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“Open dialogue” and psychosis

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https://www.readbyqxmd.com/read/29199763/domiciliary-intervention-in-psychosis-a-systematic-review
#1
Ona Gomis, Carol Palma, Núria Farriols
BACKGROUND: This theoretical study reviews the main findings and research on home-based treatment for psychosis. The principal purpose was to analyze the various types of home-based service and make recommendations for a service that would meet the needs of both first-episode and resistant patients. We compare the Early Intervention Service, which aims to reduce the range of untreated psychosis (DUP) with other types of home-care and similar interventions that have already been implemented: crisis resolution home teams (CRHTs), Open Dialogue Approach (ODA), social skills training (SST) and foster homes...
November 2017: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27822382/psychosis-seminars-an-open-forum-for-service-users-carers-and-professionals
#2
Justina Kaselionyte, Aysegul Dirik, Simon Tulloch, Stefan Priebe, Domenico Giacco
BACKGROUND: Psychosis seminars enable service users, their carers and mental health professionals to meet outside of a formal care setting, increase understanding of mental illness and help establish a dialogue. AIMS: To explore feasibility of psychosis seminars in the UK and the experiences of participants. METHOD: Seven meetings attended by 25 people were held over a 3-month period. An open-ended questionnaire was returned by ten participants...
September 2016: BJPsych Open
https://www.readbyqxmd.com/read/27417900/adapting-open-dialogue-for-early-onset-psychosis-into-the-u-s-health-care-environment-a-feasibility-study
#3
Christopher Gordon, Vasudha Gidugu, E Sally Rogers, John DeRonck, Douglas Ziedonis
Open Dialogue (OD) is a Finnish approach to crisis intervention and ongoing care for young people experiencing psychosis and other psychiatric crises. OD engages the individual and family (or other supports) in meetings, with open discussions of all aspects of the clinical situation, and in decision making. Although psychiatric assessment and treatment occur, the initial emphasis is on engagement, crisis intervention, and promoting dialogue. Finnish studies are encouraging, with excellent clinical and functional outcomes after five years...
November 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/26909395/open-dialogue-approach-about-the-phenomenon-of-scandinavian-psychiatry
#4
REVIEW
Michał M Kłapciński, Joanna Rymaszewska
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 for patients' families...
2015: Psychiatria Polska
https://www.readbyqxmd.com/read/25303624/seeking-help-for-first-episode-psychosis-a-family-narrative
#5
Charlotte Connor, Sheila Greenfield, Helen Lester, Sunita Channa, Colin Palmer, Clare Barker, Anna Lavis, Max Birchwood
AIM: Delayed help-seeking can have serious consequences for young people with first-episode psychosis (FEP), in terms of treatment response and outcome. Young people's narratives about help-seeking are important to understand why delays occur; however, as the majority of help-seeking is initiated by family members, through a general practitioner (GP), family narratives are also of interest. The aim of this study was to explore help-seeking for FEP, including first contact with a GP. METHOD: A semistructured interview was developed using a topic guide...
August 2016: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/24927310/the-importance-of-psychosocial-interventions-and-patient-involvement-in-the-treatment-of-schizophrenia
#6
N Tarrier, J Bobes
The multifactorial nature of schizophrenia and the wide-ranging impact of the illness on the patient, their family, carers and healthcare providers mean that clinicians must be prepared to take a holistic approach to treatment. It is widely recognized that a patient's beliefs about their treatment and their experiences of schizophrenia can be very important in determining both attitude towards treatment compliance and behaviour in response to symptoms of the illness and environmental stress. Antipsychotic therapy remains the cornerstone of treatment for schizophrenia...
2000: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/21600336/-specialised-first-episode-psychosis-services-a-systematic-review-of-the-literature
#7
REVIEW
L Skalli, L Nicole
INTRODUCTION: Schizophrenia and its related disorders are prevalent, disabling and costly. Recent longitudinal studies found that the first two to five years of schizophrenia-spectrum disorders are characterised by symptomatic and functional deterioration. This led to the hypothesis of the existence of a critical period in the treatment of individuals suffering from psychosis: an assertive intervention during the first two to five years of psychosis could improve long term outcomes and prevent the emergence of psychosocial deficits...
May 2011: L'Encéphale
https://www.readbyqxmd.com/read/19063814/embodied-ideas-and-divided-selves-revisiting-laing-via-bakhtin
#8
Ian Burkitt, Paul Sullivan
In this article, we apply Mikhail Bakhtin's model of a 'divided self' to R.D. Laing's eponymous work on the lived experience of divided selves in 'psychosis'. Both of these authors offer intriguing insights into the fracturing of self through its social relationships (including the 'micro-dialogues' staged for oneself) but from uniquely different perspectives. Bakhtin (1984) uses Dostoevsky's novels as his material for a theory of self, centrally concerned with moments of split identity, crisis, and personal transformation, while Laing relies on his patient's accounts of 'psychosis'...
September 2009: British Journal of Social Psychology
https://www.readbyqxmd.com/read/14606203/the-open-dialogue-approach-to-acute-psychosis-its-poetics-and-micropolitics
#9
Jaakko Seikkula, Mary E Olson
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...
2003: Family Process
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