The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals

IntroductionThe present study is part of a large-scale original action-research project aiming to assess the introduction and implementation of the Open Dialogue approach within the clinical practice of an established multidisciplinary team in a Day Centre in Athens, Greece. More specifically, it aimed to explore the experiences of professionals within the process of implementation both in relation to their clinical practice and their professional identity.MethodsData collection employed a focus group, which was set up to explore professional reflections of the implementation and research processes since the introduction of the model. Thematic Analysis of transcripts revealed two main themes that correspond to the impact of Open Dialogue on professionals’ clinical practice and on team dynamics, respectively.ResultsProfessionals identify several challenges in implementing OD, such as difficulties in linking theory to practice, containing uncertainty, and addressing cultural barriers to dialogical ways of working. Professionals further reflect on their own internal journey stemming from the implementation of Open Dialogue that has led them to greater openness and growth, personally and as a team.DiscussionThe role of mental health professionals is being acknowledged as being at the frontline of any meaningful psychiatric reform through the assimilation and promotion of humanistic paradigms aiming towards a change of culture in psychiatric care across different contexts. Despite variations in implementation across different contexts, the importance of consolidating and embracing Open Dialogue as a philosophical framework underpinning mental health care is being discussed

Reflexivity in a study of mental health professionals who work with refugees in Greece

In this presentation, we draw on literature related to reflexivity in social sciences, and discuss researcher reflexivity in the context of qualitative research in psychology and counseling. More specifically, we explore personal and epistemological researcher reflexivity within the context of a study which looks at the experiences of mental health professionals who work with refugees in Greece. The study was conducted by the students -for learning purposes - in the framework of a qualitative course in a counseling graduate program and was supervised by the presenter. We adopted a construct of reflexivity as mutual collaboration recognizing participants as reflexive beings that can be involved as co-researchers in a reflexive dialogue during the research process. This presentation gives us an opportunity to revisit the complex and often contested topic of reflexivity, to open up a dialogue, and to learn from other qualitative researchers, who have taught or written about reflexivity in their work

Constructions of Artistic Creativity in the Letters of Vincent van Gogh

Artistic creativity is presently considered to be a multidimensional phenomenon that unfolds over time and is in constant conversation with the social and historical context of the artists, as well as their personal life experiences. This article adopts a narrative perspective and explores Vincent van Gogh’s understanding of the constructs of creativity as reflected in his letters to his brother Theo, friends, and other family members. To inquire into van Gogh’s correspondence, narrative thematic analysis was employed. Findings highlight the artist’s constructs around creativity, which seem to depict elements of both modern and post-modern views of creativity. Major themes include creativity as (a) a developmental, dynamic learning process characterized by dedication and persistence; (b) a relational process in the context of people and nature; (c) an embodied action; (d) an oscillation between asceticism and socio-cultural participation, (e) suffering, and (f) a larger-than-life force. With this study, we join the conversation of scholars around recent developments in the field of creativity, calling for a variety of perspectives and methodological approaches to this complex and multifaceted construct. Moreover, we hope to move beyond the ‘mad genius’ stereotype and myths around psychopathology and artistic creativity, as exemplified in the present analysis of van Gogh’s correspondence

Lived experiences of Idiopathic Inflammatory Bowel Disease (IBD) patients and the perceived impact of the COVID-19 pandemic

The aim of this qualitative, experiential study is to explore the lived experiences of Idiopathic Inflammatory Bowel Disease (IBD) patients related to psycho-emotional, social, and professional dimensions of their lives in general and, secondly, how they are affected by the COVID-19 pandemic. Semi-structured interviews were conducted online on a sample of 10 IBD Greek-speaking patients by the end of the first lockdown period in Greece (June 2020). Thematic Analysis was employed. Research findings include participant psycho-emotional experiences, perceived social and work-related implications of the IBD disease, social support, and perceived positive outcomes in patients' lives, before and during the COVID-19 pandemic

LeadinCare: A Qualitative Informed Digital Training Platform Development to Increase Physicians? Soft Communication Skills After COVID-19

The post-COVID-19 pandemic era has placed new demands on physicians. One of these demands is the need to use targeted knowledge and soft communication skills, to address the psychosocial problems (e.g. vaccine hesitancy, fears) of individuals with Chronic Physical Illnesses (CPIs). Focusing on training physicians in targeted soft communication skills can help health care systems to address psychosocial-type problems. Yet, such training programs are rarely implemented, effectively. This study aimed to (a) understand physicians’ implementation challenges when using soft communication skills during the COVID-19 pandemic; (b) identify beliefs, barriers, and facilitators that can influence physicians’ behaviours to use soft communication skills; and (c) inform the content of the LeadinCare; a new digital training platform, designed to improve physicians’ soft communication skills, by leveraging the TDF Theoretical Domain Framework (TDF). We conducted 14 in-depth semi-structured interviews with physicians in Greece, supporting non-COVID-19 cases with CPIs. We analyzed their data using inductive and deductive approaches. Physicians highlighted time, inability to see patients in person, absence of space for non-COVID-19 cases, and poor organizational procedures as barriers to using soft communication skills. Five TDF domains (beliefs) were identified as the most salient to inform the LeadinCare platform: (1) practical and well-organized knowledge; (2) skills that support patients and their relatives; (3) physicians’ beliefs about capabilities to use the skills; (4) beliefs about consequences of using the skills (job satisfaction); and (5) the use of digital, interactive, and on-demand platforms (environmental context & resources). We mapped the domains in six narrative-based practices that informed the content of the LeadinCare. Physicians need skills that go beyond talking and towards cultivating resilience and flexibility

Compassion Protects Mental Health and Social Safeness During the COVID-19 Pandemic Across 21 Countries

International audienc