Seikkula Jaakko, Arnkil Tom Erik, Eriksson Esa
University of Tromso, Finland.
Fam Process. 2003 Summer;42(2):185-203. doi: 10.1111/j.1545-5300.2003.42201.x.
Network therapy flourished in the U.S. during the 1970s, but has since dwindled there and begun to find new applications in Europe, especially in the Nordic countries. State social and healthcare systems, in developing deep vertical expertise, seems to build up a need for complementary horizontal expertise. The latest theories of sociology are used to analyze the need for networking, with the focus on language and dialogue as specific form. Two approaches developed in crisis service for psychotic patients (Open Dialogue) and in consultation for stuck cases in social care (Anticipation Dialogues), are dealt with. What becomes essential seems no longer to be the therapeutic method itself but the ability to see the polyphonic nature of clients' reality. In this respect, language--and dialogue as a specific form of being in language--as the focus of treatment, makes the practical forms of different approaches secondary.
网络疗法在20世纪70年代在美国蓬勃发展，但此后在美国逐渐衰落，并开始在欧洲找到新的应用，尤其是在北欧国家。国家社会和医疗保健系统在发展深入的垂直专业知识时，似乎产生了对互补性横向专业知识的需求。最新的社会学理论被用于分析网络需求，重点是将语言和对话作为特定形式。文中探讨了为精神病患者提供危机服务时发展出的两种方法（开放式对话）以及社会护理中针对棘手案例的咨询方法（预期对话）。至关重要的似乎不再是治疗方法本身，而是洞察客户现实的复调本质的能力。在这方面，语言——以及作为语言存在的一种特定形式的对话——作为治疗的重点，使得不同方法的实际形式变得次要。
