Wednesday 9 August 2023

Dan Degerman joins EPIC

Excellent news for project EPIC! Dan Degerman, currently a Leverhulme Early Career Fellow, will join EPIC as a Senior Research Fellow based in the Philosophy Department at the University of Bristol. We asked Dan a few questions about current interests and future plans.

Dan Degerman

Hi Dan! What are your main research interests?

Hello! I am interested in issues at the intersection of mental health, emotions, and politics. 

For example, my first monograph, Political Agency and the Medicalisation of Negative Emotions, examined how the growing tendency to talk and think about emotions like anger and fear in terms of mental health problems affects our ability to act politically. It did so through a series of case studies of political movements and events – ranging from the Brexit referendum to the psychiatric service user/survivor movement – in which people’s capacity to participate in public life was called into question.

Since completing the book, I have been focusing on experiences of powerlessness among individuals with mental illness, particularly in terms of how symptoms, diagnoses, and stigma may lead such individuals to speak or be silent. These are, of course, issues that are closely related to epistemic injustice in healthcare as well as my case study on the EPIC project.

Why do you think it is important to study epistemic injustice in healthcare?

Being ill tends to increase our dependence on others, not only family members and healthcare practitioners, but also on, for example, friends, colleagues, and teachers. Over a remarkably short and fruitful period, scholars working on epistemic injustice in healthcare have provided rich insights into how people with ill health can be silenced in the relationships that arise and change through illness. This work has been and continues to be vital to empowering patients and improving healthcare.

However, a worry I have with the growing scholarship on epistemic injustice, in general, is that silence tends to feature in it only as a socially imposed harm and, accordingly, something that should be broken. Such a narrow understanding of silence overlooks the range of meanings and functions of silence for people with ill health, some of which may be restorative or empowering. And, by acting on it carelessly, we risk compounding the epistemic and other harms that such people face.

To realise the practical potential of epistemic injustice as a concept for patients and healthcare practitioners and to ameliorate the harms that this concept highlights, we need a better understanding of silence in ill health and its relationship to epistemic injustice. This is what I will aim to provide in my case study by examining how people with bipolar disorder – who may have a unique and conflicted relationship to silence and speech – experience and use silence in their lives.

representation of silence: person with plaster on their mouth

What are you working on right now?

I’m working on a series of papers that will inform the conceptual framework of my case study. The first sets out an epistemic case for recognising a substantive political right to silence.

American crime shows might mislead us into thinking that this right is already legally protected. The phrase ‘You have the right to remain silent’ is probably among the most famous in the English language. In the UK – where what we do not say can be used against us in court – we do not have that right. However, even if we did, a right to remain silent in criminal contexts is too circumscribed to provide the protection that we need for our silence in a democracy.

A political right to silence must be able to protect our ability to be silent across various contexts because there are often good epistemic reasons for us not to speak. For example, we might feel pressured to lie if we speak, or we might know that what we say will be misunderstood or misused by others. In such circumstances, silence might be the best option. But, in a society like ours where silence is frequently denigrated, it may seem an untenable one.

I think this right could have important implications for people with ill health, who can, for example, be subject to pressure to disclose their illness at their place of work or education.

I’m looking forward to developing this and other ideas over the next few years in the context of the EPIC project.

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