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      Diálogo Aberto: a experiência finlandesa e suas contribuições Translated title: Open Dialogue: the finnish experience and its contributions

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          Abstract

          RESUMO O Diálogo Aberto é um método desenvolvido na década de 1980, na Finlândia, para o enfrentamento da crise psicótica. Este artigo é um ensaio teórico que tem como objetivo apresentar o Diálogo Aberto em seus princípios e enquanto prática de saúde mental desinstitucionalizante, enfatizando seu potencial terapêutico, seus resultados e suas contribuições para outros países. Conclui-se que, para a implementação do Diálogo Aberto em outros contextos, é necessária uma mudança organizativa na estruturação dos serviços e uma substantiva mudança cultural no interior da equipe e da comunidade.

          Translated abstract

          ABSTRACT The Open Dialogue is a method developed in the 80's, in Finland, to the confrontation of the psychotic crisis. This article is a theoretical essay that aims to present the Open Dialogue in its principles and as a deinstitutionalizing mental health practice, emphasizing its therapeutic potency, results and contributions for other countries. It is concluded that, for the implementation of the Open Dialogue in other contexts, it is necessary an organizational change in the structuring of services and a substantive cultural change within the team and the community.

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          Most cited references29

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          Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies

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            The Comprehensive Open-Dialogue Approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care

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              Healing elements of therapeutic conversation: dialogue as an embodiment of love.

              From our Bakhtinian perspective, understanding requires an active process of talking and listening. Dialogue is a precondition for positive change in any form of therapy. Using the perspectives of dialogism and neurobiological development, we analyze the basic elements of dialogue, seeking to understand why dialogue becomes a healing experience in a network meeting. From the perspective of therapist as dialogical partner, we examine actions that support dialogue in conversation, shared emotional experience, creation of community, and creation of new shared language. We describe how feelings of love, manifesting powerful mutual emotional attunement in the conversation, signal moments of therapeutic change.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                sdeb
                Saúde em Debate
                Saúde debate
                Centro Brasileiro de Estudos de Saúde (Rio de Janeiro, RJ, Brazil )
                0103-1104
                2358-2898
                March 2017
                : 41
                : 112
                : 23-32
                Affiliations
                [2] Torino Piemonte orgnameUniversità degli Studi di Torino orgdiv1Dipartimento di Culture, Politica e Società Italy mario.cardano@ 123456unito.it
                [1] Pelotas Rio Grande do Sul orgnameUniversidade Federal de Pelotas orgdiv1Faculdade de Enfermagem Brazil kantorski@ 123456pq.cnpq.br
                Article
                S0103-11042017000100023
                10.1590/0103-1104201711203
                2ac33019-35fe-4c09-a147-5e32024f7c9f

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : October 2016
                : March 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 10
                Product

                SciELO Brazil


                Saúde mental,Transtornos psicóticos,Família,Mental health,Psychotic disorders,Family

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