Agency, Social Identity & Justice in Mental Health: A Collaboration with Young People, Clinicians & Academics across Philosophy, Ethics & Neuroscience

青年心理健康领域面临着特殊的挑战和机遇。大多数精神健康困难出现在25岁之前，这也是在个人、社会和神经发展方面发生积极变化的最大机会。年轻人的代理感和社会认同感正在发展。医疗保健互动提供获得治疗和支持的途径。从我们与年轻人的磋商中，我们意识到，当支持和服务似乎说着一种与他们无关的不同语言、满足他们的需求、尊重他们的机构和公平对待他们时，他们会感到多么被剥夺了权利。不参与并被视为积极因素对年轻人更广泛的代理感和认同感产生负面影响，进而影响他们在这一关键发展阶段的关系、学校和向就业的过渡。因此，研究心理保健互动对年轻人生活中更广泛的代理感和社会认同感的影响至关重要，即年轻人如何感受到这些社会互动的帮助或伤害。这需要更多地了解有益的互动以改善年轻人的结果，也需要更多地了解有害的互动以避免伤害和减轻风险。归根结底，我们感兴趣的是年轻人如何感到能够成为他们照顾的积极代理人，并找到他们认为有助于而不是伤害他们的解决方案。我们在这个项目中有三个目标。首先，我们将举办一个启动研讨会，建立一个涉及哲学、伦理学(研究是非对错)、心理学和神经科学(研究大脑)的年轻人、他们的家人、临床医生和学者的新合作，以调查青年心理健康中的机构、身份和正义。其次，我们将(I)分析16次涉及青少年的精神健康接触中的语言和非语言沟通，以研究在这些接触中如何培养或阻碍代理能力，以及(Ii)测试25名年轻人的新颖访谈方法，以确定他们对如何最好地采访他们关于代理和司法经验的偏好。第三，我们还将举办三个工作坊，以发展一个新的研究思路，以调查社会互动中高代理和低代理对大脑发育的影响。

The field of youth mental health presents particular challenges and opportunities. The majority of mental health difficulties emerge before the age of 25 and this is also the time of greatest opportunity for positive change in terms of personal, social and neurological development. Young peoples' sense of agency and social identity is developing. Healthcare interactions offer access to treatment and support. From our consultations with young people, we are aware how disenfranchised they can feel, when supports and services seem to speak a different language that does not involve them, address their needs, respect their agency and treat them fairly. Not being involved and treated as an active agent impacts negatively on young peoples' wider sense of agency and identity, which in turn effects their relationships, school and transition to employment during this critical developmental phase. It is therefore crucial to study the consequences of mental healthcare interactions for young peoples' wider sense of agency and social identity in their lives, i.e., how young people feel helped or harmed by these social interactions. This requires a greater understanding both of helpful interactions to improve outcomes for young people and also of harmful interactions in order to avoid harm and mitigate risk. Ultimately, we are interested in how young people feel enabled to be active agents in their care and identify solutions they feel will help rather than harm them.We have three aims in this project. Firstly, we will conduct a launch workshop to establish a new collaboration involving young people, their families, clinicians and academics across philosophy, ethics (the study of what is right and wrong), psychology and neuroscience (the study of the brain) to investigate agency, identity and justice in youth mental health. Secondly, we will (i) analyse verbal and non-verbal communication in 16 mental healthcare encounters involving young people to examine how agency is fostered or thwarted in these encounters and (ii) test novel interview methods with 25 young people to identify their preferences on how best to interview them about their experience of agency and justice. Thirdly, we will conduct a further 3 workshops to develop a new study idea to investigate the effect on the developing brain of high and low agency in social interaction.