Russo Jasna
Department of Social Work, Alice Salomon University of Applied Sciences, Berlin, Germany.
Front Sociol. 2023 Feb 9;8:1092298. doi: 10.3389/fsoc.2023.1092298. eCollection 2023.
Thus far, the concept of epistemic injustice in the context of psychiatry has been discussed more widely by clinical academics than by authors with personal experience of psychiatrization. It is from the latter perspective that I critique the practice of attributing testimonial injustice solely to the "stigma against mental illness", and point to psychiatric diagnosing itself as a principal enabler and re-producer of this form of injustice. In relation to hermeneutical justice, I take a closer look at initiatives seeking to incorporate (collective) first-person knowledge into the epistemic systems that currently dominate mental-health service provision and research. Highlighting the incompatibility of psychiatric knowledge claims with first-person ways of knowing, I discuss some of the issues and challenges involved in achieving epistemic justice for psychiatrized people and advancing our collective knowledge base. Finally, I turn to the questions of identity and agency in these processes.
到目前为止，临床学者比有精神科化亲身经历的作者更广泛地讨论了精神病学背景下的认知不公正概念。正是从后者的角度，我批判了仅将证言不公正归因于“对精神疾病的污名化”的做法，并指出精神病诊断本身就是这种不公正形式的主要促成因素和再生产因素。关于诠释学公正，我更仔细地审视了一些倡议，这些倡议试图将（集体）第一人称知识纳入目前主导心理健康服务提供和研究的认知系统。我强调了精神病学知识主张与第一人称认知方式的不相容性，讨论了为经历精神科化的人实现认知公正并推进我们的集体知识库所涉及的一些问题和挑战。最后，我转向这些过程中的身份认同和能动性问题。
