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OPEN DIALOGUES WITH GOOD AND POOR OUTCOMES FOR PSYCHOTIC CRISES: EXAMPLES FROM FAMILIES WITH VIOLENCE
Author(s) -
Seikkula Jaakko
Publication year - 2002
Publication title -
journal of marital and family therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.868
H-Index - 68
eISSN - 1752-0606
pISSN - 0194-472X
DOI - 10.1111/j.1752-0606.2002.tb01183.x
Subject(s) - dialogical self , embodied cognition , dominance (genetics) , psychology , outcome (game theory) , construct (python library) , social psychology , psychotherapist , epistemology , computer science , philosophy , biochemistry , chemistry , mathematics , mathematical economics , gene , programming language
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 contruct 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.