About Dialogic Practice
Dialogic Practice restores human values by emphasizing listening and responding to the whole person in a context – rather than simply treating his or her symptoms. In psychiatric settings, this is accomplished primarily through a treatment meeting, or Open Dialogue. Drawing on the dialogic principles of the Russian philosopher Mikhail Bakhtin, this approach can also be applied in individual, couple, and family therapy..
This conversation, or dialogue, is not “about” the person, but is instead a way of “being with” the person and living through the situation together. This process mitigates the sense of isolation and distance that a crisis can produce and gives the person at the center of the concern greater voice and agency. Ultimately, this allows them to participate more meaningfully in both the conversation and the resulting decisions about their own lives.
|The Twelve Key Elements of Dialogic Practice (Olson, Seikkula & Ziedonis, 2014)|
1. Two (or More) Therapists in the Team Meeting
2. Participation of Family and Network
3. Using Open-Ended Questions
4. Responding To Clients’ Utterances
5. Emphasizing the Present Moment
6. Eliciting Multiple Viewpoints
7. Use of a Relational Focus in the Dialogue
8. Responding to Problem Discourse or Behavior as Meaningful
9. Emphasizing the Clients’ Own Words and Stories, Not Symptoms
10. Conversation Amongst Professionals (Reflections) in the Treatment Meetings
11. Being Transparent
12. Tolerating Uncertainty
Dialogic Practice Training Courses
“Dialogic process is a humane way of working with people in distress as well as those who care about them. It does not need to replace any techniques – it enhances other approaches. Whereas in other practices the “therapeutic alliance” is something that may be valued, it can be taken for granted. Dialogic process puts a focus on that alliance and this way it enriches all approaches.’
Sandra Steingard, M.D.
Level II Graduate – IDP
Medical Director, The Howard Center
“Best Doctors in America,” 2003 onward.