Abstract

Through two case studies, the Hearing Voices Movement and Stepping Out Theatre Company, we demonstrate how successful participatory organisations can be seen as ‘engines of alternative objectivity’ rather than as the subjective other to objective, biomedical science. With the term ‘alternative objectivity’, we point to collectivisations of experience that are different to biomedical science but are nonetheless forms of objectivity. Taking inspiration from feminist theory, science studies and sociology of culture, we argue that participatory mental health organisations generate their own forms of objectivity through novel modes of collectivising experience. The Hearing Voices Movement cultivates an ‘activist science’ that generates an alternative objective knowledge through a commitment to experimentation, controlling, testing, recording and sharing experience. Stepping Out distinguishes itself from drama therapy by cultivating an alternative objective culture through its embrace of high production values, material culture, aesthetic standards. A crucial aspect of participatory practice is overcoming alienation, enabling people to get outside of themselves, encounter material worlds and join forces with others.

Highlights

  • After decades of campaigning and felicitous shifts in state structures, there is widespread acceptance that service user participation is an important component of mental health service delivery and support (Department of Health, 1999, 2011; England et al, 2014; Lewis, 2009; Martin, 2008)

  • We focus on these objectivityoriented aspects of successful participatory practice and do so in order to emphasise the role of collaboration in that success

  • With the term ‘alternative objectivity’ we point to modes of sharing and concretising experience that are different to biomedical science, but which are forms of objectivity

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Summary

Introduction

After decades of campaigning and felicitous shifts in state structures, there is widespread acceptance that service user participation is an important component of mental health service delivery and support (Department of Health, 1999, 2011; England et al, 2014; Lewis, 2009; Martin, 2008). Keywords Alienation, authority, Georg Simmel, Hearing Voices Movement, mental health, objectivity, participation, performance, Stepping Out

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