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Recognizing Social Injustice and Epistemic Mistrust in Helping Adolescents with Multiple Needs: The AMBIT (Adaptive
Liz Cracknell1, Peter Fuggle1, Dickon Bevington1
1Anna Freud Centre, London, UK.
Psychodynamic Psychiatry
|December 16, 2024
Summary
Clients
Area of Science:
- Psychology
- Social Sciences
- Mental Health Services Research
Background:
- Epistemic trust, crucial for social learning in helping professions, can be impacted by client experiences.
- Clients may develop epistemic mistrust or credulity as adaptive responses to past experiences.
- Social injustice is identified as a root cause and consequence of these trust dynamics.
Purpose of the Study:
- To examine the role of epistemic trust, mistrust, and credulity in helping services.
- To analyze how social injustice influences and is influenced by epistemic trust dynamics.
- To propose a framework for addressing these issues within the AMBIT (adaptive mentalization-based integrative treatment) model.
Main Methods:
- Theoretical analysis from an AMBIT perspective.
- Exploration of the interplay between social injustice and epistemic trust.
- Application of concepts to client work, teams, and networks.
Main Results:
- Epistemic mistrust and credulity are adaptive responses to social injustice.
- These trust states perpetuate and generate further social injustice.
- Current helping services often exacerbate injustice by failing to acknowledge its roots.
Conclusions:
- Helping services must recognize the social injustices linked to epistemic mistrust and credulity.
- There is a moral imperative for workers and services to address these dynamics.
- Integrating an understanding of social injustice is vital for effective therapeutic alliances.
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