开放式对话:基于对话的精神疾病干预模式

Open Dialogue:A Dialogue-based Intervention Model for Mental Diseases

通过系统翻阅文献、书籍、相关纪实资料的方法,展现“开放式对话”作为一种精神疾病的干预模式,在芬兰北部西拉普兰地区的实践起源。阐释其对于对话哲学的独特理解以及精神疾病形成的哲学观、独特治疗理念、对于传统以药物为主导的精神疾病治疗的反思。而后,介绍其基本工作流程、七项核心原则、相关治疗效果研究、在世界其他地区的发展现状,并最终从对话哲学以及精神医学治疗等角度做出总结与展望,以期为我国精神卫生体系建设提供一定的参考。

To present"Open Dialogue"as an intervention model for mental illness originated from the northern Finnish West Laplan region,literatures,books,and relevant chronicle data were systematically reviewed.The paper illustrates a unique understanding of the philosophy of dialogue as well as the philosophies that shape mental illness,its unique treatment concepts,and the reflections on traditional drug-led treatment of mental illness.Then,it introduces the basic workflow,seven core principles,related research on therapeutic effects,the current state of development in other regions of the world.A summary and outlook are presented afterwards from the perspectives of dialogue philosophy as well as treatment of mental health system in China,to provide some reference for the construction of mental health system.