This article theoretically frames the issue of obstetric violence as epistemic injustice, drawing heavily from feminist phenomenological philosophy, within the general framework of narrative bioethics and the fight for sexual-reproductive rights. The first section deals with the concept of obstetric violence, emphasizing Latin America's pioneering role in its coinage and recognition, as well as its empirical-hermeneutical applications. In the second section, consideration is given to how the concept of obstetric violence has been analyzed through the lens of epistemic injustice (in its two versions: testimonial and hermeneutic), which has signified major progress in its systemic understanding and its biopolitical nature. The article's conclusions highlight the full empirical-theoretical relevance of the term, as a thick philosophical concept, despite existing tensions between the biosanitary (especially medical) sector and citizen demands.
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http://dx.doi.org/10.18294/sc.2023.4464 | DOI Listing |
Res Publica
February 2024
Department of Philosophy, University of Basel, Steinengraben 5, 4051 Basel, Switzerland.
The literature on the epistemology of ignorance already discusses how certain forms of discrimination, such as racism and sexism, are perpetuated by the ignorance of individuals and groups. However, little attention has been given to how speciesism-a form of discrimination on the basis of species membership-is sustained through ignorance Of the few animal ethicists who explicitly discuss ignorance, none have related this concept to speciesism as a form of discrimination. However, it is crucial to explore this connection, I argue, as ignorance is both an integral part of the injustice done to animals as well as an obstacle to improving their treatment.
View Article and Find Full Text PDFMed Health Care Philos
December 2024
Center for Interdisciplinary Research on Aging and Care (CIRAC), University of Graz, Schubertstraße 23/I, Graz, 8010, Austria.
Endometriosis, a chronic inflammatory condition affecting 10% of biological women, is widely understudied and particularly overlooked in later life. Discussions surrounding endometriosis predominantly centre on medical gender bias during reproductive years, with limited attention to intersecting factors of discrimination and the impact of ageism on affected individuals. As endometriosis is framed as a disease of reproductive age, research is lacking when it comes to the effects of the illness on the older population.
View Article and Find Full Text PDFEpistemic trust-trust in the relevance and utility of social learning-is central to helping processes between clients and workers in helping services. Yet, due to their experiences, clients may develop predispositions toward stances of epistemic mistrust or epistemic credulity. From an AMBIT (adaptive mentalization-based integrative treatment) perspective, this article argues that epistemic mistrust and credulity are both social injustice and further social injustice.
View Article and Find Full Text PDFQual Health Res
December 2024
Science and Technology Studies, York University, Toronto, ON, Canada.
Epistemic injustice is an analytical framework that is used to describe a wrong done to someone in their capacity as a knower. Epistemic injustice is well-documented across the healthcare spectrum, particularly in relation to the patient's capacity to understand, and thus derive meaning from, the experience of illness. This article contributes to the body of scholarship exploring how to achieve pathocentric epistemic justice by way of ethnographic case study.
View Article and Find Full Text PDFBMC Health Serv Res
November 2024
Harvard Medical School, Boston, USA.
Background: Multidrug-resistant tuberculosis (MDR/RR-TB) is a major global health challenge, disproportionately affecting low- and lower-middle-income countries (LLMICs). The World Health Organization (WHO) generates guidance to address the problem. Here, we explore the extent to which guidance and related knowledge are generated by experts living in the most-affected countries and consider the results in the context of the movement to decolonize global health.
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