Epistemic injustice

Epistemic injustice is the wrong done to someone when their knowledge or testimony is unfairly discounted.

Updated 12 October 2026 (1 minute read)

Summary

  • The philosopher Miranda Fricker named it in 2007.
  • Testimonial injustice is when a speaker is believed less because of prejudice about who they are.
  • In medicine it describes patients whose reports of pain or other symptoms are given less weight because of their sex, race, age or diagnosis.
  • Martha's Rule gives patients and families in England a route to an urgent second review when they feel they are not being heard.

Interview questions

  • What is epistemic injustice?
  • A patient says their pain was dismissed for years before they were diagnosed. Why might that happen?
  • How can a doctor show a patient they have been believed?

Practise answering these with a mentor

Our interview preparation has you answer questions like these out loud, with feedback on each answer.

More NHS hot topics, medical ethics case studies and medical school interview questions are in AlphaMED Resources, which we add to and update through the application cycle.