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In this episode, we sit down with Nick Putman, founder of Open Dialogue UK and a leading force in adapting the Open Dialogue approach to the UK. As a UKCP registered psychotherapist and certified Open Dialogue practitioner and trainer, Nick shares his journey of learning directly from pioneers like Jaakko Seikkula and Jorma Ahonen, and how he has worked to bring this revolutionary approach to the NHS and beyond.We explore Nick's visits to Western Lapland to study Open Dialogue in practice, his work running training programmes internationally, and his contributions as co-editor of Open Dialogue for Psychosis. With over 25 years of experience in mental health settings, Nick offers deep insights into how prioritising dialogue, relationships, and meaning can transform care for people experiencing psychosis and their families.Join us for an inspiring conversation about the challenges and triumphs of bringing Open Dialogue to the UK and reshaping mental health services.
Avoimet dialogit ja psykoosien hoito -Vieraana Jaakko Seikkula | Tämä podcast-jakso on äänitallenne Facebook-livevideosta, jossa vieraanani oli psykoterapian professori Jaakko Seikkula. Alempaa tältä sivulta löytyy myös videoversio tästä keskustelusta. Jaakko Seikkula on yksi keskeisistä avoimen dialogin ajattelu- ja työtapaa kehittäneistä ja tutkineista henkilöistä. Kysyin häneltä mm. siitä, mitä avoimen dialogin hoitomallin parissa ajatellaan psykoosista. Tämän […] The post Avoimet dialogit ja psykoosien hoito -Vieraana Jaakko Seikkula appeared first on Astetta parempi elämä.
Vieraana Jaakko Seikkula. Dialogi – aito kohtaaminen ja toisen kuuleminen – on todella parantavaa! Tarvitsemme kannattelevampaa ja hoitavampaa kohtaamista niin arkeen kuin ammattikohtaamisiinkin. Jo se, että tulee kuulluksi on usein voimaannuttavaa. Jaakko Seikkula on kliininen psykologi ja psykoterapian professori. Hän on ollut kehittämässä dialogista, kohtaavaa hoitomallia. Seikkula on uskaltanut kritisoida psykiatrisessa hoidossa olleita asiakasta ohittavia käytänteitä, ja on tuonut esille dialogin parantavaa voimaa monelta eri kulmalta. Hän on ollut luomassa niin sanottua Keroputaan (avoimen dialogin) mallia, jossa psykoosipotilaiden hoidossa saavutettiin hyviä tuloksia kun sekä potilaat että heidän läheisensä otettiin hoidon suunnitteluun mukaan ja potilaita kuultiin. Keroputaan mallissa ajatellaan, että potilaiden kokemuksilla ja ajatuksilla, jopa harhoilla, on merkittävä sanomansa myös heidän aiempaan kokemusmaailmaansa, esimerkiksi heidän kokemiinsa traumaattisiin kokemuksiin nähden. Useiden tutkimusten mukaan avoimen dialogin malli on paitsi parantanut potilaiden hyvinvointia esimerkiksi työkyvyn palautumisessa mitattuna, mutta myös ollut merkittävä potilaan toimijuutta ja voimaantumista lisäävä hoitomalli. Traumainformoidun mallin – jossa dialogisuudella ja ihmisläheisellä, kunnioittavalla kohtaamisella on tärkeä rooli – kannattajana tuntuu vaikealta kuvitella psykiatrista hoitotyötä, jossa potilasta ei kuunnella. Toivon, että avoimen dialogin malli voisi olla tulevaisuudessa mukana kaikessa sotetyössä! Jaakko Seikkula on ollut mukana kirjoittamassa tai kirjoittanut monia oivaltavia tekstejä, joihin jokaisen auttamis- ja ihmistyöntekijän olisi hyvä tutustua. Omassa opiskelussani ja myöhemmin työssäni Seikkulan tekstit ovat olleet isossa roolissa. Se, että kohdataan ihminen inhimillisesti, omassa verkostossaan on mielestäni ensisijaisen merkittävää myös hoidon ja asiakassuhteen onnistumisen kannalta. Ihminen on aina enemmän kuin hänen oireensa tai diagnoosinsa. Kiinnostuitko? Jaakko Seikkula: Dialogi parantaa, mutta miksi? Kuva ja mieli 2023. Tom Erik Arnkil & Jaakko Seikkula: “Nehän kuunteli meitä”. Dialogeja monissa suhteissa. Terveyden ja hyvinvoinninlaitos 2015.
This week on MIA Radio we share the audio from our first Town Hall panel discussion. Mad in America, Open Excellence and the HOPEnDialogue project have collaborated to create an ongoing series of Town Hall discussions exploring the challenges, learnings and opportunities for personal and societal growth found through dialogical responses to crisis in the age of COVID-19. The title of this first discussion is: Are We Living in the Most Dialogical Time Ever? And the hosts are Kermit Cole and Louisa Putnam. COVID-19 has forced us all into new ways of being, new ways of relating to each other, and new ways of responding to each other in a time of crisis. These new ways reveal more clearly than ever how essential dialogue is to the human experience. What are dialogical practitioners doing — and learning — in this time of crisis? What do these learnings suggest or make possible that might have previously seemed unattainable? What insights do people who have lived with a sense of crisis, often cut off from “mainstream” dialogues, have to offer a world in crisis? Hosts Kermit Cole and Louisa Putnam are inspired by Open Dialogue to respond as a team to individuals, couples and families in crisis. They have hosted many symposia in Santa Fe, New Mexico to explore the intersections between Open Dialogue, Hearing Voices, and other Dialogical approaches, and recently completed their studies under Jaakko Seikkula to be Open Dialogue trainers. Panellists Jaakko Seikkula teaches Dialogical practice to the many people around the world who have been inspired by the Open Dialogue, the response to mental health crises in Tornio, Finland that Jaakko’s team created. Richard Armitage is a dialogical practitioner and trainer in Denmark at a large centre for supported living and rehabilitation. Iseult Twamley is a Clinical Psychologist and Open Dialogue Trainer/Supervisor. Since 2012 she has been Clinical Lead of the Cork Open Dialogue Implementation, Ireland. Rai Waddingham is an Open Dialogue Practitioner, international trainer, and has created, established and managed innovative Hearing Voices Network projects in youth, prison, forensic, inpatient and community settings. Andrea Zwicknagl is a peer support worker in Switzerland and a board member of HOPEnDialogue.
This week on MIA Radio, we turn our attention to Open Dialogue and we chat with psychotherapist and Open Dialogue trainer Alita Taylor. Alita is a licensed Marriage & Family Therapist, trainer and facilitator based in Tacoma, Washington USA. Her passion is working from a community-based, non-expert, need-adapted Open Dialogue perspective, which utilizes social networks, family, and co-facilitation with other professionals. In this recent blog, Alita shares why Open Dialogue ‘cannot be taught, but needs a teacher‘. Love Is In the Air… I am in love. I’m in love with this way of working. And I won’t stop. Open Dialogue Washington began in 2018 upon my graduation/commencement from Jaakko Seikkula’s dialogic approaches to couple and family therapy trainer/supervisor training, in collaboration with Dialogic Partners and the University of Jyväskylä. In 2016, I embarked to partake in the best training course I had ever experienced as a family therapist. The embodiment I experienced working with my Open Dialogue colleagues felt like the missing key in psychiatry and psychotherapy. Something intangible, yet what I knew all along. Something ineffable, yet also a shared language. Something deeply and autonomically human, yet unrepeatable and fleeting. It led me onto a moment-by-moment path where everything I learned in my 27-year long career about systemic family therapy and emergency psychiatric protocols ebbed, and the present moment of love flowed, neither the ebbing knowledge nor the cresting wisdom having any lesser value than the other. The complete work we do in mental health care is this ocean of love. We are in constant change when we are in crisis. Timelessness sets in. Growth is happening. We don’t exactly know what we need. That is what mental health work is, sitting with this human happening. In the in-between space, something happens, and we don’t know what will. This is the paradox. We are navigating the ebb and flow of incoming knowledge we have from research and the ebb and flow in each patient and family’s difficulties (the meanings they make of them). “It cannot be taught, but it needs a teacher.” After getting trained to facilitate and supervise Open Dialogue, I found that this is the crux of the work, holding more than one truth. As human beings, as a society, as mental health practitioners, we must be able to ask what is helpful, and we must be willing to co-provide this “help” creatively, without barriers, between the digitized rows and columns of tick-boxes and presumptive diagnostic menus. Remember the analog world of dials and infinite decimals? Agency lies within ourselves to expand the possibilities, to be willing to open to solutions that have not yet been tried. Michael Pohl wrote about dialogical leadership and culture in which he referenced Karl-Martin Dietz and Thomas Kracht of the Hardenberg Institute for Cultural Studies in Heidelberg, Germany. Michael remembered a discussion on whether dialogism can be taught or experienced. It was argued that the dialogic attitude cannot be learned and that any thought of teaching it is unnecessary. Michael disagreed. He writes, “It cannot be taught, but it needs a teacher.”— Medium.com, March 2018. In Helsinki and Tornio while learning the Open Dialogue approach, I had many teachers: Jorma Ahonen, Pekka Borchers, Birgitta Alakare, Aino Maija Rautkallio, Kari Valtanen, Tom Erik Arnkil, Jaakko Seikkula, Tapio Salo, Tanja Pihlaja, Eija-Liisa Rautiainen, Pekka Holm. How did they do it? To quote Birgitta Alakare when she was asked about the beginnings of the development of Open Dialogue in the 1980’s, “It was not only me, it was all of us, everyone.” When we include all the stakeholders, all the voices, polyphonically, something extraordinary is given space to emerge. This is challenging to enact when there are systems of health care based on bed occupancy, lengths of stay, productivity, staff ratios, definitions of “emergency” or “inpatient” levels of care. Well, Open Dialogue Washington is bringing to the fore the question, “What is our role as helpers??” To quote Mia Kurtti, Open Dialogue trainer of Tornio, Finland, “What are we really doing here?” Caring for our mental health, however defined (crises, hard times, depression, psychosis), is a human need that varies from moment to moment. I learn from every client and family I sit with. In Open Dialogue, multiple perspectives are allowed, in fact invited. Unusual experiences are uncategorized mystery, and understanding between client and family/social network is continuously underway. The course of schizophrenia was reversed in Western Lapland, and their inhabitants trust their mental health system. Hmmm… if we want to save State and Federal dollars and our own livelihoods, perhaps we should allow ourselves to practice psychotherapy and psychiatry with more questions than answers. Perhaps the ones in crisis will teach us what we didn’t know. Love is somewhere, here, in the air. Relevant links: Open Dialogue Washington Open Dialogue Training, April 2019 Open Dialogue UK
Tutkijoilla on uudenlainen ymmärrys siitä, miten ihmisen mieli syntyy usean ihmisen vuorovaikutuksessa. Virittäydymme toisiimme muillakin tasoilla kuin puheen kautta. Tunteet syntyvät kehossa ja ne vaikuttavat myös autonomiseen hermostoon. Viestimme vahvasti jo ennen kuin olemme sanoneet yhtään sanaa. Miehetkin puhuvat tunteistaan, mutta vain eri tavoin kuin naiset. Vuorovaikutus alkaa synnyttyämme: vauva ei ole tyhjä taulu vaan aktiivinen vuorovaikutuksen synnyttäjä ja osallistuja. Virittäydymme toisiimme viidellä eri tasolla. Haastateltavina ovat psykologian professori Jaakko Seikkula ja psykologian tohtori Virpi-Liisa Kykyri. Toimittajana on Nina Malmberg
I Radio Totalnormal idag så får vi höra ett avsnitt från Fountain House Stockholms podcast Måste Våga Podda Om Det och ett specialprogram inspelat av Anki Matthies. I första halvan som består av Onda Ögat, talar Ulla Britt, Cynthia, Björn och Eddie om detta "onda ögat" som i det här fallet betyder den onda blick som många vänder in mot sig själva, ett slags självförakt som kan leda till förödande konsekvenser. I den andra delen får vi följa med Anki Matthies som i oktober var på ett vetenskapligt symposium i Göteborg med titeln: Psykofarmaka, Risker och Alternativ där hon intervjuat en mängd föreläsare och deltagare. På bilden syns Anki Matthies t v, Robert Whitaker, Olga Runciman och Jaakko Seikkula.
I start this episode by asking Mary how Open Dialogue influences her work at Windhorse. Mary tells us about her back-story with Open Dialogue and the people who have influenced her and played a role in the movement. Links to websites about those influential people and their work are available in the show notes and on our facebook page: facebook.com/windhorseimh (all one word). With that, let’s get into the podcast! To find out more on Open Dialogue: Lynn Hoffman http://www.taosinstitute.net/lynn-hoffman-acsw Mary Olsen - http://www.dialogicpractice.net/ Jaakko Seikkula - http://www.taosinstitute.net/jaakko-seikkula-phd To find out more about Windhorse visit: http://windhorseimh.org Or email us at: marketing@windhorseimh.org
Is a 'psychotic' crisis inside one person's mind -- or does it happen between people, in their relationship? Can therapy untangle the web of madness by addressing the family, providers, and entire social network? Smith College social worker and Fulbright scholar Mary Olson discusses the innovative work of Jaakko Seikkula and colleagues' Open Dialogue Approach in Finland, which has achieved dramatic success helping people through extreme states labeled 'psychosis' and 'schizophrenia' -- while relying much less on medication and hospitalization. [Read more...]