Open Dialogue Approach - about the phenomenon of Scandinavian Psychiatry.

  title={Open Dialogue Approach - about the phenomenon of Scandinavian Psychiatry.},
  author={Michał Kłapciński and J. Rymaszewska},
  journal={Psychiatria polska},
  volume={49 6},
After twenty years of transformation of Finnish mental health care, in the late 80s and early 90s of the last century, incidence of schizophrenia in Western Lapland dropped from 35/100,000 to 7/100,000. This phenomenon is linked with Yrjo O. Alanen et al. who investigated schizophrenia treatment outcomes and psychosocial rehabilitation of people with schizophrenia. Investigators focused on an individually tailored psychotherapeutic recovery plan during patient's hospitalization, including care… Expand
Dialogue therapy in psychosis: A philosophical-ethical approach
Abstract Theoretical and empirical work is needed to adapt psychotherapy to psychosis. The article introduces dialogue therapy (DT), a philosophical-ethical, humanistic, and dialogue-orientedExpand
Impact of Psychotherapy in Psychosis: A Retrospective Case Control Study
The findings from this exploratory study are consistent with the possibility that dialogue therapy may lead to improvements in symptoms and functioning compared to standard treatment in psychosis. Expand
Positive Interventions in Schizophrenia and Psychotic Disorders
Treatment of psychotic disorders including schizophrenia is less than optimal with an emphasis on biological treatments. Psychosocial interventions including different psychotherapies areExpand
Minor psychiatric disorders among family caregivers of users of Psychosocial Care Centers: prevalence and associated factors.
The prevalence of Minor Psychiatric Disorders found in the studied population was 42.1% (N = 226 CI: 38%-46,3%) and factors associated with these disorders were being female and having a close relationship with the user, especially fathers/mothers. Expand
Attualità di Goffman: quanto contribuisce alla carriera morale di malato mentale la psichiatria di comunità italiana contemporanea?
Goffman in Asylums, del 1961, mostra come il manicomio promuova la carriera di malato mentale. L’istituzione mortifica la persona, ne smonta l’individualita, la omologa e crea cosi degli internatiExpand
Transtornos psiquiátricos menores em familiares cuidadores de usuários de Centros de Atenção Psicossocial: prevalência e fatores associados
Resumo Este estudo buscou identificar a prevalencia e os fatores associados a manifestacao de Transtornos Psiquiatricos Menores entre 537 cuidadores familiares de pessoas em sofrimento psiquicoExpand
Le soi et le non soi comme problème phénoménologique posé à l’expérience psychiatrique
Resume Objectifs Soi et non soi sont indissociables. Nous ne pouvons pas considerer le probleme du soi comme s’il etait une entite separee des autres et du monde. Methodes Mettre entre parentheses laExpand
Diálogo aberto: pontos críticos da implementação no cuidado à crise psicótica
Resumo O objetivo desta pesquisa foi analisar os pontos criticos para a implementacao da abordagem do dialogo aberto na atencao a crise psicotica. Trata-se de estudo qualitativo, utilizando osExpand


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. Three inclusionExpand
Psychotherapy of Schizophrenia in Community Psychiatry
In 1976 we began a project in Turku, Finland, for developing treatment of schizophrenic patients within the framework of the community psychiatric health services of our country (Alanen et al. 1979,Expand
The Comprehensive Open-Dialogue Approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states
Mental health services in a health district in Finland with a population of 72,000 were developed into a comprehensive family- and network-centered entity by giving all the psychiatric personnelExpand
As an approach to treatment of psychosis, Open Dialogue aims to begin treatment within 24 hours of first contact between the health system and the patient or family, and in accordance with socialExpand
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. Expand
Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies
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 afterExpand
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. Expand
Towards a more humanistic psychiatry: Development of need‐adapted treatment of schizophrenia group psychoses
The group of schizophrenic psychoses is clinically and prognostically very heterogeneous. Contradictory views about etiology have had a major negative effect of the development of treatment,Expand
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 andExpand
Deinstitutionalization and schizophrenia in Finland: I. Discharged patients and their care.
On the whole, from the point of view of the psychiatric treatment system, deinstitutionalization seemed to have proceeded fairly successfully; the system proved able to redirect and use the available resources more effectively and to modify the structure of services according to the changing needs of patients discharged from hospitals. Expand