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Lucienne Spencer [7]Lucienne Jeannette Spencer [1]
  1. Epistemic Injustice in Psychiatric Research and Practice.Ian James Kidd, Lucienne Spencer & Havi Carel - 2022 - Philosophical Psychology 1.
    This paper offers an overview of the philosophical work on epistemic injustices as it relates to psychiatry. After describing the development of epistemic injustice studies, we survey the existing literature on its application to psychiatry. We describe how the concept of epistemic injustice has been taken up into a range of debates in philosophy of psychiatry, including the nature of psychiatric conditions, psychiatric practices and research, and ameliorative projects. The final section of the paper indicates future directions for philosophical research (...)
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  2. Epistemic Injustice in Late-Stage Dementia: A Case for Non-Verbal Testimonial Injustice.Lucienne Spencer - 2022 - Social Epistemology 1 (1):62-79.
    The literature on epistemic injustice has thus far confined the concept of testimonial injustice to speech expressions such as inquiring, discussing, deliberating, and, above all, telling. I propose that it is time to broaden the horizons of testimonial injustice to include a wider range of expressions. Controversially, the form of communication I have in mind is non-verbal expression. Non-verbal expression is a vital, though often overlooked, form of communication, particularly for people who have certain neurocognitive disorders. Dependency upon non-verbal expression (...)
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  3.  35
    The epistemic harms of empathy in phenomenological psychopathology.Lucienne Spencer & Matthew Broome - forthcoming - Phenomenology and the Cognitive Sciences:1-22.
    Jaspers identifies empathic understanding as an essential tool for grasping not the mere psychic content of the condition at hand, but the lived experience of the patient. This method then serves as the basis for the phenomenological investigation into the psychiatric condition known as ‘Phenomenological Psychopathology’. In recent years, scholars in the field of phenomenological psychopathology have attempted to refine the concept of empathic understanding for its use in contemporary clinical encounters. Most notably, we have Stanghellini’s contribution of ‘second-order’ empathy (...)
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  4. Hermeneutical injustice and unworlding in Psychopathology.Lucienne Jeannette Spencer - 2023 - Philosophical Psychology 1 (7):1300-1325.
    There is a long tradition of employing a phenomenological approach to gain greater insight into the unique experience of psychiatric illness. Researchers in this field have shed light upon a distur...
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  5.  62
    Isn’t Everyone a Little OCD?Lucienne Spencer & Havi Carel - 2021 - Philosophy of Medicine 2 (1).
    This article develops the concept of wrongful depathologization, in which a psychiatric disorder is simultaneously stigmatized and trivialized. We use OCD as a case study to argue that cumulatively these two effects generate a profound epistemic injustice to OCD sufferers, and possibly to those with other mental disorders. We show that even seemingly positive stereotypes attached to mental disorders give rise to both testimonial injustice and wilful hermeneutical ignorance. We thus expose an insidious form of epistemic harm that has been (...)
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  6.  17
    ‘The Hermeneutic Problem of Psychiatry’ and the Co-Production of Meaning in Psychiatric Healthcare.Lucienne Spencer & Ian James Kidd - 2023 - Royal Institute of Philosophy Supplement 94:103-131.
    ‘The co-production of meaning’ is a popular, widely-used, but under-defined concept. To better understand the co-production of meaning, we shall attempt to develop an account of co-production through phenomenological psychopathology. Through Hans Georg Gadamer’s remarks on ‘the hermeneutic problem of psychiatry’, we distinguish kinds of contingent and intrinsic obstacles to 'co-production'. In calling attention to these obstacles, we problematise the concept of ‘co-production’ in public mental health, revealing it to be more complex than originally thought. We conclude that new developments (...)
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  7. Closing the gender gap in depression through the lived experience of young women – a response to ‘Don't mind the gap: Why do we not care about the gender gap in mental health?’, Patalay and Demkowicz (2023).Lucienne Spencer & Matthew Broome - 2023 - Child and Adolescent Mental Health 1.
    Most mental health research largely ignores or minimises gender and age differences in depression. In ‘Don't mind the gap: Why do we not care about the gender gap in mental health?’, Patalay and Demkowicz identify a dearth of research on the causal factors of depression in young women. They attribute this to an over-reliance on biological accounts of gender differences in depression. Patalay and Demkowicz conclude that a person-centred approach that meaningfully engages with the reports of young women with depression (...)
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  8.  30
    Epistemic Injustice Should Matter to Psychiatrists.Ian James Kidd, Lucienne Spencer & Eleanor Harris - 2023 - Philosophy of Medicine 4 (1).
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