Pouvoir, privilège et connaissance : la promesse intenable de la coproduction en « santé » mentale

Titre original en anglais : Power, Privilege and Knowledge: the Untenable Promise of Co-production in Mental “Health”

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Rose, D. & Kalathil, J. (2019). Power, Privilege and Knowledge: the Untenable Promise of Co-production in Mental “Health”. Frontiers in Sociology, 4, 57-57. https://doi.org/10.3389/fsoc.2019.00057

Date de publication: 16/07/2019 Ajout dans AutiHub: 18/07/2026 Type: Article Langue de l’article: Anglais
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  1. Diana Rose
  2. Jayasree Kalathil

Résumé

Cet article examine le concept et la pratique de la coproduction en santé mentale. En analysant l'expérience personnelle ainsi que les antécédents historiques de la coproduction, nous soutenons que le lieu de la coproduction est défini par l'héritage des Lumières et ses notions de « raison » et de « sujet cognitif ». Nous montrons l'impact durable de ces notions dans la production et la perpétuation des dynamiques de pouvoir entre professionnels, chercheurs, décideurs politiques et usagers des services au sein de lieux privilégiés de production de connaissances, par lesquels celles et ceux jugés dépourvus de raison — les fous et, en particulier, les fous racisés — ainsi que leurs connaissances sont radicalement infériorisés. En formulant les problèmes relatifs à ce qui est considéré comme connaissance et aux méthodes de connaissance, nous soutenons que les sciences « psy » modernes instaurent le privilège de la raison ainsi que celui de la blanchité. Nous examinons ensuite comment le mouvement des survivants, et la base de connaissances émergente des survivants/fous, reproduit le privilège blanc tout en interrogeant les privilèges de la raison et de la cognition. En décrivant comment nous nous débattons avec ces questions dans un projet en cours — EURIKHA — qui vise à cartographier les connaissances produites à l'échelle mondiale par les usagers des services, les survivants et les personnes ayant des handicaps psychosociaux, nous formulons quelques suggestions. La coproduction entre chercheurs, décideurs politiques et celles et ceux d'entre nous positionnés comme fous, particulièrement en tant que personnes folles de couleur, soutenons-nous, ne peut avoir lieu dans des environnements de production de connaissances qui continuent de fonctionner selon des présupposés et des philosophies privilégiant la raison ainsi que la pensée blanche, eurocentrique. Nous cherchons non pas à coproduire, mais à remettre en question et à transformer la pensée et le soutien face à la souffrance psychosociale dans des contextes locaux de la vie des personnes.

This paper examines the concept and practice of coproduction in mental health. By analyzing personal experience as well as the historical antecedents of coproduction, we argue that the site of coproduction is defined by the legacy of the Enlightenment and its notions of "reason" and "the cognitive subject." We show the enduring impact of these notions in producing and perpetuating the power dynamics between professionals, researchers, policy makers and service users within privileged sites of knowledge production, whereby those deemed to lack reason-the mad and the racialized mad in particular-and their knowledge are radically inferiorised. Articulating problems in what is considered knowledge and methods of knowing, we argue that modern "psy" sciences instantiates the privilege of reason as well as of whiteness. We then examine how the survivor movement, and the emergent survivor/mad knowledge base, duplicates white privilege even as it interrogates privileges of reason and cognition. Describing how we grapple with these issues in an ongoing project-EURIKHA-which aims to map the knowledge produced by service users, survivors and persons with psychosocial disabilities globally, we offer some suggestions. Coproduction between researchers, policy makers and those of us positioned as mad, particularly as mad people of color, we argue, cannot happen in knowledge production environments continuing to operate within assumptions and philosophies that privilege reason as well as white, Eurocentric thinking. We seek not to coproduce but to challenge and change thinking and support for psychosocial suffering in contexts local to people's lives.

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