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The Healthy Management of Reality - Stanford University

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<strong>The</strong> "healthy" aspect <strong>of</strong> "the healthy management <strong>of</strong> reality" refers to the factthat even if one could have complete control over oneself and one's life, it isunclear to me whether that much control would be desirable. <strong>The</strong>re appears to be arange <strong>of</strong> control that is optimal for human life. Too little control leads todemoralization and depression, too much control can lead to obsessiveness,rigidity, and oppression.In the use <strong>of</strong> medications, there is a concept called the "therapeutic window,"which refers to a moderate dose range which is neither so little that it has no effect,or so large that it can have too many undesirable side effects or the possibility <strong>of</strong>dangerous overdose. A physician prescribing a medication must achieve this"therapeutic window" in order for the condition to improve.In order for the management <strong>of</strong> reality to have beneficial results, it willprobably have to be done within a healthy range. At one end <strong>of</strong> the continuum,lack <strong>of</strong> any control over one's reality <strong>of</strong>ten leads to a sense <strong>of</strong> being overwhelmedand powerless. As long as things go well, there might be little discomfort. As longas one has few expectations, there might be little or no disappointment. But fewpeople are able to truly live for the moment and be content with whatever befallsus. Most <strong>of</strong> us have some sense <strong>of</strong> what we would prefer and what we want toavoid. Thus, some sense <strong>of</strong> control and predictability is generally welcome. At theother end <strong>of</strong> the continuum, attempts at obtaining excessive control are probablyalso unwise. Even if we were able to achieve it, too much control over our realityis likely to backfire.HMOR.July2005.Muñoz.doc 30

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