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Evaluating the temporal dynamics of a structured experience: real-time skin conductance and experience reconstruction measures.

Structured experience (SE) providers continuously evaluate and improve their experiential offerings to make them more memorable. Arguably, the temporal dynamics of the emotions in an experience have a crucial influence on its memorability. Traditional post-experience evaluation procedures tend to ignore these temporal dynamics, thus offering imprecise feedback for providers on exactly when and where to optimize their experiential offerings. In this paper, we use two methods as a tool for evaluating how closely the lived experience of a SE follows the experience as intended by the provider: real-time skin conductance (SC) and experience reconstruction measures (ERMs). We demonstrate that both SC and ERMs are significantly related to intended experience. This link was found to be stronger for later sections of the experience than for earlier sections. In addition, SC and ERMs appear to be useful tools to assess the effectiveness of design interventions, thus providing valuable feedback for SE providers.

Proefschriftenparade

Het proefschrift gaat over de waarde van ervaringskennis van zorgprofessionals werkzaam in de ggz. Ruim vier jaar lang deed Karbouniaris kwalitatief en participatief onderzoek bij vier zorgorganisaties van het PEPPER-consortium, een samenwerkingverband om de professionalisering van ervaringskennis en -deskundigheid te stimuleren. Naast een literatuurstudie, is in de praktijk samengewerkt met cliënten, ervaringsdeskundigen, professionals (verpleegkundigen, sociaal werkers, humanistisch verzorgenden en psychiaters), bestuurders en managers. Middels case-studies, leergemeenschappen, diepte-interviews, participatieve observaties, responsieve evaluaties en auto-etnografie van de onderzoekster kreeg het onderzoek gestalte.

Proefschriftenparade

Het proefschrift gaat over de waarde van ervaringskennis van zorgprofessionals werkzaam in de ggz. Ruim vier jaar lang deed Karbouniaris kwalitatief en participatief onderzoek bij vier zorgorganisaties van het PEPPER-consortium, een samenwerkingverband om de professionalisering van ervaringskennis en -deskundigheid te stimuleren. Naast een literatuurstudie, is in de praktijk samengewerkt met cliënten, ervaringsdeskundigen, professionals (verpleegkundigen, sociaal werkers, humanistisch verzorgenden en psychiaters), bestuurders en managers. Middels case-studies, leergemeenschappen, diepte-interviews, participatieve observaties, responsieve evaluaties en auto-etnografie van de onderzoekster kreeg het onderzoek gestalte.

The use of experiential knowledge in the role of a psychiatrist

There is increasing interest in the use of experiential knowledge and the development of experiential expertise in mental health. Yet, little is known about how best to use this expertise in the role of a psychiatrist. This study aims to gain insight into the concerns of psychiatrists using their lived experiences with mental health distress as a source of knowledge for patients, colleagues and themselves. Eighteen psychiatrists with lived experience as patients in mental health care were interviewed with a semi-structured questionnaire. The interviews were analyzed using qualitative narrative thematic analysis. The majority of the respondents use their lived experience implicitly in the contact with patients, which makes the contact more equal and strengthens the treatment relationship. When explicitly using experiential knowledge in the contact with patients, thought should be given at forehand to its purpose, timing and dosage. Recommendations are that the psychiatrist should be able to reflect on his/her lived experience from a sufficient distance and should take patient factors into account. When working in a team, it is advisable to discuss the use of experiential knowledge in advance with the team. An open organizational culture facilitates the use of experiential knowledge and safety and stability in the team are vital. Current professional codes do not always offer the space to be open. Organizational interests play a role, in the degree of self-disclosure as it can lead to conflict situations and job loss. Respondents unanimously indicated that the use of experiential knowledge in the role of a psychiatrist is a personal decision. Self-reflection and peer supervision with colleagues can be helpful to reflect on different considerations with regard to the use of experiential knowledge. Having personal lived experiences with a mental disorder affects the way psychiatrists think about and performs the profession. The perception of psychopathology becomes more nuanced and there seems to be an increased understanding of the suffering. Even though harnessing experiential knowledge makes the doctor-patient relationship more horizontal it remains unequal because of the difference in roles. However, if adequately used, experiential knowledge can enhance the treatment relationship.

The use of experiential knowledge in the role of a psychiatrist

There is increasing interest in the use of experiential knowledge and the development of experiential expertise in mental health. Yet, little is known about how best to use this expertise in the role of a psychiatrist. This study aims to gain insight into the concerns of psychiatrists using their lived experiences with mental health distress as a source of knowledge for patients, colleagues and themselves. Eighteen psychiatrists with lived experience as patients in mental health care were interviewed with a semi-structured questionnaire. The interviews were analyzed using qualitative narrative thematic analysis. The majority of the respondents use their lived experience implicitly in the contact with patients, which makes the contact more equal and strengthens the treatment relationship. When explicitly using experiential knowledge in the contact with patients, thought should be given at forehand to its purpose, timing and dosage. Recommendations are that the psychiatrist should be able to reflect on his/her lived experience from a sufficient distance and should take patient factors into account. When working in a team, it is advisable to discuss the use of experiential knowledge in advance with the team. An open organizational culture facilitates the use of experiential knowledge and safety and stability in the team are vital. Current professional codes do not always offer the space to be open. Organizational interests play a role, in the degree of self-disclosure as it can lead to conflict situations and job loss. Respondents unanimously indicated that the use of experiential knowledge in the role of a psychiatrist is a personal decision. Self-reflection and peer supervision with colleagues can be helpful to reflect on different considerations with regard to the use of experiential knowledge. Having personal lived experiences with a mental disorder affects the way psychiatrists think about and performs the profession. The perception of psychopathology becomes more nuanced and there seems to be an increased understanding of the suffering. Even though harnessing experiential knowledge makes the doctor-patient relationship more horizontal it remains unequal because of the difference in roles. However, if adequately used, experiential knowledge can enhance the treatment relationship.

Evaluating experience design : Using skin conductance to compare intended with lived experience