Dings Roy, Strijbos Derek W
Faculty of Philosophy, Theology and Religious Studies, Radboud University, Nijmegen, Netherlands.
Department of Psychiatry, University Medical Center Utrecht, Utrecht, Netherlands.
Front Psychiatry. 2025 Jan 13;15:1490489. doi: 10.3389/fpsyt.2024.1490489. eCollection 2024.
Inclusion of people with lived experience into various mental healthcare settings is rapidly increasing. In this article we explicate and address two challenges that hinder this development. First, a descriptive challenge: what is the unique and complementary epistemic contribution of people with lived experience in mental healthcare, precisely? Second, a normative challenge: how to evaluate these contributions of people with lived experience to mental healthcare? To address these challenges, we propose a novel conceptual 'lens' through which to understand the epistemic contributions of people with lived experience. Our approach diverges from the orthodox view by not construing these contributions in terms of (experiential) knowledge, but in terms of perceptual and agential skills which put people with lived experience in a unique 'position to know'. More specifically, we reckon that such contributions are best understood in terms of what we call 'responsiveness' and 'attunement'. The main goal of this paper is to show how the 'Attuned Responsiveness'-Framework allows us to satisfactorily address the descriptive and normative challenge, thereby providing the practice of expertise-by-experience in mental healthcare with a more solid conceptual basis.
将有实际生活经验的人纳入各种精神卫生保健环境的情况正在迅速增加。在本文中，我们阐述并应对阻碍这一发展的两个挑战。第一，一个描述性挑战：有实际生活经验的人在精神卫生保健中独特且互补的认知贡献究竟是什么？第二，一个规范性挑战：如何评估有实际生活经验的人对精神卫生保健的这些贡献？为应对这些挑战，我们提出一种新颖的概念“透镜”，通过它来理解有实际生活经验的人的认知贡献。我们的方法与正统观点不同，不是从（经验性）知识的角度来解释这些贡献，而是从感知和能动技能的角度，这些技能使有实际生活经验的人处于独特的“认知位置”。更具体地说，我们认为这种贡献最好从我们所说的“响应性”和“协调性”的角度来理解。本文的主要目标是展示“协调响应性”框架如何使我们能够令人满意地应对描述性和规范性挑战，从而为精神卫生保健中基于经验的专业实践提供更坚实的概念基础。
