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Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach

von Peter, S; Bergstrøm, T; Nenoff-Herchenbach, I; Hopfenbeck, MS; Pocobello, R; Aderhold, V; Alvarez-Monjaras, M; ... Heumann, K; + view all (2021) Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach. Frontiers in Sociology , 6 , Article 806437. 10.3389/fsoc.2021.806437. Green open access

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Abstract

In recent decades, the use of psychosocial and psychiatric care systems has increased worldwide. A recent article proposed the concept of psychiatrization as an explanatory framework, describing multiple processes responsible for the spread of psychiatric concepts and forms of treatment. This article aims to explore the potentials of the Open Dialogue (OD) approach for engaging in less psychiatrizing forms of psychosocial support. While OD may not be an all-encompassing solution to de-psychiatrization, this paper refers to previous research showing that OD has the potential to 1) limit the use of neuroleptics, 2), reduce the incidences of mental health problems and 3) decrease the use of psychiatric services. It substantiates these potentials to de-psychiatrize psychosocial support by exploring the OD’s internal logic, its use of language, its processes of meaning-making, its notion of professionalism, its promotion of dialogue and how OD is set up structurally. The conclusion touches upon the dangers of co-optation, formalization and universalization of the OD approach and stresses the need for more societal, layperson competencies in dealing with psychosocial crises.

Type: Article
Title: Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fsoc.2021.806437
Publisher version: https://doi.org/10.3389/fsoc.2021.806437
Language: English
Additional information: © 2021 von Peter, Bergstrøm, Nenoff-Herchenbach, Hopfenbeck, Pocobello, Aderhold, Alvarez-Monjaras, Seikkula and Heumann. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
Keywords: psychocentrism, psychiatrization, professionalism, need-adapted, dialogical, medicalization, psychologization, sanism
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10141626
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