Tag Archives: social isolation

Social Isolation Kills, But How and Why?

This editorial in the Journal Psychosomatic Medicine is freely available at http://www.psychosomaticmedicine.org/content/63/2/273.full.pdf+html, as is the Brummett et al article he is editorialising (http://www.psychosomaticmedicine.org/content/63/2/267.full.pdf+html).

While Professor House supposes that we do not really know why social isolation leads to more severe disease (in biomechanical terms), the Dialogical Practices approach takes the absence of social engagement as the pathogenic state for the human being.

Open Dialogue has proceeded from the work of Russian literary theorist, whose study of the great Russian novels, especially Dostoevsky, led to to assert that:

“For a human being there is nothing more terrible than a lack of response” – Mikhail Bakhthin

This is approach is important as it has provided a framework for an experiment in early intervention in psychosis with outstanding success, although this was in the unique environment of sub-Arctic Finland.