Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder

In this paper, my goal is to use an epistemic injustice framework to extend an existing normative analysis of over-medicalization to psychiatry and thus draw attention to overlooked injustices. Kaczmarek (2019) has developed a promising bioethical and pragmatic approach to over-medicalization, which...

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Autor principal:	Anne-Marie Gagné-Julien
Formato:	article
Lenguaje:	EN
Publicado:	University of Rijeka. Faculty of Humanities and Social Sciences 2021
Materias:	over-medicalization epistemic injustice premenstrual dysphoric disorder hermeneutical injustice pre-emptive testimonial injustice Miranda Fricker Philosophy (General) B1-5802
Acceso en línea:	https://doaj.org/article/75bac3760c7240288b0b5007be8ab3c3
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spelling	oai:doaj.org-article:75bac3760c7240288b0b5007be8ab3c32021-11-30T16:47:49ZWrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder1845-84751849-0514https://doaj.org/article/75bac3760c7240288b0b5007be8ab3c32021-01-01T00:00:00Zhttps://hrcak.srce.hr/file/386286https://doaj.org/toc/1845-8475https://doaj.org/toc/1849-0514In this paper, my goal is to use an epistemic injustice framework to extend an existing normative analysis of over-medicalization to psychiatry and thus draw attention to overlooked injustices. Kaczmarek (2019) has developed a promising bioethical and pragmatic approach to over-medicalization, which consists of four guiding questions covering issues related to the harms and benefits of medicalization. In a nutshell, if we answer “yes” to all proposed questions, then it is a case of over-medicalization. Building on an epistemic injustice framework, I will argue that Kaczmarek’s proposal lacks guidance concerning the procedures through which we are to answer the four questions, and I will import the conceptual resources of epistemic injustice to guide our thinking on these issues. This will lead me to defend more inclusive decision-making procedures regarding medicalization in the DSM. Kaczmarek’s account complemented with an epistemic injustice framework can help us achieve better forms of medicalization. I will then use a contested case of medicalization, the creation of Premenstrual Dysphoric Disorder (PMDD) in the DSM-5 to illustrate how the epistemic injustice framework can help to shed light on these issues and to show its relevance to distinguish good and bad forms of medicalization.Anne-Marie Gagné-JulienUniversity of Rijeka. Faculty of Humanities and Social Sciences articleover-medicalizationepistemic injusticepremenstrual dysphoric disorderhermeneutical injusticepre-emptive testimonial injusticeMiranda FrickerPhilosophy (General)B1-5802ENEuropean Journal of Analytic Philosophy, Vol 17, Iss 2, Pp S4-36 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	over-medicalization epistemic injustice premenstrual dysphoric disorder hermeneutical injustice pre-emptive testimonial injustice Miranda Fricker Philosophy (General) B1-5802
spellingShingle	over-medicalization epistemic injustice premenstrual dysphoric disorder hermeneutical injustice pre-emptive testimonial injustice Miranda Fricker Philosophy (General) B1-5802 Anne-Marie Gagné-Julien Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder
description	In this paper, my goal is to use an epistemic injustice framework to extend an existing normative analysis of over-medicalization to psychiatry and thus draw attention to overlooked injustices. Kaczmarek (2019) has developed a promising bioethical and pragmatic approach to over-medicalization, which consists of four guiding questions covering issues related to the harms and benefits of medicalization. In a nutshell, if we answer “yes” to all proposed questions, then it is a case of over-medicalization. Building on an epistemic injustice framework, I will argue that Kaczmarek’s proposal lacks guidance concerning the procedures through which we are to answer the four questions, and I will import the conceptual resources of epistemic injustice to guide our thinking on these issues. This will lead me to defend more inclusive decision-making procedures regarding medicalization in the DSM. Kaczmarek’s account complemented with an epistemic injustice framework can help us achieve better forms of medicalization. I will then use a contested case of medicalization, the creation of Premenstrual Dysphoric Disorder (PMDD) in the DSM-5 to illustrate how the epistemic injustice framework can help to shed light on these issues and to show its relevance to distinguish good and bad forms of medicalization.
format	article
author	Anne-Marie Gagné-Julien
author_facet	Anne-Marie Gagné-Julien
author_sort	Anne-Marie Gagné-Julien
title	Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder
title_short	Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder
title_full	Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder
title_fullStr	Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder
title_full_unstemmed	Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder
title_sort	wrongful medicalization and epistemic injustice in psychiatry: the case of premenstrual dysphoric disorder
publisher	University of Rijeka. Faculty of Humanities and Social Sciences
publishDate	2021
url	https://doaj.org/article/75bac3760c7240288b0b5007be8ab3c3
work_keys_str_mv	AT annemariegagnejulien wrongfulmedicalizationandepistemicinjusticeinpsychiatrythecaseofpremenstrualdysphoricdisorder
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Wrongful Medicalization and Epistemic Injustice in Psychiatry: The Case of Premenstrual Dysphoric Disorder

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