Open Dialogue

A collection of resources on dialogic practice and Open Dialogue

“Open Dialogue” is an innovative approach to acute psychiatric crises developed by Jaakko Seikkula, Markku Sutela, and their multidisciplinary team at Keropudas Hospital in Tornio, Finland. Starting in the eighties, there have been a variety of research studies of Open Dialogue and its outcomes with early psychosis. Garnering widespread international attention, the results consistently show that this approach reduces hospitalization, the use of medication, and recidivism when compared with treatment as usual. For example, in a five-year study, 83% of patients had returned to their jobs or studies or were looking for a job (Seikkula et al. 2006), In the same study, 77% did not have any residual symptoms. Such outcomes led the Finnish National Research and Development Center for Welfare and Health to award a prize recognizing the Keropudas group for “the ongoing development of psychiatric care over a period of ten years.” — From the Institute for Dialogic Practice

The principles and values of Open Dialogue are also applied to a variety of contexts beyond the Keropudas hospital response to psychosis, such as individual and family therapy and domestic violence. Many people in the US and internationally are now studying these methods such as the group dialogue, reflecting teams, and relational view of psychosis.

The Institute for Dialogic Practice, directed by Dr. Mary Olson, is the U.S.-based training facility for Finnish Open Dialogue and dialogical therapy.

The Network of Dialogical Practices, Europe’s Open Dialogue network founded by Jaakko Seikkula and colleagues.

The International Network for the Treatment of Psychoses, founded by Tom Andersen

Madness Radio interview with Mary Olson on Open Dialogue

Open Dialogue — Alternative Care for Psychosis In Finland Developed By Jaakko Seikkula

Open Dialogue: A Documentary by Daniel Mackler

Open Dialogue: a documentary on a Finnish alternative approach to healing psychosis

Finnish Open Dialogue: High recovery rates leave many psychiatric beds empty

The Open Dialogue Approach to Psychosis: Its poetics and micropolitics

Inner and outer voices in the present moment of family and network therapy

Family and Network Therapy Training for a System of Care: “A Pedagogy of Hope”

Book Chapter on Scandinavia / Finland Approach to Psychosis

Mental Health Trialogue Network, Ireland

Mikhail Bakhtin: Creation of a Prosaics, by G. Morson & C. Emerson

Family Therapy: An Intimate History, by Lynn Hoffman

Steam of Life film – Finnish men and saunas

Reflecting Teams, introduction to Tom Andersen’s book, by Lynn Hoffman

Reflecting Teams article by Tom Andersen