Kidd Ian James, Carel Havi
Department of Philosophy University of Nottingham University Park Nottingham NG7 2RD UK.
Department of Philosophy University of Bristol Cotham House Cotham BS6 6JL UK.
J Appl Philos. 2017 Feb;34(2):172-190. doi: 10.1111/japp.12172. Epub 2016 Feb 8.
This article analyses the phenomenon of epistemic injustice within contemporary healthcare. We begin by detailing the persistent complaints patients make about their testimonial frustration and hermeneutical marginalization, and the negative impact this has on their care. We offer an epistemic analysis of this problem using Miranda Fricker's account of epistemic injustice. We detail two types of epistemic injustice, testimonial and hermeneutical, and identify the negative stereotypes and structural features of modern healthcare practices that generate them. We claim that these stereotypes and structural features render ill persons especially vulnerable to these two types of epistemic injustice. We end by proposing five avenues for further work on epistemic injustice in healthcare.
本文分析了当代医疗保健中的认知不公正现象。我们首先详细阐述患者对其证言受挫和解释边缘化的持续抱怨，以及这对他们的护理产生的负面影响。我们运用米兰达·弗里克的认知不公正理论对这一问题进行认知分析。我们详细介绍了两种认知不公正，即证言不公正和解释不公正，并识别出现代医疗实践中导致这些不公正的负面刻板印象和结构特征。我们认为，这些刻板印象和结构特征使患者特别容易遭受这两种认知不公正。最后，我们提出了五条进一步研究医疗保健中认知不公正问题的途径。
