Various psychopathologies of self-awareness, such as somatoparaphrenia and thought insertion in schizophrenia, might seem to threaten the viability of the higher-order thought (HOT) theory of consciousness since it requires a HOT about one’s own mental state to accompany every conscious state. The HOT theory of consciousness says that what makes a mental state a conscious mental state is that there is a HOT to the effect that “I am in mental state M.” I have argued in previous work that a (...) HOT theorist can adequately respond to this concern with respect to somatoparaphrenia and thought insertion. There is also Cotard syndrome which is a rare neuropsychiatric disorder in which people hold the delusional belief that they are dead, do not exist, or have lost their blood or internal organs. In this paper, I argue that HOT theory has nothing to fear from it either and can consistently account for what happens in such unusual cases. I analyze Cotard syndrome in light of my previous discussion of somatoparaphrenia and thought insertion, and argue that HOT theory can provide a somewhat analogous account without the worry of inconsistency. It is crucial to recognize that there are multiple “self-concepts” and levels of HOTs which can help to provide a more nuanced explanation. With regard to the connection between consciousness and self-consciousness, it is proposed that Cotard patients are indeed capable of having some “I-thoughts” about their bodies and mental states. (shrink)

Thomas Metzinger has diagnosed the need for a Bewusstseinskultur, a ‘consciousness culture’: a culturally implemented way in which a society as a whole engages with the dawning natural science of consciousness, with phenomenal experiences themselves, and with our increasing capability to manipulate them. A Bewusstseinskultur is an achievement, built by a society-wide orientation on empirical evidence, thorough scientific theorizing and rational deliberation. It affects a broad range of issues from animal ethics, drug policy, end-of-life-care, and robo-ethics to post-humanism. However, this (...) notion has not yet been presented in English, and is so far unconnected to other discussions in philosophy. Here, I remedy this: I present Metzinger's notion of a Bewusstseinskultur and connect it to discussion on transformative experiences, Parfit's meta-hedonic states, and the Access vs. Phenomenal Consciousness distinction. (shrink)