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Open Dialogue presentation

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https://www.youtube.com/watch?v=vRjk4_ybCqU


Published on Nov 30, 2015

Consumers, carers and clinicians had the opportunity to hear how one US organisation has implemented the ‘Open Dialogue’ model of psychiatric care at an information session hosted by the Mental Health Commission of NSW on 5 November 2015

This is the presentation made by Christopher Gordon, MD, Medical Director, Advocates, Associate Professor Psychiatry, Harvard Medical School and Brenda Miele Soares, MSW, LICSW
Vice President, Behavioral Health, Advocates.
 
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I love Open Dialogue. Been to two presentations on it and each time I am so impressed by it. I understand its being trialled here but in a very limited way.
 
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I love Open Dialogue. Been to two presentations on it and each time I am so impressed by it. I understand its being trialled here but in a very limited way.
A lot probably does depend on socio-economic, political & other cultural forces at play.

i do feel that the psychogenic; psychological / emotional, sociological / environmental & psyche / soul / spiritual / transpersonal are areas just as important as the biological, & mental health understandings & treatment should imo focus on a genuinely whole person integral / holistic understanding & approach. i think that one day it will.

There have always been people that have taken the integral Model -

Carl Jung on “schizophrenia”

There are glimmers of hope Globally & Nationally - the SCN [Spiritual Crisis Network], HVN [Hearing Voices Network], Critical Psychiatry Network, Open Dialogue, Soteria Network, Asylum Magazine, etc. People are trying to implement more comprehensive, caring & humane approaches to mental health.
 
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ramboghettouk

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i can just see psychiatric nurses on about open dialogue as they stick the needle in
 
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i can just see psychiatric nurses on about open dialogue as they stick the needle in
Yea, you may be right. Ideal Worlds & all, & the realities of what really goes on.

i always go on about the same things, that i am sure some people are fed up of hearing, & don't know if i am right or Not? i feel the way to see things is integral / holistic - mind, body, soul, spirit within environment. That health is multifaceted, multi-factorial, & exists on many spectrum's. That there is No either / or. Biological, psychological / emotional, sociological / environmental & spiritual / transpersonal areas are all interrelated & interdependent. Problems can exist on any level. Within the entire field of mental health, a lot of people tend to argue between these 4 areas - biomedical, sociological / environmental, psychogenic & spiritual. Does it make sense to break everything down into these polemical arguments / debates?

Surely there are individual & complex different weightings of factors within each case? & a genuinely whole person understanding & approach is needed.

No one knows exact aetiology within mental health; the psychoses, neuroses & PD's? Of course we need far better understandings & treatments across the board, & of course i feel that there needs to be a sensitivity to the spiritual aspects & concerns of the client, But we don't know exactly what is really going on in a lot of cases.

i don't think that it's an argument that can really be settled? Other than by taking an integral / person centred understanding & approach. Taking an integrated biological / psychological / sociological / spiritual Model i feel makes most sense, & i think that is where psychiatry & a lot of these areas are headed.

How changing Models, society & different groups change things on an everyday & practical level & what all these areas actually translate into within the UK mental health system / society / psychiatry is another matter?
 
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I'll reserve judgement till there's more substantial evidence. That of course can only come with large trials, but will the current system allow that?
 
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firemonkee57

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Qualify as substantial- More than a few trials with larger number of patients than have previously been recorded.

Current evidence- Not saying it might not qualify,but it's very thin on the ground. There needs to be more of it to make a good judgement for or against.

The jury is still very much out. I know this is what strong supporters of it don't want to hear.
 
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Qualify as substantial- More than a few trials with larger number of patients than have previously been recorded.

Current evidence- Not saying it might not qualify,but it's very thin on the ground. There needs to be more of it to make a good judgement for or against.

The jury is still very much out. I know this is what strong supporters of it don't want to hear.
i'd question what degree of evidence is going to be convincing to some people? Especially within the context of a materialist paradigm. Maybe things won't genuinely change / shift until the collective / mainstream materialist paradigm shifts?

i think that there is reams upon reams of evidence pointing out the very real failures of the current biomedical paradigm of the past some 300 years / focus in mental health treatment, & reams of evidence for better alternatives. But as Rambo says, the realities of it all are the realities of it all & it's Not a perfect World.

i think that things have far more to do Not with the actual evidence, But the collective / consensus - social / cultural / political / medical / media / scientific - Beliefs / constructs / establishment / norms of the current Age.
 
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