Citation

Seikkula J. J. Marital Fam. Ther. 2002; 28(3): 263-274.

Affiliation

Department of Psychology, University of Jyväskylä, Box 35, FIN-40351 Jyväskylä. seikkula@psyka.jyu.fi

Copyright

(Copyright © 2002, American Association for Marriage and Family Therapy, Publisher John Wiley and Sons)

DOI

unavailable

PMID

12197148

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.

Language: en