Primary prevention: Should we support both practice and research?
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Abstract
The February 16, 1983 debate on Primary Prevention in which Albee and Goldston met Lamb and Zusman underlined a number of issues that are repeatedly discussed in such forums. In response to an invitation to comment on the debate by the Florida Mental Health Institute, I would like to focus on five of these issues. I should state at the outset that my comments are far from unbiased, as I am clearly an advocate for prevention intervention and prevention intervention research (Munoz & Kelly, 1975; Munoz, 1976; Christensen, Miller & Munoz, 1978; Munoz, Snowden & Kelly, 1979; Munoz, 1980; Munoz, 1982). In my discussion, I will try to: 1) identify some premises which were not sufficiently emphasized; 2) make such premises clear so that, hopefully, any further discussion is based on shared (or at least well-identified) starting points; and 3) add my perspectives in each of these areas. I will use examples dealing with affective disorders throughout my discussion, because they are among the most prevalent of disorders, and because they are present in various levels of severity.
Keywords
Public Health Mental Health Health Psychology Primary Prevention Prevention InterventionPreview
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References
- Bellack, A. S., Hersen, M., & Himmelhoch, J. Social skills training compared with pharmacotherapy and psychotherapy in the treatment of unipolar depression.American Journal of Psychiatry 1981,138 1562–1567.Google Scholar
- Boyd, J. H., & Weissman, M. M. Epidemiology. In E. S. Paykel (Ed.),Handbook of affective disorders. New York: Guilford, 1982.Google Scholar
- Christensen, A., Miller, W. R., & Muñoz, R. F. Paraprofessionals, partners, peers, paraphernalia, and print: Expanding mental health service delivery.Professional Psychology 1978,9 249–270.Google Scholar
- Gershon, E. S. The genetics of affective disorders. In L. Grinspoon (Ed.),Psychiatry Update (Vol. II). Washington, D.C.: American Psychiatric Press, 1983.Google Scholar
- Klein, D. C., & Goldston, S. F. (Eds.)Primary prevention: An idea whose time has come. Rockville, Md.: NIMH. (DHHS Pub. No. (ADM) 80-447), 1977.Google Scholar
- Muñoz, R. F. The primary prevention of psychological problems: A review of the literature.Community Mental Health Review 1976,1 1–15.Google Scholar
- Muñoz, R. F. A strategy for the prevention of psychological problems in Latinos: Emphasizing accessibility and effectiveness. In R. Valle & W. Vega (Eds.),Hispanic natural support systems. Sacramento: State of California Department of Mental Health, 1980.Google Scholar
- Muñoz, R. F. The Spanish-speaking consumer and the community mental health center. In E. E. Jones & S. J. Korchin (Eds.),Minority mental health. New York: Praeger, 1982.Google Scholar
- Muñoz, R. F., Glish, M., Soo-Hoo, T., & Robertson, J. The San Francisco Mood Survey Project: Preliminary work toward the prevention of depression.American Journal of Community Psychology 1982,10 317–329.Google Scholar
- Muñoz, R. F., & Kelly, J. G.The prevention of mental disorders. Homewood, Illinois: Irwin, 1975.Google Scholar
- Muñoz, R. F., Snowden, L. R., Kelly, J. G., & Associates.Social and psychological research in community settings: Designing and conducting programs for social and personal well-being. San Francisco: Jossey-Bass, 1975.Google Scholar
- Myers, J. K., & Weissman, M. M. Use of a self-report symptom scale to detect depression in a community sample.American Journal of Psychiatry 1980,137 1081–1084.Google Scholar
- Price, R. H., Ketterer, R. F., Bader, B. L., & Monahan, J. (Eds.)Prevention in mental health: Research, policy and practice. Beverly Hills: Sage, 1980.Google Scholar
- Rush, A. J., Beck, A. T., Kovacs, M., & Hollon, S. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients.Cognitive Therapy and Research 1977,1 17–37.Google Scholar
- Sanchez, A.Research, policy, and services. Paper presented at the “Hispanic Health and Nutrition Examination Survey Users Conference”. Stanford, CA, August 1, 1983.Google Scholar
- Tableman, B., Marciniak, D., Johnson, D., & Rogers, R. Stress management training for women on public assistance.American Journal of Community Psychology 1982,10 357–367.Google Scholar
- Teuting, P., Koslow, S. H., & Hirschfeld, R. M. A. Special report on depression research.(Science Reports) Washington, D.C.: NIMH, 1981.Google Scholar
- Weissman, M. M., & Boyd, J. H. The epidemiology of affective disorders: Rates and risk factors. In L. Grinspoon (Ed.),Psychiatry update (Vol. II). Washington, D.C.: American Psychiatric Press, 1983.Google Scholar
- Weissman, M. M., & Myers, J. K. Affective disorders in a U.S. urban community: The use of research diagnostic criteria in an epidemiological survey.Archives of General Psychiatry 1978,35 1304–1311.Google Scholar
- Weissman, M. M., Prusoff, B. A., Di Mascio, A., Nue, C., Goklaney, M., & Klerman, G. The efficacy of drugs and psychotherapy in the treatment of acute depressive disorders.American Journal of Psychiatry 1979,136 555–558.Google Scholar
- Zeiss, A. M., Lewinsohn, P. M., & Muñoz, R. F. Nonspecific improvement effects in depression using interpersonal skills training, pleasant activity schedules, or cognitive training.Journal of Consulting and Clinical Psychology 1979,47 427–439.Google Scholar