“Inner and Outer Voices in the Present Moment of Family and Network Therapy” – Seikkula

Compared to narrative and solution-focused therapies, in dialogical approaches the therapists’ position becomes different. Therapists are no longer interventionists with some preplanned map for the stories that clients are telling. Instead, their main focuses on how to respond to clients’ utterances as answers are the generators for mobilizing one’s own psychological resources, since ‘for the word (and consequently for a human being) there is nothing more terrible than a lack of response’ (Bakhtin, 1984, p.127). Respecting the dialogical principle that every utterance calls for a response, team members strive to answer what is said. Answering does not mean giving an explanation or interpretation, but, rather, demonstrating in a therapist’s response that one has noticed what has been said and, when possible, opening up a new point of view on what has been said. This is not a forced interruption of every utterance to give a response, but an adaptation of one’s answering words to the emerging natural rhythm of the conversation. Team members respond as fully embodied persons, with genuine interest in what each person in the room has to say, avoiding any suggestion that someone may have said something wrong. As the process enables network members to find their voices, they also become respondents to themselves. For a speaker, hearing her own words after receiving the comments that answer them enables her to understand more of what she has said. Read more here: Inner and Outer Voices in the Present Moment of Family and Network Continue Reading…

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Lars Martensson: Reverse Psychiatry in Sweden

What happens in Falun is that the people around the patient, the ”family,” are gathered as soon as possible for a session with the team. The team consists of the psychiatrist, Goran Andre, a psychologist, and two other people. They meet in a living-room type setting. By family is meant whoever is significant in the life of the patient. The experience of the team is that people will come, even if they have to travel from far away. In this situation, everybody, not only the patient, is filled with anxiety and despair. Together with the team the family gets an increased capacity to contain and solve problems. It is often found that the patient emerges from psychosis during this first family session. The patient is almost always able to return home with the family the same day. If needed, one of the team members may come along home and stay the night with the family. Psychosis Outcome with Reverse Psychiatry Now the remarkable outcome. During these four years the Falun team took care of 37 first time psychotic patients. Normally about half of first time psychotic persons get stuck in their psychosis, become chronically psychotic, and get the diagnosis schizophrenia.You do not get that diagnosis right away; you get it after some time when you seem stuck in psychosis. The remarkable outcome is that during these years there was not a single new case of schizophrenia in the Falun area. In a population of 60,000 people in four years you expect about 30 new cases of psychosis out of which about 15 graduate to schizophrenia. In Falun there were ZERO, instead of 15 cases of schizophrenia. This fact indicates that most, if not all people, who become schizophrenic with normal psychiatry, would overcome the psychosis with the Falun REVERSE PSYCHIATRY. In other words, with the right help at an early stage the development from psychosis to schizophrenia may be prevented. Since in normal psychiatry most patients would receive neuroleptic drugs, I asked Göran how many Continue Reading…

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