Dominik Havsteen-Franklin

Recurring conflict in healthcare teams frequently persists despite well‐intended interventions (Page et al. 2024; Mazzei et al. 2024). Dynamic systems theory helps to map how such recurrences reflect systemic feedback loops linking individual experience, behaviour, shared beliefs and organisational structures, supporting intervention design at a depth that matches the problem. This methods paper presents a visual framework and facilitation protocol for leadership sensemaking and intervention design. It combines (i) quadrant‐based multi‐perspective mapping (inner/outer × individual/collective), (ii) ecological scaling and (iii) temporal differentiation across events (t ₀ ), patterns (t ₁ ) and attractor‐like modes (t ₂ ). The paper proposes four candidate stress‐attractor modes in healthcare teams— restricting , blaming , compensating and disengaging —grounded in research on threat‐rigidity, attribution, workarounds and employee silence. The framework is intended as a practical method to trace what maintains recurring conflict, align intervention depth with problem depth and identify early signs of both improvement and harm.

The ongoing global wellbeing crisis underscores the urgency of exploring non-pharmaceutical means to enhance mental health (World Health Organization, 2022), necessitating innovative approaches bey...

This concept paper delineates the design of a sociotechnical ecosystem for ethical screening and promotion of mental health and well-being, building on the convergence of digital technologies with modern human-centered design methods. Access to individuals’ health and well-being data will enable the generation of actionable insights with different degrees of granularity, for the benefit of individuals, care providers, and business organizations. Critical to the success of the ecosystem are the proactive involvement of all stakeholders, the definition of incentives to encourage engagement, and the promotion of consistent narratives as public institutional messages. The article posits working hypotheses, including the idea that creative externalization of health and well-being data, augmented by advanced physico-digital interactivity, can sustain positive psychological and behavioral change. The theoretical underpinning consists of the integration of existing frameworks across well-being, behavior change, and sustainable business. The article defines a research agenda for expanding socially inclusive dialogue on data governance and policy implications.

This study addresses the challenge of developing context-sensitive measures of wellbeing for young people. In collaboration with a youth-led musical enterprise, researchers worked with 18 young artists (aged 14-25) engaged in an urban community arts programme to co-produce wellbeing dimensions reflective of their lived experiences. An adapted Nominal Group Technique was used alongside iterative inductive thematic analysis to identify and prioritise key wellbeing dimensions. The study revealed ten discrete dimensions of wellbeing that reflect the experiences of young people engaged in community arts. These dimensions highlight the significance of creative expression, cultural appreciation, community experiences, and social responsibility, elements aligned with wellbeing but rarely considered in standardised wellbeing frameworks. The study highlights the value of youth-led, situated approaches to defining dimensions of wellbeing, offering a framework that captures the creative and social dimensions in community arts contexts.

Art psychotherapy training programmes traditionally emphasise evidence-based practices focused on interpersonal and psychological change, often sidelining socio-political dimensions and critical research pedagogies. To address this gap, this paper presents a posthuman feminist approach to research pedagogies in art psychotherapy. This approach leverages arts-based practices and digital technologies as critical tools for examining complex entanglements between human, nature, and technology (techne) rendering insights into data collection and analysis beyond conventional paradigms. This pedagogical theorisation draws on examples from collective arts-based workshops rendering posthuman theoretical concepts into practical, tangible learning experiences. The workshops presented in this paper utilise artistic processes as both methodological and critical vehicles, inviting students to explore a research workshop through the lens of two Deleuzian concepts, those being the situated material assemblage and the Body Without Organs (BWO). The key rationale is to develop critical reflexivity through using conceptual tools that that disrupt normative hegemonies in art psychotherapy data analysis by positioning data as a co-constructed material-semiotic inscription shaped by intersecting human and non-human forces. The outcomes of this posthuman pedagogical framework, employing digital and arts-based diffractive methodologies and ethological assemblage in enacted data analyses, were a facilitated non-hierarchical synthesis in data relations between human, nonhuman and digital bodies and the stimulation of a more inclusive transdisciplinary inquiry, generating insights into systemic issues in healthcare beyond a patriarchal logic and purely anthropocentric reach. The approach positions students as active agents in co-producing knowledge that challenges dominant socio-economic structures in health research.

Introduction: Timely and appropriate psychological treatment is an essential element required to address the growing burden of mental health issues, which has significant implications for individuals, society, and healthcare systems. However, research indicates that implicit biases among mental health professionals may influence referral decisions, potentially leading to disparities in access to relational psychological therapies. This study investigates bias in referral practices within mental health services, identifying key themes in referral procedures and proposing recommendations to mitigate bias and promote equitable access.Methods: A systematic review of literature published between 2002 and 2022 was conducted, focusing on biases, referral practices, and relational psychological therapies. The search strategy involved full-text screening of studies meeting inclusion criteria, specifically those examining professional and organizational implicit bias in mental health referrals. Thematic synthesis was employed to analyze and categorize bias within these domains, providing a structured framework for understanding its impact on referral decision making processes.Results: The search yielded 2,964 relevant papers, of which 77 underwent full-text screening. Ultimately, eight studies met the inclusion criteria and were incorporated into the review. The analysis revealed that bias development mechanisms in referral decisions occurred across five key domains: resource allocation, organizational procedures, clinical roles, decision-making, and referral preferences. These domains highlight organizational and practitioner-level factors contributing to disparities in access to psychological therapies.Discussion: Findings suggest that implicit biases within referral processes can limit equitable access to psychological therapies, particularly relational therapies that emphasize therapeutic alliance and patient-centered care. This study provides recommendations to address these biases, including standardized referral guidelines, enhanced professional training on implicit bias, and improved oversight mechanisms within mental health services.

Embodied practices in arts therapies are frequently constructed upon the premise of developmental psychotherapies. This paper problematises some of the key concepts commonly used in arts therapies and explores a new intra-active framework for becoming. Relationality, boundaries and the context of change processes are revisited to investigate modelling an approach that decentres human subjectivity and considers the relevance of embodiment and the environment in relation to therapeutic change. Intersections between art, developmental psychotherapies, arts therapies and aesthetics form the basis of retheorising the dynamic relations of art-therapist-patient.