Psychotherapeutical Process and Knowledge Enablement: Reflective Team in Work with Families of FEP Patients


Lithuanian University of Health Sciences, Psychiatric Clinic, Kaunas, Lithuania


 Knowledge creation is a social process; and it is based of acquisition and transformation of new knowledge. All knowledge is created by the individuals who bring specific details into the process of knowledge creation.

Knowledge creation occurs not incoherently, but according to certain rules (SECI model). SECI (Socialization- Externalization, Combination, Internalization) – the model coined by Japanese authors (Nonaka, Byosiere, Borucki and Konno, 1994; Nonaka and Takeuchi 1995). This is a spiral knowledge creation model that is based on continuous cycle of knowledge creation. The essence of the model: knowledge is created in the interaction between explicit and implicit knowledge. The management of the knowledge creation is management of the context and conditions under which knowledge is created, shared and delivered in a way that can be used to achieve the goals of the organization or any system.

During the First Episode Psychosis (FEP) there is a disturbed communication between family members. The therapeutic challenge is how to re-establish communication, and this can be done using the Reflecting team. The idea of reflecting team comes from systemic family therapy. Teams in it are used in order to introduce changes into the system- family. From such a perspective family therapy can be seen as a process on continuous knowledge creation occurring in individual and family level; in this process new meanings, new knowledge, competences, values appear. Methods that evaluate enablement of knowledge in knowledge creation models can be used in order to enrich the family therapy process working with families of FEP patients.