Where is knowledge from the global South? An account of epistemic justice for a global bioethics
Journal article
Pratt, Bridget and De Vries, Jantina. (2023). Where is knowledge from the global South? An account of epistemic justice for a global bioethics. Journal of Medical Ethics. 49(5), pp. 325-334. https://doi.org/10.1136/jme-2022-108291
Authors | Pratt, Bridget and De Vries, Jantina |
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Abstract | The silencing of the epistemologies, theories, principles, values, concepts and experiences of the global South constitutes a particularly egregious epistemic injustice in bioethics. Our shared responsibility to rectify that injustice should be at the top of the ethics agenda. That it is not, or only is in part, is deeply problematic and endangers the credibility of the entire field. As a first step towards reorienting the field, this paper offers a comprehensive account of epistemic justice for global health ethics. We first introduce several different conceptions of justice and decolonisation in relation to knowledge, purposefully drawing on work emanating from the global South as well as the global North. We then apply those conceptions to the global health ethics context to generate a tripartite account of the layers of epistemic justice in the field: who is producing ethics knowledge; what theories and concepts are being applied to produce ethics knowledge; and whose voices are sought, recorded and used to generate ethics knowledge. These layers reflect that the field spans conceptual and empirical research. We conclude by proposing that, going forward, three avenues are key to achieve greater epistemic justice at each layer and to help decolonise global health ethics: namely, understanding the problem, dialogue and structural change. |
Year | 2023 |
Journal | Journal of Medical Ethics |
Journal citation | 49 (5), pp. 325-334 |
Publisher | BMJ Publishing Group |
ISSN | 0306-6800 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/jme-2022-108291 |
PubMed ID | 36657964 |
Scopus EID | 2-s2.0-85148674158 |
PubMed Central ID | PMC10176400 |
Open access | Published as ‘gold’ (paid) open access |
Page range | 325-334 |
Funder | Wellcome Trust |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 19 Jan 2023 |
Publication process dates | |
Accepted | 30 Nov 2022 |
Deposited | 12 Dec 2023 |
Grant ID | WT 222784/Z/21/Z |
https://acuresearchbank.acu.edu.au/item/900q8/where-is-knowledge-from-the-global-south-an-account-of-epistemic-justice-for-a-global-bioethics
Download files
Publisher's version
OA_Pratt_2023_Where_is_knowledge_from_the_global.pdf | |
License: CC BY-NC 4.0 | |
File access level: Open |
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