A few months ago, Dr. Ken Duckworth, a psychiatrist（心理医生） in Massachusetts, was swimming in his community's pool, chatting with other swimmers. When he mentioned his career, one man wanted Duckworth’s opinion on his struggles with depression; another asked for advice on a family member's mental illness.

“I was sort of amazed. They were talking openly about their mental disabilities with a stranger in a swimming locker room, ” said Duckworth, “That wouldn't have happened 15 years ago. ”

New research shows that these swimmers aren't the only ones opening up. According to a new study, more American adults than ever are reporting being disabled by the symptoms of depression, anxiety or other emotional problems.

The report, published Thursday in the American Journal of Public Health, found that people who said they couldn’t perform everyday tasks or engage in social and leisure activities because of a mental illness increased from 2 percent in 1999 to 2.7 percent in 2009. That increase amounts to nearly 2 million more people disabled by mental distress (痛苦) in the past decade, the report said.

Although people did not say they felt more mental distressed compared to past years, they reported that their mental health problems had a greater impact on their daily lives.

Dr. Ramin Mojtabai, the study's author, said it's unclear whether the findings tell a sad story of greater mental distress in recent times or point to a victory for public education about the importance of acknowledging and evaluating mental illness.

“It is possible that people are realizing the effects of mental illness more acutely now than before," he said. "People could be becoming more aware. ”

Mojtabai said it's also possible that a number of factors could be taking a toll on the population's mental well-being. High unemployment, economic hardships and a growing sense of isolation could be putting greater stress on Americans.

But Duckworth said there could be a more positive explanation -- like his fellow swimmers, people may be getting more comfortable with talking about their mental distress.

“I wonder if this tells us that American culture is becoming more open and is giving people the ability to speak about it,” he said. “If people have this problem and are willing to acknowledge it, then we're getting closer to dealing with it.”

1.Why was Dr. Ken Duckworth surprised when other swimmers talked about the depression with him?

A．He hadn’t expected those swimmers had so many questions.

B．He didn’t know there would be so many people suffering mental disabilities.

C．People wouldn’t talk about their mental disabilities with a stranger in the past.

D．It amazed him that people were becoming more and more open-hearted.

2.Which of the statements may Dr. Ramin Mojtabai agree?

A．More and more people are suffering mental distress nowadays.

B．People may be more willing to acknowledge their mental illness.

C．People are becoming more and more aware of the effects of mental illness.

D．The public education about the importance of acknowledging mental illness is successful.

3.What does the underline phrase “taking a toll on” in para.8 mean?

A．making a contribution to

B．taking part in

C．playing a part in

D．doing harm to

4.What’s the best title of the text?

A．How mental illness come about?

B．Swimmers with mental illness puzzled psychiatrist.

C．Study shows more mental illness.

D．You should have an accurate attitude towards mental illness.

40 years ago the idea of disabled people doing sport was never heard of. But when the yearly games for the disabled were started at Stoke Mandeville, England in 1948 by Sir Ludwig Guttmann, the situation began to change.
Sir Ludwig Guttmann, who had been driven to England in 1939 from Nazi Germany, had been asked by the British government to set up an injuries center at Stoke Mandeville Hospital near London, His ideas about treating injuries included sport for the disabled.
In the first games just two teams of injured soldiers took part .The next year, 1949, five teams took part. From those beginnings, things have developed fast. Teams now come from abroad to Stoke Mandeville every year. In 1990 the first Olympics for the disabled were held in Rome, in the same place as the normal Olympic Games. Now, every four years the Olympic Games for the disabled are held, if possible, in the same place as the normal Olympic Games, although they are organized separately. In other years games for the disabled are still held at Stoke Mandeville, In the 1984 Wheelchair Olympic Games, 1,064 wheelchair athletes form about 40 countries took part. Unfortunately, they were held at Stoke Mandeville and not in Los Angeles, along with the other Olympics.
The games have been a great success in helping the progress of international friendship and understanding, and in proving that being disabled does not mean you can’t enjoy sport. One small source of disappointment for those who organize and take part in the games, however, has been the unwillingness of the International Olympic Committee to include disabled events at the Olympic Games for the able-bodied. Perhaps a few more years are still needed to persuade those fortunate enough not to be disabled that their disabled fellow athletes should be included.
【小题1】The first games for the disabled were held ___ after Sir Ludwig Guttmann arrived in England.

A few months ago, Dr. Ken Duckworth, a psychiatrist（心理医生） in Massachusetts, was swimming in his community's pool, chatting with other swimmers. When he mentioned his career, one man wanted Duckworth’s opinion on his struggles with depression; another asked for advice on a family member's mental illness.
“I was sort of amazed. They were talking openly about their mental disabilities with a stranger in a swimming locker room, ” said Duckworth, “That wouldn't have happened 15 years ago. ”
New research shows that these swimmers aren't the only ones opening up. According to a new study, more American adults than ever are reporting being disabled by the symptoms of depression, anxiety or other emotional problems.
The report, published Thursday in the American Journal of Public Health, found that people who said they couldn’t perform everyday tasks or engage in social and leisure activities because of a mental illness increased from 2 percent in 1999 to 2.7 percent in 2009. That increase amounts to nearly 2 million more people disabled by mental distress (痛苦) in the past decade, the report said.
Although people did not say they felt more mental distressed compared to past years, they reported that their mental health problems had a greater impact on their daily lives.
Dr. Ramin Mojtabai, the study's author, said it's unclear whether the findings tell a sad story of greater mental distress in recent times or point to a victory for public education about the importance of acknowledging and evaluating mental illness.
“It is possible that people are realizing the effects of mental illness more acutely now than before," he said. "People could be becoming more aware. ”
Mojtabai said it's also possible that a number of factors could be taking a toll on the population's mental well-being. High unemployment, economic hardships and a growing sense of isolation could be putting greater stress on Americans.
But Duckworth said there could be a more positive explanation -- like his fellow swimmers, people may be getting more comfortable with talking about their mental distress.
“I wonder if this tells us that American culture is becoming more open and is giving people the ability to speak about it,” he said. “If people have this problem and are willing to acknowledge it, then we're getting closer to dealing with it.”
【小题1】Why was Dr. Ken Duckworth surprised when other swimmers talked about the depression with him?

In 1982, I was a young marketing person in a company in Mumbai. I had a very senior colleague named Paul, who taught me how to  36   marketing effectively and how to deal with life  37  .
It was one of those  38   days…management, sales calls, planning my travel schedule, booking hotels, arranging appointments and the   39   was endless. By the end of the day, I was not only exhausted but was getting  40  . It was at this time that Paul invited me to his house to have a rest.
We made our way to Paul’s house. Although  41   after a day’s hard work, I was excited to chat with Paul and  42  his rich experience in marketing. As we entered his house  43  the main door, Paul started singing his favourite song, I have a dream. I was in no  44  to listen to his song. I only wanted to hear about how he handled  45   sales calls.
As I leaned over Paul’s shoulder to tell him that, two young girls walked up to Paul and hugged him. They couldn’t walk steadily, and neither could they talk  　46 　 , but their faces were full of  47   and they also sang a song: No mummy’s kisses only daddy’s smiles; nobody wants us, and daddy hugs us tonight.
I was watching what was going on, totally  48   in the beautiful singing, when Paul tapped me on the shoulder and asked me to sit down.  49  to know, I asked Paul who these girls were. To my  50  , Paul told me they were his daughters and they were born as “  51　 children” (mentally disabled). His wife died and he was both Mother and Father to them.
I was moved to tears. In the office, no one knew what Paul was   52  in his personal life. He never looked for   53  from his friends and colleagues. On the contrary, he always helped us at the office. And being head of the Department, he always  54  us to move forward in life.
Paul’s life has been a great  55  to me. If a man can smile through these troubles, nothing can prevent him from achieving success in work or life.