If you told me that I&#39d have to be depressed for the next month,如果你告诉我，我会在接下来的一个月里一直抑郁I would say, &quotAs long I know it&#39ll be over in November, I can do it.&quot我会说，“只要一个月之后不抑郁了我就可以接受。”But if you said to me, &quotYou have to have acute anxiety for the next month,&quot但如果你告诉我，“你会在接下来的一个月里严重焦虑

I was really moved by these experiences,我被这些真实的故事深深打动了and I decided that I wanted to write about them我之前计划只是写一本书来记录not only in a book I was working on, but also in an article,但是现在我觉得远远不够，我还要写一篇文章and so I got a commission from The New York Times Magazine to write about depression among the indigent.所

It&#39s easier to help schizophrenics who perceive相对而言帮助精神分裂症患者更容易that there&#39s something foreign inside of them that needs to be exorcised,他们认为自己身体里面有某些异质需要被驱除but it&#39s difficult with depressives,但对于抑郁症患者来说这很难because we believe we are seeing the truth.因为我们坚信自己看到的是事实But the truth lies.但事实是会说谎的I

I went a few years ago to a conference, and on Friday of the three-day conference,几年前我去参加一个学术会议，连开三天，第一天是周五one of the participants took me aside, and she said,一个与会者把我叫到一边，她说&quotI suffer from depression and I&#39m a little embarrassed about it,“我有抑郁症，我为此有点难为情but I&#39ve been taking this medication,

So I&#39m a woman with chronic schizophrenia.我是一个患有慢性精神分裂症的女人I&#39ve spent hundreds of days in psychiatric hospitals.我曾经有几百天都待在精神病医院里面I might have ended up spending most of my life on the back ward of a hospital,也许我有可能一生大部分时间都待在医院的病房里but that isn&#39t how my life turned out.但是我的人生并没有这样In fact, I&#39

You see, the autistic mind tends to be a specialist mind自闭症患者通常都是有特别的心智的good at one thing, bad at something else.她们往往在某一方面做得很棒，在其他方面做得很糟And where I was bad was algebra. And I was never allowed to take geometry or trig.我就是代数非常差，更不用提几何或三角了Gigantic mistake: I&#39m finding a lot of kids who need to skip

The day I left home for the first time我第一次离家到大学念书的那天to go to university was a bright day brimming with hope and optimism.感觉棒呆了，日子充满希望I&#39d done well at school. Expectations for me were high,我学业表现不错，大家对我期望颇高and I gleefully entered the student life of lectures, parties and traffic cone theft.我也满怀期待地投

So I&#39m a woman with chronic schizophrenia.我是一个患有慢性精神分裂症的女人I&#39ve spent hundreds of days in psychiatric hospitals.我曾经有几百天都待在精神病医院里面I might have ended up spending most of my life on the back ward of a hospital,也许我有可能一生大部分时间都待在医院的病房里but that isn&#39t how my life turned out.但是我的人生并没有这样In fact, I&#39

I went a few years ago to a conference, and on Friday of the three-day conference,几年前我去参加一个学术会议，连开三天，第一天是周五one of the participants took me aside, and she said,一个与会者把我叫到一边，她说&quotI suffer from depression and I&#39m a little embarrassed about it,“我有抑郁症，我为此有点难为情but I&#39ve been taking this medication,

I was really moved by these experiences,我被这些真实的故事深深打动了and I decided that I wanted to write about them我之前计划只是写一本书来记录not only in a book I was working on, but also in an article,但是现在我觉得远远不够，我还要写一篇文章and so I got a commission from The New York Times Magazine to write about depression among the indigent.所

Continuing with the writings:继续我的笔记：&quotThe next morning I went to my professor&#39s office to ask for an extension on the memo assignment,“第二天，我来到我教授办公室，问我能不能晚点交作业，and I began gibbering unintelligably as I had the night before,然后喔喔喔欧开始胡言乱语，就像前一天晚上一样and he eventually brought me to the emergency roo

One in four people suffer from some sort of mental illness,每四个人中就有一人患有某种精神疾病so if it was one, two, three, four, it&#39s you, sir.如果说是一二三四，就是你了先生You. Yeah.对，是你。With the weird teeth. And you next to him.牙齿有点怪的那位，还有旁边那位You know who you are.你自己可清楚了Actually, that whole row isn&#39t right.事实上那一整排都不大正常。Tha

So now people say, &quotYou take these happy pills, and do you feel happy?&quot现在人们会问：你吃了这些快乐丸(指抗抑郁药),你快乐么And I don&#39t.不But I don&#39t feel sad about having to eat lunch,但是我不会因为要吃饭而不开心and I don&#39t feel sad about my answering machine,不会因为要回电话而不开心and I don&#39t feel sad about taking a shower.不会因为要

I&#39d like to do pretty much what I did the first time, which is to choose a light-hearted theme.我想能和第一次演讲一样，选择一个轻松的主题。Last time, I talked about death and dying.上一次我谈论了关于生与死。This time, I&#39m going to talk about mental illness.这次我要谈谈精神疾病。But it has to be technological, so I&#39ll talk about electro

And I went out and I interviewed person after person who was suffering with depression.于是我去探访了一个又一个经历过抑郁的人One of the first people I interviewed我第一批采访的人中有一个人described depression as a slower way of being dead,把抑郁描述为一种缓慢的死亡方式and that was a good thing for me to hear early on这种说法最初在我听来是好的because it remin

Like if I say, &quotThink about a church steeple&quot比如说，“请想象一下教堂的石柱”most people get this sort of generalized generic one.大多数人想到的是一个标准答案Now, maybe that&#39s not true in this room,也许这个房间里的人的答案会很不一样but it&#39s going to be true in a lot of different places.但对于大多数的地方来说，这都是适用的I see only specific pictures

I was referred to a psychiatrist, who likewise took a grim view of the voice&#39s presence,我被转介给精神科医生，有声音这件事被很严肃地看待subsequently interpreting everything I said through a lens of latent insanity.所以接着我所说的一切都被当作精神异常的可能征兆For example, I was part of a student TV station that broadcast news bulletins around

And yet, when I went to look at alternative treatments,当我去了解其它偏门疗法时I also gained perspective on other treatments.我也接触到了其它疗法的不同的视角I went through a tribal exorcism in Senegal that involved a great deal of ram&#39s blood我研究过塞内加尔一个部落的净化仪式，他们在仪式中使用了大量的公羊血and that I&#39m not going to detail right now,这里我就

&quotI felt a funeral in my brain, and mourners to and fro“我的脑海中，进行着一场葬礼，悼念者络绎不绝kept treading, treading till I felt that sense was breaking through.不停的走着, 踩踏着，直到仪式的氛围渐浓And when they all were seated, a service, like a drum,当所有人入座，仪式开始，敲鼓的声音kept beating, beating, till I felt my mind was going numb.沉重有

I was struck by the fact that depression我很不能理解为什么is broadly perceived to be a modern, Western, middle-class thing,人们普遍的把抑郁症看成是现代西方中产阶级特有的一种病and I went to look at how it operated in a variety of other contexts,于是我开始寻找抑郁症与其它社会因素的关联and one of the things I was most interested in was depression among the

Everything about this illness says I shouldn&#39t be here, but I am.任何关于此疾病都暗示我不应该在这里，但是我还是在这里.And I am, I think, for three reasons:我觉得吧..有三个原因:First, I&#39ve had excellent treatment.第一,我已经有了极好的治疗了Four- to five-day-a-week psychoanalytic psychotherapy for decades and continuing, and excellent psychop

Go figure.想想看But I got a little bad news for you folks. I got some bad news.我这里也有些坏消息想对你们说，我有些坏消息This isn&#39t for the one in four. This is for the four in four.比例不是四分之一，而是四分之四We are not equipped for the 21st century.我们还没准备好过21世纪Evolution did not prepare us for this.进化并没有帮我们做好准备，We just don&#39t hav

The chemical cure and the psychological cure both have a role to play,化学治疗和心理治疗都发挥着重要的作用and I also figured out that depression was something that was braided so deep into us我也发现抑郁是这样一个东西，深深的嵌入在我们的体内that there was no separating it from our character and personality.我们无法将它彻底剥离，它已经嵌入到我们的性格和个性中了I want t

Go figure.想想看But I got a little bad news for you folks. I got some bad news.我这里也有些坏消息想对你们说，我有些坏消息This isn&#39t for the one in four. This is for the four in four.比例不是四分之一，而是四分之四We are not equipped for the 21st century.我们还没准备好过21世纪Evolution did not prepare us for this.进化并没有帮我们做好准备，We just don&#39t hav

One day, Los Angeles Times columnist Steve Lopez was walking along the streets of downtown Los Angeles有一天，洛杉矶时报的专栏作家Steve Lopez走在洛杉矶大街上when he heard beautiful music.听到一曲美妙的乐曲And the source was a man, an African-American man,音乐是从一个男人，一个非裔男人charming, rugged, homeless, playing a violin that only had tw

Like if I say, &quotThink about a church steeple&quot比如说，“请想象一下教堂的石柱”most people get this sort of generalized generic one.大多数人想到的是一个标准答案Now, maybe that&#39s not true in this room,也许这个房间里的人的答案会很不一样but it&#39s going to be true in a lot of different places.但对于大多数的地方来说，这都是适用的I see only specific pictures

Because, you know, the one thing, one thing that you get with this disease,因为有一样东西，得了这种病你会得到它this one comes with a package, is you get a real sense of shame,这是整套附送的，就是你会感到很羞耻because your friends go, &quotOh come on, show me the lump, show me the x-rays,&quot因为你的朋友们会说 “来，给我看看肿块，给我看看X光片”and of course

And when Tony said that to me,当Tony告诉我这些的时候I thought to myself, &quotAm I sitting like a journalist? Am I crossing my legs like a journalist?&quot我心想，“我坐得像个记者吗？我翘脚翘得像个记者吗？”He said, &quotYou know, I&#39ve got the Stockwell Strangler on one side of me他说，“我的邻居一边住着斯托克威尔扼杀者案的凶手and I&#39ve got the &#39Tip

One in four people suffer from some sort of mental illness,每四个人中就有一人患有某种精神疾病so if it was one, two, three, four, it&#39s you, sir.如果说是一二三四，就是你了先生You. Yeah.对，是你。With the weird teeth. And you next to him.牙齿有点怪的那位，还有旁边那位You know who you are.你自己可清楚了Actually, that whole row isn&#39t right.事实上那一整排都不大正常。Tha

It didn&#39t work very well on the schizophrenics,在治疗精神分裂症上，电击疗法效果不是很好，but it was pretty clear in the &#3930s and by the middle of the &#3940s但是在30年代和40年代中期，很明显that electroconvulsive therapy was very, very effective in the treatment of depression.电击治疗对于治疗忧郁症非常非常有效。And of course, in those days, there