Participation and co-production are increasingly framed as methodological and ethical imperatives across mental health research, policy and clinical practice. Despite this, lived experience is often incorporated through procedural or individualised models that strip it of the relational, cultural and historical contexts through which it is formed. This paper draws on relational ethics, participatory scholarship and reflexive illustration from the author’s lived experience to examine the epistemic and ethical consequences that can arise when participation is treated as an individualised or decontextualised act, rather than as a situated practice shaped by place, language, power and institutional norms. The analysis is developed through the Welsh concept of ‘cynefin’, a term that resists direct translation into English but is associated with belonging, situatedness and relational identity. Used here as an ethical orientation rather than a framework to be implemented, cynefin affords the author a lens to examine what is lost when participation is abstracted from lived context, drawing attention to the wider conditions that shape how people participate, whose voices are recognised and how processes of co-production unfold. The paper concludes by considering the implications of this perspective for research, policy and clinical practice, arguing that sustained attention to context is not an optional enhancement but a necessary condition of meaningful co-production across the mental health field.
James Downs (Fri,) studied this question.