《经济学人》为什么数以百万计的中国人开始偷偷做心理咨询？

发布于 2026-08-22 · 时长 7:24

字幕摘录

时间	英文	中文
0:02	China	中国
0:06	Mental health and treatment	精神健康和治疗
0:09	Help wanted	需要帮助
0:11	Care is patchy and uneven, but the government wants change	照顾是杂乱无章,但政府想要改变
0:16	Half of Xiaoyao's clients, who are mostly women aged between 20 and 40,	小尧一半的客户大多是20到40岁的女性
0:22	do not tell their parents that they pay 500 yuan, that's 75 dollars, for counselling sessions.	不要告诉父母他们支付500元人民币,即75美元, 咨询会。
0:30	The 33-year-old psychological counsellor says that older generations tend to take mental health less seriously	33岁的心理辅导员说, 年长的几代人往往不太重视精神健康
0:37	and ask, this is just unhappiness, isn't it?	问,这只是不幸福,不是吗?
0:40	Aren't you overthinking things?	难道你没有想太多吗?
0:43	In a highly competitive society that has undergone deep economic and social change,	在一个经历了深刻的经济和社会变革的高度竞争的社会里,

展开字幕全文（82 条）

序号	英文	中文
1	China	中国
2	Mental health and treatment	精神健康和治疗
3	Help wanted	需要帮助
4	Care is patchy and uneven, but the government wants change	照顾是杂乱无章,但政府想要改变
5	Half of Xiaoyao's clients, who are mostly women aged between 20 and 40,	小尧一半的客户大多是20到40岁的女性
6	do not tell their parents that they pay 500 yuan, that's 75 dollars, for counselling sessions.	不要告诉父母他们支付500元人民币,即75美元, 咨询会。
7	The 33-year-old psychological counsellor says that older generations tend to take mental health less seriously	33岁的心理辅导员说, 年长的几代人往往不太重视精神健康
8	and ask, this is just unhappiness, isn't it?	问,这只是不幸福,不是吗?
9	Aren't you overthinking things?	难道你没有想太多吗?
10	In a highly competitive society that has undergone deep economic and social change,	在一个经历了深刻的经济和社会变革的高度竞争的社会里,
11	many Chinese struggle with mental health.	许多中国人为心理健康而斗争.
12	A new study shows a surge over the past three decades in mental illness,	一项新的研究表明,在过去30年里,精神疾病激增,
13	and though more sufferers now seek help, psychiatric services remain limited.	虽然现在有更多的患者寻求帮助,但精神病治疗服务仍然有限。
14	Meanwhile, a nascent therapy sector is largely unregulated and often hard to afford.	与此同时,新生的治疗部门基本上不受管制,往往难以负担。
15	The study, published in The Lancet, a British medical journal,	该研究发表在英国医学期刊《柳叶刀》上,
16	offers the most comprehensive estimate to date of mental disorders prevalence in China,	提供了迄今为止对中国精神疾病流行情况的最全面估计,
17	with 191 million cases in 2023, equivalent to about one in seven Chinese.	2023年有1.91亿病例,相当于中国七分之一左右.
18	That was 46% more than in 1990, but after allowing for the country being older and more populous,	这比1990年增加了46%,但在允许该国人口老化之后,
19	the estimated prevalence was 14.6% higher.	估计患病率增加14.6%。
20	Because these are modelled estimates, based on sometimes sparse data and diagnoses,	因为这些是模型化的估计, 依据有时稀少的数据和诊断,
21	these figures are likely to be an underestimate of the true picture.	这些数字很可能低估了真实情况。
22	Anxiety and depression are the most common illnesses,	焦虑和抑郁是最常见的疾病,
23	while eating disorders have grown at the fastest rate.	而饮食失调则以最快的速度增长。
24	Though social stigma and a reluctance to acknowledge mental illness have long prevailed,	虽然社会耻辱和不愿承认精神病早已盛行,
25	calls for help are growing.	要求帮助的呼声在增加。
26	The pandemic marked a turning point, says Li Jiang of the University of California Davis,	加利福尼亚大学戴维斯分校的李江
27	author of a book on anxiety and psychotherapy in China.	中国焦虑与心理治疗著作作者.
28	Lockdowns led to spikes in depression and anxiety.	封锁导致抑郁症和焦虑症激增。
29	People grew more sympathetic to others suffering from mental illness	人们越来越同情精神疾病患者
30	and more accepting of their own problems, as Jiang says.	更能接受他们自己的问题,正如蒋所说。
31	During the pandemic, many Chinese sought counselling for the first time.	在疫情期间,许多华人首次寻求咨询.
32	Unable to leave home with the therapist's sofa out of bounds, they jumped straight to the screen.	无法带着治疗师的沙发离开家,他们跳到屏幕上。
33	Self-help and psychological services have boomed online.	自助和心理服务在网上蓬勃发展.
34	Tens of millions use apps, selling counselling sessions and other courses.	数千万人使用应用软件,出售咨询课程和其他课程。
35	Many also take advantage of free resources.	许多人还利用免费资源。
36	New government hotlines for psychological support got more than 700,000 calls in 2025	2025年,新的政府心理支助热线接到70多万通电话
37	and 900,000 in the first half of this year.	和90万在今年上半年。
38	Another paper in The Lancet in 2021 found that of 1,007 Chinese surveyed with a depressive disorder,	2021年"柳叶刀"的另一篇论文发现,在被调查患有抑郁症的1,007名华人中,
39	only just 9.5% got treatment, while a mere 0.5% were treated adequately.	只有9.5%得到治疗,而只有0.5%得到适当治疗。
40	The government now aims to build a nationwide system of psychological support and crisis intervention by 2030,	政府现在的目标是在2030年之前建立一个全国性的心理支持和危机干预系统,
41	giving more people access to drug-based treatments and psychotherapy.	使更多的人能够获得药物治疗和心理治疗。
42	Plans include counselling rooms in every school, psychiatric services in at least one hospital in every county,	计划包括每个学校的咨询室,每个县至少一所医院的精神病服务,
43	and more mental health professionals.	和更多的精神健康专业人员。
44	Fears of social instability inform some of the official urgency.	对社会不稳定的恐惧使一些人意识到官方的紧迫性。
45	In June, a private pilot crashed into Beijing's tallest tower, killing himself.	6月,一名私人飞行员撞上北京最高的塔楼,自杀身亡.
46	A rare security breach in the capital.	首都罕见的安全漏洞.
47	Investigators claim the man suffered from anxiety and suicidal thoughts.	调查人员声称此人患有焦虑和自杀性想法.
48	In 2024, a spate of violent attacks, including vehicle ramming and stabbings against members of the public,	2024年,一连串暴力袭击,包括车辆撞撞和刺伤公众,
49	was a source of official concern about mental health.	引起官方对精神健康的关注。
50	Experts described the attacks as revenge on society committed by men angry about their financial situation	专家们称,这些袭击是因经济状况而愤怒的人对社会的报复。
51	or perceived unfairness towards them.	或认为他们是不公平的。
52	The Communist Party, with its mania for lists and slogans, stepped up the monitoring of	共产党对名单和口号疯狂,加紧监测
53	individuals, i.e.	个人,即:
54	those with no spouse, children, job or assets, or suffering from investment failures,	没有配偶、子女、工作或资产或因投资失败而受害的人,
55	life setbacks, relationship conflicts, emotional imbalance or mental disorders.	生活挫折,关系冲突,情感失衡或精神障碍.
56	China's very low rates of identifying and treating mental illness may at last be improving.	中国识别和治疗精神疾病的比率很低,但这一比率最终可能正在提高。
57	Yuan Chengmei of Shanghai Mental Health Centre, or SMHC, a top mental health hospital,	上海市精神卫生中心的袁成梅, 或SMHC,一所顶级精神卫生医院,
58	points to greater public awareness and better identification of milder cases of mental distress.	这表明,公众提高了认识,更好地识别了较轻的心理困扰病例。
59	Yet problems of capacity, affordability and sound regulation remain.	然而,能力、承受能力和健全监管等问题依然存在。
60	China has far fewer psychotherapists per head of population than the West.	中国人均心理治疗师远少于西方。
61	Dr Yuan says that even SMHC, with a much higher concentration of qualified staff than elsewhere in China,	袁医生说,即使SMHC, 与中国其他地方相比, 合格工作人员的集中程度要高得多,
62	struggles to keep up with growing demand.	努力跟上不断增长的需求。
63	One response at SMHC has been to institute more group counselling.	最高健康委员会的一个回应是建立更多的集体咨询。
64	Elsewhere, however, counselling is a free-for-all with no standardised licence requirements.	然而,在其他地方,咨询是免费的,没有标准化的许可证要求。
65	Reports of fraud and malpractice abound.	大量关于欺诈和渎职的报告。
66	Online platforms are strengthening their requirements for trained and experienced counsellors,	在线平台正在加强对训练有素和经验丰富的辅导员的要求,
67	while professional associations promote their codes of ethics.	专业协会宣传其道德守则。
68	But the government expends more energy hunting down AI chatbots that lead to emotional dependence	但政府花更多的精力捕捉导致情感依赖的AI聊天机器人
69	than regulating real-life therapists.	比规范现实治疗师。
70	Affordability remains a big problem.	负担能力仍然是一个大问题。
71	Many of those who need care most are least able to pay for it.	许多最需要照顾的人最没有能力支付费用。
72	Five years into a property crisis, local governments have less cash to invest in mental health.	在一场财产危机的五年中,地方政府在精神保健方面的投资较少。
73	Meanwhile, more needs to be done to promote awareness and acceptance.	与此同时,需要做更多的工作来提高认识和促进接受。
74	In China, Shen Jingbing, mentally ill person, remains a common insult.	在中国,精神病患者沈静冰仍是常见的侮辱行为.
75	Younger people are chipping away against stubborn stigmas around mental health.	年轻人正在与固执的对心理健康的污名作斗争。
76	To many of them, says SMHC, counselling is like a Fudalka,	对很多人来说 SMHC 咨询就像福达尔卡
77	just another remedial class that students take for hard subjects.	只是另一个补习课学生为难科目。
78	Even so, as more people become open to counselling, they do not all understand what it entails.	即便如此,随着更多的人愿意接受咨询,他们并不都明白咨询意味着什么。
79	Counselling is a slow process, says Dr Yuan, but many clients think they will get better after just one or two sessions.	袁医生说,咨询是一个缓慢的过程,但许多客户认为只要一两次就能够好转.
80	And, as Shao also points out, even those who do understand,	而且,正如绍也指出, 即使那些理解的人,
81	often reduce or give up their attendance after being sacked or seeing their pay cut.	在被解雇或工资被削减后,他们往往减少或放弃出勤。
82	For now, treatment for mental illness remains a luxury that mainly the better-off can afford.	目前,治疗精神疾病仍然是一项奢侈品,主要是较富裕的人能够负担得起。

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