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Chapter 3 illustrates the poetics of illness experience by examining clinical conversations during a psychiatric assessment of a patient. Patients’ narratives in clinical contexts are often fragmentary and contradictory, reflecting their ongoing struggle to make sense of inchoate experience and position themselves in ways that elicit care and concern. Metaphors of illness experience open up narrative possibilities, but may be blocked by conflicting agendas or cross-purposes of clinician and patient. In place of an overarching integrative narrative are interruption, miscommunication, and mutual subversion. Focusing on narratives, with close attention to the speakers’ rhetorical aims, can identify situations of tension and misunderstanding, which can be clarified through cognitive and social analysis tracing the models and metaphors used in clinical exchanges to their personal meaning and embodiment and outward into the social world where they function as part of discursive systems that organize institutions and confer power. Close attention to metaphor in lived experience, social interaction, and cultural performance can yield an account of the dynamics of clinical conversations.
Borderline personality disorder (BPD) has a bad reputation, and its diagnostic criteria are notably vague. In this chapter, we focus on the “inappropriate anger criterion” and highlight different ways of understanding it considering philosophical accounts of the nature of anger. We submit that the openness of the criterion heightens the risk that patients’ anger is assumed to be unreasonable in a way that disrespects their moral standing. We tentatively analyze this situation as one of testimonial injustice, where negative prejudices about a bearer’s identity lead interlocutors to deflate the bearer’s credibility. Although this captures part of the picture, it does not capture all of it. We propose that the case at hand often also involves affective injustice, broadly defined as a wrong done to someone in their capacity as an affective being. The injustice here is typically the injustice of unjustifiably dismissing BPD patients’ anger as merely symptomatic of an underlying pathology and not fitting given the way they are being treated or, more generally, given their situation. Plausibly, persistent exposure to this kind of injustice can undermine patients’ moral agency when they internalize the disrespectful idea that they are unable to experience justified anger in response to moral offense.
This paper introduces the concept of self-fulfilling testimonial injustice: a distinctive form of epistemic injustice whereby credibility deficits become true by shaping the very conditions that sustain them. Much of the literature on testimonial injustice has rightly emphasized cases in which credibility deficits are rooted in false beliefs, themselves underwritten by ethically bad affective investments. Yet such a focus risks obscuring a structurally significant variant: namely, those credibility deficits that are rendered true through self-fulfilling mechanisms. Drawing on insights from economics and psychology, I distinguish between motivated cognition-based and cognitive bias-based testimonial injustice, which together furnish the background conditions under which self-fulfilling testimonial injustice can take hold. I develop this account by drawing on both theoretical and experimental work on labor market discrimination, which illuminates the ways in which credibility deficits may become self-fulfillingly entrenched. Finally, I explore the distinctive harms of this form of injustice, focusing on its corrosive effects on epistemic self-confidence or self-trust and epistemic self-esteem, and suggest that its insidiousness and relative invisibility render it both difficult to detect and potentially more pervasive than has hitherto been acknowledged.
Examines an apparent tension between clothing’s role as a social artifact and its rationality. Examines how we might think about disagreement when it comes to the fittingness or appropriateness of clothing. Considers how the social role of clothing plays a part in our judgments of individuals belonging to certain groups, and how this might contribute to epistemic injustice.
What does it mean to treat people as equals when the legacies of feudalism, religious persecution, authoritarian, paternalistic and oligarchic government have shaped the landscape within which we must construct something better? This question has come to dominate much constitutional practice as well as philosophical inquiry in the past 50 years. The combination of Second Wave Feminism with the continuing struggle for racial equality in the 1970s brought into sharp relief the variety of ways in which people can be treated unequally, while respecting the formalities of constitutional government. In the first part of this chapter, I focus on efforts to reframe the theory and practice of constitutional equality in light of demands for sexual and racial equality. I then show that analytic philosophy has also come to recognise the various non-reducible dimensions of equality in ways that reinforce the claims of critical legal theory, even as philosophers highlight their disconcerting consequences. If equality has multiple irreducible dimensions, conflicts between the legitimate demands of equality are unavoidable features of law and politics, even in the best possible world, and are likely to be particularly painful when set against a background of historical injustice. The chapter concludes with the challenges to democratic constitutionalism, and the scope for constructive responses to those challenges, which the rapprochement between critical and analytic thinking on equality suggests.
According to a recent move in social epistemology, certain types of epistemic wrongs require distinctively epistemic reparations. For instance, if you have been wrongfully convicted of murder, you have not only the right to various kinds of economic and social reparations but also the ‘right to be known’ (Lackey 2022) – crudely, the right to tell the true story about yourself and be listened to. In this paper, I extend this framework to the context of epistemic decolonisation. I argue that the key decolonial epistemic reparations are reparations for the undermined epistemic authority of the colonised. I call these ‘decolonial epistemic authority reparations’ and develop five constraints on a plausible account of them. If the argument is compelling, it will advance both the epistemic reparations framework (which does not talk to the decolonisation literature at present) and the project of epistemic decolonisation (which does not yet canvass epistemic reparations).
In this paper, I begin a philosophical theorisation of the phenomenon of toxic positivity (TP) within the framework of social epistemology. TP is the phenomenon of people being positive and optimistic to a degree that is unreasonable in a given situation, and as such makes others feel as if their own (less than positive) feelings are invalid or in some way wrong. I begin by providing an example of TP. I then identify four features of TP: appropriate emotion, unreasonableness, dismissal, and potential harm. Following this, I discuss the possible epistemic effects of TP and argue that it can affect knowledge in three ways: doubting belief, losing belief, and undermining self-trust. Finally, I argue that TP can in some cases be a form of gaslighting and can undermine epistemic agency, both of which are epistemic injustices.
Since 2021, 18 states in the USA have restricted education on race and structural inequality. Conservative coalitions frame these restrictions as a war on “woke” ideologies. Through interviews with youth and educators in locales (Florida; Georgia; and York, Pennsylvania) that restrict education on race and structural inequality, I investigate the following: What discourses do students and educators use to describe bills that restrict race-related studies? What, if anything, do their discourses suggest about the perceived political implications of these restrictions?
In this study, I argue that gleaning students’ and educators’ views on “anti-woke” legislation sheds light on the perceived political consequences of these bills for American democracy. I find that students and educators perceive restrictions on race-related studies as epistemic injustices that divest society of the knowledge to identify, problematize, and redress the structural conditions that (re)produce racial subordination. For participants, the health of democracy is contingent on addressing racial disempowerment. Hence, they suggest that restrictions on race-related studies encumber democracy precisely because these policies impose epistemologies of racial ignorance that impede racial redress and allow systems of racial inequality to fester.
Becoming a subject to oneself is a challenge. To make the task somewhat more meaningful, I have presented a narrative that builds on experiences that are likely to resonate with other scholars from the Global South. In the academic journey from separation to synthesis, I have had the good fortune of collaborating with scientists from young students to renowned scholars, to whom I owe immense gratitude. I chose to modify the given metaphor of a pillar to better suit my orientation both to my inner self and to the outside world.
In this chapter, we discuss the relationship of individual personal thriving to fairness and worthiness by exploring the concept of epistemic injustice. Epistemic injustice refers to the rejection of people’s capacity as knowers, such that these individuals are treated as being less knowledgeable and less believable than other people, frequently on the basis of their social identities. In the first half of the chapter, we will explain how epistemic injustices take place and how they interrupt human thriving. In the second half of the chapter, we will profile the ways that psychologists and others can work to prevent epistemic injustice.
This article explores the implications of non-ideal theorising for the problem of evil. The critique of ideal theory – which has gained increased attention in several philosophical sub-disciplines during recent years – states that analytic philosophers tend to rely on overly idealised conditions, to the point of being completely unrealistic, in their theorising. To investigate if this charge holds merit in the philosophy of religion, I apply a non-ideal methodology to one traditional area of philosophy of religion – the problem of evil. Here, Richard Swinburne’s theodicy constitutes a sample of how the problem of evil is typically approached in mainstream philosophy of religion. Additionally, Swinburne’s Principle of Credulity will, in relation to his theodicy, be interrogated as well. Applying non-ideal theorising, I find that Swinburne’s theorisation relies on idealised cases and presupposes ideal conditions, while overlooking non-ideal realities. Turning to epistemic injustice and epistemology of ignorance, I find that Swinburne assumes ideal epistemological conditions in both inter-agent communication (testimony), and in collective cognition. After examining the implications of such idealisations, I find that Swinburne’s idealisations abstract away non-ideal factors which are relevant for his theories, concluding that Swinburne displays tendencies typical of ideal theorising.
Borderline personality disorder (BPD) has been a controversial diagnosis for over 40 years. It was to be removed from the latest version of the ICD, only to be reintroduced as a trait qualifier as a result of last-minute lobbying. Retaining BPD as a de facto diagnosis keeps us stuck at a deadlock that undermines the voices of patients who have persistently told us this label adds ‘insult to injury’. Miranda Fricker's concept of epistemic injustice helps illuminate how this affects subjectivity and speech, hermeneutically sealing patients in ways of thinking that are not evidence-based, resulting in testimonial smothering (altering or withholding one's narratives) and testimonial quieting (dismissing a speaker's capacity to provide worthy testimony) that prevent more affirmative explanations.
David Hume’s famous argument against believing miracle reports exemplifies several key issues relating to the emergence of modern naturalism. Hume uncritically assumes the universal and unproblematic nature of core conceptions such as ‘supernatural’ and ‘laws of nature’. Hume’s argument also presents him with a dilemma. He relies upon the weight of testimony to establish his case against believing miracle reports, but must also contend with the weight of testimony, across different times and cultures, to the existence of the supernatural. Hume resolves this by an appeal to historical progress accompanied by a dubious racial theory. These enable him to discount testimonies emanating from the past and from other cultures. ‘Hume’s dilemma’ has not gone away and, if anything, is even more acute since the traditions and beliefs of non-Western cultures are now more difficult to dismiss on the basis of dubious historical accounts of Western exceptionalism. This dilemma amounts to a tension between the ethics of belief and the demands of epistemic justice.
From music recommendation to assessment of asylum applications, machine-learning algorithms play a fundamental role in our lives. Naturally, the rise of AI implementation strategies has brought to public attention the ethical risks involved. However, the dominant anti-discrimination discourse, too often preoccupied with identifying particular instances of harmful AIs, has yet to bring clearly into focus the more structural roots of AI-based injustice. This paper addresses the problem of AI-based injustice from a distinctively epistemic angle. More precisely, I argue that the injustice generated by the implementation of AI machines in our societies is, in some paradigmatic cases, also a form of epistemic injustice. With a particular focus on AIs employed as gatekeepers of our epistemic resources, this paper shows how their epistemically conformist behaviour is responsible for the marginalisation and the ostracism of minoritarian perspectives. Because it clarifies key structural flaws and weaknesses of current AI design, this paper helps make headway in critical discussion of current AI technologies. And because it forges new theoretical tools to understand forms of epistemic oppression, this paper also contributes to the advancement of feminist theorisation.
This paper examines the relatively underexplored relationship between epistemic wrongs and epistemic harms in the context of epistemic injustice. Does the presence of one always imply the presence of the other? Or, is it possible to have one without the other? Here we aim to establish a prima facie case that epistemic wrongs do not always produce epistemic harms. We argue that the epistemic wrongness of an action should never be evaluated solely based on the action's consequences, viz. the epistemic and practical harms suffered by the wronged party. Instead – as we shall show – epistemic harms necessarily follow from epistemic wrongs. To conclude, we suggest ways in which extant accounts of epistemic wrongs and epistemic harms as they cash out in epistemic injustice contexts might be refined in light of our argument.
This paper focuses on how experiences of trauma can lead to generalized fear of people, objects and places that are similar or contextually or conceptually related to those that produced the initial fear, causing epistemic, affective and practical harms to those who are unduly feared and those who are intimates of the victim of trauma. We argue that cases of fear generalization that bring harm to other people constitute examples of injustice closely akin to testimonial injustice, specifically, mnemonic injustice. Mnemonic injustice is a label that has been introduced to capture how injustice can occur via the operation of human memory systems when stereotypes shape what is remembered. Here we argue that injustices can also occur via memory systems when trauma leads to a generalized fear. We also argue that this calls for a reformulation of the notion of mnemonic injustice.
Truth and Reconciliation Commissions (TRCs) have become a widely used tool to reconcile societies in the aftermath of widespread injustice or social and political conflict in a state. This article focuses on TRCs that take place in non-transitional societies in which the political and social structures, institutions, and power relations have largely remained in place since the time of injustice. Furthermore, it will focus on one particular injustice that TRCs try to address through the practice of truth-telling, namely the eradication of epistemic injustice. The article takes the Canadian and Norwegian TRCs as two examples to show that under conditions of enduring injustice, willful ignorance of the majority, and power inequality, TRCs might create a double bind for victims which makes them choose between epistemic exploitation and continued injustices based on the majority's ignorance. The article argues that the set-up and accompanying measures of TRCs are of the utmost importance if TRCs in non-transitional societies are to overcome epistemic injustice, instead of creating new relations of exploitation.
The philosophical underpinnings of primary care have been examined from several perspectives in recent years. In two previous articles, we have argued that a relational view of autonomy is better matched to the primary care setting than others, and that view is mainly formed from the descriptors of its practice. Here we develop that analysis further, linking it to other relevant theory: the experience of human suffering and epistemic injustice. We argue that relational care is fundamental to ameliorating epistemic injustice and that relationships are integral to ethical practice, rather than being distinct. We propose that personalised care as described in the NHS Long Term Plan is not possible without addressing epistemic injustice and therefore without reconsidering our existing normative ethical frameworks.
The author makes the case that wealth inequality ramifies in the communicative practices of policymaking in ways which produce specific forms of epistemic injustice. Relative epistemic authority between richer and poorer knowers is established by limiting some speakers to being sources of information, and elevating others to the epistemically more sophisticated role of inquirer. In its systemic form, this differentiation has the effect of re-producing and maintaining ‘tracker prejudices’ (Fricker, 2007) and ‘tracker privileges’ (Medina, 2011) which then ramify in relational and distributive inequality (Fricker, 2016). The article suggests that in a context in which the inclusion of ‘lived experience’ has come to be seen as an intrinsic good in policy discourse (Smith-Merry, 2020), the lived experience we need to amplify isn’t that of the poor, it is that of the rich. Only in centring rich voices in social policymaking can we reveal and challenge the operation of wealth privilege and advance reparatory forms of epistemic practice.1
Over the centuries, many philosophers have written about injustice. More recently, attention has turned to a previously little-recognized form of injustice – epistemic injustice. The philosopher Miranda Fricker coined the phrase ‘epistemic injustice’ – an example being when your credibility as a source of knowledge is unjustly downgraded (perhaps because you are ‘just a woman’ of the ‘wrong’ race). This interview with Miranda explores what epistemic injustice is, and why it is important.