Mutuality as a method: advancing a social paradigm for global mental health through mutual learning

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dc.contributor.authorBemme , Dörte
dc.contributor.authorRoberts , Tessa
dc.contributor.authorAe-Ngibise , Kenneth A.
dc.contributor.authorGumbonzvanda , Nyaradzayi
dc.contributor.authorJoag , Kaustubh
dc.contributor.authorKagee , Ashraf
dc.contributor.authorMachisa , Mercilene
dc.contributor.authorvan der Westhuizen , Claire
dc.contributor.authorvan Rensburg , André
dc.contributor.authorWillan , Samantha
dc.contributor.authorWuerth , Milena
dc.contributor.authorAoun , May
dc.contributor.authorJain , Sumeet
dc.contributor.authorLund , Crick
dc.contributor.authorMathias, Kaaren
dc.contributor.authorRead , Ursula
dc.contributor.authorTaylor Salisbury , Tatiana
dc.contributor.authorBurgess, Rochelle A.
dc.date.accessioned2024-05-12T22:26:45Z
dc.date.available2024-05-12T22:26:45Z
dc.date.issued2023
dc.description.abstractPurpose: Calls for “mutuality” in global mental health (GMH) aim to produce knowledge more equitably across epistemic and power differences. With funding, convening, and publishing power still concentrated in institutions in the global North, efforts to decolonize GMH emphasize the need for mutual learning instead of unidirectional knowledge transfers. This article reflects on mutuality as a concept and practice that engenders sustainable relations, conceptual innovation, and queries how epistemic power can be shared. Methods: We draw on insights from an online mutual learning process over 8 months between 39 community-based and academic collaborators working in 24 countries. They came together to advance the shift towards a social paradigm in GMH. Results: Our theorization of mutuality emphasizes that the processes and outcomes of knowledge production are inextricable. Mutual learning required an open-ended, iterative, and slower paced process that prioritized trust and remained responsive to all collaborators’ needs and critiques. This resulted in a social paradigm that calls for GMH to (1) move from a deficit to a strength-based view of community mental health, (2) include local and experiential knowledge in scaling processes, (3) direct funding to community organizations, and (4) challenge concepts, such as trauma and resilience, through the lens of lived experience of communities in the global South. Conclusion: Under the current institutional arrangements in GMH, mutuality can only be imperfectly achieved. We present key ingredients of our partial success at mutual learning and conclude that challenging existing structural constraints is crucial to prevent a tokenistic use of the concept.
dc.identifier.citationBemme D, Roberts T, Ae-Ngibise KA, Gumbonzvanda N, Joag K, Kagee A, Machisa M, van der Westhuizen C, van Rensburg A, Willan S, Wuerth M, Aoun M, Jain S, Lund C, Mathias K, Read U, Taylor Salisbury T, Burgess RA (2023). Mutuality as a method: advancing a social paradigm for global mental health through mutual learning. Social Psychiatry and Psychiatric Epidemiology.
dc.identifier.doihttp://doi.org/10.1007/s00127-023-02493-1
dc.identifier.issn0933-7954
dc.identifier.issn1433-9285
dc.identifier.urihttps://hdl.handle.net/10092/106809
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.rightsOpen Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons. org/ licenses/ by/4. 0/.
dc.rights.urihttp://hdl.handle.net/10092/17651
dc.subjectdecolonizing knowledge
dc.subjectepistemic justice
dc.subjectglobal mental health
dc.subjectmutual learning
dc.subjectmutuality
dc.subjectsocial determinants of mental health
dc.subject.anzsrc42 - Health sciences::4203 - Health services and systems::420313 - Mental health services
dc.subject.anzsrc42 - Health sciences::4206 - Public health::420602 - Health equity
dc.subject.anzsrc42 - Health sciences::4206 - Public health::420606 - Social determinants of health
dc.titleMutuality as a method: advancing a social paradigm for global mental health through mutual learning
dc.typeJournal Article
uc.collegeFaculty of Health
uc.departmentSchool of Health Sciences
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