Enhancing social cognition in psychosis – the potential role of open dialogue

Research in psychotic conditions increasingly focuses on improving functional outcomes. While antipsychotic treatments can alleviate positive symptoms in some patients, they have limited impact on psychosocial function. Social cognition (SC) has emerged as a promising target for intervention, with m...

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Main Authors: Maria Gariup, Tomi Bergström, Katharina Saliger, Justin M. Palanci, Robert O. Cotes, Joseph B. Stoklosa, Jaakko Seikkula
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:Schizophrenia
Online Access:https://doi.org/10.1038/s41537-025-00608-y
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author Maria Gariup
Tomi Bergström
Katharina Saliger
Justin M. Palanci
Robert O. Cotes
Joseph B. Stoklosa
Jaakko Seikkula
author_facet Maria Gariup
Tomi Bergström
Katharina Saliger
Justin M. Palanci
Robert O. Cotes
Joseph B. Stoklosa
Jaakko Seikkula
author_sort Maria Gariup
collection DOAJ
description Research in psychotic conditions increasingly focuses on improving functional outcomes. While antipsychotic treatments can alleviate positive symptoms in some patients, they have limited impact on psychosocial function. Social cognition (SC) has emerged as a promising target for intervention, with multiple new approaches designed to enhance SC in psychotic conditions. However, the generalisability of these interventions to real-world functioning remains uncertain. We propose that the Finnish Open Dialogue (OD) approach may offer unique advantages for improving SC in individuals with psychosis and their families and suggest this as an important direction for future research. This commentary aims to bridge perspectives from SC research and OD practice, proposing avenues for integration and future research.
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publishDate 2025-06-01
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series Schizophrenia
spelling doaj-art-c0896c9f5f9e41c1a6cd4909a0e1ed2c2025-08-20T03:10:39ZengNature PortfolioSchizophrenia2754-69932025-06-011111610.1038/s41537-025-00608-yEnhancing social cognition in psychosis – the potential role of open dialogueMaria Gariup0Tomi Bergström1Katharina Saliger2Justin M. Palanci3Robert O. Cotes4Joseph B. Stoklosa5Jaakko Seikkula6Child and Adolescent Psychiatric Center Glostrup, Psychosis Reference Unit - Opus Young ProgramDepartment of Psychology, University of JyväskyläHospital of Interlaken, Psychiatry InterlakenDepartment of Psychiatry and Behavioural Sciences, Emory University School of MedicineDepartment of Psychiatry and Behavioural Sciences, Emory University School of MedicineHarvard Medical School, Department of Psychiatry, McLean HospitalDepartment of Psychology, University of JyväskyläResearch in psychotic conditions increasingly focuses on improving functional outcomes. While antipsychotic treatments can alleviate positive symptoms in some patients, they have limited impact on psychosocial function. Social cognition (SC) has emerged as a promising target for intervention, with multiple new approaches designed to enhance SC in psychotic conditions. However, the generalisability of these interventions to real-world functioning remains uncertain. We propose that the Finnish Open Dialogue (OD) approach may offer unique advantages for improving SC in individuals with psychosis and their families and suggest this as an important direction for future research. This commentary aims to bridge perspectives from SC research and OD practice, proposing avenues for integration and future research.https://doi.org/10.1038/s41537-025-00608-y
spellingShingle Maria Gariup
Tomi Bergström
Katharina Saliger
Justin M. Palanci
Robert O. Cotes
Joseph B. Stoklosa
Jaakko Seikkula
Enhancing social cognition in psychosis – the potential role of open dialogue
Schizophrenia
title Enhancing social cognition in psychosis – the potential role of open dialogue
title_full Enhancing social cognition in psychosis – the potential role of open dialogue
title_fullStr Enhancing social cognition in psychosis – the potential role of open dialogue
title_full_unstemmed Enhancing social cognition in psychosis – the potential role of open dialogue
title_short Enhancing social cognition in psychosis – the potential role of open dialogue
title_sort enhancing social cognition in psychosis the potential role of open dialogue
url https://doi.org/10.1038/s41537-025-00608-y
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