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Open Dialogue as a cultural practice - critical perspectives on power obstacles when teaching and enabling this approach in current psychiatry

Sebastian von Peter, Katrin Eissing, Katharina Saliger

2023Frontiers in Psychology10 citationsDOIOpen Access PDF

Abstract

Building on both therapeutic and organizational principles, adopting Open Dialogue (OD) calls various routines of the current mental health system into question, resulting in potential obstacles with implementation. This perspective paper aims to reflect on power relations as potential disruptive factors in enabling the OD approach in mental health care. Drawing on data from a small implementation study, followed by reflections from three perspectives, we conclude with a discussion exploring the potential of understanding OD as a fundamental human practice to reduce these power-related obstacles.

Topics & Concepts

Perspective (graphical)PsychologyPower (physics)Mental healthMental health careClinical PracticeEngineering ethicsPsychotherapistComputer scienceMedicineNursingArtificial intelligenceEngineeringPhysicsQuantum mechanicsMental Health and Patient InvolvementCommunity Health and DevelopmentCounseling, Therapy, and Family Dynamics