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Most design approaches begin with systems, needs, problems, or users.

Design for Real Lived Experience (RLX) begins somewhere else - with the felt, relational, and unfolding nature of experience itself.

It doesn’t aim to fix or optimise life from the outside.

It moves with experience - sensing what’s emerging, expressing what’s not yet legible, and supporting new capacities as they form.

Design for RLX is not just a method

It’s a way of perceiving. A way of co-composing with life as it’s lived.

And in times of chronic crisis, pain, care, or constraint - that difference matters.

What Design for RLX makes possible 

Deeper Insight
Uncovers the real structure and affective dynamics of experience - revealing what's shaping it beneath surface narratives or reported needs.

Greater Relevance
Generates responses that are attuned to how people actually live, not just what they say or how they behave - especially in complex or marginalised contexts.

Relational Fit
Designs with the full ecology of experience - including social, spatial, bodily, technological, and emotional dimensions - making solutions feel naturally integrated, not imposed.

Expressive Power
Surfaces the unspoken, ambiguous, or pre-verbal aspects of lived experience - allowing people to see, share, and shift experience in ways that feel true.


Transformational Impact
Doesn’t just improve existing systems - it supports new ways of being, relating, and becoming within experience. It enables meaningful transformation, not just incremental change.

Capacity Creation
Instead of dependency or compliance, RLX design creates conditions for new capabilities to emerge - both for individuals and the systems around them.

Durability
By working with real conditions of experience (not abstracted needs), RLX-based designs are more likely to sustain change over time - because they move with life’s rhythms, not against them.

Ethical Grounding
Supports co-creation without extraction. Designs are not applied to people, but composed with them, in rhythm with their becoming.

Commercial and Strategic Value for Enterprises

Market Growth and Differentiation

Design for RLX allows companies to differentiate their offerings in saturated markets by delivering experiences that feel truly understood and deeply resonant. In a competitive healthtech or medtech landscape, relational fit and emotional trust become market advantages.

Reduced Waste and Improved Product–Market Fit

By designing from within real lived experience, RLX helps avoid the trap of building features no one truly needs or uses.
It de-risks development by ensuring solutions align with how life is actually lived, not just what surveys or system analytics say.

Innovation from the Margins

RLX enables enterprises to see value where others see noise - in the lives of those who are often underserved, unheard, or difficult to standardise. This becomes a source of true innovation and blue-ocean opportunity.

Cost-Saving through Systemic Insight

Misaligned interventions often lead to rework, disengagement, and downstream burden. RLX reveals the upstream conditions and assemblages that shape outcomes - allowing you to design once, well, and relationally.

Cultural and Workforce Retention Value

For healthcare providers and systems, RLX fosters relational awareness and emotional grounding - not only for patients but for clinicians, carers, and staff. It addresses burnout, disconnection, and moral injury not with wellness initiatives, but through shared transformation of the experience field itself.


What this Enables

  • Distinct positioning in emerging health and care markets
  • Increased consumer or clinician loyalty through perceived empathy and precision
  • Growth in under-served segments through attuned innovation
  • Authentic alignment with ESG, equity, and human-centred care values
  • Lower cost of failed pilots or low-adoption rollouts
  • More efficient, relationally validated R&D
  • Improved uptake and engagement across touchpoints (apps, devices, services)
  • New offerings born from chronic illness, disability, menopause, mental health, etc.
  • First-mover advantage in emerging spaces of care innovation
  • Cultural capital and leadership as a relational design pioneer
  • Lower burden on care providers and systems
  • Reduction in unnecessary service use (e.g. repeated GP visits due to misrecognised symptoms)
  • Improved resource allocation across teams or populations
  • Cost-effective innovation
  • Stronger trust between staff and system
  • Retention of mission-driven professionals
  • More resilient and relationally intelligent care environments
Design for RLX compared with other design methods
Design for RLX compared with other design methods v2
Not just a method
 
 It’s a perceptual and philosophical shift in how we design with, through, and from human experience - in health, care, constraint, and transformation
 
It doesn’t abstract experience. It co-composes with it.
 

Design for RLX doesn’t aim to improve lives from outside. It helps us move with the rhythms of real experience - to perceive, express, and support life in its unfolding. It’s not design thinking. It’s design with experience as becoming.

Example: Chronic Pain
 

Chronic pain isn’t just a health condition. It’s a lived reality that touches every part of a person’s being - body, memory, identity, space, time, and relation.

And yet, most systems and tools designed “for pain” reduce it to data, symptoms, or tracked inputs.

They miss the texture. The complexity. The felt reality of living through pain - every day.  

Here is how Design for RLX helps. 

Surfaces the invisible

Design for RLX reveals what isn’t usually captured in clinical forms or digital tools:

  • The ebb and flow of pain across time and space
  • How pain interacts with memory, mood, energy, and environment
  • The social and spatial isolation that pain creates
  • The tensions between coping, masking, and expressing

Real Impact

People feel seen - not just as patients, but as lived realities in motion.

Supports expression without translation

People in pain often struggle to articulate their experience in words others can understand.

Design for RLX enables non-verbal, spatial, temporal, and visual forms of expression.

Real Impact 

They no longer need to “explain” their pain. They can express it - and have it recognised.

Reveals patterns and conditions

Using tools like Bergson or Ooex, Design for RLX helps map:

  • What triggers pain
  • What soothes it
  • What kinds of interactions or rhythms amplify or ease it

Real Impact

People begin to perceive the conditions shaping their pain, giving them agency to shift them - gently, and with support.

Enables real-time insight and care

Rather than asking people to recall or track pain as data, Design for RLX supports sensing and responding to what’s happening now.

Real Impact

People gain tools to respond in the moment - through movement, environment, relation, or rest - rather than pushing through or collapsing into suffering.

Creates space for co-regulation and relational support

Pain isolates. But RLX design enables shared perception of experience - among carers, clinicians, peers, or loved ones.

Real Impact

Others can feel with the person in pain - without needing to “fix” them.
This reduces isolation and restores a sense of shared meaning.

Builds new capacities

Design for RLX doesn’t just help people “manage” pain. It helps them:

  • Re-orient their attention
  • Tune into micro-movements of ease
  • Create rituals or environments that support re-becoming
  • Discover new ways of living with their body

Real Impact

People feel less trapped by pain - and more able to move, express, and engage on their own terms.

In short, Design for RLX doesn't offer a cure for pain. It offers a shift. 

It helps people living with chronic pain:

  • Be more deeply perceived
  • Understand and express their experience
  • Rebuild trust in their own sensing
  • Shift how they relate to pain, place, time, and others
  • Co-compose new rhythms of care, creativity, and connection

This isn’t about managing pain better. It’s about designing with the reality of pain - so that people can reclaim life from within it.

And that - in the context of pain - is a real impact.

Not just in design terms. But in life terms.

Example: (Peri-)Menopause

Menopause is more than a hormonal shift. It is a relational, embodied, and transitional experience - one that reshapes identity, rhythms, memory, intimacy, and time.

Yet most design responses to menopause focus on hormone levels, symptoms, standardised interventions and lifestyle advice or clinical “management”.

What’s missing is a way to truly perceive what menopause feels like - and what it does to the texture of someone’s life.

Here is how Design for RLX helps. 

Recognition Beyond Symptoms

Most women navigating menopause feel unseen - either over-medicalised or completely ignored.


Design for RLX enables them to express their experience in ways that aren’t flattened into checklists or stigma.

Real Impact

Women feel recognised and reflected in all their nuance, contradiction, and power - not reduced to “hot flashes” or “hormonal imbalance.”

Space to Express What’s Hard to Articulate

Menopause often brings emotional, relational, and existential shifts that are hard to explain - grief, rage, freedom, disorientation.

Design for RLX makes room for expression without requiring translation into clinical or social language.

Real Impact

Women can express what they’re actually living through - on their own terms, in ways that feel safe, true, and creative.

Mapping Invisible Transitions

Using tools like Bergson or Ooex, Design for RLX surfaces how menopause intersects with place, work, intimacy, memory, and identity - revealing changes that aren’t tracked by apps or spoken in clinics.

Real Impact

Women begin to see patterns in their own experience - what’s shifting, what’s grounding, what needs to change.

New Language and Meaning

Menopause is often framed as decline, dysfunction, or invisibility.

Design for RLX enables women to re-narrate the experience as a process of becoming - even if uncomfortable or disorienting.

Real Impact

Women find language, metaphor, and design forms that give meaning to their transitions - reframing menopause as generative, not just disruptive.

Support Without Fixing

Instead of trying to “treat” menopause, Design for RLX co-composes conditions for ease, restoration, creativity, or connection - based on the woman’s own relational ecosystem.

Real Impact

Women feel supported rather than solved - able to shape their rhythms and responses with more agency and clarity.

Capacity Creation

Design for RLX doesn’t just accommodate change.

It helps grow new ways of sensing, relating, and moving through the world - even in uncertainty.

Real Impact

Women gain new capacities - to feel differently about their bodies, to ask for what they need, to design new forms of care or community.

Community and Relational Perception

Through shared RLX tools or platforms, women can connect with others experiencing similar transitions - not through comparison, but resonance.

Real Impact

Menopause becomes less isolating - more of a shared becoming, with language and care that can evolve in community.

In short, Design for RLX doesn't see menopause as a condition to be managed. It's a life passage to be recognised - and co-designed with. 

It helps people experiencing menopause to: 

  • Feel recognised
  • Express the inexpressible
  • Make sense of change
  • Design new rhythms of life
  • Reclaim meaning, beauty, and agency
  • Transform not just how they live = but how they are seen

Design for RLX helps make the menopause visible. It supports care, creativity, and transformation - from within the experience itself.

And that - in the context of menopause - is a real impact.

Download a summary report of Design for RLX principles applied to (peri-) menopause
PNG Design for Real Lived Experience - Applied design principles for women aged 40-55 experiencing peri-menopause and menopause in the workforce. pdf_2025-03-27

Inside you’ll see:

  • The emotional and systemic realities shaping women’s daily work lives
  • 12 grounded, radical design provocations - based on the RLX principles
  • How to move from policy to transformation - and from stigma to possibility

This is more than just design insight. It’s a blueprint for how we co-compose workplaces that feel safe, alive, and aligned with real becoming.

If you're working in:
  • Women's health
  • Corporate innovation
  • DEI and workplace well-being
  • Health tech or employee experience

…then this is essential reading.

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