第一人称否认精神病学中的数字表型和认识不公正。

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-09-19 DOI:10.1007/s11019-023-10174-8
Stephanie K Slack, Linda Barclay
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引用次数: 0

摘要

通过监测人类与数字设备的互动以及通过数字设备进行的互动,数字表型将有可能实现对精神疾病的早期检测和预测。尽管有承诺,但可以肯定的是,一个人的数字表型有时会与他们对心理状态的第一人称证词不一致。在这篇论文中,我们认为,在精神病学的背景下,数字表型的一些特征有可能加剧忽视患者证词和治疗偏好的倾向,这可能是认知不公正的例子。我们首先解释了什么是认知不公正,以及为什么它被认为是健康和残疾环境中的一个广泛问题。然后,我们解释了为什么认知不公正在精神病背景下更有可能以更大的力量应用,尤其是在可能涉及数字表型的情况下。最后,我们就如何在数字精神病学中最大限度地减少认识上的不公正提出了一些初步建议。
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First-person disavowals of digital phenotyping and epistemic injustice in psychiatry.

Digital phenotyping will potentially enable earlier detection and prediction of mental illness by monitoring human interaction with and through digital devices. Notwithstanding its promises, it is certain that a person's digital phenotype will at times be at odds with their first-person testimony of their psychological states. In this paper, we argue that there are features of digital phenotyping in the context of psychiatry which have the potential to exacerbate the tendency to dismiss patients' testimony and treatment preferences, which can be instances of epistemic injustice. We first explain what epistemic injustice is, and why it is argued to be an extensive problem in health and disability settings. We then explain why epistemic injustice is more likely to apply with even greater force in psychiatric contexts, and especially where digital phenotyping may be involved. Finally, we offer some tentative suggestions of how epistemic injustice can be minimised in digital psychiatry.

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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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