SFT – Svensk Familjeterapi nr 3-4 2010 - Svenska föreningen för ...


SFT – Svensk Familjeterapi nr 3-4 2010 - Svenska föreningen för ...

profession in Finland

sessions. If agreed the patients were then

randomized to Research group and to

Control group, in which they received

individually orientated psychotherapy as

Treatment as usual. Many type of process

information both though qualitative and

statistical methods will be analyzed and

the effectiveness of the couple therapy

will be measured by comparing the treatment

as usual. In a co-research interview

clients found helpful the participation of

the spouse and the possibility for talking

again in collaboration with the therapists.

Some clients emphasized the active role of

the therapists instead of only listening. If

problems emerged, clients noted as nonhelpful

the difficulties in talking with

the therapists and confusion concerning

why couple therapy is proposed although

they did not report any marital problems.

(Rautiainen & Seikkula, 2009).

While writing this text the first paper

on the outcomes of couple therapy is under

progress. So no results can be reported.

Some interesting notions, however,

have become evident. While proposed

joint couple sessions, many patients refused

to invite the spouse by saying that

they want to take care of their own problems

because they felt being a burden to

their families. Family therapist needs to

learn more, how to introduce the idea of

inviting the spouse into the joint meeting.

Another notion came out of the number

Svensk Familjeterapi 3-4/10

of sessions needed. If the first meeting

was organized immediately after the

contact, crisis meetings seemed to help

rapidly. Many patients managed out of

the crises in five or six meetings. If they

already had a long treatment in primary

care before the special health care psychiatric

polyclinic, the treatment could

take more than 30 sessions during two

years time. Therapists felt very inspiring

experience the session-to-session monitoring

of the process by asking both the patients

and the spouse to fulfill Outcome

Rating Scale (ORS) in the beginning of

every session and the Session Rating

Scale (SRS) as evaluation of the dialogue

in every session. We hope to have more

published data in the nearest future about

this interesting new project.

Here are shortly some clips about the

many sided research on family therapy in

Finland. Perhaps the fact of research has

Jaakko Seikkula Foto: Mårten af Ekenstam

affected that family and couple therapy

is applied in many public sector services

and also as private practice method. While

doing own research it is more secured that

the information needed for developing the

clinical practice is based externally valid


Jaakko Seikkula

Professor in Psychotherapy,

University of Jyväskylä



Haarakangas, K. (1997).

Hoitokokouksen äänet. The

voices in treatment meeting. A

dialogical analysis of the treatment

meeting conversations in

family-centred psychiatric treatment

process in regard to the

team activity. English Summary.

Jyväskylä Studies in Education,

Psychology and Social Research,

130, 119126.

Lehtinen, V., Aaltonen, J., Koffert,

T., Räkköläinen, V., & Syvälahti,

E. (2000). Two year outcome in

first-episode psychosis treated

according to an integrated

model. Is immediate neuroleptisation

always needed? European

Psychiatry, 15, 312- 320.

Rautiainen, E-L. & Seikkula, J.

(2009). Clients as co-researchers:

How do couple evaluate

couple therapy for depression.

Journal of Systemic Therapies,

28, 42-60.

Seikkula, J., Alakare, B., Aaltonen,

J., Holma, J., Rasinkangas, A.,

& Lehtinen, V. (2003). Open

Dialogue approach: Treatment

principles and preliminary

results of a two-year follow-up

on first episode schizophrenia.

Ethical Human Sciences and

Services, 5 (3), 163182.

Seikkula, J., Alakare, B., Aaltonen,

J., Haarakangas, K., Keränen, J.,

& Lehtinen, K. (2006). 5 years

experiences of first-episode

non-affective psychosis in Open

Dialogue approach: Treatment

principles, follow-up outcomes

and two case analyses.

Psychotherapy Research, 16:


Seikkula, J. and Trimble, D.

(2005) Healing elements of

therapeutic conversation:

dialogue as an embodiment

of love. Family Process, 44:



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