Back in late 2025, when Keir Starmer’s grip(掌控，控制) on the Labour party was loosening and Reform UK(英国改革党，右翼民粹政党) was still in its pomp(处于鼎盛时期), the then health secretary, Wes Streeting(英国前卫生大臣), commissioned(委托，委任) what the government called its “Independent review into prevalence(患病率，普遍程度) and support for mental health conditions, ADHD and autism(注意缺陷多动障碍与自闭症)”.
早在2025年底，当基尔·斯塔默对工党的掌控逐渐松动、改革英国党仍气势如虹之时，时任卫生大臣韦斯·斯特里廷委托开展了一项政府称之为'关于心理健康状况、ADHD和自闭症患病率及支持情况的独立评估'的工作。
Here, it seemed, was not just an inquiry(调查，询问) into England’s ever-extending waiting lists for the diagnosis of mental illness and neurodevelopmental conditions, and the dire(极其严重的，可怕的) lack of support for people who experience one or both of them. The review would also dovetail(吻合，与……契合) with two other huge issues: mounting claims of “overdiagnosis”, which Streeting had appeared to partly endorse(赞同，支持), and the government’s drive for the reform of so-called welfare. An apparently well-briefed piece in the Times seemed to speak volumes(意味深长，说明很多问题): work led by the renowned psychologist Peter Fonagy(著名心理学家), it said, was commencing just “as Labour seeks a fresh crackdown(严厉打击，镇压) on welfare spending” amid diagnoses “which have become the most common reason for a sickness benefit(疾病福利金) claim”.
这项评估似乎不仅仅是对英格兰不断延长的精神疾病和神经发育状况诊断等待名单，以及对患有其中一种或两种状况者支持严重匮乏的调查。它还将与另外两个重大问题交织在一起：日益高涨的'过度诊断'说法——斯特里廷似乎部分认同——以及政府推动所谓福利改革的努力。《泰晤士报》一篇显然得到内部消息的文章似乎意味深长：报道称，著名心理学家彼得·福纳吉领导的工作启动之际，正值'工党寻求新一轮福利开支整顿'，而诊断'已成为申请疾病福利最常见的原因'。
Last Friday saw the publication of the 600-page final report Fonagy had co-authored(合著，共同撰写) with Gillian Baird – a specialist in paediatric(儿科的) neurodisability – and the psychiatrist Simon Wessely. And, as so often happens with such inquiries, its interpretation suggested the media’s equivalent of a Rorschach blot(罗夏墨迹测验). One of the Guardian’s headlines was “No ‘snowflakes('雪花一代'，贬称敏感年轻人)’: mental health review says today’s youth have it harder and harms are real”. The Mail, by contrast, yelled out a rather different message – “Rush to diagnose ADHD and autism can damage children” – while the Telegraph went for “ADHD surge(激增，猛增) fuelled(被推动，被助长) by benefits, report warns”.
上周五，福纳吉与儿科神经残疾专家吉莉安·贝尔德以及精神病学家西蒙·韦塞利共同撰写的600页最终报告发布。正如这类调查常常发生的那样，对它的解读就像媒体版的罗夏墨迹测验。 《卫报》的一个标题是'没有'雪花一代'：心理健康评估称当今年轻人处境更难，伤害是真实的'。《每日邮报》则喊出截然不同的信息——'急于诊断ADHD和自闭症可能伤害儿童'——而《每日电讯报》选择'报告警告：福利推动ADHD激增'。