{"id":6603,"date":"2025-02-03T11:28:43","date_gmt":"2025-02-03T11:28:43","guid":{"rendered":"https:\/\/maxkarlin.com\/?p=6603"},"modified":"2025-02-01T16:47:14","modified_gmt":"2025-02-01T16:47:14","slug":"ka-medicina-patologize-emocijas-un-kadas-tam-ir-sekas-pacientiem","status":"publish","type":"post","link":"https:\/\/maxkarlin.com\/lv\/ka-medicina-patologize-emocijas-un-kadas-tam-ir-sekas-pacientiem\/","title":{"rendered":"K\u0101 medic\u012bna patologiz\u0113 emocijas un k\u0101das tam ir sekas pacientiem"},"content":{"rendered":"<p>Svar\u012bgs preciz\u0113jums: Pirmk\u0101rt, j\u0101atz\u012bm\u0113, ka ne visi medic\u012bnas speci\u0101listi pieiet cilv\u0113ka emocij\u0101m vienk\u0101r\u0161ot\u0101 veid\u0101. Ir \u0101rsti, kuri izprot psihofiziolo\u0123isko procesu sare\u017e\u0123\u012bt\u012bbu, cen\u0161as \u0146emt v\u0113r\u0101 pacienta dz\u012bves pieredzi un apst\u0101k\u013cus, k\u0101 ar\u012b neierobe\u017eo \u0101rst\u0113\u0161anu tikai ar medikamentu izrakst\u012b\u0161anu. Ta\u010du, diem\u017e\u0113l, \u0161\u0101da iedzi\u013cin\u0101ta pieeja nav visp\u0101rpie\u0146emta. \u0160aj\u0101 rakst\u0101 uzman\u012bba piev\u0113rsta tiem speci\u0101listiem, kuri patolo\u0123iz\u0113 emocijas, t\u0101d\u0113j\u0101di radot riskus pacientiem.<\/p>\n<p><!--more--><\/p>\n<h2>\u0160aurs medic\u012bniskais skat\u012bjums uz emocij\u0101m<\/h2>\n<p>Gadsimtiem ilgi medic\u012bna ir centusies p\u0101rvar\u0113t nezin\u0101mo un neredzamo, s\u0101kot no viduslaiku epid\u0113mij\u0101m l\u012bdz 19. gadsimta mikroorganismiem, kurus nebija iesp\u0113jams saskat\u012bt ar neapbru\u0146otu aci.<\/p>\n<p>M\u016bsdien\u0101s jauno &#8220;neredzamo ienaidnieku&#8221;, kas raisa da\u017eu \u0101rstu ba\u017eas, var uzskat\u012bt par emocij\u0101m.<\/p>\n<p>21. gadsimt\u0101 medic\u012bnai rodas jauns izaicin\u0101jums: k\u0101 \u0146emt v\u0113r\u0101 cilv\u0113ka subjekt\u012bvo pieredzi, ja t\u0101 neietilpst kl\u012bniskaj\u0101s skal\u0101s un laboratorisko testu r\u0101d\u012bt\u0101jos?<\/p>\n<p>Cen\u0161oties klasific\u0113t trauksmi un stresu k\u0101 slim\u012bbas, medic\u012bna bie\u017ei p\u0101r\u0101k vienk\u0101r\u0161o sare\u017e\u0123\u012bto cilv\u0113ka eksistences ainavu.<\/p>\n<h2>K\u0101p\u0113c tas notiek?<\/h2>\n<p>Medic\u012bna vienm\u0113r ir orient\u0113jusies uz precizit\u0101ti: ja past\u0101v simptoms, \u0101rsts cen\u0161as atrast t\u0101 fiziolo\u0123isko c\u0113loni. Ta\u010du, ja redzams c\u0113lonis nav atrodams, simptomi bie\u017ei tiek saist\u012bti ar psihi un reduc\u0113ti l\u012bdz &#8220;nerviem&#8221; vai &#8220;vienk\u0101r\u0161ai trauksmei&#8221;.<\/p>\n<p>\u0160\u0101da pieeja \u0161\u0137iet pievilc\u012bga sav\u0101 vienk\u0101r\u0161\u012bb\u0101 \u2013 ja laboratorijas anal\u012bzes ir normas robe\u017e\u0101s, probl\u0113ma ir &#8220;galv\u0101&#8221;. Bet vai tas nav p\u0101r\u0101k vienk\u0101r\u0161ots skat\u012bjums uz sare\u017e\u0123\u012bto cilv\u0113ka pieredzi?<\/p>\n<h2>K\u0101 tas izpau\u017eas praks\u0113?<\/h2>\n<p>Pacients s\u016bdzas par galvass\u0101p\u0113m, asinsspiediena sv\u0101rst\u012bb\u0101m, musku\u013cu spazm\u0101m vai gremo\u0161anas trauc\u0113jumiem, bet izmekl\u0113jumi neuzr\u0101da nek\u0101das novirzes.<\/p>\n<p>\u0100rsta reakcija bie\u017ei ir:<\/p>\n<p>&#8220;Tas ir neirotisks simptoms.&#8221;<br \/>\n&#8220;J\u016bs p\u0101r\u0101k daudz uztraucaties.&#8221;<br \/>\n&#8220;Izrakst\u012bsim nomierino\u0161os l\u012bdzek\u013cus.&#8221;<\/p>\n<p>Bet vai \u0161\u0101da pieeja patiesi atspogu\u013co notieko\u0161\u0101 dzi\u013cumu?<\/p>\n<h2>Emocijas un \u0137ermenis: ne\u0161\u0137irama saikne<\/h2>\n<p>M\u016bsdienu p\u0113t\u012bjumi, tostarp Bessela van der Kolka (&#8220;\u0136ermenis visu atceras&#8221;) un P\u012btera Levina darbi, apliecina cie\u0161o saikni starp emocij\u0101m un somatiskaj\u0101m izpausm\u0113m.<br \/>\nPiedz\u012bvots stress, traumatiska pieredze un ilgsto\u0161i emociju konflikti var ietekm\u0113t im\u016bnsist\u0113mu, endokr\u012bno un citas organisma sist\u0113mas.<\/p>\n<p>Ja medic\u012bna katru neizskaidrojamo simptomu reduc\u0113 l\u012bdz &#8220;nerviem&#8221;, pacients tiek atstumts no visaptvero\u0161as diagnostikas un pilnv\u0113rt\u012bgas pal\u012bdz\u012bbas.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-6591\" src=\"https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/bessel_van_der_kolk.jpg\" alt=\"bessel van der kolk\" width=\"1000\" height=\"527\" srcset=\"https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/bessel_van_der_kolk.jpg 1000w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/bessel_van_der_kolk-300x158.jpg 300w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/bessel_van_der_kolk-768x405.jpg 768w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/bessel_van_der_kolk-555x292.jpg 555w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h2>Trauksme \u2013 sign\u0101ls, nevis k\u013c\u016bme &#8220;meh\u0101nism\u0101&#8221;<\/h2>\n<p>Viena no bie\u017e\u0101kaj\u0101m k\u013c\u016bd\u0101m ir trauksmes uzskat\u012b\u0161ana par k\u013c\u016bdainu reakciju, kas vienk\u0101r\u0161i j\u0101izsl\u0113dz ar medikamentiem.<\/p>\n<p>Ta\u010du eksistenci\u0101listi, piem\u0113ram, Kj\u0113rkegors, Heidegers un Sartrs, uzskat\u012bja, ka trauksme izriet no pa\u0161as cilv\u0113ka eksistences, tostarp br\u012bv\u012bbas un izv\u0113les neizb\u0113gam\u012bbas apzin\u0101\u0161an\u0101s.<\/p>\n<p>Ja \u0101rsts uztver trauksmi tikai k\u0101 \u0137\u012bmisku nel\u012bdzsvarot\u012bbu, ko var &#8220;labot&#8221; ar z\u0101l\u0113m, tiek ignor\u0113ts t\u0101s dzi\u013c\u0101kais saturs:<\/p>\n<ul>\n<li>Iek\u0161\u0113j\u0101 konflikta sign\u0101ls<\/li>\n<li>Uzkr\u0101ta stresa sekas<\/li>\n<li>Aicin\u0101jums piev\u0113rst uzman\u012bbu sav\u0101m emocij\u0101m un pieredzei<\/li>\n<\/ul>\n<p>Psihonalitiki jau kop\u0161 s\u0101kuma ir uzskat\u012bjis emocion\u0101l\u0101s reakcijas par sign\u0101lu iek\u0161\u0113jiem konfliktiem (Freids, 1923).<br \/>\nJa m\u0113s \u0161o pieredzi autom\u0101tiski klasific\u0113jam k\u0101 patolo\u0123iju, m\u0113s ignor\u0113jam t\u0101s eksistenci\u0101lo un psiholo\u0123isko noz\u012bmi.<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-6595\" src=\"https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/sartre_heidegger.jpg\" alt=\"sartre_heidegger\" width=\"1000\" height=\"500\" srcset=\"https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/sartre_heidegger.jpg 1000w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/sartre_heidegger-300x150.jpg 300w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/sartre_heidegger-768x384.jpg 768w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/sartre_heidegger-555x278.jpg 555w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h2>&#8220;Nevroze&#8221; k\u0101 stigmatiz\u0113jo\u0161a eti\u0137ete<\/h2>\n<p>Ilgu laiku psihiatrij\u0101 tika izmantots termins &#8220;nevroze&#8221;, kas apz\u012bm\u0113ja funkcion\u0101las psiholo\u0123iskas probl\u0113mas bez organisk\u0101 pamata.<\/p>\n<p>Pak\u0101peniski \u0161is j\u0113dziens tika izsl\u0113gts no DSM-5 un ICD-10\/11, ta\u010du daudzi \u0101rsti joproj\u0101m izmanto \u0161o terminu, ja nesp\u0113j atrast skaidru fiziolo\u0123isku izskaidrojumu simptomiem.<\/p>\n<p>\u0160\u0101da stigmatiz\u0101cija var rad\u012bt pacientam saj\u016btu, ka vi\u0146a cie\u0161anas nav pietiekami nopietnas, kas grauj uztic\u012bbu medic\u012bnas sist\u0113mai.<\/p>\n<h2>Cilv\u0113ciska pieeja pacientam<\/h2>\n<p>Psiholo\u0123ija un <a href=\"https:\/\/maxkarlin.com\/lv\/par-mani\/\">psihoterapija<\/a> jau sen ir nor\u0101d\u012bjusi, ka trauksme un stress var ietekm\u0113t vesel\u012bbu, ta\u010du tas nenoz\u012bm\u0113, ka emocijas pa\u0161as par sevi ir patolo\u0123ija.<\/p>\n<h2>Kad pacientam tiek pateikts:<\/h2>\n<p>&#8220;Jums vienk\u0101r\u0161i ir trauksmes trauc\u0113jumi.&#8221;<br \/>\n&#8220;J\u016bs p\u0101rsp\u012bl\u0113jat.&#8221;<br \/>\n&#8220;Tie ir tikai stresa sekas.&#8221;<br \/>\nVi\u0146\u0161 sa\u0146em sl\u0113ptu v\u0113st\u012bjumu, ka vi\u0146a emocion\u0101l\u0101 pieredze ir mazv\u0113rt\u012bga.<\/p>\n<h2>K\u0101p\u0113c nevar visu reduc\u0113t uz psihi?<\/h2>\n<p>Ja pacientam tiek uzspiesta eti\u0137ete &#8220;hipohondri\u0137is&#8221; vai &#8220;fobijas slimnieks&#8221;, vi\u0146\u0161 var atteikties no turpm\u0101kas medic\u012bnisk\u0101s pal\u012bdz\u012bbas, pat ja vi\u0146am patie\u0161\u0101m ir nepiecie\u0161ama \u0101rst\u0113\u0161ana.<\/p>\n<p>Ir gad\u012bjumi, kad:<\/p>\n<p>Onkolo\u0123ijas un autoim\u016bno slim\u012bbu pacienti ilgu laiku nevar sa\u0146emt adekv\u0101tu pal\u012bdz\u012bbu, jo vi\u0146u simptomi tiek interpret\u0113ti k\u0101 nervu trauc\u0113jumi.<br \/>\n\u0100rsti nav psihoterapeiti, ta\u010du izpratne par \u0137erme\u0146a un psihes mijiedarb\u012bbu var uzlabot pacienta pieredzi un \u0101rst\u0113\u0161anu.<\/p>\n<h2>Emp\u0101tija k\u0101 tilts starp medic\u012bnu un psihi<\/h2>\n<p>M\u0113s dz\u012bvojam laik\u0101, kad jebkura emocion\u0101l\u0101 reakcija var tikt patologiz\u0113ta un &#8220;konserv\u0113ta&#8221; diagnoz\u0113s un recept\u0113s.<\/p>\n<p><a href=\"https:\/\/www.karlin.lv\/lv\/kas-ir-eksistenciala-terapija\/\">Eksistenci\u0101listi<\/a> uzskat\u012bja, ka trauksme nav slim\u012bba, bet cilv\u0113ka es\u012bbas neat\u0146emama da\u013ca.<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-6599\" src=\"https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/female-doctor2.jpg\" alt=\"female-doctor\" width=\"1000\" height=\"667\" srcset=\"https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/female-doctor2.jpg 1000w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/female-doctor2-300x200.jpg 300w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/female-doctor2-768x512.jpg 768w, https:\/\/maxkarlin.com\/wp-content\/uploads\/2025\/02\/female-doctor2-555x370.jpg 555w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p>Patiesa \u0101rsta misija nav vienk\u0101r\u0161i nov\u0113rst simptomus, bet atbalst\u012bt pacientu, lai vi\u0146\u0161 sp\u0113tu dz\u012bvot, apzinoties savas emocijas, nevis izj\u016btot t\u0101s k\u0101 trauc\u0113kli.<\/p>\n<p>Tikai tad medic\u012bna b\u016bs ne tikai kl\u012bniski efekt\u012bva, bet ar\u012b cilv\u0113ciska.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Svar\u012bgs preciz\u0113jums: Pirmk\u0101rt, j\u0101atz\u012bm\u0113, ka ne visi medic\u012bnas speci\u0101listi pieiet cilv\u0113ka emocij\u0101m vienk\u0101r\u0161ot\u0101 veid\u0101. Ir \u0101rsti, kuri izprot psihofiziolo\u0123isko procesu sare\u017e\u0123\u012bt\u012bbu, cen\u0161as \u0146emt v\u0113r\u0101 pacienta dz\u012bves pieredzi un apst\u0101k\u013cus, k\u0101 ar\u012b neierobe\u017eo \u0101rst\u0113\u0161anu tikai ar medikamentu izrakst\u012b\u0161anu. Ta\u010du, diem\u017e\u0113l, \u0161\u0101da iedzi\u013cin\u0101ta pieeja nav visp\u0101rpie\u0146emta. \u0160aj\u0101 rakst\u0101 uzman\u012bba piev\u0113rsta tiem speci\u0101listiem, kuri patolo\u0123iz\u0113 emocijas, t\u0101d\u0113j\u0101di radot&#8230;<\/p>\n","protected":false},"author":1,"featured_media":6586,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"episode_type":"","audio_file":"","podmotor_file_id":"","podmotor_episode_id":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","footnotes":""},"categories":[366],"tags":[496,512,520,391,501,498,368,499,489,514,502,507,506,382,511,519,367,517,383,518,488,495,490,497,513,510,508,374,505,376,494,369,493,387,503,509,516,492,406,504,491,515,500],"class_list":["post-6603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-raksti","tag-arstu-attieksme-pret-emocijam","tag-arstu-izpratne-par-psihologiju","tag-arstu-un-psihologu-sadarbiba","tag-atkaribu-psihologs","tag-depresija-un-medicina","tag-eksistenciala-psihoterapija","tag-eksistenciala-terapija-latvija","tag-emocijas-ka-slimiba","tag-emociju-patologizesana","tag-emocionala-inteligence-arstiem","tag-emocionala-veseliba","tag-emocionalais-stress-un-veseliba","tag-empatija-medicina","tag-gimenes-un-paru-psihoterapija","tag-holistiska-pieeja-medicina","tag-holistiska-veselibas-aprupe","tag-individuala-psihoterapija-riga","tag-integreta-medicina","tag-kas-ir-psihoterapija","tag-kermena-un-prata-saikne","tag-medicina-un-emocijas","tag-medicina-un-psihoterapija","tag-medicinas-pieeja-emocijam","tag-mediciniska-diagnostika-un-emocijas","tag-mediciniska-stigmatizacija","tag-nervu-sistemas-ietekme-uz-veselibu","tag-pacientu-pieredze-medicina","tag-pasvertejuma-un-pasapzinas-stiprinasana-riga","tag-psihologiska-atbalsta-nozime","tag-psihologiska-palidziba-riga-klatiene-un-online","tag-psihologiska-veseliba-un-medicina","tag-psihologs-riga-privatprakse","tag-psihosomatiskie-traucejumi","tag-psihoterapijas-process-un-merki","tag-somatiskie-simptomi-un-stress","tag-somatizacija-medicina","tag-stress-un-slimibas","tag-stress-un-veseliba","tag-svarigakas-filozofijas-skolas-un-to-ietekme-uz-cilveces-attistibu","tag-trauksme-ka-signals","tag-trauksme-un-medicina","tag-trauksme-un-psihologiska-palidziba","tag-trauksmes-arstesana"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/posts\/6603","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/comments?post=6603"}],"version-history":[{"count":6,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/posts\/6603\/revisions"}],"predecessor-version":[{"id":6609,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/posts\/6603\/revisions\/6609"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/media\/6586"}],"wp:attachment":[{"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/media?parent=6603"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/categories?post=6603"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/maxkarlin.com\/lv\/wp-json\/wp\/v2\/tags?post=6603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}