Search results for "family therapy"

Doubt, Hope, Pain, and New Discoveries: Parents’ Experiences of the High‐Conflict Program ‘No Kids in the Middle’

2021

Making sense of multi-actor dialogues in family therapy and network meetings.

2012

In recent years, a number of family therapists have conceptualized psychotherapy as a dialogical activity. This view presents family therapy researchers with specific challenges, the most important of which is to find ways of dealing with the dialogical qualities of the multi-actor dialogues that occur, for example, in family therapeutic conversations. In this article, we propose some preliminary ideas concerning qualitative investigations of multi-actor dialogues. Our aim is to work toward an integration of Bakhtin’s theoretical concepts with good practices in qualitative research (e.g., dialogical tools and concepts of a narrative processes coding system) in order to make sense of family …

The Psychiatrist's Role in Implementing an Open Dialogue Model of Care

2019

To make room or not to make room: clients’ narratives about exclusion and inclusion of spirituality in family therapy practice

2017

This empirical article presents four narratives from an ongoing qualitative PhD project about spirituality and family therapeutic practice. Using case studies and narrative vignettes, the article presents client perspectives on being able to discuss their spirituality in therapy, and the repercussions when therapists exclude it. The article refers to current research and provides some reflections on how we can understand spirituality in the context of family therapeutic practice; therapists for holistic, cultural, and ethical reasons should acknowledge the client’s spirituality. Therapists need to reflect on their own spirituality and how it may influence their relationships with clients. n…

Developing Dialogicity in Relational Practices: Reflecting on Experiences from Open Dialogues

2015

The paper analyses open dialogicity in psychotherapy and juxtaposes it with education in order to find common dialogical elements in all relational practices. The core is found in unconditional respect for otherness and generating dialogical space for voices to be heard. In traditional practice, professionals are tempted to plan interventions according to the goals of change informed by their methods and in team work and multi-professional practices they may even do this between themselves, away from the clients. Pre-set categories, plans and goals, however well founded they may seem, hinder listening. Following what others present here-and-now calls for tolerating uncertainty. Insight into…

Gambling disorder in adolescents: what do we know about this social problem and its consequences?

2018

Abstract Gambling disorder (GD) is a psychiatric condition and it is characterized by a maladaptive pattern of gambling behavior that persists despite negative consequences in major areas of life functioning. In Italy, CNR (National Research Council) underlined how over 17 million, 42.8% of the population aged 15–64 have a gambling behavior. Among them, there are over one million students, aged 15–19, equal to 44.2% of Italian students; the number of minors in Italy with GD in 2017 was 580,000, equal to 33.6%. Various psychosocial treatment models have been adapted for GD; on the other hand no drug has received regulatory approval in any jurisdiction as a specific psychopharmacological trea…

The comprehensive Open-Dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care

2011

An open dialogue need-adapted approach was applied in Finnish Western Lapland by organizing three-year family therapy training for the entire staff, and by following the outcomes. Three inclusion periods of first-episode psychotic patients were compared. In a two-year follow-up of two consecutive periods during the 1990s (1992–3 and 1994–7) it was found that 81% of patients did not have any residual psychotic symptoms, and that 84% had returned to full-time employment or studies. Only 33% had used neuroleptic medication. A third inclusion period, covering 2003–2005, was organized to determine whether the outcomes were consistent 10 years after the preliminary period. Fewer schizophrenia psy…

Palliative Care Principles and Anesthesiology Clinical Practice: Current Perspectives

2021

Background Palliative care is a person-centered approach aiming to relieve patient's health-related suffering and it is often needed when caring for critically ill patients to manage symptoms and identify goals of care. Aim To describe the integration of palliative care principles in anesthesiology clinical practice, within and outside the ICU and to analyze the additional challenges that COVID-19 pandemic is posing in this context. Methods For the purpose of this review, PubMed database was searched for studies concerning palliative care and end of life care, in contexts involving anesthesiologists and intensivists, published in the last 5 years. Results Anesthesiologists and intensivists …

Retrospective Experiences of First-Episode Psychosis Treatment Under Open Dialogue-Based Services: A Qualitative Study.

2021

AbstractOpen Dialogue (OD) is an integrated approach to mental health care, which has demonstrated promising outcomes in the treatment of first-episode psychosis (FEP) in Finnish Western Lapland region. However, little is known how treatment under OD is retrospectively experienced by the service users themselves. To address this, twenty participants from the original Western Lapland research cohort diagnosed with psychosis (F20–F29) were asked about their treatment of FEP, initiated under OD 10–23 years previously. Thematic analysis was used to explore how the treatment was experienced. Most participants viewed network treatment meetings as an important part of their treatment, as they enab…

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

2014

Psychosis is a challenging phenomenon for professionals. In the need-adapted approach (NAA), therapy meetings constitute a deliberate effort to meet the challenges by bringing all the main parties together within a common discussion. The aims of this study are to analyze and evaluate psychiatrists' experiences of the treatment processes in psychosis. A qualitative multiple case study approach has been used. Between August 2007 and January 2009, co-research interviews (CR-Is) and stimulated-recall interviews (STR-Is) with 10 psychiatrists from 3 different parts of Finland were videoed and transcribed verbatim. The material was analyzed using qualitative content analysis. The difficult emotio…