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The open dialogue approach to acute psychosis: its poetics and micropolitics.
In Finland, a network-based, language approach to psychiatric care has emerged, called "Open Dialogue." It draws on Bakhtin's dialogical principles (Bakhtin, 1984) and is rooted in a Batesonian…
Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies
- Jaakko Seikkula, J. Aaltonen, B. Alakare, Kauko Haarakangas, Jyrki Keränen, K. Lehtinen
- 1 March 2006
Abstract The open dialogue (OD) family and network approach aims at treating psychotic patients in their homes. The treatment involves the patient's social network and starts within 24 hr after…
Open Dialogue Approach: Treatment Principles and Preliminary Results of a Two-Year Follow-Up on First Episode Schizophrenia
- Jaakko Seikkula, B. Alakare, J. Aaltonen, J. Holma, Anu Rasinkangas, V. Lehtinen
- Psychology, MedicineEthical Human Sciences and Services
- 1 January 2003
The OD approach, like other family therapy programs, seems to produce better outcomes than conventional treatment, given the decreased use of neuroleptic medication.
Healing elements of therapeutic conversation: dialogue as an embodiment of love.
Using the perspectives of dialogism and neurobiological development, the basic elements of dialogue are analyzed, seeking to understand why dialogue becomes a healing experience in a network meeting.
Open dialogues with good and poor outcomes for psychotic crises: examples from families with violence.
- Jaakko Seikkula
- PsychologyJournal of marital and family therapy
- 1 July 2002
A dialogical sequence analysis was conducted comparing good and poor outcomes of first-episode psychotic patients, finding that in good outcomes, the clients had both interactional and semantic dominance, and the dialogue took place in a symbolic language and in a dialogical form.
The Comprehensive Open-Dialogue Approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states
It can be argued that the ODA has been helpful, at least in moving the commencement of treatment in a less chronic direction, and may have even increased social capital in the entire psychiatric catchment area, and promote mutual trust between the general population and the psychiatric services.
Inner and outer voices in the present moment of family and network therapy
- Jaakko Seikkula
- 1 November 2008
Dialogue in the polyphony of inner and outer voices in the present moment of family therapy is analysed. In Western Lapland a focus on social networks and dialogues in the meeting with families has…
Postmodern society and social networks: open and anticipation dialogues in network meetings.
Language--and dialogue as a specific form of being in language--as the focus of treatment, makes the practical forms of different approaches secondary, and two approaches developed in crisis service for psychotic patients and in consultation for stuck cases in social care are dealt with.
The Comprehensive Open-Dialogue Approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care
An open dialogue need-adapted approach was applied in Finnish Western Lapland by organizing three-year family therapy training for the entire staff, and by following the outcomes, which suggested that the new practice can be related to profound changes in the incidence of severe mental health problems.
Becoming Dialogical: Psychotherapy or a Way of Life?
- Jaakko Seikkula
- 1 September 2011
After birth the first thing we learn is becoming a participant in dialogue. We are born in relations and those relations become our structure. Intersubjectivity is the basis of human experience and…