The Healthy Management of Reality - Stanford University
The Healthy Management of Reality - Stanford University
The Healthy Management of Reality - Stanford University
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serious depression. <strong>The</strong> course was based on work I did for my dissertation, underthe direction <strong>of</strong> Peter M. Lewinsohn, and in collaboration with Toni Zeiss andMaryann Youngren. Our book Control Your Depression (1992) describes themethods we developed for the lay reader. This program <strong>of</strong> research, the SanFrancisco Depression Prevention Research Project, is described in the book <strong>The</strong>Prevention <strong>of</strong> Depression: Research and Practice (1993), with Yu-Wen Ying.Our project, which took place in the early 1980’s, was awarded the NationalMental Health Association's Lela Rowland Prevention Award in 1994. During theproject, we found many patients in the general medicine clinics who already hadserious depressions and who were not receiving treatment. <strong>The</strong>refore, in 1985,Jeanne Miranda, Sergio Aguilar-Gaxiola, and I founded the Depression Clinic atSan Francisco General Hospital. <strong>The</strong> clinic provided cognitive-behavioralindividual and group therapy in English and Spanish. <strong>The</strong> clinic is now part <strong>of</strong> alarger outpatient service <strong>of</strong> the Division <strong>of</strong> Psychosocial Medicine. Much <strong>of</strong> what Italk about in this book is based on my experiences with patients at San FranciscoGeneral Hospital, from those who are doing well and want to continue healthy lifestyles, to those with the most severe mental disorders one could imagine. Some <strong>of</strong>the manuals we have developed for the prevention and treatment <strong>of</strong> depression atSan Francisco General Hospital are available for downloading from:http://www.medschool.ucsf.edu/latino/manuals.aspx.Another source <strong>of</strong> ideas has been the adaptation <strong>of</strong> our DepressionPrevention Course to help individuals who are trying to give up addictions,especially those who want to quit smoking. In 1987, I began working with SharonHall on her Maintaining Nonsmoking project. We developed a mood managementintervention that blended her smoking cessation methods with the DepressionPrevention Course. We have done several treatment studies using these ideas in theHMOR.July2005.Muñoz.doc 7