{"id":2437,"date":"2022-08-08T08:00:34","date_gmt":"2022-08-08T12:00:34","guid":{"rendered":"https:\/\/www.diagnostika-mysli.cz\/blog\/?p=2437"},"modified":"2024-01-03T12:02:42","modified_gmt":"2024-01-03T11:02:42","slug":"impulzivni-agrese","status":"publish","type":"post","link":"https:\/\/www.diagnostika-mysli.cz\/blog\/adhd\/impulzivni-agrese\/","title":{"rendered":"Impulzivn\u00ed agrese"},"content":{"rendered":"

Filipovi je 5 let. P\u0159ed n\u011bkolika m\u011bs\u00edci mu byla diagnostikov\u00e1na ADHD. Chlapec byl v\u017edy extr\u00e9mn\u011b aktivn\u00ed. Neust\u00e1le se vrt\u011bl, nedok\u00e1zal v klidu sed\u011bt, neust\u00e1le se dot\u00fdkal ostatn\u00edch lid\u00ed a p\u0159edm\u011bt\u016f. Velmi \u010dasto lezl na n\u00e1bytek, co\u017e n\u011bkdy vedlo k p\u00e1du a r\u016fzn\u00fdm zran\u011bn\u00edm. Nav\u00edc byl velmi impulzivn\u00ed.<\/p>\n

P\u0159\u00edznaky ADHD<\/h4>\n

Opakovan\u011b zvedal p\u0159edm\u011bty a h\u00e1zel je bez rozmyslu. Ob\u010das udr\u017eel pozornost po dlouhou dobu a ti\u0161e sed\u011bl, zejm\u00e9na kdy\u017e se d\u00edval na televizi. To v\u0161ak pro n\u011bj bylo obvykle p\u0159\u00edli\u0161 obt\u00ed\u017en\u00e9. V posledn\u00ed dob\u011b za\u010dali b\u00fdt Philipovi rodi\u010de znepokojeni stup\u0148uj\u00edc\u00ed se agresivitou v chlapcov\u011b chov\u00e1n\u00ed. Ze \u0161kolky dost\u00e1vali rodi\u010de informace, \u017ee “s Filipem se ned\u00e1 jednat”. Byl agresivn\u00ed v\u016f\u010di sv\u00fdm vrstevn\u00edk\u016fm a nedodr\u017eoval stanoven\u00e1 pravidla. Ve \u0161kolce i doma bylo zaznamen\u00e1no, \u017ee v individu\u00e1ln\u00edm kontaktu se Filip choval relativn\u011b l\u00e9pe. Ned\u00e1vn\u00e9 v\u00fdbuchy agrese jak doma (zejm\u00e9na v\u016f\u010di o dva roky mlad\u0161\u00ed sest\u0159e), tak ve \u0161kolce (kde podle sv\u00e9ho chov\u00e1n\u00ed v podstat\u011b nem\u011bl \u017e\u00e1dn\u00e9 kamar\u00e1dy na hran\u00ed) se v\u0161ak staly v\u00e1\u017en\u00fdm probl\u00e9mem. Chlapec zjevn\u011b nebyl schopen zvl\u00e1dat po\u017eadavky formulovan\u00e9 dosp\u011bl\u00fdmi a ostatn\u00edmi d\u011btmi na autoregulaci sv\u00fdch emoc\u00ed. Filip\u016fv p\u0159\u00edpad ilustruje probl\u00e9my, kter\u00e9 se \u010dasto vyskytuj\u00ed u d\u011bt\u00ed s ADHD<\/a>. Krom\u011b charakteristick\u00fdch p\u0159\u00edznak\u016f hyperaktivity a poruch pozornosti se jasn\u011b r\u00fdsuje nadm\u011brn\u00e1 impulzivita. Filip p\u0159edstavuje cel\u00fd reperto\u00e1r chov\u00e1n\u00ed, kter\u00e9 naru\u0161uje jeho okol\u00ed. Z\u00e1rove\u0148 m\u00e1 v\u00fdrazn\u00e9 probl\u00e9my ve vztaz\u00edch s vrstevn\u00edky a v interakc\u00edch s dosp\u011bl\u00fdmi. Jedn\u00e1 se o charakteristick\u00e9 komplikace p\u0159\u00edznak\u016f ADHD. V\u00fd\u0161e zm\u00edn\u011bn\u00e1 nadm\u011brn\u00e1 impulzivita je n\u011bkdy spojena s tzv. impulzivn\u00ed agresivitou, kter\u00e1 je charakteristick\u00e1 pro d\u011bti s ADHD i s poruchou opozi\u010dn\u00edho vzdoru. Tento typ agrese b\u00fdv\u00e1 spojen s obt\u00ed\u017eemi p\u0159i zvl\u00e1d\u00e1n\u00ed situace nebo s vysok\u00fdm emo\u010dn\u00edm nap\u011bt\u00edm. Vyzna\u010duje se n\u00e1hl\u00fdmi nekontrolovan\u00fdmi v\u00fdbuchy, \u010dasto nep\u0159im\u011b\u0159en\u00fdmi s\u00edle podn\u011btu. P\u0159itom obvykle nejsou c\u00edlen\u00e9 a nemus\u00ed nutn\u011b zahrnovat antisoci\u00e1ln\u00ed chov\u00e1n\u00ed. Impulzivn\u00ed agrese spojen\u00e1 s hyperaktivitou m\u016f\u017ee b\u00fdt zam\u011b\u0159ena i proti sob\u011b sam\u00e9mu, v takov\u00e9m p\u0159\u00edpad\u011b hovo\u0159\u00edme o autoagresivn\u00edm chov\u00e1n\u00ed.<\/p>\n

Impulzivn\u00ed agrese<\/h4>\n

M\u016f\u017ee se jednat o chov\u00e1n\u00ed v podob\u011b aktivn\u00ed fyzick\u00e9 nebo verb\u00e1ln\u00ed agrese v\u016f\u010di sob\u011b sam\u00e9mu i ostatn\u00edm. Hovo\u0159\u00edme tak\u00e9 o agresi v\u016f\u010di p\u0159edm\u011bt\u016fm (nap\u0159. h\u00e1zen\u00ed p\u0159edm\u011bt\u016f, bouch\u00e1n\u00ed do zdi). \u010casto je toto chov\u00e1n\u00ed doprov\u00e1zeno k\u0159ikem a pl\u00e1\u010dem nebo d\u011bl\u00e1n\u00edm hluku jin\u00fdm zp\u016fsobem (nap\u0159. pou\u0161t\u011bn\u00edm velmi hlasit\u00e9 hudby). N\u011bkdy probl\u00e9m impulzivn\u00ed agrese vy\u017eaduje vyhled\u00e1n\u00ed odborn\u00e9 pomoci. K tomu doch\u00e1z\u00ed p\u0159edev\u0161\u00edm tehdy, kdy\u017e nejsme schopni zajistit bezpe\u010dnost d\u00edt\u011bte a jeho okol\u00ed. V jin\u00fdch p\u0159\u00edpadech se m\u016f\u017eeme pokusit pou\u017e\u00edt metody, jak impulzivn\u00ed chov\u00e1n\u00ed d\u00edt\u011bte zvl\u00e1dnout sami.<\/p>\n

Hn\u011bv p\u0159i ADHD<\/h4>\n

Zde je t\u0159eba poznamenat, \u017ee hn\u011bv a dal\u0161\u00ed siln\u00e9 emoce nejsou samy o sob\u011b \u0161patn\u00e9. Jsou pro n\u00e1s informac\u00ed – sign\u00e1lem, \u017ee se d\u011bje n\u011bco d\u016fle\u017eit\u00e9ho (pro n\u00e1s pozitivn\u00edho nebo negativn\u00edho). Ka\u017ed\u00fd \u010dlov\u011bk c\u00edt\u00ed hn\u011bv a – v d\u016fsledku toho – m\u00e1 pot\u0159ebu ho vyj\u00e1d\u0159it. Jde jen o to, v jak\u00e9 form\u011b. D\u00edt\u011b by tedy nem\u011blo n\u00e9st n\u00e1sledky pro\u017e\u00edv\u00e1n\u00ed hn\u011bvu, ale nep\u0159ijateln\u00e9ho chov\u00e1n\u00ed, nap\u0159. n\u011bkoho ude\u0159it, h\u00e1zet p\u0159edm\u011bty, ur\u00e1\u017eet, k\u0159i\u010det. Je velmi d\u016fle\u017eit\u00e9, aby d\u00edt\u011b m\u00edsto toho dostalo alternativn\u00ed reperto\u00e1r chov\u00e1n\u00ed, kter\u00fdm si vyb\u00edj\u00ed vztek a kter\u00e9 je p\u0159ijateln\u00e9. To m\u016f\u017ee zahrnovat bit\u00ed pol\u0161t\u00e1\u0159em nebo jin\u00fdm ur\u010den\u00fdm p\u0159edm\u011btem, pl\u00e1\u010d, kreslen\u00ed vzteku, trh\u00e1n\u00ed a ma\u010dk\u00e1n\u00ed novin.<\/p>\n

Prevence u ADHD<\/h4>\n

Velmi d\u016fle\u017eit\u00e1 jsou preventivn\u00ed opat\u0159en\u00ed p\u0159ijat\u00e1 je\u0161t\u011b p\u0159edt\u00edm, ne\u017e ke krizi dojde. Kl\u00ed\u010dov\u00e9 je p\u0159itom rozpoznat sign\u00e1ly bl\u00ed\u017e\u00edc\u00edho se v\u00fdbuchu. Na \u00farovni fyziologick\u00fdch a behavior\u00e1ln\u00edch p\u0159\u00edznak\u016f lze rozli\u0161it ur\u010dit\u00e9 charakteristick\u00e9 “popla\u0161n\u00e9 sign\u00e1ly”. Pat\u0159\u00ed k nim zm\u011bna v\u00fdrazu obli\u010deje, gestikulace a dr\u017een\u00ed t\u011bla, zv\u00fd\u0161en\u00e9 svalov\u00e9 nap\u011bt\u00ed, za\u0165at\u00e9 p\u011bsti, zv\u00fd\u0161en\u00e1 \u017eivost, zm\u011bna t\u00f3nu hlasu, zv\u00fd\u0161en\u00e1 pohyblivost, roztr\u017eitost, pop\u00edr\u00e1n\u00ed v\u0161eho, mal\u00e1tnost v chov\u00e1n\u00ed. Krom\u011b toho m\u016f\u017eeme rozli\u0161it podm\u00ednky, kter\u00e9 jsou p\u0159\u00edzniv\u00e9 pro vznik v\u00fdbuchu agrese. K takov\u00fdm okolnostem pat\u0159\u00ed nap\u0159\u00edklad: \u00fanava, pro\u017eitek ne\u00fasp\u011bchu nebo jin\u00e9 nahromad\u011bn\u00e9 nep\u0159\u00edjemnosti, situace, kter\u00e9 jsou velmi emo\u010dn\u011b pohnut\u00e9 (p\u0159\u00edjemn\u00e9 i nep\u0159\u00edjemn\u00e9), kter\u00e9 vyvol\u00e1vaj\u00ed pocit k\u0159ivdy, p\u0159ehl\u00ed\u017een\u00ed, frustrace pot\u0159eb. Nejedn\u00e1 se o faktory specifick\u00e9 pro d\u011bti s ADHD. Jsou to typick\u00e9 vn\u011bj\u0161\u00ed podm\u00ednky pro poci\u0165ov\u00e1n\u00ed siln\u00fdch emoc\u00ed, zejm\u00e9na hn\u011bvu. Nahromad\u011bn\u00e9 emoce se v dan\u00e9m okam\u017eiku lze pokusit vyb\u00edt odveden\u00edm pozornosti, nap\u0159. vz\u00edt d\u00edt\u011b na kl\u00edn, pustit relaxa\u010dn\u00ed hudbu, nab\u00eddnout mu, \u017ee ud\u011bl\u00e1 n\u011bco p\u0159\u00edjemn\u00e9ho, rozesm\u00e1t ho apod. Pokud tedy rozpozn\u00e1me varovn\u00e9 sign\u00e1ly bl\u00ed\u017e\u00edc\u00edho se v\u00fdbuchu a pom\u016f\u017eeme d\u00edt\u011bti ventilovat jeho hn\u011bv p\u0159ijateln\u00fdm zp\u016fsobem, m\u00e1me \u0161anci vyhnout se krizi. To vy\u017eaduje na jedn\u00e9 stran\u011b p\u0159ijet\u00ed emoc\u00ed d\u00edt\u011bte a na druh\u00e9 stran\u011b jasn\u00e9 hranice t\u00fdkaj\u00edc\u00ed se jeho chov\u00e1n\u00ed. Pokud v\u0161ak agrese ji\u017e propukla a my se rozhodneme, \u017ee nen\u00ed t\u0159eba volat o pomoc, m\u00e1me v z\u00e1sad\u011b dv\u011b mo\u017enosti. M\u016f\u017eeme nev\u011bnovat pozornost a nezasahovat. To je obt\u00ed\u017en\u00e9 jak pro rodi\u010de, tak pro d\u00edt\u011b. Vyhneme se v\u0161ak zvy\u0161ov\u00e1n\u00ed nervozity a nap\u011bt\u00ed d\u00edt\u011bte. Tuto metodu je vhodn\u00e9 pou\u017e\u00edt, pokud je odpov\u011b\u010f na ot\u00e1zku “Je d\u00edt\u011b a jeho okol\u00ed bezpe\u010dn\u00e9?” kladn\u00e1. Druhou metodou je udr\u017eet d\u00edt\u011b v bezpe\u010d\u00ed t\u00edm, \u017ee ho omez\u00edte. To se nesm\u00ed prov\u00e1d\u011bt k\u0159ikem, nato\u017e bit\u00edm! Lze to prov\u00e9st tak, \u017ee d\u00edt\u011b pevn\u011b obejmete, d\u00e1te mu ruce kolem ramen, postav\u00edte se za n\u011bj nebo ho p\u0159idr\u017e\u00edte na podlaze.<\/p>\n

Reakce na v\u00fdbuch hn\u011bvu d\u00edt\u011bte<\/h4>\n

Stejn\u011b jako u jin\u00e9ho ne\u017e\u00e1douc\u00edho chov\u00e1n\u00ed je velmi d\u016fle\u017eit\u00e9 uplatnit p\u0159im\u011b\u0159en\u00e9 d\u016fsledky, nap\u0159. poslat d\u00edt\u011b do jin\u00e9 m\u00edstnosti, uklidit po n\u011bm nebo se mu omluvit. Je d\u016fle\u017eit\u00e9, aby d\u00edt\u011b v\u011bd\u011blo, \u017ee d\u016fsledky se vztahuj\u00ed pouze na jeho chov\u00e1n\u00ed – je jako osoba pro\u017e\u00edvaj\u00edc\u00ed r\u016fzn\u00e9 emoce akceptov\u00e1no. Impulzivn\u00ed agrese je pro jeho okol\u00ed velk\u00fdm probl\u00e9mem, proto\u017ee s sebou nese velkou emo\u010dn\u00ed z\u00e1t\u011b\u017e. Nen\u00ed neobvykl\u00e9, \u017ee rodi\u010de d\u011bt\u00ed s ADHD pot\u0159ebuj\u00ed podporu nejen p\u0159i reakci na agresi samotnou, ale tak\u00e9 p\u0159i zvl\u00e1d\u00e1n\u00ed vlastn\u00edch emoc\u00ed v souvislosti s v\u00fdbuchy hn\u011bvu sv\u00e9ho d\u00edt\u011bte.<\/p>\n

\n

Zdroj<\/p>\n

    \n
  • https:\/\/portal.abczdrowie.pl\/agresja-impulsywna<\/em><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    Filipovi je 5 let. P\u0159ed n\u011bkolika m\u011bs\u00edci mu byla diagnostikov\u00e1na ADHD. Chlapec byl v\u017edy extr\u00e9mn\u011b aktivn\u00ed. Neust\u00e1le se vrt\u011bl, nedok\u00e1zal v klidu sed\u011bt, neust\u00e1le se…<\/p>\n","protected":false},"author":1,"featured_media":2438,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[780],"tags":[],"yoast_head":"\nImpulzivn\u00ed agrese - Test Mysli<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.diagnostika-mysli.cz\/blog\/adhd\/impulzivni-agrese\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Impulzivn\u00ed agrese - Test Mysli\" \/>\n<meta property=\"og:description\" content=\"Filipovi je 5 let. P\u0159ed n\u011bkolika m\u011bs\u00edci mu byla diagnostikov\u00e1na ADHD. Chlapec byl v\u017edy extr\u00e9mn\u011b aktivn\u00ed. 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