Promoting lived experience expertise in mental health research
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Not all who integrate are academics: zooming in on extra-academic integrative expertise
Solving complex problems requires integrating knowledge and skills from various domains. The importance of cross-domain integration has motivated researchers to study integrative expertise: what knowledge and skills help achieve cross-domain integration? Much of the existing research focuses on the integrative expertise of academic researchers who perform inter- and transdisciplinary research. However, academics are not the only ones facilitating integration. In transdisciplinary research, where academics collaborate with professionals, stakeholders, and policymakers, these extra-academic actors can contribute significantly to cross-domain integration. Moreover, many complex problems are addressed entirely outside of universities. This paper contributes to a broader, more inclusive understanding of integrative expertise by drawing attention to the diversity of extra-academic integrative expertise, providing examples of what this expertise looks like in practice, and reflecting on differences with its academic counterpart. The contributions are based on a case study of integrative expertise in Oosterweel Link, a large urban development project in Antwerp, Belgium.
Dynamic effects of psychiatric vulnerability, loneliness and isolation on distress during the first year of the COVID-19 pandemic
The COVID-19 pandemic’s impact on mental health is challenging to quantify because pre-existing risk, disease burden and public policy varied across individuals, time and regions. Longitudinal, within-person analyses can determine whether pandemic-related changes in social isolation impacted mental health. We analyzed time-varying associations between psychiatric vulnerability, loneliness, psychological distress and social distancing in a US-based study during the first year of the pandemic. We surveyed 3,655 participants about psychological health and COVID-19-related circumstances every 2 weeks for 6 months. We combined self-reports with regional social distancing estimates and a classifier that predicted probability of psychiatric diagnosis at enrollment. Loneliness and psychiatric vulnerability both impacted psychological distress. Loneliness and distress were also linked to social isolation and stress associated with distancing, and psychiatric vulnerability shaped how regional distancing affected loneliness across time. Public health policies should address loneliness when encouraging social distancing, particularly in those at risk for psychiatric conditions.
Leveraging large language models to assist philosophical counseling: prospective techniques, value, and challenges
Large language models (LLMs) have emerged as transformative tools with the potential to revolutionize philosophical counseling. By harnessing their advanced natural language processing and reasoning capabilities, LLMs offer innovative solutions to overcome limitations inherent in traditional counseling approaches—such as counselor scarcity, difficulties in identifying mental health issues, subjective outcome assessment, and cultural adaptation challenges. In this study, we explore cutting‐edge technical strategies—including prompt engineering, fine‐tuning, and retrieval‐augmented generation—to integrate LLMs into the counseling process. Our analysis demonstrates that LLM-assisted systems can provide counselor recommendations, streamline session evaluations, broaden service accessibility, and improve cultural adaptation. We also critically examine challenges related to user trust, data privacy, and the inherent inability of current AI systems to genuinely understand or empathize. Overall, this work presents both theoretical insights and practical guidelines for the responsible development and deployment of AI-assisted philosophical counseling practices.
A lived experience perspective on being a mental health researcher
When did you first suspect you had a mental health condition? Tell us about your mental health experience. I do not ascribe to the concept…
A lived experience perspective on communication challenges in mental health
When did you first suspect you had a mental health condition? Tell us about your mental health experience I first suspected something was amiss when…
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