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

青年心理健康领域提出了特殊的挑战和机遇。大多数心理健康问题出现在25岁之前，这也是个人，社会和神经发育方面积极变化的最佳机会。青年人的能动性和社会认同感正在发展。医疗保健互动提供了获得治疗和支持的机会。从我们与青年人的协商中，我们意识到，当支持和服务似乎说着不同的语言，不涉及他们、不满足他们的需求、不尊重他们的代理权和不公平地对待他们时，他们会感到权利被剥夺。不参与和不被视为积极的行为者，会对青年人更广泛的能动性和身份感产生负面影响，进而影响他们在这一关键发展阶段的人际关系、学业和就业过渡。因此，研究心理健康互动对年轻人生活中更广泛的能动性和社会认同感的影响至关重要，即，年轻人在这些社会互动中是如何感受到帮助还是伤害的。这就需要更好地理解有益的互动，以改善青年人的成果，也需要更好地理解有害的互动，以避免伤害和减轻风险。最终，我们感兴趣的是年轻人如何感受到他们能够成为他们护理的积极参与者，并确定他们认为会帮助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，以建立一个新的合作，涉及年轻人，他们的家庭，临床医生和学者在哲学，伦理学（什么是对与错的研究），心理学和神经科学（大脑的研究），以调查机构，身份和青年心理健康的正义。其次，我们将（i）分析16个涉及年轻人的精神卫生保健接触中的口头和非口头交流，以研究这些接触中如何促进或阻碍代理，以及（ii）与25名年轻人测试新颖的采访方法，以确定他们对如何最好地采访他们的代理和正义经验的偏好。第三，我们将再举办三个工作坊，以发展一个新的研究思路，探讨社会互动中高、低能动性对大脑发育的影响。

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.