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1Professor of law at Saint Louis University in St Louis, Missouri, where she is also director of the Center for Health Law Studies and holds a secondary appointment in the Department of Health Care Ethics.
Abstract:
This article considers ethical, epistemic, and clinical harms of normalizing, discounting, or dismissing patients' experiences of acute pain in non-labor and delivery obstetrics and gynecology (OB/GYN) settings. Discrediting patients' accounts undermines the therapeutic capacity of patient-clinician relationships, causes unjustified suffering, and may even contribute to life-threatening delays in recognizing and treating complications. This article urges OB/GYN practitioners to consider the ways in which structural and individual factors predispose them to discredit patients' testimonies and thereby contribute to epistemic and other harms. OB/GYN practitioners are encouraged to cultivate the virtue of epistemic humility and consider the role of patient satisfaction scores in evaluating care.
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