Open dialogue in psychosis 1: an introduction and case illustration

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 adapt...

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Detalhes bibliográficos
Autores: Seikkula, Jaakko, Alakare, Birgitta, Aaltonen, Jukka
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Recursos:Instituto Noos
Repositorio:Nova Perspectiva Sistêmica (Online)
Idioma:portugués
OAI Identifier:oai:ojs.revistanps.com.br:article/698
Acesso em linha:https://www.revistanps.com.br/nps/article/view/698
Access Level:acceso abierto
Palavra-chave:therapy
psychosis
open dialogues
social constructionism
terapia familiar
psicosis
diálogos abiertos
construccionismo social
psicose
diálogos abertos
construcionismo social
Descrição
Resumo: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 emphasised by constructing integrated teams that include both inpatient and outpatient staff who focus on generating dialogue with the family and patients instead of rapid removal of psychotic symptoms. The main principles are described and a case is analysed to illustrate them.