Open Dialogue for Psychosis : Organising Mental Health Services to Prioritise Dialogue, Relationship and Meaning book cover
1st Edition

Open Dialogue for Psychosis
Organising Mental Health Services to Prioritise Dialogue, Relationship and Meaning

ISBN 9780815392323
Published July 30, 2021 by Routledge
314 Pages 2 B/W Illustrations

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Book Description

This highly readable book provides a comprehensive examination of the use of Open Dialogue as a treatment for psychosis. It presents the basic principles and practice of Open Dialogue, explains the training needed to practice and explores how it is being developed internationally.

Open Dialogue for Psychosis includes first-hand accounts of the process by people receiving services due to having psychotic experiences, their family members and professionals who work with them. It explains how aspects of Open Dialogue have been introduced in services around the world, its overlap with and differentiation from other psychological approaches and its potential integration with biological and pharmacological considerations. The book concludes with a substantive section on the research available and its limitations.

Open Dialogue for Psychosis will be a key text for clinicians and administrators interested in this unique approach, particularly those who recognise that services need to change for the better and are seeking guidance on how this can be achieved. It will also be suitable for people who have experienced psychosis and members of their families and networks.

See the below link to the dedicated book webpage:

Table of Contents

Prologue  SECTION 1: Introducing Open Dialogue  1. What is Open Dialogue?  2. The historical development of Open Dialogue in Western Lapland  3. Psychosis is not an illness but a response to extreme stress – dialogue is a cure for it  SECTION 2: Personal, family and professional experiences of Open Dialogue  Editors’ introduction  4. Our son is ‘coming back’: a dialogical-network approach to a young adult diagnosed with schizoaffective disorder  5. The experience of a family Open Dialogue approach – a sister and practitioner refl ect one year after discharge from services  6. Psychotic behaviour: symptom of a (brain) disease or an attempt at adjustment?  7. The stress of tolerating uncertainty: emails can help!  8. Rooted in love – a journey through a dark time with a teenager and his family  9. Open Dialogue as a point of entry to reconnect to the real world of relationships  10. Permission to speak!  SECTION 3: Open Dialogue training, including refl ections from trainers and participants and adaptations in different settings  Editors’ introduction  11. Introducing Open Dialogue training  12. Reflections on the dialogical design of the three/ four-year Open Dialogue training  13. Reflections on participating in the three-year Open Dialogue training  14. Thirteen years of running Open Dialogue foundation training programmes  15. Reflections from participants on an Open Dialogue foundation training  16. Being ‘in rhythm’ with participants during dialogical training  17. Personal refl ections on the Italian Open Dialogue training  18. UK NHS Peer- supported Open Dialogue training  SECTION 4: Introducing Open Dialogue in different contexts in various countries  Editors’ introduction  19. Open Dialogue in Germany – opportunities and challenges  20. Open Dialogue in the Italian national health service: a view from the borderland  21. The challenges of introducing Open Dialogue into a UK Early Intervention in Psychosis Service  22. Two Open Dialogue programmes at Advocates, Framingham, Massachusetts, USA  23. Implementing Open Dialogue- informed practices at the counselling service of Addison County in Vermont, USA  24. Migrant families: experiences using the Open Dialogue approach  25. Peer workers in Open Dialogue  26. The challenge of developing Open Dialogue in hospital settings  27. Open Dialogue behind ‘closed doors’ (a locked ward)  SECTION 5: Opening the dialogue with other approaches  Editors’ introduction  28. Working with Open Dialogue within the neurobiological model – challenges and opportunities  29. Systemic therapy and Open Dialogue  30. Open Dialogue and cognitive behavioural therapy (CBT)  31. Extending need- adapted interventions in a contemporary Open Dialogue service in Helsinki  32. Interfamily therapy: application of dialogical practices in the multifamily group  33. Psychoanalysis and Open Dialogue  34. The affinities between therapeutic communities and Open Dialogue  35. Open Dialogue and music therapy  SECTION 6: Research into Open Dialogue  Editors’ introduction  36. Research into the need- adapted treatment approach to psychosis  37. Research from Western Lapland of Open Dialogue for psychosis  38. Open Dialogue adherence and fidelity tools  39. The UK ODDESSI trial  40. Research into a Peer-supported Open Dialogue service in the UK  41. Open Dialogue for psychosis in five Danish municipalities – results and experiences  42. Researching whether Finnish Open Dialogue transfers to the Italian mental health system  43. A feasibility study of adapting Open Dialogue to the US health context: the Collaborative Pathway at Advocates, Massachusetts, USA  44. The Parachute Project NYC – the project and outcomes of the Brooklyn mobile team  45. Open Dialogue research in Ireland  46. Anthropological research into Open Dialogue in Berlin  47. Openness and authenticity in the Open Dialogue approach  Epilogue

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Nick Putman is a psychotherapist and practitioner, supervisor and trainer in Open Dialogue. He is the founder of Open Dialogue UK.

Brian Martindale is a psychiatrist and psychoanalyst based in the UK. He is past Chair of the International Society for Psychological and Social Approaches to Psychosis (ISPS) and co-founder of the European Federation of Psychoanalytic Psychotherapy (EFPP).


"This is a much needed, timely book that provides the first account of the international implementation and adaptation of the Open Dialogue approach to promoting recovery among persons experiencing psychosis. Spanning theoretical, training, and research perspectives - with the welcome addition of first person accounts from providers, persons in recovery, and their loved ones - this comprehensive introduction is sure to hasten the spread of the first radically new approach to psychosis the field has seen in decades." – Professor Larry Davidson, Yale University, USA

"Open Dialogue is one of the most optimistic developments in the care of people with mental illness in the last three decades… This book is vital in explaining what it is, what training is necessary, the experience of service users and the key research related to this approach. I recommend it to all mental health practitioners and those with lived experience." – Adrian James, President, Royal College of Psychiatrists, UK

"This book is the most complete description available of Open Dialogue… The authors convincingly illustrate that Open Dialogue should play an essential role in any treatment for psychosis and the organisation of services. I heartily recommend this book." - Ludi Van Bouwel, Chair, ISPS

"With this book Putman and Martindale aimed to create a comprehensive and thoughtful exploration of the Open Dialogue approach to psychosis and its wider application within mental health services - and they have delivered spectacularly... For the Family Therapy field, this book will make its mark as an excellent resource for practitioners, researchers, clinical training programmes and service commissioners." – Monica Whyte, President, EFTA