Stigma as a Fundamental Cause of Epistemic Injustice

This chapter situates stigma as a fundamental cause of epistemic injustice, examining how social devaluation and exclusion undermine the capacity of marginalized groups to be recognized as knowers. Drawing on case studies of forcibly displaced populations, persons living with disabilities, and the LGBTQ+ community, the chapter explores how stigma is underscored by power hierarchies leading to testimonial and hermeneutical injustice (as forms of status loss and discrimination). These injustices manifest in research, policy, and service delivery, where the lived experiences and knowledge of stigmatized groups are often dismissed or rendered invisible. By analyzing the intersection of stigma and epistemic injustice, the chapter highlights the need for structural interventions that address power hierarchies and promote inclusive knowledge production. Ultimately, dismantling stigma is essential for advancing epistemic justice and ensuring equitable participation in global health research and policy.