Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-25T08:22:12.305Z Has data issue: false hasContentIssue false

Chapter 26 - The Open Dialogue Approach

from Section 3 - Contemporary Developments

Published online by Cambridge University Press:  27 May 2021

Get access

Summary

The Open Dialogue Approach (ODA) has introduced radical changes in the approach to treatment of psychiatric disorders, particularly for those with psychosis. The model recognises the key value of family and social relationships and places specific emphasis on these aspects of the patient’s life, both in understanding the psychiatric breakdown and providing the tools for recovery. This is actively translated into practice where patients are seen together with members of their family and significant others by the treating team, from their first presentation and throughout their treatment. With open and active involvement of all present, including the patient, an understanding of the presenting symptoms is jointly sought, formulations are co-created with relationships seen as playing a central role. Within this social group all decisions about management are made.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Lidz, T, Fleck, S, Cornelison, AR. Schizophrenia and the Family. Madison, CT: International Universities Press, 1965.Google Scholar
Aaku, T, Rasimus, R, Alanen, YO. Nursing staff as individual therapists in psychotherapeutic community. In Psychiatria Fennica, Yearbook. Helsinki: Foundation for Psychiatric Research in Finland. 1980; pp. 931.Google Scholar
Alanen, YO. Schizophrenia: Its Origins and Need-Adapted Treatment. London: Karnac Books, 1997.Google Scholar
Alanen, YO. Towards a more humanistic psychiatry: development of need-adapted treatment of schizophrenia group psychoses. Psychosis 2009; 1(2): 156–66.Google Scholar
Razzaque, R, Stockman, T. An introduction to peer supported open dialogue in mental health care. BJPsych Adv 2016; 22: 348–56.Google Scholar
Freeman, AM, Tribe, RH, Stott, JCH, Pilling, S. Open dialogue: a review of the evidence. Psychiatr Serv 2018; 70(1): 4659.Google Scholar
Tribe, RH, Freeman, AM, Livingstone, S, Stott, JCH, Pilling, S. Open dialogue in the UK: qualitative study. BJPsych Open 2019; \5(4): e49.Google Scholar
Seikkula, J, Alakare, B, Aaltonen, J. The comprehensive open-dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care. Psychosis 2011; 3(3): 192204.Google Scholar
Seikkula, J, Olson, ME. The Open Dialogue Approach to acute psychosis: its poetics and macropolitics. Fam Process 2003; 42: 403–18.Google Scholar
Leff, J, Berkowitz, R, Shavit, N et al. A trial of family therapy v. a relatives group for schizophrenia. Br J Psychiatry 1989; 154(1): 5866.Google Scholar
Shedler, J, Westen, D. Refining personality disorder diagnosis: integrating science and practice. Am J Psychiatry 2004; 161(8): 1350–65.Google Scholar
Tuori, T, Lehtinen, V, Hakkarainen, A et al. The Finish National Schizophrenia Project 1981–1987: 10-year evaluation of its results. Acta Psychiatr Scand 1997; 97: 1017.Google Scholar
Aaltonen, J, Seikkula, J, Lehtinen, K. The comprehensive open dialogue approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states. Psychosis 2011; 3: 179–91.Google Scholar
Alanen, YO, Lehtinen, K, Rakkolainen, V, Aaltonen, J. Need-adapted treatment of new schizophrenic patients: experiences and results of the Turku Project. Acta Psychiatr Scand 1991; 83: 363–72.Google Scholar
Seikkula, J, Alakare, B, Aaltonen, J. Open dialogue in psychosis II: a comparison of good and poor outcome cases. J Constr Psychol 2001; 14(4): 267–84.Google Scholar
Bergström, T, Alakare, B, Aaltonen, J et al. The long-term use of psychiatric services within the open dialogue treatment system after first-episode psychosis. Psychosis 2017; 9(4): 310–21.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×