语言的世界是个奇妙的世界
每周时事翻译，欢迎批评指正，共同进步
正文
问题: 对于此句的翻译有些拿不准，请高手指教:
In the context of national guidelines that will shape the treatment of millions, it borders on quackery to include cognitive-behavioral therapy in the same sentence that the A.P.A. (American *Psychiatric*, ugh) calls “problem-solving therapy.” (More on Time.com: What Goes on Inside the Brain of a Misbehaving Boy?)
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Psychology vs. Psychiatry: What's the Difference, and Which Is Better?
心理学和精神病学 有什么区别，哪个更好
Psychologists and psychiatrists tend to hate each other. The reasons are historical: beginning even before Freud, psychologists held enormous power over the cultural imagination. The whole idea of psychiatry — an explicitly chemical rather than behavioral treatment of the mind — didn't start until the industrial age, and for a long time afterward, psychiatrists were held in disregard.
心理学家和精神病学家似乎互相憎恨. 这有其历史原因 甚至在早于弗洛伊德之前，心理学家在文化想象中握有极大权力. 精神病学的整个思想(认为显而易见是化学物质而不是针对心理的行为治疗)仅从工业时代开始，而且在此以后的很长时间里，精神病学家不被受到重视.
Friday morning, psychiatrists take a bit of revenge. Even after years of symposia and papers designed to reconnect the two tendril branches of mental-health treatment, the American Psychiatric Association has released new guidelines for treatment of depression that still denigrate the cognitive and behavioral approaches of the American Psychological Association. (Both organizations are called A.P.A., and neither will relinquish the shortened form to the other. Yeah, it turns out the nation's mental-health leaders act like children.) (More on Time.com: 'Heartbrake': How Rejection Literally Stops Your Heart)
周五早上，精神病学家进行了一点报复. 虽然多年来的研讨会和论文有意把精神健康治疗的两个细小分支联系起来，美国精神病协会发表的对忧郁症治疗的新指导方针仍然诋毁美国心理学会的认知和行为治疗方法. 两个机构的简写均为APA，谁也不愿意把这个简称放弃给对方，对，国家精神健康方面的负责人们表现得像小孩子
According to the new guidelines — which will govern treatment for the 200,000 in-patient psychiatric patients in the U.S., as well as the 20 million or so who get out-patient treatment — the No.-1 preferred approach is drugs. Just drugs. The guidelines don't mention psychological approaches like cognitive-behavioral therapy until No. 3, just after electroshock therapy. Ouch
.新的指导方针将引导美国20万住院精神病病人和2千万非住院病人的治疗方案， 第一点推荐的方法是药物，仅使用药物. 这个指导方针直到第三条才提到比如认知行为疗法的心理方法，在电击方案的后面.
The new guidelines underplay an enormous body of data from the past decade showing that even the best psychiatric drugs work better than sugar pills only when the drugs are used in conjunction with psychological therapies that help patients change how they behave and how they form their thoughts. Neither a strictly psychiatric approach (just drugs) nor a strictly psychological approach (just talk therapy) works much better than a placebo pill on its own. But when used in combination, the psychiatric and psychological treatments help a majority of people get better.
这项新的指导方针冲淡了过去十年大量的数据，这些数据显示，即使要让最好的精神病药物比糖片效果更好，也要与心理治疗同时进行才行，这样才能改变病人的行为和他们的思维形成方式. 无论严格意义上的精神病学的方法仅使用药物，还是严格意义上的心理治疗方案只说疗法，都不会比仅适用安慰剂的效果好. 但结合使用时，精神和心理的治疗会让大多数人受益.
So why can't A.P.A. and A.P.A. get along?然而为什么两个APA不能共处呢
One reason is a problem of data. The new American *Psychiatric* guidelines released today conflate several psychotherapy approaches equally because at least one or two randomized trials has shown them to be effective. But cognitive-behavioral therapy has a huge base of evidence compared to rather obscure approaches such as interpersonal therapy. In the context of national guidelines that will shape the treatment of millions, it borders on quackery to include cognitive-behavioral therapy in the same sentence that the A.P.A. (American *Psychiatric*, ugh) calls “problem-solving therapy.” (More on Time.com: What Goes on Inside the Brain of a Misbehaving Boy?)
一个原因是论据问题. 昨天刚发布的新的美国”精神病学”的指导方针同样融合了几个心理治疗方法，因为一两个随机实验显示了其有效性. 但是认知行为疗法比起其他诸如人际间疗法的模糊治疗方案而言，是大量证据证实了的. 在针对治疗上百万病人的全国性的指导方针的上下文中，在同一句话中它包括认知行为疗法---APA 美国”精神病协会”称之为”解决问题疗法”，这简直近似江湖骗子.
When I spoke with an A.P.A. (American *Psychiatric*, ugh again) official Thursday night, he declined to speak on the record. He referred me to an official statement the organization released, which says it “reviewed more than 10,000 studies,” revealed all ties to pharmaceutical companies, and will consider any comments to revise the guidelines. I only have one comment: the A.P.A. and the A.P.A. should start with becoming Facebook friends. Psychology and psychiatry shouldn't be enemies.
当周四晚上我和美国 « 精神病协会”官员谈话时，他婉拒了录音. 他让我参考该组织官方发言，称起”研究了1万个案例”，其研究显示出与药物公司的紧密联系，他们会考虑任何修改此指导方针的评论. 我只有一个评论，两个APA应该成为脸书上的朋友，心理学和精神学不能成为敌人.
Read more: http://healthland.time.com/2010/10/01/psychology-vs-psychiatry-whats-the-difference-and-which-is-better/#ixzz11xFAx1Kj
In the context of national guidelines that will shape the treatment of millions, it borders on quackery to include cognitive-behavioral therapy in the same sentence that the A.P.A. (American *Psychiatric*, ugh) calls “problem-solving therapy.” (More on Time.com: What Goes on Inside the Brain of a Misbehaving Boy?)
*******************************************************
Psychology vs. Psychiatry: What's the Difference, and Which Is Better?
心理学和精神病学 有什么区别，哪个更好
Psychologists and psychiatrists tend to hate each other. The reasons are historical: beginning even before Freud, psychologists held enormous power over the cultural imagination. The whole idea of psychiatry — an explicitly chemical rather than behavioral treatment of the mind — didn't start until the industrial age, and for a long time afterward, psychiatrists were held in disregard.
心理学家和精神病学家似乎互相憎恨. 这有其历史原因 甚至在早于弗洛伊德之前，心理学家在文化想象中握有极大权力. 精神病学的整个思想(认为显而易见是化学物质而不是针对心理的行为治疗)仅从工业时代开始，而且在此以后的很长时间里，精神病学家不被受到重视.
Friday morning, psychiatrists take a bit of revenge. Even after years of symposia and papers designed to reconnect the two tendril branches of mental-health treatment, the American Psychiatric Association has released new guidelines for treatment of depression that still denigrate the cognitive and behavioral approaches of the American Psychological Association. (Both organizations are called A.P.A., and neither will relinquish the shortened form to the other. Yeah, it turns out the nation's mental-health leaders act like children.) (More on Time.com: 'Heartbrake': How Rejection Literally Stops Your Heart)
周五早上，精神病学家进行了一点报复. 虽然多年来的研讨会和论文有意把精神健康治疗的两个细小分支联系起来，美国精神病协会发表的对忧郁症治疗的新指导方针仍然诋毁美国心理学会的认知和行为治疗方法. 两个机构的简写均为APA，谁也不愿意把这个简称放弃给对方，对，国家精神健康方面的负责人们表现得像小孩子
According to the new guidelines — which will govern treatment for the 200,000 in-patient psychiatric patients in the U.S., as well as the 20 million or so who get out-patient treatment — the No.-1 preferred approach is drugs. Just drugs. The guidelines don't mention psychological approaches like cognitive-behavioral therapy until No. 3, just after electroshock therapy. Ouch
.新的指导方针将引导美国20万住院精神病病人和2千万非住院病人的治疗方案， 第一点推荐的方法是药物，仅使用药物. 这个指导方针直到第三条才提到比如认知行为疗法的心理方法，在电击方案的后面.
The new guidelines underplay an enormous body of data from the past decade showing that even the best psychiatric drugs work better than sugar pills only when the drugs are used in conjunction with psychological therapies that help patients change how they behave and how they form their thoughts. Neither a strictly psychiatric approach (just drugs) nor a strictly psychological approach (just talk therapy) works much better than a placebo pill on its own. But when used in combination, the psychiatric and psychological treatments help a majority of people get better.
这项新的指导方针冲淡了过去十年大量的数据，这些数据显示，即使要让最好的精神病药物比糖片效果更好，也要与心理治疗同时进行才行，这样才能改变病人的行为和他们的思维形成方式. 无论严格意义上的精神病学的方法仅使用药物，还是严格意义上的心理治疗方案只说疗法，都不会比仅适用安慰剂的效果好. 但结合使用时，精神和心理的治疗会让大多数人受益.
So why can't A.P.A. and A.P.A. get along?然而为什么两个APA不能共处呢
One reason is a problem of data. The new American *Psychiatric* guidelines released today conflate several psychotherapy approaches equally because at least one or two randomized trials has shown them to be effective. But cognitive-behavioral therapy has a huge base of evidence compared to rather obscure approaches such as interpersonal therapy. In the context of national guidelines that will shape the treatment of millions, it borders on quackery to include cognitive-behavioral therapy in the same sentence that the A.P.A. (American *Psychiatric*, ugh) calls “problem-solving therapy.” (More on Time.com: What Goes on Inside the Brain of a Misbehaving Boy?)
一个原因是论据问题. 昨天刚发布的新的美国”精神病学”的指导方针同样融合了几个心理治疗方法，因为一两个随机实验显示了其有效性. 但是认知行为疗法比起其他诸如人际间疗法的模糊治疗方案而言，是大量证据证实了的. 在针对治疗上百万病人的全国性的指导方针的上下文中，在同一句话中它包括认知行为疗法---APA 美国”精神病协会”称之为”解决问题疗法”，这简直近似江湖骗子.
When I spoke with an A.P.A. (American *Psychiatric*, ugh again) official Thursday night, he declined to speak on the record. He referred me to an official statement the organization released, which says it “reviewed more than 10,000 studies,” revealed all ties to pharmaceutical companies, and will consider any comments to revise the guidelines. I only have one comment: the A.P.A. and the A.P.A. should start with becoming Facebook friends. Psychology and psychiatry shouldn't be enemies.
当周四晚上我和美国 « 精神病协会”官员谈话时，他婉拒了录音. 他让我参考该组织官方发言，称起”研究了1万个案例”，其研究显示出与药物公司的紧密联系，他们会考虑任何修改此指导方针的评论. 我只有一个评论，两个APA应该成为脸书上的朋友，心理学和精神学不能成为敌人.
Read more: http://healthland.time.com/2010/10/01/psychology-vs-psychiatry-whats-the-difference-and-which-is-better/#ixzz11xFAx1Kj
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