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2017年公共英語(yǔ)五級(jí)真題練習(xí)
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Part C
Answer Questions 71 to 80 by referring to the following four articles concerning mental illness.
Answer each question by choosing A, B, C, or D and mark it on ANSWER SHEET 1.
Note : When more than qne answer is required, these may be given in any order. Some choices may be required more than once.
Remember:
A = Article AB = Article BC = Article CD = Article DWhich article ( s)...
reveals the gender difference in suicide rate? 71.______
point out that youths with mental illness have not received adequate
treatment? 72.____73.____
argues that how the public treat the people with mental illness has a di—
rect effect on their recovery? 74.
reports on the appalling percentage of the mentally ill in Canada’S pop—
ulation? 75.
says that there is a high correlation between suicide and mental illness? 76.
find that mental iUness has made Canada’S economy less productive?
77.78.
says that organizations aye recommended to practice stress manage-
ment? 79.
I calls public attention to the unfair treatment of the mentally ill? 80.
A
One of the biggest challenges facing the mental health care system is the gnawing chasm be- tween the ever-growing demand for services and the system's ability to respond. Many are suffer- ing. Far too few are being helped.
For decades, governments have treated mental illness like the orphan of the health care sys- tem, leaving the sector chronically under-funded and under-staffed. Such neglect would seem to suggest that mental illness afflicts only an unfortunate few. Nothing could be further from the truth. One in three individuals will experience mental health problems at some point in their lives. In Can- ada, that translates to more than 10 million people.
In Canada, mental illness is estimated to cost the economy $ 33 billion each year in disability and lost productivity. We currently spend another $ 6 billion to $ 8 billion annually to treat these conditions. More hospital stays are consumed by people with a mental illness than by cancer and heart disease patients combined.
Yet for all of that, mental health practitioners know they are only reaching a fraction of those in need. Research shows that two-thirds of adults who experience mental illness never seek help; for ad- olescents, the figure is 75 percent. Of those who do seek treatment, the majority will first report symptoms to family physicians who are often ill-equipped to recognize or deal with mental illness.B
Sadly, children and adolescents are even less likely than adults to seek or receive treatment for mental illness. And in far too many cases, young people pay the ultimate price for their conditions. In what was perhaps the most sobering statistic of all provided by some researchers, it was found that approximately one-in-ten Canadian adolescents attempt suicide each year. At the same time, 80 percent aqd 90 percent of the young people who kill themselves likely suffered from a mental disor- der at the time of their death.
Some young people are at greater risk than others. Aboriginal youths are five to six times more likely to die by suicide than non-Aboriginal youths. Adolescent males die by suicide three to four times more often than adolescent females.
The key to suicide prevention is to intervene on multiple fronts as early as possible, particular- ly with youth who exhibit risk factors such as depression and substance abuse. This means support- ing families with children at risk, promoting suicide awareness at the community level and, perhaps most importantly, taking prevention programs into the schools.
C
In a typical workplace, one in four employees struggles with mental health issues, most com- monly in the form of depression or anxiety. It is estimated that mental illness results in 35 million work days lost each year in Canada. Mental illness also accounts for up to per cent of short-term disability insurance claims and is a secondary diagnosis in more than 50 per cent of long-term claims.
The toll of mental illness--in terms of individual Suffering and the corporate bottom line--prompted CEOs from across Canada to support the Toronto-based Roundtable on Addiction and Mental Health. Founded 10 years ago, the Roundtable advises organizations on how to detect, treat and ultimately prevent mental illness.
Organizations are advised to'adopt a three-part strategy. First, focus on early detection and treatment opportunities ( depression and anxiety are effectively treated in 85 percent of cases where help is sought). Second, determine, at the organizational level, the root cause of the mental dis- tress (especially important if it is emanating from a single department or business unit). Third, make prevention and stress management a corporate-wide priority.
D
No research on mental health could fail to deal with the issue of stigma--the fact that negative attitudes and behavior toward people with mental illness adds immeasurably to their suffering and represents a serious barrier to reform. The sting of stigma provided much of the emotional wallop behind Starry, Starry Night, a theatrical production by the Calgary Chapter of the Schizophrenia So- ciety of Alberta. The play, performed entirely by actors with Schizophrenia, includes several wrenching scenes about the harsh way the mentally ill are sometimes treated by the very system that is intended to help them.
Dr. Thornicroft, a British psychiatrist, recalled how, after 20 years in practice, he felt disquie- ted by the fact that so few people with mental illness sought treatment--and, if they did, it was as a last resort. He concluded this was because of the shame and embarrassment so many experienced. Dr. Thornicroft decided to take a sabbatical and write a book about stigma.
As he delved into the subject, and looked at it from the patient's point of view, Dr. Thorni- croft was struck by the depth of prejudice directed at the mentally ill. He concluded that the most essential aspect of stigma is not so much people's attitudes, but how they act. In other words, the real issue was discrimination. And what is needed is a kind of civil rights campaign on behalf of the mentally ill.
DO THAT IS THE END OF SECTION THREE.!NOT READ OR WORK ON THE NEXT SECTION UNTIL YOU ARE TOLD TO.
PartC
參考譯文
A
精神健康保健系統(tǒng)面臨著許多挑戰(zhàn),其中最重要的就是人們不斷增長(zhǎng)的服務(wù)需求和系統(tǒng)本身反應(yīng)能力之間存在巨大差異。很多人正在遭受痛苦,但只有少數(shù)人能夠得到幫助。
幾十年來,精神病就像各國(guó)醫(yī)療保健體系中的孤兒,長(zhǎng)期受到資金不足和人手缺乏的困擾。這種漠視的態(tài)度似乎表明受精神病折磨的患者只是少數(shù)。但事實(shí)更有說服力。生活中,約三分之一的人會(huì)在生命的某個(gè)時(shí)期遭遇心理問題。在加拿大,這一群體有1000多萬(wàn)人。
據(jù)估計(jì),精神病會(huì)導(dǎo)致殘疾和生產(chǎn)力上的損失。每年,加拿大在這一方面的經(jīng)濟(jì)損失不下于330億美元。目前,我們每年還額外花費(fèi)60至80億美元治療這些疾病。入院治療的精神病患者比癌癥和心臟病患者的總和還要多。
然而,盡管這樣,心理健康醫(yī)師深知這只是涉及其中一小部分人群。研究表明,三分之二精神病成年患者從不尋求幫助;而在青少年中,這個(gè)數(shù)字是75%。在那些尋求治療的患者中,大多數(shù)先會(huì)去看家庭醫(yī)生,問題是家庭醫(yī)生往往沒有能力識(shí)別和處理精神病病患。
B
可悲的是,比起成年人,兒童和青少年更不太可能去尋求或接受精神病治療。而在很多情況下,一旦病患發(fā)作,年輕人將不得不付出代價(jià)。在研究人員提供的一些最發(fā)人深省的統(tǒng)計(jì)中,我們發(fā)現(xiàn)每年在加拿大約有十分之一的青少年企圖自殺。同時(shí),80%和90%的自殺年輕人在死亡時(shí)都有可能患有精神疾病。
有些年輕人比其他人的情況更糟。原住民青少年自殺死亡率是非土著青少年的五至六倍。青春期男性自殺死亡率是青春期女性的三到四倍。
預(yù)防自殺的關(guān)鍵是在于多方面的早期干預(yù),特別對(duì)于有危險(xiǎn)舉動(dòng)如抑郁癥和濫用藥物的青少年進(jìn)行的干預(yù)。這就意味著為有孩子是患者的家庭提供幫助,提高社會(huì)對(duì)于自殺危害的意識(shí),也許最重要的是學(xué)校要做出一定的預(yù)案。
C
在典型的職場(chǎng)中,約四分之一的員工有精神健康問題,最常見的是抑郁或焦慮。據(jù)估計(jì),加拿大每年由于精神病而浪費(fèi)3500萬(wàn)個(gè)工作日。心理疾病在短期傷殘保險(xiǎn)索賠中高述40%,在長(zhǎng)期輔助診斷中的索賠率超過50%。
精神病患者的數(shù)量——無(wú)論是在個(gè)人傷痛或是公司底線方面——促使加拿大各地的CEO在多倫多形成對(duì)長(zhǎng)期患病與心理健康的圓桌會(huì)議。成立l0年來,圓桌會(huì)議不斷指導(dǎo)各個(gè)組織檢測(cè)、治療并最終防止心理疾病。
各個(gè)組織應(yīng)采取三步戰(zhàn)略。首先,關(guān)注早發(fā)現(xiàn)和早治療的機(jī)會(huì)(85%的抑郁和焦慮患者可以通過救助有效治愈)。其次,在組織層面上探求心理困擾的根本原因(如果它出現(xiàn)在一個(gè)單一的部門或單位,情況就特別重要)。最后,是在企業(yè)范圍內(nèi)預(yù)防和加強(qiáng)管理。
D
對(duì)心理健康的任何研究都會(huì)遇到名譽(yù)問題——事實(shí)證明消極的態(tài)度和行為只會(huì)徒然增加精神病患者的痛苦,也會(huì)嚴(yán)重阻礙改革。對(duì)于這個(gè)敏感的問題,《繁星點(diǎn)點(diǎn)的夜晚》帶來了許多感觸。《繁星點(diǎn)點(diǎn)的夜晚》是由阿爾伯塔精神分裂癥協(xié)會(huì)的卡爾加里·切普特所指導(dǎo)的一部舞臺(tái)劇。劇中的角色完全由精神分裂癥患者們飾演。劇中包括一些痛苦的場(chǎng)景,即有時(shí)精神病患者會(huì)受到所謂人道主義體制的不公正待遇。
經(jīng)過20年實(shí)踐之后,英國(guó)的精神病學(xué)家斯尼克勞福特博士回憶到,他發(fā)現(xiàn)很少有精神病患者尋求治療,而且,即使他們接受治療,也是作為最后的“救命稻草”。他總結(jié)說,這主要是因?yàn)檫@些人遭受了太多的羞辱和尷尬。斯尼克勞福特博士決定利用休假寫一本關(guān)于恥辱的書。
在他深入研究并從病人的角度出發(fā)時(shí),斯尼克勞福特博士被精神病患者遭受到的深度偏見所震撼。他總結(jié)說:關(guān)于恥辱,最重要的不是很多人的態(tài)度,而是深度的行為。換句話說,真正的問題是歧視。而我們所需要的就是一種能代表精神病患者的公民權(quán)利運(yùn)動(dòng)。
答案及精析
71.B【精析】題目問的是“哪篇文章在自殺率上揭示了性別差異?”。根據(jù)問句中的關(guān)鍵詞“9ender difference”可把答案定位在B篇第二段的最后一句“Adolescent males die by suicide three to fourtimes more often than adolescent females.”。故選B。
72.A
73.B
【精析】題目問的是“哪兩篇文章指出患有精神病的青少年沒有接受到足夠的治療?”?砂汛鸢付ㄎ辉贏篇第四段的第二句“…tw0—thirds of adults who experience mental illness never seek help;foradolescents,the figure is 75 percent.”和B篇的第一段第一句的“...children and adolescents are even less likely than adults to seekor receive treatment for mental illness.”。故這題選A和B。
74.D【精析】題目問的是“哪篇文章認(rèn)為公眾如何對(duì)待精神病人會(huì)直接影響他們的恢復(fù)治療?”。可把答案定位在D篇第一句“No re—search oil,mental health could fail to deal with the issue of stigma—the fact that negative attitudes and behavior toward people with men--tal illness adds immeasurably to their suffering and represents a seri—OUS barrier to refoFin.”。故選D。
75.A【精析】題目問的是“哪篇文章報(bào)道患有精神病的人群在加拿大人口中占有極大的比例?”。A、B和C中都有涉及到加拿大,但比較發(fā)現(xiàn),A篇第二段的最后兩句說明患有精神病的人群在加拿大人口中占有極大的比例。故選A。
76.B【精析】題目問的是“哪篇文章談到了自殺與精神疾病存在著很高的關(guān)聯(lián)度?”。根據(jù)問句中的關(guān)鍵詞“suicide”可把答案定位在B篇第一段的第三句“In what was perhaps the most sobering statisticof all provided by some researchers.it was found that approximatelyone—in.ten Canadian adolescents attempt suicide each year.”和第二段的第一句“some young people are at greater risk than others.Ab—original youths are five to six times more likely to die by suicide thannon—Aboriginal youths.”。故選B。
77.A
78.C
【精析】題目問的是“哪篇文章發(fā)現(xiàn)精神疾病使加拿大的經(jīng)濟(jì)生產(chǎn)力不足?”。根據(jù)問句中的關(guān)鍵詞“economy”和“less produc—rive”可把答案定位在A篇第三段時(shí)第一句“…menml illness isestimated to cost the economy$33 billion each year in disabilityand lost productivity”和C篇第二段的第二句“Founded lo yearsa90,the Roundtable advises organizations on how to detect,treatand ultimately prevent mental illness.”。故這題選A和C。
79.C【精析】題目問的是“哪篇文章談到了人們建議各個(gè)單位實(shí)行壓力管理?”。根據(jù)問句中的關(guān)鍵詞“management”可把答案定位在C篇的最后一句“…make prevention and stress management a corpo—rate—wide priority”。故選C。
80.D【精析】題目問的是“哪篇文章呼吁公眾對(duì)于精神病人的不公正對(duì)待給予關(guān)注?”?砂汛鸢付ㄎ辉贒篇第三段的最后兩句“…mereal issue was discrimination.And what is needed is a kind of civilrights campaign on behalf of the mentally ill”。故選D。
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