Open Dialogues and Anticipations

Open Dialogues and Anticipations – Respecting Otherness in the Present Moment – Jaakko Seikkula & Tom Erik Arnkil (Paperback)


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Product Description

For the relational practitioner — a psychotherapist, social worker, psychiatrist, teacher, or a manager — dialogue is the foundation of the work they do. Change and development is built on encounters between people. Open Dialogues and Anticipations examines dialogues both broadly and in depth: — What are the core elements of dialogism? — How does dialogism come to life in relational practices in general? The authors relate these overarching perspectives to concrete situations and discuss how to generate dialogic space even when worries have grown — as happens for example with a child in a vulnerable situation or a person with mental illness or with substance abuse problems. Drawing from the authors’ long experience of relational work, research, and development, the book discusses pathways towards sustainable a interdisciplinary and dialogic practice culture. Jaakko Seikkula and Tom Erik Arnkil have explored both separately and jointly the possibilities of dialogue and the different ways of enacting dialogic practice, Jaakko mainly through the perspective of open dialogue approach in psychiatry, and Tom through anticipation dialogues and future dialogues for resolving “multi-helper muddles”.

Jaakko Seikkula is trained as a clinical psychologist and family therapist. He works as a professor at the Department of Psychology at the University of Jyväskylä, Finland. Tom Erik Arnkil is trained as a social scientist and teacher. He is a research professor at the Finnish National Institute for Health and Welfare.


Introduction: The Aim and Themes of This Book
– The themes of the book

Chapter One: Follow What Clients Present and You Are in for Uncertainty
– “Now it’s all different”
– Following what pupils say
– Following what is said in structured meetings
– “Wicked issues”

Chapter Two: Worries and Early Dialogues
– Anticipating what happens -to me- next
– Asking for help as an invitation to dialogue
– Dear reader, you could try this right away
– Method and outlook
– To sum up:

Chapter Three: Paths to Dialogical Practise – Open Dialogues
– Multicultural Dialogue
– From a systemic paradigm to dialogical practice
– Open Dialogue in the Therapy Meeting
– Meeting with Dialogism
– Open Dialogue as the Psychiatric System
– Open Dialogue as a Treatment System
– Treatment meeting as the forum for generating dialogue
– Adopting dialogue in everyday practice

Chapter Four: Research Arrangements Turned into Front-Line Practice
– Plausible hope
– Multi-actor muddles
– “Positive disturbances” – for experimental social research
– Towards dialogical practice culture

Chapter Five: In Dialogue With Others
– Including clients plus professionals connected with them
– Acknowledging the Other
– Unconditionally accepting the Other
– Many ways towards dialogical space
– Sincere commitment communicates
– Shared language is created here-and-now
– To sum up and to go on

Chapter Six: Life is Dialogical Music – Intersubjectivity
– The present moment in polyphonic embodied dialogues
– Intentionality and mutuality
– From individual to intersubjective knowing – towards the base of dialogicity
– Simple guidelines for improving skills for being present in the moment

Chapter Seven: Making Sense of Responses in Multi-Actor Dialogues
– Generating dialogue in crisis
– Psychotic speech as one voice among others
– The team as the initiator for new joint language
– Looking at responsive happenings
– In the responses, people were heard – or not
– Dialogue of Violence: The team is in the story, not here-and-now
– “There is nothing as terrible as being without a response”
– Making sense of your dialogues

Chapter Eight: Dialogical Practice Culture
– Taking responsibility for one’s worries
– In dialogue with clients, not behind their backs
– Joining with everyday-life resources
– Ethical early intervention = Early Open Co-operation
– Dialogical practices for all situations
– Dialogues on good practices
– Dialogues between localities
– “Puimala” as a process of peer-learning between localities

Chapter Nine: Generalising Dialogical Practices
– Generating relevant research for evaluating Open Dialogues
– “One size fits all”: the narrowing of evaluation designs
– Poor external validity of “comparison of group means” studies
– Harms from experimental designs
– The efficacy is lost in real practice
– From a quest for explanatory models to descriptive studies
– The practice control dispositive
– Socially robust science
– Summary

Chapter Ten: Towards a Dialogical Future

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