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Chapter 26 - The Open Dialogue Approach

from Section 3 - Contemporary Developments

Published online by Cambridge University Press:  27 May 2021

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Summary

The Open Dialogue Approach (ODA) has introduced radical changes in the approach to treatment of psychiatric disorders, particularly for those with psychosis. The model recognises the key value of family and social relationships and places specific emphasis on these aspects of the patient’s life, both in understanding the psychiatric breakdown and providing the tools for recovery. This is actively translated into practice where patients are seen together with members of their family and significant others by the treating team, from their first presentation and throughout their treatment. With open and active involvement of all present, including the patient, an understanding of the presenting symptoms is jointly sought, formulations are co-created with relationships seen as playing a central role. Within this social group all decisions about management are made.

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Publisher: Cambridge University Press
Print publication year: 2021

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