Focus: Open Dialogue: an innovative theoretical, clinical and operational perspective
22 December 2021
Vol. 32 No. 3 (2021)
Open Dialogue - a new psychotherapeutic and human rights approach to build up humanistic psychiatric services
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
3736
Views
545
Downloads
Authors
Mental health services should guarantee immediate help in crises including the nearest to the patients. Open dialogue while doing this has changed the emphasize into sensitively listening to the voices of the patient and those nearest to him/her instead of looking at the psychopathology. The documented results in most sever crises like psychosis are exceptional with significantly less use of medication. In this paper the main focus is to describe how to generate dialogue in the open meetings with the team, the person in the centre of concern and the family members present and thus mobilizing their own psychological resources for recovery.
Altmetrics
Downloads
Download data is not yet available.
Citations
Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Comprehensive open-dialogue approach I: Developing a comprehensive culture of need-adapted approach in a psychiatric public health catchment area the Western Lapland Project. Psychosis, 3, 179-191. DOI: https://doi.org/10.1080/17522439.2011.601750
Alanen, Y. (1997). Schizophrenia. Its origins and need-adapted-treatment. London: Karnac Books.
Alanen, Y., Lehtinen, K., Räkköläinen, V. & Aaltonen, J. (1991). Need-adapted treatment of new schizophrenic patients: experiences and results of the Turku Project. Acta Psychiatrica Scandinavica, 83, 363-372. DOI: https://doi.org/10.1111/j.1600-0447.1991.tb05557.x
Andersen, T. (1991). The reflecting team: dialogues and dialogues about the dialogues. New York, NY: Norton.
Andersen, T. (1995). Reflecting processes; acts of forming and informing. In Friedman, S. (Ed.). The reflecting team in action (pp. 11-37) New York, NY: Guilford.
Anderson, H., & Goolishian, H. (1988). Human systems as linguistic systems: Preliminary and evolving ideas about the implications for clinical theory. Family Process, 27, 371-393. DOI: https://doi.org/10.1111/j.1545-5300.1988.00371.x
Bakhtin, M. (1975). Speech genres and other late essays. Austin: University of Texas Press.
Bakhtin, M. (1984). Problems of Dostojevskij"s poetics: Theory and history of literature (Vol. 8). Manchester: Manchester University Press. DOI: https://doi.org/10.5749/j.ctt22727z1
Bergström, T., Seikkula, J., Alakare, B., Mäki, P., Köngäs-Saviaro, P., Taskila, J. J., Tolvanen, T., & Aaltonen, J. (2018). The family-oriented Open Dialogue approach in the treatment of first-episode psychosis: Nineteen-year outcomes. Psychiatry Research, 270, 168-175. doi:10.1016/j.psychres.2018.09.039. DOI: https://doi.org/10.1016/j.psychres.2018.09.039
Buus, N., Jacobsen, E., Bojesen, A. & Erlangen, A. (2019). The association between Open Dialogue to young Danes in acute psychiatric crisis and their use of health care and social services: A retrospective register-based cohort study. International Journal of Nursing Studies, 91, 119-127. doi:10.1016/j.ijnurstu.2018.12.015. DOI: https://doi.org/10.1016/j.ijnurstu.2018.12.015
Haarakangas, K. (1997). Hoitokokouksen äänet. The voices in treatment meeting. A dialogical analysis of the treatment meeting conversations in family-centred psychiatric treatment process in regard to the team activity. English Summary. Jyväskylä Studies in Education, Psychology and Social Research, 130, 119-126.
Pope, L. G., Cubellis, L., & Hopper, K. (2016). Signing on for dirty work: Taking stock of a public psychiatry project from the inside. Transcultural Psychiatry, 53(4), 506-526. DOI: https://doi.org/10.1177/1363461516655947
Putman, N. (2015). What constitutes an open dialogue training? Education, education, education. Context, (138), 34-35.
Schubert, S., Rhodes, P. & Buus, N. (2020). Transformation of professional identity: an exploration of psychologists and psychiatrists implementing Open Dialogue. Journal of Family Therapy, First published: 23 January 2020. doi:10.1111/1467-6427.12289. DOI: https://doi.org/10.1111/1467-6427.12289
Seikkula, J. (2019). From research on dialogical practice to dialogical research: Open Dialogue is based on all the time ongoing scientific analysis. In Ochs, M., Borcsa, M., & Schweitzer, J. (Eds.) Linking systemic research and practice - innovations in paradigms, strategies and methods. (European Family Therapy Association Series, Volume 4). Cham: Springer International. DOI: https://doi.org/10.1007/978-3-030-36560-8_9
Seikkula, J., Aaltonen, J., Alakare, B., Haarakangas, K., Keränen, J., & Sutela, M. (1995). Treating psychosis by means of Open Dialogue. In Friedman, S. (Ed.), The reflective team in action: Collaborative practice in family therapy (pp. 62-80). New York, NY: Guilford Press.
Seikkula, J., Alakare, B., & Aaltonen, J. (2001). Open Dialogue in psychosis II: A comparison of good and poor outcome cases. Journal of Constructivist Psychology, 14, 267-284. DOI: https://doi.org/10.1080/107205301750433405
Seikkula, J. Karvonen, A., Kykyri, V-L, Penttonen, M. & Nyman-Salonen, P. (2018). The relational mind in couple therapy: a Bateson-inspired view of human life as an embodied stream. Family Process, 57, 855-866. doi:10.1111/famp.12382. DOI: https://doi.org/10.1111/famp.12382
Seikkula, J. & Trimble, D. (2005). Healing elements of therapeutic conversation: Dialogues as an embodiment of love. Family Process, 44(3), 463-477. DOI: https://doi.org/10.1111/j.1545-5300.2005.00072.x
Shotter J. (1993). Cultural politics of every day life. Social constructionism, rhetoric and knowing of the third kind. Buckingham, UK: Open University Press.
Speck, R., & Attneave, C. (1973). Family networks. New York: Pantheon.
Stockmann, T., Wood, L., Enache, G., Withers, F., Gavaghan, L., & Razzaque, R. (2017). Peer-supported Open Dialogue: a thematic analysis of trainee perspectives on the approach and training. Journal of Mental Health, 1-7. doi:10.1080/09638237.2017.1340609. DOI: https://doi.org/10.1080/09638237.2017.1340609
Trimble, D. (2000). Emotion and voice in network therapy. Netletter, 7(1), 10-15. Retrieved: July 10, 2004, from: http://www.netletter.org
Tschudi, F., & Reichelt, S. (2004). Conferencing when therapy is stuck. Journal of Systemic Therapies, 23, 38-52. DOI: https://doi.org/10.1521/jsyt.23.1.38.29398
van der Kolk, B.A., McFarlane, A.C., & Weisaeth, L. (Eds.) (2006). Traumatic stress. New York, NY: Guilford.
Van der Velden, E., Halevy-Martini, J., Ruhf, L., & Schoenfeld, P. (1984). Conceptual issues in network therapy. International Journal of Family Therapy, 6, 68-81. DOI: https://doi.org/10.1007/BF00924443
How to Cite
Open Dialogue - a new psychotherapeutic and human rights approach to build up humanistic psychiatric services. (2021). Ricerca Psicoanalitica, 32(3). https://doi.org/10.4081/rp.2021.529
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
