0000000000117472
AUTHOR
Mary E. Olson
The Open Dialogue Approach to Acute Psychosis: Its Poetics and Micropolitics
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. Recent research suggests that Open Dialogue has improved outcomes for young peo…
The shift from monologue to dialogue in a couple therapy session: dialogical investigation of change from the therapists' point of view.
As part of a larger research project on couple therapy for depression, this qualitative case study examines the nature of dialogue. Drawing on Bakhtinian concepts, the investigation shows how the conversation shifts from a monologue to dialogue. Among the findings are: first, the process of listening is integral to the transforming experience. That is, the careful listening of the therapist can evoke new voices, just as the experience of one of the partners' "listening in" to the conversation between the other partner and the therapist can create movement and new trajectories. The latter is a qualitative difference between dialogic therapy with a couple and that with an individual. Second, …
Therapists’ Responses for Enhancing Change Through Dialogue: Dialogical Investigations of Change
The point of view on research represented here is based on a dialogical framework. Our emphasis is on understanding the contribution of the therapists to the process of change. We conceptualize therapeutic conversation as a dialogical activity. In using the research method The Dialogical Investigation of Happenings of Change (DIHC) the focus is on how therapists participate and answer from a specific position of “responsive responsibility.” In this chapter our aim is twofold: (1) to present a method for conducting a dialogical analysis of couple sessions and (2) to track detailed sequences of events of change. To make sense of the details of this process, we use Bakhtinian concepts includin…