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作为替代性危机支持出现的一种生产力以及社会变革动力的失调——莱比锡开放对话协会的原则与组织形式

Dissonance as a productive force in the emergence of alternative crisis support and impetus for social change-principles and organizational form of the association Open Dialogue Leipzig e.V.

作者信息

Klatt Thomas, Crescenti Lea Goncalves, Kruse Therese, Nenoff-Herchenbach Irene, Schernau Sarah, von Peter Sebastian

机构信息

Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany.

Offener Dialog Leipzig e.V., Leipzig, Germany.

出版信息

Front Psychol. 2025 Feb 19;16:1426116. doi: 10.3389/fpsyg.2025.1426116. eCollection 2025.

DOI:10.3389/fpsyg.2025.1426116
PMID:40045968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11880860/
Abstract

INTRODUCTION

This article examines the productivity of dissonance in the development of alternative crisis intervention methods, using the German example of the "Open Dialogue Leipzige.V." The research provides detailed insights into the development of the association and the adaptation of the OD approach to local circumstances.

METHODS

The presentation is based on a participatory research process, primarily processing interview data using the Grounded Theory Method. It analyzes the specific practices of implementing Open Dialogue within the association and the organizational and contextual conditions corresponding with it.

RESULTS

Despite the challenges accompanying the introduction and sustainability of Open Dialogue in the German healthcare system, the organizational structure of the association-characterized by grassroots democratic principles and a community driven by a strong willingness to change-enables a successful application of Open Dialogue principles.

DISCUSSION

The article critically illuminates how engagement, professionalization, and participatory learning mutually influence each other through the organizational form of the association, bringing forth an innovative crisis intervention that could potentially serve as a model for other contexts.

摘要

引言

本文以德国“莱比锡开放对话”为例,探讨了在替代性危机干预方法发展中失调的成效。该研究深入剖析了该协会的发展历程以及开放对话方法如何适应当地情况。

方法

本报告基于参与式研究过程,主要运用扎根理论方法处理访谈数据。分析了该协会内部实施开放对话的具体实践以及与之相应的组织和背景条件。

结果

尽管在德国医疗体系中引入和维持开放对话面临诸多挑战,但该协会以基层民主原则为特征的组织结构以及由强烈变革意愿驱动的社区,使得开放对话原则得以成功应用。

讨论

本文批判性地阐明了参与、专业化和参与式学习如何通过协会的组织形式相互影响,从而产生一种创新的危机干预模式,有可能为其他背景提供借鉴。

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本文引用的文献

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[Planning, Reflecting and Evaluating Participatory Health Research: Adaptation and Piloting of the "Community Based Participatory Research (CBPR) Model" for German-Speaking Countries].[参与式健康研究的规划、反思与评估:德语国家“基于社区的参与式研究(CBPR)模式”的改编与试点]
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Conceptualizing the peer contribution in Open Dialogue practice.对开放对话实践中的同伴贡献进行概念化。
Front Psychol. 2023 Aug 17;14:1176839. doi: 10.3389/fpsyg.2023.1176839. eCollection 2023.
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The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals.希腊雅典一家日间护理中心开放式对话的引入与实施:心理健康专业人员的经验与思考
Front Psychol. 2023 May 25;14:1074203. doi: 10.3389/fpsyg.2023.1074203. eCollection 2023.
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Open Dialogue as a cultural practice - critical perspectives on power obstacles when teaching and enabling this approach in current psychiatry.作为一种文化实践的开放对话——对当前精神病学中教授和推行这种方法时权力障碍的批判性观点。
Front Psychol. 2023 Feb 17;13:1063747. doi: 10.3389/fpsyg.2022.1063747. eCollection 2022.
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Implementation of open dialogue in Germany: Efforts, challenges, and obstacles.德国开放式对话的实施:努力、挑战与障碍。
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Introduction: Open Dialogue around the world - implementation, outcomes, experiences and perspectives.引言:全球范围内的开放对话——实施情况、成果、经验与观点
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