u00ebrjetoj\u00eb, nj\u00eb gjendje e shkuar e cila nuk mund t\u00eb mbahet mend p\u00ebrve\u00e7se duke u p\u00ebrjetuar p\u00ebr her\u00eb t\u00eb par\u00eb tani. N\u00eb praktik\u00eb, v\u00ebshtir\u00ebsia \u00ebsht\u00eb se pacienti i frik\u00ebsohet tmerrit t\u00eb zbraz\u00ebtis\u00eb dhe, n\u00eb mbrojtje, organizon nj\u00eb zbraz\u00ebti t\u00eb kontrolluar duke mos ngr\u00ebn\u00eb apo mos m\u00ebsuar, ose p\u00ebrndryshe e mbush\u00eb dhe e ngjesh\u00eb me nj\u00eb lakmi q\u00eb \u00ebsht\u00eb kompulsive dhe ndihet si e marrosur. Kur pacienti t\u00eb mund t\u00eb mb\u00ebrrij\u00eb te vet\u00eb zbraz\u00ebtia dhe ta duroj\u00eb k\u00ebt\u00eb gjendje p\u00ebr shkak t\u00eb var\u00ebsis\u00eb n\u00eb egon ndihmuese t\u00eb analistit, at\u00ebher\u00eb, p\u00ebrthithja ose marrja brenda mund t\u00eb nd\u00ebrniset si funksion k\u00ebnaq\u00ebsi-prur\u00ebs; k\u00ebtu mund t\u00eb filloj\u00eb ngr\u00ebnja pa qen\u00eb funksion i disociuar (ose i shk\u00ebputur, i \u00e7ar\u00eb) si pjes\u00eb e personalitetit; po ashtu pik\u00ebrisht n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb q\u00eb, disa prej pacient\u00ebve tan\u00eb q\u00eb nuk mund t\u00eb m\u00ebsojn\u00eb, mund t\u00eb fillojn\u00eb t\u00eb m\u00ebsojn\u00eb me k\u00ebnaq\u00ebsi. Mos-ekzistenc\u00eb M\u00ebtimi p\u00ebr mosekzistenc\u00eb personale mund t\u00eb shqyrtohet n\u00eb t\u00eb nj\u00ebjt\u00ebn m\u00ebnyr\u00eb. Do t\u00eb zbulohet se mosekzistenca \u00ebsht\u00eb pjes\u00eb e nj\u00eb mbrojtjeje. Ekzistenca personale p\u00ebrfaq\u00ebsohet nga element\u00ebt e projektimit dhe personi b\u00ebn nj\u00eb p\u00ebrpjekje p\u00ebr t\u00eb projektuar gjith\u00e7ka q\u00eb do kishte gjas\u00eb 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