Perspective: Decolonizing postmodernist approaches to mental health discourse toward promoting epistemic justice

Levin, Lia

doi:10.3389/fpsyt.2022.980148

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…As a discipline which has favoured professional or clinical knowledge, mental health care is a key site for the study of epistemic injustice (57,58). Such injustices can include being misrepresented, exluded from discussions or being silenced.…”

Section: Epistemic Injustice and The Pcrefmentioning

confidence: 99%

The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales

Smith,

Kheri,

Ariyo

et al. 2023

Front. Psychiatry

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The Patient and Carer Race Equality Framework (PCREF) is an Organisational Competence Framework (OCF), recommended by the Independent Review of the Mental Health Act as a means to improve mental health access, experience and outcomes for people from ethnic minority backgrounds, particularly Black people. This is a practical framework that should be co-produced with and tailored to the needs of service users, based on quality improvement and place-based approaches. We aim to use the PCREF to address the longstanding epistemic justices experienced by people with mental health problems, particularly those from minoritised ethnic groups. We will outline the work that led to the proposal, the research on racial inequalities in mental health in the UK, and how the PCREF will build on previous interventions to address these. By taking these into account, the PCREF should support a high minimum standard of mental health care for all.

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Section: Epistemic Injustice and The Pcrefmentioning

confidence: 99%

The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales

Smith,

Kheri,

Ariyo

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Our ability to acquire knowledge and understanding is influenced by our social positioning, identity, and experiences ( 10 , 11 ). At the same time, when these characteristics are associated with a marginalized group, the knowledge acquired may be seen as less credible due to bias or prejudice against the group ( 1 , 12 ). The exclusion of knowledge from marginalized groups creates a conceptual vacuum.…”

Section: Introductionmentioning

confidence: 99%

Epistemic injustice and mental health research: A pragmatic approach to working with lived experience expertise

et al. 2023

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“Epistemic injustice” refers to how people from marginalized groups are denied opportunities to create knowledge and derive meaning from their experiences. In the mental health field, epistemic injustice occurs in both research and service delivery systems and particularly impacts people from racialized communities. Lived experience involvement and leadership are often proposed as methods of combatting epistemic injustice, a tool for ensuring the views of people at the center of an issue are heard and can inform decision-making. However, this approach is not without challenges. In this paper, we draw on our work as intermediary organizations that center lived experience perspectives to challenge epistemic injustice. We highlight two problems we have identified in working in the mental health research field: “elite capture” and “epistemic exploitation”. We believe that these problems are barriers to the radical and structural change required for epistemic justice to occur. We propose a pragmatic approach to addressing these issues. Based on our work we suggest three considerations for researchers and our own organizations to consider when involving people with lived experience. These include reflecting on the purpose of creating knowledge, with a focus on impact. Embedding lived experience roles, with appropriate employment, support and remuneration, and acknowledging that it may be necessary to work alongside existing systems as a “critical friend” while developing new spaces and structures for alternative forms of knowledge. Finally, the mental health research system needs to change. We believe these three considerations will help us better move toward epistemic justice in mental health research.

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“If not today, then tomorrow”: Culture, socio-politics, and public involvement in city policymaking for the Palestinian minority in Israel

Alnabilsy

Levin

2023

Cities

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Perspective: Decolonizing postmodernist approaches to mental health discourse toward promoting epistemic justice

Cited by 3 publications

References 23 publications

The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales

The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales

Epistemic injustice and mental health research: A pragmatic approach to working with lived experience expertise

“If not today, then tomorrow”: Culture, socio-politics, and public involvement in city policymaking for the Palestinian minority in Israel

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