This could be why you're depressed or anxious | Johann Hari | TED

11,202,097 views

2019-10-11 ・ TED


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This could be why you're depressed or anxious | Johann Hari | TED

11,202,097 views ・ 2019-10-11

TED


Dvaput kliknite na engleske titlove ispod za reprodukciju videozapisa.

Prevoditelj: Antoaneta Mjeda Recezent: Jasmina Sevo
00:13
For a really long time,
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Dugo su vremena
00:14
I had two mysteries that were hanging over me.
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dvije zagonetke visile nada mnom.
00:18
I didn't understand them
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Nisam ih razumio
00:20
and, to be honest, I was quite afraid to look into them.
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i, da budem iskren, prilično sam se bojao istražiti ih.
00:24
The first mystery was, I'm 40 years old,
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Prva zagonetka je - 40 mi je godina
00:27
and all throughout my lifetime, year after year,
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i tijekom cijelog mog života, godinu za godinom,
00:31
serious depression and anxiety have risen,
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depresija i anksioznost ozbiljno rastu,
00:34
in the United States, in Britain,
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u Sjedinjenim Državama, Britaniji,
00:37
and across the Western world.
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kao i diljem zapadnog svijeta.
00:39
And I wanted to understand why.
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Htio sam shvatiti zašto.
00:43
Why is this happening to us?
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Zašto nam se to događa?
00:45
Why is it that with each year that passes,
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Zašto je svakom godinom
00:48
more and more of us are finding it harder to get through the day?
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sve više i više nas koji sve teže prolazimo kroz dan?
00:51
And I wanted to understand this because of a more personal mystery.
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Htio sam to shvatiti zbog nešto osobnije zagonetke.
00:55
When I was a teenager,
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Kad sam bio tinejdžer,
00:56
I remember going to my doctor
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sjećam se odlaska liječniku
00:58
and explaining that I had this feeling, like pain was leaking out of me.
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i objašnjavanja da imam osjećaj kao da bol curi iz mene.
01:03
I couldn't control it,
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Nisam to mogao kontrolirati,
01:04
I didn't understand why it was happening,
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nisam shvaćao zašto se to događa,
01:06
I felt quite ashamed of it.
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prilično sam se sramio toga.
01:09
And my doctor told me a story
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Liječnik mi je ispričao priču,
01:10
that I now realize was well-intentioned,
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sad shvaćam da je bila dobronamjerna,
01:12
but quite oversimplified.
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ali prilično pojednostavljena.
01:14
Not totally wrong.
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Ne sasvim pogrešna.
01:15
My doctor said, "We know why people get like this.
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Liječnik mi je rekao: "Znamo zašto ljudi postaju takvi.
01:18
Some people just naturally get a chemical imbalance in their heads --
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Nekim se ljudima prirodno poremeti kemijska ravnoteža u glavi -
01:22
you're clearly one of them.
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ti si očito jedan od njih.
01:24
All we need to do is give you some drugs,
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Samo ti trebamo dati neke lijekove,
01:26
it will get your chemical balance back to normal."
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to će tvoju kemijsku ravnotežu vratiti u normalu."
01:28
So I started taking a drug called Paxil or Seroxat,
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Tako sam počeo piti lijek zvan Paxil ili Seroxat,
01:30
it's the same thing with different names in different countries.
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ista stvar s različitim imenima u različitim zemljama.
Osjećao sam se puno bolje, dobio sam pravi polet.
01:34
And I felt much better, I got a real boost.
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01:36
But not very long afterwards,
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No, nedugo zatim,
01:37
this feeling of pain started to come back.
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onaj osjećaj boli se počeo vraćati.
01:39
So I was given higher and higher doses
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Tako su mi davali sve veće i veće doze
01:41
until, for 13 years, I was taking the maximum possible dose
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sve dok 13 godina, nisam pio najveću moguću dozu
01:45
that you're legally allowed to take.
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koja je zakonski dopuštena.
01:47
And for a lot of those 13 years, and pretty much all the time by the end,
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Tijekom mnogih od tih 13 godina, a na kraju i cijelo vrijeme,
01:50
I was still in a lot of pain.
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i dalje sam jako patio.
01:52
And I started asking myself, "What's going on here?
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Počeo sam se pitati: "Što se ovdje događa?
01:55
Because you're doing everything
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Zato što radiš sve
01:56
you're told to do by the story that's dominating the culture --
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što ti se kaže po konceptu koji vlada kulturom -
02:00
why do you still feel like this?"
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zašto se i dalje osjećaš ovako?"
02:02
So to get to the bottom of these two mysteries,
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Kako bih riješio te dvije zagonetke,
02:05
for a book that I've written
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za knjigu koju sam napisao
02:06
I ended up going on a big journey all over the world,
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na kraju sam obišao cijeli svijet,
proputovao sam preko 64 000 km.
02:09
I traveled over 40,000 miles.
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02:10
I wanted to sit with the leading experts in the world
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Htio sam razgovarati s vodećim svjetskim stručnjacima
02:13
about what causes depression and anxiety
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o tome što uzrokuje depresiju i anksioznost
02:15
and crucially, what solves them,
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i, ključno, kako ih izliječiti
02:17
and people who have come through depression and anxiety
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te o ljudima koji su prošli kroz depresiju i anksioznost
02:19
and out the other side in all sorts of ways.
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i izašli na drugu stranu na raznorazne načine.
02:21
And I learned a huge amount
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Jako sam puno naučio
02:23
from the amazing people I got to know along the way.
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od divnih ljudi koje sam putem upoznao.
02:26
But I think at the heart of what I learned is,
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Ipak, mislim da je srž onoga što sam dosad naučio
02:29
so far, we have scientific evidence
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to da imamo znanstvene dokaze
02:32
for nine different causes of depression and anxiety.
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za devet različitih uzroka depresije i anksioznosti.
02:35
Two of them are indeed in our biology.
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Dva su od njih stvarno biološka.
02:38
Your genes can make you more sensitive to these problems,
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Vaši vas geni mogu učiniti osjetljivijima na te probleme,
02:41
though they don't write your destiny.
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iako oni ne ispisuju vašu sudbinu.
02:43
And there are real brain changes that can happen when you become depressed
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Dolazi do stvarnih promjena u mozgu koje se događaju kad postanete depresivni
02:46
that can make it harder to get out.
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koje mogu otežati izlječenje.
02:48
But most of the factors that have been proven
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No većina čimbenika za koje je dokazano
02:50
to cause depression and anxiety
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da uzrokuju depresiju i anksioznost
02:52
are not in our biology.
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nisu biološki uvjetovana.
02:55
They are factors in the way we live.
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To su čimbenici u načinu na koji živimo.
02:58
And once you understand them,
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Jednom kad ih shvatite,
02:59
it opens up a very different set of solutions
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otvara se sasvim drukčija skupina rješenja
03:02
that should be offered to people
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koju bi trebalo ponuditi ljudima
03:04
alongside the option of chemical antidepressants.
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uz opciju kemijskih antidepresiva.
03:07
For example,
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Primjerice,
03:09
if you're lonely, you're more likely to become depressed.
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ako ste usamljeni, vjerojatnije je da ćete postati depresivni.
03:12
If, when you go to work, you don't have any control over your job,
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Ako, kad idete na posao, nemate nikakvu kontrolu nad njim,
03:15
you've just got to do what you're told,
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samo morate raditi ono što vam se kaže,
03:17
you're more likely to become depressed.
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vjerojatnije je da ćete postati depresivni.
03:19
If you very rarely get out into the natural world,
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Ako vrlo rijetko izlazite u prirodu,
vjerojatnije je da ćete postati depresivni.
03:22
you're more likely to become depressed.
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03:23
And one thing unites a lot of the causes of depression and anxiety
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Jedna stvar ujedinjuje mnogo uzroka depresije i anksioznosti
03:27
that I learned about.
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o kojima sam učio.
03:28
Not all of them, but a lot of them.
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Ne sve, ali mnogo njih.
03:30
Everyone here knows
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Svi ovdje znaju
03:32
you've all got natural physical needs, right?
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da imamo prirodne fiziološke potrebe, zar ne?
03:34
Obviously.
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Očito.
03:35
You need food, you need water,
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Trebate hranu, trebate vodu,
03:38
you need shelter, you need clean air.
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trebate sklonište, trebate čisti zrak.
03:40
If I took those things away from you,
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Ako bih vam oduzeo te stvari,
03:42
you'd all be in real trouble, real fast.
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bili biste u pravoj nevolji, jako brzo.
03:44
But at the same time,
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No istovremeno,
03:46
every human being has natural psychological needs.
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svako ljudsko biće ima prirodne psihološke potrebe.
03:50
You need to feel you belong.
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Trebate osjetiti da pripadate.
03:52
You need to feel your life has meaning and purpose.
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Trebate osjetiti da vaš život ima smisao i svrhu.
03:55
You need to feel that people see you and value you.
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Trebate osjetiti da vas ljudi vide i cijene.
03:57
You need to feel you've got a future that makes sense.
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Trebate osjetiti da imate budućnost koja ima smisla.
04:00
And this culture we built is good at lots of things.
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Ova kultura koju smo izgradili je dobra u puno toga.
04:03
And many things are better than in the past --
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Puno je stvari bolje nego u prošlosti -
04:05
I'm glad to be alive today.
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drago mi je živjeti danas.
No sve smo manje dobri
04:07
But we've been getting less and less good
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u zadovoljavanju tih dubokih, osnovnih, psiholoških potreba.
04:09
at meeting these deep, underlying psychological needs.
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04:13
And it's not the only thing that's going on,
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To nije jedino što se događa,
ali mislim da je to ključan razlog zašto je ova kriza u stalnom porastu.
04:16
but I think it's the key reason why this crisis keeps rising and rising.
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04:20
And I found this really hard to absorb.
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Bilo mi je stvarno teško to prihvatiti.
04:24
I really wrestled with the idea
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Ozbiljno sam se hrvao s tom idejom
04:26
of shifting from thinking of my depression as just a problem in my brain,
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prijelaza od razmišljanja o depresiji kao samo problemu u mom mozgu
04:31
to one with many causes,
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do onoga s puno uzroka,
04:32
including many in the way we're living.
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uključujući puno njih u životnom stilu.
04:34
And it only really began to fall into place for me
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Sve mi se to tek počelo slagati
04:36
when one day, I went to interview a South African psychiatrist
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kad sam jednog dana otišao intervjuirati južnoafričkog psihijatra
04:40
named Dr. Derek Summerfield.
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dr. Dereka Summerfielda.
04:41
He's a great guy.
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Odličan lik.
04:43
And Dr. Summerfield happened to be in Cambodia in 2001,
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Dr. Summerfield je slučajno bio u Kambodži 2001. godine,
04:46
when they first introduced chemical antidepressants
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kad su uveli kemijske antidepresive
04:50
for people in that country.
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za ljude u toj zemlji.
04:51
And the local doctors, the Cambodians, had never heard of these drugs,
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Lokalni kambodžanski liječnici nisu nikad čuli za te lijekove
04:55
so they were like, what are they?
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pa ih je zanimalo što su oni.
04:56
And he explained.
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Objasnio im je.
04:58
And they said to him,
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Odgovorili su mu:
04:59
"We don't need them, we've already got antidepressants."
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"Ne trebamo ih, već imamo antidepresive."
05:02
And he was like, "What do you mean?"
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Pitao je: "Kako to mislite?"
05:04
He thought they were going to talk about some kind of herbal remedy,
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Mislio je da će pričati o nekom biljnom lijeku,
05:07
like St. John's Wort, ginkgo biloba, something like that.
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poput gospine trave, ginkgo bilobe i slično.
05:11
Instead, they told him a story.
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Umjesto toga, ispričali su mu priču.
05:14
There was a farmer in their community who worked in the rice fields.
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U njihovoj zajednici je bio seljak koji je radio u rižinim poljima.
05:18
And one day, he stood on a land mine
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Jednog dana je stao na nagaznu minu
05:20
left over from the war with the United States,
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preostalu iz rata sa Sjedinjenim Državama
05:22
and he got his leg blown off.
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te je ostao bez noge.
05:23
So they him an artificial leg,
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Dali su mu umjetnu nogu
05:25
and after a while, he went back to work in the rice fields.
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pa se nakon nekog vremena vratio raditi na rižinim poljima.
Međutim, očito je jako bolno raditi pod vodom
05:28
But apparently, it's super painful to work under water
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05:30
when you've got an artificial limb,
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kad imate umjetan ud
05:32
and I'm guessing it was pretty traumatic
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i vjerujem da je bilo prilično traumatično
05:34
to go back and work in the field where he got blown up.
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vratiti se na posao u polje gdje je bio ozlijeđen.
05:36
The guy started to cry all day,
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Čovjek je počeo plakati svaki dan,
05:39
he refused to get out of bed,
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odbijao je ustati iz kreveta,
05:40
he developed all the symptoms of classic depression.
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razvio je sve simptome klasične depresije.
05:44
The Cambodian doctor said,
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Kambodžanski liječnik reče:
05:45
"This is when we gave him an antidepressant."
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"Tada smo mu dali antidepresiv."
05:47
And Dr. Summerfield said, "What was it?"
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Dr. Summerfield je upitao: "Što to?"
05:50
They explained that they went and sat with him.
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Objasnili su da su sjeli s njim.
05:53
They listened to him.
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Slušali su ga.
05:56
They realized that his pain made sense --
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Shvatili su da je njegova bol imala smisla -
05:59
it was hard for him to see it in the throes of his depression,
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njemu je to bilo teško vidjeti u ponoru depresije,
06:01
but actually, it had perfectly understandable causes in his life.
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no ona je imala savršeno razumljive razloge u njegovom životu.
06:05
One of the doctors, talking to the people in the community, figured,
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Jedan liječnik je, razgovarajući s ljudima u zajednici, pomislio:
06:09
"You know, if we bought this guy a cow,
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"Znate, ako tom čovjeku kupimo kravu,
06:11
he could become a dairy farmer,
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mogao bi postati mljekar
06:13
he wouldn't be in this position that was screwing him up so much,
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i ne bi bio u ovom položaju koji mu toliko šteti,
ne bi trebao raditi u rižinim poljima."
06:16
he wouldn't have to go and work in the rice fields."
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Tako su mu kupili kravu.
06:18
So they bought him a cow.
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Za nekoliko tjedana prestao je plakati,
06:20
Within a couple of weeks, his crying stopped,
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06:22
within a month, his depression was gone.
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za mjesec dana depresija je nestala.
06:24
They said to doctor Summerfield,
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Dr. Summerfieldu su rekli:
06:25
"So you see, doctor, that cow, that was an antidepressant,
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"Vidite, doktore, ta krava je bila antidepresiv,
06:28
that's what you mean, right?"
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na to mislite, zar ne?"
06:30
(Laughter)
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(Smijeh)
06:31
(Applause)
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(Pljesak)
06:34
If you'd been raised to think about depression the way I was,
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Ako ste odgojeni da o depresiji razmišljate poput mene
i većine ljudi ovdje,
06:37
and most of the people here were,
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06:38
that sounds like a bad joke, right?
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to zvuči kao loša šala, zar ne?
"Otišao sam kod liječnice po antidepresiv,
06:40
"I went to my doctor for an antidepressant,
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dala mi je kravu."
06:42
she gave me a cow."
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06:43
But what those Cambodian doctors knew intuitively,
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No ono što su kambodžanski liječnici intuitivno znali,
06:46
based on this individual, unscientific anecdote,
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polazeći od ove individualne i neznanstvene anegdote,
06:49
is what the leading medical body in the world,
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je ono što nam vodeće svjetsko medicinsko tijelo,
06:53
the World Health Organization,
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Svjetska zdravstvena organizacija,
06:55
has been trying to tell us for years,
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pokušava reći već godinama,
06:57
based on the best scientific evidence.
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polazeći od najboljih znanstvenih dokaza.
07:00
If you're depressed,
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Ako ste depresivni,
07:02
if you're anxious,
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ako ste anksiozni,
07:05
you're not weak, you're not crazy,
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niste slabi i niste ludi,
07:08
you're not, in the main, a machine with broken parts.
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niste stroj s pokvarenim dijelovima.
07:12
You're a human being with unmet needs.
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Ljudsko ste biće s nezadovoljenim potrebama.
07:15
And it's just as important to think here about what those Cambodian doctors
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Jednako je važno razmisliti o onome što kambodžanski liječnici
07:19
and the World Health Organization are not saying.
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i Svjetska zdravstvena organizacija ne kažu.
07:21
They did not say to this farmer,
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Nisu rekli seljaku:
07:23
"Hey, buddy, you need to pull yourself together.
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"Slušaj, trebaš se pribrati.
07:26
It's your job to figure out and fix this problem on your own."
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Tvoj je posao riješiti taj problem."
07:29
On the contrary, what they said is,
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Upravo suprotno, ono što kažu jest:
07:31
"We're here as a group to pull together with you,
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"Ovdje smo kao skupina da surađujemo s tobom,
07:35
so together, we can figure out and fix this problem."
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tako da zajedno riješimo taj problem."
07:40
This is what every depressed person needs,
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To svaka depresivna osoba treba,
07:44
and it's what every depressed person deserves.
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to svaka depresivna osoba zaslužuje.
07:47
This is why one of the leading doctors at the United Nations,
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Zato je jedan od vodećih liječnika u Ujedinjenim narodima,
07:50
in their official statement for World Health Day,
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u službenoj izjavi za Svjetski dan zdravlja
07:53
couple of years back in 2017,
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prije nekoliko godina, 2017, godine,
07:54
said we need to talk less about chemical imbalances
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rekao da trebamo manje govoriti o kemijskim neravnotežama,
07:57
and more about the imbalances in the way we live.
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a više o neravnotežama u načinu na koji živimo.
08:00
Drugs give real relief to some people --
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Lijekovi pomažu nekim ljudima -
08:02
they gave relief to me for a while --
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meni su pomagali neko vrijeme -
08:05
but precisely because this problem goes deeper than their biology,
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ali baš zato što ovaj problem ide dublje od biologije,
08:09
the solutions need to go much deeper, too.
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rješenja također trebaju ići puno dublje.
08:12
But when I first learned that,
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Kad sam prvi put to čuo,
08:15
I remember thinking,
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sjećam se da sam mislio:
08:16
"OK, I could see all the scientific evidence,
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"OK, mogao sam vidjeti sve znanstvene dokaze,
pročitao sam puno studija,
08:19
I read a huge number of studies,
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08:20
I interviewed a huge number of the experts who were explaining this,"
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intervjuirao sam puno stručnjaka koji to objašnjavaju",
no i dalje sam mislio: "Kako to možemo napraviti?"
08:23
but I kept thinking, "How can we possibly do that?"
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08:26
The things that are making us depressed
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Stvari koje nas čine depresivnima
08:28
are in most cases more complex than what was going on
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su u većini slučajeva puno složenije nego u onom
08:30
with this Cambodian farmer.
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s kambodžanskim seljakom.
08:32
Where do we even begin with that insight?
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Odakle da uopće krenemo s tim uvidom?
08:34
But then, in the long journey for my book,
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No tada sam, tijekom dugog putovanja za svoju knjigu,
08:38
all over the world,
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širom svijeta,
08:39
I kept meeting people who were doing exactly that,
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nastavio upoznavati ljude koji su radili baš to,
08:42
from Sydney, to San Francisco,
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od Sydneyja, preko San Francisca,
08:44
to São Paulo.
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do São Paula.
08:45
I kept meeting people who were understanding
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Stalno sam upoznavao ljude koji su razumjeli
08:48
the deeper causes of depression and anxiety
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dublje razloge depresije i anksioznosti
08:50
and, as groups, fixing them.
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i rješavali ih kao skupine.
08:52
Obviously, I can't tell you about all the amazing people
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Očito vam ne mogu ispričati o svim divnim ljudima
08:55
I got to know and wrote about,
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koje sam upoznao i o njima pisao
ili o svih devet razloga depresije i anksioznosti za koje sam saznao,
08:57
or all of the nine causes of depression and anxiety that I learned about,
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09:00
because they won't let me give a 10-hour TED Talk --
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jer mi ne žele dopustiti desetosatni TED Talk -
možete im se žaliti.
09:03
you can complain about that to them.
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1752
09:04
But I want to focus on two of the causes
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1930
No želim se usredotočiti na dva razloga
09:06
and two of the solutions that emerge from them, if that's alright.
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i dva rješenja koja iz njih proizlaze, ako je to u redu.
09:10
Here's the first.
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Evo prvog.
09:12
We are the loneliest society in human history.
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Mi smo najusamljenije društvo u povijesti čovječanstva.
09:15
There was a recent study that asked Americans,
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Nedavna je studija ispitivala Amerikance:
09:18
"Do you feel like you're no longer close to anyone?"
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"Osjećate li da više niste bliski ni s kim?"
09:21
And 39 percent of people said that described them.
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39 % ljudi je odgovorilo da ih to opisuje.
"Nisam više blizak ni s kim."
09:25
"No longer close to anyone."
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09:26
In the international measurements of loneliness,
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U međunarodnim mjerenjima usamljenosti,
09:28
Britain and the rest of Europe are just behind the US,
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Britanija i ostatak Europe su odmah iza SAD-a,
09:31
in case anyone here is feeling smug.
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ako se netko osjeća samodopadno.
09:33
(Laughter)
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1008
(Smijeh)
09:34
I spent a lot of time discussing this
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1889
Puno sam vremena raspravljao o tome
09:36
with the leading expert in the world on loneliness,
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s vodećim svjetskim stručnjakom za usamljenost,
09:38
an incredible man named professor John Cacioppo,
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2254
nevjerojatnim čovjekom, prof. Johnom Cacioppom,
09:40
who was at Chicago,
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koji je bio u Chicagu.
Puno sam razmišljao o pitanju koje nam postavlja njegov rad.
09:42
and I thought a lot about one question his work poses to us.
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09:44
Professor Cacioppo asked,
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Profesor Cacioppo je pitao:
09:47
"Why do we exist?
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"Zašto postojimo?
09:48
Why are we here, why are we alive?"
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1953
Zašto smo ovdje, zašto smo živi?"
09:50
One key reason
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Jedan ključni razlog
09:53
is that our ancestors on the savannas of Africa
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je da su naši preci s afričkih savana
09:56
were really good at one thing.
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bili stvarno dobri u jednoj stvari.
09:58
They weren't bigger than the animals they took down a lot of the time,
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Dosta vremena nisu bili veći od životinja koje su obarali,
10:01
they weren't faster than the animals they took down a lot of the time,
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dosta vremena nisu bili brži od životinja koje su obarali,
10:04
but they were much better at banding together into groups
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ali bili su puno bolji u udruživanju u skupine
10:07
and cooperating.
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i surađivanju.
10:09
This was our superpower as a species --
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To je bila naša supermoć kao vrste -
10:11
we band together,
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udružujemo se,
10:13
just like bees evolved to live in a hive,
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baš kao pčele, evoluirale da žive u košnici,
10:15
humans evolved to live in a tribe.
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ljudi su evoluirali da žive u plemenu.
10:17
And we are the first humans ever
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Mi smo prvi ljudi
10:22
to disband our tribes.
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koji su se razdružili
10:24
And it is making us feel awful.
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i zbog toga se osjećamo grozno.
10:27
But it doesn't have to be this way.
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No ne mora biti tako.
10:29
One of the heroes in my book, and in fact, in my life,
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Jedan od junaka moje knjige i, zapravo, mog života,
10:31
is a doctor named Sam Everington.
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2095
je liječnik Sam Everington.
10:33
He's a general practitioner in a poor part of East London,
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2738
Liječnik je opće prakse u siromašnom dijelu istočnog Londona,
10:36
where I lived for many years.
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1579
gdje sam živio mnogo godina.
10:38
And Sam was really uncomfortable,
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1687
Sam se osjećao jako nelagodno
10:40
because he had loads of patients
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1556
jer je imao jako puno pacijenata
10:41
coming to him with terrible depression and anxiety.
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2444
koji su dolazili s užasnom depresijom i anksioznošću.
10:44
And like me, he's not opposed to chemical antidepressants,
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2722
Poput mene, ni on se ne protivi kemijskim antidepresivima,
10:46
he thinks they give some relief to some people.
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2222
misli da oni mogu pomoći nekim ljudima.
No uvidio je dvije stvari.
10:49
But he could see two things.
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1373
10:50
Firstly, his patients were depressed and anxious a lot of the time
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Prvo, njegovi pacijenti su većinu vremena bili depresivni i anksiozni
10:54
for totally understandable reasons, like loneliness.
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3738
iz sasvim razumljivih razloga, poput usamljenosti.
10:57
And secondly, although the drugs were giving some relief to some people,
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Drugo, iako su lijekovi pružali neko olakšanje nekim ljudima,
mnogim ljudima nisu riješili problem.
11:01
for many people, they didn't solve the problem.
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11:03
The underlying problem.
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Osnovni problem.
11:05
One day, Sam decided to pioneer a different approach.
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Jednog dana, Sam je odlučio uvesti drukčiji pristup.
11:08
A woman came to his center, his medical center,
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2452
Jedna je žena došla u njegov medicinski centar,
11:11
called Lisa Cunningham.
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Lisa Cunningham.
11:12
I got to know Lisa later.
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1874
Upoznao sam je kasnije.
11:14
And Lisa had been shut away in her home with crippling depression and anxiety
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4084
Lisa je bila zatvorena u svom domu s užasnom depresijom i anksioznošću
11:18
for seven years.
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1150
sedam godina.
11:20
And when she came to Sam's center, she was told, "Don't worry,
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Kad je došla u Samov centar, rekli su joj: "Ne brinite se,
11:23
we'll carry on giving you these drugs,
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1830
nastavit ćemo vam davati lijekove,
11:25
but we're also going to prescribe something else.
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ali ćemo vam također prepisati nešto drugo.
11:28
We're going to prescribe for you to come here to this center twice a week
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Prepisat ćemo vam dolazak u ovaj centar dvaput tjedno
11:31
to meet with a group of other depressed and anxious people,
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2778
i sastanak s grupom drugih depresivnih i anksioznih ljudi,
11:34
not to talk about how miserable you are,
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2810
ne da pričate o tome kako vam je loše,
11:37
but to figure out something meaningful you can all do together
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3547
nego da otkrijete nešto smisleno što možete raditi zajedno
11:41
so you won't be lonely and you won't feel like life is pointless."
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da ne budete usamljeni i da ne osjećate da je život besmislen."
11:44
The first time this group met,
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Prvi put kad se grupa sastala,
11:47
Lisa literally started vomiting with anxiety,
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2256
Lisa je doslovno počela povraćati od tjeskobe,
11:49
it was so overwhelming for her.
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1921
toliko ju je obuzela.
11:51
But people rubbed her back, the group started talking,
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2634
No ljudi su je potapšali po leđima i počeli su pričati.
Pitali su: "Što mi možemo učiniti?"
11:54
they were like, "What could we do?"
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1675
11:55
These are inner-city, East London people like me,
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2294
Gradski ljudi iz istočnog Londona kao ja,
nisu znali ništa o vrtlarenju.
11:58
they didn't know anything about gardening.
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2048
Tako su pitali: "Zašto ne naučimo vrtlariti?"
12:00
They were like, "Why don't we learn gardening?"
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Iza liječničkih ureda se nalazilo
12:02
There was an area behind the doctors' offices
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2166
samo šipražje.
"Zašto ne napravimo vrt od toga?"
12:04
that was just scrubland.
286
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1151
12:05
"Why don't we make this into a garden?"
287
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1882
Počeli su posuđivati knjige iz knjižnice
12:07
They started to take books out of the library,
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2175
i gledati isječke s You Tubea.
12:09
started to watch YouTube clips.
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1485
Počeli su zabadati prste u tlo.
12:11
They started to get their fingers in the soil.
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2159
12:13
They started to learn the rhythms of the seasons.
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3043
Počeli su učiti ritam godišnjih doba.
12:16
There's a lot of evidence
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1330
Postoji puno dokaza
12:18
that exposure to the natural world
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1629
da je izloženost prirodi
12:19
is a really powerful antidepressant.
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1976
stvarno moćan antidepresiv.
12:21
But they started to do something even more important.
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3009
No započeli su nešto još važnije.
12:25
They started to form a tribe.
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2030
Počeli su biti pleme.
12:27
They started to form a group.
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1811
Počeli su biti skupina.
12:29
They started to care about each other.
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2024
Počeli su mariti jedni za druge.
12:31
If one of them didn't show up,
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Ako se netko od njih ne bi pojavio,
12:32
the others would go looking for them -- "Are you OK?"
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2520
drugi bi ga išli tražiti: "Jesi li dobro?"
12:35
Help them figure out what was troubling them that day.
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2611
Pomagali bi mu da shvati što ga muči taj dan.
Lisa mi je to ovako opisala:
12:38
The way Lisa put it to me,
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1803
12:39
"As the garden began to bloom,
303
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2597
"Kako je vrt počeo cvjetati,
12:42
we began to bloom."
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1267
tako smo i mi cvjetali."
12:44
This approach is called social prescribing,
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2032
Taj pristup se zove "prepisivanje društva"
12:46
it's spreading all over Europe.
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1515
i širi se diljem Europe.
12:48
And there's a small, but growing body of evidence
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2301
Postoji mali, ali rastući broj dokaza
12:50
suggesting it can produce real and meaningful falls
308
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2880
koji sugeriraju da ono može dovesti do značajnog pada
12:53
in depression and anxiety.
309
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1978
depresije i anksioznosti.
12:55
And one day, I remember standing in the garden
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3721
Jednog dana, sjećam se da sam stajao u vrtu,
kojeg su Lisa i njeni nekoć depresivni prijatelji uredili
12:59
that Lisa and her once-depressed friends had built --
311
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2481
13:01
it's a really beautiful garden --
312
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1584
- stvarno je predivan vrt -
13:03
and having this thought,
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1191
i razmišljao,
13:04
it's very much inspired by a guy called professor Hugh Mackay in Australia.
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3871
prilično nadahnut profesorom Hughom Mackayjem u Australiji.
13:08
I was thinking, so often when people feel down in this culture,
315
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4381
Razmišljao sam, jako često kad se ljudi osjećaju loše u ovoj kulturi,
13:12
what we say to them -- I'm sure everyone here said it, I have --
316
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3064
kažemo im - prilično sam siguran da su svi to rekli, ja jesam -
13:15
we say, "You just need to be you, be yourself."
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3224
"Samo trebaš biti ti, biti sav svoj."
13:19
And I've realized, actually, what we should say to people is,
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2950
Shvatio sam da, zapravo, ljudima trebamo reći:
13:22
"Don't be you.
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1150
"Nemoj biti ti.
13:24
Don't be yourself.
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1333
Nemoj biti sav svoj.
13:26
Be us, be we.
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2209
Budi naš, budi mi.
13:28
Be part of a group."
322
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1325
Budi dio grupe."
13:30
(Applause)
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3706
(Pljesak)
13:33
The solution to these problems
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2579
Rješenje tih problema
13:36
does not lie in drawing more and more on your resources
325
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3151
ne leži u povlačenju sve više i više vlastitih resursa
13:39
as an isolated individual --
326
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1439
kao osamljenog pojedinca -
13:41
that's partly what got us in this crisis.
327
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2040
dijelom nas je i to dovelo do ove krize.
13:43
It lies on reconnecting with something bigger than you.
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2753
Rješenje leži u povezivanju s nečim većim od vas.
13:45
And that really connects to one of the other causes
329
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2421
To se veže s jednim drugim uzrokom
13:48
of depression and anxiety that I wanted to talk to you about.
330
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2897
depresije i anksioznosti o kojemu sam htio govoriti.
13:51
So everyone knows
331
831292
1690
Svi znamo da je
13:53
junk food has taken over our diets and made us physically sick.
332
833006
3746
brza hrana postala naša glavna prehrana i učinila nas fizički bolesnima.
13:56
I don't say that with any sense of superiority,
333
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2206
Ne govorim to ni s kakvim osjećajem nadmoći.
Doslovno sam došao ovdje iz McDonald'sa.
13:59
I literally came to give this talk from McDonald's.
334
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2399
14:01
I saw all of you eating that healthy TED breakfast, I was like no way.
335
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3513
Vidio sam da svi jedete zdravi TED doručak i rekao sam si da nema šanse.
14:04
But just like junk food has taken over our diets and made us physically sick,
336
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5143
No kako je brza hrana postala naša ishrana i učinila nas fizički bolesnima,
14:10
a kind of junk values have taken over our minds
337
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4110
tako su neke nezdrave vrijednosti preuzele naše umove
14:14
and made us mentally sick.
338
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1478
i učinile nas psihički bolesnima.
14:16
For thousands of years, philosophers have said,
339
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3104
Tisućama godina filozofi govore da
14:19
if you think life is about money, and status and showing off,
340
859285
4588
ako mislite da se život svodi na novac, status i pravljenje važnima,
14:23
you're going to feel like crap.
341
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1523
osjećat ćete se posrano.
14:25
That's not an exact quote from Schopenhauer,
342
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2067
To nije točan Schopenhauerov citat,
14:27
but that is the gist of what he said.
343
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1772
ali je bit onoga što je rekao.
14:29
But weirdly, hardy anyone had scientifically investigated this,
344
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3026
Čudno, ali skoro nitko to nije znanstveno istraživao,
14:32
until a truly extraordinary person I got to know, named professor Tim Kasser,
345
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3649
sve do izvanredne osobe koju sam upoznao, profesora Tima Kassera,
14:36
who's at Knox College in Illinois,
346
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2293
koji radi na Knox Collegeu u Illinoisu,
14:38
and he's been researching this for about 30 years now.
347
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2563
a koji to istražuje već 30 godina.
14:40
And his research suggests several really important things.
348
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3016
Njegovo istraživanje sugerira nekoliko važnih stvari.
14:43
Firstly, the more you believe
349
883998
3191
Prvo, što više vjerujete da
14:47
you can buy and display your way out of sadness,
350
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4365
možete kupovati i pokazati što imate da biste pobjegli od tuge
14:51
and into a good life,
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2191
u bolji život,
14:53
the more likely you are to become depressed and anxious.
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vjerojatnije je da ćete postati depresivni i anksiozni.
14:56
And secondly,
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Drugo,
14:58
as a society, we have become much more driven by these beliefs.
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kao društvo nas puno više vode takva vjerovanja.
15:02
All throughout my lifetime,
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1413
Kroz cijeli moj život,
15:04
under the weight of advertising and Instagram and everything like them.
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pod teretom marketinga i Instagrama te tome sličnom.
15:08
And as I thought about this,
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Dok sam razmišljao o tome,
15:10
I realized it's like we've all been fed since birth, a kind of KFC for the soul.
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shvatio sam da je to kao da su nas sve od rođenja hranili KFC-om za dušu.
15:16
We've been trained to look for happiness in all the wrong places,
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3873
Dresirali su nas da tražimo sreću na krivim mjestima
15:19
and just like junk food doesn't meet your nutritional needs
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2770
i kao što brza hrana ne zadovoljava vaše nutritivne potrebe,
15:22
and actually makes you feel terrible,
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2298
zapravo se osjećate grozno zbog nje,
15:25
junk values don't meet your psychological needs,
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3142
nezdrave vrijednosti ne zadovoljavaju vaše psihološke potrebe
15:28
and they take you away from a good life.
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2642
te vas udaljavaju od dobrog života.
15:30
But when I first spent time with professor Kasser
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2623
No kad sam prvi put razgovarao s profesorom Kasserom
15:33
and I was learning all this,
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933545
1477
i čuo sve to,
15:35
I felt a really weird mixture of emotions.
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osjetio sam čudnu mješavinu emocija.
15:37
Because on the one hand, I found this really challenging.
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Jer, u jednu ruku, to mi je bilo izazovno.
15:40
I could see how often in my own life, when I felt down,
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3262
Mogao sam vidjeti koliko sam često, kad sam se osjećao loše,
15:43
I tried to remedy it with some kind of show-offy, grand external solution.
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5265
pokušavao to popraviti nekim razmetljivim, velikim vanjskim rješenjem.
15:49
And I could see why that did not work well for me.
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2690
Uvidio sam zašto to nije funkcioniralo kod mene.
15:52
I also thought, isn't this kind of obvious?
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Također sam pomislio, nije li to očito?
15:55
Isn't this almost like banal, right?
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1745
Nije li to banalno?
15:57
If I said to everyone here,
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1325
Kad bih rekao svima ovdje
15:58
none of you are going to lie on your deathbed
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958954
2143
da nitko od vas neće na samrti
razmišljati o cipelama koje ste kupili ni retweetovima koje ste dobili,
16:01
and think about all the shoes you bought and all the retweets you got,
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3316
već ćete razmišljati o trenucima ljubavi, smisla i povezanosti u svom životu.
16:04
you're going to think about moments
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1683
16:06
of love, meaning and connection in your life.
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2111
Mislim da bi to zvučalo kao klišej.
16:08
I think that seems almost like a cliché.
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1945
No nastavio sam razgovarati s profesorom Kasserom:
16:10
But I kept talking to professor Kasser and saying,
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2349
"Zašto osjećam čudnu podvojenost?"
16:12
"Why am I feeling this strange doubleness?"
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2353
16:15
And he said, "At some level, we all know these things.
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3807
Odgovorio je: "Na nekoj razini, svi znamo te stvari.
16:18
But in this culture, we don't live by them."
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2375
No u ovoj kulturi, ne živimo u skladu s njima."
16:21
We know them so well they've become clichés,
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2079
Znamo ih tako dobro da su postali klišeji,
16:23
but we don't live by them.
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1278
ali ne živimo po njima.
16:24
I kept asking why, why would we know something so profound,
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3209
Nastavio sam ispitivati zašto znamo nešto toliko duboko,
16:27
but not live by it?
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1286
ali ne živimo po tome?
16:29
And after a while, professor Kasser said to me,
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3404
Nakon nekog vremena, profesor Kasser mi je rekao:
16:32
"Because we live in a machine
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2421
"Zato što živimo u stroju
16:35
that is designed to get us to neglect what is important about life."
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3733
dizajniranom da nas natjera da zanemarimo ono važno u životu."
16:39
I had to really think about that.
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1587
Morao sam dobro razmisliti o tome.
16:40
"Because we live in a machine
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1405
"Zato što živimo u stroju
16:42
that is designed to get us to neglect what is important about life."
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3678
dizajniranom da nas natjera da zanemarimo ono važno u životu."
16:46
And professor Kasser wanted to figure out if we can disrupt that machine.
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3778
Profesor Kasser je htio shvatiti možemo li razbiti taj stroj.
16:50
He's done loads of research into this;
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1873
Puno je to istraživao.
16:51
I'll tell you about one example,
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1555
Ispričat ću vam jedan primjer
16:53
and I really urge everyone here to try this with their friends and family.
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3500
i stvarno vas molim da isprobate to s prijateljima i obitelji.
16:57
With a guy called Nathan Dungan, he got a group of teenagers and adults
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3342
Zajedno s Nathanom Dunganom, pridobio je grupu tinejdžera i odraslih
17:00
to come together for a series of sessions over a period of time, to meet up.
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4213
da dođu na niz sastanaka tijekom određenog razdoblja.
17:04
And part of the point of the group
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1763
Jedan od ciljeva grupe je bio
17:06
was to get people to think about a moment in their life
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3300
da ljudi počnu razmišljati o onom trenutku u vlastitom životu
17:09
they had actually found meaning and purpose.
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2746
kad su pronašli smisao i svrhu.
17:12
For different people, it was different things.
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2143
Za različite ljude je to bilo različito.
17:14
For some people, it was playing music, writing, helping someone --
403
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3617
Za neke je ljude to bilo sviranje, pisanje, pomaganje -
17:18
I'm sure everyone here can picture something, right?
404
1038393
2803
siguran sam da si svi mogu predočiti nešto.
17:21
And part of the point of the group was to get people to ask,
405
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2881
Drugi dio ciljeva grupe je bio da ljudi počnu pitati:
17:24
"OK, how could you dedicate more of your life
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2762
"Kako biste mogli više života posvetiti
17:26
to pursuing these moments of meaning and purpose,
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2684
potrazi za tim trenucima smisla i svrhe,
17:29
and less to, I don't know, buying crap you don't need,
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2950
a manje kupovati stvari koje ne trebate,
17:32
putting it on social media and trying to get people to go,
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2722
objavljivati ih na društvenim mrežama i htjeti da vam kažu:
"OMG, tako sam ljubomoran!"
17:35
'OMG, so jealous!'"
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1267
17:36
And what they found was,
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1643
Otkrili su da je
17:38
just having these meetings,
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1334
samo održavanje tih sastanaka
17:39
it was like a kind of Alcoholics Anonymous for consumerism, right?
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3110
bilo kao druženje anonimnih alkoholičara za konzumerizam.
17:43
Getting people to have these meetings, articulate these values,
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2953
To što su ljudi držali te sastanke, artikulirali te vrijednosti,
17:46
determine to act on them and check in with each other,
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2531
odlučili djelovati po njima i provjeravati ih između sebe,
17:49
led to a marked shift in people's values.
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2857
vodilo je izrazitom pomaku njihovih vrijednosti.
17:52
It took them away from this hurricane of depression-generating messages
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4413
To ih je udaljilo od uragana poruka koje izazivaju depresiju,
17:56
training us to seek happiness in the wrong places,
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1076657
2634
koje nas dresiraju da tražimo sreću na krivim mjestima,
17:59
and towards more meaningful and nourishing values
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3341
a približilo važnijim i zdravijim vrijednostima
18:02
that lift us out of depression.
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2000
koji nas uzdižu iz depresije.
18:05
But with all the solutions that I saw and have written about,
421
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3302
No i sa svim tim rješenjima koja sam vidio i o njima pisao,
18:08
and many I can't talk about here,
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2739
od kojih o mnogima sad ne mogu pričati,
18:11
I kept thinking,
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1371
nastavio sam razmišljati
18:12
you know: Why did it take me so long to see these insights?
424
1092831
3699
"Zašto mi je trebalo toliko dugo da to uvidim?"
18:16
Because when you explain them to people --
425
1096554
2016
Jer, kad ih objasnite ljudima -
18:18
some of them are more complicated, but not all --
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1098594
2444
neka od njih su složenija, ali ne sva -
kad to objasnite ljudima, nije to znanstvena fantastika.
18:21
when you explain this to people, it's not like rocket science, right?
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3244
Na nekoj razini, mi to već znamo.
18:24
At some level, we already know these things.
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2095
Zašto nam je toliko teško razumjeti to?
18:26
Why do we find it so hard to understand?
429
1106449
2637
18:29
I think there's many reasons.
430
1109110
1934
Mislim da ima puno razloga.
18:31
But I think one reason is that we have to change our understanding
431
1111475
4269
Mislim da je jedan od razloga to da trebamo promijeniti naše shvaćanje
18:35
of what depression and anxiety actually are.
432
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3420
što depresija i anksioznost zapravo jesu.
18:39
There are very real biological contributions
433
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2182
Postoje stvarni biološki doprinosi
18:41
to depression and anxiety.
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1121982
1733
depresiji i anksioznosti.
18:44
But if we allow the biology to become the whole picture,
435
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3754
No ako dopustimo biologiji da postane cijela slika,
18:47
as I did for so long,
436
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1246
poput mene dosta vremena,
18:49
as I would argue our culture has done pretty much most of my life,
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4065
i kao što je naša kultura radila većinu mog života,
18:53
what we're implicitly saying to people is, and this isn't anyone's intention,
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3857
ono što implicitno govorimo ljudima, a to nije ničija namjera,
18:57
but what we're implicitly saying to people is,
439
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3037
ali ono što implicitno govorimo ljudima je:
19:00
"Your pain doesn't mean anything.
440
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2302
"Vaša bol ne znači ništa.
19:02
It's just a malfunction.
441
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1436
To je samo greška.
19:03
It's like a glitch in a computer program,
442
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2469
To je poput kvara u računalnom programu,
19:06
it's just a wiring problem in your head."
443
1146475
2667
to je samo problem povezivanja u vašoj glavi."
19:10
But I was only able to start changing my life
444
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3107
No ja sam bio sposoban početi mijenjati svoj život
19:13
when I realized your depression is not a malfunction.
445
1153192
4065
tek kad sam shvatio da depresija nije greška,
19:18
It's a signal.
446
1158620
1150
to je signal.
19:20
Your depression is a signal.
447
1160684
2007
Vaša depresija je signal.
19:23
It's telling you something.
448
1163077
1841
Govori vam nešto.
19:24
(Applause)
449
1164942
4611
(Pljesak)
19:29
We feel this way for reasons,
450
1169577
2389
Osjećamo je iz raznih razloga,
19:31
and they can be hard to see in the throes of depression --
451
1171990
2715
a može ih biti teško razabrati u ponorima depresije -
19:34
I understand that really well from personal experience.
452
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2610
prilično to dobro razumijem iz vlastitog iskustva.
19:37
But with the right help, we can understand these problems
453
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3483
No uz pravu pomoć, možemo razumjeti te probleme
19:40
and we can fix these problems together.
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2474
i možemo ih riješiti zajedno.
19:43
But to do that,
455
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1192
No da to napravimo,
19:44
the very first step
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1738
prvi korak je
19:46
is we have to stop insulting these signals
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2618
da prestanemo vrijeđati te signale
19:48
by saying they're a sign of weakness, or madness or purely biological,
458
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4192
govoreći da su to znakovi slabosti, ludosti ili samo biologije,
19:53
except for a tiny number of people.
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1935
osim za sasvim mali broj ljudi.
19:55
We need to start listening to these signals,
460
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3626
Trebamo početi slušati te signale
19:58
because they're telling us something we really need to hear.
461
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3272
jer nam oni govore ono što stvarno trebamo čuti.
20:02
It's only when we truly listen to these signals,
462
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5023
Tek kad stvarno poslušamo te signale,
20:07
and we honor these signals and respect these signals,
463
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4015
kad ih cijenimo i poštujemo,
20:11
that we're going to begin to see
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2247
tek tad ćemo početi uviđati
20:13
the liberating, nourishing, deeper solutions.
465
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4158
oslobađajuća i dublja rješenja.
20:19
The cows that are waiting all around us.
466
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4073
Krave koje nas čekaju oko nas.
20:23
Thank you.
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1181
Hvala vam.
20:24
(Applause)
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3688
(Pljesak)
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