April 2021
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Swiss Archives of Neurology Psychiatry and Psychotherapy
Trialogue instead of monologue − current literature, the situation in Switzerland and experiences from three different perspectives At the end of the eighties of the last century, the Trialogue idea was born in Hamburg as psychosis seminars. This may be seen as a reaction to the paternalistic mental health services and institutions of the time, in which psy-chosis were regarded as "madness" and thus as an illness that could not be understood by those not affected. Tria-logues represent an equal way of exchanging experiences between mental health service users, carers and professionals , with the aim of gaining a deeper understanding for each other and new insights. At the beginning of their development , Trialogues were mainly conducted on "neutral ground", that is, not in a psychiatric institution, and participants took part in their free time. Since then, Trialogue has made its way into the mental health service, with concepts such as shared decision making, advanced directives or the open-dialogue approach. The results of a recent survey from Switzerland are also presented here with three field reports, from a service user, a carer and a professional , about their experiences with Trialogue. The trialogical idea should be used in the future for new programmes, services or courses with the aim of reducing barriers between the different groups of people involved and stigma-tisation of users and carers.