Peer Support and Open Dialogue: Possibilities for Transformation and Resistance in Mental Health Services

Publisher:
Springer
Publication Type:
Chapter
Citation:
Beyond the Psychology Industry, 2020, pp. 49-67
Issue Date:
2020-12-11
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This chapter is about peer support and open dialogue (OD). Peer support workers (PSWs) purposefully bring to their work knowledge and wisdom gained through lived experience of emotional distress and/or extreme states of mind (distress/extreme states) to establish connections with service users and engage in mutually transformative dialogue. The transformative power of peer support is often curtailed in health service cultures that are resistant to change and continue to privilege biomedical responses to distress/extreme states. Open dialogue is a social network–based approach to mental healthcare that came out of ‘psy’ (psychiatry and psychology) disciplines, and radically challenged clinicians to put aside their disciplinary expertise, diagnoses and clinical judgements to see distress/extreme states in a relational context. Using a co-production framework, which aims to yield new forms of knowledge through a collaborative, exploratory and reflective process of interaction between people with lived experience and researchers, we explore the histories and possibilities of each practice and the potential for transformation and resistance in mental health services by the pairing of the two.
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