Psychosis is not an illness but a survival strategy in extreme stress. The dialogical approach has made it possible to find the resources of psychotic behavior when they are encountered in the relationships of the person in need of help. Psychotic problems are not primarily internal to the individual; they are always responses to a real stressful situation in people’s lives. It is not primarily a pathological state of mind, but a feeling that is possible for anyone in a severe stressful situation. The inclusion of the family also highlights the importance of meeting problematic behavior in the context of everyday life and relationships. When all experiences are discussed in everyday language, the mystique of psychotic experiences is reduced, and they become normal reactions to life situations. The most important aspect is to establish a strong relationship with the person having psychotic experiences and their family. This helps clinicians to choose a respectful attitude toward the patient’s and family’s experiences.

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Psychotic Behavior Is a Part of Dialogue, Not a Pathology

  • Jaakko Seikkula

摘要

Psychosis is not an illness but a survival strategy in extreme stress. The dialogical approach has made it possible to find the resources of psychotic behavior when they are encountered in the relationships of the person in need of help. Psychotic problems are not primarily internal to the individual; they are always responses to a real stressful situation in people’s lives. It is not primarily a pathological state of mind, but a feeling that is possible for anyone in a severe stressful situation. The inclusion of the family also highlights the importance of meeting problematic behavior in the context of everyday life and relationships. When all experiences are discussed in everyday language, the mystique of psychotic experiences is reduced, and they become normal reactions to life situations. The most important aspect is to establish a strong relationship with the person having psychotic experiences and their family. This helps clinicians to choose a respectful attitude toward the patient’s and family’s experiences.