Exploring a dialogic approach in tackling psychotic diseases: A systematic review
Abstract
Psychosis is a severe mental disorder traditionally treated from a purely biological approach, which often has led to a dehumanisation in psychiatric hospitals. To counteract this trend and aiming at tackling the disease with a more human approach, psychosocial interventions have increased. In this vein, interventions based on a dialogic approach, with specific features such as egalitarian dialogue, foster psychological and social transformations in different contexts. This review aims to analyse the clinical and social effects of psychological interventions based on these principles when treating patients with psychosis. A systematic review has been carried out, following PRISMA recommendations, in the Web of Science, Scopus and PsycInfo databases. After applying the inclusion criteria, thirteen empirical studies were selected and analysed, including a quality assessment. These studies show that when introducing a dialogic approach in treating psychosis, positive clinical and relational outcomes are obtained. Likewise, patients value positively these collaborative environments, where they feel listened and understood. Whereas dialogism emerges as a tool with potential benefits to tackle psychosis, more studies are needed to clearer determine the influence of specific dialogic features on improving psychotic patients’ mental health.
Downloads
References
Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). The comprehensive open-dialogue approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states. Psychosis, 3(3), 179-191.
Alanen, Y. O., González de Chávez, M., Silver, A.-L. S., & Martindale, B. (2009). Further development of treatment approaches to schizophrenic psychoses: An integrated view. In Y. O. Alanen, M. González de Chávez, A.-L. S. Silver, & B. Martindale (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 357–376). Routledge/Taylor & Francis Group
Álvarez-Cifuentes, P., García-Carrión, R., Puigvert, L., Pulido Rodríguez, C., & Schubert, T. T. (2018). Beyond the walls: The social reintegration of prisoners through the dialogic reading of classic universal literature in prison. International Journal of Offender Therapy and Comparative Criminology, 2018, vol. 62 (4) p. 1043-1061.
American Psychiatric Association. (2014). Guía de consulta de los criterios diagnósticos del DSM-5®: Spanish Edition of the Desk Reference to the Diagnostic Criteria From DSM-5®. American Psychiatric Pub.
Arango , C., Crespo, B., Cuesta, M., Gonzalez, A., Gutierrez, J., Lalucat, L. & Sanjuan, J. (2017). El Libro Blanco de la Intervención Temprana en Psicosis. Retrieved from: http://www.sepsiq.org/file/Enlaces/Libro%20blanco%20de%20la%20Intervenci%C3%B3n%20Temprana%20en%20Espa%C3%B1a%20(2018).pdf
Aslam, S., & Emmanuel, P. (2010). Formulating a researchable question: A critical step for facilitating good clinical research. Indian journal of sexually transmitted diseases and AIDS, 31(1), 47.
Avdi, E., Lerou, V., & Seikkula, J. (2015). Dialogical features, therapist responsiveness, and agency in a therapy for psychosis. Journal of Constructivist Psychology, 28(4), 329-341.
Bakhtin, M. (1981). The Dialogic Imagination: Four Essays. Edited by M. Holquist. Austin: Texas University Press.
Bakhtin, M. (1986). Speech genres and other late essays (W. McGee, Trans.). Austin: University of Texas Press.
Bargenquast, R., & Schweitzer, R. (2014). Metacognitive narrative psychotherapy for people diagnosed with schizophrenia: An outline of a principle-based treatment manual. Psychosis, 6(2), 155-165.
Béhague, D. P., Frankfurter, R. G., Hansen, H., & Victora, C. G. (2020). Dialogic Praxis—A 16-Year-Old Boy with Anxiety in Southern Brazil. New England Journal of Medicine, 382(3), 201-204.
Bergström, T., Alakare, B., Aaltonen, J., Mäki, P., Köngäs-Saviaro, P., Taskila, J. J., & Seikkula, J. (2017). The long-term use of psychiatric services within the Open Dialogue treatment system after first-episode psychosis. Psychosis, 9(4), 310-321.
Bergantino, L. (1977). Is Gestalt therapy a humanistic form of psychotherapy?. Journal of Humanistic Psychology.
Bhaskar, R., Danermark, B., & Price, L. (2017). Interdisciplinarity and wellbeing: a critical realist general theory of interdisciplinarity. Routledge.
Blanco, J. F., & Vicente, M. D. C. S. (2003). La influencia de lo socioambiental en los trastornos mentales. Psychosocial Intervention, 12(1), 7-18.
Corstens, D., Longden, E., McCarthy-Jones, S., Waddingham, R., & Thomas, N. (2014). Emerging perspectives from the hearing voices movement: implications for research and practice. Schizophrenia bulletin, 40, S285-S294.
De Oliveira, B., Dias, B. V. B., Salomão, F., & da Silva, R. A. (2019) Nursing and humanized care offered to psychiatric patients: An integrative literature review. International Journal of Nursing and Health Research. 1 (1), 24-27
Dunne, S., MacGabhann, L., McGowan, P., & Amering, M. (2018). Embracing uncertainty to enable transformation: The process of engaging in Trialogue for mental health communities in Ireland. International journal of integrated care, 18(2).
Fink, E. B. (1982). Psychiatry's role in the dehumanization of health care. The Journal of Clinical Psychiatry, 43(4), 137–138.
Fiske, S. T. (2009). From dehumanization and objectification, to rehumanization: Neuroimaging studies on the building blocks of empathy. Annals of the New York Academy of Sciences, 1167, 31.
Flecha, R. (2000). Sharing words: Theory and practice of dialogic learning. Rowman & Littlefield.
Flecha, J. R., García Carrión, R., & Gómez González, A. (2013). Transferencia de tertulias literarias dialógicas a instituciones penitenciarias. Revista de educación.
Fleck, S. (1995). Dehumanizing developments in American psychiatry in recent decades. Journal of Nervous and Mental Disease, 183(4), 195–203. https://doi.org/10.1097/00005053-199504000-00002
Freeman, A., Tribe, R., Stott J. & Pilling, S. (2019). Open Dialogue: The Evidence and Further Research: In Reply. Psychiatric Services; 70:531 doi: https://doi.org/10.1176/appi.ps.70603
Galbusera, L., & Kyselo, M. (2019). The Importance of Dialogue for Schizophrenia Treatment: Conceptual Bridges Between the Open Dialogue Approach and Enactive Cognitive Science. Journal of Philosophical Studies, 12(36), 261-291.
García-Carrión, R., López de Aguileta, G., Padrós, M., & Ramis-Salas, M. (2020). Implications for social impact of dialogic teaching and learning. Frontiers in psychology, 11, 140.
García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and Adolescents Mental Health: A Systematic Review of Interaction-Based Interventions in Schools and Communities. Frontiers in psychology, 10.
Gordon, C., Gidugu, V., Rogers, E. S., DeRonck, J., & Ziedonis, D. (2016). Adapting open dialogue for early-onset psychosis into the US health care environment: a feasibility study. Psychiatric Services, 67(11), 1166-1168.
Hagan, J., & Rymond-Richmond, W. (2008). The collective dynamics of racial dehumanization and genocidal victimization in Darfur. American Sociological Review, 73(6), 875-902.
Hendy, C., & Pearson, M. (2020). Peer supported open dialogue in a UK NHS trust–a qualitative exploration of clients’ and network members’ experiences. The Journal of Mental Health Training, Education and Practice. 5(2)
Holma, J., & Aaltonen, J. (1995). The self-narrative and acute psychosis. Contemporary Family Therapy, 17(3), 307-316.
Holma, J., & Aaltonen, J. (1997). The sense of agency and the search for a narrative in acute psychosis. Contemporary Family Therapy, 19(4), 463-477.
Izutsu, T., Tsutsumi, A., Minas, H., Thornicroft, G., Patel, V., & Ito, A. (2015). Mental health and wellbeing in the Sustainable Development Goals. The Lancet Psychiatry, 2(12), 1052-1054.
Jolley, S., Onwumere, J., Kuipers, E., Craig, T., Moriarty, A., & Garety, P. (2012). Increasing access to psychological therapies for people with psychosis: Predictors of successful training. Behaviour Research and Therapy, 50(7-8), 457-462.
Jongsma, H. E., Gayer-Anderson, C., Lasalvia, A., Quattrone, D., Mulè, A., Szöke, A., ... & Kirkbride, J. B. (2018). Treated incidence of psychotic disorders in the multinational EU-GEI study. JAMA psychiatry, 75(1), 36-46.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia bulletin, 13(2), 261-276.
Kinloch, V. (2015). Critically conscious teaching and instructional leadership as Projects in Humanization. Education Review 4(3), 29–35
Lakeman, R. (2014). The finnish open dialogue approach to crisis intervention in psychosis: a review. Psychotherapy in Australia, 20(3), 28.
Larraín, A., & Haye, A. (2014). A dialogical conception of concepts. Theory & Psychology, 24(4), 459-478. https://doi.org/10.1177/0959354314538546
Lockwood, C., Munn, Z., & Porritt, K. (2015). Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation. International journal of evidence-based healthcare, 13(3), 179-187
Lonergan, A. (2017). The meaning of voices in understanding and treating psychosis: Moving towards intervention informed by collaborative formulation. Europe's journal of psychology, 13(2), 352.
Longden, E., Corstens, D., & Dillon, J. (2013). Recovery, discovery and revolution: the work of Intervoice and the hearing voices movement. Madness contested: Power and practice, 161-180.
López de Aguileta, G., Torras-Gómez, E., García-Carrión, R., & Flecha, R. (2020). The emergence of the language of desire toward nonviolent relationships during the dialogic literary gatherings. Language and Education, 1-16.
Lysaker, P. H., Wickett, A. M., Wilke, N., & Lysaker, J. (2003). Narrative incoherence in schizophrenia: The absent agent-protagonist and the collapse of internal dialogue. American journal of psychotherapy, 57(2), 153-166.
Lysaker, P. H., & Lysaker, J. T. (2001). Psychosis and the disintegration of dialogical self‐structure: Problems posed by schizophrenia for the maintenance of dialogue. British Journal of Medical Psychology, 74(1), 23-33.
Melero, H. S. (2017). Evaluación de un proyecto de Tertulias Literarias Dialógicas realizado en dos centros de Atención Psicosocial de la Comunidad de Madrid. Edupsykhé. Revista de Psicología y Educación, 16(1), 117-135.
Moreno-Küstner, B., Martin, C., & Pastor, L. (2018). Prevalence of psychotic disorders and its association with methodological issues. A systematic review and meta-analyses. PloS one, 13(4), e0195687.
NICE. (2014). Psychosis and schizophrenia in adults: prevention and management. NICE.
Olson, M., Seikkula, J., & Ziedonis, D. (2014). The key elements of dialogic practice in open dialogue: Fidelity criteria. The University of Massachusetts Medical School, 8, 2017.
Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. (2021) PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ;372:n160. doi: 10.1136/bmj.n160
Ricoeur, P. (1991). A Ricoeur reader: Reflection and imagination. University of Toronto Press.
Romme, M. A., & Escher, A. D. (1989). Hearing voices. Schizophrenia bulletin, 15(2), 209-216.
Saiz, J., & Chévez, A. (2009). La Intervención Socio-Comunitaria en Sujetos con Transtorno Mental Grave y Crónico: Modelos Teóricos y Consideraciones Prácticas. Psychosocial Intervention, 18(1), 75-88.
San Pedro, T., & Kinloch, V. (2017). Toward projects in humanization: Research on co-creating and sustaining dialogic relationships. American educational research journal, 54, 373-394.
Sax, K. W., Strakowski, S. M., Keck Jr, P. E., McElroy, S. L., West, S. A., & Stanton, S. P. (1998). Symptom correlates of attentional improvement following hospitalization for a first episode of affective psychosis. Biological Psychiatry, 44(8), 784-786.
Schneider, K. J., Pierson, J. F., & Bugental, J. F. (Eds.). (2014). The handbook of humanistic psychology: Theory, research, and practice. Sage Publications.
Scott, S., & Palincsar, A. (2013). Sociocultural theory. Education. com, 1-4.
Seikkula, J., Laitila, A., & Rober, P. (2012). Making sense of multi‐actor dialogues in family therapy and network meetings. Journal of Marital and Family Therapy, 38(4), 667-687.
Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care. Psychosis, 3(3), 192-204.
Seikkula, J. (2002). Open dialogues with good and poor outcomes for psychotic crises: Examples from families with violence. Journal of marital and family therapy, 28(3), 263-274.
Seikkula, J., Aaltonen, J., Alakare, B., Haarakangas, K., Keränen, J., & Lehtinen, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies. Psychotherapy research, 16(02), 214-228.
Sousa, S. A., Corriveau, D., Lee, A. F., Bianco, L. G., & Sousa, G. M. (2013). The LORS-enabled dialogue: a collaborative intervention to promote recovery from psychotic disorders. Psychiatric Services, 64(1), 58-64.
Soler, M. (2004). Reading to Share: Accounting for others in dialogic literary gatherings. In M. -C. Bertau (Ed.), Aspects of the Dialogic Self. International Cultural-Historical Human Sciences (pp. 157-183).
Tribe, R. H., Freeman, A. M., Livingstone, S., Stott, J. C., & Pilling, S. (2019). Open dialogue in the UK: qualitative study. BJPsych open, 5(4).
U. N. (2016). Transforming our world: The 2030 agenda for sustainable development
Vromans, L. P., & Schweitzer, R. D. (2011). Narrative therapy for adults with major depressive disorder: Improved symptom and interpersonal outcomes. Psychotherapy research, 21(1), 4-15.
Vygotsky, L. S. (1979). The development of higher forms of attention in childhood. Soviet Psychology, 18(1), 67-115.
Vygotsky, L. S. (2012). Thought and language. MIT press.
Wertsch, J. V., & Bivens, J. A. (1993). The social origins of individual mental functioning: Alternatives and perspectives. The development and meaning of psychological distance, 203, 218.
World Health Organization, 2021. Health Topics. Schizophrenia. Available online: https://www.who.int/topics/schizophrenia/es/ (Accessed May 2021)
Wusinich, C., Lindy, D. C., Russell, D., Pessin, N., & Friesen, P. (2020). Experiences of parachute NYC: An integration of open dialogue and intentional peer support. Community mental health journal, 1-11.
Copyright (c) 2022 Servicio de Publicaciones, University of Murcia (Spain)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The works published in this journal are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) retains the property rights (copyright) of published works, and encourages and enables the reuse of the same under the license specified in paragraph 2.
© Servicio de Publicaciones, Universidad de Murcia, 2022
2. The works are published in the online edition of the journal under a Creative Commons Reconocimiento-CompartirIgual 4.0 (legal text). You can copy, use, distribute, transmit and publicly display, provided that: i) you cite the author and the original source of publication (journal, editorial and URL of the work), ii) are not used for commercial purposes, iii ) mentions the existence and specifications of this license.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
3. Conditions of self-archiving. Is allowed and encouraged the authors to disseminate electronically pre-print versions (version before being evaluated and sent to the journal) and / or post-print (version reviewed and accepted for publication) of their works before publication, as it encourages its earliest circulation and diffusion and thus a possible increase in its citation and scope between the academic community. RoMEO Color: Green.
