Listening to the silence of pain narratives: A qualitative study of epistemic injustice in patient–clinician communication on medically unexplained chronic pain in Japan
Clinicians should cultivate epistemic humility and validate patient narratives, regardless of diagnostic certainty. Establishing institutional and cultural conditions that protect narrative spaces is both an ethical and practical imperative for the care of patients with MUEP.
Authors
- Yumi Kagawa
- Rie Yokota (ORCID: https://orcid.org/0000-0002-1973-2493)
- Hiroko Okada (ORCID: https://orcid.org/0000-0001-7877-9753)
- Tsuyoshi Okuhara (ORCID: https://orcid.org/0000-0002-6251-3587)
Institutions
- Iwate Medical University (JP)
- Hoshi University (JP)
- University of Tokyo Health Sciences (JP)
- Department of Health (IE)
Publication Details
- Journal
- Patient Education and Counseling
- Published
- 2025-10-28
- DOI
- https://doi.org/10.1016/j.pec.2025.109402
- Citations
- 2
- Primary Topic
- Pediatric Pain Management Techniques
- Type
- article
- Field-Weighted Citation Impact
- 6.99