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Practical Methodology of Cognitive Tasks Within a Navigational Assessment

Practical Methodology of Cognitive Tasks Within a Navigational Assessment

Published on: June 1, 2015

The Ulysses Framework: A Navigational Approach to Complexity in Forensic Psychiatric Practice.

Rebeca Hidalgo Borrajo^1,2, Pilar de Castro-Manglano^3,4

¹Psychiatry Department, Servicio Navarro de Salud, Pamplona, Spain. rebecahidalgoborrajo@gmail.com.

Health Care Analysis : HCA : Journal of Health Philosophy and Policy

|June 26, 2026

Summary

The Ulysses Framework guides forensic psychiatrists navigating complex cases, particularly with gender violence survivors. It emphasizes strategic choices between conflicting legal and clinical demands, prioritizing healing and justice.

Keywords:

Clinical decision-making Epistemic injustice Epistemic pluralism Forensic psychiatry Gender violence Métis

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Forensic Psychiatry
Legal Psychology
Cultural Psychiatry

Background:

Forensic psychiatric practice often involves navigating complex intersections of law, culture, and clinical care.
Existing diagnostic approaches may not adequately address the entanglement of trauma, cultural context, legal requirements, and credibility issues in cases like gender violence.

Purpose of the Study:

To present the Ulysses Framework, a novel navigational approach for forensic psychiatric practice.
To provide tools for forensic psychiatrists to manage conflicts between incommensurable frameworks in clinical-legal encounters.
To highlight the importance of strategic decision-making and acknowledging inherent costs in forensic practice.

Main Methods:

Development of the Ulysses Framework through clinical work with gender violence survivors in Spain's specialized legal system.
Integration of concepts from criminal law theory, phenomenological and cultural psychiatry, and feminist epistemology.
Utilisation of a composite clinical case to illustrate the framework's application and limitations of conventional methods.

Main Results:

The Ulysses Framework offers a navigational approach, distinct from synthesis, requiring conscious choices between conflicting perspectives.
Key principles include primacy of movement, framework plurality, and conscious sacrifice.
The framework emphasizes 'métis' (cunning practical wisdom) as a central competence for forensic practice.

Conclusions:

The Ulysses Framework provides tools for navigating complex clinical-legal situations, particularly those involving gender violence survivors.
It acknowledges the inherent conflicts and costs in forensic practice, refusing simplistic syntheses.
The framework supports holding simultaneous concepts like trauma and agency, injury and resilience, making implicit navigation explicit.