The oversight of implicature and implicational injustice in doctor-patient communication.
The concept of epistemic injustice provides a theoretical framework for considering the ethical issues arising in interpersonal communication. This article proposes the concept of implicational injustice as a novel type of epistemic injustice. An implicature is a message that a speaker does not expl...
| Publicado en: | Synthese Vol. 205; no. 2; pp. 1 - 27 |
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| Formato: | Artículo |
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Springer Nature
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=182805067&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 182805067 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00397857 4LI jtl: Synthese issn: 00397857 maglogo: N pubinfo: dt: Feb2025 vid: 205 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 182805067 10.1007/s11229-024-04865-9 ppf: 1 ppct: 26 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.1MB tig: atl: The oversight of implicature and implicational injustice in doctor-patient communication. aug: au: Sakakibara, Eisuke affil: https://ror.org/057zh3y96 Department of Neuropsychiatry, Graduate School of Medicine, the University of Tokyo, 7-3-1, Hongo, 113-8655, Bunkyo-ku, Tokyo, Japan sug: keyword: Epistemic injustice Healthcare communication Implicature Participant perspective Relevance ab: The concept of epistemic injustice provides a theoretical framework for considering the ethical issues arising in interpersonal communication. This article 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 that is implicitly communicated by an utterance. Since 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 speaker and hearer. If premature termination or information inequality is caused by the hearer’s prejudice against the speaker or by the undue ignorance of the speaker, the oversight of implicature is deemed an implicational injustice. This article offers several examples of the oversight of implicature and implicational injustice in doctor-patient communication in which patients’ attempts to convey psychosocial messages to their physicians are often overlooked. Implicational injustice can be considered as a novel subtype of epistemic injustice that differs from other subtypes, such as silencing, testimonial injustice, and interpretative injustice. Implicational injustice prevents the sufferer’s full participation in epistemic collaboration and can inflict secondary harm, such as negative effects on clinical decision making. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Synthese is a copyright of Springer, 2025. All Rights Reserved. item: Synthese holder: Springer Nature dt: @attributes: year: 2025 holdings: @attributes: islocal: N |
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