TRANSCRIPT
I really have seen that family have such resources that we cannot imagine. If you know, if you do not meet with the family, and we aim at generating dialogue, this actually becomes the most important aspect. No longer thinking that the aim of the meeting is to have a solution. The solutions come as a part of a self-evident process that is opened up. We will focus on how do we manage to have all the voices heard. So the purpose is dialogue, and as a consequence of the dialogue, solutions happen. Yeah, change starts to happen immediately in the first meeting. It’s very non-understandable. I cannot understand how, what does it mean? I’m very confused. But later on, step by step, I start to realize that actually, she is speaking of something that has happened in her life, and this may be the first time ever it’s become possible to have some words of those experiences. Hmm, it’s in a way a kind of metaphorical way to speak of things that beforehand did not have any words to speak about. And for that reason, it’s very important, actually extremely important for us to take it seriously, to start to listen. But what is, but what are her words? And step by step, she perhaps has more and more words to her experience.
All of us could have psychotic problems. It’s an answer to a very difficult life situation. And when I deal with, when I’m faced with a situation which is very stressful, more for me, so I can start to hear voices. For instance, it could happen for me, it could happen for you, it could happen for anyone. If you are stressful in your situation, the things that people speak in their hallucination, for instance, in their experiences, are things that actually have happened in their life. There are some limits that we have to take into account, and the limit is that absolutely we do not accept any misuse of family members. Any abuse, emotionally or sexually, or any violence is not allowed. So by violence, by family, by family members to each other, and so on, that is stopped. That has to be stopped, and those are the limits. In the dose, that part has to be chased absolutely from the very peak when you tell them that. Yeah, yeah, yeah, yeah, yeah, yeah.
And if it’s not possible to sit jointly, so they are organized separate meetings. Four, four, four, four, four. Instead, the one who is the one who is abusing a family member, so a meeting for him or her, and the meeting for the rest of the many of the family members. That it was so important to have these dogs early, early on, because I learned so much new things. I learned so much new things about myself. I learned to speak, for instance. I hope I might for one father who said that I learned to speak. I’ve never spoken of my things, of my emotions, and now in the crisis, I learned to speak. And I know settings. So the crisis can be a very valuable situation because we can learn new language. We can learn to other ourselves in a new way, in a way, and we can listen to each other in a new way that we were not used to.
And of course, there are the therapies that are needed to help to do that because the family members really can have a history that is undone. Impossible to really listen to each other and take each other seriously. Dude, interesting might happen is that the person who has psychotic ideas easily starts to isolate herself from surroundings, from the family, from the conductor, friends, and so on. And the second, it can be that the one who has psychotic ideas starts to build up a strategy. How do I deal with my own experiences? And it may lead into a situation in which versions start to behave in a quite odd way. And for that reason, it’s very important that the helpers, as helpers, would be there before this kind of process is opened. So that’s why it’s so important to be present during the first day or first two days because, as someone said, that the window is open to deal with those experiences as well. But after two days, the window is closed. It’s no longer possible to speak openly of those or toward experiences that one has had after life. And then when the window is closed to those experiences, it’s much more difficult to start to work with those experiences.
The idea from the very beginnings is, 80s has been that in every crisis, the family is included in the first meeting. And we made our kind of follow-up. How many clients every year become new clients? Comes, and in the middle of 90, when I was still working there, we realized that there are some 1,500 clients out of the 70,000 inhabitants every year taking contact with them, the family in a crisis in which the family is included. And then, if you know it, so of 70,000 inhabitants, your catchment area, yeah, that we dealt with 1,500 crisis situations. Yeah, yeah, 1,500 clients. Yeah, and in one year. Yeah, in one year. Yeah, and with all of them, two or three other family members. So it means that every year, between five to seven percent of the population participates in these open meetings.
And now this has been going on for more, almost 25 years, or more than 20 years. So it means a big part of the people in the area has at least sometimes participated in two open meetings. And what has happened, what we know exactly has happened, that this duration of untreated psychosis had declined to an to three weeks. So that the people really seem to have learned to make early contact, to ask for help instead of waiting home that the things become. With how long did they use the way? What was the usual previous period of quote untreated? Uh, we only had the information in our previous study. It was three and a half months in the middle of 90s. But we know from other studies that it can be from one to two years if there is not this kind of system. So in many other places in the world, potentially, and I hear these stories all the time, people having serious problems, and they don’t, people don’t get any help. But don’t reach out to anyone, don’t do any self-help or anything for years.
Yes, and so in this area around Tornillo, people have gotten trust in your system. Yeah, and had so much contact with it that it’s shrunk down to three weeks. Yeah, yeah, before they were three weeks, and then they reach out for help. And it’s really enough time to develop into schizophrenic. She’s suffering a problem, and that’s perhaps one part of why they’re so flu. So basically, yeah, this is my thought that you’re catching the people so early. Yeah, the intervention, if you want to use that word, is so good that the people get well. Yeah, before they have a chance, you haven’t yet developed into this thing called schizophrenia according to the DSA. Yeah, you, you.