To Inspire and Arrange Things in Order to Create Movements in Deadlock Situations: About Hopeful Practice in a Crisis Resolution/Home Treatment Team (CR/HT)

How do CR/HT members describe their hopeful practice, and how can this practice be understood? To answer this we performed multistage focus group interviews with members in a CR/HT team. The transcripts were analyzed using a phenomenological-hermeneutic method inspired by Ricoeur. Our comprehensive understanding of what the staff’s hopeful practice involves is that they move back and forth between being inspiring and arranging things in order to create motion in a deadlock situation. We found that their actions could be subdivided into three categories: «to get in position to create motion», «to set the patient in motion», and «to support the motion of the patient». We discuss whether hopeful practice is a professional ideal, whether it has professional legitimacy, cultural preconditions about predictability, belief in progress and independence, and the ethical dilemma encountered when the patient moves towards suicide.