Bortolotti, Lisa (2025) Agential Epistemic Injustice in Clinical Interactions Is Bad for Medicine. Philosophy of Medicine, 6 (1). pp. 1-19. ISSN 2692-3963
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Abstract
In interactions characterized by agential epistemic injustice, the interpreter avoids engaging with the speaker’s perspective and challenges or distorts the speaker’s contribution before taking time to explore it. Where the success of the interaction depends on a genuine knowledge exchange between interpreters and speakers, epistemic injustice compromises the success of the interaction. Building on recent qualitative work on communication in youth mental health, I argue that clinical interactions are less likely to achieve their aims when practitioners fail to engage with the perspective of the person seeking support, and challenge or distort the person’s contribution before taking time to explore it.
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| Item Type: | Published Article or Volume | ||||||
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| Keywords: | Agential epistemic injustice Clinical interaction Youth mental health Lack of competence Epistemic agency Credulity Agential stance | ||||||
| Subjects: | Specific Sciences > Medicine | ||||||
| Depositing User: | Professor Alex Broadbent | ||||||
| Date Deposited: | 15 Apr 2025 13:30 | ||||||
| Last Modified: | 15 Apr 2025 13:30 | ||||||
| Item ID: | 25069 | ||||||
| Journal or Publication Title: | Philosophy of Medicine | ||||||
| Publisher: | University Library System, University of Pittsburgh | ||||||
| Official URL: | https://philmed.pitt.edu/philmed/article/view/222 | ||||||
| DOI or Unique Handle: | 10.5195/pom.2025.222 | ||||||
| Subjects: | Specific Sciences > Medicine | ||||||
| Date: | 10 April 2025 | ||||||
| Page Range: | pp. 1-19 | ||||||
| Volume: | 6 | ||||||
| Number: | 1 | ||||||
| ISSN: | 2692-3963 | ||||||
| URI: | https://philsci-archive.pitt.edu/id/eprint/25069 |
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