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Updated: Jul 8, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
The 43rd Vernon-Wall Lecture: What working relationally brings to problem-solving
1Department of Education, University of Oxford, Oxford, UK.
The British Journal of Educational Psychology
|March 31, 2025
Summary
Successful collaboration on complex problems requires relational expertise and agency. This research introduces three relational concepts—relational expertise, common knowledge, and relational agency—to strengthen interprofessional working and client empowerment.
Area of Science:
- Interprofessional Collaboration
- Complex Problem-Solving
- Cultural-Historical Theory
Background:
- Complex problems necessitate cross-disciplinary collaboration between practitioners and clients.
- Problems can be 'discovered' (addressed with existing knowledge) or 'created' (requiring new knowledge generation).
- Research explored interprofessional dynamics, motive alignment, and expertise in complex problem-solving.
Purpose of the Study:
- To investigate processes in successful practitioner-client collaborations.
- To explore what occurs at the intersection of practices when addressing complex problems.
- To examine how motives align and expertise is utilized in collaborative work.
Main Methods:
- Case studies of 'created problems' including app development for autistic individuals and interprofessional working evaluations.
- Analysis of emergent interprofessional working in English children's services.
- Application of cultural-historical approaches to human development.
Main Results:
- Identified three relational concepts: relational expertise, common knowledge, and relational agency.
- Relational expertise builds shared understanding of participant motives, mediating collaboration.
- Relational agency emerges from collaboration, strengthening practitioner and client actions.
Conclusions:
- Relational concepts provide a framework for training in interprofessional work and enhancing client agency.
- These concepts offer researchers tools for studying collaborations.
- Cultural-historical research methods effectively capture collaborative concepts within practice.
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