Wates A, Allen J, Cooke A, Holttum S
Salomons Institute for Applied Psychology, Canterbury Christ Church, Lucy Fildes Building, 1 Meadow Rd, Royal Tunbridge Wells, TN1 2YG, UK.
South London and Maudsley NHS Foundation Trust, Jeanette Wallis House, Croydon, CR0 1FE, UK.
Community Ment Health J. 2022 May;58(4):788-798. doi: 10.1007/s10597-021-00885-8. Epub 2021 Sep 17.
Open dialogue is a systemically-based approach to mental healthcare, originating from Finland. Growing numbers of practitioners are being trained internationally, but little is known about the impact of such trainings within a UK setting. This study used interpretative phenomenological analysis of focus group data to explore the experiences of thirteen individuals undertaking a three-year UK open dialogue training. Four themes emerged: (1) a powerful experiential process; (2) personal therapeutic change; (3) deeper and more open relationships and (4) altered relationships to power in working practice. The findings suggest that open dialogue trainees experience greater depth in relationships with both clients and colleagues as a result of training, even participants who already had therapeutic training backgrounds. The findings also contribute to Transformational Learning literature regarding how experiential, non-hierarchical, dialogical teaching methods may enhance learning on therapeutic programmes and, therefore, lead to positive changes within clinical practice.
开放式对话是一种源自芬兰的基于系统的心理治疗方法。越来越多的从业者在国际上接受培训,但对于此类培训在英国背景下的影响却知之甚少。本研究采用对焦点小组数据的解释性现象学分析,以探究13名参加为期三年的英国开放式对话培训人员的经历。出现了四个主题:(1)一个强有力的体验过程;(2)个人治疗性改变;(3)更深层次、更开放的关系;以及(4)工作实践中与权力关系的改变。研究结果表明,开放式对话培训学员因培训而在与客户和同事的关系中体验到更深层次的关系,即使是那些已经有治疗培训背景的参与者。这些发现也为变革性学习文献做出了贡献,涉及体验式、非等级制、对话式教学方法如何可能增强治疗项目中的学习,从而导致临床实践中的积极变化。