Article2002

OPEN DIALOGUES WITH GOOD AND POOR OUTCOMES FOR PSYCHOTIC CRISES: EXAMPLES FROM FAMILIES WITH VIOLENCE

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Counseling, Therapy, and Family Dynamics Psychoanalysis and Psychopathology Research Psychotherapy Techniques and Applications

Abstract

In Open Dialogue the first treatment meeting occurs within 24 hr after contact and includes the social network of the patient. The aim is to generate dialogue to construct words for the experiences embodied in the patient's psychotic symptoms. All issues are analyzed and planned with everyone present. A dialogical sequence analysis was conducted comparing good and poor outcomes of first-episode psychotic patients. 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. Already at the first meeting, in the good outcome cases, the team responded to the client's words in a dialogical way, but in the case with the poor outcome, the patient's reflections on his own acts were not heard.

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References

1962Thought and language 1988Diagnostic and Statistical Manual of Mental Disorders 1984Problems of Dostoevsky's Poetics 1973Marxism and the philosophy of language 1987Vygotsky and the Social Formation of Mind 2015An Invitation to Social Construction 2002The concept of activity in Soviet psychology 1996Realities and Relationships: Soundings in Social Construction.

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2018Open Dialogue: A Review of the Evidence 2003Open Dialogue Approach: Treatment Principles and Preliminary Results of a Two- year Follow-up on First Episode Schizophrenia 2014Resource-oriented therapeutic models in psychiatry: conceptual review 2003Dialogue and Power: A Critical Analysis of Power in Dialogical Therapy 2008Inner and outer voices in the present moment of family and network therapy 2011Making Sense of Multi‐Actor Dialogues in Family Therapy and Network Meetings

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