Periagoge
Concept
1 min read

Illness as Epistemological Justice

Sor Juana's insistence on women's capacity for knowledge mirrors the chronic patient's right to expertise about their own body, diagnosis, and care—resisting medical gaslighting and epistemic erasure.

Juana
Why It Matters

Sor Juana refused to accept that her gender disqualified her from knowledge-making; she asserted women's rational capacity and right to interpret scripture, philosophy, and natural phenomena. Similarly, chronic illness patients possess irreplaceable epistemic authority: lived knowledge of their symptoms, triggers, treatments, and identity. Yet medical systems and skeptical others frequently deny this expertise, dismissing subjective reports, trivializing suffering, or claiming the patient is wrong about their own experience. This epistemic injustice—a term from philosophy describing how identity prejudices affect who is believed—directly harms health and identity. Sor Juana's framework insists on knowledge rights: your interpretation of your body is evidence; your experience is data; your questions about treatment are legitimate inquiry. Chronic illness patients can claim, as Sor Juana did, the right to think critically about medicine, seek second opinions, trust their own perceptions, and refuse medical narratives that contradict felt reality. Knowledge about self is justice.

Helpful guides
Juana
Identity & Justice
Peri
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