定义长期神经性厌食症的伦理意义。
Ethical implications of defining longstanding anorexia nervosa.
作者信息
Voswinkel Marthe M, Hanegraaff Simone M, Mares Suzanne H W, Wezenberg Elke, van Delden Johannes J M, van Elburg Annemarie A
机构信息
Department of Eating Disorders (Amarum), GGNet Mental Health, Vordenseweg 12, Warnsveld, 7231 PA, The Netherlands.
Department of Clinical Psychology, Utrecht University, Heidelberglaan 1, Utrecht, 3584 CS, The Netherlands.
出版信息
J Eat Disord. 2024 Jun 11;12(1):77. doi: 10.1186/s40337-024-01040-w.
The label severe and enduring anorexia nervosa (SE-AN) is widely used in the literature on longstanding anorexia nervosa (AN). However, the process of constructing the criteria and the use of the label SE-AN has ethical implications that have not been taken into account. Through combining existing literature and lived experience perspective, this paper addresses to what extent the current criteria do and do not reflect the lived experience. Arguments are presented on why the process of constructing the criteria for SE-AN and the application of the label can be both identified as, and give rise to, epistemic injustice. Epistemic injustice is an injustice that is done to a person as an individual with the capacity of acquiring and sharing knowledge. This type of injustice can occur at any stage of an interaction between people in which knowledge is shared with one another. The paper concludes by giving suggestions on how to pursue epistemic justice in the process of defining longstanding AN.
“严重且持续性神经性厌食症”（SE - AN）这一标签在关于长期神经性厌食症（AN）的文献中被广泛使用。然而，构建该标准的过程以及SE - AN这一标签的使用存在一些尚未被考虑到的伦理影响。通过结合现有文献和实际生活经验的视角，本文探讨了当前标准在多大程度上反映或未反映实际生活经验。文中阐述了为何构建SE - AN标准的过程以及该标签的应用既可能被认定为认知不公正，又会引发认知不公正。认知不公正指的是对作为具有获取和分享知识能力的个体的人所造成的不公正。这种不公正可能发生在人与人之间分享知识的互动的任何阶段。本文最后就如何在定义长期神经性厌食症的过程中追求认知公正提出了建议。
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