Peer-supported Open Dialogue: a thematic analysis of trainee perspectives on the approach and training

Stockmann, Tom; Wood, Lisa; Enache, Gabriela; Withers, Frankie; Gavaghan, Lauren; Razzaque, Russell

doi:10.1080/09638237.2017.1340609

Cited by 28 publications

(47 citation statements)

References 16 publications

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“…Trials should always be accompanied by high quality process evaluations that seek to better understand how peer support brings about change, and how that is distinctive from other forms of support. We need to embrace experiential knowledge, grounded in doing peer support, to develop better understandings of what peer support can be in the context of mental health services (see for example, recent experiments in peer supported Open Dialogue; Stockmann et al, 2017). This is especially the case before we start exporting peer support to LMIC where cultural understandings of mental health and community might differ from our own (Davidson & Tse 2014;Stratford et al, 2017), with efforts being made to explore reciprocal learning across countries and cultures (Baillie et al, 2015).…”

Section: Editorialmentioning

confidence: 99%

Peer support in mental health services: where is the research taking us, and do we want to go there?

Gillard

2019

Journal of Mental Health

101

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Section: Editorialmentioning

confidence: 99%

Peer support in mental health services: where is the research taking us, and do we want to go there?

Gillard

2019

Journal of Mental Health

101

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“…As described previously, creating these wider, real-world opportunities for social safeness and connection is a key relational context in which the CFT approach is built. In this regard, the CFT approach to voice-hearing is very compatible with social network approaches in psychosis such as Open Dialogue (Seikkula et al, 2006), Peer-Supported Open Dialogue (Stockmann et al, 2017), and the Hearing Voices Network approach (Corstens et al, 2014; Longden et al, 2018b).…”

Section: Compassion For Voices Multiple Selves and Emotional Partsmentioning

confidence: 99%

Compassion Focused Approaches to Working With Distressing Voices

et al. 2019

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This paper presents an outline of voice-hearing phenomenology in the context of evolutionary mechanisms for self- and social- monitoring. Special attention is given to evolved systems for monitoring dominant-subordinate social roles and relationships. These provide information relating to the interpersonal motivation of others, such as neutral, friendly or hostile, and thus the interpersonal threat, versus safe, social location. Individuals who perceive themselves as subordinate and dominants as hostile are highly vigilant to down-rank threat and use submissive displays and social spacing as basic defenses. We suggest these defense mechanisms are especially attuned in some individuals with voices, in which this fearful-subordinate – hostile-dominant relationship is played out. Given the evolved motivational system in which voice-hearers can be trapped, one therapeutic solution is to help them switch into different motivational systems, particularly those linked to social caring and support, rather than hostile competition. Compassion focused therapy (CFT) seeks to produce such motivational shifts. Compassion focused therapy aims to help voice-hearers, (i) notice their threat-based (dominant-subordinate) motivational systems when they arise, (ii) understand their function in the context of their lives, and (iii) shift into different motivational patterns that are orientated around safeness and compassion. Voice-hearers are supported to engage with biopsychosocial components of compassionate mind training, which are briefly summarized, and to cultivate an embodied sense of a compassionate self-identity. They are invited to consider, and practice, how they might wish to relate to themselves, their voices, and other people, from the position of their compassionate self. This paper proposes, in line with the broader science of compassion and CFT, that repeated practice of creating internal patterns of safeness and compassion can provide an optimum biopsychosocial environment for affect-regulation, emotional conflict-resolution, and therapeutic change. Examples of specific therapeutic techniques, such as chair-work and talking with voices, are described to illustrate how these might be incorporated in one-to-one sessions of CFT.

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“…POD is being implemented across several NHS Trusts in the context of crisis/early intervention services (Razzaque & Stockmann ; Stockmann et al . ). Peer workers are proposed to be a core element of the POD model, and they, along with other staff, receive specialized POD training and regular team supervision.…”

Section: Discussionmentioning

confidence: 97%

“…Aspects of the Parachute NYC project have been incorporated into the POD approach in the UK, as another variant of the Finnish Open Dialogue approach. POD is being implemented across several NHS Trusts in the context of crisis/early intervention services (Razzaque & Stockmann 2016;Stockmann et al 2017). Peer workers are proposed to be a core element of the POD model, and they, along with other staff, receive specialized POD training and regular team supervision.…”

Section: Perspectives On Peer Work In Open Dialoguementioning

confidence: 99%

Peer work in Open Dialogue: A discussion paper

Bellingham¹,

Buus

McCloughen

et al. 2018

Int J Mental Health Nurs

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Open Dialogue is a resource-oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users. As Open Dialogue is now being implemented across mental health services in Australia, stakeholders are beginning to consider the role that peer workers might have in this model of care. Open Dialogue was not, initially, conceived to include a specific role for peers, and there is little available literature, and even less empirical research, in this area. This discussion paper aims to surface some of the current debates and ideas about peer work in Open Dialogue. Examples and models of peer work in Open Dialogue are examined, and the potential benefits and challenges of adopting this approach in health services are discussed. Peer work in Open Dialogue could potentially foster democracy and disrupt clinical hierarchies, but could also move peer work from reciprocal to a less symmetrical relationship of 'giver' and 'receiver' of care. Other models of care, such as lived experience practitioners in Open Dialogue, can be conceived. However, it remains uncertain whether the hierarchical structures in healthcare and current models of funding would support any such models.

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Peer-supported Open Dialogue: a thematic analysis of trainee perspectives on the approach and training

Cited by 28 publications

References 16 publications

Peer support in mental health services: where is the research taking us, and do we want to go there?

Peer support in mental health services: where is the research taking us, and do we want to go there?

Compassion Focused Approaches to Working With Distressing Voices

Peer work in Open Dialogue: A discussion paper

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