Open Dialogue Approach: Treatment Principles and Preliminary Results of a Two-Year Follow-Up on First Episode Schizophrenia

Ethical Human Sciences and Services

Volumn 5, Issue 3, 2003, Pages 163-182

  Seikkula, Jaakko ^a   Alakare, Birgitta ^b   Aaltonen, Jukka ^a   Holma, Juha ^a   Rasinkangas, Anu ^a   Lehtinen, Ville ^c  

^a UNIVERSITY OF JYVÄSKYLÄ   (Finland)

^b UNIVERSITY OF OULU   (Finland)

^c NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

NEUROLEPTIC AGENT;

ADOLESCENT; CASE REPORT; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; DRUG USE; EMPLOYMENT; FAMILY THERAPY; FEMALE; FINLAND; HOME CARE; HOSPITALIZATION; HUMAN; MALE; OPEN DIALOGUE APPROACH; PRIORITY JOURNAL; PSYCHOSOCIAL CARE; PSYCHOTIC SYMPTOM; RELAPSE; REVIEW; SCHIZOPHRENIA; SOCIAL ENVIRONMENT; SYMPTOM;

EID: 1442267553     PISSN: 1523150X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (77)

1. Aaltonen, J., Seikkula, J., Alakare, B., Haarakangas, K., Keränen, J., & Sutela, M. (1997). Western Lapland project: A comprehensive family- and network-centered community psychiatric project. Abstracts and Lectures 12-16 October 1997 (p. 124). London: International Society for Psychological Treatment of Psychosis.
2. Alanen, Y., Lehtinen, K., Räkköläinen, V., & Aaltonen, J. (1991). Need-adapted treatment of new schizophrenic patients: Experiences and results of the Turku Project. Acta Psychiatrica Scandinavica, 83, 363-372.
3. Alanen, Y. (1997). Schizophrenia: Its origins and need-adapted-treatment. London: Kamac Books.
4. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.-rev.). Washington, DC: Author.
5. Andersen, T. (1995). Reflecting processes. Acts of informing and forming. In S. Friedman (Ed.), The reflective team in action (pp. 11-37). New York: Guilford.
6. Anderson, C., Hogarty, G., & Reiss, D. (1980). Family treatment of adult schizophrenic patients: Psychoeducational approach. Schizophrenia Bulletin, 6, 490-505.
7. Anderson, H. (1997). Conversation, language, and possibilities. New York: Basic Books.
8. Anderson, H., & Goolishian, H. (1988). Human systems as linguistic systems: Preliminary and evolving ideas about the implications for clinical theory. Family Process, 27, 371-393.
9. Bakhtin, M. (1984). Problems of Dostojevskij's poetics. Manchester, UK: Manchester University Press.
10. Boscolo, L., & Bertrando, P. (1993). The times of time. New York: Norton.
11. Boscolo, L., & Bertrando, P. (1998). Genom tidens lins [The times of time]. Ett nyt perspektiv inom systemisk terapi och konsultation. Stockholm: Mareld.
12. Bustillo, J., Lauriello, J., Horan, W., & Keith, S. (2001). The psychosocial treatment of schizophrenia: An update. American Journal of Psychiatry, 158, 163-175.
13. Carpenter, W. (1997). The risk of medication-free research. Schizophrenia Bulletin, 23, 11-18.
14. Chadwick, P., Birchwood, M., & Trower, P. (1996). Cognitive therapy for delusions, voices and paranoia. Chichester, UK: John Wiley.
15. Cullberg, J., Thoren, G., Åbb, S., Mesterton, A., & Svedberg, B. (2000). Integrating intensive psychosocial and low-dose neuroleptic treatment: A 3-year follow-up. In B. Martindale, A. Bateman, M. Crowe, & F. Margison (Eds.), Psychosis: Psychological approaches and their effectiveness (pp. 200-209). London: Gaskell Press.
16. Eckman, T., Wirsching, W., Marder, S., Liberman, R., Johnston-Cronk, K., Zimmerman, K., & Mintz, J. (1992). American Journal of Psychiatry, 149, 1549-1555.
17. Edwards, J., & McGorry, P. (1998). Early intervention in psychotic disorders: A critical step in the prevention of psychological morbidity. In C. Perris & P. McGorry (Eds.), Cognitive psychotherapy of psychotic and personality disorders (pp. 167-196). Chichester, UK: John Wiley.
18. Endicott, J., Spitzer, R., Fleiss, J., & Cohen, J. (1976). The Global Assessment Scale - A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766-771.
19. Fadden, G. (1998). Research update: Psychoeducational family intervention. Journal of Family Therapy, 20, 293-309.
20. Falloon, I. (1996). Early detection and intervention for initial episodes of schizophrenia. Schizophrenia Bulletin, 22, 271-283.
21. Falloon, J., Boyd, J., & McGill, C. (1984). Family care of schizophrenia. New York: Guilford.
22. Garbone, S., Harrigan, S., McGorry, P., Curry, C., & Elkins, K. (1999). Duration of untreated psychosis and 12-month outcome in first-episode psychosis: The impact of treatment approach. Acta Psychiatrica Scandinavica, 100, 96-104.
23. Gergen, K. (1994). Realities and relationships: Soundings in social construction. Cambridge, MA: Harvard University Press.
24. Gergen, K. (1999). An invitation to social construction. London: Sage.
25. Gergen, K., & McNamee, S. (2000). From disordering discourse to transformative dialogue. In R. Neimeyer & J. Raskin (Eds.), Construction of disorders. Washington, DC: American Psychological Association.
26. Gleeson, J., Jackson, H., Stavely, H., & Burnett, P. (1999). Family intervention in early psychosis. In P. McGorry & H. Jackson (Eds.), The recognition and management of early psychosis (pp. 376-406). Cambridge, UK: Cambridge University Press.
27. Goldstein, M. (1996). Psycho-education and family treatment related to the phase of a psychotic disorder. International Clinical Psychopharmacology, 11 (Suppl. 2), 77-83.
28. Gupta, S., Andreasen, N., Arndt, S., & Flaum, M. (1997). The Iowa longitudinal study of recent onset schizophrenia: One-year follow-up of first episode patients. Schizophrenia Research, 23(1), 1-13.
29. Haarakangas, K. (1997). Hoitokokouksen äänet. [The voices in treatment meeting. A dialogical analysis of the treatment meeting conversations in family-centered psychiatric treatment process in regard to the team activity. English Summary.] Jyväskylä Studies in Education, Psychology and Social Research, 130, 119-126.
30. Hegarty, J., Baldessarini, R., Tohen, M., Waternaux, C., & Oepen, G. (1994). One hundred years of schizophrenia: A meta-analysis of the outcome literature. American Journal of Psychiatry, 151, 1409-1416.
31. Hogarty, G., Kornblith, S., Greenwald, D., DiBarry, A., Cooley, S., Ulrich, R., et al. (1997). Three-year trials of personal therapy among schizophrenic patients living with or independent of family, I: Description of study and effects on relapse rates. American Journal of Psychiatry, 154, 1504-1513.
32. Holma, J. (1999). The search for a narrative: Investigating acute psychosis and the need-adapted treatment model from the narrative viewpoint. Jyväskylä Studies in Education, Psychology and Social Research, 150.
33. Holma, J., & Aaltonen, J. (1997). The sense of agency and the search for a narrative in acute psychosis. Contemporary Family Therapy, 19, 463-477.
34. Holma, J., & Aaltonen, J. (1998). Narrative understanding in acute psychosis. Contemporary Family Therapy, 20(3), 253-263.
35. Jackson, C., & Birchwood, M. (1996). Early intervention in psychosis: Opportunities for secondary prevention. British Journal of Clinical Psychology, 35, 487-502.
36. Johnstone, E., Crow, T., Johnson, A., & Macmillan, J. (1986). The Northwick Park Study of first episode schizophrenia: I. Presentation of the illness and problems relating to admission. British Journal of Psychiatry, 148, 115-120.
37. Johnstone, E., Macmillan, F., Frith, C., Benn, D., & Crow, T. (1990) Further investigation of the predictor of outcome following first schizophrenic episode. British Journal of Psychiatry, 187, 182-189.
38. Keefler, J., & Koridar, E. (1994). Essential elements of a family psychoeducation program in the aftercare of schizophrenia. Journal of Marital and Family Therapy, 20, 369-380.
39. Keränen, J. (1992). The choice between outpatient and inpatient treatment in a family centred psychiatric treatment system (English summary). Jyväskylä Studies in Education, Psychology and Social Research, 93, 124-129.
40. Larsen, T., Johanneson, J., & Opjordsmoen S. (1998). First-episode schizophrenia with long duration of untreated psychosis. British Journal of Psychiatry, 172(Suppl. 32), 45-52.
41. Lehtinen, K. (1993). Need-adapted treatment of schizophrenia: A 5-year follow-up study from the Turku project. Acta Psychiatrica Scandinavica, 87, 96-101.
42. Lehtinen, V., Aaltonen, J., Koffert, T., Räkköläinen, V., Syvälahti, E., & Vuorio, K. (1996). Integrated treatment model for first-contact patients with a schizophrenia-type psychosis: The Finnish API project. Nordic Journal of Psychiatry, 50, 281-287.
43. Lehtinen, V., Aaltonen, J., Koffert, T., Räkkölöinen, V., & Syvälahti, E. (2000). Two-year outcome in first-episode psychosis treated according to an integrated model. Is immediate neuroleptisation always needed? European Psychiatry, 15, 312-320.
44. Liberman, R., & Corrigan, W. (1993). Designing new psychosocial treatments for schizophrenia. Psychiatry, 56, 237-249.
45. Liberman, R., & Green, M. (1992). Whither cognitive-behavioral therapy. Schizophrenia Bulletin, 18, 27-35.
46. Lieberman, J. (1996). Pharmacotherapy for patients with first episode, acute, and refractory schizophrenia. Psychiatric Annals, 26, 515-518.
47. Linszen, D., Lenior, M., De Haan, L., Dingemans, P., & Gersons, B. (1998). Early intervention, untreated psychosis and the course of early schizophrenia. British Journal of Psychiatry, 172(Suppl. 33), 84-89.
48. Linszen, D., Dingemans, P., Scholte, W., Lenior, M., & Goldstein, M. (1998). Early recognition, intensive intervention and other protective and risk factors for psychotic relapse in patients with first psychotic episodes in schizophrenia. International Clinical Psychopharmacology, 13(Suppl. 1), S7-S12.
49. Loebel, A., Lieberman, J., Alvir, J., Mayerhoffer, D., Geisler, S., & Szymanski, S. (1992). Duration of psychosis and outcome in first-episode schizophrenia. American Journal of Psychiatry, 149, 1183-1188.
50. McFarlane, W., Lukens, E., Link, B., Dushay, R., Matchal, J., & Crilly, J. (1995a) Psychoeducational multiple family groups: Four-year relapse outcome in schizophrenia. Family Process, 34, 127-144.
51. McFarlane, W., Lukens, E., Link, B., Dushay, R., Matchal, J., & Crilly, J. (1995b). Multiple-family groups and psychoeducation in the treatment of schizophrenia. Archives of General Psychiatry, 52(8), 679-687.
52. McGorry, P. (1999). "A stitch in time": The scope for preventive strategies in early psychosis. In P. McGorry & H. Jackson (Eds.), The recognition and management of early psychosis (pp. 3-23). Cambridge, UK: Cambridge University Press.
53. McGorry, P., Edwards, J., Mihalopoulos, C., Harrigan, S., & Jackson, H. (1996). EPPIC: An evolving system of early detection and optimal management. Schizophrenia Bulletin, 22, 305-325.
54. Mueser, K., Wallace, C., & Liberman, R. (1995). New developments in social skills training. Behaviour Change, 12(1), 31-40.
55. Opjordsmoen, S. (1991). Long-term clinical outcome of schizophrenia with special reference to gender difference. Acta Psychiatrica Scandinavica, 83, 307-313.
56. Overall, J., & Gorham, D. (1962). The brief psychiatric rating scale (BPRS). Psychological Reports, 10, 799-812.
57. Penn, D., & Mueser, K. (1996). Research update on the psychosocial treatment of schizophrenia. American Journal of Psychiatry, 153, 607-617.
58. Pinsof, W., & Wynne, L. (2000). Toward progress research: Closing the gap between family therapy practice and research. Family Process, 26, 1-8.
59. Perris, C., & McGorry, P. (Eds.). (1998). Cognitive psychotherapy of psychotic and personality disorders. Chichester, UK: John Wiley.
60. Salokangas, R., Räkköläinen, V., & Stengård E. (1991). Uusien skitsofreniapotilaiden hoito ja ennuste V: Viiden vuoden seuranta [Treatment and prognosis of new schizophrenia patients V: 5-years follow-up. English summary.] Reports of Psychiatrica Fennica, 96.
61. Seikkula, J. (1991). Family-hospital boundary system in the social network [English summary]. Jyväskylä Studies in Education, Psychology and Social Research, 80, 227-232.
62. Seikkula, J. (1994). When the boundary opens: Family and hospital in coevolution. Journal of Family Therapy, 16, 401-414.
63. Seikkula, J. (2002). Open dialogues with good and poor outcomes for psychotic crises: Examples from families with violence. Journal of Marital and Family Therapy, 28, 263-274.
64. Seikkula, J., Aaltonen, J., Alakare, B., Haarakangas, K., Keränen, J., & Sutela M. (1995). Treating psychosis by means of open dialogue. In S. Friedman (Ed.), The reflective team in action (pp. 62-80). New York: Guilford.
65. Seikkula, J., Alakare, B., & Aaltonen, J. (2001a). Open dialogue in psychosis I: An introduction and case illustration. Journal of Constructivist Psychology, 14, 247-265.
66. Seikkula, J., Alakare, B., & Aaltonen, J. (2001b). Open dialogue in psychosis II: A comparison of good and poor outcome cases. Journal of Constructivist Psychology, 14, 267-284.
67. Selvini-Palazzoli, M., Boscolo, L., Cecchin, G., & Prata, G. (1978). Paradox and counterparadox. New York: Jason Aronson.
68. Selvini-Palazzoli, M., Boscolo, L., Cecchin, G., & Prata, G. (1980). Hypothesizing, circularity and neutrality: Three guidelines for the conductor of the session. Family Process, 19, 3-12.
69. Shepherd, G. (1998). Development in psychosocial rehabilitation for early psychosis. International Clinical Psychopharmacology, 3 (Suppl. 1), S53-S57.
70. Shotter, J. (1993). Conversational realities: Constructing life through language. London: Sage.
71. Smith, C. (1997). Introduction. Comparing traditional therapies with narrative approaches. In C. Smith & D. Nylund (Eds.), Narrative therapies with children and adolescents (pp. 1-52). New York: Guilford.
72. Strauss, J., & Carpenter, W. (1972). The prediction of outcome in schizophrenia. Archives of General Psychiatry, 27, 739-746.
73. Voloshinov, V. (1996). Marxism and the philosophy of language. Cambridge, MA: Harvard University Press.
74. White, M. (1995). Reauthoring lives: Interviews and essays. Adelaide, Australia: Dulwich Center Publications.
75. Wyatt, R. (1997). Research in schizophrenia and the discontinuation of antipsychotic medications. Schizophrenia Bulletin, 23, 3-10.
76. Yung, A., Phillips, L., McGorry, P., Hallgren, M., McFarlane, C., Jackson, H., et al. (1998). Can we predict the onset of first-episode psychosis in a high-risk group. International Clinical Psychopharmacology, 13 (Suppl. 1), 523-530.
77. Zubin, J., & Spring, B. (1977). Vulnerability - A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103-126.