Surgery is an important part of contemporary health care, but currently much of surgery lacks a strong evidence base. Uptake of evidence-based medicine (EBM) methods within surgical research and among practitioners has been slow compared with other areas of medicine. Although this is often viewed as arising from practical and cultural barriers, it also reflects a lack of epistemic fit between EBM research methods and surgical practice. In this paper we discuss some epistemic challenges in surgery relating to this lack (...) of fit, and investigate how resources from feminist epistemology can help to characterize them. We point to ways in which these epistemic challenges may be addressed by gathering and disseminating evidence about what works in surgery using methods that are contextual, pluralistic, and sensitive to hierarchies. (shrink)

How is philosophical knowledge related to the world in which it is produced – and how should it be related? In the article, “world” refers to the whole of historically established, politically contested and materially constituted practices. Three ideal-type relationships are distinguished: affirmatively in the world, negatively against the world, and with the world. The article argues for the latter because it combines the two decisive insights of the first two relationships: the insight into philosophy’s facticity, i. e., it being (...) bound to the world, and the insight into philosophy’s freedom, i. e., that it can, nevertheless, turn against that world. Political epistemology is needed to explicate any philosophy with the world because it holds together, in a productive tension, minimal materialism as the core of the insight into philosophy’s facticity and the irreducibility of thought as the core of the insight into philosophy’s freedom. (shrink)

Within the last decade, burgeoning interest in the intersection of epistemology and social issues has generated a new set of research questions. These questions range from the relevance of social identity, to peer disagreement, to debates on the significance of moral considerations to epistemic evaluations, to discussions of our epistemic practices and how those practices exclude certain agents and certain bodies of knowledge. Central in this new and emerging body of work is the realization that epistemology has more to do (...) than simply answer questions about what knowledge consists in; it must also acknowledge that our answers to these questions might be influenced by features we have previously failed to make space for. It is in this respect that we are witnessing a renewed interest in a theoretical approach long consigned to the margins of epistemology – that of standpoint epistemology. (shrink)

Standpoint epistemology, the view that social identity is relevant to knowledge-acquisition, has been consigned to the margins of mainstream philosophy. In part, this is because the principles of standpoint epistemology are taken to be in opposition to those which guide traditional epistemology. One goal of this paper is to tease out the characterization of traditional epistemology that is at odds with standpoint epistemology. The characterization of traditional epistemology that I put forth is one which endorses the thesis of intellectualism, the (...) view that knowledge does not depend on non-epistemic features. I then suggest that two further components – the atomistic view of knowers and aperspectivalism – can be usefully interpreted as supporting features of intellectualism. A further goal of this paper is to show that we ought to resist this characterization of traditional epistemology. I use pragmatic encroachment as a dialectical tool to motivate the denial of intellectualism, and consequently, the denial of both supporting components. I then attempt to show how it is possible to have a view, similar to pragmatic encroachment, that takes social identity, rather than stakes, to be the feature that makes a difference to what a person is in a position to know. (shrink)

Epistemic dependence refers to our social mechanisms of reliance in practices of knowledge production. Epistemic oppression concerns persistent and unwarranted exclusions from those practices. This article examines the relationship between these two frameworks and demonstrates that attending to their relationship is a fruitful practice for applied epistemology. Paying attention to relations of epistemic dependence and how exclusive they are can help us track epistemically oppressive practices. In order to show this, I introduce a taxonomy of epistemic dependence. I argue that (...) this particular taxonomy is useful for tracking epistemically oppressive practices in institutional contexts. This is because, first, the forms of epistemic dependence in this taxonomy yield, what I call, diagnostic questions. These are questions that help us track how relations of epistemic dependence could become exclusive and that thus help reveal epistemic oppression in institutional contexts. Second, the forms of epistemic dependence in the taxonomy are interrelated. Paying attention not just to each of three forms of epistemic dependence but also to the way in which they are interrelated is useful for illuminating epistemically oppressive practices. I conclude by demonstrating how the diagnostic questions can be used in analyses of concrete institutional practices in asylum law and higher education. (shrink)

I distinguish between two senses in which feminists have argued that the knower is social: 1. situated or socially positioned and 2. interdependent. I argue that these two aspects of the knower work in cooperation with each other in a way that can produce willful hermeneutical ignorance, a type of epistemic injustice absent from Miranda Fricker's Epistemic Injustice. Analyzing the limitations of Fricker's analysis of the trial of Tom Robinson in Harper Lee's To Kill a Mockingbird with attention to the (...) way in which situatedness and interdependence work in tandem, I develop an understanding of willful hermeneutical ignorance, which occurs when dominantly situated knowers refuse to acknowledge epistemic tools developed from the experienced world of those situated marginally. Such refusals allow dominantly situated knowers to misunderstand, misinterpret, and/or ignore whole parts of the world. (shrink)

This essay reflects on some of the problems with characterizing collective epistemic resistance to oppression as “unthinking” or antithetical to reason by highlighting the epistemic labor involved in contending with and resisting epistemic oppression. To do so, I develop a structural notion of epistemic gaslighting in order to highlight structural features of contexts within which collective epistemic resistance to oppression occurs. I consider two different forms of epistemic echoing as modes of contending with and resisting epistemic oppression that are sometimes (...) mischaracterized as “unthinking” or “group think.” The first sense highlights the epistemic labor entailed in withdrawing from conditions of structural epistemic gaslighting that is sometimes mischaracterized as a pernicious self-sequestering that is antithetical to reason. The second sense highlights the epistemic labor entailed in actively confronting epistemic structures that gaslight what is sometimes mischaracterized as an “irrational group think.” In both cases, I highlight how epistemic acts that may appear unreasonable “within the gaslight” are, on the contrary, engaged in serious and important epistemic labor. (shrink)

This essay surveys twenty-five years of feminist epistemology in the pages of Hypatia. Feminist contributions have addressed the affective dimensions of knowledge; the natures of justification, rationality, and the cognitive agent; and the nature of truth. They reflect thinking from both analytic and continental philosophical traditions and offer a rich tapestry of ideas from which to continue challenging tradition and forging analytical tools for the problems ahead.

There are some philosophical questions that can be answered without attention to the social context in which evidence is produced and distributed.ing away from social context is an excellent way to ignore messy details and lay bare the underlying structure of the limits of inference. Idealization is entirely appropriate when one is essentially asking: In the best of all possible worlds, what am I entitled to infer? Yet, philosophers’ concerns often go beyond this domain. As an example I examine the (...) debate on mechanistic evidence and then reevaluate a canonical case study in this debate. I show that for the assessment of actual evidence, produced in a world that is far from ideal, omission of the social aspects of medical epistemology leads philosophers to draw the wrong lessons from cases they take as paradigmatic cases for their views. I close by arguing that social epistemology provides an avenue to incorporate these complications and provides the necessary framework to understand medical evidence. (shrink)

It is generally accepted that the therapeutic relationship between professionals and patients is one of trust. Nonetheless, some patient groups carry certain social vulnerabilities that can be exacerbated when they extend trust to health-care professionals. In exploring the epistemic and ethical implications of expert status, this paper examines how calls to trust may increase epistemic oppression and perpetuate the vulnerability of people with impairments. It critically evaluates the processes through which epistemic communities are formed or determined, and examines the institutional (...) structure and power relations that contribute to or sustain such self-affirming ideological communities. It also argues for a two-way collaborative approach between professionals and people with impairments that recognizes the role of local knowledge in enhancing professionals’ own understanding of their theoretical framework and promoting responsive practices and policies. (shrink)

In the debate on epistemic injustice, it is generally assumed that testimonial injustice as one form of epistemic injustice cannot be committed (fully) deliberately or intentionally because it involves unconscious identity prejudices. Drawing on the case of sexual violence against refugees in European refugee camps, this paper argues that there is a form of testimonial injustice—willful testimonial injustice—that is deliberate. To do so, the paper argues (a) that the hearer intentionally utilizes negative identity prejudices for a particular purpose and (b) (...) that the hearer is aware of the fact that the intentionally used prejudices are in fact prejudices. Furthermore, the paper shows how testimonial injustice relates to recognition failures both in terms of a causal as well as a constitutive claim. In fact, introducing willful testimonial injustice can support the constitutive claim of such a relation that has so far received little attention. Besides arguing for a novel form of testimonial injustice and contributing to the recent debate on the relation between epistemic injustice and recognition failures, this paper is also motivated by the attempt to draw attention to the inhumane conditions for refugees at the border of Europe as well as elsewhere. (shrink)

Two decades ago, Tarana Burke started using the phrase ‘me too’ to release victims of sexual abuse and rape from their shame and to empower girls from minority communities. In 2017, actress Alyssa Milano made the hashtag #MeToo go viral. This article’s concern is with the role of testimonial practices in the context of sexual violence. While many feminists have claimed that the word of those who claim to being sexually violated by others have political and/or epistemic priority, others have (...) failed to recognize the harm and injury of instances of sexual violence that are not yet acknowledged as such and failed to listen to victims from marginalized social groups. In fact, some feminists have attacked #MeToo for mingling accounts of ‘proper’ sexual violence and accounts that are not ‘proper’ experiences of sexual violence. My aim in this article is to show why this critique is problematic and find a philosophically fruitful way to understand the #MeToo-movement as a movement that strives for moral and conceptual progress. (shrink)

Philosophy & Social Criticism, Volume 48, Issue 6, Page 833-859, July 2022. Two decades ago, Tarana Burke started using the phrase ‘me too’ to release victims of sexual abuse and rape from their shame and to empower girls from minority communities. In 2017, actress Alyssa Milano made the hashtag #MeToo go viral. This article’s concern is with the role of testimonial practices in the context of sexual violence. While many feminists have claimed that the word of those who claim to (...) being sexually violated by others have political and/or epistemic priority, others have failed to recognize the harm and injury of instances of sexual violence that are not yet acknowledged as such and failed to listen to victims from marginalized social groups. In fact, some feminists have attacked #MeToo for mingling accounts of ‘proper’ sexual violence and accounts that are not ‘proper’ experiences of sexual violence. My aim in this article is to show why this critique is problematic and find a philosophically fruitful way to understand the #MeToo-movement as a movement that strives for moral and conceptual progress. (shrink)

In ??Epistemological communities? and the problem of epistemic agency? (Social Epistemology 25 (4): 341?360), Chris Calvert-Minor outlines Lynn Hankinson Nelson?s theory of evidence and her claims with respect to communities as primary epistemic agents, and criticizes both Nelson and her critics (including myself) for their undue emphasis on epistemic agency. Calvert-Minor argues instead for an epistemology framed around practises rather than epistemic agents. I argue that Calvert-Minor?s criticism that epistemic agency plays too central a role in the epistemology of Nelson (...) and myself is problematically vague, and I suggest that Calvert-Minor?s concerns with Nelson might be articulated better in terms of the overly theoretical nature of her view of epistemic agency and evidence. I also argue that the contrast between an agent-centered and a practise-centered epistemology is not as stark as Calvert-Minor portrays, particularly when one considers my development of a view of epistemic agents as individuals-in-communities. I suggest that the heart of the disagreement between Calvert-Minor and the likes of Nelson and myself concerning the appropriate role of epistemic agency in epistemology may lie in different understandings of the underlying goals of epistemology. (shrink)

Mental disorders are assessed globally using the World Health Organization's International Classification of Diseases Classification of Mentaland Behavioural Disorders (ICD), which is largely modeled after (though it also influences) the American Psychiatric Association's Diagnostic and Statistical Manual (DSM) used in the United States. Situated within the scientific narrative of American psychiatry, disorders are typically viewed by practitioners who use the DSM and ICD as essential categories of human experience, with internal, purely descriptive, value-free conditions. Criteria identified in the DSM and (...) ICD describe the behaviors and psychological experiences that manifest from these internal conditions. In .. (shrink)

The scientific model of mental disorder, which is the foundation of American psychiatry, is easily imperialistic when it is applied globally. This unwarranted extension of power is especially problematic for women, since psychiatry is easily used to deny women discursive and agential power and to ignore social and political contexts for women’s suffering. By analyzing the epistemic function of narratives, I argue that the hegemonic power of the scientific narrative is unjustified and often harmful, and that a more accurate and (...) more justly applied understanding of disorder requires accounting for alternative cultural narratives as well. (shrink)

What form must a theory of epistemic injustice take in order to successfully illuminate the epistemic dimensions of struggles that are primarily political? How can such struggles be understood as involving collective struggles for epistemic recognition and self-determination that seek to improve practices of knowledge production and make lives more liveable? In this paper, I argue that currently dominant, Fricker-inspired approaches to theorizing epistemic wrongs and remedies make it difficult, if not impossible, to understand the epistemic dimensions of historic and (...) ongoing political struggles. Recent work in the theory of recognition— particularly the work of critical, feminist, and decolonial theorists—can help to identify and correct the shortcomings of these approaches. I offer a critical appraisal of recent conversation concerning epistemic injustice, focusing on three characteristics of Frickerian frameworks that obscure the epistemic dimensions of political struggles. I propose that a theory of epistemic injustice can better illuminate the epistemic dimensions of such struggles by acknowledging and centering the agency of victims in abusive epistemic relations, by conceptualizing the harms and wrongs of epistemic injustice relationally, and by explaining epistemic injustice as rooted in the oppressive and dysfunctional epistemic norms undergirding actual communities and institutions. (shrink)

The claim that epistemic oughts stem from the “role” of believer is widely discussed in the epistemological discourse. This claim seems to stem from the common view that, in some sense, epistemic norms derive from what it is to be a believer. Against this view, I argue that there is no such thing as a “role” of believer. But there is a role of knower, and this is the role to which some epistemic norms—epistemic role oughts—are attached. Once we conceive (...) of epistemic role oughts as attaching to the role of knower (and not the “role” of believer) we can better understand the nature of epistemic obligation and doxastic control. In advancing a new epistemic role ought approach that recognizes knowers as the subjects of epistemic role oughts, I explain why many epistemic oughts—epistemic role oughts—have normative force and presuppose voluntary control. (shrink)

There is a tendency, a bad tendency, to make epistemic agency the central focus of epistemology. In brief, epistemologists have traditionally elevated epistemic agency as the crucial issue to be addressed, and ask all other epistemological questions in light of that issue. This is not surprising given the Cartesian influence on epistemology, but I argue that epistemic agency should not always be the central focus of epistemology. There are times when giving central place to epistemic agency gets in the way (...) of good epistemology. In this paper, I show how one approach to a communitarian epistemology falters precisely because of the primacy given to epistemic agency. Specifically, I take a close look at Lynn Hankinson Nelson?s notion of epistemological communities in terms of epistemic agency and analyze both its merits and its shortcomings. This is an important analysis for general consideration given the trend in non-traditional epistemologies to look towards social complexes as the real seats of knowledge. But this is also important because my analysis pushes one to consider an alternative framing concept for epistemology?that of epistemic practises instead of epistemic agency. (shrink)

Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...) with trust and trustworthiness identified as key values and virtues. However, few articles have provided a critical account of trust and trustworthiness in this context, particularly when there exists disagreement about their role in terms of enhancing or detracting from the patient–physician relationship. This paper argues that opioid contracts represent a misleading appeal to patient–physician trust. Assuming the patient is untrustworthy may wrongfully undermine the credibility of the patient's testimony, which may exacerbate certain vulnerabilities of the person in pain. However, misplaced trust in certain patients may render the physician vulnerable to the potential harms of POA. If patients distrust their physician, or feel distrusted by them, this may destabilise the therapeutic relationship and compromise care. A process of epistemic humility may help cultivate mutual patient–physician trust. Epistemic humility is a collaborative effort between physicians and patients that recognises the role of patients’ subjective knowledge in enhancing physicians’ self-understanding of their theoretical and practice frameworks, values and assumptions about the motivations of certain patients who report chronic pain. (shrink)

Abstract: This essay explores the relation between feminist epistemology and the problem of philosophical skepticism. Even though feminist epistemology has not typically focused on skepticism as a problem, I argue that a feminist contextualist epistemology may solve many of the difficulties facing recent contextualist responses to skepticism. Philosophical skepticism appears to succeed in casting doubt on the very possibility of knowledge by shifting our attention to abnormal contexts. I argue that this shift in context constitutes an attempt to exercise unearned (...) social and epistemic power and that it should be resisted on epistemic and pragmatic grounds. I conclude that skepticism is a problem that feminists can and should take up as they address the social aspects of traditional epistemological problems. (shrink)

Research on the status and experience of women in academia in the last 30 years has challenged conventional explanations of persistent gender inequality, bringing into sharp focus the cumulative impact of small scale, often unintentional differences in recognition and response: the patterns of 'post-civil rights era' dis­crimination made famous by the 1999 report on the status of women in the MIT School of Science. I argue that feminist standpoint theory is a useful resource for understanding how this sea change in (...) understanding gender inequity was realized. At the same time, close attention to activist research on workplace environment issues suggests ways in which our understanding of standpoint theory can fruitfully be refined. I focus on the implications of two sets of distinctions: between types of epistemic injustice (and correlative advantage) that may affect marginalized knowers; and between the resources of situated knowledge and those of a critical standpoint on knowledge production. (shrink)

This dissertation addresses the following questions: How should epistemologists conceptualize testimony? What do people use testimony to do? And why does ‘what people do’ with testimony matter epistemically? In response to these questions I both define and characterize testimony. While doing so I argue for the following answers, given here very briefly: What do people do when they testify? They tell each other things and avow that those things are true, offering their statements to others as reasons to believe. More (...) importantly, they interact with each other in order to negotiate about significance. Why do these activities matter epistemically? Because by engaging in them people generate understanding, as well as knowledge, that no one involved may have had prior to negotiation. Not only that, but they generate collective hermeneutic resources—conceptual tools with which to interpret and understand. In so doing, they not only learn, they create significance and (re)construct social worlds, living together as epistemic, moral, and political agents. So, how should epistemologists conceptualize testimony? They should treat it as a particular speech act that most often occurs as part of a testimonial exchange—an interactive, interpretive, dialogical activity that people use in order to negotiate about significance and generate understanding. This characterization of testimony is an important contribution because it: reveals some of the distinctively social aspects of testimonial knowledge and understanding; suggests better answers to epistemic questions about testimony than those based on typical characterizations in the literature; leads discussion on the topic in a number of new directions; and it lays a foundation for an ethics of testimony that cannot be separated from epistemic concerns. Neither can those concerns be separated from social, moral, and political considerations. The position thus pushes epistemologists to investigate the intertwining of epistemic, moral, and political agency. (shrink)

The essay proposes to re-orient feminist debates on epistemology towards the care-security nexus as a pathway that can plausibly provide an integral understanding of a human-centred and eco-minded security. Seeing "gender" in binary terms tends to produce an understanding of "care" as "female" and "security" as "male". Care, when free from the constraints of gender as a binary construct, can play an important role in revealing the depth of ethical-political concerns and help expand the understanding of security. By revisiting the (...) concept of care present in the two feminist innovations -- situated knowledge and knowledge production as quilting -- the essay shows that there are gains to be made in bridging existing rifts between feminist knowledge networks and beyond. The concept of situated knowledge gives significance to care as self-reflexivity -- an ongoing process and a multifaceted nature of experience in the relation between the knower and the known. Knowledge production as quilting displaces the image of the solitary knowledge agent and provides a flexible approach to epistemology less constrained by teleological assumptions, appealing instead to interdisciplinary and inter-cultural cooperation. Both aspects of feminist epistemology are conducive to address the care-security nexus as an open and dynamic phenomenon, for which a successful inclusion of distinctive insights from different disciplines and cultural frameworks of knowledge would be a gain. (shrink)

This Thesis reconsiders the prospects for an approach to global justice centring on the proposal that every human being should possess a certain bundle of goods, which would include certain members of a distinctive category: the category of capabilities. My overall aim is to present a clarified and well-developed framework, within which such claims can be made. To do this, I visit a number of regions of normative and metanormative theorising. I begin by introducing the motivations for the capability approach, (...) and clarifying some of its most distinctive features. Next, I focus on Martha Nussbaum's version of the approach, and identify several problems therein. The most important concerns epistemology, and especially the challenges that constructivist theories pose. The middle part of the Thesis presents an alternative, based on the work of John McDowell, which I argue has superior prospects. Then, I turn to two further problems: that of making sense of the universalistic aspirations of cosmopolitanism, and that of integrating the microscopic prescriptions of ethics with the macroscopic analyses of political philosophy. Using the Aristotelian interpretation of its core framework that I have developed, I conclude that the capability approach can provide compelling answers to important questions about global justice. (shrink)