シャドーイング練習: Alternatives To Psychiatric Medications - 動画で英語スピーキングを学ぶ

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105 文
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1
Good morning, Peter Gertz.
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I'm a psychiatrist.
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Alternatives to psychiatric medications.
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I'm a psychiatrist, like I said, and I prescribe psychiatric medicines all the time.
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Sometimes I feel good about doing that, sometimes not.
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Any medicine, aspirin, Benadryl, can have positive and negative effects.
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Unfortunately, any medicine is a double-edged sword.
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And adverse effects of psychiatric medicines can include some quite unpleasant things, weight gain, high blood sugar, sexual side effects, tardive dyskinesia.
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So movements like twitching in the long run that may or may not go away.
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Some psychiatrists advocate not prescribing psychiatric medicine at all.
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In my opinion, that's too extreme.
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And from what I can tell, the psychiatrists who recommend not prescribing psychiatric medicines at all, they don't work in emergency rooms,
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on psychiatric wards, in prisons, or they don't necessarily work with agitated,
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violent, demented, autistic patients or patients with intellectual disability.
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They don't necessarily also work with impoverished patients who might not have the resources to even have a good diet.
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So bottom line, in my opinion, I think it's too extreme to be totally against psychiatric medicines.
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And in general, my experience has been that people who advocate not prescribing psychiatric medicines at all,
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that they're not people who do clinical work with severely troubled psychiatric patients.
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Research about medicines can be flawed.
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So what are we supposed to do if we're not the ones doing the research?
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We don't really know what to believe, what not to believe.
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Based on my experience over the years, there is definitely a place for psychiatric medicines, a big place, but certainly there are alternatives.
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And like I said, any medicine is a double-edged sword.
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So we want to be very careful with our prescribing.
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And we also want to respect the the experiences of patients.
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So a lot of patients have problems with medicines, a lot of patients don't, and a lot of patients do very well on psychiatric medicine.
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So an open mind as usual is important.
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To back up, how can we improve the mental health of our population so that there's no need for psychiatric medicine?
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It sounds like a joke, but there is a serious aspect to that.
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Can we end child abuse,
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neglect, child neglect, poverty, racism, alcohol and drug addiction. That would be wonderful.
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And that would certainly change our society
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and make psychiatric problems less likely for people who grow up in a world without those things that I mentioned.
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Social reform may be a very good thing to look at.
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Can we change our prison system?
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How can someone be mentally healthy living in an environment where there's frequent assault, rape.
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It's, they're very difficult situations for people.
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And if we could look at those, that might be a very good thing for our society.
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Diet can be very helpful with mental health.
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Reportedly, a paleo diet could help.
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A keto diet could help.
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Gluten-free diet could help.
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When I was growing up as a child, I ate a lot of Froot Loops and other cereals, and I enjoyed them, of course,
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but they're definitely not the healthiest food.
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And 11 years ago, I had another period where I was eating a lot of cereal again, not eating healthily.
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I remember one particular dinner, to a large extent, my dinner consisted of famous Amos cookies and cereal.
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I think it was frosted flakes and maybe another cereal that evening.
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And I was eating, I was about to eat my fourth bowl of cereal that evening, and I noticed, my God,
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this bowl tastes very salty.
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And what had happened was my son had salted the cereal because he didn't want me to keep eating like that,
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in his words, he said, you're going to be a poster boy for a diabetic.
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So that gave me food for thought.
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And I was actually starting to get arthritis during that time, maybe partly related to the diet.
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I stopped eating gluten, so I stopped eating American wheat.
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And within weeks, as far as I recall, my arthritis disappeared.
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So that was wonderful.
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And I was then able to eat wheat, but not in America.
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So I have eaten since then a good amount of European wheat, so Italian, French, German wheat, without any problem whatsoever.
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So there's something about the American wheat that really was troublesome for me.
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So all that to make the point, diet can be very helpful with health, including mental health.
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And that's easy to say, of course.
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So again, if someone's incarcerated in prison, they're very likely not going to be able to order a paleo diet in prison,
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which would be quite expensive anyway, I think.
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We want to look at medical issues.
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If someone has mental health issues, for instance, the thyroid, thyroid problems can cause mental health issues, very well known issue.
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And for example, also look at someone's vitamin B12.
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So vitamin B12 deficiency can also cause mental health issues.
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If someone is using alcohol and or drugs and maybe concurrently on psychiatric meds or not.
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Rehab probably is a good option
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and once you're sober then we can look at would medicine potentially be a good option or not.
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Of course easy to say for someone to get sober.
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It can take a lot of determination, a lot of tries, a lot of work.
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If someone does not want to take psychotropic medication in the first place or wants to get off psychiatric medicines.
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Psychotherapy may be a crucial thing to do.
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Psychological factors can be very important.
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I remember a patient who was married for many years
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and then suddenly unexpectedly her husband died
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and she had always talked about her marriage as being a good marriage
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but I noticed that after her husband died the the patient was doing very well psychiatrically, surprisingly to me.
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And then she told me he'd been very controlling her husband and it seemed like the patient felt liberated.
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So again, psychological issues can be key to look at, especially if someone does not want to be on psychiatric medicine.
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And that particular patient actually ended up within several months of her husband dying being on a lot less psychiatric medication.
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Another issue that is well treated often with psychotherapy is obsessive compulsive disorder.
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So again, psychotherapy can be a very helpful thing.
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Yoga, Tai Chi, meditation, acupuncture, they can all help balance the nervous system, help reset, so to speak,
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the nervous system, balance the sympathetic and parasympathetic nervous systems.
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And if you make one of those, at least a regular practice, that can really help emotionally, psychiatrically.
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We want to ask our patients about exercise, their social life, their sex life,
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all those can be very important aspects of being a human being.
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And I remember a patient when we, after we had a hurricane here in New Orleans,
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I was seeing the patient for the first time since the hurricane, and she was looking a lot better.
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And I was thinking, what is going on?
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She seemed to be doing a lot better emotionally.
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and she said she evacuated from the New Orleans area for the hurricane
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and ended up spending time with family
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and it seemed to me like the socializing with family helped her a whole lot
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and I'm trying to remember she may have even been able to get off her psychiatric medicines during that time.
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So again people's lives can be very important.
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People are not just a bag of chemicals.
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Our patients are obviously humans and various aspects of their lives can affect them in positive or negative ways.
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If someone does want to taper off medications, it's a wise thing to do that slowly,
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very slowly sometimes, and also it's important to do that working with a psychiatrist.
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And if someone's tapering off medications,
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especially then it's wise to attend to other aspects other potential aspects of helping mental health
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so for example attending to diet then would be important psychotherapy yoga potentially etc thank you very much

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このレッスンの語彙とスピーキングのポイント

この動画には、シャドーイング用の文が105文、単語が1346語あります。 音声の長さは10:02です。 話す速さは1分あたり約134語で安定しており、シャドーイングしやすいペースです。 英語の頻出3,000語に含まれる単語は80%だけなので、語彙は難しめです。

この動画の重要語彙

動画に出てくる覚えておきたい単語15語を、発音と意味つきで紹介します。

単語発音意味
cereal 名詞/ˈsɪə.ɹɪ.əl/穀物
aspect 名詞/ˈæspɛkt/様相
wheat 名詞/ˈwiːt/小麦
psychiatrist 名詞/ˌsaɪˈkaɪ.ə.tɹɪst/精神科医
helpful 形容詞/ˈhɛlp.fl̩/役に立つ, 有用
hurricane 名詞/ˈhʌɹɪkeɪn/暴風, 暴風雨
sword 名詞/soɹd/刀, 剣
yoga 名詞/ˈjoʊ.ɡə/ヨーガ, ヨガ
vitamin 名詞/ˈvɪt.ə.mɪn/ビタミン
sober 形容詞/ˈsoʊ.bɚ/シラフ
neglect 動詞/nɪˈɡlɛkt/無視する, 忽略する
gluten 名詞/ˈɡluːtən/グルテン
arthritis 名詞/ɑːˈθɹ(a)ɪtɪs/関節炎
extent 名詞/ɪkˈstɛnt/程度
poverty 名詞/ˈpɑːvɚti/貧乏, 貧困

動画に出てくる句動詞

単語意味
get off 動詞降りる
go away 動詞去る, 出る
grow up 動詞成長する, 大人に成る

この動画の文法

話し手がよく使っている文型を、動画の実際の表現とともに紹介します。

文型動画での表現
関係詞節 who / which + 節 — 人や物について情報を加えるpeople who advocate · people who do · people who grow
現在完了形 have/has + 過去分詞 — 過去の出来事が今も関係しているhas been · have eaten
受動態 be + 過去分詞 — 誰がするかより、何が起きるかに焦点を当てるcan be flawed · was frosted

注意したい発音

話し手はdon't, they're, I'mなど、短縮形や弱形を17回使っています。聞こえたとおりの短い形で発音しましょう。

  • 「th」の音: arthritis /ɑːˈθɹ(a)ɪtɪs/, thyroid /ˈθaɪ.ɹɔɪd/, sympathetic /ˌsɪm.pəˈθɛt.ɪk/, psychotherapy /ˌsaɪkoʊˈθɛɹəpi/, parasympathetic /ˌpɛɹ.ə.sɪm.pəˈθɛt.ɪk/
  • 「sh」と「zh」の音: medication /mɛdɪˈkeɪʃən/, potentially /pəˈtɛnʃ(ə)li/, emotionally /ɪˈməʊʃənəli/, crucial /ˈkɹuː.ʃəl/, determination /dɪˌtɜːmɪˈneɪʃən/
  • 長い単語(アクセントの位置に注意): psychiatric /ˌsaɪ.kiˈæt.ɹɪk/, medication /mɛdɪˈkeɪʃən/, psychiatrist /ˌsaɪˈkaɪ.ə.tɹɪst/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, potentially /pəˈtɛnʃ(ə)li/

この動画での練習方法

  1. まず声を出さずに動画を最後まで聞き、知らない単語をメモします。
  2. 通常の速度で一文ずつシャドーイングし、話し手のリズムに合うまで繰り返します。
  3. 自分の声を録音して元の音声と比べます。cereal, aspect, wheatなどの単語に特に注意しましょう。

シャドーイングとは?英語上達に効果的な理由

シャドーイング(Shadowing)は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的:ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影(shadow)」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。

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