What it's like to be a parent in a war zone | Aala El-Khani

108,958 views ・ 2017-03-07

TED


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翻译人员: Junyi Sha 校对人员: Yan Gao
00:12
Worldwide, over 1.5 billion people experience armed conflict.
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世界范围内,超过15亿人 正经历着武装冲突。
结果就是,人们被迫 逃离他们的国家,
00:18
In response, people are forced to flee their country,
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00:21
leaving over 15 million refugees.
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留下超过1500万难民。
孩子,毋庸置疑,
00:25
Children, without a doubt,
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00:26
are the most innocent and vulnerable victims ...
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则是那些最无辜, 最脆弱的受害人。
但并非仅仅是来自那些 显而易见的人身危害,
00:30
but not just from the obvious physical dangers,
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00:33
but from the often unspoken effects that wars have on their families.
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而是来自战争对他们的家庭 造成的常常无言的影响。
战争经历使孩子们更易出现
00:38
The experiences of war leave children at a real high risk
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00:41
for the development of emotional and behavioral problems.
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感情与行为发展方面的问题。
孩子们,仅仅是凭借我们的想象,
00:45
Children, as we can only imagine,
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00:47
will feel worried, threatened and at risk.
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他们会感到担忧,被威胁和危险。
00:50
But there is good news.
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但是也有好消息。
00:52
The quality of care that children receive in their families
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孩子们所得到的 来自家庭的照顾的品质
00:55
can have a more significant effect on their well-being
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相比他们所经历过的那些战争创伤
00:59
than from the actual experiences of war that they have been exposed to.
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对于他们的身心健康 有更加显著的作用。
所以,事实上,在冲突期间以及之后 温暖、安全的父母养育
01:04
So actually, children can be protected
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01:07
by warm, secure parenting during and after conflict.
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是能够保护到孩子们的。
01:13
In 2011, I was a first-year PhD student
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2011年,也就是我在曼彻斯特大学
01:17
in the University of Manchester School of Psychological Sciences.
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心理科学院读博的第一年。
01:20
Like many of you here,
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就像你们中的很多人那样,
01:22
I watched the crisis in Syria unfold in front of me on the TV.
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我在电视上目睹了叙利亚危机。
01:26
My family is originally from Syria,
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我的家庭原本就来自叙利亚,
01:28
and very early on,
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再之前,
01:29
I lost several family members in really horrifying ways.
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以那种真正可怕的方式, 我失去了一些家庭成员。
01:33
I'd sit and I'd gather with my family and watch the TV.
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我和我的家人一起, 坐下来看电视。
01:37
We've all seen those scenes:
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我们都看过那些景象:
01:38
bombs destroying buildings,
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炸弹摧毁楼房,
01:40
chaos, destruction
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混乱,破坏,
01:42
and people screaming and running.
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人们呼喊着,奔逃着。
01:45
It was always the people screaming and running that really got me the most,
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那些嘶声裂肺的喊叫,逃跑的人们, 是最让我感触深刻的,
01:49
especially those terrified-looking children.
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特别是,那些面露惊恐的孩子们。
01:53
I was a mother to two young, typically inquisitive children.
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我是两个年幼的, 好奇心旺盛的孩子们的母亲。
01:56
They were five and six then,
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他们当时大概是五六岁的样子,
01:58
at an age where they typically asked lots and lots of questions,
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在那样的年龄,他们通常 喜欢问好多好多的问题,
02:01
and expected real, convincing answers.
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期待着真实的,具有说服力的答案。
02:04
So, I began to wonder what it might be like
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所以,我就开始思考, 如果我要在战争区,难民营
02:07
to parent my children in a war zone and a refugee camp.
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抚养我的孩子会是怎样的呢?
我的孩子们会变得不一样吗?
02:12
Would my children change?
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02:14
Would my daughter's bright, happy eyes lose their shine?
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我的女儿那明亮的, 带笑的眼睛会失去神采吗?
我的儿子那放松的,无忧无虑的性情 会变得胆怯而孤僻吗?
02:18
Would my son's really relaxed and carefree nature become fearful and withdrawn?
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02:24
How would I cope?
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我又该如何应对呢?
我会变得不一样吗?
02:27
Would I change?
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02:30
As psychologists and parent trainers,
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作为心理学家兼家长培训员,
02:32
we know that arming parents with skills in caring for their children
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我们知道教导家长育儿的技巧
02:36
can have a huge effect on their well-being,
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对他们孩子的健康成长 会有巨大的作用
我们把这称为家长培训。
02:40
and we call this parent training.
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02:42
The question I had was,
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而我提出的问题就是,
02:44
could parent training programs be useful for families
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家长培训项目对于仍处于
战争区的,或是难民营的家庭 是否会有用呢?
02:48
while they were still in war zones or refugee camps?
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02:51
Could we reach them with advice or training
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我们是否能够带给他们建议与训练
02:53
that would help them through these struggles?
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来帮助他们度过这些挣扎呢?
02:57
So I approached my PhD supervisor,
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所以说我就找到了我的博导,
03:00
Professor Rachel Calam,
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雷切尔・卡勒门教授,
03:01
with the idea of using my academic skills to make some change in the real world.
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和她讲述了我想要运用学术技能 帮助改变现实世界的想法。
03:06
I wasn't quite sure what exactly I wanted to do.
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我并不是很确定具体想要做什么。
03:09
She listened carefully and patiently,
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她很认真的,耐心的聆听了,
03:11
and then to my joy she said,
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然后,让我感到 十分高兴的是,她说,
03:13
"If that's what you want to do, and it means so much to you,
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“如果你想要这样做,而且 它确实对你意义重大的话,
03:16
then let's do it.
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让我们一起做吧。
03:17
Let's find ways to see if parent programs
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让我们找找办法,看看是否 能够让家长培训计划
03:20
can be useful for families in these contexts."
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对那种背景下的家庭也起效用。”
03:23
So for the past five years, myself and my colleagues --
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所以说,在过去的五年当中, 我和我的同事们--
03:26
Prof. Calam and Dr. Kim Cartwright --
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卡勒门教授和基姆・卡特莱特博士--
03:29
have been working on ways to support families
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一直在从事着寻找能帮助那些
03:31
that have experienced war and displacement.
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经历过战争或是 背井离乡的家庭的方法。
03:35
Now, to know how to help families that have been through conflict
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那么,想要知道如何帮助 那些经历过冲突的家庭
03:38
support their children,
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养育他们的孩子,
03:40
the first step must obviously be to ask them what they're struggling with,
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第一步,当然很明显是去 调查他们正在面对的问题,
03:44
right?
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对吧?
03:45
I mean, it seems obvious.
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我的意思是,这应该是挺明确的。
03:46
But it's often those that are the most vulnerable,
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但是,我们想要去帮助的, 常常是那些
03:49
that we're trying to support,
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最脆弱的人群,
03:50
that we actually don't ask.
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而我们其实没有去询问他们。
03:51
How many times have we just assumed we know exactly the right thing
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有多少次,我们就擅自假设 我们确切知道什么东西
03:55
that's going to help someone or something without actually asking them first?
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能够帮助到他们, 却不事先询问他们?
03:59
So I travelled to refugee camps in Syria and in Turkey,
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所以,我去了叙利亚 和土耳其的难民营,
04:02
and I sat with families, and I listened.
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我和那些家庭坐在一起, 聆听他们的视角。
聆听他们的育儿挑战,
04:06
I listened to their parenting challenges,
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04:08
I listened to their parenting struggles
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聆听他们的育儿困难,
04:11
and I listened to their call for help.
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聆听他们寻求帮助的声音。
04:13
And sometimes that was just paused,
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有的时候会突然停下来,
04:15
as all I could do was hold hands with them
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而我能做的就是牵住他们的手,
04:17
and just join them in silent crying and prayer.
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加入他们无声的哭泣与祈祷当中。
04:20
They told me about their struggles,
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他们和我诉说他们的艰难挣扎,
04:22
they told me about the rough, harsh refugee camp conditions
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他们告诉我那些艰苦, 严峻的难民营条件,
04:26
that made it hard to focus on anything but practical chores
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这使得他们很难做任何事 而只能将注意力放在像是
04:29
like collecting clean water.
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收集干净水这样的 可以做的杂事上。
04:32
They told me how they watched their children withdraw;
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他们告诉我他们是如何 目睹孩子们变得孤僻;
04:35
the sadness, depression, anger,
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那些伤感,压抑,愤怒,
04:38
bed-wetting, thumb-sucking, fear of loud noises,
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尿床,吮吸手指, 害怕巨大的声响,
04:42
fear of nightmares --
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对噩梦的恐惧--
可怕,非常可怕的噩梦。
04:44
terrifying, terrifying nightmares.
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04:46
These families had been through what we had been watching on the TV.
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这些家庭经历了那些我们 在电视上看过的画面。
这些母亲--
04:51
The mothers --
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04:52
almost half of them were now widows of war,
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她们中几乎一半的人, 因为战争成为了寡妇,
04:54
or didn't even know if their husbands were dead or alive --
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或者是根本不清楚 她们的丈夫是死是活--
04:57
described how they felt they were coping so badly.
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描述了她们感觉自己 在多么难过地接受一切。
05:01
They watched their children change and they had no idea how to help them.
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她们目睹着他们孩子们的改变, 却对此无能为力。
05:05
They didn't know how to answer their children's questions.
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她们不知道该如何回答 她们孩子们的提问。
05:09
What I found incredibly astonishing and so motivational
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我发现的难以置信般惊人的, 鼓舞人心的事情是
05:12
was that these families were so motivated to support their children.
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这些家庭居然这般积极的 去支持他们的孩子们。
05:17
Despite all these challenges they faced,
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尽管面临了这么多的挑战,
05:19
they were trying to help their children.
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他们仍然努力去帮助他们的孩子们。
05:22
They were making attempts at seeking support from NGO workers,
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他们尝试从非政府组织的工作人员,
05:25
from refugee camp teachers,
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从难民营教师那里,
05:27
professional medics,
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专业的医务人员,
05:29
other parents.
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或是其他家长那里寻求帮助。
05:30
One mother I met had only been in a camp for four days,
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我见过的,有一个妈妈,仅仅是 在一个难民营里呆了四天,
就曾两次试图
05:34
and had already made two attempts
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05:35
at seeking support for her eight-year-old daughter
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为她八岁的,受到噩梦折磨的女儿
05:38
who was having terrifying nightmares.
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寻求帮助。
05:41
But sadly, these attempts are almost always useless.
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但可悲的是,这些尝试 大多是无功而返。
05:45
Refugee camp doctors, when available,
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难民营的那些医生, 要是有医生的话,
05:47
are almost always too busy,
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总是要么太忙,
05:49
or don't have the knowledge or the time for basic parenting supports.
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要么没有基本育儿帮助的 相关知识或时间。
05:54
Refugee camp teachers and other parents are just like them --
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难民营的教师或是其他家长, 也跟那些医生一样--
05:57
part of a new refugee community who's struggling with new needs.
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成为新难民营的一部分, 为新的需求而奋斗。
06:02
So then we began to think.
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这时我们就会开始思考。
06:05
How could we help these families?
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我们应该如何帮助这些家庭呢?
06:09
The families were struggling with things much bigger than they could cope with.
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这些家庭正与远超过 自身应对能力的事情做斗争。
06:13
The Syrian crisis made it clear
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叙利亚危机已经让我们看清楚
06:14
how incredibly impossible it would be to reach families on an individual level.
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想要从个体层面去帮助这些家庭 是多么不可思议般的不切实际。
06:20
How else could we help them?
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那我们又能如何帮助他们呢?
06:22
How would we reach families at a population level
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我们应该如何 在这些极度恐怖的时期
对整个群体,以低成本方式
06:26
and low costs
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06:28
in these terrifying, terrifying times?
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去帮助这些家庭呢?
06:32
After hours of speaking to NGO workers,
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在与非政府组织工作人员 数小时的谈话之后,
06:35
one suggested a fantastic innovative idea
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有一个人提出了一个 神奇的,新颖的观点
06:37
of distributing parenting information leaflets via bread wrappers --
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那就是通过面包包装袋 来宣传育儿信息页--
06:42
bread wrappers that were being delivered to families in a conflict zone in Syria
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就是那些在叙利亚战区 由人道主义工作人员
发放给家庭的面包包装袋。
06:47
by humanitarian workers.
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06:49
So that's what we did.
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那就是我们所做的。
06:50
The bread wrappers haven't changed at all in their appearance,
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那些面包包装袋的外表 一点儿也没有改变,
06:53
except for the addition of two pieces of paper.
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除了增加了额外的两页纸。
06:56
One was a parenting information leaflet that had basic advice and information
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其中一页是一张育儿信息宣传页, 包括了一些基本的建议与信息,
07:01
that normalized to the parent what they might be experiencing,
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普式化的阐述了 家长们可能正在经历的,
07:04
and what their child might be experiencing.
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以及孩子们可能正在经历的东西。
07:07
And information on how they could support themselves and their children,
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一些关于他们应该如何帮助 他们自己和孩子们的信息,
07:10
such as information like spending time talking to your child,
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比如花些时间和孩子们交流,
07:15
showing them more affection,
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向他们展现更多爱意,
07:17
being more patient with your child,
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对孩子们更加有耐心,
07:19
talking to your children.
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多和孩子们沟通。
07:21
The other piece of paper was a feedback questionnaire,
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另外一张纸则是 一个反馈调查问卷,
07:23
and of course, there was a pen.
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当然,还有一支笔。
07:25
So is this simply leaflet distribution,
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所以这仅仅是宣传页发放吗?
07:29
or is this actually a possible means of delivering psychological first aid
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或者是实际的提供心理救急, 带来温暖的,安全的,充满爱意的
07:33
that provides warm, secure, loving parenting?
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育儿方式的一种可能的手段呢?
07:36
We managed to distribute 3,000 of these in just one week.
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我们做到了在一周之内就发放了 3000份这样的宣传页。
07:41
What was incredible was we had a 60 percent response rate.
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令人感到不可思议的是, 我们竟然得到了60%的反馈率。
07:45
60 percent of the 3,000 families responded.
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3000个家庭中, 有六成的家庭回复了。
07:49
I don't know how many researchers we have here today,
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我不知道今天在座的 有多少研究人员,
07:52
but that kind of response rate is fantastic.
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但是这样的反馈率可以说是惊人的。
07:54
To have that in Manchester would be a huge achievement,
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如果能够在曼彻斯特得到那样的反馈率 就已经是一个伟大的成就了,
07:58
let alone in a conflict zone in Syria --
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更别说是在叙利亚的武装冲突区域--
08:00
really highlighting how important these kinds of messages were to families.
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这足以证明那样的信息对于 那些家庭来说是多么的重要
08:07
I remember how excited and eager we were for the return of the questionnaires.
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我还记得等待回收调查问卷时 那种激动的,渴望的心情。
08:10
The families had left hundreds of messages --
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这些家庭留下了数以百计的信息--
08:13
most incredibly positive and encouraging.
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大多数都是非常正面的,鼓励性的。
08:15
But my favorite has got to be,
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但是我最喜欢的还是,
08:17
"Thank you for not forgetting about us and our children."
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“感谢你们没有忘记我们 和我们的孩子们。”
08:22
This really illustrates the potential means
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这件事指明了把心理救助送到这些家庭
08:24
of the delivery of psychological first aid to families,
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并收到他们的反馈
08:26
and the return of feedback, too.
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的可能的途径。
08:29
Just imagine replicating this using other means
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想象一下通过其他途径复制这一做法,
08:31
such as baby milk distribution, or female hygiene kits,
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比如分发婴儿奶粉 或是女士卫生巾包
08:36
or even food baskets.
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又甚至是食品篮。
08:39
But let's bring this closer to home,
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但是让我们把这件事 带进我们自身的生活
08:41
because the refugee crisis
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因为难民危机
08:42
is one that is having an effect on every single one of us.
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事实上正影响着我们每一个人。
08:46
We're bombarded with images daily of statistics and of photos,
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我们每天都被这些数据, 照片的图像轰击着,
08:50
and that's not surprising,
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这一点儿也不惊奇,
08:52
because by last month,
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因为截止到上个月,
08:53
over one million refugees had reached Europe.
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超过100万的难民已经到达欧洲。
08:56
One million.
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100万。
08:58
Refugees are joining our communities,
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难民们正加入我们的社区,
09:01
they're becoming our neighbors,
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他们成为我们的邻居,
09:03
their children are attending our children's schools.
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他们的孩子正在 我们孩子们的学校上学。
所以我们修改了传单, 以满足欧洲难民群体的需求,
09:07
So we've adapted the leaflet to meet the needs of European refugees,
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09:11
and we have them online, open-access,
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我们把这些信息放在网上,开放阅览,
09:13
in areas with a really high refugee influx.
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放置在那些有着极高难民潮的地区。
09:16
For example, the Swedish healthcare uploaded it onto their website,
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举个例子,瑞典医疗保健 将文件上传到了他们的网站上,
09:19
and within the first 45 minutes,
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在头45分钟里,
09:21
it was downloaded 343 times --
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文件就被下载了343次--
09:25
really highlighting how important it is
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这也说明了让志愿者,
09:27
for volunteers, practitioners and other parents
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医师从业人员和其他家长
09:29
to have open-access, psychological first-aid messages.
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能够开放阅览这些 心理急救文件的重要性。
2013年,我坐在冰冷的, 坚硬的难民营帐篷的地上,
09:35
In 2013, I was sitting on the cold, hard floor of a refugee camp tent
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09:41
with mothers sitting around me as I was conducting a focus group.
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母亲们围绕着我而坐, 我在举行焦点小组活动。
在我对面站着一个上了年纪的妇女,
09:45
Across from me stood an elderly lady
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09:47
with what seemed to be a 13-year-old girl lying beside her,
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她的身别躺着一个 看起来13岁大的女孩儿,
09:51
with her head on the elderly lady's knees.
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她的头依偎在那个妇女的膝盖上。
09:53
The girl stayed quiet throughout the focus group,
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那个女孩儿在整个 焦点小组过程中都保持沉默,
09:56
not talking at all,
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什么话也没说,
09:58
with her knees curled up against her chest.
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她的膝盖蜷缩在她的胸前。
10:00
Towards the end of the focus group,
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直到焦点小组活动尾声,
10:02
and as I was thanking the mothers for their time,
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正当我感谢参与的母亲们的时候,
10:05
the elderly lady looked at me while pointing at the young girl,
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那个妇女边看着我, 边指着那个年轻的女孩儿,
10:08
and said to me, "Can you help us with...?"
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她对我说,“你能够帮帮我们,吗?”
10:11
Not quite sure what she expected me to do,
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虽然不是很清楚她希望我去做些什么,
10:14
I looked at the young girl and smiled,
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我看着那个年轻的女孩儿,微笑着
10:16
and in Arabic I said,
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用阿拉伯语说,
10:17
"Salaam alaikum. Shu-ismak?"
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"Salaam alaikum. Shu-ismak?"
10:19
"What's your name?"
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“你叫什么名字?”
10:21
She looked at me really confused and unengaged,
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她看着我,十分困惑,游离,
10:24
but then said, "Halul."
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然后她说,“Halul"。
10:26
Halul is the pet's name for the Arabic female name, Hala,
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Halul是宠物的名字, 阿拉伯女名是Hala,
10:31
and is only really used to refer to really young girls.
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Halul真的只能用于称呼 年纪非常小的女孩儿。
10:35
At that point I realized that actually Hala was probably much older than 13.
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那时我突然意识到, Hala可能远不止13岁。
10:39
It turns out Hala was a 25-year-old mother to three young children.
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结果表明,Hala是一个25岁的, 三个孩子的妈妈了。
10:44
Hala had been a confident, bright, bubbly, loving, caring mother
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Hala曾经是一个自信的,阳光的, 活泼的,充满爱意的,
10:48
to her children,
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对孩子十分慈爱的母亲,
10:49
but the war had changed all of that.
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但是战争改变了这所有的一切。
10:52
She had lived through bombs being dropped in her town;
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她幸免于在她家乡投下的炸弹;
10:57
she had lived through explosions.
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她在爆炸中存活了下来。
11:00
When fighter jets were flying around their building,
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当战斗机驶过他们的楼房,
11:02
dropping bombs,
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投射炸弹,
11:03
her children would be screaming, terrified from the noise.
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她的孩子们会被那种 噪声吓到,惊恐地尖叫。
11:06
Hala would frantically grab pillows and cover her children's ears
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Hala就疯狂的抓取枕头, 捂住孩子们的耳朵
11:09
to block out the noise,
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隔离那些噪音,
11:11
all the while screaming herself.
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尽管自己在惊叫着。
11:13
When they reached the refugee camp
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当她们到达了难民营,
11:15
and she knew they were finally in some kind of safety,
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她知道他们终于得到了 一定程度上的安全,
11:18
she completely withdrew to acting like her old childhood self.
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她变得完全逃离现实, 行为像她自己童年时一样。
11:22
She completely rejected her family --
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她完全排斥了她的家庭--
11:26
her children, her husband.
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她的孩子,她的丈夫。
11:29
Hala simply could no longer cope.
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Hala仅仅是无法再面对这一切了。
11:32
This is a parenting struggle with a really tough ending,
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这是一个有着艰难结局的 育儿斗争的例子,
11:35
but sadly, it's not uncommon.
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但是不幸的是,这种情况并不罕见。
11:37
Those who experience armed conflict and displacement
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那些经历了武装冲突和移民的人们
11:40
will face serious emotional struggles.
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一定会面对严峻的情感斗争。
11:43
And that's something we can all relate to.
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而这也都与我们息息相关。
11:46
If you have been through a devastating time in your life,
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如果你的人生中曾经有过 这样毁灭性的时刻,
11:50
if you have lost someone or something you really care about,
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如果你曾经失去过你真正 关心的人或事情的话,
你又会如何继续应对呢?
11:55
how would you continue to cope?
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11:58
Could you still be able to care for yourself and for your family?
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你还能够照顾好自己和你的家人吗?
12:03
Given that the first years of a child's life are crucial
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考虑到孩子生命中的 最初几年,对于身心健康
12:06
for healthy physical and emotional development,
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是至关重要的,
12:09
and that 1.5 billion people are experiencing armed conflict --
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而那15亿人正经历着武装冲突--
12:14
many of whom are now joining our communities --
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他们中的很多 正加入到我们的社区当中--
12:17
we cannot afford to turn a blind eye
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我们不能对那些 正经历着战争,背井离乡的
12:19
to the needs of those who are experiencing war and displacement.
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人们的需求熟视无睹。
12:24
We must prioritize these families' needs --
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我们必须优先考虑这些家庭的需求--
12:27
both those who are internally displaced, and those who are refugees worldwide.
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无论是在国内流离失所的人, 还是世界范围内的难民。
12:32
These needs must be prioritized by NGO workers, policy makers,
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这些需求必须被非政府组织 工作人员,政策制定者们,
12:37
the WHO, the UNHCR and every single one of us
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世界卫生组织,联合国难民署, 还有我们每一个人
12:42
in whatever capacity it is that we function in our society.
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无论我们在社会中扮演着怎样的角色, 我们要将这些需求优先化。
12:47
When we begin to recognize the individual faces of the conflict,
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当我们开始意识到 这些冲突当中的个人存在,
12:52
when we begin to notice those intricate emotions on their faces,
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当我们开始注意到 他们脸上那些复杂的神情,
12:57
we begin to see them as humans, too.
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我们也将他们 当作人民对待,
12:59
We begin to see the needs of these families,
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我们就开始理解这些家庭的诉求,
13:02
and these are the real human needs.
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这些都是人类所真正需要的。
13:05
When these family needs are prioritized,
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当这些家庭的需求被优先对待,
13:08
interventions for children in humanitarian settings
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对于孩子的人道主义干预将被优先化
13:11
will prioritize and recognize the primary role of the family in supporting children.
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人们将认识到家庭 在抚养孩子问题上的根基地位。
13:17
Family mental health will be shouting loud and clear
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家庭精神健康问题将会 在世界范围内,国际日程表中,
13:20
in global, international agenda.
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被大声的,清晰的喊叫出来。
13:22
And children will be less likely to enter social service systems
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那些孩子就减少了在移民国家
13:26
in resettlement countries
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进入社会福利系统的几率,
13:28
because their families would have had support earlier on.
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因为他们的父母 在更早的时候就得到了支持。
13:32
And we will be more open-minded,
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我们将会变得更加开放,
13:35
more welcoming, more caring
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更加欢迎,更加关怀,
13:36
and more trusting to those who are joining our communities.
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更加信任那些加入我们社区的人们。
13:41
We need to stop wars.
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我们要停止战争。
13:44
We need to build a world where children can dream of planes dropping gifts,
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我们要去建造这样一个世界, 那里的孩子们会梦想飞机投下礼物
13:49
and not bombs.
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而非炸弹。
13:51
Until we stop armed conflicts raging throughout the world,
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直到我们结束 世界范围内的武装冲突之前,
13:55
families will continue to be displaced,
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家庭还会继续流离,
13:57
leaving children vulnerable.
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继续使孩子们脆弱。
13:59
But by improving parenting and caregiver support,
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但是通过加强父母育儿 和照料者的支持,
14:02
it may be possible to weaken the links between war and psychological difficulties
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我们还是有可能去减弱 在孩子和家庭中发生的
14:08
in children and their families.
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战争与心理创伤之间的关联性的。
14:10
Thank you.
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谢谢。
14:11
(Applause)
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(掌声)
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