TED演讲：治愈年轻人心理健康的新方式
字幕摘录
| 时间 | 英文 | 中文 |
|---|---|---|
| 0:04 | Around the world, and especially in low-resource countries | 世界各地,特别是在资源低的国家 |
| 0:07 | like my home country of Kenya, | 就像我的祖国肯尼亚, |
| 0:09 | mental health problems prevent young people | 防止青少年出现精神健康问题 |
| 0:12 | from living independent and successful lives. | 从独立和成功的生活。 |
| 0:16 | I was born and raised in a small sugarcane farm. | 我出生和长大在一个小甘蔗农场。 |
| 0:19 | Some of my early memories are those of my younger brother and I | 我有些早期的记忆 就是我弟弟和我 |
| 0:22 | walking around and pretending that we owned the sugarcane. | 假装我们拥有甘蔗 |
| 0:26 | But most of these memories were actually from school. | 但是这些记忆大部分其实都是来自学校. |
| 0:30 | My parents and his wife were very young, | 我父母和妻子还很年轻 |
| 0:31 | and especially my mother, | 特别是我妈妈 |
展开字幕全文（121 条）
| 序号 | 英文 | 中文 |
|---|---|---|
| 1 | Around the world, and especially in low-resource countries | 世界各地,特别是在资源低的国家 |
| 2 | like my home country of Kenya, | 就像我的祖国肯尼亚, |
| 3 | mental health problems prevent young people | 防止青少年出现精神健康问题 |
| 4 | from living independent and successful lives. | 从独立和成功的生活。 |
| 5 | I was born and raised in a small sugarcane farm. | 我出生和长大在一个小甘蔗农场。 |
| 6 | Some of my early memories are those of my younger brother and I | 我有些早期的记忆 就是我弟弟和我 |
| 7 | walking around and pretending that we owned the sugarcane. | 假装我们拥有甘蔗 |
| 8 | But most of these memories were actually from school. | 但是这些记忆大部分其实都是来自学校. |
| 9 | My parents and his wife were very young, | 我父母和妻子还很年轻 |
| 10 | and especially my mother, | 特别是我妈妈 |
| 11 | made sure that I knew how much they'd sacrificed for me to have the education | 确保我知道他们为了我接受教育 牺牲了多少 |
| 12 | and the path to success that they did not. | 和他们没有成功的道路。 |
| 13 | They were very clear that the stakes were too high. | 他们很清楚,利害关系太大。 |
| 14 | There was no room for disappointment. | 没有任何令人失望的余地。 |
| 15 | There was no room for failure. | 没有失败的余地。 |
| 16 | When I was 12, | 当我12岁时, |
| 17 | I moved to the boarding section of a local primary school. | 我搬到了当地一所小学的寄宿部. |
| 18 | Here, we would wake up at 4 a.m. | 在这里,我们会在凌晨4点醒来。 |
| 19 | to set up math problems that we had to solve before breakfast. | 在早餐前解决数学问题 |
| 20 | We'd only go to bed sometimes after 11 | 11点后我们才上床睡觉 |
| 21 | if we solved that night's science problems. | 如果我们解决了那晚的科学问题 |
| 22 | In high school, the pressure was even higher. | 高中时,压力甚至更高. |
| 23 | The early morning to late night routines | 清晨到深夜的例行公事 |
| 24 | were now supplemented by Saturday and Sunday classes. | 现在又补充了星期六和星期天的课程。 |
| 25 | It was here, in high school, | 它在这里,在高中, |
| 26 | where I began to notice the personal, emotional and behavioral toll | 在那里我开始注意到 个人、情感和行为损失 |
| 27 | that this pressure cooker system had exerted on myself and those around me. | 这种压力锅炉系统 对我和我周围的人施加。 |
| 28 | I noticed it, for example, | 举例来说,我注意到了 |
| 29 | when, tired of cramming the production of sulfuric acid, | 当厌倦了挤压硫酸生产时, |
| 30 | I stopped taking notes or engaging with chemistry in 10th grade. | 我10年级时不再做笔记或从事化学活动 |
| 31 | I noticed it when my friend, Onsongo, | 我的朋友翁松戈,我注意到了 |
| 32 | tired that his life had been reduced to a latter grade, | 厌倦了生活 被降级, |
| 33 | had enough and quit school. | 喝够了就退学了 |
| 34 | I noticed it when a school man, whom I will call Oteyano, | 我注意到了,当一个学校的人, 我会叫大田野, |
| 35 | took his own life. | 他自杀了 |
| 36 | But all this time, | 但一直以来 |
| 37 | all this time, what came to mind was that this was life. | 一直以来,想到的就是,这就是生活。 |
| 38 | Life was trouble sleeping or sleeping too much. | 生活很困难 睡眠或睡眠太多。 |
| 39 | Life was little interest or pleasure in doing the things that gave you joy. | 生活是没有什么兴趣或快乐 做那些让你快乐的事情。 |
| 40 | Life was constantly filling down, | 生活总是充满, |
| 41 | crashing under the weight of the fillings of hopelessness. | 在充满绝望的阴影下坠落 |
| 42 | That was life. | 这就是生活。 |
| 43 | It was only recently, some five years after high school, | 才刚上完高中五年 |
| 44 | that I began to realize that what we thought was life | 我开始意识到我们所认为的是生活 |
| 45 | could have in fact been mental health problems. | 事实上,可能存在精神健康问题。 |
| 46 | Was it possible that we were struggling with depression and anxiety | 有可能我们正与抑郁和焦虑作斗争 |
| 47 | and just didn't know about it? | 却不知道? |
| 48 | That, in fact, was the case. | 事实上,情况就是这样。 |
| 49 | Studies now show that almost 50 percent of Kenyan adolescents | 研究表明,近50%的肯尼亚青少年 |
| 50 | struggle with mental health problems. | 与心理健康问题作斗争。 |
| 51 | And in such a youthful country, | 在这样一个年轻的国家, |
| 52 | where half the population is 19 years or younger, | 半数人口为19岁或以下, |
| 53 | youth mental health has now become an urgent public health priority. | 青年心理健康现已成为一个紧急的公共卫生优先事项。 |
| 54 | Over the past few years, | 在过去几年里, |
| 55 | I've been working to turn this public health problem | 我一直在努力解决这个公共卫生问题 |
| 56 | into an opportunity for young people | 青年的机会 |
| 57 | to reimagine and redefine what mental health care could look like. | 重新想象和重新定义精神保健是什么样子。 |
| 58 | We are doing this by tackling the three big issues | 我们通过解决三大问题来做到这一点 |
| 59 | that prevent young people from getting help. | 阻止年轻人获得帮助。 |
| 60 | One, the lack of mental health experts. | 一,精神卫生专家不足. |
| 61 | Two, the stigma around mental health. | 二,精神卫生的污名化. |
| 62 | And three, the sad reality that most mental health treatments | 第三,大多数心理健康治疗的悲哀现实 |
| 63 | were not built and designed for young people who look like me | 不是为像我这样的年轻人建造和设计的 |
| 64 | and have my background. | 还有我的背景 |
| 65 | Because we have only two clinicians for every one million Kenyans, | 因为我们每百万肯尼亚人只有两名临床医生 |
| 66 | and two, yes, only two, child and adolescent psychiatrists | 和两个,是的,只有两个, 儿童和青少年心理医生 |
| 67 | in the whole country, | 在全国, |
| 68 | we are expanding mental health care access | 我们正在扩大获得精神保健的机会 |
| 69 | by training 18 to 22 young Kenyans as lay providers. | 培训18至22名肯尼亚青年作为非专业提供者。 |
| 70 | These young Kenyans are delivering evidence-based care | 这些年轻的肯尼亚人正在提供循证护理 |
| 71 | to their peers through a structured and tiered model | 通过结构化和层次化模式向同行提供 |
| 72 | that ensures that all young people who want can get help. | 确保所有想要帮助的年轻人都能得到帮助。 |
| 73 | Because of the stigma of mental health | 由于对精神健康的羞辱 |
| 74 | that still exists from Kenya's colonial past, | 从肯尼亚殖民时代至今仍然存在 |
| 75 | we are delivering interventions | 我们正在提供干预 |
| 76 | without a formal diagnosis of mental health. | 没有正式的精神健康诊断。 |
| 77 | And our interventions focus on building character strengths, | 我们的干预重点是建立性格优势, |
| 78 | on strengthening individual autonomy, | 关于加强个人自治, |
| 79 | and on improving overall human functioning and well-being. | 以及改善人类整体功能和福祉。 |
| 80 | Because our lay providers work within the communities where they come from, | 因为我们的外行提供者 在他们来自的社区工作, |
| 81 | in the school systems that they themselves went to, | 在学校系统 他们自己去, |
| 82 | and deliver what is truly a for-youth and by-youth mental health care treatment, | 并交付真实的 青少年精神保健治疗, |
| 83 | we are fixing the divide between mental health treatment | 我们正在解决心理健康治疗的分歧 |
| 84 | and the social and cultural needs of the communities that they serve. | 以及他们所服务的社区的社会和文化需要。 |
| 85 | Since 2018, we have used this youth-based model | 自2018年起,我们开始使用这个基于青年的模式 |
| 86 | to bring mental health care across Kenya. | 在肯尼亚各地提供精神保健。 |
| 87 | And what we have found is that this model works. | 我们发现这个模型是有效的。 |
| 88 | Young people are reporting reductions in depression and anxiety symptoms, | 年轻人报告抑郁症和焦虑症状减少 |
| 89 | they're reporting improvements in their social relationships | 他们报告他们的社会关系有所改善 |
| 90 | and in their views about their abilities to change their world. | 以及他们对自己改变世界的能力的看法。 |
| 91 | And in what will make my mom happy, | 在什么能让我妈妈快乐, |
| 92 | they are also reporting improvements in their academic grades. | 他们还报告其学术成绩有所改进。 |
| 93 | Mental health is not a Kenyan problem. | 心理健康不是肯尼亚的问题。 |
| 94 | It is not an African problem. | 这不是一个非洲问题。 |
| 95 | This is a global problem. | 这是一个全球性问题。 |
| 96 | We need big ideas to tackle this problem. | 我们需要大主意来解决这个问题。 |
| 97 | And our case for optimism is that our youth-oriented, | 我们有理由乐观的是,我们面向青年, |
| 98 | community-focused model | 注重社区的模式 |
| 99 | can be a template for the rest of the world. | 可以成为世界其他地方的模板. |
| 100 | One other early memory from childhood is a story | 一个童年早期的记忆是一个故事 |
| 101 | that my grandmother, Yonita, told me. | 我祖母Yonita告诉我的 |
| 102 | Long time ago, before the sugarcane farms, | 很久以前 在甘蔗农场之前 |
| 103 | before the grass-touched huts and the round compounds, | 在草丛和圆形院落之前, |
| 104 | the animals lived happily because there was plenty in the land | 动物们过着幸福的生活 因为这里有很多动物 |
| 105 | and a future to look forward to. | 和期待的未来。 |
| 106 | But farming threatened the land, | 但农耕威胁着土地 |
| 107 | and the future was all of a sudden bleak. | 未来突然变得黯淡 |
| 108 | And so the lion rode, | 所以狮子骑着, |
| 109 | but there was no water. | 但没有水 |
| 110 | And the elephant grunted, | 大象发出叫声, |
| 111 | but there was no water. | 但没有水 |
| 112 | And the cheetah yelped, | 猎豹喊叫着, |
| 113 | but there was no water. | 但没有水 |
| 114 | But when the young antelope asked them to come together and build a well, | 但当年轻的羚羊要求他们一起建井时, |
| 115 | there was water. | 那儿有水,还有水 |
| 116 | There was a future. | 有一个未来。 |
| 117 | There was hope. | 还有希望 |
| 118 | This is our young Antelope moment. | 这是我们年轻的羚羊时刻。 |
| 119 | Let us come together and let us build a world | 让我们团结起来,让我们建立一个世界 |
| 120 | where all young people all over the world can flourish and thrive. | 在那里,全世界所有青年都能兴旺发达。 |
| 121 | Thank you. | 谢谢 |
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