{"id":11338,"date":"2025-04-29T18:19:15","date_gmt":"2025-04-29T16:19:15","guid":{"rendered":"https:\/\/studiopsicoterapiabonaventura.it\/marredheniet-midis-dy-komponentet-kryesore-te-sjelljes-nderpersonale-agency-dhe-affiliation\/"},"modified":"2026-04-27T20:02:24","modified_gmt":"2026-04-27T18:02:24","slug":"marredheniet-midis-dy-komponentet-kryesore-te-sjelljes-nderpersonale-agency-dhe-affiliation","status":"publish","type":"post","link":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/marredheniet-midis-dy-komponentet-kryesore-te-sjelljes-nderpersonale-agency-dhe-affiliation\/","title":{"rendered":"Marr\u00ebdh\u00ebniet midis dy komponentet kryesore t\u00eb sjelljes nd\u00ebrpersonale: Agency dhe Affiliation"},"content":{"rendered":"\n

Sjellja nd\u00ebrpersonale<\/strong> nuk \u00ebsht\u00eb nj\u00eb entitet monolitik, por rezultati i nj\u00eb ekuilibri delikat midis dy shtysave motivuese t\u00eb thella<\/strong>, t\u00eb cilat psikologjia klinike i identifikon si Agency<\/strong> (Agjenciteti) dhe Affiliation<\/strong> (Afilimi, Lidhshm\u00ebria).<\/p>\n\n

K\u00ebto dy p\u00ebrmasa<\/strong>, t\u00eb studiuara holl\u00ebsisht nga Depue dhe Lenzenweger (dhe thelb\u00ebsore p\u00ebr t\u00eb kuadruar psikopatologjin\u00eb e \u00e7rregullimeve t\u00eb personalitetit<\/a>), nuk jan\u00eb thjesht tipare karakteri, por pasqyrojn\u00eb aktivitetin e sistemeve t\u00eb dallueshme neurosjellore<\/strong>, integriteti i t\u00eb cilave \u00ebsht\u00eb i domosdosh\u00ebm p\u00ebr stabilitetin ton\u00eb psikofizik. <\/p>\n\n

Agency<\/strong> p\u00ebrfaq\u00ebson shtys\u00ebn ton\u00eb asertive<\/a>, ndjenj\u00ebn e fuqis\u00eb dhe energjin\u00eb e nevojshme p\u00ebr t\u00eb arritur objektiva social\u00eb; ajo \u00ebsht\u00eb ngusht\u00ebsisht e lidhur me t\u00eb ashtuquajtur\u00ebn faz\u00eb apetitive<\/strong> t\u00eb sjelljes.<\/p>\n\n

\"\"<\/figure>\n\n

N\u00eb k\u00ebt\u00eb faz\u00eb, sistemi yn\u00eb nervor \u00ebsht\u00eb i orientuar drejt k\u00ebrkimit dhe afrimit me stimujt gratifikues<\/strong>.<\/p>\n\n

Nga pik\u00ebpamja neurofiziologjike, ky proces qeveriset nga Sistemi Dopaminergjik i Ar\u00ebs Tegmentale Ventrale<\/strong>, qarku q\u00eb gjeneron entuziaz\u00ebm, eufori dhe vet\u00eb-efikasitet p\u00ebrmes \u00e7lirimit t\u00eb dopamin\u00ebs<\/strong>.<\/p>\n\n

Megjithat\u00eb, kur ky sistem p\u00ebson nj\u00eb keqfunksionim<\/strong> \u2014 shpesh p\u00ebr shkak t\u00eb vulnerabiliteteve gjenetike ose streseve t\u00eb hershme<\/a> \u2014 personi p\u00ebrjeton nj\u00eb r\u00ebnie t\u00eb motivimit dhe t\u00eb energjis\u00eb, duke rr\u00ebshqitur n\u00eb ato gjendje anedonie dhe depresioni<\/a> q\u00eb e b\u00ebjn\u00eb subjektin vulnerab\u00ebl ndaj k\u00ebrkimit t\u00eb stimulimeve t\u00eb jashtme.<\/p>\n\n

Kjo rrjedh\u00eb klinike ushqen shpesh p\u00ebrjetimin e pafuqis\u00eb s\u00eb m\u00ebsuar<\/a> (learned helplessness<\/em>), nj\u00eb gjendje n\u00eb t\u00eb cil\u00ebn individi<\/strong>, duke perceptuar se nuk ka asnj\u00eb kontroll mbi ngjarjet e pafavorshme, ndalon s\u00eb k\u00ebrkuari zgjidhje dhe dor\u00ebzohet para nj\u00eb pasiviteti paralizues, duke konsoliduar deficitin e Agency-t<\/strong>. <\/p>\n\n

N\u00eb nj\u00eb skenar t\u00eb till\u00eb, p\u00ebrdorimi masiv i substancave<\/a> si kokaina dhe psikostimuluesit<\/strong> e tjer\u00eb shfaqet si nj\u00eb p\u00ebrpjekje ekstreme, ndon\u00ebse tragjike, p\u00ebr vet\u00eb-kurim<\/strong>. <\/p>\n\n

Si\u00e7 e kam eksploruar n\u00eb \u2018Abuzimi me substancat dhe psikopatologjia: nd\u00ebrhyrja e integruar midis sfidave klinike dhe pasojave sociale\u2019<\/a>, shum\u00eb njer\u00ebz i p\u00ebrdorin k\u00ebto droga p\u00ebr t\u00eb rikthyer artificialisht nj\u00eb ndjenj\u00eb agjenciteti dhe kontrolli mjedisor<\/strong>, t\u00eb cilin sistemi i tyre nervor, i r\u00ebnduar nga nj\u00eb depresion kronik<\/a>, nuk arrin m\u00eb ta gjeneroj\u00eb n\u00eb m\u00ebnyr\u00eb autonome.<\/p>\n\n

Paralelisht me Agency-n, Affiliation<\/strong> rregullon aft\u00ebsin\u00eb ton\u00eb p\u00ebr t\u00eb krijuar dhe mbajtur lidhje afektive t\u00eb thella<\/strong>.<\/p>\n\n

N\u00ebse Agency na shtyn drejt k\u00ebrkimit, Afilimi na lejon t\u00eb shijojm\u00eb faz\u00ebn konsumatore<\/strong>, dometh\u00ebn\u00eb k\u00ebnaq\u00ebsin\u00eb q\u00eb rrjedh nga kontakti, af\u00ebrsia dhe kujdesi.<\/p>\n\n

\"\"<\/figure>\n\n

Kjo p\u00ebrmas\u00eb nd\u00ebrmjet\u00ebsohet nga sistemi i opioideve endogjen\u00eb (receptor\u00ebt Mu)<\/strong>, p\u00ebrgjegj\u00ebs p\u00ebr ato ndjesi qet\u00ebsie, mir\u00ebqenieje dhe p\u00ebrmbushjeje q\u00eb pasojn\u00eb nd\u00ebrveprimin social (aktivizimi i sistemit nervor parasimpatik<\/a>).<\/p>\n\n

N\u00eb situatat klinike t\u00eb sh\u00ebnuara nga traumat e zhvillimit<\/a> ose nga lidhjet (attachment) e pasigurta dhe t\u00eb \u00e7organizuara<\/a>, sistemi afilues rezulton shpesh i komprometuar thell\u00ebsisht: personi nuk e \u2018ndjen\u2019 m\u00eb ngroht\u00ebsin\u00eb e t\u00eb tjer\u00ebve<\/strong>.<\/p>\n\n

Sipas Teoris\u00eb s\u00eb Atashimit<\/strong>, n\u00ebse kujdestari nuk ka ofruar nj\u00eb \u2018baz\u00eb t\u00eb sigurt\u2019, f\u00ebmija nuk zhvillon aft\u00ebsi t\u00eb duhura t\u00eb vet\u00eb-rregullimit emocional<\/strong>.<\/p>\n\n

N\u00eb mosh\u00eb t\u00eb rritur, morfina dhe heroina<\/strong> veprojn\u00eb pik\u00ebrisht mbi k\u00ebto qarku, duke ofruar nj\u00eb surrogat kimik t\u00eb af\u00ebrsis\u00eb njer\u00ebzore dhe duke i b\u00ebr\u00eb marr\u00ebdh\u00ebniet nd\u00ebrpersonale \u2018t\u00eb par\u00ebnd\u00ebsishme\u2019<\/strong>, pasi siguria k\u00ebrkohet te doza dhe jo m\u00eb te marr\u00ebdh\u00ebnia.<\/p>\n\n

Kjo dinamik\u00eb merr nj\u00eb kuptim akoma m\u00eb t\u00eb thell\u00eb n\u00ebse analizohet p\u00ebrmes vizionit hierarkik t\u00eb sistemit nervor<\/strong> t\u00eb John Hughling Jackson dhe konceptit t\u00eb Dritares s\u00eb Toleranc\u00ebs<\/a> (Porges, Siegel). <\/p>\n\n

Sipas Jackson-it<\/strong>, funksionet cerebrale superiore ushtrojn\u00eb nj\u00eb kontroll frenues (inhibitor) mbi ato inferiore dhe m\u00eb primitive. Trauma<\/a> dhe abuzimi me substancat<\/a> provokojn\u00eb nj\u00eb lloj \u2018shp\u00ebrb\u00ebrjeje\u2019 (dissolution) jacksoniane: funksionet rregullatore superiore ia l\u00ebn\u00eb vendin reagimeve automatike t\u00eb mbijetes\u00ebs<\/strong>. <\/p>\n\n

Kjo r\u00ebnie strukturore mund t\u00eb favorizoj\u00eb shfaqjen e sjelljeve antisociale<\/a>, ku paaft\u00ebsia p\u00ebr t\u00eb frenuar impulsin<\/a> dhe k\u00ebrkimi i menj\u00ebhersh\u00ebm i k\u00ebnaq\u00ebsis\u00eb mbizot\u00ebrojn\u00eb mbi normat shoq\u00ebrore dhe aft\u00ebsin\u00eb p\u00ebr empati. <\/p>\n\n

Personi luhatet k\u00ebshtu jasht\u00eb dritares s\u00eb tij t\u00eb toleranc\u00ebs<\/strong>, midis gjendjeve t\u00eb hiper-aktivizimit<\/a> (ankth<\/a>, panik<\/a>), t\u00eb cilat tenton t’i qet\u00ebsoj\u00eb me heroin\u00eb<\/em> p\u00ebr t\u00eb gjetur nj\u00eb qet\u00ebsi artificiale, dhe gjendjeve t\u00eb hipo-aktivizimit <\/strong> (shk\u00ebputje, boshll\u00ebk, depresion<\/a>), t\u00eb cilat k\u00ebrkon t’i kund\u00ebrveproj\u00eb me kokain\u00eb<\/em> p\u00ebr t\u00eb \u2018riaktivizuar\u2019 nivelet hierarkike superiore t\u00eb sistemit nervor.<\/p>\n\n

Kjo realitet kompleks neurobiologjik gjen prov\u00ebn e tij m\u00eb t\u00eb v\u00ebshtir\u00eb n\u00eb rrug\u00ebtimin rehabilitues<\/strong>.<\/p>\n\n

Ndon\u00ebse komuniteti psikoterapeutik<\/strong> p\u00ebrfaq\u00ebson vendin zgjedhor p\u00ebr nj\u00eb ristrukturim intensiv t\u00eb sistemeve t\u00eb shp\u00ebrblimit (ricompensa), veprimi sinergjik i psikoterapis\u00eb individuale, n\u00eb grup dhe familjare<\/strong> b\u00ebhet p\u00ebrcaktues p\u00ebr ata q\u00eb vazhdojn\u00eb kurimin n\u00eb kontekstin e tyre t\u00eb jet\u00ebs.<\/p>\n\n

Zemra e trajtimit konsiston n\u00eb shnd\u00ebrrimin e marr\u00ebdh\u00ebnies terapeutike n\u00eb nj\u00eb lidhje t\u00eb re atashimi t\u00eb sigurt<\/strong>.<\/p>\n\n

Nj\u00eb lidhje atashimi e sigurt<\/strong> bazohet n\u00eb pranin\u00eb e nj\u00eb figure referimi (terapisti)<\/strong> q\u00eb perceptohet si e disponueshme, koherente dhe e aft\u00eb p\u00ebr t’u akorduar me nevojat emocionale t\u00eb subjektit. Kjo lidhje sh\u00ebrben si nj\u00eb \u2018baz\u00eb e sigurt\u2019 p\u00ebr t\u00eb eksploruar bot\u00ebn e brendshme dhe si nj\u00eb \u2018port i sigurt\u2019 ku mund t\u00eb kthehesh n\u00eb momentet e ankthit. <\/p>\n\n

N\u00eb psikoterapi e var\u00ebsive<\/strong>, kjo lidhje verifikohet fal\u00eb aft\u00ebsis\u00eb s\u00eb klinikut p\u00ebr t\u00eb ofruar nj\u00eb p\u00ebrgjigje empatike konstante dhe jo-gjykuese<\/strong>, e cila sh\u00ebrben si rregullator i jasht\u00ebm i gjendjeve afektive t\u00eb pacientit.<\/p>\n\n

P\u00ebrmes k\u00ebsaj \u2018p\u00ebrvoje marr\u00ebdh\u00ebniesore korrigjuese\u2019<\/strong>, pacienti m\u00ebson gradualisht t\u00eb interiorizoj\u00eb aft\u00ebsin\u00eb p\u00ebr t’u stabilizuar, t\u00eb cil\u00ebn m\u00eb par\u00eb e k\u00ebrkonte ekskluzivisht te substanca.<\/p>\n\n

Ky pjekim i brendsh\u00ebm i mund\u00ebson pacientit t\u00eb kaloj\u00eb nga nj\u00eb rregullim thjesht kimik n\u00eb nj\u00eb rregullim marr\u00ebdh\u00ebniesor dhe psikofiziologjik<\/strong> (i cili mund t\u00eb leht\u00ebsohet nga p\u00ebrdorimi i Biofeedback-ut Periferik<\/a> p\u00ebr monitorimin dhe kontrollin vullnetar t\u00eb gjendjeve t\u00eb aktivizimit), i cili m\u00eb pas shtjellohet dhe p\u00ebrforcohet p\u00ebrmes rrug\u00ebtimeve t\u00eb ndryshme klinike.<\/p>\n\n

N\u00ebn k\u00ebt\u00eb profil, psikoterapia individuale<\/strong> lejon riparimin e deficiteve t\u00eb Agency-t<\/strong>, duke rind\u00ebrtuar ndjenj\u00ebn e vet\u00eb-efikasitetit dhe kontrollin kortikal inhibitor, por vepron thell\u00ebsisht edhe mbi Afilimin<\/strong> p\u00ebrmes krijimit t\u00eb nj\u00eb lidhjeje dyshe t\u00eb sigurt q\u00eb rehabiliton aft\u00ebsin\u00eb p\u00ebr t\u00eb ndjer\u00eb ngroht\u00ebsin\u00eb marr\u00ebdh\u00ebniesore.<\/p>\n\n

Terapia n\u00eb grup<\/strong>, nga ana tjet\u00ebr, nuk \u00ebsht\u00eb vet\u00ebm nj\u00eb palest\u00ebr p\u00ebr Afilimin<\/strong> dhe shk\u00ebmbimin social autentik, por p\u00ebrforcon Agency-n<\/strong> duke i ofruar pacientit hap\u00ebsir\u00ebn p\u00ebr t\u00eb eksperimentuar asertivitetin<\/a> dhe lidershipin brenda nj\u00eb konteksti kolektiv t\u00eb mbrojtur.<\/p>\n\n

S\u00eb fundi, nd\u00ebrhyrja familjare<\/strong> rezulton vendimtare p\u00ebr t\u00eb pastruar skemat e t\u00eb m\u00ebsuarit pavlovian<\/a>, duke e shnd\u00ebrruar mjedisin sht\u00ebpiak n\u00eb nj\u00eb hap\u00ebsir\u00eb ku Afilimi<\/strong> b\u00ebhet ushqim afektiv dhe Agency<\/strong> e individit mb\u00ebshtetet dhe njihet nga sistemi familjar.<\/p>\n\n

Si p\u00ebrfundim, diferencat individuale n\u00eb k\u00ebto dy sfera p\u00ebrcaktojn\u00eb vulnerabilitetin ton\u00eb ndaj stresit<\/a> dhe substancave<\/a>. Kuptimi i k\u00ebtyre dinamikave \u00ebsht\u00eb thelb\u00ebsor p\u00ebr nj\u00eb praktik\u00eb psikoterapeutike efikase<\/strong> [Terapia Kognitive e Sjelljes (CBT)<\/a>; Terapia Kognitive-Sjell\u00ebse e Ekuilibrit Holistik<\/a> (TCCEO<\/strong> e N. Bonaventura) t\u00eb proceseve t\u00eb v\u00ebmendjes<\/a>]: vet\u00ebm nj\u00eb nd\u00ebrhyrje q\u00eb di t\u00eb integroj\u00eb neurofiziologjin\u00eb e shp\u00ebrblimit<\/strong> me historin\u00eb e atashimit<\/strong> dhe traum\u00ebn<\/a> e pacientit mund t\u00eb synoj\u00eb nj\u00eb rikthim real t\u00eb ekuilibrit psikik, duke e shnd\u00ebrruar simptom\u00ebn n\u00eb nj\u00eb mund\u00ebsi p\u00ebr rritje t\u00eb thell\u00eb personale. <\/p>\n\n

<\/div>\n\n

Sh\u00ebnim: ‘Informacioni i p\u00ebrmbajtur n\u00eb k\u00ebto faqe \u00ebsht\u00eb vet\u00ebm p\u00ebr q\u00ebllime informative dhe nuk z\u00ebvend\u00ebson k\u00ebshill\u00ebn ose diagnoz\u00ebn e nj\u00eb psikologu\/psikoterapisti ose profesionisti mjek\u00ebsor.’<\/em><\/p>\n\n

<\/div>\n\n

Burimet kryesore t\u00eb referenc\u00ebs bibliografike dhe informacione shtes\u00eb:<\/strong><\/p>\n\n

    \n
  • American Psychiatric Association (2022).<\/strong> Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.; DSM-5-TR)<\/em>. Washington, DC: American Psychiatric Publishing. <\/li>\n\n\n\n
  • Bowlby, J. (1988).<\/strong> Una base sicura. Applicazioni cliniche della teoria dell’attaccamento<\/em>. Milano: Raffaello Cortina Editore. <\/li>\n\n\n\n
  • Lenzenweger, M. F. & Clarkin, J. F. (2006).<\/strong> I disturbi di personalit\u00e0. Le principali teorie (Seconda edizione)<\/em>. Milano: Raffaello Cortina Editore.<\/li>\n\n\n\n
  • Jackson, J. H. (1958).<\/strong> Selected Writings of John Hughlings Jackson (J. Taylor, Ed.)<\/em>. New York: Basic Books. <\/li>\n\n\n\n
  • Porges, S. W. (2011).<\/strong> The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation<\/em>. New York: W. W. Norton & Company. <\/li>\n\n\n\n
  • Schore, A. N. (2003).<\/strong> Affect Regulation and the Repair of the Self<\/em>. New York: W. W. Norton & Company. <\/li>\n\n\n\n
  • Seligman, M. E. (1975).<\/strong> Helplessness: On Depression, Development, and Death<\/em>. San Francisco: W.H. Freeman. <\/li>\n\n\n\n
  • Siegel, D. J. (1999).<\/strong> The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are<\/em>. New York: Guilford Press. <\/li>\n\n\n\n
  • Terapia del comportamento: giornale italiano di scienza e terapia del comportamento (1987). <\/strong>Il meglio della terapia del comportamento italiana e internazionale. N\u00b0 13 (Genn. \u2013 Marzo). <\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    Sjellja nd\u00ebrpersonale nuk \u00ebsht\u00eb nj\u00eb entitet monolitik, por rezultati i nj\u00eb ekuilibri delikat midis dy shtysave motivuese t\u00eb thella, t\u00eb cilat psikologjia klinike i identifikon si Agency (Agjenciteti) dhe Affiliation (Afilimi, Lidhshm\u00ebria). K\u00ebto dy p\u00ebrmasa, t\u00eb studiuara holl\u00ebsisht nga Depue dhe Lenzenweger (dhe thelb\u00ebsore p\u00ebr t\u00eb kuadruar psikopatologjin\u00eb e \u00e7rregullimeve t\u00eb personalitetit), nuk jan\u00eb thjesht […]<\/p>\n","protected":false},"author":2,"featured_media":11391,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-11338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-categorizzato"],"_links":{"self":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/11338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/comments?post=11338"}],"version-history":[{"count":21,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/11338\/revisions"}],"predecessor-version":[{"id":12993,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/11338\/revisions\/12993"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/media\/11391"}],"wp:attachment":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/media?parent=11338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/categories?post=11338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/tags?post=11338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}