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EnglishforMasterStudentsinMedicalUniversitiesChinaRenminUniversityPress第一頁,共49頁。教材總主編盧鳳香主編:張海萍張華君殷紅梅編者:閔楠蘇萍任雁鄭守志劉娟謝瑜第二頁,共49頁。課件制作主編:鄭守志劉娟課件制作參與人:張海萍張華君盧鳳香課件審閱人:美籍專家JamesBoulton第三頁,共49頁。Unit11TextASomeonewhoBelievedinThemHelpedThemtoRecover第四頁,共49頁。OutlineBackgroundinformationtoTextAAnalysisofthetextGlobalanalysisofthetextAnalysisofthetextstructureSummaryofthetextReferenceanswerstotheexercises第五頁,共49頁。BackgroundinformationtoTextA1)IntroductiontotheauthorDanielB.Fisher,M.D.fromGeorgeWashingtonUniversityMedicalSchoolin1976,Ph.D.inbiochemistryfromtheUniversityofWisconsinin1968andanA.B.inBiologyfromPrincetonUniversityin1965.第六頁,共49頁。BackgroundinformationtoTextA1)IntroductiontotheauthorDr.FisherisastaffpsychiatristatRiversideCommunityMentalHealthCenterinWakefield,Massachusetts.Hehasworkedasaboard-certifiedpsychiatristfor25yearsinavarietyofinpatientandcommunitysettingssuchasastatehospital,daycarecenters,outpatientclinics,andelderlyhousing.HewasMedicalDirectorforacommunitymentalhealthcenterfor12years.第七頁,共49頁。BackgroundinformationtoTextA1)IntroductiontotheauthorHealsoisaCo-DirectoroftheNationalEmpowermentCenterinLawrence,Massachusetts;aconsumer-runResearch,Training,andInformationCenter,whichhehelpedfoundin1992.Basedontheirresearch,heandCo-DirectorLaurieAhernhavedevelopedtheEmpowermentModelofRecovery.Theyalsohavedesignedatrainingprogrambasedontheempowermentmodel,calledthePersonalAssistanceinCommunityExistence,PACE/RecoveryProgram.第八頁,共49頁。BackgroundinformationtoTextA1)IntroductiontotheauthorThepurposeofthePACE/RecoveryProgramistoinspireandeducatethementalhealthsystemandthepublictoviewmentalillnessinapositivelight,andtohelpallinvolvedinthesecrisestounderstandthatthroughhope,self-determination,andbelievingintheperson,peoplecanrecover.Dr.Fisherhasbroughttheirmessageofrecoverytothepublicthroughprint,televisionandradionews.第九頁,共49頁。BackgroundinformationtoTextA2)IntroductiontothetopicMentalillnessisthesecondleadingcauseofdisabilityintheUnitedStatesandmentaldisordersaffectoneinfiveAmericansaccordingtothefirst-everSurgeonGeneral'sreportonmentalhealthreleasedinDecember1999.However,mentalillnessisshroudedinsuchshamethatmanypeopleneglecttheissue.Asaresult,peoplelabeledwithmentalillnessesfacegreatstigmaanddiscrimination.Althoughresearchhasgivenustremendousknowledgeaboutthebrainandnewmedicationsandmentalhealthserviceshaveimprovednowadays,themostbasicandimportantelementstorecoveryfrommentalillnessistrustaccordingtotheauthorofthisarticle.第十頁,共49頁。BackgroundinformationtoTextA2)IntroductiontothetopicDr.DanielFisher,theauthorillustrateshispointwithhisownexperiencesaswellastheexperiencesofthosewhohavesignificantlyrecoveredfrommentalillness.AccordingtoDr.Fisher,peoplewithamentalillnessneedcloserelationshipswithothersinordertopromotetheirrecovery.第十一頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaYoda,theancientandreveredJediMaster,livedhisfinalyearshidingontheswampplanetofDagobah.Ninehundredyearsold,YodahadtrainedJediforeightcenturies,andwasverypowerfulintheForce.Amonghislastpupilswerethemostimportant(andreckless)Jediinrecenthistory,Obi-WanKenobiandLukeSkywalker.第十二頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaInthewaningdaysoftheRepublic,YodawasarespectedseniormemberoftheJediCouncil.ServingalongsidesuchluminariesasMaceWinduandKi-Adi-Mundi,Yodawaspresentduringtheturbulenteventsthatwouldeventuallyunravelthecenturies-oldRepublicandsealthefateoftheJediorder.第十三頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaYodaservedanimportantroleintheJediCouncil.WhenyoungPadawansbegantheirfirstforayintoJeditraining,theydidsounderYoda'sguidance.ManyoftheRepublic'sgreatestJeditrainedunderYodawhentheywerechildren--schooledingroupingscalledclans.OncetheJedihopefulsgrewolder,approachingtheirteenageyears,theywouldthenbepairedtoanelderJediKnightorMastertocontinuetrainingone-on-one.第十四頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaThepallofthedarksidefellovertheRepublicduringitstwilightyears,andYodagrewincreasinglyconcerned.TheemergenceofthedarksidecreatedadisturbanceintheForcestrongenoughtocloudtheJedi'sinsightsintoimportantmatters.Sensingthegraveuncertaintyofthefuture,Yodarecognizedtheneedforanswers.TheJediCouncildispatchedObi-WanKenobitoinvestigateanassassinationattemptapparentlycarriedoutbySeparatistforces.Whathefoundwasallthemoretroubling.第十五頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaAnentireclonearmyhadbeensecretlycreatedfortheRepublic,bydecreeofalateJedi,Sifo-Dyas.NoneintheCouncilknewofthisdevelopment,norhadtheyforeseenit.FurtherinvestigationrevealedthattheSeparatistsweregearingupforwar.CountDooku,oneofYoda'sformerPadawans,wasconsolidatingamilitaryforceoutofthedroidarmiesofthecommerceguilds.Somethingneededtobedone.第十六頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaSupremeChancellorPalpatine,newlygrantedemergencypowers,tookpossessionoftheCloneArmy,andorderedtheJediintoaction.YodavoyagedtothedistantworldofKaminotogatherthenewlycreatedRepublicMilitary,andarrivedonGeonosistorescuethesurvivorsofanill-fatedJeditaskforce.第十七頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationA.YodaAsRepublicclonesengagedSeparatistdroids,theCloneWarsbegan.Yoda,actingasgeneral,oversawthebattlefromtheforwardcommandcenter.ThecloneshandilydefeatedtheSeparatistsonGeonosis,butmanyescaped.YodafollowedhisinstinctstoadarkenedhangarwhereCountDookuhadgrievouslywoundedObi-WanKenobiandAnakinSkywalker.第十八頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationB.CarlRogers(1902-1987)Agreatwriter,arealpleasuretoread.ThemostcompletestatementofhistheoryisinClient-centeredTherapy(1951).Twocollectionsofessaysareveryinteresting:OnBecomingaPerson(1961)andAWayofBeing(1980).Finally,there'sanicecollectionofhisworkinTheCarlRogersReader,editedbyKirschenbaumandHenderson(1989).第十九頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationC.MartinBuber(1878-1965)AnAustrian-Israeli-Jewishphilosopher,translator,andeducator,whoseworkcenteredontheisticidealsofreligiousconsciousness,interpersonalrelations,andcommunity.Buber'sevocative,sometimespoeticwritingstylehasmarkedthemajorthemesinhiswork:theretellingofHasidictales,Biblicalcommentaryandmetaphysicaldialogue.第二十頁,共49頁。BackgroundinformationtoTextA3)RelatedbackgroundinformationC.MartinBuber(1878-1965)AculturalZionist,BuberwasactiveintheJewishandeducationalcommunitiesofGermanyandIsrael.Hewasalsoastaunchsupporterofabi-nationalsolutioninPalestine,insteadofatwo-statesolution,andaftertheestablishmentoftheJewishstateofIsrael,ofaregionalfederationofIsraelandArabstates.Hisinfluenceextendsacrossthehumanities,particularlyinthefieldsofsocialpsychology,socialphilosophy,andreligiousexistentialism.第二十一頁,共49頁。Analysisofthetext
1)HewasthefirstpersonIencounteredoutoftheordealthatactuallyhadsomesortoffeeling.(Paragraph1)
WhenIfellintodifficulties,hewasthefirsttoshowmethathecared.Structure:‘that’clausemodifies“thefirstperson”第二十二頁,共49頁。Analysisofthetext
2)Don'tletthemgettheirway…(Paragraph1)getone’sway:togetordowhatonewantsinspiteofoppositionExample:Parentsshouldnotletonlychildrenalwaysgettheirway.第二十三頁,共49頁。Analysisofthetext
3)TherewasaknowingintheireyesthatIsawthatsaidIseeyouandIreallybelieveinyou,someonethatcarriedme,somehowthatencouragedmetonotfallbackwards.(Paragraph2)Icouldseefromtheireyesthattheyreallybelievedinmeandthattheywouldalwaysbebymysideandholdmefromfallingback.Structure:“thatIsaw’and“thatsaidIseeyou”bothmodify“aknowing”asattributiveclauses.第二十四頁,共49頁。Analysisofthetext
4)Recentlyhedescribedapricelessmomentwithaconsumer/survivor,Eric,whicheveryoneelsehadwrittenoff.(Paragraph3)writtenoff:todecidethatsomebodyorsomethingisuseless,unimportantorafailure.Example:Wehavewrittenofftheprojectasanon–starter.第二十五頁,共49頁。Analysisofthetext
5)FormanyyearshewouldonlylistentoheavymetalwhichJimfeltheneededtolistentobecauseitwasneededtodrownouthispainfulthoughts.NowEricisabletolistentosoftrockandfolk.(Paragraph4)drownout:topreventasoundfrombeingheardbymakingaloudnoise.Example:Thestreetwassocrowdedthatnomatterhowhardhetriedhisvoicewasdrownedoutbythetraffic.第二十六頁,共49頁。Analysisofthetext
6)Thentheywillpresentmoreandmoreofthemselvestoyou.“(Paragraph5)Thentheywillshowmoreoftheirfeelingstoyou.第二十七頁,共49頁。Analysisofthetext
7)Suchanelusivelysimpledescriptionofthebeautyheweaves.(Paragraph5)ThedescriptionofJim’srelationshipwithhispatientsisdeceptivelysimple.Inactualityhisattitudehasdeepsignificancetohispatientsandtheirrecovery.Throughhiswork(theweaving)theproduct(therelationshipwithhispatients)isbeautiful,liketheweaverofabeautifulcarpet.第二十八頁,共49頁。Analysisofthetext
8)Jim’smannerremindsmedeeplyofthecontactIyearnedforandoccasionallyfoundinmyownjourneytorecovermyownlostself.(Paragraph6)
yearnfor:haveastrongdesirefor,especiallysomethingthatisdifficulttoget.Example:Everyoneisyearningfortheweathertochangeafterthelongbitterwinter.第二十九頁,共49頁。Analysisofthetext
9)WhenIaskedhowhefeltaboutmyattendingagroupwithanothertherapist.HesaidhetrustedthatIknewwhatIneededtoheal.(Paragraph6)
WhenIaskedhimaboutmyfurthertreatmentwithanothertherapist,hetoldmethathebelievedthatIcouldmaketherightdecisionandthatIknewwhatkindoftreatmentIneeded.第三十頁,共49頁。Analysisofthetext
10)Equallycompellingisthecenteringandspiritualrenewalcomingforthepersonwhodoesthebelievinginanother.(Paragraph7)Ppelling:powerful第三十一頁,共49頁。Analysisofthetext
11)Sheclearlyhadanewlightinhereye.(Paragraph7)Shebegantounderstandthemeaningandpurposeoflifeinaparticularwaywhichcanobviouslybeseeninhereyes.第三十二頁,共49頁。Analysisofthetext
11)Sheclearlyhadanewlightinhereye.(Paragraph7)inanewlight:ifsomeoneorsomethingisseenorshowninanewanddifferentlight,youbegintounderstandtheminaparticularway.Example:ThenewdiscoveriesprovidemuchnewinformationandIbegantounderstandtheoriginoftheUniverseinanewlight.第三十三頁,共49頁。Analysisofthetext
12)Hestatedthat“thesafetyofbeinglikedandprizedasapersonseemsahighlyimportantelementinahelpingrelationship.”(Paragraph8)Itisveryimportantforpeopletohaveasenseofsafetyfrombeinglikedandprizedinahelpingrelationship.第三十四頁,共49頁。Analysisofthetext
13)Icanrecognizeinhimthepersonhehasbeencreatedtobecome.(Paragraph8)Iamabletoknowhisnativepotentialqualities.第三十五頁,共49頁。Analysisofthetext
14)Whensomeoneislabeledwithmentalillness,itisasifallthathasbeenlearnedtobehelpfulintherapyisthrownout.(Paragraph9)
Itseemsasifallofthetreatmentthatwasgiveninordertohelpapatientfeelnormalwasinvainifthepatienthasbeendiagnosedasmentallyill.第三十六頁,共49頁。Analysisofthetext
15)Ourlivedexperiencesspeakotherwise.(Paragraph9)Ourexperiencesinlifeshowjusttheoppositeresult.Otherwise:tosaysomethingisdifferentfromwhathasbeenmentioned.Example:ThegovernmentclaimsthatthesituationinIraqisimprovingbutthissurveysuggestsotherwise.第三十七頁,共49頁。Analysisofthetext
16)Wewhohavebeenlabeledwithmentalillness,remainjustashumanifnotmoresothanotherswhoaretemporarilynotlabeled.
(Paragraph10)Comparedwiththosewhoarecurrentlyconsideredasnormal,peopleconsideredasmentallyillhaveatleastequivalenthumanfeelingsandbehaviors.第三十八頁,共49頁。Analysisofthetext
17)Theserelationshipsneedtobenurturedandcultivatedforustofindthecompassofourtrueselftoguideourrecovery.
(Paragraph10)Weshouldencourageanddeveloptheserelationshipssoastobeinaproperpositiontorecoverfrommentalillness.第三十九頁,共49頁。Analysisofthetext
18)Anysystemofcarewhichdisturbsorinterfereswiththeserelationshipsispreventing,notpromotingrecovery.
(Paragraph10)Anytreatmentthatdisturbsorinterfereswiththeserelationshipsjeopardizestheprocessofrecovery.第四十頁,共49頁。GlobalanalysisofthetextMedicationandtreatmentcanbringpatientsbacktoanormallife.However,forthosewhoaresufferingfrommentalillness,trustandencouragementcanworkamiracle.Trustfromtheirdoctorsandnursescanputasparkleintotheirlivesandencouragethemnottofallback.Encouragementfromdoctors,nursesandfriends,eitherinactionorinwords,bringspsychologicalhelp,andhelpsthepatientsmorethanmedicationandmedicaltreatment.第四十一頁,共49頁。
Analysisofthetextstructure
Thetextfallsintothreeparts:PartI
Paragraphs1—6demonstratethroughexamplesthatpeoplecansignificantlyrecoverfrommentalillnessiftheycanbehelpedbysomeonewhotruststhem.PartII
Paragraphs7—8furtherillustratethatthepeoplewhotrustandhelpotherswillalsoreceivecenteringandspiritualrenewal.PartIII
Paragraphs9—10pointoutthatpeopleoftendonotwanttocommunicatewithmentallyillpatientsasequalsanddonottrustthesepatients.Thiscanjeopardizetheprocessofrecovery.第四十二頁,共49頁。Summaryofthetext
Thetextmainlyillustratesthemosteffectivewayoftreatingpeoplelabeledwithmentalillness.Itbeginswiththeviewpointthatmentallyillpeoplecansignificantlyrecoverfromthementalillnessiftheyarehelpedbysomeonewhobelievesinthem.Trustencouragespatientstobuildacloserelationshipwithsomeoneelseandultimatelyrescuesthemfromtheirdistressingcircumstances.第四十三頁,共49頁。Summaryofthetext
Theauthorhassuccessfullyprovedthispointthroughhisdescriptionsofpatientexperiences.Additionally,notonlytheonebeinghelped,butalsotheonewhoiswillingtobeofhelpcanbenefitfromsuchattitudes.TheresearchofCarlRogersandMartinBuberserveasverygoodsupportforthisconcept.We,aswellasthepatientslabeledwithmentalillness,havethesamebasicneedforatrusting,lovingandcaringrelationshipwhichrequiresdevelopmentandimprovement.Anysystemofcarethatdisturbsorinterfereswiththesettingupofatrusting,lovingandcaringrelationshipwillseriouslyjeopardizetheprocessofpatientrecovery.第四十四頁,共49頁。
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