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Showing posts with the label EPIC

Addressing Epistemic Injustice: Perspectives from Health Law and Bioethics

This post is by Lisa Bortolotti who reports on a symposium was organised by Mark Flear to explore interdisciplinary perspectives (law, philosophy of psychiatry, bioethics, sociology, and more) on epistemic injustice, hosted by City University on 15th September 2023.  This is a report of some of the talks presented at the symposium. The other talks were given by Anna Drożdżowicz (on epistemic injustice and linguistic exclusion); Miranda Mourby (on reasonable expectations of privacy in healthcare); and Neil Maddox and Mark Flear (on epistemic injustice and separated human biomaterials).  The City Law School, venue of the symposium The first presentation was by David Archard (Queen’s University, Belfast) on lived experience and testimonial injustice. Lived experience is being increasingly used in debates on a number of controversial areas—as a source of special authority on a given subject. The appeal to lived experience often works in resisting claims that contradict live...

Silence

This post is by Dan Degerman, Leverhulme Early Career Research Fellow at the University of Bristol, soon to join the new project EPIC (Epistemic Injustice in Healthcare), funded by a Wellcome Discovery Award. (A version of this post appeared on the EPIC blog on 15th September 2023.) Some members of team EPIC: Matthew Broome, Ian Kidd, Dan Degerman, Havi Carel, Kathleen Murphy-Hollies, and Fred Cooper. Silence is an important phenomenon in mental health. But while philosophers have had much to say about the social silencing of people with psychiatric diagnoses, other ways in which silence can feature in psychopathology have been underexplored. In a recent workshop at the University of Bristol, generously funded by the Leverhulme Trust, we sought to begin to address this neglect by exploring the different faces of silence in psychopathology. Ian Kidd opened the workshop with a talk that explored painful silences common in bereavement grief. In particular, he focused on four silences, ea...

Self-narratives and Medicalization in Psychiatric Diagnosis

This post was published on the EPIC blog in July 2023. It is by Richard Hassall, a qualified clinical psychologist, now retired. After retirement, Richard enrolled at the University of Sheffield to do an MA in philosophy, followed by a PhD which was completed in 2022. At the time of writing, Richard is an affiliate researcher attached to the Department of Philosophy at Sheffield. Richard Hassall My area of interest is philosophy of psychiatry, with a particular interest in the nature of psychiatric diagnostic categories and the effect these have on the individuals who receive them. I argue in my PhD thesis that a psychiatric diagnosis may, in some cases, lead the recipient to becoming a victim of epistemic injustice, and specifically of hermeneutical injustice. I argue that this effect can be understood in terms of narrative theory and the self-narratives that individuals construct for themselves. People gain meaning in their lives through their self-narratives, but such narratives can...

Epistemic injustice in the therapeutic relationship in psychiatry

Today’s post is by Eisuke Sakakibara, who is currently a lecturer at the University of Tokyo Hospital. He is a clinical psychiatrist as well as a researcher in the field of philosophy of psychiatry. Since 2013, he has been leading a study group in Tokyo, aptly named Philosophy of Psychiatry and Psychology.  His recent publication, “ Epistemic injustice in the therapeutic relationship in psychiatry ,” published in Theoretical Medicine and Bioethics , discusses the effects of epistemic injustice on the interactions between psychiatrists and their patients. Originally, this post appeared on the EPIC blog on 6 June 2023. Eisuke Sakakibara I first heard of the concept of epistemic injustice in 2019 in San Francisco. From that moment on, I intuitively knew that it is a concept suitable to highlight practical and ethical issues of communication that arise between psychiatrists and psychiatric patients. I have decided to further my research. The psychiatrist-psychiatric patient relationsh...

Should Epistemic Injustice Matter to Psychiatrists?

This post is by Eleanor Harris, Lucienne Spencer, and Ian James Kidd. A version of this post was originally published on the EPIC blog on 24th May 2023. Harris is a M4C funded doctoral researcher at the University of Birmingham, working on epistemic injustice and epistemic vigilance.  Spencer is a postdoctoral researcher working on the Wellcome Trust-funded project ‘Renewing Phenomenological Psychopathology’ at the Institute of Mental Health, University of Birmingham.  Kidd is a lecturer in philosophy at the university of Nottingham and works on epistemology, philosophy of illness and healthcare.  Eleanor Harris Does epistemic injustice matter in psychiatric contexts? Brent Kious and colleagues have recently argued ‘No’ (see paper in Psychological Medicine ). While it is welcome to have our assumptions challenged, we think the answer should still be that epistemic injustice should matter to psychiatrists. (See our full response  in Philosophy of Medicine ). Befo...