Psychosocial treatment, antipsychotic postponement, and low-dose medication strategies in first-episode psychosis: A review of the literature – Bola, Lehtinen, Cullberg and Ciompi

Reconsidering medication-free research in early-episode schizophrenia prompts a review of acute psychosocial treatments using medication postponement protocols. We describe and compare the different psychosocial treatment approaches. Studies were included in the review if initial psychosocial treatment combined with a time-limited postponement of antipsychotics was compared to initial antipsychotic treatment using a quasi-experimental or better research […]

“The Open Dialogue Approach to Psychosis: Its Poetics and Micropolitics” – Seikkula & Olson

In Finland, a network-based, language approach to psychiatric care has emerged, called “Open Dialogue.” It draws on Bakhtin’s dialogical principles (Bakhtin, 1984) and is rooted in a Batesonian tradition. Two levels of analysis, the poetics and the micropolitics, are presented. The poetics include three principles: “tolerance of uncertainty,” “dialogism,” and “polyphony in social networks.” A […]

‘Family and Network Therapy Training for a System of Care: ‘A Pedagogy of Hope’” – Olson

In the past decade, the field of family therapy has witnessed the emergence of a new template for practice based on reflection and narrative, instead of strategy and intervention. There also are broader social and cultural frameworks, especially regarding gender and issues of social justice. The style of practice has evolved from a hierarchical one to […]

“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 […]