Name: 吉娜·尼克爾 – CRAZYWISE 專家訪談！ (Gina Nikkel – CRAZYWISE Expert Interview)
Uploaded: 2026-02-28T14:17:51.000Z
Duration: 3 min 8 s

I know many, many parents that have been in this situation.

我認識好多好多家長都遇過這種情況。

程度副詞

They just want their child well, they want their child back.

他們只想孩子好起來，想把孩子找回來。

轉承詞

And there's no place to go because we don't have the models to help give their children hope and recovery, particularly in the United States.

而且無處可去，因為我們沒有模型來幫助孩子們重拾希望和康復，尤其是在美國。

But we see this phenomena all around the world.

但我們在世界各地都看得到這種現象。

So at the foundation, we're very, very interested in the early psychosis models, both the Megory model that led to ESA here in Oregon and the Open Dialogue model from western Lapland in Finland.

所以我們基金會非常、非常有興趣研究早期精神病模型，包括促成俄勒岡州 ESA 的 Megory model，以及來自芬蘭西部拉普蘭的 Open Dialogue model。

What we're seeing with the data from Western Lapland is phenomenal.

我們從西部拉普蘭看到的資料非常驚人。

We need to know once and for all, can that model be replicated around the world?

我們必須一次就知道，這個模型是否能在世界各地複製？

And we believe that it can, but we've got to remove the barriers.

我們相信是可以的，但我們必須移除障礙。

If one out of four people have mental health challenges serious enough to warrant treatment, that means we better be having conversations with each other about what comes next.

如果四分之一的人有足夠嚴重的心理健康挑戰需要治療，那表示我們最好要好好聊聊接下來該怎麼做。

In our world, people that were trained traditionally, psychiatrists, psychologists, therapists, social workers, have all had enough of the same way that we've been getting the same answers.

在我們的世界裡，那些接受傳統訓練的人，包括精神科醫生、心理學家、治療師、社工，都已經受夠了總是得到同樣答案的方式。

In other countries, the elders surround people.

在其他國家，長輩們會圍繞著人們。

If you talk to some of the psychiatrists of old that were trained a long time ago, before medications came on the scene, and

如果你問一些很久以前受過訓練的精神科醫生，在藥物出現之前，

medications have helped some people, but they've also harmed people.

藥物雖然幫助了一些人，但也傷害了另一些人。

What we have to do is we have to get back to the listening part that psychiatrists, psychologists, therapists, mom, dad, aunts, uncles, people that you love, that care about you, do they listen first.

我們必須回到傾聽的部分，也就是精神科醫生、心理學家、治療師，還有爸爸、媽媽、阿姨、叔叔，那些愛你、關心你的人，他們是不是會先傾聽。

Speaking as the director for the foundation for Excellence in Mental Health Care, what I would like to see is enough philanthropic funders come forward that we can actually fund having these programs in a lot of different areas to prove that they work so we can get insurance to pay for them, because that's what we have to do first.

以心理健康照護卓越基金會主任的身分來說，我希望有足夠的慈善捐助者願意出資，讓我們能在許多不同的地區推動這些計畫，證明它們有效，這樣我們才能讓保險願意給付，因為這是我們必須先做到的。

What I would like, what I dream of, is when somebody calls and says, my child had a first break, where can I go?

我希望，我夢想著，當有人打電話來說，我的孩子第一次出現狀況了，我該去哪裡？

I can refer them to the Open Dialogue center, the dialogic practice center in that particular community, in any community in the world, that there's some place to go that they don't have to pick up and move to access those services.

我可以推薦他們到當地的對話實踐中心，也就是開放對話中心，在任何一個社區，都有一個地方可以去，他們不必搬家才能獲得這些服務。