Threats to epistemic agency in young people with unusual experiences and beliefs

Synthese 199 (3-4):7689-7704 (2021)
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Abstract

A good therapeutic relationship in mental health services is a predictor of positive clinical outcomes for people who seek help for distressing experiences, such as voice hearing and paranoia. One factor that may affect the quality of the therapeutic relationship and raises further ethical issues is the impact of the clinical encounter on users’ sense of self, and in particular on their sense of agency. In the paper, we discuss some of the reasons why the sense of epistemic agency may be especially fragile in young people with unusual experiences and beliefs. We argue that it is important to identify and avoid behaviours that can undermine young people’s contributions as epistemic agents in the clinical encounter.

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Author Profiles

Matthew Broome
University of Warwick
Lisa Bortolotti
University of Birmingham

References found in this work

The Constitution of Selves.Marya Schechtman (ed.) - 1996 - Ithaca, NY: Cornell University Press.
A Cautionary Tale: On Limiting Epistemic Oppression.Kristie Dotson - 2012 - Frontiers: A Journal of Women Studies 33 (1):24-47.
The Constitution of Selves.Christopher Williams & Marya Schechtman - 1998 - Philosophical Review 107 (4):641.
The ethical demand.Knud Ejler Løgstrup - 1956 - Philadelphia,: Fortress Press.

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