Delusions are a common symptom of schizophrenia and dementia. Though most English dictionaries define a delusion as a false opinion or belief, there is currently a lively debate about whether delusions are really beliefs and indeed, whether they are even irrational. The book is an interdisciplinary exploration of the nature of delusions. It brings together the psychological literature on the aetiology and the behavioural manifestations of delusions, and the philosophical literature on belief ascription and rationality. The thesis of the book (...) is that delusions are continuous with ordinary beliefs, a thesis that could have important theoretical and practical implications for psychiatric classification and the clinical treatment of subjects with delusions. By bringing together recent work in philosophy of mind, cognitive psychology and psychiatry, the book offers a comprehensive review of the philosophical issues raised by the psychology of normal and abnormal cognition, defends the doxastic conception of delusions, and develops a theory about the role of judgements of rationality and of attributions of self-knowledge in belief ascription. Presenting a highly original analysis of the debate on the nature of delusions, this book will interest philosophers of mind, epistemologists, philosophers of science, cognitive scientists, psychiatrists, and mental health professionals. (shrink)

In their target article, McKay & Dennett (M&D) conclude that only “positive illusions” are adaptive misbeliefs. Relying on overly strict conceptual schisms (deficit vs. motivational, functional vs. organic, perception vs. belief), they prematurely discount delusions asbiologicallyadaptive. In contrast to their view that “motivation” plays a psychological but not a biological function in a two-factor model of the forming and maintenance of delusions, we propose asingleimpairment in prediction-error–driven (i.e., motivational) learning in three stages in which delusions play a biologically adaptive role.

From an evolutionary standpoint, a default presumption is that true beliefs are adaptive and misbeliefs maladaptive. But if humans are biologically engineered to appraise the world accurately and to form true beliefs, how are we to explain the routine exceptions to this rule? How can we account for mistaken beliefs, bizarre delusions, and instances of self-deception? We explore this question in some detail. We begin by articulating a distinction between two general types of misbelief: those resulting from a breakdown in (...) the normal functioning of the belief formation system (e.g., delusions) and those arising in the normal course of that system's operations (e.g., beliefs based on incomplete or inaccurate information). The former are instances of biological dysfunction or pathology, reflecting “culpable” limitations of evolutionary design. Although the latter category includes undesirable (but tolerable) by-products of “forgivably” limited design, our quarry is a contentious subclass of this category: misbeliefs best conceived as design features. Such misbeliefs, unlike occasional lucky falsehoods, would have been systematically adaptive in the evolutionary past. Such misbeliefs, furthermore, would not be reducible to judicious – but doxastically1noncommittal – action policies. Finally, such misbeliefs would have been adaptive in themselves, constituting more than mere by-products of adaptively biased misbelief-producing systems. We explore a range of potential candidates for evolved misbelief, and conclude that, of those surveyed, onlypositive illusionsmeet our criteria. (shrink)

Drawing on the latest work in cognitive neuroscience, a philosopher proposes that delusions are narrative models that accommodate anomalous experiences.

In his Principles of Philosophy, Descartes says, Finally, it is so manifest that we possess a free will, capable of giving or withholding its assent, that this truth must be reckoned among the first and most common notions which are born with us.

In this paper we defend the doxastic conception of delusions against the metacognitive account developed by Greg Currie and collaborators. According to the metacognitive model, delusions are imaginings that are misidentified by their subjects as beliefs: the Capgras patient, for instance, does not believe that his wife has been replaced by a robot, instead, he merely imagines that she has, and mistakes this imagining for a belief. We argue that the metacognitive account is untenable, and that the traditional conception of (...) delusions as beliefs should be retained. (shrink)

“Mad belief” (in analogy with Lewisian “mad pain”) would be a belief state with none of the causal role characteristic of belief—a state not caused or apt to have been caused by any of the sorts of events that usually cause belief and involving no disposition toward the usual behavioral or other manifestations of belief. On token-functionalist views of belief, mad belief in this sense is conceptually impossible. Cases of delusion—or at least some cases of delusion—might be cases of belief (...) gone half-mad, cases in which enough of the functional role characteristic of belief is absent that the subject is in an “in-between” state regarding the delusive content, such that it is neither quite right to say the subject determinately believes the delusive content nor quite right to say that she determinately fails to believe that content. Although Bortolotti (2010) briefly mentions such “sliding scale” approaches to the relationship of delusion and belief, she dismisses such approaches on rather thin grounds and then later makes some remarks that seem consonant with sliding scale approaches. (shrink)

I aim to illuminate foundational epistemological issues by reflecting on ‘epistemic consequentialism’—the epistemic analogue of ethical consequentialism. Epistemic consequentialism employs a concept of cognitive value playing a role in epistemic norms governing belief-like states that is analogous to the role goodness plays in act-governing moral norms. A distinction between ‘direct’ and ‘indirect’ versions of epistemic consequentialism is held to be as important as the familiar ethical distinction on which it is based. These versions are illustrated, respectively, by cognitive decision-theory and (...) reliabilism. Cognitive decision-theory is defended, and various conceptual issues concerning it explored. A simple dilemma suggests that epistemic consequentialism has radical consequences. (shrink)

[Philip Percival] I aim to illuminate foundational epistemological issues by reflecting on 'epistemic consequentialism'-the epistemic analogue of ethical consequentialism. Epistemic consequentialism employs a concept of cognitive value playing a role in epistemic norms governing belief-like states that is analogous to the role goodness plays in act-governing moral norms. A distinction between 'direct' and 'indirect' versions of epistemic consequentialism is held to be as important as the familiar ethical distinction on which it is based. These versions are illustrated, respectively, by cognitive (...) decision-theory and reliabilism. Cognitive decision-theory is defended, and various conceptual issues concerning it explored. A simple dilemma suggests that epistemic consequentialism has radical consequences. /// [Robert Stalnaker] After reviewing the general ideas of the consequentialist framework, I take a critical look at two of the epistemic consequentialist projects that Philip Percival considers in his paper: the first assumes that there is a notion of acceptance that contrasts with belief and that can be evaluated by its expected epistemic utility. The second uses epis utility to evaluate beliefs and partial beliefs themselves, as well as actions, such as gathering information in the course of an inquiry. I express scepticism about the notion of acceptance required for the first project, and argue that the second kind of project can be fruitful only with a richer notion of epistemic utility than has yet been developed. (shrink)

I aim to illuminate foundational epistemological issues by reflecting on 'epistemic consequentialism'—the epistemic analogue of ethical consequentialism. Epistemic consequentialism employs a concept of cognitive value playing a role in epistemic norms governing belief-like states that is analogous to the role goodness plays in act-governing moral norms. A distinction between 'direct' and 'indirect' versions of epistemic consequentialism is held to be as important as the familiar ethical distinction on which it is based. These versions are illustrated, respectively, by cognitive decision-theory and (...) reliabilism. Cognitive decision-theory is defended, and various conceptual issues concerning it explored. A simple dilemma suggests that epistemic consequentialism has radical consequences. (shrink)

Whether responsibility for actions and omissions requires the ability to do otherwise is an important issue in contemporary philosophy. However, a closely related but distinct issue, namely whether doxastic responsibility requires the ability to believe otherwise, has been largely neglected. This paper fills this remarkable lacuna by providing a defence of the thesis that doxastic responsibility entails the ability to believe otherwise. On the one hand, it is argued that the fact that unavoidability is normally an excuse counts in favour (...) of this thesis. On the other hand, three objections against this thesis are discussed and criticized. First, one might think that what suffices for doxastic responsibility is control over or influence on certain desirable or undesirable properties of beliefs. It is argued that this objection misrepresents the issue under consideration. Second, it may be objected that the thesis is contradicted by our intuitions in doxastic analogues of Frankfurt-style scenarios. It is argued that distinguishing between belief-universals and belief-particulars helps to see why this argument fails. Third and finally, one might draw an analogy with the asymmetry thesis in ethics by arguing that even if blameworthy belief requires the ability to believe otherwise, praiseworthy belief does not. It is argued that the main arguments in favour of this presumed asymmetry are wanting, partly because they fail to distinguish between two different kinds of praiseworthiness. Finally, the author sketches three implications of the thesis that doxastic responsibility entails the ability to believe otherwise: counterfactual construals of responsible belief might be tenable, the deontological conception of epistemic justification needs revision on an important point, and there might be an important asymmetry between beliefs on the one hand and actions and many non-doxastic consequences on the other. (shrink)

William Alston has argued that the so-called deontological conception of epistemic justification, on which epistemic justification is to be spelled out in terms of blame, responsibility, and obligations, is untenable. The basic idea of the argument is that this conception is untenable because we lack voluntary control over our beliefs and, therefore, cannot have any obligations to hold certain beliefs. If this is convincing, however, the argument threatens the very idea of doxastic responsibility. For, how can we ever be responsible (...) for our beliefs if we lack control over them? Several philosophers have argued that the idea that we bear responsibility for our beliefs can be saved, because absence of voluntary control over our beliefs is perfectly compatible with having obligations to hold particular beliefs. With others, I call this view ‘doxastic compatibilism’. It comes in two varieties. On the first variety, doxastic obligations do not require any kind of doxastic control whatsoever. I argue that this variety of doxastic compatibilism fails because it confuses doxastic responsibility with other closely related phenomena. On the second variety, doxastic obligations do not require voluntary doxastic control, but only compatibilist doxastic control (roughly, reason-responsiveness) and we do in fact have such control. I grant that we have such control, but also argue that having such control is insufficient for bearing doxastic responsibility. The plausibility of the examples put forward by doxastic compatibilists in support of the claim that it is sufficient for doxastic responsibility derives from the fact that in these examples, the subjects have control over factors that influence what they believe rather than control over those beliefs themselves. (shrink)

For an action to be free, for an agent to be responsible for his action, it is sometimes thought that he must act from a will that is free or for which he is responsible. There is a connection between freedom of action and freedom or autonomy of will, but the connection cannot be the one envisaged here, modelling free will on a free action, for not only does that set off an obvious regress, but as importantly the elements of (...) the will, beliefs and desires, are not states within an agent's voluntary control, not states for which he is directly responsible. Though these states are not within an agent's control, whether he believes or desires autonomously has a crucial bearing on his responsibility for his subsequent actions. And though he is not directly responsible for these states, he can be indirectly responsible for them, and that factor too can have a crucial bearing on his responsibility for his actions, in particular for those actions that are produced by beliefs that are false. (shrink)

Might epistemic justification be, to some substantive extent, a function of epistemic responsibility—a belief's being formed, or its being maintained, in an epistemically responsible way? I will call any analysis of epistemic justification endorsing that kind of idea epistemic responsibilism—or, for short, responsibilism. Many epistemic internalists are responsibilists, because they think that what makes a belief justified is its being appropriately related to one's good evidence for it, and because many of them regard this appropriate relation as somehow involving one's (...) being epistemically responsible. Alvin Goldman describes internalism as relying upon a guidance-deontological conception of epistemic justification, at the heart of which is a concept of epistemic responsibility. Alvin Plantinga, too, characterises internalism in deontological terms, epistemic responsibility being one of the most prominent such terms. And the concept of epistemic responsibility might feature in attempts to develop a virtue epistemology. Epistemic responsibility would be an epistemic virtue, and epistemic justification would be present partly due to one's being epistemically virtuous. (shrink)

Section 1 articulates a genus-species claim: that knowledge is a kind of success from ability. Equivalently: In cases of knowledge, S’s success in believing the truth is attributable to S’s ability. That idea is then applied to questions about the nature and value of knowledge. Section 2 asks what it would take to turn the genus-species claim into a proper theory of knowledge; that is, into informative, necessary and sufficient conditions. That question is raised in the context of an important (...) line of objection against even the genus-species claim; namely, that there is no way to understand the attribution relation so that it does all the work that it is supposed to do. Section 3 reviews several extant proposals for understanding the attribution relation, and argues that none of them are adequate for answering the objection. Section 4 proposes a different way of understanding the relation, and shows how the resulting view does resolve the objection. Section 5 completes the new account by proposing a way to understand intellectual abilities. Section 6 briefly addresses Barn Façade cases and lottery propositions. Section 7 briefly addresses a question about the scope of knowledge; in particular, it shows how the new view allows a neo-Moorean response to skepticism. (shrink)

Section 1 articulates a genus-species claim: that knowledge is a kind of success from ability. Equivalently: In cases of knowledge, S’s success in believing the truth is attributable to S’s ability. That idea is then applied to questions about the nature and value of knowledge. Section 2 asks what it would take to turn the genus-species claim into a proper theory of knowledge; that is, into informative, necessary and sufficient conditions. That question is raised in the context of an important (...) line of objection against even the genus-species claim; namely, that there is no way to understand the attribution relation so that it does all the work that it is supposed to do. Section 3 reviews several extant proposals for understanding the attribution relation, and argues that none of them are adequate for answering the objection. Section 4 proposes a different way of understanding the relation, and shows how the resulting view does resolve the objection. Section 5 completes the new account by proposing a way to understand intellectual abilities. Section 6 briefly addresses Barn Façade cases and lottery propositions. Section 7 briefly addresses a question about the scope of knowledge; in particular, it shows how the new view allows a neo-Moorean response to skepticism. (shrink)

Section 1 articulates a genus‐species claim: that knowledge is a kind of success from ability. Equivalently: In cases of knowledge, S’s success in believing the truth is attributable to S’s ability. That idea is then applied to questions about the nature and value of knowledge. Section 2 asks what it would take to turn the genus‐species claim into a proper theory of knowledge; that is, into informative, necessary and sufficient conditions. That question is raised in the context of an important (...) line of objection against even the genus‐species claim; namely, that there is no way to understand the attribution relation so that it does all the work that it is supposed to do. Section 3 reviews several extant proposals for understanding the attribution relation, and argues that none of them are adequate for answering the objection. Section 4 proposes a different way of understanding the relation, and shows how the resulting view does resolve the objection. Section 5 completes the new account by proposing a way to understand intellectual abilities. Section 6 briefly addresses Barn Façade cases and lottery propositions. Section 7 briefly addresses a question about the scope of knowledge; in particular, it shows how the new view allows a neo‐Moorean response to skepticism. (shrink)

Against the traditional view, Alvin Goldman argues that logic, probability theory, and linguistic analysis cannot by themselves delineate principles of rationality or justified belief. The mind's operations must be taken into account.

Abstract: This paper argues that instances of what are typically called ‘epistemic irresponsibility’ are better understood as instances of moral or prudenial failure. This hypothesis covers the data and is simpler than postulating a new sui generis form of normativitiy. The irresponsibility alleged is that embeded in charges of ‘You should have known better!’ However, I argue, either there is some interest at stake in knowing or there is not. If there is not, then there is no irresponsibility. If there (...) is, it is either the inquirer's interests—in which case it is a prudential shortcoming—or someone else's interests are at stake—in which case it is a moral shortcoming. In no case, I argue, is there any need to postulate a form of normativity in epistemology other than the traditional epistemological norm that one's attitudes should fit the evidence one has. (shrink)

Various authors have argued that progress in the neurocognitive and neuropsychiatric sciences might threaten the commonsense understanding of how the mind generates behavior, and, as a consequence, it might also threaten the commonsense ways of attributing moral responsibility, if not the very notion of moral responsibility. In the case of actions that result in undesirable outcomes, the commonsense conception—which is reflected in sophisticated ways in the legal conception—tells us that there are circumstances in which the agent is entirely and fully (...) responsible for the bad outcome and circumstances in which the agent is not at all responsible for the bad outcome. (shrink)

Delusions are defined as irrational beliefs that compromise good functioning. However, in the empirical literature, delusions have been found to have some psychological benefits. One proposal is that some delusions defuse negative emotions and protect one from low self-esteem by allowing motivational influences on belief formation. In this paper I focus on delusions that have been construed as playing a defensive function (motivated delusions) and argue that some of their psychological benefits can convert into epistemic ones. Notwithstanding their epistemic costs, (...) motivated delusions also have potential epistemic benefits for agents who have faced adversities, undergone physical or psychological trauma, or are subject to negative emotions and low self-esteem. To account for the epistemic status of motivated delusions, costly and beneficial at the same time, I introduce the notion of epistemic innocence. A delusion is epistemically innocent when adopting it delivers a significant epistemic benefit, and the benefit could not be attained if the delusion were not adopted. The analysis leads to a novel account of the status of delusions by inviting a reflection on the relationship between psychological and epistemic benefits. (shrink)

In this article I ask whether elaborated and systematized delusions emerging in the context of schizophrenia have the potential for epistemic innocence. Cognitions are epistemically innocent if they have significant epistemic benefits that could not be attained otherwise. In particular, I propose that a cognition is epistemically innocent if it delivers some significant epistemic benefit to a given agent at a given time, and if alternative cognitions delivering the same epistemic benefit are unavailable to that agent at that time. Elaborated (...) and systematized delusions in schizophrenia are typically false and exemplify failures of rationality and self-knowledge. Empirical studies suggest that they may have psychological benefits by relieving anxiety and enhancing meaningfulness. Moreover, these delusions have been considered as adaptive in virtue of the fact that they enable automated learning to resume after a significant disruption caused by incorrect prediction-error signalling. I argue that such psychological benefits and adaptive features also have positive epistemic consequences. More precisely, delusions can be a means to restoring epistemic functionality in agents who are overwhelmed by hypersalient experiences in the prodromal stage of psychosis. The analysis leads to a more complex view of the epistemic status of delusions than is found in the contemporary philosophical literature and has some implications for clinical practice. 1 Introduction2 Types of Delusions3 What Is Wrong with Elaborated and Systematized Delusions?4 Finding Life Meaningful5 Learning Resumed6 Epistemic Innocence7 Epistemic Benefit8 No Alternatives9 Conclusions and Implications. (shrink)

To be a doxastic deontologist is to claim that there is such a thing as an ethics of belief (or of our doxastic attitudes in general). In other words, that we are subject to certain duties with respect to our doxastic attitudes, the non-compliance with which makes us blameworthy and that we should understand doxastic justification in terms of these duties. In this paper, I argue that these duties are our all things considered duties, and not our epistemic or moral (...) duties, for example. I show how this has the surprising result that, if deontologism is a thesis about doxastic justification, it entails that there is no such thing as epistemic or moral justification for a belief that p. I then suggest why this result, though controversial, may have some salutary consequences: primarily that it helps us make some sense of an otherwise puzzling situation regarding doxastic dilemmas. -/- . (shrink)

When it comes to epistemic normativity, should we take the good to be prior to the right? That is, should we ground facts about what we ought and ought not believe on a given occasion in facts about the value of being in certain cognitive states (such as, for example, the value of having true beliefs)? The overwhelming answer among contemporary epistemologists is “Yes, we should.” This essay argues to the contrary. Just as taking the good to be prior to (...) the right in ethics often leads one to sanction implausible trade-offs when determining what an agent should do, so too, this essay argues, taking the good to be prior to the right in epistemology leads one to sanction implausible trade-offs when determining what a subject should believe. Epistemic value—and, by extension, epistemic goals—are not the explanatory foundation upon which all other normative notions in epistemology rest. (shrink)

In this paper we defend the doxastic conception of delusions against the metacognitive account developed by Greg Currie and collaborators. According to the metacognitive model, delusions are imaginings that are misidentified by their subjects as beliefs: the Capgras patient, for instance, does not believe that his wife has been replaced by a robot, instead, he merely imagines that she has, and mistakes this imagining for a belief. We argue that the metacognitive account is untenable, and that the traditional conception of (...) delusions as beliefs should be retained. (shrink)

In 1910, Karl Jaspers wrote a seminal essay on morbid jealousy in which he laid the foundation for the psychopathological phenomenology that through his work and the work of Hans Gruhle and Kurt Schneider, among others, would become the ...

Introduction As the title indicates, the chief focus of this book is epistemic justification. But just what is epistemic justification and what is its place ...

Contemporary virtue epistemology (hereafter ‘VE’) is a diverse collection of approaches to epistemology. At least two central tendencies are discernible among the approaches. First, they view epistemology as a normative discipline. Second, they view intellectual agents and communities as the primary focus of epistemic evaluation, with a focus on the intellectual virtues and vices embodied in and expressed by these agents and communities. -/- This entry introduces many of the most important results of the contemporary VE research program. These include (...) novel attempts to resolve longstanding disputes, solve perennial problems, grapple with novel challenges, and expand epistemology’s horizons. In the process, it reveals the diversity within VE. Beyond sharing the two unifying commitments mentioned above, its practitioners diverge over the nature of intellectual virtues, which questions to ask, and which methods to use. -/- It will be helpful to note some terminology before proceeding. First, we use ‘cognitive’, ‘epistemic’ and ‘intellectual’ synonymously. Second, we often use ‘normative’ broadly to include not only norms and rules, but also duties and values. Finally, ‘practitioners’ names contemporary virtue epistemologists. (shrink)

Objective: The clinical hallmark of schizophrenia is psychosis. The objective of this overview is to link the neurobiology (brain), the phenomenological experience (mind), and pharmacological aspects of psychosis-in-schizophrenia into a unitary framework. -/- Method: Current ideas regarding the neurobiology and phenomenology of psychosis and schizophrenia, the role of dopamine, and the mechanism of action of antipsychotic medication were integrated to develop this framework. -/- Results: A central role of dopamine is to mediate the "salience" of environmental events and internal representations. (...) It is proposed that a dysregulated, hyperdopaminergic state, at a "brain" level of description and analysis, leads to an aberrant assignment of salience to the elements of one's experience, at a "mind" level. Delusions are a cognitive effort by the patient to make sense of these aberrantly salient experiences, whereas hallucinations reflect a direct experience of the aberrant salience of internal representations. Antipsychotics "dampen the salience" of these abnormal experiences and by doing so permit the resolution of symptoms. The antipsychotics do not erase the symptoms but provide the platform for a process of psychological resolution. However, if antipsychotic treatment is stopped, the dysregulated neurochemistry returns, the dormant ideas and experiences become reinvested with aberrant salience, and a relapse occurs. -/- Conclusions: The article provides a heuristic framework for linking the psychological and biological in psychosis. Predictions of this hypothesis, particularly regarding the possibility of synergy between psychological and pharmacological therapies, are presented. The author describes how the hypothesis is complementary to other ideas about psychosis and also discusses its limitations. (shrink)