Jenny, I think everyone here on the MIA website is keen to see de-psychiatrization, and OD provides some light on how this might be achieved. One of the facets that von Peter et al credit OD for identifying is its use of language and meaning-making. Using non-psychiatric language the facilitators pay attention to words, stories, and themes the network participants perceive as important, and facilitate a ponderance upon these, tolerating silences. One could be excused for seeing this as a form of psychoanalysis, albeit without the authority of the analyst offering interpretations. (Which von Peter describes in the section on professionalism.) When Trigant Burrow, a founder of the American Psychoanalytic Association and contemporary of Freud, broke with the APA (they in fact kicked him out), he formed a community, that lasted well beyond his death, that was without the authority of an analyst offering interpretations, and that appears very much like OD. So perhaps one of the paths to de-psychiatrization is thru a renewal of interest in psychoanalysis, albeit without the authority of analyst. Indeed we can see this with the relational mind research that Seikkula is heading at the University of Jyväskylä, where he is taking an OD approach to a variety of other problems. Recently radical enactivism has offered a new slant on what used to be called “the unconscious” that was the target of analysis. This is easiest to understand by using Daniel Kahnman’s ‘fast’ and ‘slow thinking, to suggest that mostly we use ‘fast’ (intuitive) thinking, especially when we are in conversation with each other; and when we both do the conversation ‘takes on a life of its own’ (think of conversations with friends). Blocks in this are often mental health problems – and the task of OD facilitators or therapists is to get the conversation flowing again. The task of the therapist is to dissolve the ‘block’, and not to name it. (To name is part of slow thinking.) A similar ethos existed in the zen monasteries. Psychiatry first adopted versions of Freudian (and his disciples) psychoanalysis, but as it was wrongheaded (due largely to the receptive culture it appeared in – see ‘The Southern Theory’), and so they moved to the medical model, which was equally wrong-headed, for the same reasons. As Wittgenstein commented on psychoanalysis from his day, we can say the same for psychiatry today, “its done little good, and a great deal of harm”. But we shouldn’t let this distract us from the potential to do good; that change for the better can come thru talk.