A1 Journal article (refereed)
Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach (2021)

von Peter, S., Bergström, T., Nenoff-Herchenbach, I., Hopfenbeck, M., Pocobello, R., Aderhold, V., Alvarez-Monjaras, M., Seikkula, J., & Heumann, K. (2021). Dialogue as a Response to the Psychiatrization of Society? Potentials of the Open Dialogue Approach. Frontiers in Sociology, 6, Article 806437. https://doi.org/10.3389/fsoc.2021.806437

JYU authors or editors

Publication details

All authors or editorsvon Peter, Sebastian; Bergström, Tomi; Nenoff-Herchenbach, Irene; Hopfenbeck, Mark, Steven; Pocobello, Raffaella; Aderhold, Volkmar; Alvarez-Monjaras, Mauricio; Seikkula, Jaakko; Heumann, Kolja

Journal or seriesFrontiers in Sociology


Publication year2021

Publication date22/12/2021


Article number806437

PublisherFrontiers Media SA

Publication countrySwitzerland

Publication languageEnglish


Publication open accessOpenly available

Publication channel open accessOpen Access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/79300


In recent decades, the use of psychosocial and psychiatric care systems has increased worldwide. A recent article proposed the concept of psychiatrization as an explanatory framework, describing multiple processes responsible for the spread of psychiatric concepts and forms of treatment. This article aims to explore the potentials of the Open Dialogue (OD) approach for engaging in less psychiatrizing forms of psychosocial support. While OD may not be an all-encompassing solution to de-psychiatrization, this paper refers to previous research showing that OD has the potential to 1) limit the use of neuroleptics, 2), reduce the incidences of mental health problems and 3) decrease the use of psychiatric services. It substantiates these potentials to de-psychiatrize psychosocial support by exploring the OD’s internal logic, its use of language, its processes of meaning-making, its notion of professionalism, its promotion of dialogue and how OD is set up structurally. The conclusion touches upon the dangers of co-optation, formalization and universalization of the OD approach and stresses the need for more societal, layperson competencies in dealing with psychosocial crises.

Keywordspsychiatrymental disorderspsychiatric patientspsychiatric caretreatment methodspsychosocial supportdialoguemental health services

Free keywordspsychocentrism; psychiatrization; professionalism; need-adapted; dialogical; medicalization; psychologization; sanism

Contributing organizations

Ministry reportingYes

Reporting Year2021

JUFO rating1

Last updated on 2024-22-04 at 19:53