معنى الوسواس القهرى
الوسواس لغةً: هو حديث النفس؛ فيقال وسوست إليه نفسه وسوسة ووسواساً. قال تعالى: (وَلَقَدْ خَلَقْنَا الْأِنْسَانَ وَنَعْلَمُ مَا تُوَسْوِسُ بِهِ نَفْسُهُ وَنَحْنُ أَقْرَبُ إِلَيْهِ مِنْ حَبْلِ الْوَرِيدِ) [قّ: 16].
والوَسواس بالفتح هو اسم الشيطان كما فى القاموس المحيط. قال تعالى: ]مِنْ شَرِّ الْوَسْوَاسِ الْخَنَّاسِ* الَّذِي يُوَسْوِسُ فِي صُدُورِ النَّاسِ * مِنَ الْجِنَّةِ وَالنَّاسِ[ [الناس: 4- 6].
القهر لغة: هو الغلبة، قهره قهراً: غلبه فهو قاهر وقهار، ويقال أخذهم قهراً أى: من غير رضاهم، وفعله قهراً أى بغير رضا. (القاموس المحيط)
الوسواس القهرى لغة: هو حديث النفس ينبع من ذاته وداخله بفعل شىء لا يرضاه.
الوسواس القهرى فى الطب النفسى:
هو عبارة عن أفكار وصور تدخل إلى عقل الإنسان بطريقة مكررة يمكن للشخص السليم دفعها ومنع تكرارها، ولا يتركها تقهره. أما فى الحالة المرضية فإنه لا يقوى على دفعها أو منع تكرارها، فتأخذ به وتلح عليه وهو يحاول جاهداً مقاومتها دون جدوى، وكلما قاوم هذه الأفكار تزايد عنده القلق، وهو يعلم يقيناً أنها أفكاره هو وليست دخيلة عليه، ويعلم أنها تافهة ومع ذلك فإنه مضطر للتفكير فيها لا إرادياً، حتى إنه ليصاب بالاكتئاب إذا ما تبين له أن عمله ومستقبله سوف يتأثر نتيجة لذلك.
الأفكار الوسواسية:
هى مجموعة من الأفكار والصور المتواصلة والمتسلطة والمستمرة التى تتطفل على عقل المريض وتراوده وتلازمه مع عجزه عن دفعها أو طردها أو التخلص منها. ويعانى المريض كثيراً منها لغرابتها وعدم فائدتها وتسببها فى كثير من القلق والإزعاج, وتلح على خاطره عبارات معينة أو اسم معين يتكرر باستمرار.
وأيضا قد يتصور المريض أشياء رهيبة عن الذات الإلهية أو الأنبياء أو الدين أو الأخلاق لا يمكن دفعها, أو سب قهرى لأشياء مقدسة وغالية على النفس مثل سب الله عز وجل أوسب الأنبياء، مع العجز عن وقف هذه الأفكار.
الأفعال القهرية:
هى أعمال عقلية واعية وسلوكيات متكررة جبرية استجابة لأفكار وسواسية لتخفف أو تمنع القلق والإزعاج الناتج عن تلك الأفكار, ولا يستطيع المريض مقاومتها, وهى تستحوذ عليه لفترة طويلة, وهو غير راضٍ عنها ولا يحبها، خاصة وهو لا يشعر بثمرة وراء تكرارها، لكنه مقهور على استمرار عملها والقيام بها.
ودائماً ما تأتى الوساوس القهرية لمنع أو تجنب بعض الأحداث المفزعة المتصورة فى عقل المريض, مثل سوء الحظ المتوقع أو المحن والبلايا أو الموت أو المرض.
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