V O Over the years the power dynamic has随着时间的推移，权力格局发生了变化，不再由“一方是给子者，另一方是接受changed and is no longer defined by one being the giver者”定义。那么，这对我们与家人的关系and another, the taker. @So,what does this say for our有何意义呢？relationships within the familyhome?V According to psychologist Sabina Read,there根据心理学家萨宾娜·里德的说法：“当成年子女与家人同住时，可能会有一are"some verypositive possible32when adult些非常积极的结果”，她指出，在这一过程children share the family home", noting the"parent-child中“亲子关系可能确实会得到巩固、变得relationship may indeed strengthen and mature"in the成熟”。process.词汇注释与难句分析·①dynamic[dal'nemik]n.动态S@matureEmo'tfuo]v.成热According to psychologist Sabina Read, there are"some very positive possible outcomes when adult childrenshare the family home", noting the“parent-child relationship may indeed strengthen and mature" in the process.According to psychologist Sabine Read,there are"some very positive possible outcomes状语therebe结构现在分词结构作伴随状语时间状语从句noting the... in the process.when adult children share the family home",引导词主语谓语宾语·解题思路·32.答案：J）outcomes【确定词性】someverypositivepossible实际充当therebe句式中的主语，系动词are为复数形式，空格词应为名词复数。【锁定答案】空格句间接援引心理学家之言指出“成年子女与母同住的好处”：当成年子女与家人同住时，可能会产生一些非常积极的，亲子关系可能确实会得到巩固、变得成熟。可见，空格词应该是“得到巩固、变得成熟”的上义词，应表“结果/变化/影响”等，正确。M But,she notes,a strong33_doesn't simply但她特别提到，牢固的关系并非单come with time. "The many changing factors of the纯随时间而来。“我们需要承认，亲子关系存在诸多变数，而不是寄希望于仅靠relationship need to be acknowledged,rather than hoping时间的推移就能魔法般地将父母和成年that the merepassageof time will34connect子女联结在一起。关键是要承认亲子关parents to their adult children.③It'simportantto系的决定因素已经发生了变化，以避免acknowledge that the relationship parametershave退回到青少年时期的（相处）模式。”changed to avoid falling back into35from the teenyears."[287 words]·词汇注释与难句分析·①acknowledgeok'nplid3v承认①parameterpo'remita]n，参数，决定因素②mere[mia］a.仅仅的，只不过fallbackinto重回到，重新陷入?passage［'pesids]n，（时间的）流逝，推移6
·解题思路·33.答案：A）bond34.答案：1）magically【确定词性】a strong33为全句主语，空33由冠词a限定，应为可数名词单数。空34所在that从句成分完整：themerepassageoftime（主语）十will34connect（谓语）十parents（宾语）十totheiradultchildren（宾补），故空34应为副词。【锁定答案】末段首两句大意为：强大/牢固的33并非单纯随时间而来，我们得承认亲子关系存在诸多变数，而不能寄希望于仅靠时间就能34将父母和成年子女联结在一起。结合上段“成年子女与父母久居可能有益于亲子关系”及But体现出的段际转折逻辑可推知，本句语义应指向“子女与父母同住的时间并非影响亲子关系的单一因素”，故空33应与relationship近义，呼应connectparentstotheiradultchildren，表示“（亲子）关系/联系/纽带”，A正确：空34则应侧面体现出“单靠时间推移即可强化亲子关系”这一主观意愿（hoping）的不切实际，I符合文意。35.答案：K）patterns【确定词性】空格前为介词into，后为另一介词短语fromtheteenyears，空格词应为名词，作into的宾语。【锁定答案】空格句前半部分提出建议“要承认亲子关系的决定因素发生了变化”，后半部分明确目的“以避免退回到从青少年时期开始的”。其中，“亲子关系的决定因素发生了变化”指向V段“随着时间的推移，子女和父母不再是接受者和给予者的关系”，结合本段①句”亲子关系不会单纯随时间推移变牢固”可推断出末句的隐含信息：青少年子女与父母为“接受者一给予者”关系，两者同住时的相处方式多有缺陷：随着青少年子女长大成人，其与父母的关系发生变化，同住时的相处方式也相应改变。即，认识到亲子关系的变化是避免采取（青少年时期）错误相处模式/角色定位的关键，K符合文意。N）stereotypes干扰性较强，但该词表示“（对某一群体的）刻板印象，成见”，侧重于抽象观念，而文章探讨“成年子女与父母同住的方式”，侧重于具体行为，相较之下，K为更优选。Section B远程医疗如何颠覆医疗保健一、总体分析本文选自TheWall StreetJournal《华尔街日报》2016年6月26日文章HowTelemedicineisTransformingHealthCare（远程医疗如何颠覆医疗保健）。文章聚焦远程医疗的最新发展，揭示了其对传统医疗保健的颠覆性影响，着重探讨了远程医疗发展过程中存在的问题和挑战并介绍了相关应对措施二、试题分析试题定位词核心义家庭医生对远程医疗的36.Anoverwhelmingmajorityoffamilyphysicians[1] family physicians态度：若能得到适当报are willing to use telemedicine if they are dulypaid.[2] duly paid酬刘大多愿意选择。37.Many employers are eager to providetelemedicine庭主对远程医疗的态[1] benefit to their employeesservice as a benefit to their employees because of its度：因其便利而急于提[2]convenience供给屋员。convenience,远程医疗的规章：各州38.Different states have markedly different regulationsE1] markedly different regulationsfor telemedicine.过然相异。39. With telemedicine, patients in regions short of远程医疗的益处：为缺[i] regions shortof professional乏专业医疗服务的地区professional medical service are able to receive bettermedical servicemedical care.提供更好的医疗服务。7
续表试题定位词核心义40. Unlike employers and health plans, insurers have保险公司对远程医疗的[i insurers态度：不愿为其中一些been rather reluctant to pay for some telemedicine[2] reluctant to pay服务买单。services.远程医疗支持者的希4l,Some supporters of telemedicine hope states willEil supporters冀：各州认可彼此的行[2]licensesaccept each other's medical practice licenses as valid.医执照。[i] The fastest growing area42.The fastestgrowing area for telemedicine services远程医疗发展最快的领域：较轻微的健康问题。is for lesser health problems.[2] lesser health problems选程医疗反对者的质43. As telemedicine spreads quickly.some of its[1]J opponentsopponentsdoubt whether its service quality can be疑：远程医疗的质量得2itsservice quality不到保障。guaranteed44. The results obtained by researchers who pretended[1 researchers who pretended伪装成病人寻求远程医to bepatients seekinghelp from telemedicineto be patients疗帮助的研究人员的发[2] disturbing现：令人不安。providers are disturbing.一些人对各州规章过异45. Some people argue that the fact that different[1] different regulations的看法：阻碍远程医疗states have different regulations concerning medica[2] hinders the development发展。services hinders the development of telemedicine.·词汇注释与难句分析·①overwhelmingouva'welmia.巨大的，压倒性的?lesser［'lesa］a.（范国或程度）较小的，次要的②telemedicine'tellimedisin]n，远程医疗opponent[a'paunant]n.反对者，敌手duly'djuliad.适当地，恰当地①guaranteeLigaeran'ti:].保证，保障valid'velida.有效的，认可的③hinder“hindaw.阻碍，打扰定位词选取原则：（1）排除telemedicine(services），medicalservice、medicalcare等多次复现的信息。（2）优先选择具有区分度的人、物相关名词短语，如familyphysicians、regionsshortofprofessionalmedicalservice、insurers、benefittotheiremployees、licenses，researcherswhopretendedtobepatients；（3）补充选择其他具有区辨性的表达， duly paid,reluctant to pay,disturbing,hinders the development。解题思维原则：（略，详见2020年7月真题答案与详解）三、速读巧解How Telemedicine is Transforming Healthcare远程医疗如何颠覆医疗保健A) OAfter years of big promises, telemedicine is finally在多年被叫好之后，远程医疗终于living up to its potential. Driven by faster internet绽放了其潜能。在互联网连接加速，智connections，ubiquitous（无处不在的）smartphonesand能手机普及、保险标准变化的推动下，越来越多的医疗服务提供者开始借助changing insurance standards, more health providers are turning电子通信来开展工作一一而这正在颠to electroniccommunications to do their jobsand its覆医疗保健的交付。dramatically changing the delivery of healthcare.如今医生通过手机、电邮和网络B)ODoctors are linking up with patients by phone,摄像头与病人连接，他们还借助电子emailandwebcam（网络摄像头）.?Theyrealsoconsulting一有时是为了在(病设备相互请教witheachotherelectronicallysometimestomake人）突发心脏病和中风时作出瞬间决策。split-second decisions on heart attacksand strokes.8
与此同时，病人借助新型设备将其血@Patients, meanwhile, are using new devices to relay压、心率及其他生命体征传给医生，这their blood pressure, heart rate and other vital signs to样他们就能在家对付慢性病。远程医their doctors so they can manage chronic conditions at疗还可以为那些很难获得医疗专业知home.OTelemedicine also allows for better care in places识的地方提供更优质的医疗。每天wheremedicalexpertiseishardto comeby,Fivetolo5～10次，无国界医生组织将其旗下医times a day, Doctors Without Borders relays questions生在尼日尔、南苏丹及其他地区遇到的about tough cases from its physicians in Niger, South Sudan疑难病例的问题传送到其由全球280and elsewhere to its network of 280 experts around the名专家组成的专家网络中，然后再通过world, and back again via the internet.互联网传回到各地医生手中。试结合以下信息体会远程医疗的C) As a measure of how rapidly telemedicine is spreading.快速发展：根据行业组织美国远程医疗consider: More than 15 million Americans received some协会的数据，去年有超过1500万美国kind of medical care remotely last year, according to the人接受了某种远程医疗服务，该协会预American Telemedicine Association, a trade group, which计今年这一数字还将上升30%。expects those numbers to grow by 30% this year.词汇注释与难句分析①liveupto达到，不辜负stroke[strauk]n.中风②electronicEnlek'trpnika.电子的①relay［'rile].转送，转发③delivery[dr'livari]n，交付，递送vital［'vaitl]a.生命的；维持生命所必需的①split-secondEisplnt'sekond]a，一瞬间作出的；做得非chronic condition慢性病常精确的expertiseiekspa:tiz]n.专门知识，专门技能heartattack心脏病发作comeby得到·速读巧解·A一C段提出全文主题：远程医疗迅猛发展，颠覆传统医疗方式。A段总述远程医疗的发展现状、动力来源以及颠覆性影响。首句Afteryearsofbigpromises、finallylivingupto itspotential直陈远程医疗被唱好多年之后现如今的发展态势“潜力尽显”。末句Drivenby...morehealthprovidersareturningto...andit'sdramaticallychanging...进而明确其发展的动力来源“互联网的加速、智能手机的普及、保险标准的变更”及其颠覆性影响“改变传统的医疗保健方式”。全段核心信息为：（1）远程医疗的现状：（2）远程医疗发展的动力：（3）远程医疗的颠爱性影响。【定位词定位】无。B段具体介绍远程医疗如何改变传统医疗方式。首四句Doctorsare..，They'realso...Patients，meanwhile，are..Telemedicinealsoallowsfor...依次介绍远程医疗给医生、病人以及医疗资源落后地区带来的影响：医生可针对突发状况作出瞬时决策、病人可在家治疗慢性病、医疗欠发达地区可获得更好的医疗服务，分别从医疗主体/对象、疾病类型、地城范围全面论证远程医疗的颠覆性影响。末句接引具体事例（DoctorsWithoutBorders），分别从日均频度（Fiveto1otimesaday）、全球地域范国（inNiger.SouthSudanandelsewhere）、全球专家联络网（networkof280expertsaroundtheworld）展示了该组织的“强大影响力”。全段核心信息为：（1）远程医疗给医生、病人、医疗落后地区带来的影响：（2）“无国界医生组织”的影响力。【定位词定位】39题regionsshortofprofessionalmedicalservice对应句placeswheremedicalexpertiseis hard to come by【核心义匹配】①句“远程医疗为那些很难获得医疗专业知识的地方提供更优质的医疗”与39题核心义匹配C段援引数据说明远程医疗的快速发展。本段独句成段，Asameasureofhowrapidly..·consider明确此段意在介绍远程医疗的发展速度.15million、growby30%共同凸显远程医疗的快速发展态势。全段核心信息为：远程医疗的快速发展。【定位词定位】无。9
D) None of this is to say that telemedicine has这并不是说远程医疗已经渗透到医疗found its way into all corners of medicine. A recent的各个角落。最近一项针对500名精通技surveyof500tec/rsauy（精通技术的）consumersfound术的消费者的调查发现，39%的人从未听that 39% hadn't heard of telemedicine, and of those说过远程医疗：而那些未曾使用过远程医疗who haven't used it,42%said theypreferred的人中，42%表示他们更喜欢亲自去看医in-persondoctor visits.@In a pollof 1,500 family生。在对1500名家庭医生的调查中，只有15%曾在执业过程中使用过远程医疗physicians, only 15% had used it in their practices-不过90%表示，如果能够得到适当补偿，他but 90% said they would if it were appropriately们愿意使用远程医疗reimbursed（补偿）.此外，远程医疗尽管发展迅速，但仍存E) OWhat's more, for all the rapid growth,?Rules在重大问题和挑战。各州对远程医疗的定significant questions and challenges remain.义和管理规则存在巨大差异。针对提供何defining and regulating telemedicine differ widely from种医疗服务恰当以及应该以何种方式提供state to state. @ Physicians groups are issuing等问题，医生团体正在发布不同的指导different guidelinesabout what care they consider方针。appropriate to deliver and in what form.一些批评人士也质疑远程医疗的质量F) OSome critics also question whether the quality是否能跟上其迅速发晨的速度。还有个问of care is keeping up withthe rapid expansion of题是，医生应该对哪此服务收费医疗计划telemedicine, And there's the question of what services不同，保险覆盖范国也不同，而大型联邦医physicians should be paid for:Insurance coverage varies疗计划只覆盖一小部分医疗服务。远程医from health plan to health plan, and a big federal plan疗的未来将取决于监管者、提供者、付款人covers only a narrowrange of services,Telemedicine's和病人如何以及是否可以解决这些挑战。future will depend on how-and whetherregulators,下面我们来仔细看看其中的一些问题providers,payersand patientscan addressthesechallenges. OHere's a closer look at some of these issues:·词汇注释与难句分析·in-personn'patsn]a，亲自的，亲身的①eritic［'kritikn，批评家，评论家poll［pouln.民意测验，民意调查③keep up with 跟上insurance[in'fuarans]n.保险③practice'prektis]n.（医生、律师的）工作，业务活动④forall尽管，虽然coverage['kAvorids]n.覆益范围issue［'ifu］w,发布①address［a'dres]w，设法解决；处理；对付guideline'gadlainn，指导方针速读巧解·D一F段概述远程医疗目前的局限性、存在的问题和挑战。D段承上转折指出远程医疗目前的局限性。首句Noneof thisisto say...引出转折：远程医疗并非无处不在。③句Arecent survey of 500tech-savvy consumers...39%hadn'theard...42%...preferredin-person doctor visits...In a poll of1.5o0 family physicians...only 15% had used...but 9o%...would if...援引两项调查，列举技术熟练型消费者及家庭医生两类人士对远程医疗的看法，说明远程医疗远未得到普及：其中wouldifitwereappropriatelyreimbursed虚拟语气暗示远程医疗目前无法报销，同时反映大部分医生拒绝远程医疗的原因。全段核心信息为：（1）远程医疗的局限性：远未普及：（2）对精通科技的消费者的调查；(3)对家庭医生的调查。【定位词定位】36题familyphysicians在末句中原调复现，dulypaid同义改写appropriatelyreimbursed。【核心义匹配】末句90%家庭医生对远程医疗的态度“如果能得到适当补偿则愿意使用”可匹配36题核心义。E段说明远程医疗存在的问题一：相关规章制度及指导方针尚未达成共识。首句What'smore提示与上段递进衔接，forall...significantquestionsand challengesremain形成“让步一转折”逻辑，提示下文重心落在远程医疗存在的问题和挑战。②③句Rules...differwidely...Physiciansgroups..differentguidelines明确问题所在：有关远程医疗的规则和指导方针因地域、医疗群体而异。全段核心信息为：远程医疗相关规则的不10