ISPS-NY July – Open Dialogue

On Saturday July 14th 2012, the New York Branch of ISPS-US
will meet at New York University, the Silver Center for the Arts and Sciences 31 Washington Place, Room 408
from 3-5pm to watch a documentary by Daniel Mackler –
Open Dialogue: An Alternative, Finnish Approach to Healing Psychosis

All are welcome to attend. No reservations are needed and there is no fee. Please bring a photo ID for NYU security purposes.
Contact Brian Koehler at bk64@nyu.edu or 212.533.5687 if you need further information.

In the North of Finland, a group of family therapists converted the area’s traditional mental health system, which had poor outcomes for persons with first episode psychosis and schizophrenia, into one (Open Dialogue, OD) that achieves excellent statistical results. They have transformed the mental health system in Western Lapland from one of poor outcomes to a successful and humanistic organization of services. Research on Open Dialogue (OD) in Western Lapland has consistently documented good recovery rates from first episode psychosis and schizophrenia.

These clinicians, e.g., nurses, psychiatrists, psychologists, etc., avoid hospitalizations as well as the use of antipsychotic medications which may cause movement disorders or the cardiometabolic syndrome, whenever possible. They prefer to meet in the patients’ homes. They also work in groups because they tend to view psychotic disorders from the lens of social and interpersonal relationships (past and present). Social networks are included in the therapy. Every one attending the sessions is given a voice. The solutions of the psychotic predicaments emerge from the open dialogue (always with the patient present), not from any individual staff member who is supposed to know the ‘answers.’ Continuity of care is encouraged.

From a psychoanalytic perspective, this OD approach nurtures a more democratic state of mind as opposed to a more omnipotent, narcissistic one which is often seen in psychotic delusions, etc. It also decreases the profound loneliness and threats of non-relatedness that is often seen in persons suffering from psychotic disorders.

All services are offered free through the Finnish socialized medical system.

Some YouTube clips on the film and Open Dialogue:
Jaakko Seikkula: The Finnish Open Dialogue Approach
http://www.youtube.com/watch?v=ywtPedxhC3U&feature=related

Trailer for “Open Dialogue” a Finnish Approach to Psychosis

Daniel Mackler Brief Bio:

Daniel Mackler, LCSW is the director of the 2008 documentary “Take These Broken Wings,” a feature-length film on recovery from
schizophrenia without medication, and the 2011 documentaries “Healing Homes” and “Open Dialogue,” both on alternative European treatment programs for psychosis. He is also the co-author (with Matthew Morrissey, LMFT) of the 2010 book “A Way Out of Madness: Dealing with Your Family After You Have Been Diagnosed with a Psychiatric Disorder,” published by ISPS-US, the United States Chapter of the International Society for the Psychological Treatments of the Schizophrenias and Other Psychoses (www.isps.org and http://www.isps-us.org). Additionally, he is the co-editor (with David Garfield, MD) of “Beyond Medication: Therapeutic Engagement and the Recovery from Psychosis” (Routledge, 2008). Daniel was a psychotherapist in New York City for ten years.

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