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Honoring the Voice of the Client in Clinical Social Work Practice: Negotiating with Epistemic Injustice.

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Title: Honoring the Voice of the Client in Clinical Social Work Practice: Negotiating with Epistemic Injustice.
Authors: Lee, Eunjung (AUTHOR), Tsang, A Ka Tat (AUTHOR), Bogo, Marion (AUTHOR), Johnstone, Marjorie (AUTHOR), Herschman, Jessica (AUTHOR), Ryan, Monique (AUTHOR)
Source: Social Work. Jan2019, Vol. 64 Issue 1, p29-40. 12p.
Subjects: Social worker & client, Social services -- Practice, Social injustice, Psychiatric social workers, People with schizophrenia, Psychiatric social work, Fricker, Miranda, Critical theory, Conceptual structures, Discourse analysis, Experience, Outpatient services in hospitals, Theory of knowledge, Professions, Psychotherapy patients, Statistical sampling, Schizophrenia, Social services, Social workers, Professional practice, Labeling theory, Client relations
Geographic Terms: Canada
Abstract: Epistemic injustice occurs when therapists implicitly and explicitly impose professional and institutional power onto clients. When clients have a diagnosis of schizophrenia, this very fact further complicates and highlights the power disparity within the helping relationship. Inspired by the work of critical philosopher Miranda Fricker on epistemic injustice, and using critical theories of language and knowledge, this article analyzes audiotaped session transcripts between a client with a history of psychosis and a social worker in an outpatient mental health agency. Findings illustrate two main discursive interactional patterns in everyday clinical social work encounters: (1) how the therapist's utterances claim disciplinary power and construct the client's testimony in alignment with an institutional agenda, while pre-empting the client's lived experience; and (2) how the client, though actively resisting, is managed to perform the identity of being a mentally ill person. The authors close with suggestions of how to avoid these mishaps and work toward epistemic justice in mental health practice. [ABSTRACT FROM AUTHOR]
Copyright of Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Epistemic injustice occurs when therapists implicitly and explicitly impose professional and institutional power onto clients. When clients have a diagnosis of schizophrenia, this very fact further complicates and highlights the power disparity within the helping relationship. Inspired by the work of critical philosopher Miranda Fricker on epistemic injustice, and using critical theories of language and knowledge, this article analyzes audiotaped session transcripts between a client with a history of psychosis and a social worker in an outpatient mental health agency. Findings illustrate two main discursive interactional patterns in everyday clinical social work encounters: (1) how the therapist's utterances claim disciplinary power and construct the client's testimony in alignment with an institutional agenda, while pre-empting the client's lived experience; and (2) how the client, though actively resisting, is managed to perform the identity of being a mentally ill person. The authors close with suggestions of how to avoid these mishaps and work toward epistemic justice in mental health practice. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1093/sw/swy050
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Social services -- Practice
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      – SubjectFull: Social injustice
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      – SubjectFull: Psychiatric social workers
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      – SubjectFull: People with schizophrenia
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      – SubjectFull: Psychiatric social work
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      – SubjectFull: Fricker, Miranda
        Type: general
      – SubjectFull: Critical theory
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      – SubjectFull: Conceptual structures
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      – SubjectFull: Discourse analysis
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      – SubjectFull: Professions
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      – SubjectFull: Psychotherapy patients
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Schizophrenia
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      – SubjectFull: Social services
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      – SubjectFull: Client relations
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      – SubjectFull: Canada
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    Titles:
      – TitleFull: Honoring the Voice of the Client in Clinical Social Work Practice: Negotiating with Epistemic Injustice.
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              Text: Jan2019
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