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Postgraduate Education in Mental Health at the University of Nordland, Norway, has developed a kind of practice counselling based on the principles of reflecting processes that Professor Tom Andersen and his colleagues have developed. This is a way of working that emphasizes relational ethics and formation (Bildung) rather than routines and procedures. The importance of listening to what is said rather than knowing what is meant is emphasized. Hence meaning can appear in a dialogical process. However, there is a risk that the widespread production thinking in education and health care may lead to reduced recognition of the importance of encounter and dialogue in mental health care. - In Silje’s story and in the comments of the students, names and facts have been changed so that it is impossible to identify the persons in question.

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