The Open Dialogue Approach to Acute Psychosis: Its Poetics and Micropolitics
Abstract
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 tradition. Two levels of analysis, the poetics and the micropolitics, are presented. The poetics include three principles: "tolerance of uncertainty," "dialogism," and "polyphony in social networks." A treatment meeting shows how these poetics operate to generate a therapeutic dialogue. The micropolitics are the larger institutional practices that support this way of working and are part of Finnish Need-Adapted Treatment. Recent research suggests that Open Dialogue has improved outcomes for young people in a variety of acute, severe psychiatric crises, such as psychosis, as compared to treatment-as-usual settings. In a nonrandomized, 2-year follow up of first-episode schizophrenia, hospitalization decreased to approximately 19 days; neuroleptic medication was needed in 35% of cases; 82% had no, or only mild, psychotic symptoms remaining; and only 23% were on disability allowance.
Cite this
Jaakko Seikkula, Mary Olson (2003). The Open Dialogue Approach to Acute Psychosis: Its Poetics and Micropolitics. Family Process. https://doi.org/10.1111/j.1545-5300.2003.00403.x
@article{jaakko2003the,
title = {The Open Dialogue Approach to Acute Psychosis: Its Poetics and Micropolitics},
author = {Seikkula, Jaakko and Olson, Mary},
year = {2003},
journal = {Family Process},
doi = {10.1111/j.1545-5300.2003.00403.x}
}Citations in this library
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