-
pi pi: -: 2000-2008
pi 2:
2.4.: pipi
pipi, - pi
pi ...
pi 1 :
Dialogue is the change: pi- pi
pi
(...)-Open Dialogue Treatment (O.D.T.)
-pi
pi / (pi )
2009
-
2
4
. 7
1. pi pi pi 7
2. pipi
pi pi
12
. 16
.1. 16
.2. 17
.3. - 18
.4. pi 24
. 26
1. 26
2. 27
.2.1. 1: pi pi
pi pi :
pi
32
.2.1.1. Dialogue is the change ( ):
pi pi
33
.2.1.2. The Volos open dialogue approach ( pi
): pi
40
.2.2. 2: pi pi
pi (pi, , , ):
pi pipi
43
.2.2.1. pi:
pi
43
.2.2.2. -: pi
pi pi
44
.2.2.3. pi pi pi 45
.2.2.4. -:
46
-
3
.2.2.5. 49
.2.2.6. pi-pi 49
.2.3. 3: pi pi
: pi
49
.2.4. 4: - :
, ;
52
. :
54
. :
56
59
63
1. 64
2. -
65
3.
67
1: - pi
pi
68
1: pi 1 83
2: ... 86
3: pi ... 91
2: pi pi
pi
95
3: - 111
4: pi 2 127
, 139
pi, 145
, 147
pi pi 150
-
4
pi pi
pi (pi 1) Dialogue is the change:
pi- pi pi
(...)-Open Dialogue Treatment
(O.D.T.) pi
05/06/09 03/11/09. pi pi
, pi
pi
pi pi .
pi
pi pi
.
pi pi,
pi pi .
pi
pi
pi pi
. pi pi
, pi pi pi pi
pipipi pi
. pi pi-
pi pi pi,
, ,
pipi pi pi,
pi
(17/10/09), pi
pi pi,
pi pi pi pi
pi (pi pi,
pi, ..pi.).
-
5
(reflexive interviewing),
pi
(Grounded Theory).
pi
- : pi pi
pi, pi pi
pi (, pi, ,
), pi pi pi
pi
pi.
,
pi pi pi, pi
pipi pipi
/ -, pi
-.
/ -
pi
, ,
pi , pi ,
pi pi pi
, pi
pi
pi,
pi. , pi pi
pi pi pi
pi pi pi-, pi
, pi pi. ,
pi, pi pi ,
pi pi .
-
6
pi (pi, pi, -,
) pi (pi 70.5% pi
pi, pipi pi pi). pi
pi pi pi
, pi
pi pi
pi .
pi pi
pi
, pi
.
-
7
.
1. pi pi pi 1
pi pi pi pi
pi pi pi-
pi pi pi
( ...: 115218-
34)2. pi pi pi pi
500 pi
, pi pi pipi pi
, pi pi
pi pipi, pi
. pi
2008, pi pi
pi
pipi . , pi pi
pi pipi
pi ( 117231), pi
pi pipi
(
117234).
pi pi
pipi
pi pi pi
pi . , pi
1 pi pi, . 2 pi pi pi pi pi (, 2008), pi pi pi pi pi (pipi pi pi
18/05-08-2008 ).
-
8
(
) pi pi
pi, pi
pi pi pi
pi, pi
pi pi pi
.
pi pi pi pi
pi ,
pi pi pi
pipi pi
. pipi
pi, pi pi, pi
, pi pi
pipi pi pi
.
( pi ):
pi ,
pi pi pi
pi pi , pi
pi pi.
pi pi Jaakko Seikkula (
pi)
Keropudas (Keroputaan Sairaala), pi pi
(Tornio) pi ,
1981-1998.
pi pi pi
pi pi pi,
, , pi,
-
9
, ..pi. pi
pi pi pi .
pi
, pi
pi pi pi pi -
pi pi ,
.
pi
pipi , pi pi
pi pi,
pi pi (Seikkula, 2002; Seikkula
& Olson, 2003a; Seikkula & Alakare, 2008).
pi (Seikkula et. al.,
2006) pi
pi, 80%
pi pi pi (5) 85% pi
pi, pi
pi 1/3 . pi
pi
.
pi (, , , ):
pi pi pi
pi pi 05/06/09
19/10/09 3.
180 , 84
96 pi 30
,
3 pi pi pi (pi pi pi, pi , pi) (, 2009).
-
10
, . , pi
pi 34 (30 4 pi), pi
pi 26 8 ( pi
pi 40-50 ), 24 pi (6
5 pi pi) 10 pi . pi 34
, 13 , 2 , 2 pi, 6
, 4 , 3 pipi , 2 pi,
1 pi 1 . pi 30
19
pipi .
pi pi . ,
, pi. pi 4
pi pi
, . , -pi, .
, -pi, . pi,
-pi . , pi
pi pi pi
pi . pi
pi pi pi,
pi pi Keropudas,
. Marku Sutella, -pi, pi
pi . Heikkinen, Riitta-Liisa,
-pi, pi
pi (Lnsi-Pohja Health Care District) pi pi
pi , . Alakare Birgitta,
- pi, pi
pi (Keropoudas Hospital) . Valtanen, Kari,
- pi, pi
pi (Lapin Perheklinikka Oy) pi
pi . , pi
pi pi . ,
.
-
11
pipi
.
pipi 13 6 ( pi
pi ), pi
pipi (6 8
) pi pi 4
(1 : 07/09-12/09/09 2 : 12/10-
17/10/09).
pi pi
pi , pi
pi pi pi pi
pi pi ,
pi , pi
. ,
pi ,
pi pi
.
pipi pi (05/06-31/08/09),
pi (14/09-
09/10/09).
pi pipi pi
/ / pi
pi4, pi -
pi . pi
pi pi
pi pi ,
pi. pi pi
pi pi (40 ) pi
4 pi
-
12
pi Keropudas,
pi pi pi .
: pi pi
pi ,
pi pi .
pi
pi
pi pi
. pipi,
pi
, pi
. , pi
pi pi pi
pi pipi
, .
2. pipi
pi pi
pi
, pi pi pi
pi pi .
pipi pi, pi
, pi
,
pi . pi
pi pi pi - pi
pi pi pi5,
5 pi , pi pi pi pi pi
-
13
pi pi pipi pi
pi pi , pi
.
, pi
pi pi, pi pi
: pi pi pi
pi pi
pi pi
- pi (Robson, 2007).
pi, pi pi pi ,
pi pi
pi pi .
input () output (),
pi pi pi
, / - pi
pi, pi pi
pi pi (Swanson & Chapman, 1994).
pi
60,
20 30 (Bryman, 1996; Flick, 1998),
pi, pi pi
Gregory Bateson (Denzin & Lincoln, 2003; Tseliou, 2003).
pi , pi
pi pi
pi pi
pi -
, pipi
pipi (Russell & Kelly, 2002;
pi pi pi pi . pi pi pi pi pi, pi ; pi pi pi (Dell, 1985).
-
14
Tseliou et al., 2004). pi , pi
pi 1970 pi
pi pi, pi
pi (Herman et al., 1987; McDavid &
Hawthorn, 2006; Royse et al., 2009).
pi pi pi
(naturalistic inquiry)
pi (Patton, 1987).
pi pi -
, pi pi
pi, pi
pipi pi
pi pi. pi
pi pi ,
pi pi
(Greene, 1998; 2003).
pi pi
pi
(Guba & Lincoln, 1989),
pi
pi pi pi
(Swanson & Chapman, 1994). ,
pi pi
pi
pi pi, pi
- pi ,
pi pi pi pi,
pi pi pi
pi.
pi pi
pi -, pi
-
15
pi pipi
pi pi pi pi (Herman et al.,
1987; Patton, 1987).
pi pi
, pi
(formative)
(summative) . pi
pi
,
pi . pi
, pi
pi pi pipi,
(Herman et al., 1987; Patton, 1987). pi
pi Robson (2007)
pi, pi pi
pi .
-
16
. :
.1.
McDavid & Hawthorn (2006) pi
pi, , /
- ,
pi, pi pipi pi
pipi pi ,
pi pi pi
pi .
pi pi
pi ,
/ -
. pi pi,
pi- pi pi pi .
, pi pi
- ( 1,
pi pi pi
pi).
pi
pi ,
pi pi
pi, pi pi
pi pi pi
, pi. pipi,
pi pi
pipi / - pi
/ -
pi, (pi / pi-
- pi pi) pi
-
17
pi pi pi
pi, pi pi
pi .
pi
pi
pi, pi
pi -.
pi
pi pi
, pi pi
pi.
, ,
pi :
pi -
pi
pi
,
pi -
pi
/ -
.2.
, pi
pi pi , -
pi pi
pi pi . pi pi
pipi pi
pipipi pi
-
18
pi pi -
.
pi pi pi
pi, pi pi ; pi
- ,
pi pipi pi (
-, pi , pi
pi, pi-, -).
pi pi,
pi
/ /
-, pi pi
. pi
pi , ,
.
pi :
pi pi pi
pi
pi pi pi
(pi, , , )
pi pi
- pi
pi pi pi
pi pi
pi
.2. - :
pi pi , pi
pi pi pi-
-
19
pi, pi pi
pipi ,
, (Patton, 1987;
Swanson & Chapman, 1994; , 2008).
pi , pi
pi (. , 1, pi
):
pi.
pi pi pipi
pi pi- pi
, pi pi pi-
pi-.
pi pi
pi , pi
pi pi. pipi, pi
pi
pi.
pi
. pi
pi, pi
pi pi.
-, pi pi
pi pi pi pi
pi (. , 2) pi pi
pipi
. pi , pi
pi pi
pi .
pi pi
pi .
-
20
pi
pi pi
pi pi pi pi .
pi pi
(Reflexive Questioning)
pi
pi - (Tomm, 1987).
pi 45 70 pi.
, pi
pi pi
(. , 2).
.
, pi
. pi
pi pi :
pi
pi pi pi (pi
)
pi
pi.
pi pi,
pipi.
45 pi pi ,
pi
pi pi pi ,
pi .
pi pi pi
pi .
70 pi
pi pi pi
-
21
pi .
pi pi pi
pipi. pi pi pi
pi / - /
/ pi, pi
pi pi pi pi pipi
pi. pi pipi
,
pi / / . pi
pi ,
pipi pi.
pi pi pi
pi pi
pi , pi pi
pi , pi pi.
60 pi
pi pi-,
-,
(Reflexive Questioning).
pipi pi pi,
pi pi (pi..
pi pi pi, pi
pi). pipi
pi pi pi ,
pi ,
pi pi.
,
pi pi pi .
-
22
pi pi
pi pi pi, pi
. pi
pi pi, pi
pi, pi
pi
pi
pi . pipi,
pi pi
pi pi, pi
pi .
pi pi
pi, pi
pi,
pi pi pi
pi
pi (17/10/09).
pi , pipi
pi , pi pi pi
pipi pi pi .
pi pipi pi,
- (pi-,
-, pi-)
pi . pipi
pi
pi pi pi
pi pi. pi
pi pi
-
23
pi pi pi pi
pi.
pi pi pi pi
pi (pi pi, pi, ..pi.).
pi
,
pi pi pi
pi pi (pi.. pi pipi),
pi pi pi
pi pi ,
pi
pipi (pi..
). ,
pi
pi pi
-. pi
pi pipi
.
pipi
,
pi pi pi, pi pipi
/
pi pi pipi ,
pi . pi
, pipi pi pi pi
.
pi
-
24
pi 6, pi pi
pipi pi pi pi
. pipi , pi
pi,
7.
pi pi pi
, pi
, (memo).
pi pi pi,
pi pi ,
pipi pi pi
pi pi .
.3. pi
pi
(Grounded Theory) (Charmaz, 1995),
pi
pi pi . ,
pi
pi,
( pi
), pi pi
pi pi
pi
(, 2003).
6 pi pipi pi pi pi
, , . , pi pi
.
7
pi (, 2008).
-
25
pi
, pi ,
pi- . pi,
pi pi pi pi
-, pi
pipi
pi-pi , pi pi
pipi pi (, 2003; Potter &
Wetherell, 2009).
, pi
pi :
pi pi
pi pi ,
pi
pi
pi pi pi
pi pi
pipi
- pi
pi
pi
pi pi
pi pi
.
-
26
.
1. -
pi pi pi pi pi
pi
pi, pi
pi pi
pi (05/06/09).
pi ,
.
pi pi, pi
. , pi ,
pi pi, ,
pi pi
pi pi (. )
,
- .
pi 05/06/09 16/10/09 (. , 3
), pi.
.
pi pi
pi (
2009) .
-
27
2.
pi pi pi pi
pi
. pi
pi pi
pi , pi pipi pi
, pi,
pi. pi pi
. pi
pi pi, pi pi pi .
-
28
1
1: pi pi
pi pi :
pi.
1. Dialogue is the change ( )
1.1. -: :
pi:
pi
(, , ,
, pi, )
pi: pi
pi
pi
pipi
pi
pi -
pi pi
pi pi.
1.2. pi pi pi
pi pi:
pi
pi pi -
pi
pi pi
pipi pi
1.3. pi pi
pi
pi, pi -
-
29
2. The Volos open dialogue approach ( pi
): , pi
:
;
pi
pi
pi
pi
pi
-
30
2
2: pi pi
pi (pi, , , ):
pi pipi
pi: pi
70,5% pi pi (pipi pi: pi)
pi pi
(pipipi pi pi)
-: pi pi
pi
pi
pi
pi pi pi
pi
-:
pi pi
pi: pi pi
pi pi, ,
pi
pi
pi-pi
pi pi, pi pi
pi pi
pi
-
31
3
3: pi pi
: pi
pi pi:
pi
pi
pi pi pi
pi pi pi
pi pi pi
pi pi
4
4: - : , ;
pi pi :
pi
pi
pi (
)
-
32
.2.1. 1: pi pi
pi pi :
pi.
pi-
pi pipi
pi pi
, pi pi pi
pi:
: pi pi
pi pi pi pi pi
, pi
pi pi pi
pi pi pi pi
pi pi
:
pi
pi pi pi pi (,
)
pi -, -,
pi- pi
pi pi, pi
,
pi, pi pi
pi pipi
pi. pi pipi
pi
pi
pi pi pi pi pi pi
-
33
pi pipi pi
pi pipi , pi,
pi , pi pi
pi (,
).
- - (-, pi-
, ) pi
pi, pi pi pi pi
pipi pipi,
pi pi -
-. , pi
pi , -
pi. ,
pi pi pi-pi
, pi pi,
.
pi pi
,
pi
-.
.2.1.1. Dialogue is the change ( ) (Seikkula,
2003; pi)
pi pi pi
pi, pi
, pipi
- , pi pi
pi (Bateson, 1979).
pi pi
pi -.
-
34
-: :
pi
-8
- pi pi pi:
pi
.
pi pi pi
-. -
pi pi pi -
,
,
. pi
pi pi pi
pi
, pi . pi pi
pi pi
pi (,
). pi pi
pi-, pi pi,
- pi
pi, pi ,
pi, pi
pi , pi
(, 2).
pipi pi
pi pi pi
pi pi ,
8 pi -
pi pi pi pi, pi
- pi pi-.
-
35
pi pi pi
(, 2).
pi pi pi
- pi pi
pi, pi pi pi
pi pi pi /
- pi
pi pi
/ -.
pi pi
pi pipi
pi
pipi pi pi ,
pi (,
2).
pi pi
, pi pi
. pi
pi
,
pi pi pi pi
pi pi,
pi pipi
pi.
, pi
pi pi pi
pi pi
pi (, 1 3).
pi pi
-
36
pi , pi pi
pi pi (Seikkula & Trimble, 2005),
-pi pi pi,
pi pi pi pi (Watzlawick
et al., 2005).
pi: pi .
pi pi pi /
- pi ,
pi ,
pi pi ,
pi pi pi
pi (, ,
).
pi
.
pi pi pi
-pi pi pi
.
pi.
, -
pi pi
, pi (,
3). pi pi
pi, pi pi
(, 2) pipi
pi pi pi
(, 2)
pi pi . 2007
-
37
pi , pi ,
, ,
pi pi
pi (pi.. pi),
pi , pi
(, 3). pi pi,
pi pi pi pi
pi (, 4).
pipi pi . pi-
- pi pi pi
pi
pi pi
pi .
pi pi pi pi
pi pi pipi ,
, pi
. , pi
, pi pipi pi pi
pi pi
pi pi pi pi, pi,
pi pi (
, ).
pi pi pi
pi (, 4).
pi
- pi. pi pipi
pi pipi
pipi pipi pipi
pipi (, 2).
pi pi pi
-
38
pi pi pi pi
pipi -
pi pi
pi pi pi
- pi,
pi pi pi pi
pi. pi pi pi
pi (, 2).
pi pi.
pi pi
pipi , pi
pi pi
pi: pi
pi pi pi pi, pi
pi pi
. ( , ).
pi pi /
pi- pi pi:
pi pi pipi
- pi pi
pi, pi pi pi.
pi
pi pi
- pi. pi
pi pi pi pi pi
/ pi- pi.
pi pi
pi,
pi
-
39
pi pi,
pi (, 4). pi
pi pi pi pi pi pi
pipi ,
pi pi . (,
2).
pi.
pi pi pi
pi
, pi
pi pi
- pi. pi
pi
pi pi.
pi
pi pi (,
1 4). pi ,
pi , pi pi pi pi
pi (, 2).
pipi pi
.
pipi, pi pi
pi pi
, pi
pi pi
pi pi pi (,
4).
pi pi pi
pi pi
-
40
pi pi
pi pi:
pi pi
. , pi
( , ).
pi pi
pi
pi pi
pi pi
pi . pi pi
pi , pi pi /
- pi pi pi- pi,
pi pi pi pi
(, 4) pi
pi pi pi pi pi
pi pi (,
2).
.2.1.2. The Volos open dialogue approach ( pi
) (, 4):
pi
pi pi pi,
- pi pi
, pi pi pi:
:
; pi pi
pi pi - pi
/ -, pi / pi-
-
41
pi pi pi
pi pi pi
pi -
/ pi .
pi-pi pi
,
pi
pi , pi pi
, pi pi
pi, pi.
pi ; (,
2), pi pi, pi
(,
3), pi ,
, (, 2).
pi
, - pi pi,
pi pi , -
pi pi pi
pi- .
. pi
pi pi
,
, pipi ,
pi pi pi delete
(, 3).
pi.
pi pi
pi pi pi,
pi pi ,
pi pi, pi
-
42
pi pi pi pi
pi pi. pi pi ,
pi pi ;
(, , ).
pi
. pi pi
pi pi pi
pi
pi pi, pi
pi (,
, ).
pi
pi
pi.
pi
. pi
pi pi pi pi
pi
pi pi,
pi pi pi
pi pi pi pi
pi pi
pi pi. pi
pi (pi)
pi
- pi pi pipi pipi,
pi pipipi
( & Eisler, 2005).
-
43
.2.2. 2: pi pi
pi (pi, , , ):
pi pipi
.2.2.1. pi: pi
pi pi
pi pi
, pi
pi, pi pi
pi pi 70,5% pi pi
pi ( pipi pi pi pi-).
pi pi
pi -,
pi pi
pi pi pi .
pi
pi pi
pi pi
pi pi pi pi.
pi pi
, pi pi pi
pi pi pi pi pi
(, 3),
pi pi pi pi
, pi ,
(,
pi), pi pi pipi
pi, pi
pi (, 2).
pi pi
pi pi ,
-
44
pipipi pi pi pi
pi.
pi pi ,
pi pi
pi pi
pipi pipi pi
pi.
.2.2.2. -: pi pi
pi
pi
pi pi pi pi
pi pi (. pi
). pi
, pi pi
pipi pi pi
pi pi. pi
/ - pi
pipi, pi pi
pi pi pi .
pi ,
pi
pi pi (,
2) pi
pi
pi pi
pi (, 1 4).
pi pi
pi , pi
, pi ,
-
45
pi. pi
pi
pi
pi.
pi pi pi pi ,
pi pi -
pi pi pi
pi - pi
- pi pi
pi
pi pi pi pi
. pi pi
pi pi pi
pi. pi, pi pi
pipi . pi
pi pi pi
( pi pi
pi
)
pi pi pi
pi pi pi
. pipi pi
pi, pi ,
,
pi pi
pi, , pi
(, 4).
.2.2.3. pi pi pi
pi pi . ,
pi pi pi,
pi
-
46
pi. pi
pi, pi
, pi pi
pi , pi,
pi pi
pi, pi
pi pi
pi pi pi
(, 2).
pi
pi pi pi pipi
,
(, 2).
pi pi
pi pi pi
pi pi pi pi
pi pi pi pipi
pi pi
, pi
(, 2) (. pi
). pi ,
pi pi pi,
, pi pi pi (,
2).
.2.2.4. -:
pi
pi pi pi
pi pi
pi pi pi , .
-
47
. pi
pi , pi
pi pi
pi pi. pi ,
pi
, , pi
, pi pi pi
pi pi pi,
pi pi -
pi pi.
pi pi
, pi pi
pi pipipi
. (, 1).
pi , pi
pi pi (pi..
, , , pi
pi).
pi pi (pipi pi
pi pi )
, pi, pi pi
pi pi (. pi..
pi pi pi
).
pi pi (.
pi.. pi pi 7 .. ,
pi )
pi pi pi
(, , , )
pi 22/05/09-19/10/09 (, pi pi 25
). pipi, pi
-
48
pi (. pi..
,
, pi
/ ). pipi
pi pi pi
pi, pi
, pi
(. pi. pi
pi).
pi pi, pi
pi pi
pi
,
pi pi
, pi pi pi pi
pi pi pi
pi pi pi
(, 2).
pi, pi
pi
pi pi (, 1),
pi pi
pi (, 4)
pi pi,
,
pi pi pi (
1 4),
- pi,
pi pi (,
3).
-
49
.2.2.5.
pi, pi
pi pi,
pipi pi pi .
pi pi
pi pi pi
. , pi pipi pi
pi, pi pi pi
pi pi pi . ,
pipi , pi
pipi
.
.2.2.6. pi-pi
pi pi
pi pi
pi pi pi ( pi).
/ - pi pi
(, pi pi-),
pi
,
,
pi pi. pipi,
pi.
.2.3. 3: pi pi
: pi
pi pi pi (. pi
pi), :
-
50
pi pi
pi pi pi
pi pi
pi
pi pi
pi pi
,
pi
pi pi pipi
pi .
, pi pi pi
pi pi
(, 1),
pi pi
pi
, pi
.
pi , pi, pi
pi pi pi pi
pi pi pi -
,
pi pi.
pi / - pi pi
pi pi pi pi
pi pi . pipi
, pi
pi pi pi
pi pi
(, 2008).
-
51
pi pi pi
, pi , pi pipi
pi pi. ,
pi pi (
) pi pi pi,
pi pi pi
pi
pi
Bateson (Bateson, 1979).
pi
pi pipi -
(, 4), pi
pipi pi,
, pipi .
pi ,
pi pi pi pi
, ,
pi. pi pi
pi pi pi ,
, pi
, pi pi pi
pi pi pi pi
pi pi : pi
,
pi.
pi . pi
pi pi,
pi pi pi . pipi
pi pi pi
-
52
pi ,
pi, pipi ,
.
pi pi
pi, - pi:
pi
pi
pi
pi
pi pi pi
pi pi pi
pi pi
pi pi pi
.
.2.4. 4: - :
, ;
pi
pi pi pi
pi pi pi,
pi.
pi pi pi pi
, pi; pi
pi pi;. pi
pipi
, pi pipi ,
pi pi.
pi pi pipi pi
pi pi pi pi pi
-
53
pi
pi pi.
pi pi, pi, pi
( , ),
pi, pi pipi
pi pi pi pi
pi , , pi
pi pi
pi . pi pi
pi pi
pi, pi pi
pi
pi pi, pi pi
(, 2).
pipi pi pi
pi pi (,
3).
pi pi pipi
pi pi
, pi
. pipi pi
pi pi pi
pi
(, 4). pipi,
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1 pi pi9
: 10/09/09
pi
:
: Markku
R: Riita
E: Initial expectations-fantasies about participation in the
programme
(choice of participating, your own goal, )
M: Not very specific or particular expectations, did not know
what to
expect.
R: We did not know what to expect
M: A lot of preparation for lecturing with power point but
things with
trainees progressed in a different way, more in the format
of
unstructured conversations in which people would move from
one
topic to another and ask all kind of questions
E: The experience of participating in the programme (what was
your
experience in relation to all programme aspects, the content of
the
programme, relationships, etc.)
M: Excellent, very impressed
R: Very good experience overall, very impressed with
everything
E: theoretical and clinical practice part
the relationship between theory and practice
M: Very impressed with the trainees very good grasp of theory,
it was
evident that they were familiar with the open dialogue approach
and
they knew and had read a lot already
E: cooperation with the participants (teaching methodology,
content of
training material)
9 pi , pi pi pi pi pi .
-
84
M: Amazed at the fact that people did bring families for the
clinical
practice, this was something that wasnt that sure it would
happen,
and overall with the trainees willingness to learn
E: programme organisation and the setting-facilities
M: very impressed with the program management and
organisation
Christos Nakos was amazing, really thoughtful of everything
was
taken care of. Very impressed with the Greek hospitality
E: Reflexivity-Evaluation of the participation in the
programme
in relation to the programme
How did things evolve in relation to initial expectations and
fantasies?
M: Less structured than the initial planning and much better
in
relation to our expectations regarding what people already
knew
E: Is there something you experienced as a change due to
your
participation in the programme?
Is their something you would like to take with you or /and
something
you would like to leave behind?
Is there any type of new knowledge or expertise you would say
you
acquired?
M: Not a particular thing or idea but overall what has been
particularly thought provoking and inspiring was the fact that
people
were bringing with them all sorts of different ideas reflecting
their
diverse experiences across very different work contexts. Overall
a very
good experience of coming across a multiplicity of ideas and
also very
inspiring conversations with the Greek trainers and the
scientist in
charge of the project
E: Can your participation in the programme contribute to
your
professional development in any way? Is there any type of
knowledge
you would say its transferable back to your workplace?
M: I myself would like to add one thing. After returning to
Finland I
noticed myself thinking more about my work than before. The
conversations with the participants made me notice what is
important
for me in my own work and what I want to change in it. It has
also led
-
85
me to try to make some changes in practice. So the visit was
quite
valuable for me also personally.
E: Is there something you would have done differently had you
been
organising the programme? Is there something you would have done
the
same way?
M: The only things would be on an organisational level: a
translator
who could translate directly from Finnish so that they would be
able
to better express themselves in their own language (language
is
important, a different language is a different set of meanings
and
ideas)
R: and also an organisation which would be less hours per
day,
because the whole experience of working with the families is
very
intensive with a lot of feelings and can end up being very
exhausting
E: If you were to plan a next phase what would you include?
M: The application of the introduced approach into practice,
people
could be given the chance to work in networks in their
different
workplaces in a supervised context so that they could experiment
with
the application of the approach in practice
-
86
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E: I am therapist and systemic trainer and also my field of
studies is
qualitative research and there I have tried to develop a
research
method which draws from systemic epistemology so my idea was to
do
the evaluation, I did not want to do a quantitative evaluation,
I did not
want to measure because this is not how I understand the world
so I
thought that if I tried to develop a methodology where like in
the
content of the program the voice of the participants could be
heard
across levels of contexts and then sort of do you know an
analysis not
a discourse analysis Ill see, maybe Ill do it after because I
felt it
would be interesting to develop open dialogue as a methodology
in
evaluation of programs. So what I have done so far is I talked
with the
participants before the beginning of the program I had group
sessions
with them where I discussed with them the concept of the
evaluation.
So I discussed with them the evaluation itself I got their ideas
you
know how this could be useful, what they should they do to be
useful
and then I sort of developed a sort of areas of conversation
around
which would be important to have everybodys view then I had
one
interview with Markku and Riitta, the tape recording did not
work but
I took some notes right afterwards and then I emailed them and
they
gave feedback, I also talked with Michalis who is the director
of the
centre and with Christos Nakos I had an individual interview
and
today when I came there I had again an interview with all the
group, I
-
128
asked them to reflect first on what the experience for each of
them
was to participate in the program and then whatever they wanted
to
comment on the program or feedback but my focus was basically
on
their reflection, on their participation. So this is more or
less the story
of how I got to invite you as well and I would be very
interested to
listen you know the story from the beginning how you got
involved in
the program and if you had any expectations or fantasies before
you
came here and also I am very interested in reflexive sort of
things like
any things you are taking back with you, back in Finland, this
sort of
stuff so we can start from whichever point seems interesting to
you I
dont know, this is the idea.
M: ok many questions
E: how did you get involved in the program maybe? Whats the
story?
W: I got emailed by Froso Moureli had contacted Jakko I dont
know
why she was not able to have contact with me and Christos
Nakos
sent email and then Froso Moureli, something I did not know why
she
contacted me in June 2008 and that it was some emailsit was
quite long time between the first and the second e-mail two
months I
did not know what has happened I did not remember
E: And what was the invitation about? To do what?
W: The question was is it possible to arrange some kind of
training so
that group is coming to Finland to hospital I remember so it
would be
possible to see the approach to come to visit our hospital, but
in
spring this changed I remember so and also I promised people in
our
hospital they can make program it is possible and I promised
them
not coming here
E: not coming here but you were expecting people from here to
come
there?
W: yes and I promised some of us can also come here I dont
rememberfirst in Finland and afterwards here
E: but it did not work out like this?
W: no because they sent email that this is not possible to
havethey
dont have money enough to come to Finland and then I was asked
is
-
129
it possible that somebody comes to Greece to have training here
and I
told Markku and we were thinking that it is not possible that
only one
of us is coming for a week and maybe it was Markku who sent
the
first email to Froso that we are not coming alone we used to
be
together in the training and then all the time I supposed that
someone
else is coming, not me.
E: you are very busy there!
W: yes and they wanted to have a second it was in May, in April
they
sent email that they wanted to have another one here it was in
the
end of May
M: my story is very brief
E: you are going
M: Markku said well do you have time to train in Greece open
dialogue
and I said of course
E: how come?
M: I trust Markku and I trust Birgitta and I think its a good
idea so..
E: so you agreed
M: I agreed, it didnt sound bad
E: what were you expecting I mean to find here?
M: actually now that I am heresurprise is not the right word
about
how little I knew about the whole program and about the
systemic
training and we didnt know how many people who are these
people
where do these people come from so we had very little
information
about.. we are thinking when we work together i