Jaakko Seikkula () has pointed towards the importance of practitioners working in the present moment in dialogical therapy. Extrapolating from Seikkula’s work, this article considers the significance of the qualities of therapist attentiveness, generosity and negative capability in dialogical family meetings for psychosis. It is proposed that these qualities are of particular importance when family meetings occur in crisis situations, as when under pressure practitioners can easily be drawn into prematurely interventionist stances that may unintentionally promote chronicity for the person experiencing psychosis. The value of co-working arrangements in enabling practitioners to maintain attentiveness and negative capability in this work is also considered.