One recent body of work has concerned medicalization and how it can create epistemic injustice. It focuses on medicalization as a hermeneutical process that shapes the conceptual framework(s) we use to refer to some conditions/experiences. In parallel, some scholars with lived experience of madness have started to explore the epistemic harms suffered by the Mad community. Building on this, I argue that the process of medicalization in psychiatry affects the Mad community in a specific way that has been overlooked in the literature on medicalization and epistemic injustice. That is, medicalization can create what is called "contributory injustice." This form of injustice occurs when marginalized communities have been able to create alternative hermeneutical resources, but these resources are dismissed or discredited by the dominant group. I argue that the emerging field of Mad Studies is a victim of this type of injustice when Mad experiences are unilaterally medicalized.

最近的一项工作涉及医疗化及其如何造成认知上的不公正。它侧重于医学化作为一种​​诠释学过程，它塑造了我们用来指代某些条件/经验的概念框架。与此同时，一些有疯狂经历的学者开始探索疯狂社区所遭受的认知伤害。在此基础上，我认为精神病学的医学化过程以一种特定的方式影响着疯狂的社区，这种方式在医学化和认知不公正的文献中被忽视了。也就是说，医学化会造成所谓的“助长不公正”。这种形式的不公正发生在边缘化社区能够创造替代解释学资源，但这些资源被占主导地位的群体驳回或诋毁时。