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Article ID: CBB269003590

Bodies of evidence: The ‘Excited Delirium Syndrome’ and the epistemology of cause-of-death inquiry (2024)

Fischer, Enno (Author)
Jukola, Saana (Author)

Studies in History and Philosophy of Science
Volume: 104
Pages: 38-47
Publication date: 2024
Language: English

DOI: 10.1016/j.shpsa.2023.12.009

URI: https://www.sciencedirect.com/science/article/pii/S0039368124000189

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Nosology; classification of diseases Forensic medicine Explanation; hypotheses; theories Death Pathology Violence Police; criminal justice departments Diagnosis Epistemology

“Excited Delirium Syndrome” (ExDS) is a controversial diagnosis. The supposed syndrome is sometimes considered to be a potential cause of death. However, it has been argued that its sole purpose is to cover up excessive police violence because it is mainly used to explain deaths of individuals in custody. In this paper, we examine the epistemic conditions giving rise to the controversial diagnosis by discussing the relation between causal hypotheses, evidence, and data in forensic medicine. We argue that the practitioners’ social context affects causal inquiry through background assumptions that enter inquiry at multiple stages. This analysis serves to better understand the wide usage of the controversial diagnosis of ExDS.

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