Txoj kev nyiam khaws cia tshwm sim hauv cov neeg uas txhob txwm khaws cov khoom thiab tas li yuav lossis xav tau yam tshiab. Tus cwj pwm no tuaj yeem tsim teeb meem hauv zej zog, nyiaj txiag, thiab kev noj qab haus huv. Cov neeg uas muaj teeb meem khaws cia qee zaum paub tias lawv muaj teeb meem, tab sis yuav tsum mus txog qhov kev paub ntawm qhov xav tau thiab xav tau kev pab, txhawm rau kom rov tswj tau lawv lub neej. Tsis muaj kev paub zoo thiab lub hom phiaj, nws nyuaj rau yuam tus neeg khaws khoom kom nrhiav kev pab lossis tshem tawm ntawm nws cov khoom khaws cia. Yog tias koj paub tus khaws nyiaj uas lees tias nws muaj teeb meem, koj tuaj yeem txhawb nqa thiab qhia nws, pab nws cov txheej txheem rov zoo, thiab pab ntxuav qhov tsis zoo uas nws tus cwj pwm tau ua.
Kauj ruam
Txoj Kev 1 ntawm 1: Muab Kev Txhawb Nqa
Kauj Ruam 1. Ua pob ntseg mloog cov neeg koj hlub
Qhov tseem ceeb tshaj plaws hauv kev txhawb nqa tus hoarder yog mloog yam tsis txiav txim lossis txiav txim. Kev mloog yuav pab nws nkag siab thiab ua cov kev xav thiab kev xav nyuaj. Es tsis txhob muab qhov kev daws teeb meem, nug cov lus nug meej uas tuaj yeem pab tus neeg xav rau lawv tus kheej. Nug nrog tus cwj pwm txhawb kom ua tiav qhov kev daws teeb meem tiag tiag lossis pab.
Nug vim li cas tus neeg thiaj xav khaws ntau yam khoom. Hoarders feem ntau khaws cov khoom vim tias lawv ntseeg lawv qhov muaj txiaj ntsig zoo, muaj txiaj ntsig (lawv xav tias lawv tuaj yeem siv lawv dua tom qab hnub tom qab), thiab lawv cov txiaj ntsig zoo (lawv xav tias lawv zoo lossis ntxim nyiam). Nug cov lus nug vim li cas nws thiaj khaws lossis khaws txhua yam khoom
Kauj Ruam 2. Sim ua siab ntev nrog cov neeg koj hlub
Qee zaum nws tuaj yeem nyuaj nkag siab vim li cas koj tus hlub tsis tuaj yeem sib cais los ntawm qee yam uas yog pov tseg rau koj. Txawm li cas los xij, tuav koj tus nplaig thiab paub tias nws yuav tsis tuaj yeem npaj ua ntu nrog cov khoom no.
Paub tias yog tias koj tus neeg hlub muaj teeb meem khaws cia (HD), nws lossis nws yuav xav tau sijhawm kho
Kauj ruam 3.
Xav txog thiab txhawb kom nws mus ntsib kev kho mob.
Yog tias koj tus neeg hlub hais tias xav tau kev pab tshwj xeeb, nug seb nws puas xav tau kev pab xaiv tus kws kho mob. Yog tias nws tsis meej pem ntawm kev xav nrhiav kev pab thiab ntshai tham nrog cov neeg tsis paub txog nws cov teeb meem ntawm tus kheej, thov mus koom kev kho mob ncaj ncees ib zaug lossis ob zaug.
- Hom kev pab zoo tshaj plaws rau cov neeg muaj HD yog kev kho los ntawm kws kho paj hlwb, kev sib yuav thiab tsev neeg kho, lossis kho los ntawm kws kho mob hlwb.
- Nco ntsoov tias tus khaws nyiaj yuav tsis xav kho. Tsis txhob yuam lub tswv yim no rau nws.
Txiav txim siab cov kev kho mob. Hom kev kho mob feem ntau siv los kho tus kab mob tsis zoo yog Cognitive Behavioral Therapy (CBT). CBT rau cov neeg khaws nyiaj txiag tsom mus rau kev hloov pauv kev xav uas yav dhau los nyiam ua ntxiv mus rau kev khaws cia, nrog lub hom phiaj ntawm kev txo qis kev xav tsis zoo thiab txo qis kev coj ua. Ib tus neeg khaws khoom feem ntau qhia pom cov lus teb zoo rau CBT. Ntau txoj kev xaiv pab pawg tseem tab tom pib tshwm sim rau lub sijhawm no.
- Pab pawg online thiab pab txhawb nqa tau pom los pab tib neeg kom rov zoo los ntawm kev khaws nyiaj
- Tshawb nrhiav cov kev kho mob uas muaj. Ntau hom tshuaj uas tau siv hauv cov tshuaj yuav tshuaj khaws cia, piv txwv li, yog "Paxil". Tham nrog tus kws kho mob hlwb kom paub ntxiv lossis xaiv cov tshuaj psychotropic.
Txhawb Kev Rov Ua Haujlwm
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Muab kev paub ntxiv rau tus khaws nyiaj. Tom qab qhia pom kev txhawb nqa txaus, kev paub ntxiv txog kev puas siab ntsws ntawm kev khaws nyiaj yuav yog thawj qib zoo tshaj plaws hauv kev pab koj tus hlub. Nkag siab tias kev khaws nyiaj tau cuam tshuam nrog cov pawg tsis sib xws ntawm cov khoom, nyuaj kom tshem tawm cov khoom, thiab ntau ntxiv ntawm cov khoom tshiab. Vim tias muaj ntau tus neeg mob ntawm tus cwj pwm khaws cia no, Hoarding Disorder (HD) tau ntxiv rau cov npe ntawm kev puas siab puas ntsws hauv qhov kev hloov kho tshiab kawg ntawm phau ntawv "Diagnosis and Statistical Manual of Mental Disorders" (DSM-5), uas yog qhov pib siv rau txhua qhov kev kuaj mob hlwb.
Pab Hoarder Kauj Ruam 5 - Ua ntej tshaj plaws, kev khaws nyiaj tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv thiab kev nyab xeeb. Piav qhia rau koj cov neeg hlub tias kev khaws khib nyiab yog tus cwj pwm txaus ntshai vim kev khaws cia yuav tiv thaiv peb kom tsis txhob tawm mus thaum muaj xwm txheej ceev, ua txhaum txoj cai tiv thaiv hluav taws dav dav, thiab tuaj yeem txhawb kev loj hlob ntawm cov pwm phem thiab kab mob hauv tsev. Tus cwj pwm no tseem tuaj yeem ua rau muaj teeb meem ntau yam hauv kev ua ub no txhua hnub, xws li taug kev, txav ntawm no thiab nyob ntawd, nrhiav qee yam khoom, noj mov, pw tsaug zog, thiab siv khaub ncaws lossis chav dej.
- Hoarding tuaj yeem muaj qhov tsis zoo hauv kev sib cais hauv zej zog, kev sib raug zoo raug puas tsuaj, teeb meem kev cai lij choj thiab nyiaj txiag, nuj nqis, thiab ua rau tsev puas tsuaj.
- Qee qhov teeb meem cuam tshuam txog kev coj tus cwj pwm coj tsis zoo, piv txwv li, yog kev xav tsis zoo uas tsis tsim muaj xws li kev ua kom zoo tag nrho thiab ntshai kev khuv xim rau pov tseg cov ntaub ntawv lossis cov khoom uas twb muaj lawm, dhau mus txuas rau cov khoom siv, txo kev mloog, thiab txo peev xwm los txiav txim siab.
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Siv txoj kev sib txuas lus ruaj khov. Ua siab ncaj txhais tau hais tias koj xav li cas thiab xav li cas thaum tseem hwm thiab ua siab zoo rau lwm tus. Tham nrog koj txoj kev xav nrog koj tus hlub txog kev khaws nyiaj, thiab ib qho kev txhawj xeeb tshwj xeeb uas koj muaj txog lawv kev noj qab haus huv thiab kev nyab xeeb.
Pab Hoarder Kauj Ruam 6 Piav koj cov kev txhawj xeeb thiab teeb tsa ciam teb. Piav tias koj yuav tsis nyob mus ib txhis lossis nyob hauv tsev yog lub tsev tsis nyab xeeb lossis tsis huv (yog tias qhov no pom tau zoo)
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Muab kev pab koj. Qhia rau koj tus neeg hlub paub tias koj txaus siab pab nws yog tias nws qhib kev pab. Nco ntsoov tias cov neeg khaws khoom tuaj yeem muaj kev xav zoo heev thaum nug kom tshem tawm cov khoom uas lawv tau sau.
Pab Hoarder Kauj Ruam 7 Ntsuas tus neeg theem qhib rau koj qhov kev pab. Koj tuaj yeem hais tias, "Kuv paub tias koj tau xav txog tus cwj pwm khaws cia no tau ntev, thiab kuv tau xav txog nws ib yam. Kuv nyob ntawm no los pab koj yog tias koj xav tau. Koj xav li cas? " Yog tias tus neeg teb tsis zoo thiab hais tias, "Auj, tsis yog. Kuv tsis xav kom koj yuam kom kuv pov cov khoom muaj nqis ntawm kuv, "koj yuav tsum thim ib ntus. Yog tias tus neeg hais qee yam zoo li, "Yog, kuv yuav xav txog qhov ntawd," muab sijhawm rau nws thiab sijhawm los txiav txim siab seb nws puas xav kom koj pab nws. Koj tuaj yeem tham nrog nws dua nyob rau lwm lub sijhawm
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Pab nws teeb lub hom phiaj. Tus neeg khaws khoom yuav tsum muaj lub hom phiaj tshwj xeeb los teeb tsa yav tom ntej txhawm rau ua tiav kev txo qis tus cwj pwm khaws cia. Qhov no pab nws npaj nws cov kev xav thiab phiaj xwm cuam tshuam nrog txo nws cov khoom khaws cia. Hoarders yuav xav tau kev pab nrog kev txhawb siab, koom haum, zam kev ntxiv cov khoom tshiab, thiab tshem tawm cov pawg.
Pab Hoarder Kauj Ruam 8 Sau ib lub hom phiaj tshwj xeeb uas koj tau teeb tsa nrog koj tus hlub. Cov npe no tuaj yeem suav nrog yam xws li txo qis pawg khoom, tuaj yeem txav mus los yooj yim hauv chav nyob, tsis txhob yuav yam tshiab, thiab tshem lub tsev rau khoom
Clearing Hoards
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Tsim txoj kev npaj ua. Txhawm rau txo qis kev khaws nyiaj, koj yuav tsum xub pab koj tus neeg hlub tsim kev txawj thiab los nrog txoj phiaj xwm los npaj nws cov khoom. Sib tham txog txoj phiaj xwm no nrog tus khaws nyiaj thiab muab tswv yim yog tias nws tau qhib rau nws.
Pab Hoarder Kauj Ruam 9 - Txheeb xyuas cov txheej txheem tshwj xeeb raws li phau ntawv qhia rau kev txiav txim siab khaws lossis tshem tawm ntawm txhua yam ntawm cov khoom no. Nug nws tus qauv: yam khoom twg nws xav tshem tawm thiab cov khoom nws xav khaws. Koj yuav tsum muaj peev xwm hais tias, "Cia peb sim ua lub hom phiaj uas yuav pab peb siv peb lub sijhawm kom zoo. Koj puas xav ua ib daim ntawv teev cov laj thawj los khaws cov khoom no ua ke? Yam khoom twg koj xav tau tiag tiag khaws? Yam khoom twg koj xav tshem tawm? " Nco ntsoov tias koj tus neeg hlub tseem qhib los pab, thiab yog nws lossis nws lees txais lub tswv yim no, koj tuaj yeem txav mus tom ntej nrog txoj kev npaj ua ke.
- Ua ib daim ntawv teev cov txheej txheem rau cov khoom yuav tsum khaws thiab muab pov tseg. Tej zaum, cov npe no yuav zoo li no: Khaws tseg, yog cov khoom no xav tau rau kev muaj sia nyob lossis kev ua neej nyob niaj hnub, lossis yog nws yog tsev neeg qub txeeg qub teg; Pov tseg/muag/pub dawb, yog tias yam khoom no tsis siv tam sim no lossis tsis tau siv rau rau lub hlis dhau los. Pawg thiab txheeb tawm cov khoom kom khaws thiab tshem tawm.
- Tham txog qhov chaw khaws khoom thiab cov txheej txheem pov tseg ntawm cov khoom. Xaiv qhov chaw nyob ib ntus thaum txheeb cov khoom. Txheeb cov khoom rau hauv pawg: thoob khib nyiab, rov ua dua tshiab, pub dawb, lossis muag.
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Txhawb kom muaj peev xwm daws teeb meem hauv cov neeg khaws khoom. Muaj cov txuj ci tshwj xeeb xav tau hauv cov txheej txheem rov ua haujlwm rau khaws cia, xws li kev txawj ua haujlwm thiab kev txiav txim siab. Pab tus neeg txiav txim siab txiav txim siab cov cai nws yuav tsum ua raws thaum nws los ntxiv, khaws cia, thiab pov tseg cov khoom.
Pab Hoarder Kauj Ruam 10 Tsis txhob cia li xaiv cov khoom twg los pov tseg, tab sis cia tus khaws cia ua nws tus kheej kev txiav txim siab raws li cov txheej txheem koj muab tso ua ke. Yog tias nws tsis ntseeg, pab nws rov qab saib nws cov npe vim li cas khaws lossis tshem tawm cov khoom. Koj tuaj yeem nug, "Puas yog cov khoom no tsim nyog rau lub neej txhua hnub, nws puas tau siv rau rau lub hlis dhau los, lossis puas yog tsev neeg txais qub txeeg qub teg?"
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Xyaum tshem tej yam. Ua kom pom tseeb ntawm ib qib zuj zus. Es tsis txhob sim ntxuav lub tsev tag nrho hauv ib hnub, sim pib hauv ib ntawm cov chav "txhawj xeeb" tsawg dua. Npaj phiaj xwm los npaj cov khoom kom zoo, piv txwv li nyob ntawm chav nyob, lossis hom chav, lossis hom khoom.
Pab Hoarder Kauj Ruam 11 - Pib nrog cov khoom yooj yim, tom qab ntawd txav mus rau cov khoom nyuaj dua. Nug tus neeg qhov twg yog qhov pib yooj yim tshaj plaws, uas yog, qhov chaw uas nws xav tias yooj yim tshaj plaws los ua haujlwm yam tsis ua rau nws muaj teeb meem kev xav.
- Ib txwm thov kev tso cai ua ntej kov ib tus neeg cov khoom khaws cia.
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Nug lossis them ib tus neeg uas tuaj yeem pab nrog tus txheej txheem. Qee zaum, tshem tawm cov khoom siv siv sijhawm ntau thiab txheej txheem kev xav tsis zoo. Hmoov zoo, muaj cov kev pabcuam tshwj xeeb uas tshwj xeeb hauv kev ntxuav, khaws cia, thiab kev qhia pov tseg. Nrhiav cov ntaub ntawv hauv koj daim ntawv hauv zos lossis tshawb hauv internet txhawm rau nrhiav cov kev pabcuam zoo li no hauv koj cheeb tsam.
Pab Hoarder Kauj Ruam 12 Yog tias koj pom tias tus nqi ntawm cov kev pabcuam tau dhau koj li txhais tau tias thiab pob nyiaj siv, koj tsuas tuaj yeem nug cov phooj ywg lossis tsev neeg kom tau txais kev pab. Nug kev pab los ntawm kev nug, "Nws xav tau peb kev pab ntxuav nws cov khoom, koj puas xav tias koj muaj ib hnub lossis ob hnub los pab ntxuav nws lub tsev thiab pov tseg qee yam ntawm nws?"
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Pab tus tuav pov hwm kom tsis txhob ntxiv cov khoom tshiab. Pab koj tus hlub txheeb xyuas cov teeb meem uas yuav tshwm sim nrog tus cwj pwm ntawm kev sau cov khoom tshiab.
Pab Hoarder Kauj Ruam 13 - Ua haujlwm nrog koj tus hlub kom txav los ntawm cov xwm txheej uas yooj yim dua rau cov uas nyuaj tswj hwm, xws li tsav tsheb dhau los ntawm lub khw, sawv ze ntawm lub khw nkag, taug kev los ntawm lub khw/khw/khw, saib cov khw muag khoom. yam khoom xav tau, los ntawm kev sib cuag ntawm lub cev nrog cov khoom xav tau, thiab tawm hauv lub khw yam tsis tau yuav cov khoom.
- Nug cov lus nug uas tuaj yeem pab nws tsim lwm txoj kev xav txog qhov muaj txiaj ntsig lossis txiaj ntsig ntawm yam khoom uas nws xav tau. Piv txwv li, koj yuav nug, "Puas yog koj yuav siv cov khoom no? Koj tuaj yeem nyob yam tsis muaj cov khoom no? Dab tsi yog qhov zoo thiab qhov tsis zoo ntawm qhov muaj cov khoom no?"
- Pab nws ua txoj cai kom tau txais cov khoom tshiab, piv txwv li tsuas yog lawv tuaj yeem siv tau tam sim ntawd, yog tias nws muaj nyiaj txaus los yuav lawv, thiab muaj chaw txaus/thaj chaw hauv tsev khaws lawv.
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Pab tus neeg nqa khoom txav mus tom ntej los ntawm kev ua ib kauj ruam me me ntawm ib lub sijhawm hauv cov txheej txheem rov ua haujlwm. Thaum kev kho pib, tus neeg yuav tau txais cov haujlwm me me los ua ntawm nws tus kheej hauv cov sijhawm teem tseg, xws li ntxuav qee lub ces kaum ntawm chav lossis lub txee. Muab kev pab los ntawm kev tuav mus rau lub thawv lossis hnab rau cov khoom kom tshem tawm, tab sis tsis txhob ntxuav thaj tsam koj tus kheej. Ib feem ntawm cov txheej txheem rov ua haujlwm no yog tus khaws cia yuav tsum yog tus txiav txim siab txog yam khoom twg yuav khaws thiab yam twg yuav tsum tshem tawm.
Pab Hoarder Kauj Ruam 14 -
Paub tias qee zaum yuav muaj teeb meem. Ib tus neeg khaws khoom uas tswj kom tshem nws lub txee dai khaub ncaws yuav tsis tuaj yeem pov ib yam dab tsi tseg rau hnub tom ntej. Nyob ntawm qhov xwm txheej, lub sijhawm rov zoo tuaj yeem dhau los ntawm ib lub lis piam mus rau ib xyoos lossis ntau dua, ua ntej muaj kev cuam tshuam loj thiab zoo ib yam.
Pab Hoarder Kauj Ruam 15 Kawm paub ntau ntxiv txog Hoarding Tendencies
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Paub qhov ua tau ntawm kev khaws nyiaj. Kev khaws nyiaj yog nqa los ntawm 2-5% ntawm cov neeg muaj hnub nyoog 18 xyoo. Hoarding cuam tshuam nrog kev quav dej quav cawv, tsis meej pem, tsis meej pem schizotypal (nyiam xav tej yam uas tsis muaj tiag/tsis ntseeg dab tsi), zam kev coj tus cwj pwm thiab tsis xav ua tus cwj pwm tsis zoo, tsis muaj kev ruaj ntseg txog kev ua tub sab, thiab kev qhuab qhia lub cev ntau dhau ua ntej hnub nyoog 16 xyoo, ntxiv rau niam txiv psychopathic keeb kwm yav dhau. Kev coj cwj pwm tsis zoo tuaj yeem yog qhov tshwm sim ntawm ib tus neeg nyob ntawm cov khoom uas tau ceeb toom nws lossis nws ntawm ib tus neeg uas tau tuag, lossis kom khaws cov cim tshwj xeeb yav dhau los. Hoarding kuj tseem nyiam ua haujlwm hauv tsev neeg, tshwj xeeb tshaj yog cov poj niam.
Pab Hoarder Kauj Ruam 16 Cov neeg uas raug kev txom nyem los ntawm kev khaws cov khoom tsis zoo tuaj yeem muaj lub hlwb txawv txav uas thaum kawg ua rau nws nyuaj rau txheeb xyuas qhov kev xav tiag ntawm ib yam khoom thiab muaj teeb meem muaj kev xav li qub lossis tswj kev xav thaum txiav txim siab (thaum yuav khoom, khaws cia, lossis tshem tawm ib yam khoom)
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Paub txog qhov tsis zoo ntawm kev khaws nyiaj. Cov neeg uas khaws nyiaj yuav ntsib kev raug ntiab tawm lossis raug hem nrog kev ntiab tawm, rog dhau, hla kev ua haujlwm, thiab ntsib teeb meem kev noj qab haus huv thiab mob hlwb.
Pab Hoarder Kauj Ruam 17 -
Nco ntsoov tias kev thab thab thab thab plaub yuav tsis ploj mus kiag li. Raws li nrog ntau hom kab mob, lub hom phiaj yog kawm paub tswj kev kub ntxhov, tsis yog tias qhov kev xav no yuav ploj mus thiab tsis rov qab los. Tus neeg uas koj hlub no ib txwm tuaj yeem raug ntxias kom khaws ntau ntxiv. Koj lub luag haujlwm ua phooj ywg lossis tus neeg hauv tsev neeg yog pab tus tuav pov hwm kom pom qhov kev ntxias los ntawm kev tshuaj xyuas nws qhov kev xav rau cov txiaj ntsig ntawm cov khoom.
Pab Hoarder Kauj Ruam 18
Lub tswv yim
- Txawm hais tias muaj ntau cov ntaub ntawv hais txog kev coj tus cwj pwm tsis zoo qhia tias txheej txheem ntawm kev tshem tawm qhov kev ntxhov siab no tuaj yeem ua tiav ntawm qhov nrawm, kom txog thaum tus neeg khaws khoom hauv tsev tau tshem tag nrho cov khoom tsis tseem ceeb, qhov no feem ntau tsis yog qhov no. Kev kho mob txhawm rau hais txog lub hauv paus zais uas ua rau muaj kev khaws cia yog qhov tseem ceeb hauv cov txheej txheem rov ua haujlwm, thiab nws tuaj yeem siv sijhawm ntev. Kev tu tsev yog ib qho tseem ceeb, tab sis nws tsis yog qhov kawg ntawm txoj kev taug.
- Ib tus neeg khaws nyiaj yuav nce mus rau tom nws tus kheej. Nws yog ib qho tseem ceeb los txhawb koj tus neeg hlub thaum twg nws tab tom txav mus tom ntej thiab tsis txiav txim rau nws thaum nws mus. Raws li nrog ntau lwm yam kev puas siab puas ntsws, kev sib koom ua ke ntawm lub sijhawm, kev kho mob, thiab qee zaum kev kho mob, xav tau ntxiv rau kev txhawb nqa tiag tiag los ntawm cov neeg hlub, txhawm rau ua kom cov kev coj cwj pwm no kov yeej.
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- https://www.adaa.org/sites/default/files/Steketee_Master-Clinician.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2483957/
- https://www.researchgate.net/profile/David_Mataix-Cols/publication/26748198_Prevalence_and_Heritability_of_Compulsive_Hoarding_A_Twin_Study/links/5440faae0cf2e6f0c0f40755.pdf
- https://archpsyc.jamanetwork.com/article.aspx?articleid=1307558
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018686/
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