Recent work on clinical communication has highlighted the possibility that vulnerable young people may experience epistemic injustice and have their sense of agency undermined in encounters with mental healthcare providers. In particular, five dimensions of agency have been studied: validation of the person’s perspective; legitimisation of the person’s concerns; acknowledgement that the person may have complex interests and needs; affirmation of the person’s capacity to contribute to change; and inclusion of the person in shared decision-making processes. Building on previous work in this area, and utilising the illustrative power of Aesop-style fables, we identify three potential areas where empirical investigation could help advance the study of epistemic injustice in interactions involving young people who hear voices.

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Challenging Stereotypes About Young People Who Hear Voices

  • Lisa Bortolotti,
  • Fiona Malpass,
  • Kathleen Murphy-Hollies,
  • Thalia Somerville-Large,
  • Gurpriya Kapoor,
  • Owen Braid

摘要

Recent work on clinical communication has highlighted the possibility that vulnerable young people may experience epistemic injustice and have their sense of agency undermined in encounters with mental healthcare providers. In particular, five dimensions of agency have been studied: validation of the person’s perspective; legitimisation of the person’s concerns; acknowledgement that the person may have complex interests and needs; affirmation of the person’s capacity to contribute to change; and inclusion of the person in shared decision-making processes. Building on previous work in this area, and utilising the illustrative power of Aesop-style fables, we identify three potential areas where empirical investigation could help advance the study of epistemic injustice in interactions involving young people who hear voices.