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

10,893,512 views ・ 2019-10-11

TED


Silakan klik dua kali pada teks bahasa Inggris di bawah ini untuk memutar video.

Translator: Elda Indria Sari Reviewer: Karen Winardi
00:13
For a really long time,
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Untuk waktu yang lama,
00:14
I had two mysteries that were hanging over me.
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ada dua misteri yang menggangguku.
00:18
I didn't understand them
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Aku tak memahaminya
00:20
and, to be honest, I was quite afraid to look into them.
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dan terus terang, aku agak takut untuk mencari tahu.
00:24
The first mystery was, I'm 40 years old,
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Yang pertama, umurku 40 tahun,
00:27
and all throughout my lifetime, year after year,
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dan sepanjang hidupku, tahun demi tahun
depresi dan kecemasan serius telah meningkat
00:31
serious depression and anxiety have risen,
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00:34
in the United States, in Britain,
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di Amerika, Britania Raya,
00:37
and across the Western world.
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dan di seluruh dunia Barat.
00:39
And I wanted to understand why.
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Aku ingin tahu kenapa.
Kenapa ini terjadi pada kita?
00:43
Why is this happening to us?
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00:45
Why is it that with each year that passes,
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Kenapa seiring berjalannya tahun,
00:48
more and more of us are finding it harder to get through the day?
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makin banyak dari kita yang kesulitan melewati hari?
00:51
And I wanted to understand this because of a more personal mystery.
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Aku ingin memahaminya karena misteri yang bersifat pribadi.
00:55
When I was a teenager,
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Waktu remaja,
00:56
I remember going to my doctor
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aku ingat pergi ke dokter
dan menjelaskan ada rasa sakit yang mengalir dari tubuhku.
00:58
and explaining that I had this feeling, like pain was leaking out of me.
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01:03
I couldn't control it,
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Aku tak bisa mengendalikannya
01:04
I didn't understand why it was happening,
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Aku tak mengerti kenapa itu terjadi
01:06
I felt quite ashamed of it.
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Aku merasa malu karenanya.
01:09
And my doctor told me a story
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Dokterku pun bercerita
01:10
that I now realize was well-intentioned,
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yang kusadari kini maksudnya baik,
01:12
but quite oversimplified.
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tapi terlalu menggampangkan.
01:14
Not totally wrong.
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Tak sepenuhnya keliru.
01:15
My doctor said, "We know why people get like this.
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Dia berkata, "Kami tahu kenapa bisa begini.
01:18
Some people just naturally get a chemical imbalance in their heads --
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Beberapa orang memiliki ketidakseimbangan kimia secara alami dalam kepala mereka --
01:22
you're clearly one of them.
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kau jelas salah satunya.
01:24
All we need to do is give you some drugs,
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Kau hanya perlu obat-obatan
yang akan menormalkan keseimbangan kimiamu."
01:26
it will get your chemical balance back to normal."
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01:28
So I started taking a drug called Paxil or Seroxat,
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Jadi aku mulai minum Paxil atau Seroxat,
01:30
it's the same thing with different names in different countries.
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obat yang sama hanya namanya berbeda di negara lain.
Aku merasa lebih baik dan bersemangat.
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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Tapi tak lama kemudian, rasa sakit itu datang lagi.
01:37
this feeling of pain started to come back.
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01:39
So I was given higher and higher doses
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Mereka memberiku dosis lebih tinggi
01:41
until, for 13 years, I was taking the maximum possible dose
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sampai selama 13 tahun, aku minum dosis maksimal yang diizinkan secara hukum.
01:45
that you're legally allowed to take.
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01:47
And for a lot of those 13 years, and pretty much all the time by the end,
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Selama 13 tahun tersebut, dan hampir sepanjang waktu,
01:50
I was still in a lot of pain.
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Aku masih kesakitan.
01:52
And I started asking myself, "What's going on here?
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Aku mulai bertanya-tanya, "Apa yang terjadi?
01:55
Because you're doing everything
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Kau sudah lakukan semua yang dikatakan kisah yang mendominasi budaya --
01:56
you're told to do by the story that's dominating the culture --
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02:00
why do you still feel like this?"
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kenapa kau masih merasa begini?"
02:02
So to get to the bottom of these two mysteries,
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Untuk memecahkan kedua misteri ini,
02:05
for a book that I've written
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demi buku yang kutulis, aku melakukan perjalanan keliling dunia,
02:06
I ended up going on a big journey all over the world,
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aku menempuh lebih dari 40 ribu mil.
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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Aku ingin berdiskusi dengan para ahli di dunia
02:13
about what causes depression and anxiety
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tentang penyebab depresi dan kecemasan dan solusinya
02:15
and crucially, what solves them,
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02:17
and people who have come through depression and anxiety
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serta mereka yang berhasil melewatinya dalam berbagai cara.
02:19
and out the other side in all sorts of ways.
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02:21
And I learned a huge amount
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Aku belajar banyak dari orang-orang luar biasa yang kukenal di perjalanan.
02:23
from the amazing people I got to know along the way.
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02:26
But I think at the heart of what I learned is,
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Inti dari apa yang kupelajari adalah,
02:29
so far, we have scientific evidence
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sejauh ini kita punya bukti ilmiah
02:32
for nine different causes of depression and anxiety.
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untuk sembilan penyebab depresi dan kecemasan.
02:35
Two of them are indeed in our biology.
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Dua di antaranya ada dalam tubuh kita.
02:38
Your genes can make you more sensitive to these problems,
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Faktor genetik bisa membuatmu lebih peka, namun tak menentukan nasibmu.
02:41
though they don't write your destiny.
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02:43
And there are real brain changes that can happen when you become depressed
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Ada perubahan nyata dalam otak ketika kau depresi
02:46
that can make it harder to get out.
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yang membuatmu lebih sulit sembuh.
02:48
But most of the factors that have been proven
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Tapi sebagian besar faktor yang terbukti menyebabkan depresi dan kecemasan
02:50
to cause depression and anxiety
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02:52
are not in our biology.
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tidak ada dalam tubuh kita.
02:55
They are factors in the way we live.
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Mereka faktor dalam cara hidup kita.
02:58
And once you understand them,
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Begitu kau memahaminya,
02:59
it opens up a very different set of solutions
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itu akan membuka berbagai solusi berbeda
03:02
that should be offered to people
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yang harus ditawarkan bersama dengan opsi berupa antidepresan kimiawi.
03:04
alongside the option of chemical antidepressants.
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03:07
For example,
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Contohnya,
03:09
if you're lonely, you're more likely to become depressed.
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jika kau kesepian, kau akan cenderung depresi.
03:12
If, when you go to work, you don't have any control over your job,
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Ketika kau bekerja dan tak punya kendali atas pekerjaanmu,
03:15
you've just got to do what you're told,
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kau hanya diperintah,
03:17
you're more likely to become depressed.
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kau akan cenderung depresi.
03:19
If you very rarely get out into the natural world,
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Jika kau jarang keluar ke alam terbuka,
kau akan cenderung depresi.
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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Ada satu hal yang yang menyatukan banyak sebab depresi dan kecemasan.
03:27
that I learned about.
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03:28
Not all of them, but a lot of them.
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Tidak semuanya, tapi banyak.
03:30
Everyone here knows
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Semua di sini tahu,
03:32
you've all got natural physical needs, right?
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kalian punya kebutuhan fisik alami, kan?
03:34
Obviously.
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Tentu saja.
03:35
You need food, you need water,
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Kau butuh makanan, air,
03:38
you need shelter, you need clean air.
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tempat berlindung, udara bersih.
03:40
If I took those things away from you,
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Jika aku mengambilnya darimu, kau akan ada dalam masalah.
03:42
you'd all be in real trouble, real fast.
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03:44
But at the same time,
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Tapi di waktu yang sama,
03:46
every human being has natural psychological needs.
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setiap manusia memiliki kebutuhan psikologis yang alami.
03:50
You need to feel you belong.
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Kau butuh merasa punya tempat.
03:52
You need to feel your life has meaning and purpose.
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Kau butuh hidupmu berarti dan punya tujuan.
03:55
You need to feel that people see you and value you.
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Kau butuh diperhatikan dan dihargai.
03:57
You need to feel you've got a future that makes sense.
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Kau butuh masa depan yang masuk akal.
04:00
And this culture we built is good at lots of things.
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Budaya yang kita bangun ini baik di banyak hal.
04:03
And many things are better than in the past --
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Banyak yang lebih baik dari masa lalu.
04:05
I'm glad to be alive today.
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Tapi kita jadi semakin kurang pandai
04:07
But we've been getting less and less good
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dalam memenuhi kebutuhan psikologis yang mendasar.
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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Tak hanya itu, tapi itulah alasan utama krisis ini terus meningkat.
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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Ini sangat sulit kupahami.
04:24
I really wrestled with the idea
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Aku bergumul dengan ide
04:26
of shifting from thinking of my depression as just a problem in my brain,
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untuk mengubah pandangan tentang depresi sebagai masalah di otak saja
04:31
to one with many causes,
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menjadi banyak penyebab, termasuk cara hidup kita.
04:32
including many in the way we're living.
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04:34
And it only really began to fall into place for me
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Semuanya mulai menjadi jelas
04:36
when one day, I went to interview a South African psychiatrist
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ketika aku mewawancarai seorang psikiater dari Afrika Selatan
04:40
named Dr. Derek Summerfield.
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bernama dokter Derek Summerfield.
04:41
He's a great guy.
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Dia pria hebat.
04:43
And Dr. Summerfield happened to be in Cambodia in 2001,
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Dokter Summerfield kebetulan ada di Kamboja tahun 2001,
04:46
when they first introduced chemical antidepressants
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ketika antidepresan kimiawi pertama kali dikenalkan pada warga di negara itu.
04:50
for people in that country.
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04:51
And the local doctors, the Cambodians, had never heard of these drugs,
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Para dokter lokal, orang Kamboja, tidak pernah mendengar obat ini,
04:55
so they were like, what are they?
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jadi mereka bertanya dan dia menjelaskan.
04:56
And he explained.
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04:58
And they said to him,
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Mereka lalu berkata,
04:59
"We don't need them, we've already got antidepressants."
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"Kami tak membutuhkannya, kami sudah punya antidepresan."
05:02
And he was like, "What do you mean?"
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"Apa maksudmu?"
05:04
He thought they were going to talk about some kind of herbal remedy,
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Dia pikir yang mereka maksud adalah semacam obat herbal,
05:07
like St. John's Wort, ginkgo biloba, something like that.
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seperti St. John's Wort, ginkgo, biloba, dan semacamnya.
05:11
Instead, they told him a story.
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Mereka malah bercerita.
05:14
There was a farmer in their community who worked in the rice fields.
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Ada petani di komunitas mereka yang bekerja di ladang padi.
05:18
And one day, he stood on a land mine
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Suatu hari, dia berdiri di ladang ranjau peninggalan perang dengan Amerika
05:20
left over from the war with the United States,
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05:22
and he got his leg blown off.
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dan kakinya terkena ledakan.
05:23
So they him an artificial leg,
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Mereka memberinya kaki palsu, dan dia kembali bekerja di ladang padi.
05:25
and after a while, he went back to work in the rice fields.
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Tapi, bekerja di air sangat menyakitkan jika kau memiliki anggota tubuh buatan.
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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05:32
and I'm guessing it was pretty traumatic
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kurasa cukup traumatis kembali bekerja di ladang tempat kakinya meledak.
05:34
to go back and work in the field where he got blown up.
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05:36
The guy started to cry all day,
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Pria itu mulai menangis sepanjang hari,
05:39
he refused to get out of bed,
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dia tak mau bangun dari tempat tidur, dia mengalami semua gejala depresi klasik.
05:40
he developed all the symptoms of classic depression.
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05:44
The Cambodian doctor said,
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Dokter Kamboja berkata,
05:45
"This is when we gave him an antidepressant."
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"Saat itulah kami memberinya antidepresan."
05:47
And Dr. Summerfield said, "What was it?"
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Summerfield berkata, "Apa itu?"
05:50
They explained that they went and sat with him.
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Mereka bilang mereka duduk bersamanya.
05:53
They listened to him.
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Mereka mendengarkannya.
05:56
They realized that his pain made sense --
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Mereka sadar penderitaannya beralasan,
05:59
it was hard for him to see it in the throes of his depression,
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sulit baginya untuk melihat hal itu karena depresinya,
06:01
but actually, it had perfectly understandable causes in his life.
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tapi sebenarnya hal itu berpengaruh pada kehidupannya.
06:05
One of the doctors, talking to the people in the community, figured,
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Salah satu dokter yang berbicara di komunitas itu menduga,
"Jika kita belikan dia seekor sapi,
06:09
"You know, if we bought this guy a cow,
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06:11
he could become a dairy farmer,
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dia bisa menjadi peternak sapi perah,
06:13
he wouldn't be in this position that was screwing him up so much,
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dia tak perlu ada di posisi ini,
dia tak harus bekerja di ladang padi."
06:16
he wouldn't have to go and work in the rice fields."
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Jadi mereka membelikan dia sapi.
06:18
So they bought him a cow.
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Dalam beberapa minggu tangisnya berhenti,
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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dalam sebulan, depresinya hilang.
06:24
They said to doctor Summerfield,
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Mereka berkata ke Summerfield, "Sapi itu adalah antidepresan,
06:25
"So you see, doctor, that cow, that was an antidepressant,
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06:28
that's what you mean, right?"
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itu kan maksudmu?"
(Tertawa)
06:30
(Laughter)
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(Tepuk tangan)
06:31
(Applause)
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06:34
If you'd been raised to think about depression the way I was,
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Jika kau dibesarkan sepertiku dan sebagian besar orang di sini,
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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itu seperti lelucon buruk, 'kan?
"Aku ke dokter untuk antidepresan, dia memberiku seekor sapi."
06:40
"I went to my doctor for an antidepressant,
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06:42
she gave me a cow."
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06:43
But what those Cambodian doctors knew intuitively,
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Tapi apa yang para dokter Kamboja itu tahu secara intuitif,
06:46
based on this individual, unscientific anecdote,
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berdasarkan anekdot individual yang tidak ilmiah ini
06:49
is what the leading medical body in the world,
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adalah apa yang WHO, badan medis terkemuka dunia,
06:53
the World Health Organization,
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06:55
has been trying to tell us for years,
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telah coba sampaikan selama bertahun-tahun
06:57
based on the best scientific evidence.
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berdasarkan bukti ilmiah terbaik.
07:00
If you're depressed,
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Jika kau depresi,
07:02
if you're anxious,
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jika kau cemas,
07:05
you're not weak, you're not crazy,
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kau tidak lemah, kau tidak gila,
07:08
you're not, in the main, a machine with broken parts.
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kau bukan mesin dengan onderdil yang rusak.
07:12
You're a human being with unmet needs.
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Kau manusia dengan kebutuhan yang tidak terpenuhi.
07:15
And it's just as important to think here about what those Cambodian doctors
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Penting bagi kita memikirkan tentang apa yang tidak dikatakan
07:19
and the World Health Organization are not saying.
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oleh para dokter di Kamboja dan WHO.
07:21
They did not say to this farmer,
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Mereka tidak berkata pada si petani,
07:23
"Hey, buddy, you need to pull yourself together.
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"Hei, kawan, kau harus tenang.
07:26
It's your job to figure out and fix this problem on your own."
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Kau harus mencari jalan keluar sendiri."
07:29
On the contrary, what they said is,
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Sebaliknya, mereka mengatakan,
07:31
"We're here as a group to pull together with you,
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"Kita di sini sebagai satu kelompok untuk bergabung bersamamu,
07:35
so together, we can figure out and fix this problem."
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jadi kita bisa mencari jalan keluarnya bersama-sama."
07:40
This is what every depressed person needs,
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Inilah yang penderita depresi butuhkan,
07:44
and it's what every depressed person deserves.
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dan yang layak mereka dapatkan.
07:47
This is why one of the leading doctors at the United Nations,
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Ini kenapa salah satu dokter terkemuka di PBB dalam pernyataannya
07:50
in their official statement for World Health Day,
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di Hari Kesehatan Dunia tahun 2017 mengatakan,
07:53
couple of years back in 2017,
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07:54
said we need to talk less about chemical imbalances
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kita perlu mengurangi bicara soal ketidakseimbangan kimia
07:57
and more about the imbalances in the way we live.
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dan lebih kepada ketidakseimbangan cara hidup kita.
08:00
Drugs give real relief to some people --
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Obat bisa membantu sebagian orang, mereka membantuku untuk sementara,
08:02
they gave relief to me for a while --
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08:05
but precisely because this problem goes deeper than their biology,
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tapi karena masalah ini lebih dalam dari sekedar biologis,
08:09
the solutions need to go much deeper, too.
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solusinya juga harus lebih mendalam.
08:12
But when I first learned that,
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Ketika aku baru tahu,
08:15
I remember thinking,
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aku ingat untuk berpikir,
08:16
"OK, I could see all the scientific evidence,
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2126
"OK, aku bisa lihat bukti ilmiahnya, aku membaca banyak studi,
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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aku mewawancarai banyak ahli yang menjelaskan ini,
tapi aku berpikir, "Bagaimana mungkin kita bisa melakukannya?"
08:23
but I kept thinking, "How can we possibly do that?"
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Hal-hal yang membuat kita depresi
08:26
The things that are making us depressed
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08:28
are in most cases more complex than what was going on
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sering kali lebih kompleks dari apa yang terjadi dengan si petani Kamboja.
08:30
with this Cambodian farmer.
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08:32
Where do we even begin with that insight?
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Dari mana kita mulai dengan pengetahuan ini?
08:34
But then, in the long journey for my book,
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Namun, dalam perjalanan panjang untuk bukuku di seluruh dunia,
08:38
all over the world,
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08:39
I kept meeting people who were doing exactly that,
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aku terus bertemu dengan mereka yang melakukan hal itu
08:42
from Sydney, to San Francisco,
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dari Sydney ke San Francisco,
08:44
to São Paulo.
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ke São Paulo.
08:45
I kept meeting people who were understanding
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Aku bertemu mereka yang paham tentang penyebab depresi dan kecemasan
08:48
the deeper causes of depression and anxiety
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08:50
and, as groups, fixing them.
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dan mengobatinya secara kelompok.
08:52
Obviously, I can't tell you about all the amazing people
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Aku tak bisa bercerita tentang semua orang hebat yang kukenal
08:55
I got to know and wrote about,
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atau sembilan penyebab depresi dan kecemasan yang kupelajari
08:57
or all of the nine causes of depression and anxiety that I learned about,
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karena aku tak diberi TED Talk 10 jam --
09:00
because they won't let me give a 10-hour TED Talk --
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kau bisa komplain pada mereka.
09:03
you can complain about that to them.
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Tapi aku ingin fokus ke dua penyebab dan dua solusi yang muncul.
09:04
But I want to focus on two of the causes
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09:06
and two of the solutions that emerge from them, if that's alright.
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09:10
Here's the first.
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Ini yang pertama.
09:12
We are the loneliest society in human history.
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Kita adalah kelompok paling kesepian dalam sejarah umat manusia.
09:15
There was a recent study that asked Americans,
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Ada studi terbaru yang bertanya pada orang Amerika,
"Apakah kau merasa tak lagi dekat dengan siapa pun?"
09:18
"Do you feel like you're no longer close to anyone?"
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3150
09:21
And 39 percent of people said that described them.
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39 persen mengatakan hal itu menggambarkan mereka.
"Tak lagi dekat dengan siapa pun."
09:25
"No longer close to anyone."
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1364
09:26
In the international measurements of loneliness,
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Dalam pengukuran kesepian internasional,
09:28
Britain and the rest of Europe are just behind the US,
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Britania dan Eropa berada tepat setelah Amerika Serikat, kalau mau sombong.
09:31
in case anyone here is feeling smug.
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09:33
(Laughter)
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1008
(Tertawa)
09:34
I spent a lot of time discussing this
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1889
Aku menghabiskan waktu berdiskusi
09:36
with the leading expert in the world on loneliness,
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dengan ahli terkemuka dunia tentang kesepian,
09:38
an incredible man named professor John Cacioppo,
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seorang pria luar biasa bernama profesor John Cacioppo di Chicago,
09:40
who was at Chicago,
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dan aku banyak berpikir tentang satu pertanyaan dari karyanya.
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 bertanya,
09:47
"Why do we exist?
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"Kenapa kita ada?
09:48
Why are we here, why are we alive?"
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1953
Kenapa kita di sini, kenapa kita hidup?"
09:50
One key reason
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Satu alasan utama,
09:53
is that our ancestors on the savannas of Africa
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leluhur kita di sabana Afrika sangat mahir dalam satu hal.
09:56
were really good at one thing.
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1720
09:58
They weren't bigger than the animals they took down a lot of the time,
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Mereka tak lebih besar dari binatang yang mereka buru,
10:01
they weren't faster than the animals they took down a lot of the time,
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3313
mereka tak lebih cepat dari binatang yang mereka buru,
10:04
but they were much better at banding together into groups
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tapi mereka jauh lebih baik dalam berkelompok dan bekerja sama.
10:07
and cooperating.
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1600
10:09
This was our superpower as a species --
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Ini adalah kekuatan super kita sebagai sebuah spesies; kita berkelompok.
10:11
we band together,
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1405
10:13
just like bees evolved to live in a hive,
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Seperti lebah berevolusi tinggal di sarang,
10:15
humans evolved to live in a tribe.
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2232
manusia berevolusi tinggal dalam suku.
10:17
And we are the first humans ever
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Kita adalah manusia pertama
10:22
to disband our tribes.
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yang membubarkan suku kita.
10:24
And it is making us feel awful.
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Itu membuat kita merasa buruk.
Tapi tak harus seperti itu.
10:27
But it doesn't have to be this way.
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10:29
One of the heroes in my book, and in fact, in my life,
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Salah satu pahlawan dalam bukuku, bahkan dalam hidupku,
10:31
is a doctor named Sam Everington.
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2095
seorang dokter bernama Sam Everington.
10:33
He's a general practitioner in a poor part of East London,
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2738
Dia dokter umum di London Timur yang kumuh, tempat tinggalku bertahun-tahun.
10:36
where I lived for many years.
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1579
10:38
And Sam was really uncomfortable,
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1687
Sam merasa sangat tidak nyaman,
10:40
because he had loads of patients
253
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1556
karena banyak pasien datang kepadanya dengan depresi dan kecemasan parah.
10:41
coming to him with terrible depression and anxiety.
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2444
Dia tidak menentang antidepresan kimia, dia pikir itu bisa membantu.
10:44
And like me, he's not opposed to chemical antidepressants,
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2722
10:46
he thinks they give some relief to some people.
256
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2222
Tapi dia bisa melihat dua hal.
10:49
But he could see two things.
257
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1373
Satu, para pasiennya depresi dan cemas sepanjang waktu
10:50
Firstly, his patients were depressed and anxious a lot of the time
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3555
karena alasan masuk akal seperti kesepian.
10:54
for totally understandable reasons, like loneliness.
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3738
10:57
And secondly, although the drugs were giving some relief to some people,
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3444
Kedua, walaupun obat diberikan untuk membantu
bagi banyak orang, itu tidak menyelesaikan masalah.
11:01
for many people, they didn't solve the problem.
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2268
11:03
The underlying problem.
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1533
Masalah yang mendasar.
11:05
One day, Sam decided to pioneer a different approach.
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2651
Suatu hari, Sam memutuskan untuk mencari pendekatan baru.
11:08
A woman came to his center, his medical center,
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2452
Seorang wanita datang ke kliniknya, bernama Lisa Cunningham.
11:11
called Lisa Cunningham.
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1467
11:12
I got to know Lisa later.
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1874
Aku mengenal Lisa belakangan.
11:14
And Lisa had been shut away in her home with crippling depression and anxiety
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4084
Lisa sudah mengunci dirinya di rumah karena depresi dan kecemasan
11:18
for seven years.
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1150
selama tujuh tahun.
11:20
And when she came to Sam's center, she was told, "Don't worry,
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2925
Ketika dia datang, dia diberi tahu, "Jangan cemas,
11:23
we'll carry on giving you these drugs,
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1830
kami akan tetap memberimu obat,
11:25
but we're also going to prescribe something else.
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2797
tapi kami juga akan memberikan resep lain.
11:28
We're going to prescribe for you to come here to this center twice a week
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3443
Kami akan memintamu datang ke sini dua kali seminggu
11:31
to meet with a group of other depressed and anxious people,
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2778
untuk bertemu dengan sekelompok penderita depresi
11:34
not to talk about how miserable you are,
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2810
bukan untuk berbicara tentang penderitaanmu,
11:37
but to figure out something meaningful you can all do together
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3547
tapi mencari sesuatu yang berarti yang bisa kalian lakukan bersama
11:41
so you won't be lonely and you won't feel like life is pointless."
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3103
hingga kau tak merasa kesepian dan tak berarti."
11:44
The first time this group met,
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2775
Pertama kali grup ini bertemu,
11:47
Lisa literally started vomiting with anxiety,
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2256
Lisa muntah karena cemas
11:49
it was so overwhelming for her.
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709402
1921
dia merasa kewalahan.
11:51
But people rubbed her back, the group started talking,
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2634
Tapi mereka menggosok punggungnya dan berkata, "Apa yang bisa kami bantu?"
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
Mereka adalah warga London Timur, mereka tak tahu tentang berkebun.
11:58
they didn't know anything about gardening.
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2048
Kenapa kita tak belajar berkebun?
12:00
They were like, "Why don't we learn gardening?"
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2245
Ada satu area di belakang kantor dokter yang hanya semak belukar.
12:02
There was an area behind the doctors' offices
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2166
12:04
that was just scrubland.
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1151
"Bagaimana kalau kita mengubahnya jadi kebun?"
12:05
"Why don't we make this into a garden?"
287
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1882
Mereka mulai meminjam buku, mulai menonton YouTube.
12:07
They started to take books out of the library,
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2175
12:09
started to watch YouTube clips.
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1485
12:11
They started to get their fingers in the soil.
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2159
Mereka mulai memegang tanah.
12:13
They started to learn the rhythms of the seasons.
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3043
Mereka mulai mempelajari irama musim.
12:16
There's a lot of evidence
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1330
Ada banyak bukti bahwa paparan dengan alam
12:18
that exposure to the natural world
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1629
12:19
is a really powerful antidepressant.
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1976
adalah antidepresan yang sangat kuat.
12:21
But they started to do something even more important.
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3009
Tapi mereka mulai dengan sesuatu yang lebih penting.
12:25
They started to form a tribe.
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2030
Mereka memulai sebuah suku.
12:27
They started to form a group.
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1811
Mereka memulai sebuah kelompok.
12:29
They started to care about each other.
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2024
Mereka mulai peduli satu sama lain.
12:31
If one of them didn't show up,
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1674
Jika salah satu tidak muncul,
12:32
the others would go looking for them -- "Are you OK?"
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2520
yang lain akan mencarinya dan membantu mereka memecahkan masalah hari itu.
12:35
Help them figure out what was troubling them that day.
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2611
Sebagaimana yang Lisa katakan padaku,
12:38
The way Lisa put it to me,
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1803
12:39
"As the garden began to bloom,
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2597
"Saat kebun itu mulai mekar,
12:42
we began to bloom."
304
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1267
kami pun mulai mekar."
12:44
This approach is called social prescribing,
305
764474
2032
Pendekatan ini dinamakan resep sosial dan menyebar di Eropa.
12:46
it's spreading all over Europe.
306
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1515
Ada bukti kecil namun berkembang
12:48
And there's a small, but growing body of evidence
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2301
12:50
suggesting it can produce real and meaningful falls
308
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2880
yang menunjukkan penurunan kecil namun berarti di depresi dan kecemasan.
12:53
in depression and anxiety.
309
773298
1978
12:55
And one day, I remember standing in the garden
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3721
Aku ingat berdiri di kebun yang dibangun Lisa dan teman-temannya --
12:59
that Lisa and her once-depressed friends had built --
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2481
13:01
it's a really beautiful garden --
312
781550
1584
kebun yang sangat cantik --
13:03
and having this thought,
313
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1191
aku berpikir,
13:04
it's very much inspired by a guy called professor Hugh Mackay in Australia.
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3871
hal ini sangat terinspirasi oleh profesor Hugh Mackay di Australia.
13:08
I was thinking, so often when people feel down in this culture,
315
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4381
Sering kali, ketika seseorang merasa sedih dalam budaya ini,
13:12
what we say to them -- I'm sure everyone here said it, I have --
316
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3064
yang kita katakan pada mereka adalah,
13:15
we say, "You just need to be you, be yourself."
317
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3224
"Kau hanya perlu menjadi dirimu sendiri."
13:19
And I've realized, actually, what we should say to people is,
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2950
Aku sadar, yang seharusnya kita katakan adalah,
13:22
"Don't be you.
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1150
"Jangan jadi dirimu.
13:24
Don't be yourself.
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1333
Jangan jadi dirimu sendiri.
13:26
Be us, be we.
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2209
Jadilah kita, kami.
13:28
Be part of a group."
322
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1325
Jadilah bagian dari kelompok."
13:30
(Applause)
323
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3706
(Tepuk tangan)
13:33
The solution to these problems
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813844
2579
Solusi dari masalah-masalah ini
13:36
does not lie in drawing more and more on your resources
325
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3151
bukan mengambil sumber dayamu sebagai seorang individu yang terisolir --
13:39
as an isolated individual --
326
819622
1439
13:41
that's partly what got us in this crisis.
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821085
2040
itu salah satu sebab masalahnya.
tapi berhubungan kembali dengan sesuatu yang lebih besar darimu.
13:43
It lies on reconnecting with something bigger than you.
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2753
13:45
And that really connects to one of the other causes
329
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2421
Dan itu berhubungan dengan penyebab depresi dan kecemasan lainnya.
13:48
of depression and anxiety that I wanted to talk to you about.
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2897
Semua tahu
13:51
So everyone knows
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831292
1690
13:53
junk food has taken over our diets and made us physically sick.
332
833006
3746
junk food sudah mengambil alih pola makan kita dan membuat kita sakit.
13:56
I don't say that with any sense of superiority,
333
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2206
Aku tak bermaksud sombong, aku datang ke sini dari McDonald's,
13:59
I literally came to give this talk from McDonald's.
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2399
tapi aku lihat kalian semua menyantap sarapan TED yang sehat.
14:01
I saw all of you eating that healthy TED breakfast, I was like no way.
335
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3513
14:04
But just like junk food has taken over our diets and made us physically sick,
336
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5143
Seperti halnya junk food yang membuat fisik kita sakit,
14:10
a kind of junk values have taken over our minds
337
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4110
nilai-nilai sejenis telah mengambil alih pikiran kita
14:14
and made us mentally sick.
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1478
dan membuat kita sakit secara mental.
14:16
For thousands of years, philosophers have said,
339
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3104
Para ahli filosofi sudah berkata selama ribuan tahun,
14:19
if you think life is about money, and status and showing off,
340
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4588
jika kau pikir hidup adalah tentang uang, status dan pamer,
14:23
you're going to feel like crap.
341
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1523
kau akan merasa seperti sampah.
14:25
That's not an exact quote from Schopenhauer,
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2067
Itu bukan kutipan persis Schopenhauer, tapi kira-kira itu intinya.
14:27
but that is the gist of what he said.
343
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1772
14:29
But weirdly, hardy anyone had scientifically investigated this,
344
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3026
Anehnya, jarang ada yang menelitinya secara ilmiah,
14:32
until a truly extraordinary person I got to know, named professor Tim Kasser,
345
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3649
sampai seseorang luar biasa bernama profesor Tim Kasser
14:36
who's at Knox College in Illinois,
346
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2293
di Knox College, Illinois,
14:38
and he's been researching this for about 30 years now.
347
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2563
yang sudah menelitinya selama 30 tahun.
14:40
And his research suggests several really important things.
348
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3016
Penelitiannya menunjukkan beberapa hal penting.
14:43
Firstly, the more you believe
349
883998
3191
Pertama,
makin kau percaya kau bisa membeli dan memamerkan jalan keluar dari kesedihan
14:47
you can buy and display your way out of sadness,
350
887213
4365
14:51
and into a good life,
351
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2191
ke kehidupan yang baik,
14:53
the more likely you are to become depressed and anxious.
352
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2912
kau lebih cenderung menjadi depresi dan cemas.
14:56
And secondly,
353
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1293
Kedua,
14:58
as a society, we have become much more driven by these beliefs.
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4588
kita sudah makin digerakkan oleh kepercayaan ini sebagai kelompok.
15:02
All throughout my lifetime,
355
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1413
Sepanjang hidupku, di bawah tekanan iklan, Instagram, dan sebagainya.
15:04
under the weight of advertising and Instagram and everything like them.
356
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4193
15:08
And as I thought about this,
357
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1373
Semakin kupikirkan, aku sadar
15:10
I realized it's like we've all been fed since birth, a kind of KFC for the soul.
358
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5761
kita sudah dicekoki sejak lahir, semacam KFC untuk jiwa.
15:16
We've been trained to look for happiness in all the wrong places,
359
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3873
Kita sudah dilatih mencari kebahagiaan di tempat yang salah,
15:19
and just like junk food doesn't meet your nutritional needs
360
919950
2770
seperti junk food, mereka tak memenuhi kebutuhan nutrisimu,
15:22
and actually makes you feel terrible,
361
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2298
malah membuatmu merasa buruk.
15:25
junk values don't meet your psychological needs,
362
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3142
Nilai-nilai sampah tak memenuhi kebutuhan psikologismu,
15:28
and they take you away from a good life.
363
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2642
mereka merenggutmu dari kehidupan yang baik.
15:30
But when I first spent time with professor Kasser
364
930898
2623
Ketika aku bersama dengan profesor Kasser dan mempelajarinya,
15:33
and I was learning all this,
365
933545
1477
15:35
I felt a really weird mixture of emotions.
366
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2587
aku merasakan emosi aneh yang campur aduk.
15:37
Because on the one hand, I found this really challenging.
367
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2690
Karena di satu sisi, aku merasa tertantang.
15:40
I could see how often in my own life, when I felt down,
368
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3262
Aku tahu seberapa sering aku merasa sedih dalam hidup,
15:43
I tried to remedy it with some kind of show-offy, grand external solution.
369
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5265
aku mencoba mengobatinya dengan solusi eksternal yang sok pamer.
15:49
And I could see why that did not work well for me.
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2690
Aku tahu kenapa itu tak berhasil.
15:52
I also thought, isn't this kind of obvious?
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2882
Aku juga berpikir, bukankah ini jelas?
15:55
Isn't this almost like banal, right?
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1745
Ini klise, 'kan?
15:57
If I said to everyone here,
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1325
Saat menjelang ajal, tidak akan ada yang berpikir tentang sepatu yang kau beli
15:58
none of you are going to lie on your deathbed
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2143
16:01
and think about all the shoes you bought and all the retweets you got,
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3316
atau semua retweet yang kau dapat, 'kan?
kau akan memikirkan momen cinta dan hubungan dalam hidupmu.
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
Ini seperti klise, tapi aku berkata pada profesor Kasser,
16:08
I think that seems almost like a cliché.
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968303
1945
16:10
But I kept talking to professor Kasser and saying,
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2349
"Kenapa aku merasa terbelah?"
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
Dia berkata, "Di tingkat tertentu, kita semua tahu hal ini.
16:18
But in this culture, we don't live by them."
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2375
Tapi kita tidak menerapkannya dalam budaya ini.
16:21
We know them so well they've become clichés,
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2079
Kita begitu tahu hingga jadi klise, tapi tak diterapkan."
16:23
but we don't live by them.
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983355
1278
16:24
I kept asking why, why would we know something so profound,
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3209
Kenapa kita bisa tahu sesuatu yang begitu dalam tapi tak menerapkannya?
16:27
but not live by it?
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1286
16:29
And after a while, professor Kasser said to me,
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3404
Setelah beberapa saat, profesor Kasser berkata,
16:32
"Because we live in a machine
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2421
"Karena kita hidup dalam mesin
16:35
that is designed to get us to neglect what is important about life."
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3733
yang dirancang agar kita mengabaikan hal yang penting dalam hidup."
16:39
I had to really think about that.
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1587
Aku memikirkan itu.
16:40
"Because we live in a machine
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1405
"Karena kita hidup dalam mesin
16:42
that is designed to get us to neglect what is important about life."
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3678
yang dirancang agar kita mengabaikan hal yang penting dalam hidup."
16:46
And professor Kasser wanted to figure out if we can disrupt that machine.
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3778
Profesor Kasser ingin tahu bisakah mesin itu dikacaukan.
16:50
He's done loads of research into this;
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1873
Dia sudah melakukan banyak penelitian. Kuberi satu contoh.
16:51
I'll tell you about one example,
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1555
16:53
and I really urge everyone here to try this with their friends and family.
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3500
Aku mendorong semua di sini mencobanya dengan teman dan keluarga.
16:57
With a guy called Nathan Dungan, he got a group of teenagers and adults
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3342
Dia mengumpulkan sekelompok remaja dan dewasa bersama Nathan Dungan
17:00
to come together for a series of sessions over a period of time, to meet up.
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4213
untuk berkumpul dan bertemu selama beberapa waktu.
17:04
And part of the point of the group
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1763
Salah satu inti kelompok itu adalah
17:06
was to get people to think about a moment in their life
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3300
untuk membuat orang berpikir tentang momen dalam hidup yang berarti.
17:09
they had actually found meaning and purpose.
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2746
17:12
For different people, it was different things.
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2143
Masing-masing berbeda.
17:14
For some people, it was playing music, writing, helping someone --
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1034752
3617
Untuk sebagian, itu adalah bermain musik, menulis, membantu seseorang --
17:18
I'm sure everyone here can picture something, right?
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2803
aku yakin semua di sini bisa memikirkan sesuatu.
17:21
And part of the point of the group was to get people to ask,
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2881
Salah satu tujuan kelompok itu adalah membuat orang bertanya,
17:24
"OK, how could you dedicate more of your life
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2762
"OK, bagaimana kau bisa mendedikasikan lebih banyak hidupmu
17:26
to pursuing these moments of meaning and purpose,
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2684
untuk mengejar momen-momen berarti ini
17:29
and less to, I don't know, buying crap you don't need,
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2950
dan mengurangi membeli barang yang tak kau perlukan
17:32
putting it on social media and trying to get people to go,
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2722
untuk dipajang di media sosial dan membuat orang lain iri.
17:35
'OMG, so jealous!'"
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1267
17:36
And what they found was,
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1643
Yang mereka temukan adalah,
17:38
just having these meetings,
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1334
dengan pertemuan ini --
17:39
it was like a kind of Alcoholics Anonymous for consumerism, right?
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3110
yang mirip seperti Alcoholics Anonymous untuk konsumerisme, 'kan?
17:43
Getting people to have these meetings, articulate these values,
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2953
Mengumpulkan orang untuk bertemu, menyatakan nilai-nilai,
17:46
determine to act on them and check in with each other,
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2531
bertekad untuk bertindak dan saling mengecek
17:49
led to a marked shift in people's values.
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2857
berujung pada perubahan dalam nilai-nilai manusia.
17:52
It took them away from this hurricane of depression-generating messages
417
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4413
Hal itu menjauhkan kita dari badai pesan penghasil depresi
17:56
training us to seek happiness in the wrong places,
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1076657
2634
yang melatih kita mencari kebahagiaan di tempat yang salah,
17:59
and towards more meaningful and nourishing values
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3341
dan lebih ke nilai-nilai bermakna
18:02
that lift us out of depression.
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2000
yang mengeluarkan kita dari depresi.
18:05
But with all the solutions that I saw and have written about,
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3302
Tapi dengan semua solusi yang kulihat dan telah kutulis,
18:08
and many I can't talk about here,
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2739
dan banyak lagi yang tak bisa kubicarakan
18:11
I kept thinking,
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1371
aku masih terus berpikir,
18:12
you know: Why did it take me so long to see these insights?
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3699
kenapa butuh waktu lama bagiku untuk melihatnya?
18:16
Because when you explain them to people --
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2016
Waktu kau menjelaskan ke orang lain, beberapa lebih rumit tapi tidak semua,
18:18
some of them are more complicated, but not all --
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1098594
2444
18:21
when you explain this to people, it's not like rocket science, right?
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3244
ketika kau menjelaskannya, itu tak sulit, bukan?
Kita sudah tahu tentang hal ini.
18:24
At some level, we already know these things.
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2095
Kenapa kita sulit memahaminya?
18:26
Why do we find it so hard to understand?
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2637
18:29
I think there's many reasons.
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1934
Ada banyak alasan.
18:31
But I think one reason is that we have to change our understanding
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4269
Salah satunya adalah kita harus mengubah pemahaman kita
18:35
of what depression and anxiety actually are.
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3420
tentang apa itu depresi dan kecemasan yang sebenarnya.
18:39
There are very real biological contributions
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1119776
2182
Ada kontribusi biologis yang nyata pada depresi dan kecemasan.
18:41
to depression and anxiety.
434
1121982
1733
18:44
But if we allow the biology to become the whole picture,
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3754
Tapi jika kita membiarkan biologi menjadi gambaran besarnya,
18:47
as I did for so long,
436
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1246
seperti yang kulakukan, karena budaya mempengaruhi sebagian besar hidupku,
18:49
as I would argue our culture has done pretty much most of my life,
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4065
18:53
what we're implicitly saying to people is, and this isn't anyone's intention,
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3857
yang kita katakan secara tersirat -- mungkin bukan niat kita begitu --
18:57
but what we're implicitly saying to people is,
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1137135
3037
tapi yang kita katakan adalah,
19:00
"Your pain doesn't mean anything.
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2302
"Rasa sakitmu tak berarti apa pun.
19:02
It's just a malfunction.
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1436
Itu hanya malfungsi.
19:03
It's like a glitch in a computer program,
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1143982
2469
Seperti kesalahan dalam program komputer,
19:06
it's just a wiring problem in your head."
443
1146475
2667
itu cuma masalah kabel dalam kepalamu."
Aku baru bisa merubah hidupku
19:10
But I was only able to start changing my life
444
1150061
3107
19:13
when I realized your depression is not a malfunction.
445
1153192
4065
ketika aku sadar bahwa depresi bukan sebuah malfungsi.
19:18
It's a signal.
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1158620
1150
Melainkan sebuah sinyal.
19:20
Your depression is a signal.
447
1160684
2007
Depresimu adalah sinyal.
19:23
It's telling you something.
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1841
Yang memberitahumu sesuatu.
19:24
(Applause)
449
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4611
(Tepuk tangan)
19:29
We feel this way for reasons,
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1169577
2389
Kita merasa begini karena suatu alasan,
19:31
and they can be hard to see in the throes of depression --
451
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2715
mereka bisa susah dilihat saat depresi --
19:34
I understand that really well from personal experience.
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2610
aku sangat paham dari pengalaman pribadi.
19:37
But with the right help, we can understand these problems
453
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3483
Tapi dengan bantuan yang tepat, kita bisa memahami masalah ini
19:40
and we can fix these problems together.
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2474
dan kita bisa memperbaikinya bersama.
19:43
But to do that,
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1192
Tapi untuk melakukan itu,
19:44
the very first step
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1738
langkah paling awal adalah
19:46
is we have to stop insulting these signals
457
1186346
2618
kita harus berhenti mencela sinyal-sinyal ini
19:48
by saying they're a sign of weakness, or madness or purely biological,
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4192
dengan menganggap mereka kelemahan, kegilaan, atau murni masalah biologis,
19:53
except for a tiny number of people.
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1935
kecuali untuk sejumlah kecil orang.
19:55
We need to start listening to these signals,
460
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3626
Kita harus mulai mendengarkan sinyal-sinyal ini
19:58
because they're telling us something we really need to hear.
461
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3272
karena mereka memberitahu sesuatu yang perlu kita dengar.
20:02
It's only when we truly listen to these signals,
462
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5023
Hanya jika kita benar-benar mendengarkan sinyal ini,
20:07
and we honor these signals and respect these signals,
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4015
dan menghargai sinyal-sinyal tersebut,
20:11
that we're going to begin to see
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2247
kita akan mulai melihat
20:13
the liberating, nourishing, deeper solutions.
465
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4158
solusi yang membebaskan, sehat, dan mendalam.
20:19
The cows that are waiting all around us.
466
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4073
Yaitu sapi-sapi yang tengah menunggu di sekitar kita.
20:23
Thank you.
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1181
Terima kasih.
20:24
(Applause)
468
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3688
(Tepuk tangan)
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