Exploring a dialogic approach in tackling psychotic diseasesa systematic review

  1. Fernández-Villardón, Aitana 1
  2. García-Carrión, Rocío 1
  3. Racionero-Plaza, Sandra 2
  1. 1 Universidad de Deusto
    info

    Universidad de Deusto

    Bilbao, España

    ROR https://ror.org/00ne6sr39

  2. 2 Universitat de Barcelona
    info

    Universitat de Barcelona

    Barcelona, España

    ROR https://ror.org/021018s57

Revista:
Anales de psicología

ISSN: 0212-9728,  1695-2294

Año de publicación: 2022

Volumen: 38

Número: 3

Páginas: 419-429

Tipo: Artículo

DOI: 10.6018/ANALESPS.494351 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

Otras publicaciones en: Anales de psicología

Resumen

La psicosis es un trastorno mental grave que tradicionalmente se ha tratado desde un enfoque puramente biológico, lo que a menudo ha conllevado una deshumanización en los hospitales psiquiátricos. Con el fin de contrarrestar esta tendencia y con el objetivo de abordar la enfermedad desde enfoque más humano, las intervenciones psicosociales han aumentado. En esta línea, las intervenciones basadas en un enfoque dialógico, con características específicas como el diálogo igualitario, fomentan transformaciones psicológicas y sociales en diferentes contextos. Esta revisión pretende analizar el impacto clínico y social de las intervenciones psicológicas basadas en principios dialógicos en pacientes con psicosis. Se ha realizado una revisión sistemática, siguiendo las recomendaciones PRISMA, en las bases de datos Web of Science, Scopus y PsycInfo. Tras aplicar los criterios de inclusión, se seleccionaron y analizaron trece estudios empíricos, además, se ha incluido una evaluación de la calidad de dichos estudios. Estos estudios muestran que, al incorporar un enfoque dialógico en el tratamiento de la psicosis, se obtienen resultados clínicos y relacionales positivos. De la misma manera, los pacientes valoran positivamente estos entornos de colaboración, donde se sienten escuchados y comprendidos. Aunque el dialogismo emerge como una herramienta eficaz para abordar la psicosis, se necesitan más estudios para determinar con mayor claridad la influencia de características dialógicas específicas en la salud mental de los pacientes.

Referencias bibliográficas

  • Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). The comprehensive open-dialogue approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states. Psychosis, 3(3), 179-191.
  • Alanen, Y. O., González de Chávez, M., Silver, A.-L. S., & Martindale, B. (2009). Further development of treatment approaches to schizophrenic psychoses: An integrated view. In Y. O. Alanen, M. González de Chávez, A.-L. S. Silver, & B. Martindale (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 357–376). Routledge/Taylor & Francis Group
  • Álvarez-Cifuentes, P., García-Carrión, R., Puigvert, L., Pulido Rodríguez, C., & Schubert, T. T. (2018). Beyond the walls: The social reintegration of prisoners through the dialogic reading of classic universal literature in prison. International Journal of Offender Therapy and Comparative Criminology, 2018, vol. 62 (4) p. 1043-1061.
  • Aslam, S., & Emmanuel, P. (2010). Formulating a researchable question: A critical step for facilitating good clinical research. Indian journal of sexually transmitted diseases and AIDS, 31(1), 47.
  • Avdi, E., Lerou, V., & Seikkula, J. (2015). Dialogical features, therapist responsiveness, and agency in a therapy for psychosis. Journal of Constructivist Psychology, 28(4), 329-341.
  • Bakhtin, M. (1981). The Dialogic Imagination: Four Essays. Edited by M. Holquist. Austin: Texas University Press.
  • Bargenquast, R., & Schweitzer, R. (2014). Metacognitive narrative psychotherapy for people diagnosed with schizophrenia: An outline of a principle-based treatment manual. Psychosis, 6(2), 155-165.
  • Béhague, D. P., Frankfurter, R. G., Hansen, H., & Victora, C. G. (2020). Dialogic Praxis—A 16-Year-Old Boy with Anxiety in Southern Brazil. New England Journal of Medicine, 382(3), 201-204.
  • Bergström, T., Alakare, B., Aaltonen, J., Mäki, P., Köngäs-Saviaro, P., Taskila, J. J., & Seikkula, J. (2017). The long-term use of psychiatric services within the Open Dialogue treatment system after first-episode psychosis. Psychosis, 9(4), 310-321.
  • Bergantino, L. (1977). Is Gestalt therapy a humanistic form of psychotherapy?. Journal of Humanistic Psychology.
  • Bhaskar, R., Danermark, B., & Price, L. (2017). Interdisciplinarity and wellbeing: a critical realist general theory of interdisciplinarity. Routledge.
  • Blanco, J. F., & Vicente, M. D. C. S. (2003). La influencia de lo socioambiental en los trastornos mentales. Psychosocial Intervention, 12(1), 7-18.
  • Dunne, S., MacGabhann, L., McGowan, P., & Amering, M. (2018). Embracing uncertainty to enable transformation: The process of engaging in Trialogue for mental health communities in Ireland. International journal of integrated care, 18(2).
  • Flecha, R. (2000). Sharing words: Theory and practice of dialogic learning. Rowman & Littlefield.
  • Flecha, J. R., García Carrión, R., & Gómez González, A. (2013). Transferencia de tertulias literarias dialógicas a instituciones penitenciarias. Revista de educación.
  • Freeman, A., Tribe, R., Stott J. & Pilling, S. (2019). Open Dialogue: The Evidence and Further Research: In Reply. Psychiatric Services; 70:531 doi: https://doi.org/10.1176/appi.ps.70603
  • Galbusera, L., & Kyselo, M. (2019). The Importance of Dialogue for Schizophrenia Treatment: Conceptual Bridges Between the Open Dialogue Approach and Enactive Cognitive Science. Journal of Philosophical Studies, 12(36), 261-291.
  • García-Carrión, R., López de Aguileta, G., Padrós, M., & Ramis-Salas, M. (2020). Implications for social impact of dialogic teaching and learning. Frontiers in psychology, 11, 140.
  • García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and Adolescents Mental Health: A Systematic Review of Interaction-Based Interventions in Schools and Communities. Frontiers in psychology, 10.
  • Gordon, C., Gidugu, V., Rogers, E. S., DeRonck, J., & Ziedonis, D. (2016). Adapting open dialogue for early-onset psychosis into the US health care environment: a feasibility study. Psychiatric Services, 67(11), 1166-1168.
  • Hendy, C., & Pearson, M. (2020). Peer supported open dialogue in a UK NHS trust–a qualitative exploration of clients’ and network members’ experiences. The Journal of Mental Health Training, Education and Practice. 5(2)
  • Holma, J., & Aaltonen, J. (1995). The self-narrative and acute psychosis. Contemporary Family Therapy, 17(3), 307-316.
  • Holma, J., & Aaltonen, J. (1997). The sense of agency and the search for a narrative in acute psychosis. Contemporary Family Therapy, 19(4), 463-477.
  • Izutsu, T., Tsutsumi, A., Minas, H., Thornicroft, G., Patel, V., & Ito, A. (2015). Mental health and wellbeing in the Sustainable Development Goals. The Lancet Psychiatry, 2(12), 1052-1054.
  • Jongsma, H. E., Gayer-Anderson, C., Lasalvia, A., Quattrone, D., Mulè, A., Szöke, A., ... & Kirkbride, J. B. (2018). Treated incidence of psychotic disorders in the multinational EU-GEI study. JAMA psychiatry, 75(1), 36-46.
  • Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia bulletin, 13(2), 261-276.
  • Lakeman, R. (2014). The finnish open dialogue approach to crisis intervention in psychosis: a review. Psychotherapy in Australia, 20(3), 28.
  • Larraín, A., & Haye, A. (2014). A dialogical conception of concepts. Theory & Psychology, 24(4), 459-478. https://doi.org/10.1177/0959354314538546
  • Lonergan, A. (2017). The meaning of voices in understanding and treating psychosis: Moving towards intervention informed by collaborative formulation. Europe's journal of psychology, 13(2), 352.
  • López de Aguileta, G., Torras-Gómez, E., García-Carrión, R., & Flecha, R. (2020). The emergence of the language of desire toward nonviolent relationships during the dialogic literary gatherings. Language and Education, 1-16.
  • Lysaker, P. H., Wickett, A. M., Wilke, N., & Lysaker, J. (2003). Narrative incoherence in schizophrenia: The absent agent-protagonist and the collapse of internal dialogue. American journal of psychotherapy, 57(2), 153-166.
  • Lysaker, P. H., & Lysaker, J. T. (2001). Psychosis and the disintegration of dialogical self‐structure: Problems posed by schizophrenia for the maintenance of dialogue. British Journal of Medical Psychology, 74(1), 23-33.
  • Melero, H. S. (2017). Evaluación de un proyecto de Tertulias Literarias Dialógicas realizado en dos centros de Atención Psicosocial de la Comunidad de Madrid. Edupsykhé. Revista de Psicología y Educación, 16(1), 117-135.
  • NICE. (2014). Psychosis and schizophrenia in adults: prevention and management. NICE.
  • Olson, M., Seikkula, J., & Ziedonis, D. (2014). The key elements of dialogic practice in open dialogue: Fidelity criteria. The University of Massachusetts Medical School, 8, 2017.
  • Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. (2021) PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ;372:n160. doi: 10.1136/bmj.n160
  • Ricoeur, P. (1991). A Ricoeur reader: Reflection and imagination. University of Toronto Press.
  • Romme, M. A., & Escher, A. D. (1989). Hearing voices. Schizophrenia bulletin, 15(2), 209-216.
  • Saiz, J., & Chévez, A. (2009). La Intervención Socio-Comunitaria en Sujetos con Transtorno Mental Grave y Crónico: Modelos Teóricos y Consideraciones Prácticas. Psychosocial Intervention, 18(1), 75-88.
  • Schneider, K. J., Pierson, J. F., & Bugental, J. F. (Eds.). (2014). The handbook of humanistic psychology: Theory, research, and practice. Sage Publications.
  • Scott, S., & Palincsar, A. (2013). Sociocultural theory. Education. com, 1-4.
  • Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care. Psychosis, 3(3), 192-204.
  • Seikkula, J. (2002). Open dialogues with good and poor outcomes for psychotic crises: Examples from families with violence. Journal of marital and family therapy, 28(3), 263-274.
  • Seikkula, J., Aaltonen, J., Alakare, B., Haarakangas, K., Keränen, J., & Lehtinen, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies. Psychotherapy research, 16(02), 214-228.
  • Sousa, S. A., Corriveau, D., Lee, A. F., Bianco, L. G., & Sousa, G. M. (2013). The LORS-enabled dialogue: a collaborative intervention to promote recovery from psychotic disorders. Psychiatric Services, 64(1), 58-64.
  • Soler, M. (2004). Reading to Share: Accounting for others in dialogic literary gatherings. In M. -C. Bertau (Ed.), Aspects of the Dialogic Self. International Cultural-Historical Human Sciences (pp. 157-183).
  • Tribe, R. H., Freeman, A. M., Livingstone, S., Stott, J. C., & Pilling, S. (2019). Open dialogue in the UK: qualitative study. BJPsych open, 5(4).
  • U. N. (2016). Transforming our world: The 2030 agenda for sustainable development
  • Vromans, L. P., & Schweitzer, R. D. (2011). Narrative therapy for adults with major depressive disorder: Improved symptom and interpersonal outcomes. Psychotherapy research, 21(1), 4-15.
  • Vygotsky, L. S. (1979). The development of higher forms of attention in childhood. Soviet Psychology, 18(1), 67-115.
  • Vygotsky, L. S. (2012). Thought and language. MIT press.
  • Wertsch, J. V., & Bivens, J. A. (1993). The social origins of individual mental functioning: Alternatives and perspectives. The development and meaning of psychological distance, 203, 218.
  • World Health Organization, 2021. Health Topics. Schizophrenia. Available online: https://www.who.int/topics/schizophrenia/es/ (Accessed May 2021)
  • Wusinich, C., Lindy, D. C., Russell, D., Pessin, N., & Friesen, P. (2020). Experiences of parachute NYC: An integration of open dialogue and intentional peer support. Community mental health journal, 1-11.
  • Critical Appraisal Skills Programme (2018). CASP Qualitative Studies Checklist. [online] Available at: https://casp-uk.b-cdn.net/wp-content/uploads/2018/03/CASP-Qualitative-Checklist-2018_fillable_form.pdf. Accessed: December 2021
  • Critical Appraisal Skills Programme (2020). CASP Randomised Controlled Trials Checklist [online] Available at: https://casp-uk.b-cdn.net/wp-con-tent/uploads/2020/10/CASP_RCT_Checklist_PDF_Fillable_Form.pdf. Accessed: December 2021.
  • Fernyhough, C. (1996). The dialogic mind: A dialogic approach to the high-er mental functions. New ideas in Psychology, 14(1), 47-62.
  • Haram, A., Jonsbu, E., Fosse, R., Skårderud, F., & Hole, T. (2018). Psy-chotherapy in schizophrenia: a retrospective controlled study. Psychosis, 10(2), 110-121.
  • Hasson-Ohayon, I., Kravetz, S., Lysaker, P. H. (2017). The special challeng-es of psychotherapy with persons with psychosis: Intersubjective meta-cognitive model of agreement and shared meaning. Clinical Psychology & Psychotherapy, 24, 428–440
  • Jong, S., van Donkersgoed, R., Renard, S., Carter, S., Bokern, H., Lysaker, P., van der Gaag, M....Pijnenborg, G. H. M. (2017). Metacognitive def-icits as a risk factor for violence in psychosis: Contribution of common measures of social cognition. PsychiatryResearch, 265, 24–37.
  • Lysaker, P. H., Buck, K. D., Hammoud, K., Taylor, A. C., & Roe, D. (2006). Associations of symptoms, psychosocial function and hope with quali-ties of self-experience in schizophrenia: Comparisons of objective and subjective indicators of health. Schizophrenia Research, 82(2-3), 241-249.
  • Lysaker, P. H., Keane, J. E., Culleton, S. P., & Lundin, N. B. (2020). Schiz-ophrenia, recovery and the self: An introduction to the special issue on metacognition. Schizophrenia Research: Cognition, 19, 100167.
  • Mead, G. H. (1982). The Individual and the Social Self: Unpublished Essays, Eds. D. L. Miller. University of Chicago Press.
  • Newberg, A.J. (2016). An Analysis of ANarrative Therapy Group Work Model for Psychosis. Retrieved from Sophia, the St. Catherine University reposi-tory website: https://sophia.stkate.edu/msw_papers/641
  • Rubio-Aparicio, M., Sánchez-Meca, J., Marín-Martínez, F., & López-López, J. A. (2018). Guidelines for reporting systematic reviews and meta-analyses. Anales de Psicología/Annals of Psychology, 34(2), 412-420.
  • Salgado, J., & Clegg, J. W. (2011). Dialogism and the psyche: Bakhtin and contemporary psychology. Culture & Psychology, 17(4), 421-440
  • Soler-Gallart, M. (2017). Achieving Social Impact. Sociology in the Public Sphere.Switzerland: Springer
  • Steel, C., Schnackenberg, J., Travers, Z., Longden, E., Greenfield, E., Mer-edith, L., ... & Corstens, D. (2020). Voice hearers’ experiences of the Making Sense of Voices approach in an NHS setting. Psychosis, 12(2), 106-114.
  • Villardón-Gallego, L., García-Carrión, R., Yáñez-Marquina, L., & Estévez, A. (2018). Impact of the interactive learningenvironments in children’s prosocial behavior. Sustainability, 10(7), 2138.
  • Wertsch, J. V. (1993). Voices of the mind: Sociocultural approach to mediated action. Harvard University Press.
Fuente de los datos: Dialnet