Facilitating Democracy: Concerns from Participatory Design with Asymmetric Stakeholder Relations in Health Care

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This paper addresses how facilitation can implicate what, whose and how perspectives and values become embedded in the results from participatory design activities. Inspired by Donald Schön's reflection-on-action theory, an analysis of our facilitator performances in three design activities involving health care stakeholder groups with asymmetric relations has been performed. The analysis highlights the often subtle and unforeseen ways by which facilitator actions influence who "has a say". The results emphasize how continuous introspective analyses and reflections may improve the facilitator's attentiveness to actions that may inadvertently impede the disfavored party. In the long-term, neglect may threaten the integrity of participatory design as a democratic and empowering design approach. The shift towards a practice-perspective on facilitation goes beyond the efforts of the individual practitioner. The cultivation of the reflective facilitator, a concern of relevance for the Human?Computer Interaction and Participatory Design community as a whole, is considered.
Original languageEnglish
Title of host publicationProceedings of the 2020 CHI Conference on Human Factors in Computing Systems
Place of PublicationNew York, NY, USA
PublisherAssociation for Computing Machinery
Publication dateApr 2020
ISBN (Print)9781450367080
Publication statusPublished - Apr 2020
EventThe ACM CHI Conference on Human Factors in Computing Systems - Honolulu, United States
Duration: 25 Apr 202030 Apr 2020


ConferenceThe ACM CHI Conference on Human Factors in Computing Systems
LandUnited States
SeriesACM Annual Conference on Human Factors in Computing Systems (CHI)

    Research areas

  • asymmetries, reflection, facilitation, participation


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ID: 85523617