Evidence map›Paper›PMID 34970007›Full record

ArticleSynthese2021

Threats to epistemic agency in young people with unusual experiences and beliefs.

Joseph W Houlders, Lisa Bortolotti, Matthew R Broome

Abstract read
In one paragraph

Article in Synthese, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Silence as epistemic agency in mania.Medicine, health care, and philosophy · 2025
    Article
  3. Article
  4. Article
  5. Phenomenology, delusions and justice.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. The challenges of youth mental health: showing the hero out of the panopticon.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Joseph W HouldersDepartment of Philosophy, University of Birmingham, 32 Pritchatts Road, Edgbaston, Birmingham, B15 2TT United Kingdom.ORCID 0000-0002-4256-1645
Lisa BortolottiDepartment of Philosophy, University of Birmingham, 32 Pritchatts Road, Edgbaston, Birmingham, B15 2TT United Kingdom.ORCID 0000-0003-0507-4650
Matthew R BroomeInstitute for Mental Health, University of Birmingham, 52 Pritchatts Road, Edgbaston, Birmingham, B15 2TT United Kingdom.ORCID 0000-0002-6963-8884

Funding

Medical Research Council MR/T04618X/1
6 · The paper itself

Abstract

A good therapeutic relationship in mental health services is a predictor of positive clinical outcomes for people who seek help for distressing experiences, such as voice hearing and paranoia. One factor that may affect the quality of the therapeutic relationship and raises further ethical issues is the impact of the clinical encounter on users' sense of self, and in particular on their sense of agency. In the paper, we discuss some of the reasons why the sense of epistemic agency may be especially fragile in young people with unusual experiences and beliefs. We argue that it is important to identify and avoid behaviours that can undermine young people's contributions as epistemic agents in the clinical encounter.

Indexed as

Autobiographical narrativeEpistemic injusticeSense of agencyTherapeutic relationshipYouth mental health

Identifiers

PMID34970007
PMCPMC8668839

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.