Implicational Injustice and doctor-patient Communication

Dr Eisuke Sakakibara proposed a new concept of implicational injustice as a novel type of epistemic injustice in his lecture.

In the lecture held on 11th October via Zoom, Eisuke Sakakibara from the University of Tokyo argued for a new type of epistemic injustice. The concept of epistemic injustice provides a theoretical framework for considering ethical issues arising in interpersonal communication. This presentation proposes the concept of implicational injustice as a novel type of epistemic injustice. An implicature is a message that a speaker does not explicitly state but is implicitly communicated by an utterance.

Because the speaker does not explicitly state the implicature, it may be overlooked by the hearer. This oversight of implicature is likely to occur when the hearer prematurely terminates the search for relevance or when there is informational inequality between the speaker and the hearer. Suppose premature termination or information inequality is caused by the hearer’s prejudice against the speaker or due to the undue ignorance of the speaker. In that case, the oversight of implicature is deemed an implicational injustice. This presentation offers several examples of the oversight of implicature and implicational injustice in doctor-patient communication, where patients’ attempts to convey psychosocial messages to their physicians are often overlooked. Implicational injustice can be considered a novel subtype of epistemic injustice that is different from testimonial injustice, silencing, and interpretative injustice. Implicational injustice prevents the sufferer’s full participation in epistemic collaboration and can also inflict secondary harm, such as negative effects on clinical decision-making.

This lecture was the ninth in the 2024 series of seminars on “Philosophy and Psychiatry” organized by the Center for Philosophy at the Institute of Social Sciences.

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Јавни конкурс за попуњавање радног места – директор Института друштвених наука

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30. 11. 2022.

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