跟读练习: The most important lesson from 83,000 brain scans | Daniel Amen | TEDxOrangeCoast - 通过YouTube学习英语口语
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Reviewer Gopal In this talk,
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Reviewer Gopal In this talk,
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I'm going to give you the single most important lesson my colleagues and I have learned from looking at 83,000 brain scans.
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But first, let me put the lesson into context.
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I am in the middle of seven children.
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Growing up, my father called me a maverick,
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which to him was not a good thing.
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In 1972, the Army called my number,
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and I was trained as an infantry medic,
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where my love of medicine was born.
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But since I truly hated the idea of being shot at,
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or sleeping in the mud,
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I got myself retrained as an X-ray technician and developed a passion for medical imaging.
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As our professors used to say,
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how do you know unless you look?
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In 1979, when I was a second-year medical student,
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someone in my family became seriously suicidal,
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and I took her to see a wonderful psychiatrist.
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Over time, I realized that if he helped her,
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which he did, it would not only save her life,
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but it would also help her children and even her future grandchildren
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as they would be shaped by someone who is happier and more stable.
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I fell in love with psychiatry because I realized it had the potential to change generations of people.
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In 1991, I went to my first lecture on brain SPECT imaging.
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SPECT is a nuclear medicine study that looks at blood flow and activity.
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It looks at how your brain works.
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SPECT was presented as a tool to help psychiatrists get more information to help their patients.
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In that one lecture, my two professional loves,
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medical imaging and psychiatry, came together and quite honestly revolutionized my life Over the next 22 years,
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my colleagues and I would build the world's largest database of brain scans related to behavior on patients from 93 countries.
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SPECT basically tells us three things about the brain.
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Good activity, too little or too much.
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Here is a set of healthy SPECT scans.
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The image on the left shows the outside surface of the brain,
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and a healthy scan shows full, even, symmetrical activity.
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The color is not important,
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it's the shape that matters.
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In the image on the right,
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red equals the areas of high activity,
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and in a healthy brain,
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they're typically in the back part of the brain.
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Here is a healthy scan compared to someone who had two strokes.
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You can see the holes of activity.
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Here's what Alzheimer's looks like,
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where the back half of the brain is deteriorating.
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Did you know that Alzheimer's disease actually starts in the brain 30 to 50 years before you have any symptoms?
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Here's a scan of traumatic brain injury.
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Your brain is soft and your skull is really hard.
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Or drug abuse.
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The real reason not to use drugs?
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They damage your brain.
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Obsessive compulsive disorder where the front part of the brain typically works too hard so that people cannot turn off their thoughts.
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And epilepsy where we we frequently see areas of increased activity.
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In 1992, I went to an all-day conference on brain SPECT imaging.
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It was amazing and mirrored our own early experience using SPECT in psychiatry.
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But at that same meeting,
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researchers started to complain loudly that clinical psychiatrists like me should not be doing scans,
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that they were only for their research.
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Being a maverick and having clinical experience,
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I thought that was a really dumb idea.
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Without imaging, psychiatrists then and even now make diagnoses like they did in 1840 when Abraham Lincoln was depressed
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by talking to people and looking for symptom clusters.
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Imogene was showing us there was a better way.
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Did you know that psychiatrists are the only medical specialists that virtually never look at the organ they treat?
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Think about it.
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Cardiologists look, neurologists look, orthopedic doctors look,
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virtually every other medical specialty's look.
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psychiatrist gets.
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Before imaging, I always felt like I was throwing darts in the dark at my patients and had hurt some of them,
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which horrified me.
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There is a reason that most psychiatric medications have black box warnings.
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Give them to the wrong person and you can precipitate a disaster.
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Early on our imaging work taught us many important lessons such as illnesses like ADHD,
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anxiety, depression and addictions are not single or simple disorders in the brain.
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They all have multiple types.
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For example, here are two patients who have been diagnosed with major depression
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that had virtually the same symptoms yet radically different brains.
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One had really low activity in the brain,
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the other one had really high activity.
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How would you ever know what to do for them unless you actually looked?
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It needs to be tailored to individual brains, not clusters of symptoms.
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Our imaging work also taught us
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that mild traumatic brain injury was a major cause of psychiatric illness
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that ruined people's lives and virtually no one knew about it because they would seize psychiatrists for things like temper problems,
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anxiety, depression, insomnia and they would never look so they would never know.
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Here's a scan of a 15 year old boy who fell down a flight of stairs at the age of three.
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And even though he was unconscious for only a few minutes,
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There was nothing mild about the enduring effect that injury had on this boy's life.
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When I met him at the age of 15,
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he had just been kicked out of his third residential treatment program for violence.
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He needed a brain rehabilitation program,
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not just more medication thrown at him in the dark or behavior therapy,
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which if you think about it, is really cruel.
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To put him on a behavior therapy program when behavior is really an expression of the problem,
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it's not the problem.
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Researchers have found that undiagnosed brain injuries are a major cause of homelessness,
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alcohol abuse, depression, panic attacks, ADHD, and suicide.
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We are in for a pending disaster with the hundreds of thousands of soldiers coming back from Iraq and Afghanistan,
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and virtually no one is looking at the function of their brain.
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As we continued our work with SPECT,
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the criticism grew louder, but so did the lessons.
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Judges and defense attorneys sought our help to understand criminal behavior.
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To date, we have scanned over 500 convicted felons, including 90 murderers.
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Our work taught us that people who do bad things often have troubled brains.
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That was not a surprise.
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But what did surprise us was that many of these brains could be rehabilitated.
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So here's a radical idea.
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What if we evaluated and treated troubled brains rather than simply warehousing them in toxic, stressful environments?
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In my experience, we could save tremendous amounts of money by making these people more functional,
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so when they left prison,
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they could work, support their families, and pay taxes.
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Dostoevsky once said, a society should be judged not by how well it treats its outstanding citizens,
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but by how it treats its criminals.
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Instead of just crime and punishment,
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we should be thinking about crime evaluation and treatment.
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So after 22 years and 83,000 scans,
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the single most important lesson my colleagues and I have learned is that you can literally change people's brains.
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And when you do, you change their life.
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You are not stuck with the brain you have.
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You can make it better,
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and we can prove it.
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My colleagues and I performed the first and largest study on active and retired NFL players,
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showing high levels of damage in these players at a time when the NFL said they didn't know
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if playing football caused long-term brain damage.
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The fact was they didn't want to know.
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That was not a surprise.
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I think if you get most thoughtful nine-year-olds together and you talk about
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the brain is soft about the consistency of soft butter,
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it's housed in a really hard skull that has many sharp bony ridges,
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you know, 28 out of 39 year olds would go,
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probably a bad idea for your life.
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But what really got us excited was the second part of
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the study where we put players on a brain smart program
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and demonstrated that 80% of them could improve in the areas of blood flow,
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memory, and mood, that you are not stuck with the brain you have.
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You can make it better on a Brain Smart program.
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How exciting is that?
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I am so excited.
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Reversing brain damage is a very exciting new frontier,
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but the implications are really much wider.
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Here is the scan of a teenage girl who has ADHD,
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who was cutting herself, failing in school,
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and fighting with her parents.
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When we improved her brain,
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she went from D's and F's to A's and B's and was much more emotionally stable.
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Here's a scan of Nancy.
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Nancy had been diagnosed with dementia,
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and her doctor told her husband that he should find a home for her because within a year,
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she would not know his name.
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But on an intensive brain rehabilitation program,
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Nancy's brain was better, as was her memory.
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And four years later, Nancy still knows her husband's name.
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Or my favorite story to illustrate this point is Andrew,
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a nine-year-old boy who attacked a little girl on the baseball field for no particular reason,
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and at the time was drawing pictures of himself hanging from a tree and shooting other children.
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Andrew was Columbine, Aurora, and Sandy Hook waiting to happen.
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Most psychiatrists would have medicated Andrew as they did Eric Harris
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and the other mass shooters before they committed their awful crimes
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but SPECT imaging taught me that I had to look at his brain
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and not throw darts in the dark at him to understand
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what he needed his SPECT scan showed a cyst the size
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of a golf ball occupying the space of his left him for love.
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No amount of medication or therapy would have helped Andrew.
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When the cyst was removed,
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his behavior completely went back to normal,
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and he became the sweet,
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loving boy he always wanted to be.
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Now 18 years later, Andrew,
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who is my nephew, owns his own home,
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is employed, and pays taxes.
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because someone bothered to look at his brain.
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He has been a better son and will be a better husband, father, and grandfather.
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When you have the privilege of changing someone's brain,
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you not only change his or her life,
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you have the opportunity to change generations to come.
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I'm Dr. Daniel Amen.
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Thank you.
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背景与上下文
本次演讲的讲者是丹尼尔·阿门医生，他是一位著名的精神病学家与医学成像专家。在他的演讲中，丹尼尔分享了他与同事从83,000份脑部扫描中获得的研究成果。通过这些经验，他不仅展示了精神健康如何影响我们的生活，更强调了脑部影像在心理治疗中的重要性。在许多情况下，精神科医生依靠主观观察来诊断和治疗病人，这并不总是有效。而科学的影像学方法则为精准医疗开辟了新方式。
日常交流中的五个重要短语
- "How do you know, unless you look?" - 这个短语强调了观察的重要性，是学习与沟通的基础。
- "Tailored to individual brains" - 在个性化治疗中，我们需要针对每个人的具体情况，而不仅仅是症状。
- "Multiple types of disorders" - 精神疾病常常不是简单的分类，而是多种类型的结合。
- "Early traumatic brain injury" - 表明早期脑部外伤对心理健康的深远影响，这也常常被忽视。
- "Throwing darts in the dark" - 形象地说明在没有科学依据的情况下进行的诊断是多么不准确。
逐步影子跟读指南
对于希望通过影子跟读提高英语口语的学习者来说，丹尼尔的演讲提供了丰富的素材。以下是一些推荐的跟读步骤，帮助你更有效地进行英语学习，特别是通过“看YouTube学英语”的方式：
- 选择片段 - 从演讲中挑选你感兴趣的1-2分钟内容，确保内容具有挑战性。
- 听和理解 - 首先完整听一遍，记住大概的意思，确保你理解讲话者的主旨。
- 逐句跟读 - 通过“影子跟读”（shadowspeaks）方式，停顿着重复每一句话，模仿语音、语调与节奏。这样你可以加强口语表达。
- 录音对比 - 录下自己的声音，并与原演讲进行对比，检查发音及语调的差异。
- 重复练习 - 多次重复上述步骤，直到你对某一段落的发音和表达感到自信为止。
通过这些方法，你将能够掌握更流利的英语表达，并在口语交流中更加自如。利用“shadow speak”练习，将让你提升于其他学习者之上，学习时间也更加高效。
什么是跟读法？
跟读法 (Shadowing) 是一种有科学依据的语言学习技巧，最初开发用于专业口译员的培训，并由多语言者Alexander Arguelles博士普及。这个方法简单而强大：您在听英语母语原声的同时立即大声重复——就像是一个延迟1-2秒紧跟说话者的影子。与被动听力或语法练习不同，跟读法强迫您的大脑和口腔肌肉同时处理并模仿真实的讲话模式。研究表明它能显着提高发音准确性，语调，节奏，连读，听力理解和口语流利度——使其成为雅思口语备考和真实英语交流最有效的方法之一。