让精神科患者参与机器人设计,提升自主权与心理安全感。
Designing Robots with, not for: A Co-Design Framework for Empowering Interactions in Forensic Psychiatry
- 通过四场联合设计工作坊,让患者、医护共同参与机器人功能开发。
- 强调根据患者情绪状态动态调整设计,避免加重心理负担。
- 适合关注人机共研、医疗伦理与患者赋权的研究者和从业者。
法医精神病护理涉及治疗有严重精神障碍并实施暴力行为的个体。此类环境常伴随高官僚化、风险规避及自主权受限,患者常感生活失控,引发显著心理压力,有时需隔离以确保安全。本研究探索联合设计在开发陪伴机器人中的应用,旨在监测与调节患者压力,同时长期追踪互动行为以支持干预。我们在一家法医精神病诊所组织了四场联合设计工作坊,参与者包括患者、照护者与治疗师。过程始于向治疗师展示初始概念原型,促进对共同关切、伦理风险及理想功能的反思;随后开展患者主导的创意构思环节,第三场聚焦定义期望功能与情感响应,计划进行最终原型演示以获取患者直接反馈。研究结果强调在设计过程中赋予患者主动权,并根据其即时情绪状态调整方案,核心目标是保障每位患者的声音被倾听并真正赋能。
原文摘要 · Abstract (English)
Forensic mental health care involves the treatment of individuals with severe mental disorders who have committed violent offences. These settings are often characterized by high levels of bureaucracy, risk avoidance, and restricted autonomy. Patients frequently experience a profound loss of control over their lives, leading to heightened psychological stress-sometimes resulting in isolation as a safety measure. In this study, we explore how co-design can be used to collaboratively develop a companion robot that helps monitor and regulate stress while maintaining tracking of the patients' interaction behaviours for long-term intervention. We conducted four co-design workshops in a forensic psychiatric clinic with patients, caregivers, and therapists. Our process began with the presentation of an initial speculative prototype to therapists, enabling reflection on shared concerns, ethical risks, and desirable features. This was followed by a creative ideation session with patients, a third workshop focused on defining desired functions and emotional responses, and we are planning a final prototype demo to gather direct patient feedback. Our findings emphasize the importance of empowering patients in the design process and adapting proposals based on their current emotional state. The goal was to empower the patient in the design process and ensure each patient's voice was heard.
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