author={Jaakko Seikkula, Birgitta Alakare, Jukka Aaltonen},
  journal={Journal of Constructivist Psychology},
  pages={247 - 265}
As a social construct, our approach to work with severely disturbed psychiatric patients in crisis, termed Open Dialogue (OD), begins treatment within 24 hours of referral and includes the family and social network of the patient in discussions of all issues throughout treatment. Treatment is adapted to the specific and varying needs of patients and takes place at home, if possible. Psychological continuity and trust are emphasized by constructing integrated teams that include both inpatient… 
Open Dialogue Approach: Treatment Principles and Preliminary Results of a Two-Year Follow-Up on First Episode Schizophrenia
The OD approach, like other family therapy programs, seems to produce better outcomes than conventional treatment, given the decreased use of neuroleptic medication.
Approach : Treatment Principles and Preliminary Results of a Two-year Follow-up on First Episode Schizophrenia
The OD approach and the study carried out to determine its effectiveness in treatment of schizophrenia are described, suggesting that OD, like other family therapy programs, seems to produce better outcomes than conventional treatment, given the decreased use of neuroleptic medication.
Family therapy and schizophrenia: a brief theoretical overview and a framework for clinical practice
  • F. Burbach
  • Psychology, Medicine
    BJPsych Advances
  • 2018
The theoretical context for the development of integrated family interventions for psychosis is described and a framework for practice is provided and a collaborative, resource-oriented integrated family intervention for working with families and wider support networks is presented.
Experiences of Parachute NYC: An Integration of Open Dialogue and Intentional Peer Support
Responses to the structure of network meetings and Parachute’s approach to medication were mixed, with a few participants struggling with what they felt was a lack of urgency and others experiencing the approach as holistic.
Interpersonal Relations Within the Context of Resource Groups for People With Severe Mental Illness: A Narrative Approach
The resource group method should not be considered an intervention to organize informal support for the patient, but a platform to expose and adjust the functioning of the patient's social network as a whole.
The Charcot Effect: The Invention of Mental Illnesses
This article proposes the Charcot effect, in which clinicians describe what they themselves prescribe. It is argued that the Charcot effect can be a critical instrument for exposing how mental
A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care
The CDCP Model presented fills the gap that exists in the field of community MHSA practice regarding how to operationalize systematically the tenets of person-centeredness, recovery-oriented, and pluralism-oriented practice in terms of user/professional collaboration.
Just Keep Going - Polyphony. Gentle Activism for Collective Survival
This portfolio examines the possibility of my project ‘Just Keep Going’ series to nurture resilience for those experiencing uncanniness during periods of change and re-organization in the aftermath
The difference that makes the difference: a conceptual analysis of the open dialogue approach
Abstract In this paper we focus on the Open Dialogue (OD) approach to acute psychosis with the aim of better understanding and clarifying the principles underlying its efficacy. To do this, we do a


Psychoeducation in first-episode psychosis: a therapeutic process.
The results of a controlled trial of modularized illness self-management skills training versus supportive group psychotherapy found some advantage for the former intervention, but the timing of the interventions was less than optimal.
The Sense of Agency and the Search for a Narrative in Acute Psychosis
The search for a narrative in acute psychosis exists but the result of this search can be insufficient because the stories available do not sufficiently capture the pre-narrative quality of personal
Psycho-education and family treatment related to the phase of a psychotic disorder
  • M. Goldstein
  • Psychology, Medicine
    International clinical psychopharmacology
  • 1996
The data reviewed indicate that psycho-educational programs focusing on the individual family unit are particularly effective for first or recent-onset schizophrenic patients, particularly during the stabilization phase of treatment.
Need‐adapted treatment of new schizophrenic patients: experiences and results of the Turku Project
A psychotherapeutically oriented approach to schizophrenia developed especially to meet the needs of the community psychiatric field is described and a family‐centred initiation of the treatment is especially emphasized for both diagnostic and therapeutic reasons.
Cognitive Psychotherapy of Psychotic and Personality Disorders: Handbook of Theory and Practice
Cognitive-behavioural Coping-Orientated Therapy for Schizophrenia: A New Treatment Model for Clinical Service and Research and Options and Clinical Decision Making in the Assessment and Psychological Treatment of Persistent Hallucinations and Delusions.
Early intervention in psychosis: opportunities for secondary prevention.
It is argued that the first two or three years following a first episode of psychosis is a crucial period for high-quality psychosocial and biological interventions and a time slot which may influence recovery and long-term outcome.
Family treatment of adult schizophrenic patients: a psycho-educational approach.
A model of family intervention has been developed which attempts to diminish relapse rates of schizophrenic patients and reflects theoretical and research findings which suggest that certain patients have a "core psychological deficit" that might increase vulnerability to external stimuli.
Disruption and reconstruction: narrative insights into the experience of family members caring for a relative diagnosed with serious mental illness.
This study has explored how carers articulate the consequences of a devastating experience and turn it into a meaningful event that can in some way be incorporated into the course of their life.
Integrating intensive psychosocial therapy and low dose medical treatment in a total material of first episode psychotic patients compared to "treatment as usual" a 3 year follow-up.
One conclusion to be made is that, provided a psychosocial support, neuroleptic consumption and in patient care can be considerably lowered with no detrimental effects.
EPPIC: an evolving system of early detection and optimal management.
A framework for preventive intervention in early psychosis is outlined, based on more than a decade of experience initially gained within a first-generation model, a comprehensive "real-world" model of care targeting the multiple clinical foci underpinning the preventive task.