Designing as negotiating across logic multiplicity: The case of mental healthcare transformation toward co-design and co-production

Daniela Sangiorgi*, Josina Elizabeth Vink, Michelle C Farr, Gillian Mulvale, Laura Warwick

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

6 Citations (Scopus)
183 Downloads (Pure)

Abstract

Designing within complex service systems implies navigating across a plurality of norms and beliefs that multiple stakeholder groups uphold, designers included. Transformational processes may be challenged by minimum, moderate or extensive conflict depending on the centrality or compatibility of competing logics. This article reflects on how the complexity inherent in higher level institutional orders of society can support or inhibit the potential of co-design in complex systems, particularly in the public sector. Using the context of public mental healthcare transformation as a backdrop, we identified and reflected on four predominant logics: the logic of state; the logic of market; the logic of profession; and the logic of community. We then developed a set of tools to support reflexivity – the excel Logic Multiplicity Workbook and the Layers of Logics Map – that can be used to take “project logics snapshots” to represent the perceived strength of project stakeholder logics at the micro, meso and macro levels and their centrality and compatibility. Three co-design project examples were used to retrospectively develop and refine these tools and support the process of making explicit the role of competing logics in project challenges or triumphs. While we acknowledge that logics are often highly institutionalized and difficult to become aware of, we value as fundamental the creation of tools to better enable designers to consciously adopt adequate strategies to navigate this complexity.
Original languageEnglish
Pages (from-to)35-54
Number of pages20
JournalInternational Journal of Design
Volume16
Issue number1
DOIs
Publication statusPublished - 30 Apr 2022

Bibliographical note

Funding Information:
The Example 2–Care Pathway Tool research was supported by the National Institute for Health Research (NIHR) Applied Research Collaboration West (NIHR ARC West). The views expressed in this article are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.

Publisher Copyright:
© 2022 Sangiorgi, Vink, Farr, Mulvale, & Warwick.

Keywords

  • Co-design
  • Mental Health
  • Logic Multiplicity
  • Co-Production Regimes
  • Institutional Logics

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