Evaluating co-production in an interactive webinar series concerning borderline personality disorder: a discourse and content analysis
| Date | 29 March 2024 |
| Pages | 1075-1085 |
| DOI | https://doi.org/10.1108/MHSI-01-2024-0009 |
| Published date | 29 March 2024 |
| Subject Matter | Health & social care,Mental health,Social inclusion |
| Author | Ioanna Xenophontes,Neil Springham |
Evaluating co-production in an interactive
webinar series concerning borderline
personality disorder: a discourse and
content analysis
Ioanna Xenophontes and Neil Springham
Abstract
Purpose –This paper aims to evaluate the quality of co-production between lived experience
practitioners (LXPs) and professionals in an interactive NationalHealth Service webinar series aimed at
supportingpeople who were diagnosed or identifiedwith borderline personality disorder.
Design/methodology/approach –Transcripts from the webinars were subjected to mixed-method
examinationcombining Foucauldian discourseanalysis (FDA) and contentanalysis (CA).
Findings –FDA identified ninediscursive objects: diagnosis beyond its medicalcontext, diagnosis as a
total explanation, being the other, universality, compassion, hope, faking it, mentalisation and co-
production. CA demonstratedthose nine discursive objects each corresponded with equalised airtime
appropriatedby professionals and lived experiencepractitioners.
Research limitations/implications –The sample was limited and if applied to other mental health
settings mightreveal different findings. More needs to be understoodabout the attitudes of professionals
and LXPs that support discoursesharing. Although this study has offered evidenceof the quality of co-
production, it can say very little aboutwhether the co-productive approach offers superior outcomes to
other formsof treatment.
Practical implications –Further research could employ FDA and CA to further explore how co-production
is being enacted in other situations, with different models, where comparable interventions are delivered.
Future research could compare outcomes between co-productive and professional-onlyinterventions.
Originality/value –This study examinednaturalistic practice to build newtheory in an under-researched
area fora substantial mental health population.
Keywords Discourse analysis, Content analysis, Co-production, Borderline personality disorder,
Webinar-based support
Paper type Research paper
Introduction
Co-production methodology actively equalises participation between involved parties while
valuing both consensus and differences between their perspectives. The UK National
Health Service (NHS) long-term plan (NHS, 2019) enshrines an expectation for co-
production in healthcare. Although that aspiration is laudable, the reality of equalising
participation between professionals and non-professionals is not simple. Co-production
methodology exists in recognition that where stakeholder groups have become distanced,
or even antagonistic, deliberate mechanisms are needed to reconcile their perspectives.
This demands traditional constructions of power and assumptions about what constitutes
valid evidence all become subject to revision. After decades of provider-led service design
and delivery, the application of such an approach at this point within the NHS inevitably
Ioanna Xenophontes is
based at the Barnet CEN
Pathway, Barnet Enfield
and Haringey Mental Health
NHS Trust, London, UK.
Neil Springham is based at
the Executive Directors
Team, Oxleas NHS
Foundation Trust, Dartford,
UK.
Analytic supervisory support
from Carolin Rix, Goldsmiths
College, University of London.
DOI 10.1108/MHSI-01-2024-0009 VOL. 28 NO. 6 2024, pp. 1075-1085, ©Emerald Publishing Limited, ISSN 2042-8308 jMENTAL HEALTH AND SOCIAL INCLUSION jPAGE 1075
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