开放式对话:基于对话的精神疾病干预模式

李润之, 骆宏. 开放式对话:基于对话的精神疾病干预模式[J]. 医学与哲学, 2023, 44(1): 44-49. doi: 10.12014/j.issn.1002-0772.2023.01.08
引用本文: 李润之, 骆宏. 开放式对话:基于对话的精神疾病干预模式[J]. 医学与哲学, 2023, 44(1): 44-49. doi: 10.12014/j.issn.1002-0772.2023.01.08
LI Run-zhi, LUO Hong. Open Dialogue: A Dialogue-based Intervention Model for Mental Diseases[J]. Medicine & Philosophy, 2023, 44(1): 44-49. doi: 10.12014/j.issn.1002-0772.2023.01.08
Citation: LI Run-zhi, LUO Hong. Open Dialogue: A Dialogue-based Intervention Model for Mental Diseases[J]. Medicine & Philosophy, 2023, 44(1): 44-49. doi: 10.12014/j.issn.1002-0772.2023.01.08

开放式对话:基于对话的精神疾病干预模式

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    作者简介:

    李润之(1998-),男,硕士研究生,研究方向:精神病学与精神卫生学

    通讯作者: 骆宏(1972-),男,博士,教授,主任医师,研究方向:精神病学与精神卫生学、心理学。E-mail:luohong@hznu.edu.cn
  • 中图分类号: R-05

Open Dialogue: A Dialogue-based Intervention Model for Mental Diseases

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  • 参考文献
    • 通过系统翻阅文献、书籍、相关纪实资料的方法,展现“开放式对话”作为一种精神疾病的干预模式,在芬兰北部西拉普兰地区的实践起源。阐释其对于对话哲学的独特理解以及精神疾病形成的哲学观、独特治疗理念、对于传统以药物为主导的精神疾病治疗的反思。而后,介绍其基本工作流程、七项核心原则、相关治疗效果研究、在世界其他地区的发展现状,并最终从对话哲学以及精神医学治疗等角度做出总结与展望,以期为我国精神卫生体系建设提供一定的参考。
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    • [1]

      FREEMAN A M, TRIBE R H, STOTT J, et al. Open Dialogue: A Review of the Evidence[J]. Psychiatr Serv, 2019, 70(1): 46-59. doi: 10.1176/appi.ps.201800236

      [2]

      BERGSTRÖM T, SEIKKULA J, ALAKARE B, et al. The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen-year outcomes[J]. Psychiatry Res, 2018, 270: 168-175. doi: 10.1016/j.psychres.2018.09.039

      [3]

      SEIKKULA J, AALTONEN J, ALAKARE B, et al. Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies[J]. Psychother Res, 2011, 16(2): 214-228.

      [4]

      赛库拉, 昂吉尔. 开放对话•期待对话: 尊重他者当下的他异性[M]. 吴菲菲, 译. 台北: 心灵工坊文化, 2016.

      [5]

      VON PETER S, ADERHOLD V, CUBELLIS L, et al. Open Dialogue as a Human Rights-Aligned Approach[J]. Front Psychiatry, 2019, 10: 387.

      [6]

      LEHTINEN K. Need-adapted treatment of schizophrenia: Family interventions[J]. Br J Psychiatry Suppl, 1994(23): 89-96.

      [7]

      ANTIINEN E, KOKKOLA A. Treatment and rehabilitation of schizophrenic psychoses: The Finnish treatment model[J]. Nord J Psychiatry, 1990, 44(22): 363-372.

      [8]

      VON PETER S, BERGSTRØM T, NENOFF-HERCHENBACH I, et al. Dialogue as a Response to the Psychiatrization of Society?: Potentials of the Open Dialogue Approach[J]. Front Sociol, 2021, 6: 806437. doi: 10.3389/fsoc.2021.806437

      [9]

      VAN DORN A. Mental health and human rights[J]. Lancet Psychiatry, 2016, 3(12): 1108. doi: 10.1016/S2215-0366(16)30364-9

      [10]

      李凌江, 陆 林. 精神病学[M]. 3版. 北京: 人民卫生出版社, 2015: 257-313.

      [11]

      SEIKKULA J. Psychosis Is Not Illness but a Survival Strategy in Severe Stress: A Proposal for an Addition to a Phenomenological Point of View[J]. Psychopathology, 2019, 52(2): 143-150. doi: 10.1159/000500162

      [12]

      BERGSTØM T, SEIKKULA J, HOLMA J, et al. How Do People Talk Decades Later about Their Crisis that We Call Psychosis?[J]. Psychosis, 2019, 11(2): 105-115. doi: 10.1080/17522439.2019.1603320

      [13]

      SEIKKULA J. Long-term Use of Medication is Based on Myths and Lack of Other Skills to Help People in Most Severe Crises: Commentary to the Article of Peter Goetzsche[J]. Clin Neuropsychiatry, 2021, 18(2): 109-110.

      [14]

      BERGSTRÖM T, TASKILA J J, ALAKARE B, et al. Five-year cumulative exposure to antipsychotic medication after first-episode psychosis and its association with 19-year outcomes[J]. Schizophr Bull Open, 2020, 1(1): sgaa050. doi: 10.1093/schizbullopen/sgaa050

      [15]

      SEIKKULA J, AALTONEN J, ALAKARE B, et al. Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies[J]. Psychother Res, 2006, 16(2): 214-228. doi: 10.1080/10503300500268490

      [16]

      MONCRIEFF J, LEO J. A systematic review of the effects of antipsychotic drugs on brain volume[J]. Psychol Med, 2010, 40(9): 1409-1422. doi: 10.1017/S0033291709992297

      [17]

      GØTZSCHE P C. Long-term use of benzodiazepines, stimulants and lithium is not evidence-based[J]. Clin Neuropsychiatry, 2020, 17(5): 281-283.

      [18]

      SEIKKULA J, ALAKARE B, AALTONEN J. The comprehensive open-dialogue approach in Western Lapland: II: Long-term stability of acute psychosis outcomes in advanced community care[J]. Psychosis, 2011, 3(3): 192-204. doi: 10.1080/17522439.2011.595819

      [19]

      GALBUSERA L, KYSELO M. The difference that makes the difference: A conceptual analysis of the open dialogue approach[J]. Psychosis, 2018, 10(1): 47-54. doi: 10.1080/17522439.2017.1397734

      [20]

      AALTONEN J, SEIKKULA J, LEHTINEN K. The comprehensive open-dialogue approach in Western Lapland: I: The incidence of non-affective psychosis and prodromal states[J]. Psychosis, 2011, 3(3): 179-191. doi: 10.1080/17522439.2011.601750

      [21]

      BUUS N, ONG B, EINBODENR, et al. Implementing Open Dialogue approaches: A scoping review[J]. Fam Process, 2021, 60(4): 1117-1133. doi: 10.1111/famp.12695

      [22]

      SEIKKULA J, ALAKARE B, AALTONEN J. Open dialogue in psychosis I: An introduction and case illustration[J]. J Constr Psychol, 2001, 14(4): 247-265.

      [23]

      ALANEN Y O. Towards a more humanistic psychiatry: Development of need-adapted treatment of schizophrenia group psychoses[J]. Psychosis, 2009, 1(2): 156-166. doi: 10.1080/17522430902795667

      [24]

      ANDERSON H. Collaborative relationships and dialogic conversations: Ideas for a relationally responsive practice[J]. Fam Process, 2012, 51(1): 8-24. doi: 10.1111/j.1545-5300.2012.01385.x

      [25]

      SEIKKULA J. Open dialogue integrates individual and systemic approaches in serious psychiatric crises[J]. Smith Coll Stud Soc Work, 2003, 73(2): 227-245. doi: 10.1080/00377310309517683

      [26]

      PIIPPO J, AALTONEN J. Mental health care: Trust and mistrust in different caring contexts[J]. J Clin Nurs, 2008, 17(21): 2867-2874. doi: 10.1111/j.1365-2702.2007.02270.x

      [27]

      HOLMESLAND A L, SEIKKULA J, HOPFENBECK M. Inter-agency work in Open Dialogue: The significance of listening and authenticity[J]. J Interprof Care, 2014, 28(5): 433-439. doi: 10.3109/13561820.2014.901939

      [28]

      ULLAND D, ANDERSEN A J W, LARSEN I B, et al. Generating dialogical practices in mental health: Experiences from Southern Norway, 1998–2008[J]. Adm Policy Ment Health, 2014, 41(3): 410-419. doi: 10.1007/s10488-013-0479-3

      [29]

      ROSEN K, STOKLOSA J. Finland in Boston?: Applying Open Dialogue ideals on a psychotic disorders inpatient teaching unit[J]. Psychiatr Serv, 2016, 67(12): 1283-1285. doi: 10.1176/appi.ps.201600340

      [30]

      OLSON M, SEIKKULA J, ZIEDONIS D. The key elements of dialogic practice in open dialogue: Fidelity criteria[EB/OL]. (2014-08-20)[2022-10-09]. https://www.umassmed.edu/globalassets/psychiatry/open-dialogue/fidelityfinalaugust2014.pdf.

      [31]

      LEHTINEN V, AALTONEN J, KOFFERT T, et al. Two-year outcome in first-episode psychosis treated according to an integrated model: Is immediate neuroleptisation always needed?[J]. Eur Psychiatry, 2000, 15(5): 312-320. doi: 10.1016/S0924-9338(00)00400-4

      [32]

      JAUHAR S, LAWRIE S M. What is the evidence for antipsychotic medication and alternative psychosocial interventions for people with acute, non-affective psychosis?[J]. Lancet Psychiatry, 2022, 9(3): 253-260. doi: 10.1016/S2215-0366(21)00293-5

      [33]

      BERGSTRÖM T, SEIKKULA J, ALAKARE B, et al. The 10-year treatment outcome of open dialogue-based psychiatric services for adolescents: A nationwide longitudinal register-based study[J]. Early Interv Psychiatry, 2022, 16(12): 1368-1375. doi: 10.1111/eip.13286

      [34]

      BERGSTRÖM T, SEIKKULA J, HOLMA J, et al. Retrospective Experiences of First-episode Psychosis Treatment under Open Dialogue-based Services: A Qualitative Study[J]. Community Ment Health J, 2022, 58(5): 887-894. doi: 10.1007/s10597-021-00895-6

      [35]

      BUUS N, MCCLOUGHEN A. Client and Family Responses to an Open Dialogue Approach in Early Intervention in Psychosis: A Prospective Qualitative Case Study[J]. Issues Mental Health Nurs, 2022, 43(4): 308-316. doi: 10.1080/01612840.2021.1986758

      [36]

      NYMAN-SALONEN P, KYKYRI V L, TSCHACHER W, et al. Nonverbal Synchrony in Couple Therapy Linked to Clients' Well-being and the Therapeutic Alliance[J]. Front Psychol, 2021, 12: 718353. doi: 10.3389/fpsyg.2021.718353

      [37]

      PILLING S, CLARKE K, PARKER G, et al. Open Dialogue compared to treatment as usual for adults experiencing a mental health crisis: Protocol for the ODDESSI multi-site cluster randomised controlled trial[J]. Contemp Clin Trials, 2022, 113: 106664. doi: 10.1016/j.cct.2021.106664

      [38]

      SEIKKULA J. Becoming dialogical: Psychotherapy or a way of life?[J]. Aust N Z J Fam Ther, 2011, 32(3): 179-193. doi: 10.1375/anft.32.3.179

      [39]

      王永祥, 潘新宁. 对话性: 巴赫金超语言学的理论核心[J]. 当代修辞学, 2012(3): 40-46.

      [40]

      托多罗夫. 巴赫金对话理论及其他[M]. 蒋子华, 张 萍, 译. 天津: 百花文艺出版社, 2001: 171-230.

      [41]

      LENNON E, HOPKINS L, EINBODEN R, et al. Organizational Change in Complex Systems: Organizational and Leadership Factors in the Introduction of Open Dialogue to Mental Health Care Services[J]. Community Ment Health J, 2022, 59(1): 95-104.

      [42]

      陈润滋, 吴霞民, 马 宁. 中国2009-2019年的精神卫生政策与实施[J]. 中国心理卫生杂志, 2020, 34(7): 555-560.

      [43]

      郭 桦, 杨 波, 谭小林. 精神分裂症社区康复模式的研究进展[J]. 神经疾病与精神卫生, 2022, 22(5): 337-341.

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    出版历程
    收稿日期:  2022-10-10
    修回日期:  2022-12-20
    发布日期:  2023-01-05
    刊出日期:  2023-01-05

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