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Volume 46, Issue 4
  • ISSN: 0167-2444
  • E-ISSN: 2949-8651

Samenvatting

Abstract

This essay explores how epistemic injustice arises within healthcare practice, using the long-overlooked ‘female heart’ as a central example. The atypical symptoms experienced by women were not noticed because medical norms were based on the male body. The dominant biopsychosocial (BPS) model also falls short: although it aims to integrate body, mind, and context, it often does so in a standardized and control-oriented manner that leaves little room for subjective experience and variation. The essay argues that this approach results in the exclusion and reduction of meaningful forms of knowledge. By placing evolutionary thinking at the center – where variation and adaptation are crucial – and introducing the concept of hermeneutic physics, a shift in physiotherapy and rehabilitation becomes possible. This perspective recognizes the body as a complex, dynamic system in constant interaction with its environment. It creates space for a more inclusive, just, and meaningful approach to care – one in which experiential knowledge is taken seriously.

© Wim Hullegie
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/content/journals/10.5117/FEP.2025.4.005.HULL
2025-12-01
2026-01-10
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Keyword(s): biological variation; care and interpretation; epistemic injustice; evolutionary perspective on care; hermeneutic physics

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