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Listening to Worries: A Phenomenological Inquiry Into Open Dialogue in Community Settings
Daisuke Son1,2, Mihoko Tsukahara3
1Department of Community-Based Family Medicine, Faculty of Medicine, Tottori University, Yonago, JPN.
Cureus
|December 8, 2025
Summary
The Machiken Dialogue, adapted from Finland's Open Dialogue approach, fosters psychological safety and connection in Japanese communities. This dialogical practice enhances social connectedness and emotional well-being for citizens and professionals alike.
Area of Science:
- Psychology
- Sociology
- Community Health
Background:
- Open Dialogue is a Finnish therapeutic approach for psychiatric conditions.
- Machiken Dialogue adapts Open Dialogue for everyday concerns in Japanese communities.
- This study investigates Machiken Dialogue's impact on social connectedness and emotional well-being.
Purpose of the Study:
- To explore participants' experiences with the Machiken Dialogue.
- To assess the potential of Machiken Dialogue in enhancing social connectedness.
- To evaluate the impact on emotional well-being within community settings.
Main Methods:
- Qualitative phenomenological analysis of 134 free-text responses.
- Data collected from general citizens (n=77) and professionals (n=57) between 2017-2019.
- Interpretative phenomenological analysis to identify key experiential themes.
Main Results:
- Citizens valued psychological safety, self-discovery, silence, and diverse perspectives.
- Self-disclosure, though difficult, promoted connection and understanding.
- Professionals shifted from expert to co-participant roles, facing challenges in neutrality and facilitation.
Conclusions:
- Machiken Dialogue provides a space for self-expression, reflection, and empathy, strengthening community ties.
- The approach shows promise beyond psychiatric care for fostering reflective communication.
- Further research is needed on community-based dialogical practices, addressing facilitation and professional role shifts.
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