University of Massachusetts Medical School Faculty Publications

Title

An Auto-Ethnographic Study of "Open Dialogue": The Illumination of Snow

UMMS Affiliation

Department of Psychiatry; Systems and Psychosocial Advances Research Center

Publication Date

12-1-2015

Document Type

Article

Disciplines

Psychiatry | Psychiatry and Psychology | Psychology

Abstract

This auto-ethnographic study describes the changes in the author's thinking and clinical work connected to her first-hand experience of Open Dialogue, which is an innovative, psychosocial approach to severe psychiatric crises developed in Tornio, Finland. In charting this trajectory, there is an emphasis on three interrelated themes: the micropolitics of U.S. managed mental health care; the practice of "dialogicality" in Open Dialogue; and the historical, cultural, and scientific shifts that are encouraging the adaptation of Open Dialogue in the United States. The work of Gregory Bateson provides a conceptual framework that makes sense of the author's experience and the larger trends. The study portrays and underscores how family and network practices are essential to responding to psychiatric crises and should not be abandoned in favor of a reductionist, biomedical model.

Rights and Permissions

Citation: Fam Process. 2015 Dec;54(4):716-29. doi: 10.1111/famp.12160. Epub 2015 Jul 2. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Keywords

Auto-ethnography, Biological Reductionism, Dialog, Dialogic Practice, Open Dialogue, autoetnografía, diálogo, diálogo abierto, práctica dialógica, reduccionismo biológico

Journal/Book/Conference Title

Family process

PubMed ID

26133053