TY - JOUR
AU - M. Chiarani
A1 - 
AB - BACKGROUND: The shift in mental health towards ecological and collaborative models, in alignment with the recovery paradigm, has sparked interest in dialogical and coproductive practices. These practices aimed to promote epistemic justice and strengthen the therapeutic alliance. Among these, collaborative writing (cowriting) is emerging as a promising tool. However, it currently lacks a robust theoretical and methodological foundation, particularly in its integration with phenomenology and its clinical applications. This article proposes the core elements of a "phenomenological cowriting" model that seeks to frame the practice within clinical phenomenology, distinguish it from purely narrativist approaches, and highlight its unique contributions. SUMMARY: This study conducts a theoretical analysis with a focus on clinical applicability, integrating the principles of clinical phenomenology with collaborative and dialogical methods. The relevance of a phenomenological cowriting model is demonstrated through a comparative analysis with other collaborative writing approaches, such as those based on narrativist or ethnographic traditions, and is exemplified by a case vignette. From a clinical perspective, we propose a three-phase model: (1) therapeutic dialogue, (2) the use of transcription as a "textual artefact," and (3) joint rewriting. This model provides significant value in terms of process and outcomes. As a process, it embodies a collaborative care framework that minimises epistemic asymmetry and promotes patient agency. As an outcome, it helps clarify the patient's lived experience, including its prereflective dimensions, thereby enriching shared psychopathological knowledge with a first-person perspective. KEY MESSAGE: Phenomenological cowriting should be understood not as a mere technique but as a comprehensive and integrated model of care. Grounded in clinical phenomenology and the coproduction of a text, it provides a structured method for constructing therapeutic pathways that foreground an active role for the patient, ultimately generating clinical knowledge rooted in the subjective experience of suffering.
AD - Salesian University Institute of Venice (IUSVE), Venice, Italy, m.chiarani@iusve.it.; School of Phenomenological Dynamic Psychotherapy, Florence, Italy, m.chiarani@iusve.it.
AN - 41269925
BT - Psychopathology
C5 - Education & Workforce
DA - Nov 21
DO - 10.1159/000549671
DP - NLM
ET - 20251121
JF - Psychopathology
LA - eng
N2 - BACKGROUND: The shift in mental health towards ecological and collaborative models, in alignment with the recovery paradigm, has sparked interest in dialogical and coproductive practices. These practices aimed to promote epistemic justice and strengthen the therapeutic alliance. Among these, collaborative writing (cowriting) is emerging as a promising tool. However, it currently lacks a robust theoretical and methodological foundation, particularly in its integration with phenomenology and its clinical applications. This article proposes the core elements of a "phenomenological cowriting" model that seeks to frame the practice within clinical phenomenology, distinguish it from purely narrativist approaches, and highlight its unique contributions. SUMMARY: This study conducts a theoretical analysis with a focus on clinical applicability, integrating the principles of clinical phenomenology with collaborative and dialogical methods. The relevance of a phenomenological cowriting model is demonstrated through a comparative analysis with other collaborative writing approaches, such as those based on narrativist or ethnographic traditions, and is exemplified by a case vignette. From a clinical perspective, we propose a three-phase model: (1) therapeutic dialogue, (2) the use of transcription as a "textual artefact," and (3) joint rewriting. This model provides significant value in terms of process and outcomes. As a process, it embodies a collaborative care framework that minimises epistemic asymmetry and promotes patient agency. As an outcome, it helps clarify the patient's lived experience, including its prereflective dimensions, thereby enriching shared psychopathological knowledge with a first-person perspective. KEY MESSAGE: Phenomenological cowriting should be understood not as a mere technique but as a comprehensive and integrated model of care. Grounded in clinical phenomenology and the coproduction of a text, it provides a structured method for constructing therapeutic pathways that foreground an active role for the patient, ultimately generating clinical knowledge rooted in the subjective experience of suffering.
PY - 2025
SN - 0254-4962
SP - 1
EP - 9+
ST - A Collaborative Care Model in Mental Health: Towards a "Phenomenological Cowriting?"
T1 - A Collaborative Care Model in Mental Health: Towards a "Phenomenological Cowriting?"
T2 - Psychopathology
TI - A Collaborative Care Model in Mental Health: Towards a "Phenomenological Cowriting?"
U1 - Education & Workforce
U3 - 10.1159/000549671
VO - 0254-4962
Y1 - 2025
ER -