I articulate some conceptual resources resulting from a 4-year research collaboration on Epistemic Injustice, Reasons and Agency (2018-2022). I then suggest possible ways in which these resources can help develop effective and sustainable strategies for identifying and overcoming epistemic injustice in health and social care. Lubomira Radoilska is a Professor of Philosophy at the University of Kent, UK. She has published widely on philosophical and ethical issues relevant to health and social care, including a monograph on Addiction and Weakness of Will (OUP, 2013) and an edited collection on Autonomy and Mental Disorder (OUP, 2012).

Prof. Ashok Handa is Associate Professor of Surgery at Oxford University and Consultant Vascular Surgeon at the John Radcliffe Hospital in Oxford. He is the Director for Surgical Education and responsible for the undergraduate curriculum in surgery as well as for assessment. He is Director of the Collaborating Centre for values-based practice in Health and Social Care based at St Catherine’s College, Oxford.

Many chronic fatigue syndrome/myalgic encephalomyopathy (CFS/ME) patients experience epistemic injustice. My presentation aims to identify and mitigate differences in values between patients and health care professionals in regard to nomenclature, the status of physical versus psychological illness, evidence for mechanisms of disease, and the evaluation of evidence for treatment recommendations. I am a recently retired general medical practitioner (family practitioner) in the United Kingdom. I am now studying for a PhD in philosophy at the University of Kent, concentrating on the philosophical problems relating to chronic fatigue syndrome/myalgic encephalomyopathy, particularly the links between its contested status and the epistemic injustice experienced by patients with this condition.

Co-creation is the inclusion of service users in all stages in the development & delivery of public services. Despite widespread commitment, co-creation has proved extremely to deliver routinely and at scale. I will provide an analysis of this, and suggest a new collaborative framework to test the analysis’ results. I am a Child and Adolescent Psychiatrist with an interest in perinatal and early years psychiatry, who currently sits of the Royal College of Psychiatrists’ Perinatal Faculty. I have, through an interest in service delivery and Public Mental health, developed awareness of the Social Sciences of Public Administration and Policy Research, whose theories and formulations are usually not applied within Health Service Administration and Policy planning. I also have a background in philosophy and biomedical ethics, having been a member of the Royal College of Psychiatrists’ Philosophy Special Interest Group since its foundation, and am a member of this Centre.

In spite of himself, the alcoholic is stigmatised. In the field of care, epistemic injustice takes the form of a misunderstanding: the carer is certain of the exact meaning of his alcoholic behaviour and the alcoholic, poorly inserted in the universe of language, confuses the carer. How can the carer and the alcoholic be surprised? SINGAÏNY Erick Jean-Daniel is a Clinical psychologist, Doctor in clinical and pathological psychology and a teacher at the University Hospital of Reunion Island. He is the author of four books: " The Suffering. The Right to be a Man" (2021). A triptych on alcoholism which is available in the reference places for medicine and health (Library of the National Academy of Medicine, National Library of Medicine of the United States). He is a member of CREHEY (Henri Ey Research and Publishing Circle), of the French School of Daseinanalysis, of the INPP (International Network of Philosophy and Psychiatry) and of the Global Clinical Practice Network.

This presentation applies the concept of epistemic injustice to problems in the therapeutic relationship between psychiatrists and psychiatric patients. Epistemic injustice is prevalent in psychiatric care owing to prejudice against patients with mental disorders. However, it is also connected to the roles that psychiatrists play in their relationships with patients. I am a psychiatrist working at the department of neuropsychiatry, the University of Tokyo in Japan, where I treat patients and train young psychiatric residents. My current research interest is the epistemic injustice and objectification in treatment relationship in psychiatry. I am currently running a study group named “Philosophy of Psychiatry and Psychology,” where about 5 to 10 philosophers, psychiatrists, and psychologists meet once a month to discuss fundamental issues in psychiatry and clinical psychology. I wish this group will accelerate interdisciplinary collaborations and will make some international contributions to the field in the near future.