永无止境美国火灾更大危险来临!大火持续烧,洛杉矶却传来“好消息”_我的网站
一 | 声明:本文内容均是根据权威资料结合个人观点撰写的原创内容,在今日头条全网首发72小时,感谢各位看官点击支持原创,文末已标注文献来源及截图,请知悉。 As government scrutiny and even some statewide TikTok bans trickle in, concerns about the app’s impact on youth mental health are often repeated. Among the concerned are the bereft parents of a teen who killed himself last year, reportedly after seeing self-harm content on TikTok. While states and some organizations decide whether TikTok poses enough danger to warrant a ban, I want to sound the alarm about an online mental health risk that’s even more chronic and not limited to TikTok: an epidemic of self-diagnosis, fueled by social media, that’s leading to improper treatment, missed treatment and the trivialization of serious mental health conditions. If there’s a silver lining to the COVID-era mental health crisis, it’s that people seem more willing than ever to talk about mental health struggles with friends, with colleagues and sometimes to the whole world online. Even better, they’re willing to get help. The percentage of adults aged 18 to 44 seeking mental health treatment rose significantly during the first years of the pandemic, according to data from the Centers for Disease Control and Prevention. If you spend any time online, you can’t miss the new candor about mental health conditions. TikTok and Instagram influencers share their struggles and diagnoses on camera. In recent years, executives on LinkedIn have shared photos of antidepressant medication with the hashtag #PostYourPill. Actor-singer-beauty mogul Selena Gomez launched an entire content platform focused on “mental fitness.” Conditions such as anxiety disorder, ADHD and OCD are not only being de-stigmatized, in some contexts, they’re trending. Open discussion of mental health is undoubtedly a good thing when it eradicates shame, results in people feeling less alone or motivates somebody to seek needed professional care. But in this new era of openness, we risk oversimplification and even trivialization of complex medical conditions, increasing the risk of overtreatment for some, undertreatment for others and overall mistreatment of people exposed to a cacophony of mental health conversations online but lacking access to balanced, authoritative information and quality clinical care. Let’s say a young woman perusing TikTok sees an influencer sharing that he has attention-deficit/hyperactivity disorder, then – thanks to social media algorithms – over the next week, more ADHD-related content appears in the young woman’s feed. Some of the symptoms feel relatable, so she does a YouTube search on ADHD. After watching a few of the thousands of videos on the topic, she decides that she herself has ADHD. This is not unusual. Some therapists at Talkspace, where I serve as the chief medical officer, report they have clients coming to sessions with more complex or specific self-diagnoses. Whereas a client might have said, “I think I’m depressed,” a few years ago, now more are saying, “I think I have borderline personality disorder” or “I think I’m on the autism spectrum.” Such self-diagnosis can be dangerous. When a social media user becomes convinced that they have a mental health disorder, it can lead them to seek inappropriate treatments. They may announce their self-diagnosis to a primary care provider who doesn’t have sufficient mental health expertise to appropriately evaluate the presenting symptoms. Or the patient may wind up using a telehealth provider to get a prescription medication that’s not helpful or is dangerous. In the case of the hypothetical young woman above, she’d likely be seeing ads for ADHD-focused telehealth prescribers within days, if not minutes, of initially engaging with ADHD influencers. Diagnosing a mental health disorder isn’t as simple as checking off a list of symptoms. Many healthy people experience symptoms of a mental health condition, but the true measure of whether those symptoms merit a diagnosis and treatment is whether they impair the individual’s ability to function. That determination requires working with a licensed mental health professional to evaluate the frequency, intensity, severity and specificity of those symptoms, and understand them within the broader context of life events, stressors and family history. A “reel” diagnosis needs a real-life one To address the “TikTok effect” and stop the dangers of self-diagnosis, mental health professionals must meet people where they are: online and actively searching for answers, inadvertently creating a curated feed. Social media companies and other platforms with user-generated content have a responsibility to create guardrails that ensure clinically-vetted and accurate information is within reach of anybody seeking content about mental health conditions. For example, if you enter the search terms “depression” or “suicide” into Instagram, you’re offered a list of mental health resources. However, searches related to specific conditions like OCD, ADHD and Tourette’s link directly to memes and user-generated videos of (to put it generously) mixed quality. Since the start of the pandemic, we’ve seen how quickly social platforms could flag content related to COVID or vaccines and direct people to CDC information on those topics. Therefore, it does not seem unreasonable to expect the same for content around sensitive mental health topics. When somebody hears about a condition online and believes, correctly or not, that it affects them, they are more likely to feel worried, triggered or even distraught. Thankfully, that same technology can quickly link them with mental health care without stigma or stress and allow them to find real answers under a professional’s guidance – if they land at a responsible, high-quality source of tele-mental health. We recently revamped our own site to provide clinical insights from a dedicated team of licensed, practicing clinicians to add dimension to the spectrum between experiencing symptoms and having a condition. Unfortunately, some telehealth services are all too quick to prescribe medications, including controlled substances, based solely on answers to online questions. At Talkspace, I am personally committed to our policy of not prescribing controlled substances online. When our board-certified psychiatrists and psychiatric nurse practitioners do prescribe medication, it is only after live video consultations and a comprehensive psychiatric evaluation. Because mental health conditions are so much more complex than what can be captured by a checklist of symptoms, I’m wary of any company that prescribes without live consultations. When digital health companies feed into the misconception that everyone with depressive symptoms is clinically depressed or anyone who’s easily distracted has ADHD, they risk hurting more people than they help. At a time when it’s all too easy for both the worried well and people with serious mental health conditions to self-diagnose online, it’s imperative that both social media and digital health companies do everything possible to direct vulnerable audiences to trustworthy information and comprehensive, ethical care. 。作为硅谷和好莱坞的大本营,位于美国西海岸地区的加利福尼亚州可以说是“富得流油”的地方。2023年加州GDP总量高达3.86万亿美元,如果把加州当成一个独立经济体的话,它完全能够跻身全球十大经济体行列。加州经济核心城市洛杉矶,不仅是美国上层名流的聚集地,甚至还有很多我国的“二代”群体到此定居。
二 | 然而,就是在这个加州最繁华的地区,竟然发生了持续时间超过一周的山林大火。截至1月15日,包括伊顿野火、帕利塞德野火在内的六场野火还没有完全得到控制。在这种情况下,洛杉矶却传来“好消息”,到底是怎么回事呢?一、来势凶猛的大火根据来自洛杉矶消防部门的数据,1月7日燃起的多处野火已经造成超过4万英亩(约合162平方公里)面积受灾。其中蔓延面积最大、造成财产损失最严重的是帕利塞德野火。帕利塞德野火指的是一处从太平洋帕利塞德社区燃起的野火。这处野火的过火面积超过2.3万英亩,并且直到今天当地消防部门仅控制了其中不到50%的火灾区域。由于太平洋帕利塞德社区距离马里布海滨景区非常近,这处“村庄”式社区一直是好莱坞明星聚居区。
三 | 尤金・列维从2021年开始担任“帕利塞德荣誉市长”,这位加拿大籍著名导演兼制片人的儿子,在社交媒体上分享了他家房子被野火摧毁的惨痛经历。这栋见证了列维父子两代人成长经历的390万美元房产,如今只剩下大门立在那里。希尔顿集团创始人的孙女帕丽斯・希尔顿,也是一位“火灾受害者”,这位模特兼真人秀演员曾在马里布海滨景区购置了一栋840万美元的房产。在社交平台的直播间里,帕丽斯・希尔顿分享一段她家房子被毁的监控画面。包括这栋房子里收藏的奢侈品在内,帕丽斯・希尔顿的财产损失很可能超过1000万美元。特别值得关注的是,这些帕利塞德野火的富豪受害者很有可能得不到一分钱的保险理赔。根据美媒报道,加州多家保险公司早在去年三月份就宣布不会为保险到期或者新投保的业主,提供房屋火灾险服务。著名导演泰勒・佩里愤怒谴责贪婪的保险公司,抛弃了赏给他们饭吃的客户。二、精彩的“甩锅大戏”按理说全球保险公司都会拼命推销自家的产品,美国的保险公司完全没有理由拒绝为洛杉矶业主提供服务。之所以有数百万份保险被拒绝续保,主要和加州消防工作存在的巨大隐患有关。
四 | 事实上加州一直是美国山火频发的高危区,然而让人想不通的是加州竟然在去年批准的预算案中,削减了1700多万美元的消防预算。按照一些加州网友的猜测,现任加州州长民主党人加文・纽森为了贯彻拜登和哈里斯主张的“移民政策”,将大笔预算用在了那些非法移民保障项目中。由于美国特殊的联邦共和制度,白宫很难直接影响各州的财政预算工作,所以加州网友谴责加文・纽森不作为完全有理有据。
五 | 然而,这位极端左翼人士却不愿意背洛杉矶大火的“锅”。综合加州和洛杉矶两方的官方消息,目前老美锁定的“背锅侠”主要有两个。第一,极端天气。从去年四季度开始洛杉矶地区的降水严重偏少,再加上最近“圣安娜风”带来的时速超过90公里的狂风影响,星星之火也可以引发无法控制的野火。第二,无德富人。站在道德制高点上的加文・纽森,强烈谴责那些不遵守加州节水令的富人,“识相的”加州林业消防局也发表声明称95%的野火和“人为因素”有关。
六 | 需要注意的是,“人为因素”并不等于故意纵火,比如那些随意丢弃的烟头或者电线蹦出的火花,都属于加州官方所说的“人为因素”。
七 | 三、洛杉矶的“好消息”在1月12日举行的新闻发布会上,洛杉矶警长罗伯特·卢纳因为一句不当言论被怼上了热搜。当这位负责救灾工作的警长介绍完16人死亡、16人活不见人的消息后,他竟然说:“还有一个好消息,目前遇难和失踪人员里没有未成年人。”当罗伯特·卢纳说出这番话的时候,他显然忘记了那些失去亲人、失去房产的人有多痛苦。一位加州网友评论道:“真希望罗伯特·卢纳也能经历这样的‘幸运’。”还有网友表示:“罗伯特·卢纳的言论体现了加文・纽森领导下的民主党州政府的虚伪无情。”让人感到毛骨悚然的是,很多美国网友怀疑加州州长纵容大火蔓延。特别值得关注的是,洛杉矶已经确定将在2028年举办第34届夏季奥运会,对于任期将在2027年1月结束的加文・纽森来说,筹备洛杉矶奥运会不仅是重要的政治遗产,也是民主党继续掌控加州政坛的制胜因素。洛杉矶的房价一直居高不下,比如此次受灾严重的太平洋帕利塞德社区地皮均价超过300万美元。再加上美国实行永久土地产权,所以洛杉矶奥运会的土地征收工作难比登天。加州政府在火灾发生前大幅削减消防预算,面对灾难又不肯出动国民警卫队参与救灾,美国网友的怀疑并非毫无根据。如果2028年洛杉矶奥运会真的在一片焦土上开始筹办,这种“带血”的奥运会你觉得还会有人愿意去看吗?结语洛杉矶大火绝不是极端天气造成的自然灾害那么简单,它背后暴露出来的美国政客丑恶嘴脸才是这场“人祸”的关键。用“没有未成年人失踪”这种好消息搪塞洛杉矶居民的美国政客,显然没有把自己放在受灾居民的角度上考虑问题。那么,你怎么看美国发生的这场大火呢?欢迎在评论区留言讨论,喜欢我们的文章,麻烦大家点个关注哦!参考资料:《美警方:已确认16人因山火死亡,另有16人失踪》https://baijiahao.baidu.com/s?id=1821086334078690962&wfr=spider&for=pc《美加州林业消防局称该州95%山火是“人为造成”,正调查洛杉矶县大火起因》https://baijiahao.baidu.com/s?id=1821272577660833979&wfr=spider&for=pc。
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