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Organisatorisk brugerinddragelse på en socialpsykiatrisk døgninstitution: Et dramaturgisk inspireret aktionsforskningsprojekt

Publikation: Bog/antologi/afhandling/rapportPh.d.-afhandling


  • Lise Lotte S Helm-Petersen
Action research and theoretical inspirations:
This dissertation focuses on organisational user involvement and accounts for the action research based project on a Danish social psychiatric 24-hour care centre for mentally vulnerable young and young adults. The action-research based project uses an ‘at-home-ethnographic’ approach and investigates how organisational user involvement could be achieved in the institution. It is further inspired by dramaturgical theories and models.
A comprehensive international review of research literature and inspiration from Sociologist Michel Foucault inspired an analysis of the ‘dispositif’s at work in institutional practices. This was further enabled by actor-network theory and theories of social psychology as in the work of Kurt Lewin.
A critical perspective on the connections between the perspective of the ‘Bio-Psycho-Social’ network and the milieu therapeutic paradigm is developed using two alternative constructive models. A model of ‘Recursive Creation’ (Szatkowski, 2019), stressing the importance of the strange loops between structure and notion, and the ‘Butterfly-model’ (Kristensen, 2018), describing the co-creational dialogue with exposed and vulnerable people on their perspectives on a future as valuable for the motivational psychology.
The knowledge created in cooperation with the co-researchers from the practice field is reflected in a second order perspective, thus making visible the connection between the ‘dispositifs’ and the ethnographical observations.
Two questions form the basis of the research:
1) How may the dramaturgical theories inspire to create enabling conditions for the organisational user involvement on a social psychiatric 24-hour care centre for mentally vulnerable young and young adults?
2) How may the residents require influence on changes in the daily life, plans and organisational structure, and, at the same time experience increased self-confidence, courage, well-being, and personal development as social agents?
When applying an ‘at-home-ethnographic’ approach you – as a researcher – are provided with several advantages. Access to and experience with the field makes it easier to understand and interpret the communication of agents and interpret it with a high degree of sensitivity. The disadvantage of being ‘at-home’ may be described by my late recognition of how I as researcher myself was entangled in the ‘dispositifs’, and thus accepted the structures in the organisation, and avoided dialogue around some of the problems that showed up. However, the second order observation meant that the genuine and specific responses that appear in action research could be identified. They pinpointed the “ethics of the techniques of the self” (Foucault 1991: 346) at work for both researcher, members of staff and the residents. Thus connecting sensuously experienced dilemmas, conflicts and power relations to positive and liberating processes in consciousness releasing power, not binding them.
The dramaturgical frame provides inspiration by introducing the method of Conceptual Devising where the weight is placed upon co-creation in a production process. In a devising process, nothing is on beforehand levelled at specific definitions or criteria of success with regard to ‘organisational user involvement’. The co-creation made many voices appear, many perspectives emerge, and provided the residents with a space of recognition. By applying theories and concepts from the dramaturgical analysis of communication, the analysis of everyday activities and environment enabled the inclusion of the residents in the project. Both dramaturgy and action research utilise the method of ‘future-workshops’. This is a tool is applied in the action research project, adapted to the specific group of residents, and it proved to be well received and an effective tool for gathering important material for the devising process. Members of staff and parents suggest that this approach should be a permanent tool to make the residents heard.
The interdisciplinary combination of action research and dramaturgy contributes to an approach where the sensitivity of the dramaturgical analysis coupled with the exploratory dimension of action research, opens up a terrain of reflection on the institutional life as lived, and the daily communication opened up for further inquiry.
ForlagAarhus Universitet
Antal sider347
StatusUdgivet - 2020

Note vedr. afhandling

Ph.d.-forsvar: 04.09.2020

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